[ FACTEURS ASSOCIES A L’ALIMENTATION COMPLEMENTAIRE APPROPRIEE DES ENFANTS ALLAITES AGES DE 6 À 23 MOIS DANS LA COMMUNE DE KAOLACK (SENEGAL) ]
Volume 29, Issue 4, July 2020, Pages 1242–1252
Den Princilia Mouissi Loukoula1, Edmery Muriel Mpouho Ntsougha2, Jean Augustin Diégane Tine3, Ndeye Marème Sougou4, Maty Diagne Camara5, Pape Abdoulaye Seck6, Ndeye Khady Toure7, Bassoum Oumar8, Faye Adama9, and SECK Ibrahima10
1 MPH, Nutritionniste - ISED, UCAD, Dakar, Sénégal
2 MD, Médecin de Santé Publique - ISED, UCAD (Dakar, Sénégal) - SSM, Libreville, Gabon
3 Maître de conférences titulaire en Santé Publique, FMPO, UCAD, Dakar, Senegal
4 MD, PhD, Pédiatre, Anthropologue, enseignant chercheur - ISED, UCAD, Dakar, Senegal
5 MD, MPH, Médecin, nutritionniste, enseignant chercheur, ISED, UCAD, Dakar, Senegal
6 MD, Médecin de sante publique, Ministère de la Sante et l’Action Sociale, Dakar, Senegal
7 MD, Médecin de sante publique, Ministère de la Sante et l’Action Sociale, Dakar, Senegal
8 Institut de Santé et Développement (ISED), Université Cheikh Anta Diop, Dakar, Senegal
9 Institut de Santé et Développement (ISED), Université Cheikh Anta Diop, Dakar, Senegal
10 Professeur de Santé Publique à l’Université Gaston Berger de Saint Louis, Senegal
Original language: French
Copyright © 2020 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.
Introduction: Appropriate complementary feeding is an important determinant for achieving healthy growth and survival of infants and young children in the first years of life. Poorly managed, it increases the risk of undernutrition, illness and death in the latter. This study aimed to determine the proportion of minimum food intake in breastfed children and to identify the associated factors in the municipality.Methods: A cross-sectional, descriptive and analytical study of households was carried out in the commune of Kaolack (Senegal) from November 15 to 21, 2017. The multi-stage sampling method was used to select mothers of elderly breastfed children 6-23 months. The analysis was done using R software (version 3.4.3). Descriptive analyzes and simple logical regression were done. Odds ratios with a 95% confidence interval were used to identify the associated factors.Results: A total of 260 women were surveyed. Mothers of children represented 93.8% and the rest were babysitters. The mean age was 27.8 ± 6.6 years. In 94.6%, they were married and in 78.9% the mothers lived in a monogamous marriage. 71.5% of women were in school and 69.6% of mothers had more than two dependent children. Daily market spending was stable in 82.4% of households. The number of people living in the household was less than or equal to 10 people in 60.4% of the households.The sex ratio (M / F) of breastfed children was 1.34. The mean age of breastfed infants was 13.9 ± 4.5 months. Their average weight was 9.1 ± 1.5 kg. The mean height of the children was 75.7 ± 5.5 cm. Among the children surveyed, only 28.7% received a minimum acceptable intake in their diet. Regarding follow-up, 57.3% of women did not respect follow-up appointments promoting child growth.The factors associated with the low proportion of the minimum acceptable intake in children were: the status of the mother compared to babysitters (OR = 0.22 [0.06– 0.84]), the link of kinship with the head of household being a parent of the mother (OR = 2.87 [1.25 - 6.6]) compared to households headed by the father of the child, the regularity of daily expenses (7.41 [2.01– 27.37]) and compliance with the follow-up appointments promoting the child's growth (OR = 3.36 [1.73 - 6.51]).Conclusion: To ensure appropriate complementary feeding in children from 6 to 23 months, it is important to strengthen the socioeconomic level of households, sensitize mothers to respect the follow-up appointments promoting the growth of the child.
