LIMITATING FACTORS OF NUTRITIONAL CARE REHABILITATION

Fall M, Sarr M, Sy H, Diagne I, Moreira C

Institut de P¨¦diatrie Sociale, University of Dakar BP 5086 Dakar, Senegal

 

In Senegal about 30% of under five years children are at variable extent malnourished. So many programs have been set up by NGO and Health Minister to struggle against this public Health problem with nutritional strategies based mainly on food and micronutriment suplementation at home. University Department of Pediatrics via Social Pediatric Institute has been elected to clarify why 25 % of 6 to 36 months did not manifest benefit of this supplementation.

We conducted a prospective study for nutritional rehabilitation. The population was divided into two groups of children 6 to 35 months severely malnourished. First group had nutritional supply of local meals. Second group had official protocol used in Ministry rehabilitation centers. Evaluation was made to clarify determinants of bad recovery.

The result of our study show that the principal determinants of bad recovery were: Hard working mother (p=0.03); Young mother (p=0.02); Associated pathologies as diarrhea, infection, anemia, intestinal paraites; Low birth weight (p=0.001); Promiscuity, bad hygiene; Poor income, illeteracy of mother.

Social environment and poverty must be taken in account as important conditions for whole success of nutritional programs in children at risk.

 
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