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{"id":3066,"date":"2023-02-07T12:05:58","date_gmt":"2023-02-07T12:05:58","guid":{"rendered":"http:\/\/rufso.org\/Journal\/rjsse\/?p=3066"},"modified":"2023-02-07T12:40:39","modified_gmt":"2023-02-07T12:40:39","slug":"analyse-de-la-composante-cash-for-nutrition-awareness-dans-la-lutte-contre-le-retard-de-croissance-chez-les-enfants-de-0-23-mois-a-kayes-au-mali","status":"publish","type":"post","link":"https:\/\/rufso.ac.cd\/journal\/rjsse\/2023\/02\/07\/analyse-de-la-composante-cash-for-nutrition-awareness-dans-la-lutte-contre-le-retard-de-croissance-chez-les-enfants-de-0-23-mois-a-kayes-au-mali\/","title":{"rendered":"Analyse de la composante Cash for Nutrition Awareness dans la lutte contre le retard de croissance chez les enfants de 0-23 mois \u00e0 Kayes au Mali"},"content":{"rendered":"<header class=\"entry-header post-title title-align-inherit title-tablet-align-inherit title-mobile-align-inherit\">\n<div>\n<p><strong>Abstract<\/strong><\/p>\n<p>La composante <em>Cash for Nutrition Awareness<\/em> (<em>CNA<\/em>) a \u00e9t\u00e9 introduite par le PAM en 2014 dans le projet de sant\u00e9 nutritionnelle (SNACK) pour diminuer l\u2019incidence du retard de croissance en ciblant la p\u00e9riode des 1000 jours allant de la conception jusqu\u2019aux deux ans de l\u2019enfant. Le pr\u00e9sent m\u00e9moire constitue une \u00e9tude descriptive transversale analytique qui vise \u00e0 comparer trois (3) groupes d\u2019intervention\u00a0: plumpy doz \u00a9 seul\u00a0; transfert mon\u00e9taire seul\u00a0; combinaison des deux. Elle a \u00e9t\u00e9 conduite du 12 mai au 12 juillet 2016 aupr\u00e8s de 500 personnes dont 264 femmes retenues \u00e0 l\u2019issue d\u2019un tirage au sort al\u00e9atoire. Ainsi, le recueil des donn\u00e9es a \u00e9t\u00e9 effectu\u00e9 \u00e0 domicile, dans les centres de sant\u00e9s et dans les sites secondaires sous forme d\u2019entretiens individuels avec les femmes et les chefs de m\u00e9nages (\u00e9poux). Ensuite le traitement des donn\u00e9es a \u00e9t\u00e9 informatis\u00e9 avec le logiciel Epi Info 2000 version 3.5.3, SPSS, ENA, Excel, Word et Stata.<\/p>\n<p>En termes d\u2019am\u00e9lioration, selon les r\u00e9sultats de l\u2019\u00e9tude, le taux de fr\u00e9quentation des services de sant\u00e9 a augment\u00e9. Cette augmentation est de 100% lorsque<em> le cash <\/em>est combin\u00e9<em> au plumpy doz. <\/em>Ce qui est sup\u00e9rieur au taux de fr\u00e9quentation de Cscom de Kayes (62%) (36). L\u2019augmentation de fr\u00e9quentation de Cscom a permis \u00e0 toutes les femmes (100%) de trois groupes (<em>Cash, plumpy<\/em> et combinaison) d\u2019effectuer au moins une consultation pr\u00e9natale (CPN) et a rehauss\u00e9 le taux d\u2019accouchements dans les centres de sant\u00e9 communautaires (Cscom). Ainsi dans les trois groupes, le taux d\u2019accouchement assist\u00e9 est pass\u00e9 de de 34% \u00e0 79,6% \u00e0 Kayes (34%). Ce taux est aussi sup\u00e9rieur au taux national d\u2019accouchement assist\u00e9 (45,1%) (EDS, 2009).<\/p>\n<p>Par ailleurs les r\u00e9sultats indiquent que gr\u00e2ce au transfert mon\u00e9taire <em>(cash), <\/em>les femmes deviennent plus autonomes et libres pour leurs soins et ceux de leurs enfants. Et dans les trois groupes, ce sont les femmes du groupe combinaison (<em>cash + plumpy doz<\/em>) qui prennent plus des d\u00e9cisions (53,4%) que les autres groupes. Au niveau des m\u00e9nages avec le <em>cash <\/em>des femmes<em>,<\/em> 96% des maris enqu\u00eat\u00e9s ont d\u00e9clar\u00e9 avoir des r\u00e9ductions des d\u00e9penses financi\u00e8res dans le probl\u00e8me de sant\u00e9, d&#8217;endettement, d&#8217;achat de savons et de nourriture.