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Research Article Open access CC BY 4.0

Weight Loss and Nutritional Status of 6-59 Months Children after Positive Deviance/Hearth Approach in Southern Benin Rural Area: Associated Factors to Later Underweight

Mariette Inès G. Zevounou, Waliou Amoussa Hounkpatin, Flora Josiane Chadare, Jaurès H. F. Lokonon, Mohamed Soumanou, Roch Mongbo

International Journal of TROPICAL DISEASE & Health · pp. 1–10 · Published 31 May 2017

10.9734/IJTDH/2017/33539

Abstract

Aims: To appreciate the evolution of weight gain by malnourished children and factors associated to children underweight after the Positive Deviance/Hearth sessions. Study Design: Longitudinal study. Place and Duration of Study: Districts Ze and Lalo (Southern Benin), from May to August 2014 Methodology: This study was conducted on 98 children aged of 6-59 months who fully participated in Positive Deviance/Hearth (PD/H). During one month, four measurements of weight have been taken on the 77th, 84th, 91th, and 98th day after the beginning of PD/H. Questionnaire was administered to mother on environmental, hygiene practices, and food accessibility of household. Relation among factors of food accessibility, household hygiene, and child nutritional status was sought by an Analysis of Factorial Components. Results: The children who participated in 12 days of PD/H gained significantly 0.63 kg and 1.13 kg of weight in Lalo and Ze respectively (P<.001). From the 12th to 77th day after the end of PD/H, we noticed a significant weight loss from 10.54 to 10.09 kg in Ze and from 9.75 to 9.19 Kg in Lalo (P=.003). Prevalence of underweight children on the 77th day was 45.8% with 12.5% of severe case and 63.5% with 18.9% of severe case in Lalo and Ze, respectively. The severe underweight children were characterized by households where i) it rarely arrived to be without food ii) one member rarely have a day without eaten but iii) the drinking water is from well. Conclusion: On the 77th day after the PD/H, the children of our study had weight loss. Food accessibility and household hygiene are mainly the limited factors that could explain the degradation of the nutritional status of children and high prevalence of underweight. This first study conducted in Benin on PD/H approach is more exploratory and helps to appreciate this approach efficacy and sustainability.

Children households underweight positive deviance/hearth sustainability

References (11)

  1. 1 Maternal and child undernutrition: global and regional exposures and health consequences [DOI]
  2. 2 WHO Child Growth Standards based on length/height, weight and age [DOI]
  3. 3 How to Calculate Sample Size for Different Study Designs in Medical Research? [DOI]
  4. 4 Where and why are 10 million children dying every year? [DOI]
  5. 5 The economic rationale for investing in stunting reduction [DOI]
  6. 6 Preventing environmental enteric dysfunction through improved water, sanitation and hygiene: an opportunity for stunting reduction in developing countries [DOI]
  7. 7 Implications of Acquired Environmental Enteric Dysfunction for Growth and Stunting in Infants and Children Living in Low- and Middle-Income Countries [DOI]
  8. 8 Design of a Prospective, Randomized Evaluation of an Integrated Nutrition Program in Rural Viet Nam [DOI]
  9. 9 Hearth nutrition model: applications in Haiti Vietnam and Bangladesh.
  10. 10 Evaluation of Feeding Practices in Children Aged 6-23 Months in Southern Benin Rural Setting [DOI]
  11. 11 Food and nutrition insecurity in northern Benin : impact on growth performance of children and on year to year nutritional status of adults [DOI]

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