Abstract [FR]<\/strong><\/h4>\n

Contexte<\/strong>\u00a0: En Mauritanie ; la pr\u00e9valence de la malnutrition aig\u00fce s\u00e9v\u00e8re[1] (\u00e9maciation) selon l\u2019enqu\u00eate SMART juillet 2021 est de 1,9 % et celle de la malnutrition aig\u00fce globale de 11,1% proche du seuil d\u2019urgence nutritionnel de 2%. Le quotient de mortalit\u00e9 des enfants de moins de cinq ans (infanto-juv\u00e9nile) 79 pour 1000 pla\u00e7ant la Mauritanie en 14\u00e8me position en Afrique sub saharienne. Cependant malgr\u00e9 la mise en \u0153uvre de la PCIMA\u00a0; les indicateurs de performance de la PCIMA ne sont pas encore am\u00e9lior\u00e9s. En effet le taux de d\u00e9c\u00e8s reste toujours \u00e9lev\u00e9\u00a0; le gain de poids moyen reste faible et la dur\u00e9e moyenne de s\u00e9jours reste \u00e9lev\u00e9e r\u00e9duisant d\u2019avantage l\u2019efficience de la PCIMA. La carence en zinc est end\u00e9mique dans les pays en voie de d\u00e9veloppement\u00a0; en effet selon le Global Hunger Index 2014\u00a0; La faim cach\u00e9e est une forme de d\u00e9nutrition qui survient lorsque l’apport et l’absorption de vitamines et de min\u00e9raux (tels que le zinc, l’iode et le fer) sont trop faibles pour assurer une bonne sant\u00e9 et un bon d\u00e9veloppement. Les enfants MAS seraient \u00e9galement carenc\u00e9 en Zinc. Cette \u00e9tude a pu \u00e9valuer l\u2019impact de la suppl\u00e9mentation en sulfate de zinc (sulfate de zinc 20 mg\/J pendant 10 jours) chez les enfants MAS sans complications trait\u00e9s dans les CRENAS.<\/p>\n

Objectifs <\/strong>: Cette \u00e9tude avait pour objectifs d’\u00e9valuer l’impact de la suppl\u00e9mentation en sulfate de zinc sur la prise en charge des enfants \u00e2g\u00e9s de 6 \u00e0 59 mois souffrant de malnutrition aigu\u00eb s\u00e9v\u00e8re (MAS) sans complications dans la r\u00e9gion de la Moughatta de Nema, en R\u00e9publique Islamique de la Mauritanie, sur une p\u00e9riode allant de 2022 \u00e0 2023. Plus sp\u00e9cifiquement, les objectifs \u00e9taient les suivants :<\/p>\n

\n
1. \u00c9valuer l’impact de la suppl\u00e9mentation en zinc sur le taux de gu\u00e9rison des enfants MAS trait\u00e9s dans les Centres de R\u00e9cup\u00e9ration et d’\u00c9ducation Nutritionnelle Ambulatoire Sp\u00e9cialis\u00e9s (CRENAS).<\/li>\n
2. D\u00e9terminer l’effet de la suppl\u00e9mentation en zinc sur la dur\u00e9e moyenne de s\u00e9jour des enfants MAS trait\u00e9s dans les CRENAS.<\/li>\n
3. Identifier l’impact de la suppl\u00e9mentation en zinc sur le gain de poids moyen chez les enfants MAS trait\u00e9s dans les CRENAS.<\/li>\n<\/ol>\n

   M\u00e9thode <\/strong>: Cette \u00e9tude \u00e9tait de nature contr\u00f4l\u00e9e, quasi-randomis\u00e9e et r\u00e9trospective. Elle a \u00e9t\u00e9 men\u00e9e dans 46 des 51 CRENAS de la Moughatta de N\u00e9ma, s\u00e9lectionn\u00e9s avec un intervalle de confiance de 95%. Au total, 473 enfants atteints de MAS ont \u00e9t\u00e9 inclus dans l’\u00e9tude, r\u00e9partis en deux groupes : ceux ayant re\u00e7u une suppl\u00e9mentation en sulfate de zinc (237 enfants MAS) et ceux n’ayant pas re\u00e7u cette suppl\u00e9mentation (236 enfants MAS). Les indicateurs de performance ainsi que les donn\u00e9es anthropom\u00e9triques des enfants MAS ont \u00e9t\u00e9 enregistr\u00e9s dans un fichier Excel et analys\u00e9s \u00e0 l’aide du logiciel SPSS.<\/p>\n

