[ Déterminants de la malnutrition de la femme enceinte dans la ville de Kinshasa en République Démocratique du Congo ]
Volume 27, Issue 3, October 2019, Pages 839–847
M. Ngoma Thuadi1, K.V. Balua2, and N.B. Mukuna3
1 Institut Supérieur des Sciences de la Santé de la Croix Rouge, Section de Sage-femme, BP. 121494 ISSS/CR, Kinshasa, RD Congo
2 Institut Supérieur des Techniques Médicales de Kinshasa, Section de Sage-femme, BP. 744, ISTM KIN, Kinshasa XI, RD Congo
3 Département des Sciences Infirmières, Faculté des Sciences de la Santé, Université Pédagogique Nationale (UPN), Kinshasa, RD Congo
Original language: French
Copyright © 2019 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
In order to identify the factors of pregnant women malnourished in Kinshasa a study was conducted among 2,349 pregnant women. The results show that the malnourished pregnant woman in Kinshasa is illiterate (p <0.05), with food stress in her household (p <0.05), has at least one disease for which she is not supplemented with iron ([OR] 1.21), not using insecticide-treated mosquito nets [OR] 1.18), not dewormed (p <0.05), but sometimes receives preventive and intermittent malaria treatment (p <0.05) or health and nutrition education (p <0.05)".The pregnant woman malnutrition is amplified by the unfavorable cultural factors (lack of access to nutrition and health education, illiteracy), by the household's nutritional stress as well as by the non-use of ITN within Household. Malnutrition is even higher when the level of education of pregnant women is low (p = 0.01). The determinants model challenges more than one actor and the target itself. The responsibilities of decision-makers at central level are also challenged to organize an effective response. Pregnant women themselves should continually cooperate and adhere to strategies. The evidence generated remains necessary to help in the improvement, readjustment of interventions for pregnant women.
Author Keywords: malnutrition, pregnant women, determinants.
Volume 27, Issue 3, October 2019, Pages 839–847
M. Ngoma Thuadi1, K.V. Balua2, and N.B. Mukuna3
1 Institut Supérieur des Sciences de la Santé de la Croix Rouge, Section de Sage-femme, BP. 121494 ISSS/CR, Kinshasa, RD Congo
2 Institut Supérieur des Techniques Médicales de Kinshasa, Section de Sage-femme, BP. 744, ISTM KIN, Kinshasa XI, RD Congo
3 Département des Sciences Infirmières, Faculté des Sciences de la Santé, Université Pédagogique Nationale (UPN), Kinshasa, RD Congo
Original language: French
Copyright © 2019 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
In order to identify the factors of pregnant women malnourished in Kinshasa a study was conducted among 2,349 pregnant women. The results show that the malnourished pregnant woman in Kinshasa is illiterate (p <0.05), with food stress in her household (p <0.05), has at least one disease for which she is not supplemented with iron ([OR] 1.21), not using insecticide-treated mosquito nets [OR] 1.18), not dewormed (p <0.05), but sometimes receives preventive and intermittent malaria treatment (p <0.05) or health and nutrition education (p <0.05)".The pregnant woman malnutrition is amplified by the unfavorable cultural factors (lack of access to nutrition and health education, illiteracy), by the household's nutritional stress as well as by the non-use of ITN within Household. Malnutrition is even higher when the level of education of pregnant women is low (p = 0.01). The determinants model challenges more than one actor and the target itself. The responsibilities of decision-makers at central level are also challenged to organize an effective response. Pregnant women themselves should continually cooperate and adhere to strategies. The evidence generated remains necessary to help in the improvement, readjustment of interventions for pregnant women.
Author Keywords: malnutrition, pregnant women, determinants.
Abstract: (french)
En vue d’identifier les déterminants de la malnutrition chez la femme enceinte de Kinshasa, en République Démocratique du Congo, une étude fut conduite auprès de 2349 femmes enceintes. Elle a permis de noter que la malnutrition de la femme enceinte est amplifiée par les facteurs culturels défavorables (non accès à l’éducation nutritionnelle et sanitaire, analphabétisme), par le stress alimentaire du ménage ainsi que par la non utilisation de la MII au sein du ménage. Le profil suivant des facteurs la caractérise : « Analphabétisme (p<0.05), avec stress alimentaire dans son ménage(p<0.05), présente au moins une maladie pour laquelle elle n’utilise pas la moustiquaire imprégnée d’insecticides ([OR]1.18), n’est pas supplémentée en fer ([OR]1.21) ni déparasitée (p<0.05), mais reçoit parfois un traitement préventif et Intermittent du paludisme(p<0.05) ou l’éducation sanitaire et nutritionnelle(p<0.05) ». La malnutrition est d’autant plus élevée que le niveau d’instruction de femmes enceintes est faible (p=0,01). Le modèle des facteurs déterminants interpelle plus d’un acteur et la cible elle-même. Les responsabilités des décideurs du niveau central sont également interpellées pour l’organisation d’une réponse efficace. Les femmes enceintes devraient elles-mêmes coopérer continuellement et adhérer aux stratégies. Les évidences générées restent nécessaires pour aider dans l’amélioration, le réajustement des interventions en faveur de femmes enceintes.
Author Keywords: malnutrition, femme enceinte, déterminants.
How to Cite this Article
M. Ngoma Thuadi, K.V. Balua, and N.B. Mukuna, “Factors of malnutrition beyond pregnant woman in the city of Kinshasa in the Democratic Republic of Congo,” International Journal of Innovation and Applied Studies, vol. 27, no. 3, pp. 839–847, October 2019.
