[ La prévalence de la malnutrition aiguë sévère chez les enfants de moins de 5 ans et facteurs associés en milieu rural: Cas de la zone de santé de Vaku en 2020 ]
Volume 40, Issue 3, September 2023, Pages 622–632
Nono Koka Ngombe1, Junior Biankadi Ndudi2, Jospin Mbele Nguvulu3, Flavien Nimi Nsungu4, Eric Mukomena Sompwe5, and Ghislain Mashini Ngongo6
1 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
2 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
3 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
4 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
5 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
6 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
Original language: French
Copyright © 2023 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.
Severe acute malnutrition is a real public health problem in the Vaku health zone, we note the persistence of cases and the increase in infant and child mortality. This study aims to determine the prevalence and determinants of severe acute malnutrition. This is a cross-sectional analytical study of 479 children under 5 years of age with acute malnutrition, received in the structures of this health zone in 2020. Selected according to the Z-score weight/height or mid-upper arm circumference. The prevalence of severe acute malnutrition was 3.8%, the Khele health area (6.6%) was in first position. Male sex was more concerned and age between 12 and 24 months had the highest prevalence (4.7%). We performed multivariate analysis with logistic regression of associated factors. Non-exclusive breastfeeding, inadequate complementary feeding, monthly income ≤ US$ 30 of heads of household and non-attendance at SPC have been identified as potential determinants of severe acute malnutrition in this health zone. Incomplete immunization status, household size of more than six people and access to difficult food were identified as protective factors for severe acute malnutrition. The other factors studied did not present the link with malnutrition in this health zone. Several cited studies found similar results. We suggest the effective integration of infant and young child feeding activities into the structures of this health zone that could reduce this prevalence.
Author Keywords: Acute-severe malnutrition, Vaku health zone, prevalence, associated factors.
Volume 40, Issue 3, September 2023, Pages 622–632
Nono Koka Ngombe1, Junior Biankadi Ndudi2, Jospin Mbele Nguvulu3, Flavien Nimi Nsungu4, Eric Mukomena Sompwe5, and Ghislain Mashini Ngongo6
1 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
2 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
3 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
4 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
5 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
6 Institut Supérieur de Techniques Médicales de Tshela (ISTM, TSHELA), RD Congo
Original language: French
Copyright © 2023 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
Severe acute malnutrition is a real public health problem in the Vaku health zone, we note the persistence of cases and the increase in infant and child mortality. This study aims to determine the prevalence and determinants of severe acute malnutrition. This is a cross-sectional analytical study of 479 children under 5 years of age with acute malnutrition, received in the structures of this health zone in 2020. Selected according to the Z-score weight/height or mid-upper arm circumference. The prevalence of severe acute malnutrition was 3.8%, the Khele health area (6.6%) was in first position. Male sex was more concerned and age between 12 and 24 months had the highest prevalence (4.7%). We performed multivariate analysis with logistic regression of associated factors. Non-exclusive breastfeeding, inadequate complementary feeding, monthly income ≤ US$ 30 of heads of household and non-attendance at SPC have been identified as potential determinants of severe acute malnutrition in this health zone. Incomplete immunization status, household size of more than six people and access to difficult food were identified as protective factors for severe acute malnutrition. The other factors studied did not present the link with malnutrition in this health zone. Several cited studies found similar results. We suggest the effective integration of infant and young child feeding activities into the structures of this health zone that could reduce this prevalence.
Author Keywords: Acute-severe malnutrition, Vaku health zone, prevalence, associated factors.
Abstract: (french)
La malnutrition aiguë sévère est un véritable problème de santé publique dans la zone de santé de Vaku, On note la persistance de cas et l’augmentation de mortalité infanto-juvénile. Cette étude vise à déterminer la prévalence et les déterminants de la malnutrition aiguë sévère. C’est une étude analytique transversale portant sur 479 enfants de moins de 5 ans avec malnutrition aiguë, reçus dans les structures de cette zone de santé en 2020. Sélectionnés selon le Z-score poids/taille ou périmètre brachial. La prévalence de la malnutrition aiguë sévère était de 3,8%, l’aire de santé de Khele (6,6%) était en première position. Le sexe masculin était plus concerné et l’âge entre 12 à 24 mois affichait la prévalence la plus élevée (4,7%). Nous avons réalisé l’analyse multivariée avec la régression logistique des facteurs associés. L’allaitement maternel non exclusif, l’alimentation de complément non adéquat, la revenu mensuel ≤ à 30USD de chefs de ménages et la non fréquentation à la CPS ont été identifiés comme déterminants potentiels de la survenue de malnutrition aiguë sévère dans cette zone de santé. Le statut vaccinal incomplet, la taille de ménage supérieure à six personnes et l’accessibilité à la nourriture difficile ont été retenus des facteurs protecteurs de la malnutrition aiguë sévère. Les autres facteurs étudiés, n’ont pas présenté le lien avec la malnutrition dans cette zone de santé. Plusieurs études citées ont trouvé les résultats similaires. Nous suggérons l’intégration effective des activités de l’alimentation du nourrisson et jeune enfant dans les structures de cette zone de santé qui pourrait réduire cette prévalence.
Author Keywords: Malnutrition aiguë-sévère, zone de santé Vaku, prévalence, facteurs associés.
How to Cite this Article
Nono Koka Ngombe, Junior Biankadi Ndudi, Jospin Mbele Nguvulu, Flavien Nimi Nsungu, Eric Mukomena Sompwe, and Ghislain Mashini Ngongo, “The prevalence of severe acute malnutrition in children under 5 years of age and associated factors in rural areas: Case of Vaku health zone in 2020,” International Journal of Innovation and Applied Studies, vol. 40, no. 3, pp. 622–632, September 2023.