   R\u00e9sultats<\/strong> : Parmi les 473 enfants atteints de MAS inclus dans l’\u00e9tude, la majorit\u00e9 (81%) se situait dans la tranche d’\u00e2ge de 6 \u00e0 24 mois. La dur\u00e9e moyenne de s\u00e9jour dans le groupe ayant re\u00e7u la suppl\u00e9mentation en sulfate de zinc \u00e9tait de 35,1 jours (5 semaines), tandis que dans le groupe sans suppl\u00e9mentation, elle \u00e9tait de 41,5 jours (6 semaines) (p<0,05). Le gain de poids moyen dans le groupe suppl\u00e9ment\u00e9 en sulfate de zinc \u00e9tait de 7,4 g\/kg\/j, contre 6,7 g\/kg\/j dans le groupe sans suppl\u00e9mentation (p<0,05). Le taux de gu\u00e9rison \u00e9tait de 99,1% dans le groupe suppl\u00e9ment\u00e9 en zinc, compar\u00e9 \u00e0 98,3% dans le groupe non suppl\u00e9ment\u00e9 (p>0,05).<\/p>\n

   Conclusions<\/strong> : L’ajout de la suppl\u00e9mentation en sulfate de zinc (20 mg\/j pendant 10 jours) au mod\u00e8le standard de prise en charge des cas de MAS semble am\u00e9liorer les indicateurs de performance de la prise en charge, notamment la dur\u00e9e moyenne de s\u00e9jour et le gain de poids moyen. Cette approche pourrait \u00e9galement r\u00e9duire les co\u00fbts globaux associ\u00e9s \u00e0 la prise en charge des cas de MAS sans complications. Des \u00e9tudes suppl\u00e9mentaires bas\u00e9es sur ce mod\u00e8le pourraient \u00eatre r\u00e9alis\u00e9es dans d’autres pays africains afin d’\u00e9valuer l’effet de la suppl\u00e9mentation en sulfate de zinc sur les enfants atteints de MAS sans complications.<\/p>\n

   Mots-cl\u00e9s<\/strong> : Malnutrition aigu\u00eb s\u00e9v\u00e8re, enfants de 6-59 mois, sulfate de zinc.<\/p>\n

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   \n

   Abstract [EN]<\/strong><\/h4>\n

   Backround<\/strong>: In Mauritania, the prevalence of severe acute malnutrition (wasting) according to the SMART July 2021 survey is 1.9%, and that of global acute malnutrition is 11.1%. The nutritional situation in the country can therefore be described as an emergency. The mortality quotient for children under five is 79 per 1000, placing Mauritania 14th in sub-Saharan Africa. However, despite the implementation of the IMAM (integrated management of acute malnutrition), its performance indicators have not yet improved. The death rate is still high, average weight gain is still low, and the average length of stay is still high, further reducing the efficiency of IMAM. Zinc deficiency is endemic in developing countries; indeed, according to the Global Hunger Index 2014; Hidden hunger is a form of undernutrition that occurs when the intake and absorption of vitamins and minerals (such as zinc, iodine, and iron) are too low to ensure good health and development. Children suffering from Severe acute malnutrition SAM are deficient in micro-nutrients such as zinc. This study assessed the impact of zinc sulfate supplementation (zinc sulfate 20 mg\/D for 10 days) in uncomplicated SAM children treated in CRENAS.<\/p>\n

   Objectives<\/strong>: This study aimed to assess the impact of zinc sulfate supplementation on the management of children aged 6 to 59 months with severe acute malnutrition (SAM) without complications in the Moughatta de Nema region of the Islamic Republic of Mauritania from 2022 to 2023. Specifically, the objectives were as follows:<\/p>\n

   \n
   1. Evaluate the effect of zinc supplementation on the recovery rate of SAM children treated in Ambulatory Specialized Nutritional Recovery and Education Centers (CRENAS).<\/li>\n
   2. Determine the impact of zinc supplementation on the average length of stay for SAM children treated in CRENAS.<\/li>\n
   3. Identify the influence of zinc supplementation on the average weight gain among SAM children treated in CRENAS.<\/li>\n<\/ol>\n

