Inventaire d'enquêtes Demostaf

Information sur la citation

Type Revue - International Journal of Epidemiology
Titre No improvement in weight-for-age of young children in southern Senegal, 1969–1992, despite a drastic reduction in mortality. Evidence from a growth monitoring programme
Auteur(s)
Volume 33
Numéro 6
Publication (Jour/Mois/Année) 2004
Numéros de page 1202-1208
URL https://academic.oup.com/ije/article/33/6/1202/866386/No-improvement-in-weight-for-age-of-young-chil​dren
Résumé
Background Undernutrition is associated with an increased risk of death among young children in developing countries. Infant and child nutritional status and mortality were monitored in a rural area of Casamance, Senegal.Methods Analysis of weight measurements taken at 3–24 months of age during routine growth monitoring in the community's private dispensary 1969–1992 (3912 children, 4642 child-years) and of mortality rates of children estimated from maternal recall for 1960–1985 and yearly census 1985–1995.Results Between 1960–1964 and 1990–1994, under-5 and child (1–4 years) mortality rates decreased from 312 to 127 and from 201 to 68 per 1000, respectively. About 90\% of resident children attended growth monitoring in 1985–1992. Mean weight-for-age was at a minimum at 15 months of age (−1.60 z-scores [SD: 0.95]); the prevalence of underweight was 33.2\% (95\% CI: 31.5, 34.9). The latter increased significantly over time, both when comparing all years of follow-up (P for trend \<0.01) and over three pre-defined time periods (28.6, 34.6, and 35.0\% in 1969–1974, 1975–1984, and 1985–1992, respectively, P for trend \<0.05). Mean weight-for-age decreased over time in infancy and in the second year of life.Conclusion No improvement in nutritional status was found among young children 1969–1992 despite a drastic decrease in mortality. Focused public health interventions such as vaccinations and malaria prevention probably did not enhance weight-for-age. Paradoxically, growth monitoring may have been more helpful in improving health than growth.

Études utilisées

»
Pinchinat, Enel, Pison, Duthé, Lagarde, Simondon, and B Simondon. "No improvement in weight-for-age of young children in southern Senegal, 1969–1992, despite a drastic reduction in mortality. Evidence from a growth monitoring programme." International Journal of Epidemiology 33, no. 6 (2004): 1202-1208.
Powered by NADA 4.3 and DDI