The importance of public health, poverty reduction programs and women’s empowerment in the reduction of child stunting in rural areas of Moramanga and Morondava, Madagascar
| Autor: | Reziky Tiandraza Mangahasimbola, Rado Rakotoarison, Rindra Randremanana, Chitale Rabaoarisoa Remonja, Nivo Heritiana Rakotonirainy, Ronan Jambou, Patrice Piola, Alain Berthin Randrianarisoa, Inès Vigan-Womas |
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| Přispěvatelé: | Unité d'Epidémiologie [Antananarivo, Madagascar] (IPM), Institut Pasteur de Madagascar, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), Unité d'immunologie des maladies infectieuses [Antananarivo, Madagascar] (IPM), Institut Pasteur de Côte d'Ivoire, Réseau International des Instituts Pasteur (RIIP), Institut Pasteur du Cambodge, This work was supported by USAID, grant reference number: AID-687-G-13-00003., Unité d'Epidémiologie [Antananarivo] (IPM), Réseau International de Instituts Pasteur - Institut Pasteur de Madagascar, Unité d'immunologie des maladies infectieuses [Tananarivo] (IPM), Institut Pasteur de Madagascar - Réseau International des Instituts Pasteur (RIIP), Réseau International des Instituts Pasteur (RIIP) - Institut Pasteur de Côte d'Ivoire, Institut Pasteur du Cambodge - Réseau International des Instituts Pasteur (RIIP) |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Physiology Psychological intervention lcsh:Medicine Geographical Locations Families 0302 clinical medicine Women's empowerment Medicine and Health Sciences Medicine 030212 general & internal medicine lcsh:Science 10. No inequality Children ComputingMilieux_MISCELLANEOUS Statistical Data 2. Zero hunger Multidisciplinary biology Under-five 1. No poverty 3. Good health [SDV] Life Sciences [q-bio] [SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology Research Design Physical Sciences [SDV.IMM]Life Sciences [q-bio]/Immunology Statistics (Mathematics) Research Article medicine.medical_specialty [SDV.BC]Life Sciences [q-bio]/Cellular Biology Research and Analysis Methods 03 medical and health sciences Madagascar Parasitic Diseases [SDV.BBM]Life Sciences [q-bio]/Biochemistry Molecular Biology Nutrition 030109 nutrition & dietetics Poverty business.industry Public health lcsh:R Malnutrition Food Consumption Biology and Life Sciences medicine.disease biology.organism_classification Age Groups Case-Control Studies People and Places Africa Trichuris trichiura lcsh:Q [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Population Groupings Rural area business Parasitic Intestinal Diseases Physiological Processes Mathematics Demography |
| Zdroj: | PLoS ONE PLoS ONE, Public Library of Science, 2017, 12 (10), pp.e0186493. ⟨10.1371/journal.pone.0186493⟩ PLoS ONE, Vol 12, Iss 10, p e0186493 (2017) PLoS ONE, Public Library of Science, 2017, 12 (10), 〈10.1371/journal.pone.0186493〉 |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0186493⟩ |
| Popis: | 11 Dec 2017: Remonja CR, Rakotoarison R, Rakotonirainy NH, Mangahasimbola RT, Randrianarisoa AB, et al. (2017) Correction: The importance of public health, poverty reduction programs and women's empowerment in the reduction of child stunting in rural areas of Moramanga and Morondava, Madagascar. PLOS ONE 12(12): e0189747. https://doi.org/10.1371/journal.pone.0189747 View correction; International audience; Background: Malnutrition accounts for 45% of mortality in children under five years old, despite a global mobilization against chronic malnutrition. In Madagascar, the most recent data show that the prevalence of stunting in children under five years old is still around 47.4%. This study aimed to identify the determinants of stunting in children in rural areas of Moramanga and Morondava districts to target the main areas for intervention.Methods: A case-control study was conducted in children aged from 6 to 59.9 months, in 2014-2015. We measured the height and weight of mothers and children and collected data on child, mother and household characteristics. One stool specimen was collected from each child for intestinal parasite identification. We used a multivariate logistic regression model to identify the determinants of stunting using backwards stepwise methods.Results: We included 894 and 932 children in Moramanga and in Morondava respectively. Stunting was highly prevalent in both areas, being 52.8% and 40.0% for Moramanga and Morondava, respectively. Stunting was most associated with a specific age period (12mo to 35mo) in the two study sites. Infection with Trichuris trichiura (aOR: 2.4, 95% CI: 1.1-5.3) and those belonging to poorer households (aOR: 2.3, 95% CI: 1.6-3.4) were the major risk factors in Moramanga. In Morondava, children whose mother had activities outside the household (aOR: 1.7, 95% CI: 1.2-2.5) and those perceived to be small at birth (aOR: 1.6, 95% CI: 1.1-2.1) were more likely to be stunted, whereas adequate birth spacing (≥24months) appeared protective (aOR: 0.4, 95% CI: 0.3-0.7).Conclusion: Interventions that could improve children's growth in these two areas include poverty reduction, women's empowerment, public health programmes focusing on WASH and increasing acceptability, and increased coverage and quality of child/maternal health services. |
| Databáze: | OpenAIRE |
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