      Methods:<\/strong> This study employed a controlled, quasi-randomized, retrospective design. It was conducted in 46 out of 51 selected CRENAS in the Moughatta de Nema region, with a 95% confidence interval. A total of 473 SAM children were included in the study, divided into two groups: those who received zinc sulfate supplementation (237 SAM children) and those who did not receive supplementation (236 SAM children). Performance indicators and anthropometric data of the SAM children were recorded in an Excel file and analyzed using the SPSS software.<\/p>\n

      Results:<\/strong> Among the 473 SAM children included in the study, the majority (81%) fell within the age group of 6 to 24 months. The average length of stay in the group receiving zinc sulfate supplementation was 35.1 days (5 weeks), while in the non-supplemented group, it was 41.5 days (6 weeks) (p<0.05). The average weight gain in the zinc-supplemented group was 7.4 g\/kg\/day, compared to 6.7 g\/kg\/day in the non-supplemented group (p<0.05). The recovery rate in the zinc-supplemented group was 99.1%, whereas it was 98.3% in the non-supplemented group (p>0.05).<\/p>\n

      Conclusions<\/strong>: Adding zinc sulfate supplementation (20 mg\/day for 10 days) to the standard model of SAM case management appears to enhance the performance indicators of care, particularly the average length of stay and average weight gain. This approach could also reduce the overall costs associated with the management of SAM cases without complications. Further studies based on this model could be conducted in various African countries to evaluate the effect of zinc sulfate supplementation on SAM children without complications.<\/p>\n

      Key words<\/strong>: Severe acute malnutrition, children aged 6-59 months, zinc sulfate.<\/p>\n

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      \n

      Titre<\/strong> : Impact de la suppl\u00e9mentation en sulfate de Zinc sur les indicateurs de performance de la prise en charge des enfants de 6-59 mois suivi pour malnutrition aig\u00fce s\u00e9v\u00e8re sans complications : Cas de la Moughata de Nema en R\u00e9publique Islamique de la Mauritanie de 2022 \u2013 2023
      \nAuteur(s)<\/strong>\u00a0:\u00a0Geoffray KAKESI MAMBWENI<\/a>
      \nE-mail:<\/strong> geoffraykakesi@rocketmail.com<\/p>\n

      Publi\u00e9 dans\u00a0<\/strong>\u00a0\u00a0Journal des sciences sociales et de l\u2019ing\u00e9nierie<\/a>\u00a0,\u00a0\u00a0Volume 36<\/a>\u00a0\u00a0,\u00a0\u00a0<\/em>num\u00e9ro 7<\/a>
      \ndoi<\/strong>\u00a0:\u00a010.55272\/rufso.rjsse<\/a>
      \n<\/em><\/p>\n

      T\u00e9l\u00e9charger en PDF<\/a><\/strong><\/h3>\n","protected":false},"excerpt":{"rendered":"

      Abstract [FR] Contexte\u00a0: En Mauritanie ; la pr\u00e9valence de la malnutrition aig\u00fce s\u00e9v\u00e8re[1] (\u00e9maciation) selon l\u2019enqu\u00eate SMART juillet 2021 est de 1,9 % et celle de la malnutrition aig\u00fce globale de 11,1% proche du seuil d\u2019urgence nutritionnel de 2%. Le quotient de mortalit\u00e9 des enfants de moins de cinq ans (infanto-juv\u00e9nile) 79 pour 1000 pla\u00e7ant…<\/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":[102,38,177,220,266,36,12],"tags":[241],"class_list":["post-3655","post","type-post","status-publish","format-standard","hentry","category-environment","category-health-and-biomedical-sciences","category-jsse","category-rjsse-volume-36","category-rufso-rjsse-volume-36-issue-7","category-management-sciences","category-social-sciences","tag-kakesi-mambweni-geoffray"],"_links":{"self":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3655","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=3655"}],"version-history":[{"count":3,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3655\/revisions"}],"predecessor-version":[{"id":3662,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3655\/revisions\/3662"}],"wp:attachment":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/media?parent=3655"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/categories?post=3655"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/tags?post=3655"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}