scholarly journals Access to Improved Sanitation and Nutritional Status among Preschool Children in Nouna District, Burkina Faso

Author(s):  
Mamadou Bountogo ◽  
Mamadou Ouattara ◽  
Ali Sié ◽  
Guillaume Compaoré ◽  
Clarisse Dah ◽  
...  

Access to improved sanitation and hygiene may improve child nutritional status by reducing exposure to enteric pathogens. We evaluated this relationship as part of the Community Health with Azithromycin Trial, a community-randomized trial of azithromycin versus placebo for the prevention of child mortality in rural Burkina Faso. Before the baseline study visit, a door-to-door household survey was conducted for all households in the study area. During the baseline study census, which occurred approximately 9 months after the household survey, a mid-upper arm circumference (MUAC) measurement was obtained from each child. We evaluated the relationship between household improved latrine use compared with unimproved latrines or open defecation and MUAC in children aged 6–59 months. Among 32,172 children with household survey data and MUAC measurements, 931 (2.9%) had an MUAC less than 12.5 cm and were classified as having moderate acute malnutrition (MAM). The odds of MAM were higher in children living in households with an unimproved latrine than those with an improved latrine (adjusted odds ratio: 1.60; 95% CI: 1.11–2.31). Children in households with unimproved latrines and households that practiced open defection had approximate 0.15 cm reduced MUAC compared with those in households with an improved latrine. There was a small, but statistically significant, association between improved latrine and nutritional status in preschool children as measured by MUAC.

2020 ◽  
Vol 189 (12) ◽  
pp. 1623-1627
Author(s):  
Francisco M Barba ◽  
Lieven Huybregts ◽  
Jef L Leroy

Abstract Child acute malnutrition (AM) is an important cause of child mortality. Accurately estimating its burden requires cumulative incidence data from longitudinal studies, which are rarely available in low-income settings. In the absence of such data, the AM burden is approximated using prevalence estimates from cross-sectional surveys and the incidence correction factor $K$, obtained from the few available cohorts that measured AM. We estimated $K$ factors for severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) from AM incidence and prevalence using representative cross-sectional baseline and longitudinal data from 2 cluster-randomized controlled trials (Innovative Approaches for the Prevention of Childhood Malnutrition—PROMIS) conducted between 2014 and 2017 in Burkina Faso and Mali. We compared K estimates using complete (weight-for-length z score, mid-upper arm circumference (MUAC), and edema) and partial (MUAC, edema) definitions of SAM and MAM. $K$ estimates for SAM were 9.4 and 5.7 in Burkina Faso and in Mali, respectively; K estimates for MAM were 4.7 in Burkina Faso and 5.1 in Mali. The MUAC and edema–based definition of AM did not lead to different $K$ estimates. Our results suggest that $K$ can be reliably estimated when only MUAC and edema-based data are available. Additional studies, however, are required to confirm this finding in different settings.


PLoS Medicine ◽  
2017 ◽  
Vol 14 (9) ◽  
pp. e1002387 ◽  
Author(s):  
Christian Fabiansen ◽  
Charles W. Yaméogo ◽  
Ann-Sophie Iuel-Brockdorf ◽  
Bernardette Cichon ◽  
Maren J. H. Rytter ◽  
...  

2014 ◽  
Vol 100 (1) ◽  
pp. 241-249 ◽  
Author(s):  
Laetitia Nikièma ◽  
Lieven Huybregts ◽  
Patrick Kolsteren ◽  
Hermann Lanou ◽  
Simon Tiendrebeogo ◽  
...  

2020 ◽  
Vol 3 (2) ◽  
pp. 281-287
Author(s):  
Amrita Ghimire Paudel ◽  
Gita Ghimire ◽  
Shreekrishna Shrestha ◽  
Ramchandra Bastola ◽  
Yagyaraj Sigdel ◽  
...  

Introduction: The burden of malnutrition is of significant concern in Nepal. The objectives of this study are to classify the nutritional status in children admitted in nutritional rehabilitation home of Pokhara Academy of Health Sciences and to relate the demographic characteristics and the effectiveness of the nutritional intervention measures on status of malnutrition which can help in the policy formulation to tackle the burden of malnutrition. Materials and Methods: This is a hospital based retrospective study in which total of 238 children with malnutrition admitted in nutritional rehabilitation home of Pokhara Academy of Health Sciences during July 2014 to July 2018 were followed. The socio-demographic factors and nutritional status were analyzed at admission and at discharge using the available record. Data was analyzed using SPSS 16. Results: Out of 238 malnourished children, 167(70.2%) were cases of moderate acute malnutrition and 76(29.8%) were cases of severe acute malnutrition. The mean weight at admission was 7.18±1.73 kg, mean weight at discharge was 7.82±1.82 kg and mean weight increased after nutritional intervention was 0.62 kg±0.40. The average weight gain in severe acute malnutrition was 4.7gm/kg/day. A statistically significant difference was obtained between mean weight (p=0.00, t= - 24.62) of children at admission and discharge. There was significant statistical difference between mean weight gain (p<0.05, t= -3.1) in severe acute malnutrition (0.76±0.49 kg) and in moderate acute malnutrition (0.59±0.34 kg). Conclusion: Nutritional rehabilitation homes are effective in improving the nutritional status of undernourished children, more effective in severe acute malnutrition. However it is important to reassess the management protocol to meet the intake targets so that the rate of weight gain is improved.


2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Mette F. Olsen ◽  
Ann‐Sophie Iuel‐Brockdorff ◽  
Charles W. Yaméogo ◽  
Bernardette Cichon ◽  
Christian Fabiansen ◽  
...  

Author(s):  
Anthony Ekpo ◽  
Waheed Babatunde Yahya

Background and aim: In this paper, we present results regarding the outcomes of some anthropometric, epidemiological and demographic factors on the nutritional status of the under-five children which were categorized into three ordinal groups of Severe Acute Malnutrition (SAM), Moderate Acute Malnutrition (MAM) and Global Acute Malnutrition (GAM) in Kazaure Local Government Area in Nigeria. Methods: An ordinal logistic model that depicted the log-odds in favour of GAM (normal) child was fitted to the data based on surveillance indexed by Weight-For-Height (WFH). Results:The results showed that the proportional odd of measuring the nutritional status of a child in a nutrition survey using the WFH index has the OR= 7.43 (95% CI, 4.717 to 11.705) times greater, with Wald (1) 2  =74.81, p<0.001, hence a statistically significant effect. Conclusion: Based on the results and summary of findings, it can be concluded that age is a major predictor of the nutrition status of a child in a nutritional study when the surveillance is based on WFH index unlike sex and measles that do not play a major role.


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