Effectiveness of Enriched Flour in the Recovery of Children Aged 6 to 59 Months with Moderate Acute Malnutrition
- 1 Ministère de la Santé Publique et de la Prévention (Tchad), N’Djamena, Tchad
- 2 Centre de Contrôle de la Qualité des Denrées Alimentaires (CECOQDA), N’Djamena, Tchad
- 3 Laboratoire de Recherche en Sciences des Aliments et Nutrition, Faculté des Sciences de la Santé Humaine (FSSH), Université de N’Djamena, N’Djamena, Tchad
- 4 Ministère de la Santé Publique et de la Prévention (Tchad), N’Djamena, Tchad
- 5 Ministère de la Santé Publique et de la Prévention (Tchad), N’Djamena, Tchad
Abstract
Introduction : In Chad, malnutrition is a silent emergency. Yet the use of local products in the fight against malnutrition is essential. The purpose of this study was to compare the efficacy of locally sourced enriched flour in the re covery of children 6 to 59 months of moderate acute malnourishment compared to Ready-to-Use Therapeutic Foods (Plumpy’ Sup) in the city of Abéché- Chad. Methodology : This study took place from 1 October 2021 to 31 January 2022 in the city of Abéché, capital of the province of Ouadda ï . It was conducted in eight (8) urban health centers in the city of Abéché and concerned eighty (80) children with moderate acute malnutrition. It was based on a consumption assessment of two complementary foods by two groups of children. The assessment of nutritional status was made through anthropometric data such as weight, height and brachial perimeter. Results : All 80 children were tested for moderate acute malnutrition. Two compleme ntary foods have been used which are locally produced flour and the Ready-to-Use Therapeutic Food. The study showed that the group 1 who consumed the locally produced flour had an average weight gain of 1100 g and the group 2 who consumed the Plumpy sup had an average weight gain of 400 g. Conclusion : The present study carried out in Abéché allowed us to compare the effectiveness of locally produced weaning flours with Ready-to-Use Therapeutic Foods on moderate malnourished child weight growth in the nutritiona l units of the town of Abéché.
- Black, E.R., Victora, C.G., Walker, S.P., Bhutta, Z.A., Christian, P., de Onis, M., et al. (2013) Maternal and Child Undernutrition and Overweight in Low-Income and Middle-Income Countries. The Lancet, 382, 427-451. https://doi.org/10.1016/S0140-6736(13)60937-X
- Black, R.E., Makrides, M. and Ong, K.K. (2017) Complementary Feeding: Building the Foundations of Healthy Life. Nestlé Nutrition Institute, La Tour-de-Peilz. https://doi.org/10.1159/isbn.978-3-318-05956-4
- Horta, B.V. and Victora, C.G. (2021) Long-Term Effects of Breastfeeding—A Systematic Review. World Health Organization, Geneva. https://apps.who.int/iris/handle/10665/79198
- Organisation Mondiale de la Santé (2018) Alimentation du nourrisson et du jeune enfant. Organisation Mondiale de la Santé, Genève.
- Frempong, R.B. and Anmim, K.S. (2017) Dietary Diversity and Child Malnutrition in Ghana. Heliyon, 3, e00298. https://doi.org/10.1016/j.heliyon.2017.e00298
- https://www.humanitarianresponse.info/sites/www.humanitarianresponse.info/files/documents /files/rapport_final_enquete_smart_27112019.pdf
- UNICEF. Protocole national de prise en charge de la malnutrition aigüe.
- Organisation Mondiale de la Santé (2011) Protocole national de prise en charge de la malnutrition aigüe.
- Kouassi, K.A.A.A., Adouko Agbo, E., Gnahe Dago, A., Grodji, G.A., Kouakou, B.D. and Gnakri, D.G. (2015) Comparaison des caractéristiques nutritionnelles et rhéologiques des bouillies infantiles préparées par les techniques de germination et de fermentation. International Journal of Biological and Chemical Sciences, 9, 944-953. https://doi.org/10.4314/ijbcs.v9i2.31
- World Health Organization (2006) Indicators for assessing infant and young child feeding practices.
- Maman, M.S., Bako, A.M. and Sabo, H.S. (2020) Essai d’une farine de sevrage dans la réhabilitation nutritionnelle de la malnutrition aigüe en milieu communautaire, au Niger.
- Falaye, T., Mamadou, S.B., Sidikiba, S.B., Lamah, A.T.S. and Ahmadou, S.D. (2018) Impact des aliments thérapeutiques sur les paramètres biochimiques des enfants malnutris en Guinée.
- Clavier, S.R., Rogez, J.B., Labrin, L., Branger, B.A. and Dabadie (2015) évaluation d’un programme nutritionnel à base d’un aliment thérapeutique prêt à l’emploi au Tchad.
- Thierno, M.M., Fanta, T., Ahmadou, S.D., Ibrahim, F. and BAMBA (2019) Evaluation de la prise en charge des enfants malnutris aigus modérés de 6 à 59 mois dans les Foyers d’Apprentissage et de Réhabilitation Nutritionnelle de la préfecture de Kouroussa.