<\/p>\n<p>Dans l\u2019\u00e9tude, les enfants plus vaccin\u00e9s (compl\u00e9ments) se trouvent dans le groupe plumpy doz (97,7%). Aussi c\u2019est dans ce groupe que les femmes et les enfants ont plus \u00e9t\u00e9 d\u00e9pist\u00e9s que les autres groupes. En plus, les m\u00e8res d\u2019enfants sont plus sensibilis\u00e9es dans ce groupe que les autres groupes. Cependant chez les enfants, il ressort de l\u2019\u00e9tude une r\u00e9duction de la pr\u00e9valence de retard de croissance de plus de 7% chez les enfants et une r\u00e9duction de la pr\u00e9valence de 7,7% de la malnutrition aig\u00fce globale (MAG) <strong>(10).<\/strong> N\u00e9anmoins, l\u2019\u00e9tude a r\u00e9v\u00e9l\u00e9 une faiblesse dans la tenue de sensibilisation sur les dangers d\u2019accouchements effectu\u00e9s \u00e0 domiciles et une non int\u00e9gration des \u00e9poux des b\u00e9n\u00e9ficiaires dans la mise en \u0153uvre de la composante <em>CNA.<\/em><\/p>\n<p>En somme, l\u2019analyse de la composante <em>CNA<\/em> a d\u00e9montr\u00e9 une am\u00e9lioration de l\u2019\u00e9tat sanitaire et nutritionnel des b\u00e9n\u00e9ficiaires ainsi qu\u2019une am\u00e9lioration de condition de la vie dans les m\u00e9nages.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Mots cl\u00e9s : <\/strong>Sous-nutrition, retard de croissance, Cash Nutrition Awareness, PAM, Mali<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/header>\n<div class=\"entry-content single-content\">\n<hr \/>\n<p><strong>English<br \/>\nAbstract<\/strong><\/p>\n<p><em>The Cash for Nutrition Awareness (CNA) component was introduced by WFP in 2014 in the Nutritional Health Project (SNACK) to reduce the incidence of stunting by targeting the 1,000 day period from conception to the two Years of the child. This is a descriptive cross-sectional analytical study that aims to compare three (3) intervention groups: plumpy alone; Cash transfer alone; Combination of the two. It was conducted from 12 May to 12 July with 500 people including 264 women selected after a random draw.<\/em><\/p>\n<p><em>Data collection was carried out at home, health centers and secondary sites in the form of individual interviews with women and household heads (spouses). Then the data processing was computerized with the software Epi Info 2000 version 3.5.3, SPSS, ENA, Excel, Word and Stata.<\/em><\/p>\n<p><em>In terms of improvement, according to the results of the study, the rate of attendance of health services has increased. This increase is 100% when cash is combined with plumpy doz. This is higher than the Kayes Cscom attendance rate (62%) (36).<\/em><\/p>\n<p><em>Increased Cscom attendance allowed all women (100%) of three groups (Cash, plumpy and combination) to perform at least one prenatal consultation (CPN) and increased delivery rates in (Cscom). In all three groups, the rate of assisted childbirth increased from 34% to 79.6% in Kayes (34%) and higher than the national rate of assistance (45.1%) (EDS, 2009).<\/em><\/p>\n<p><em>Moreover, the results indicate that thanks to the cash transfer, women become more autonomous and free for their care and that of their children. And in the three groups, it is the women in the combination group (cash + plumpy doz) who make more decisions (53.4%) than the other groups. With cash, the results showed a 96% financial dependency reduction in the problem of health, debt, purchase of soaps and food according to the spouses of beneficiaries.