Factors Associated with Stunted Growth of Children Aged 0-59 Months in Households in Western Cote d'Ivoire in the Health District of Man Case of the Rural Health Center (CSR) of Dainé 1
Abstract:
Child
malnutrition in the Dainé I health area, located in the Montagnes district (Man
health district), remains a major issue, particularly among children aged 0 to
59 months, who exhibit growth delays. This study aimed to identify the social
factors explaining this malnutrition, despite
various state initiatives and development partners
in the region. It focused
on the growth delays of children in this age group, a field that has
been underexplored in the western region of Côte d'Ivoire. A survey was
conducted with 150 households, involving semi-structured interviews with household heads,
healthcare personnel, and local authorities responsible for the implementation of the national
nutrition policy. The methodological approach
used was mixed, combining qualitative and
quantitative methods. The results showed that the low level of knowledge and
attitudes of households, influenced by environmental and cultural factors, are
major obstacles to combating child malnutrition in this rural area.
References:
[1]. Ake Tano, O., Tiembré, I., Konan, Y., Donnen, P., Dagnan, N., Koffi, K., Diarra-Nama, A., & Dramaix, M., 2010, Chronic malnutrition in children under 5 years of age in northern Côte d'Ivoire. Santé Publique, 22, 213-220. https://doi.org/10.3917/spub.102.0213.
[2]. Republic of Côte d'Ivoire, Strategic Planning Report, National Multisectoral Nutrition Plan PNMN 2016-2020.
[3]. Institut National de la Statistique INS 2021, Côte d'Ivoire. Thematic report on poverty and food security.
[4]. Desjardins, F., Ouedraogo, S., Aurelas, B., Aouli, E., & Bérubé, A.-M., 2023, Un environnement capabilisant favorable au déploiement d'un programme canadien d'alimentation scolaire : Une étude des composantes individuelles, socioéconomiques et politiques. Revue Organisations & territoires, 32, 2023. https://doi.org/10.1522/revueot.v32n1.1553
[5]. Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., Sachdev, H. S., & Maternal and Child Undernutrition Study Group. 2008, Maternal and child undernutrition: Consequences for adult health and human capital. Lancet (London, England), 371(9609), 340-357. https://doi.org/10.1016/S0140-6736(07)61692-4
[6]. Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., Webb, P., Lartey, A., Black, R. E., & Lancet Nutrition Interventions Review Group, the Maternal and Child Nutrition Study Group. 2013, Evidence-based interventions for improvement of maternal andchild nutrition: What can be done and at what cost? Lancet (London, England), 382(9890), 452-477. https://doi.org/10.1016/S0140-6736(13)60996-4
[7]. Ruel, M. T., & Alderman, H., 2013, Nutrition-sensitive interventions and programmes: How can they help to accelerate progress in improving maternal and child nutrition? Lancet (London, England), 382(9891), 536-551. https://doi.org/10.1016/S0140-6736(13)60843-0
[8]. Headey, D., Hirvonen, K., & Hoddinott, J., 2018, Animal Sourced Foods and Child Stunting. American Journal of Agricultural Economics, 100(5), 1302-1319. https://doi.org/10.1093/ajae/aay053
[9]. Dent, E., Wright, O. R. L., Woo, J., & Hoogendijk, E. O., 2023, Malnutrition in older adults. Lancet (London, England), 401(10380), 951-966. https://doi.org/10.1016/S0140-6736(22)02612-5
[10]. Semba, R. D., Pee, S. de, Sun, K., Sari, M., Akhter, N., & Bloem, M. W., 2008, Effect of parental formal education on risk of child stunting in Indonesia and Bangladesh: A cross- sectional study. The Lancet, 371(9609), 322-328. https://doi.org/10.1016/S0140- 6736(08)60169-5
[11]. Ahmed, T., Hossain, M., Mahfuz, M., Choudhury, N., Hossain, M. M., Bhandari, N., Lin, M. M., Joshi, P. C., Angdembe, M. R., Wickramasinghe, V. P., Hossain, S. M. M., Shahjahan, M., Irianto, S. E., Soofi, S., & Bhutta, Z., 2014, Severe Acute Malnutrition in Asia. Food and Nutrition Bulletin, 35(2_suppl1), S14-S26. https://doi.org/10.1177/15648265140352S103
[12]. Ahmed, T., Hossain, M., Mahfuz, M., Choudhury, N., Hossain, M. M., Bhandari, N., Lin, M. M., Joshi, P. C., Angdembe, M. R., Wickramasinghe, V. P., Hossain, S. M. M., Shahjahan, M., Irianto, S. E., Soofi, S., & Bhutta, Z. 2012, Severe Acute Malnutrition in Asia. Food and Nutrition Bulletin, 35(2_suppl1), S14-S26. https://doi.org/10.1177/15648265120352S103
[13]. Shrimpton, R., Victora, C. G., de Onis, M., Lima, R. C., Blössner, M., & Clugston, G., 2001, Worldwide Timing of Growth Faltering: Implications for Nutritional Interventions. Pediatrics, 107(5), e75. https://doi.org/10.1542/peds.107.5.e75
[14]. Mamabolo, R. L., Alberts, M., Steyn, N. P., Waal, H. A. D. de, & Levitt, N. S., 2005, Prevalence and determinants of stunting and overweight in 3-year-old black South African children residing in the Central Region of Limpopo Province, South Africa. Public Health Nutrition, 8(5), 501-508. https://doi.org/10.1079/PHN2005786
[15]. Caulfield, L. E., Richard, S. A., & Black, R. E., 2004, Undernutrition as an Underlying Cause of Malaria, Morbidity and Mortality in Children Less Than Five Years Old. In The Intolerable Burden of Malaria II: What's New, What's Needed: Supplement to Volume of the American Journal of Tropical Medicine and Hygiene. American Society of Tropical Medicine and Hygiene. 71(2) https://www.ncbi.nlm.nih.gov/books/NBK3766/
[16]. Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., Uauy, R., & Maternal and Child Nutrition Study Group. 2013, Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet (London, England), 382(9890), 427-451. https://doi.org/10.1016/S0140-6736(13)60937-X
[17]. Ciliberto, M. A., Sandige, H., Ndekha, M. J., Ashorn, P., Briend, A., Ciliberto, H. M., & Manary, M. J., 2005, Comparison of home-based therapy with ready-to-use therapeutic food with standard therapy in the treatment of severely malnourished Malawian Children: a randomised controlled trial. The Lancet, 365(9468), 1215-1221. https://doi.org/10.1016/S0140- 6736(05)66420-5
[18]. Masset, E., Haddad, L., Cornelius, A., & Isaza-Castro, J., 2012, Effectiveness of agricultural interventions that aim to improve nutritional status of children: Systematic review. BMJ, 344, d8222. https://doi.org/10.1136/bmj.d8222
[19]. UNICEF. 2013, Improving child nutrition: The first 1,000 days of life. New York, UNICEF. https://www.unicef.org/fr/rapports/ameliorer-la-nutrition-de-lenfant
