Child malnutrition in Toamasina hospital: the determining role of the socio economic conditions of the mother

Authors

  • Emile Kasy Economy of Development and Health Economy, University of Toamasina, Madagascar
  • Arthur Ratsimbazafy Chief of Clinic, Pediatric Service, University Hospital Center (UHC) of Toamasina, Madagascar
  • Judicael Andriafanjanomenjanahary Pediatrician, Pediatric Service, University Hospital Center (UHC) of Toamasina, Madagascar
  • Andry Maharo Andrianarivelo Laboratory of Training and Research in Medical Biology, University of Antananarivo, Madagascar
  • Van Cuong Miora Anissa Liberal doctor, Residence Tsararivotra, Depot Analakininina, Lot 12, Toamasina, Madagascar
  • N. Randriamanantena Economy of Development, Doctoral School of Science, Culture, Heritage, Society and Development University of Toamasina, Madagascar

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20190169

Keywords:

Earnings, Malnutrition, Socio economic conditions, Underweight

Abstract

Background: The severe malnutrition is the background of infant mortality in Toamasina region. In spite of the efforts given to the care of those undernourished, this medical scourge always clamps down in national scale. A wider look shows that it is not only a health problem but also socio economic. Our study has as goal to detect the degree of influence of socio economic conditions of mothers about nutritional and weights condition of the childrenespecially in hospitals.

Methods: We led a cross descriptive retrospective study based on hospitalized children records in Intensive Nutritional Recovery Center (INRC) of the University Hospital Center (UHC) of Toamasina during 2017.

Results: 150 children have been included in the study. The average age of children is 11 months and there is no particular difference found concerning their gender. The breastfeeding was found in most of the case (90%). Concerning the mother, the average age is 21, 5. Those mothers were singles in 76.67% of the cases and practiced informal activities in 62% of the cases. We have deplored 3 deaths during our study period.

Conclusions: The poor socio economic condition of the mothers influences considerably the risk to expose the children less than 5 years to the malnutrition. A combined action between health workers and economists is compulsory so as to get through this scourge.

Author Biography

Emile Kasy, Economy of Development and Health Economy, University of Toamasina, Madagascar

Chief of clinic, pediatric service, Medecine University Hospital center (UHC) of Toamasina , Madagascar

References

Ministère de la Santé Publique. Politique Nationale de Santé, République de Madagascar. 2005.

United Nations International Children’s Emergency Fund (UNICEF), World Health Organization (WHO) and The World bank. UNICEF-WHO-World Bank Joint Child Malnutrition Estimates. Levels and Trends in Child malnutrition. UNICEF, NewYork; WHO, Geneva; The World Bank, Washington DC. 2012.

Émile E. La performance des politiques de santé malgaches de 1996 à 2006. Thèse de Doctorat en Economie, Toamasina. 2010.

Black R, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382:427-51.

République de Madagascar. Plan National d’action pour la nutrition 2012-2015. République de Madagascar, Antananarivo, 2012.

INSTAT Madagascar. Enquête Démographique et de Santé 2008, Ministère de l’Économie et des Finances, 2008.

Razafimanantsoa F, Razafindramaro N, Raherimandimby H, Robinson A, Rakoto Alson O, Rasamindrakotroka A. Anthropometric profile of schoolchildren in Antananarivo. Pan Afr Med J. 2013;16:62.

Ali A, Thorbecke E, The State and Path of Poverty in Sub-Saharaian Africa, Some Preliminary Results, African Economic Research Consortium, Nairobi, 1998.

FAO. Enquête d’évaluation de la malnutrition à Madagascar, Direction Division de l’Information. 2007.

Hacquemand J. La faim dans le monde et politiques agricoles et alimentaires. Conseil Economique et Social. 2008.

Kasy E. La malnutrition vers le changement d’approche en matière de gouvernance pour la lutte contre la pauvreté, 3ème JSDC CAMES Université Félix Houphouët Boigny. 2017

World Health Organization (WHO). Child growth standards: weight-for-height. 2006.

Ministère de la santé publique de Madagascar. Dépistage et prise en charge de la malnutrition aiguë, Antananarivo. 2009.

Ahmed T, Ahmed AM. Reducing the burden of malnutrition in Bangladesh. BMJ. 2009;339:1060.

Engebretsen I, Tylleskär T, Wamani H, Karamagi C, Tumwine JK. Determinants of infant growth in Eastern Uganda: a community-based cross-sectional study. BMC Public Health. 2008;8:418.

Bhutta Z, Das J, Rizvi A, Gaffey MF, Walker N, Horton S, et al. Maternal and child nutrition 2: Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet. 2013;382:452–77.

Beiersmann C, Bermejo Lorenzo J, Bountogo M, Tiendrebeogo J, Gabrysch S, Yé M, et al. Malnutrition determinants in young children from Burkina Faso. J Trop Pediatr. 2013;59(5):372-9.

Ergin F, Okyay P, Atasoylu G, Beser Nutritional status and risk factors of chronic malnutrition in children under five years of age in Aydin, a western city of Turkey. Turk J Pediatr. 2007;49:283–9.

Repoblikan‘i Madagasikara. Politique Nationale de Nutrition, Primature, Antananarivo. 2004.

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Published

2019-01-24

How to Cite

Kasy, E., Ratsimbazafy, A., Andriafanjanomenjanahary, J., Andrianarivelo, A. M., Anissa, V. C. M., & Randriamanantena, N. (2019). Child malnutrition in Toamasina hospital: the determining role of the socio economic conditions of the mother. International Journal Of Community Medicine And Public Health, 6(2), 495–499. https://doi.org/10.18203/2394-6040.ijcmph20190169

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Original Research Articles