<\/em><\/p>\n<p><em>In the study, the most immunized children were in the plumpy doz group (97.7%). It was in this group that women and children were more screened than other groups. In addition, mothers of children are more aware in this group than other groups. However, in children, the study found a reduction in the prevalence of stunting in children by more than 7% and a reduction in the prevalence of 7.7% of overall acute malnutrition (MAG) Of the CNA component. Nevertheless, the study revealed a weakness in raising awareness about the dangers of home births and non-integration of beneficiary spouses in the implementation of the CNA component.<\/em><\/p>\n<p><em>In the end, the analysis of the CNA component showed an improvement in the health and nutritional status of the beneficiaries as well as an improvement in the living conditions in the households.<\/em><\/p>\n<p><em>\u00a0<\/em><strong><em>Keywords:<\/em><\/strong><em> Undernutrition, stunting, Cash Nutrition Awareness, WFP, Mali<\/em><\/p>\n<hr \/>\n<p><strong>Title<\/strong>:Analyse de la composante Cash for Nutrition Awareness dans la lutte contre le retard de croissance chez les enfants de 0-23 mois \u00e0 Kayes au Mali<br \/>\n<strong>Auteurs<\/strong>: Moussa ISSA LENDE<br \/>\n<strong>Publi\u00e9 dans<\/strong>\u00a0<em><a href=\"http:\/\/rufso.ac.cd\/journal\/rjsse\/\">Journal of Social Sciences and Engineering<\/a>,\u00a0<a href=\"http:\/\/rufso.ac.cd\/journal\/rjsse\/category\/jsse\/volume35\/\" target=\"_blank\" rel=\"noreferrer noopener\">Volume 35<\/a>\u00a0,\u00a0<\/em><a href=\"http:\/\/rufso.ac.cd\/journal\/rjsse\/category\/jsse\/volume35\/vol35-issue1\/\">num\u00e9ro 1<\/a><em><br \/>\n<\/em><strong>Journal doi<\/strong>:<a href=\"https:\/\/www.doi.org\/10.55272\/rufso.rjsse\">10.55272\/rufso.rjsse<\/a><\/p>\n<h3><strong><a href=\"http:\/\/rufso.ac.cd\/journal\/rjsse\/wp-content\/uploads\/sites\/3\/2023\/02\/10.55272.rufso_.rjsse_.35.1.6_Moussa_ISSA_LENDE.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">T\u00e9l\u00e9charger en PDF<\/a><\/strong><\/h3>\n<p>Copyright\u00a9 tous droits r\u00e9serv\u00e9s a l\u2019auteur.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Abstract La composante Cash for Nutrition Awareness (CNA) a \u00e9t\u00e9 introduite par le PAM en 2014 dans le projet de sant\u00e9 nutritionnelle (SNACK) pour diminuer l\u2019incidence du retard de croissance en ciblant la p\u00e9riode des 1000 jours allant de la conception jusqu\u2019aux deux ans de l\u2019enfant. Le pr\u00e9sent m\u00e9moire constitue une \u00e9tude descriptive transversale analytique&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_kad_post_transparent":"default","_kad_post_title":"default","_kad_post_layout":"default","_kad_post_sidebar_id":"","_kad_post_content_style":"default","_kad_post_vertical_padding":"default","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[177,178,179,36,12,129],"tags":[109],"class_list":["post-3066","post","type-post","status-publish","format-standard","hentry","category-jsse","category-volume35","category-vol35-issue1","category-management-sciences","category-social-sciences","category-thesis","tag-moussa-issa-lende"],"_links":{"self":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3066","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/comments?post=3066"}],"version-history":[{"count":2,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3066\/revisions"}],"predecessor-version":[{"id":3069,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3066\/revisions\/3069"}],"wp:attachment":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/media?parent=3066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/categories?post=3066"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/tags?post=3066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}