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Unità medico scientifica

09MD0185 rValutazione dell'efficacia
dell'educazione delle mamme

L'articolo riporta i risultati di uno studio condotto in Madagascar su bambini malnutriti le cui mamme erano state coinvolte in un programma educativo.
Viene analizzata l'efficacia del coinvolgimento delle mamme attraverso la verifica  del mantenimento, ad un anno di distanza dalla conclusione del programma di recupero, di uno stato nutrizionale adeguato. 

Acta Paediatr. 2017 Feb 23. doi: 10.1111/apa.13796.

Most children who took part in a comprehensive malnutrition programme in Madagascar reached and maintained the recovery threshold.

Margot M1, Stoll B1, Voahangy R2, Jeannot E1,3.

Abstract AIM: The benefits of including nutritional education in programmes that tackle moderate and severe acute malnutrition remain poorly documented. This study in Madagascar evaluated the nutritional status of children who took part in an innovative programme that included maternal education, on completion and after a year. METHODS: Each year, this outpatient programme admits 2,400 malnourished children from 6-59 months in the lower districts of Antananarivo, Madagascar. Children were drawn by lots and their anthropometric data measured. A descriptive retrospective longitudinal study was conducted on 573 children who took part between 2010-2013. RESULTS: The programme lasted an average of 38 days and, on completion, 82.2% had reached the recovery threshold and 16.2% had moved up to mild malnutrition. This was achieved with food supplements of 720 kilocalories per day, despite the Malagasy Public Health recommendation of 1,000-1,500 kilocalories per day. After one year, 79.1% were still above the recovery threshold and 15% had mild malnutrition. The recovery rate was higher for children under 24 months of age (odds ratio 2.9, 95% confidence interval 1.93-4.59). CONCLUSION: Most children who attended this malnutrition programme with maternal education in Madagascar reached the recovery threshold on completion and had maintained it after one year.


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