Guinea ratified all the conventions of the rights of the children for the food in the health. In the absence of projects of sustainable public nutrition and wide scale, it benefits punctually from the assistant of foreign NGOS of fight against acute malnutrition. Further to the intervention of one of these NGOs in the municipality of Matoto, six health centers must to be integrated to assure the continuity of the activities of nutrition. In spite of the free of the departments of nutrition and care, was noticed more and more the abandonment of the program by the beneficiaries. It is within the framework of the better understanding of the reasons and the prevention of the factors of abandonment bound to the nutritional recovery that joins this work.
A case control study allowed to identifying the family responsibilities of accompanying (44, 19 %) and the travels of accompanying (37.21 %) as the main reasons (P < 0.0001) of the abandonment. Among factors(mailmen), we identified that there are fewer abandonments when there was no absence (OR = 0,07 [ 0,03-0,18 ]) and more abandonments(relinquishments) when the likely duration of the recovery(recycling) was explained accompanying (OR=2,71 [ 1,28-5,70 ]).
The improvement of this situation is very possible in Guinea. To reach there, we propose that are taken the measures of raising sensitization of accompanying, flexibility in the distribution of foods to the beneficiaries, thorough decentralization and extension of the activities of nutrition.