Evaluation of the Integrated Management Program for Acute Malnutrition in the Douentza Health District, Mopti Region, Mali  

作　　者：Abdoul Salam Diarra Lamine Traore Mohamed Diarra Tawfiq Abu Mamadou Traore Yacouba Guindo Sidi Sangare Seydou Kante Intimbeye Tembine Dramane Coulibaly Mamadou Fodé Diarra Salia Keita Sadio Sambala Diallo Mamadou Samake Hamadoun Sangho Abdoul Salam Diarra;Lamine Traore;Mohamed Diarra;Tawfiq Abu;Mamadou Traore;Yacouba Guindo;Sidi Sangare;Seydou Kante;Intimbeye Tembine;Dramane Coulibaly;Mamadou Fodé Diarra;Salia Keita;Sadio Sambala Diallo;Mamadou Samake;Hamadoun Sangho(National Center for Scientific and Technological Research, Bamako, Mali;Division of Nutrition, Regional Directorate of Health and Public Hygiene, Mopti, Mali;Department of Pediatric, Health Referral Center of Kalaban Coro, Koulikoro, Mali;Private Practice for Family and Emergency Medicine, Casablanca, Morocco;Division of Nutrition, General Directorate of Health and Public Hygiene, Bamako, Mali;Administration Department, Health Referral Center of Djenne, Mopti, Mali;Administration Department, Health Referral Center of Douentza, Mopti, Mali;Administration and Planning Department, Regional Health Directorate, Mopti, Mali;Division of Health Department, Regional Health Directorate of Mopti, Mopti, Mali;Golden Life American Hospital, Bamako, Mali;Department of Public Health, Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali)

机构地区：[1]National Center for Scientific and Technological Research, Bamako, Mali [2]Division of Nutrition, Regional Directorate of Health and Public Hygiene, Mopti, Mali [3]Department of Pediatric, Health Referral Center of Kalaban Coro, Koulikoro, Mali [4]Private Practice for Family and Emergency Medicine, Casablanca, Morocco [5]Division of Nutrition, General Directorate of Health and Public Hygiene, Bamako, Mali [6]Administration Department, Health Referral Center of Djenne, Mopti, Mali [7]Administration Department, Health Referral Center of Douentza, Mopti, Mali [8]Administration and Planning Department, Regional Health Directorate, Mopti, Mali [9]Division of Health Department, Regional Health Directorate of Mopti, Mopti, Mali [10]Golden Life American Hospital, Bamako, Mali [11]Department of Public Health, Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technologies of Bamako, Bamako, Mali

出　　处：《Food and Nutrition Sciences》2024年第8期790-806,共17页食品与营养科学（英文）

摘　　要：Introduction: Malnutrition is a major public health problem in Mali, despite the efforts of the government, its technical and financial partners. The aim of this study was to evaluate the integrated management program for acute malnutrition (IMPAM). Methodology: This was a descriptive cross-sectional study that took place from January to December 2020 in the Douentza health district. The study included anyone with at least one malnourished child aged 6 to 59 months in their care who agreed to take part in the study, community health center staff who had given their consent, and the URENI manager at the Douentza reference health center. Data collected via questionnaires were entered into Excel and then analyzed using Epi-Info version 7 software. Results: A total of 138 acutely malnourished children aged 6 - 59 months, including 71 girls (51.45%), 138 accompanying mothers and 11 health workers, were included in our case study. Among the malnourished, 54.34% were in the 12 - 23 months age group and 69.57% had the severe form. 93% of the mothers interviewed were satisfied with the care provided, and all the health staff interviewed stated that community conflicts had an impact on IMPAM’s activities. Cure rates were 81% in Moderate Outpatient Nutritional Recovery and Education Unit (URENAM), 84% in Severe Ambulatory Nutritional Recovery and Education Unit (URENAS) and 92% in Recovery and Intensive Nutritional Education Unit (URENI). Drop-out rates were 19% in URENAM, 16% in URENAS and 0% in URENI. The death rate was 8% in URENI and 0% in URENAM and URENAS. Conclusion: This study confirms the high prevalence of malnutrition in the district (10.54%). It also reveals that factors such as inter-community conflict and insecurity have seriously affected the IMPAM program.Introduction: Malnutrition is a major public health problem in Mali, despite the efforts of the government, its technical and financial partners. The aim of this study was to evaluate the integrated management program for acute malnutrition (IMPAM). Methodology: This was a descriptive cross-sectional study that took place from January to December 2020 in the Douentza health district. The study included anyone with at least one malnourished child aged 6 to 59 months in their care who agreed to take part in the study, community health center staff who had given their consent, and the URENI manager at the Douentza reference health center. Data collected via questionnaires were entered into Excel and then analyzed using Epi-Info version 7 software. Results: A total of 138 acutely malnourished children aged 6 - 59 months, including 71 girls (51.45%), 138 accompanying mothers and 11 health workers, were included in our case study. Among the malnourished, 54.34% were in the 12 - 23 months age group and 69.57% had the severe form. 93% of the mothers interviewed were satisfied with the care provided, and all the health staff interviewed stated that community conflicts had an impact on IMPAM’s activities. Cure rates were 81% in Moderate Outpatient Nutritional Recovery and Education Unit (URENAM), 84% in Severe Ambulatory Nutritional Recovery and Education Unit (URENAS) and 92% in Recovery and Intensive Nutritional Education Unit (URENI). Drop-out rates were 19% in URENAM, 16% in URENAS and 0% in URENI. The death rate was 8% in URENI and 0% in URENAM and URENAS. Conclusion: This study confirms the high prevalence of malnutrition in the district (10.54%). It also reveals that factors such as inter-community conflict and insecurity have seriously affected the IMPAM program.

关 键 词：CARE Acute Malnutrition Children Aged 6 - 59 Months IMPAM Douentza 

分 类 号：G63[文化科学—教育学]