Author Keywords: Factors, food, complementary, children, Kaolack, Senegal.
Volume 29, Issue 4, July 2020, Pages 1242–1252
Den Princilia Mouissi Loukoula1, Edmery Muriel Mpouho Ntsougha2, Jean Augustin Diégane Tine3, Ndeye Marème Sougou4, Maty Diagne Camara5, Pape Abdoulaye Seck6, Ndeye Khady Toure7, Bassoum Oumar8, Faye Adama9, and SECK Ibrahima10
1 MPH, Nutritionniste - ISED, UCAD, Dakar, Sénégal
2 MD, Médecin de Santé Publique - ISED, UCAD (Dakar, Sénégal) - SSM, Libreville, Gabon
3 Maître de conférences titulaire en Santé Publique, FMPO, UCAD, Dakar, Senegal
4 MD, PhD, Pédiatre, Anthropologue, enseignant chercheur - ISED, UCAD, Dakar, Senegal
5 MD, MPH, Médecin, nutritionniste, enseignant chercheur, ISED, UCAD, Dakar, Senegal
6 MD, Médecin de sante publique, Ministère de la Sante et l’Action Sociale, Dakar, Senegal
7 MD, Médecin de sante publique, Ministère de la Sante et l’Action Sociale, Dakar, Senegal
8 Institut de Santé et Développement (ISED), Université Cheikh Anta Diop, Dakar, Senegal
9 Institut de Santé et Développement (ISED), Université Cheikh Anta Diop, Dakar, Senegal
10 Professeur de Santé Publique à l’Université Gaston Berger de Saint Louis, Senegal
Original language: French
Copyright © 2020 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
Introduction: Appropriate complementary feeding is an important determinant for achieving healthy growth and survival of infants and young children in the first years of life. Poorly managed, it increases the risk of undernutrition, illness and death in the latter. This study aimed to determine the proportion of minimum food intake in breastfed children and to identify the associated factors in the municipality.Methods: A cross-sectional, descriptive and analytical study of households was carried out in the commune of Kaolack (Senegal) from November 15 to 21, 2017. The multi-stage sampling method was used to select mothers of elderly breastfed children 6-23 months. The analysis was done using R software (version 3.4.3). Descriptive analyzes and simple logical regression were done. Odds ratios with a 95% confidence interval were used to identify the associated factors.Results: A total of 260 women were surveyed. Mothers of children represented 93.8% and the rest were babysitters. The mean age was 27.8 ± 6.6 years. In 94.6%, they were married and in 78.9% the mothers lived in a monogamous marriage. 71.5% of women were in school and 69.6% of mothers had more than two dependent children. Daily market spending was stable in 82.4% of households. The number of people living in the household was less than or equal to 10 people in 60.4% of the households.The sex ratio (M / F) of breastfed children was 1.34. The mean age of breastfed infants was 13.9 ± 4.5 months. Their average weight was 9.1 ± 1.5 kg. The mean height of the children was 75.7 ± 5.5 cm. Among the children surveyed, only 28.7% received a minimum acceptable intake in their diet. Regarding follow-up, 57.3% of women did not respect follow-up appointments promoting child growth.The factors associated with the low proportion of the minimum acceptable intake in children were: the status of the mother compared to babysitters (OR = 0.22 [0.06– 0.84]), the link of kinship with the head of household being a parent of the mother (OR = 2.87 [1.25 - 6.6]) compared to households headed by the father of the child, the regularity of daily expenses (7.41 [2.01– 27.37]) and compliance with the follow-up appointments promoting the child's growth (OR = 3.36 [1.73 - 6.51]).Conclusion: To ensure appropriate complementary feeding in children from 6 to 23 months, it is important to strengthen the socioeconomic level of households, sensitize mothers to respect the follow-up appointments promoting the growth of the child.
Author Keywords: Factors, food, complementary, children, Kaolack, Senegal.
Abstract: (french)
Introduction: L’alimentation complémentaire appropriée est un déterminant important pour la réalisation de la croissance saine et de la survie du nourrisson et du jeune enfant dans les premières années de vie. Mal conduite, elle augmente le risque de dénutrition, de maladie et de mortalité chez ces derniers. Cette étude visait à déterminer la proportion de l’apport alimentaire minimal chez les enfants allaités et d’identifier les facteurs associes dans la commune.Méthodes: Une étude transversale, descriptive et analytique auprès des ménages a été réalisée dans la commune de Kaolack (Sénégal) du 15 au 21 novembre 2017. La méthode d’échantillonnage à plusieurs degrés a été utilisée pour sélectionner les mères d’enfants allaités âgés de 6-23 mois. L’analyse a été faite à l’aide du logiciel R (version 3.4.3). Des analyses descriptives et une régression logique simple ont été faites. Les Odds-ratio avec un intervalle de confiance à 95%, ont été utilisés pour identifier les facteurs associés.Résultats: Au total, 260 femmes ont été enquêtées. Les mères des enfants représentaient 93,8% et le reste était des gardiennes d’enfant. L’âge moyen a été de 27,8± 6,6 ans. Dans 94,6%, elles étaient mariées et dans 78,9% les mères vivaient dans un mariage monogamique. Les femmes étaient scolarisées à 71,5% et 69,6% des mères avaient plus de deux enfants en charge. Les dépenses quotidiennes du marché ont été stables dans 82,4% des ménages. Le nombre de personne vivant dans le ménage était inférieur ou égal à 10 personnes dans 60,4% des ménages.Le sexe ratio (M/F) des enfants allaités étaient de 1,34. L’âge moyen des enfants allaités était de 13,9 ± 4,5 mois. Leur poids moyen était de 9,1 ± 1,5 kg. La taille moyenne des enfants était de 75,7 ± 5,5 cm. Parmi les enfants enquêtées, seulement 28,7% ont bénéficié d’un apport minimal acceptable dans leur alimentation. Concernant le suivi, 57,3% des femmes ne respectaient pas les rendez-vous du suivi promotion de la croissance de l’enfant.Les facteurs associés à la faible proportion de l’apport minimal acceptable chez les enfants étaient: le statut de la mère par rapport aux gardiennes d’enfants (OR=0,22 [0,06– 0,84]), le lien de parenté avec le chef de ménage étant un parent de la mère (OR=2,87 [1,25 – 6,6]) par rapport aux ménages dirigés par le père de l’enfant, la régularité des dépenses quotidiennes (7,41 [2,01– 27,37]) et le respect des rendez-vous du suivi promotion de la croissance de l’enfant (OR=3,36 [1,73 – 6,51]).Conclusion: Pour assurer une alimentation complémentaire appropriée chez les enfants de 6 à 23 mois, il est important de renforcer le niveau socioéconomique des ménages, sensibiliser les mères pour respecter les rendez-vous du suivi promotion de la croissance de l’enfant.
Author Keywords: Facteurs, alimentation, complémentaire, enfants, Kaolack, Sénégal.
How to Cite this Article
Den Princilia Mouissi Loukoula, Edmery Muriel Mpouho Ntsougha, Jean Augustin Diégane Tine, Ndeye Marème Sougou, Maty Diagne Camara, Pape Abdoulaye Seck, Ndeye Khady Toure, Bassoum Oumar, Faye Adama, and SECK Ibrahima, “FACTORS ASSOCIATED WITH THE APPROPRIATE COMPLEMENTARY FEEDING OF BREASTFEEDED CHILDREN AGES 6 TO 23 MONTHS IN THE COMMUNE OF KAOLACK (SENEGAL),” International Journal of Innovation and Applied Studies, vol. 29, no. 4, pp. 1242–1252, July 2020.
