Analyse des facteurs socio-économiques, culturels et environnementaux influençant les pratiques alimentaires des ménages dans la Zone de Santé Sia, Kwilu, RD Congo.

Virginie Bundama Kishumi; Marie Claire Omanyondo Ohambe; Emery Kafinga Luzolo; Pierre Célestin Mufeng

doi:10.59228/rcst.025.v4.i4.192

Impact of the Healthcare Institution Administrator-Manager on Quality of Care and Patient Satisfaction: A Case Study of Saint Luc Hospital in Kisantu

Authors

Virginie Bundama Kishumi Ecole Doctorale, Institut Supérieur des Techniques Médicales de Kinshasa, République Démocratique du Congo. Author https://orcid.org/0009-0001-8593-7315 (unauthenticated)
Marie Claire Omanyondo Ohambe Section Sage-Femme, Institut Supérieur des Techniques Médicales de Kinshasa, Kinshasa, République Démocratique du Congo. Author https://orcid.org/0009-0006-0463-6657 (unauthenticated)
Emery Kafinga Luzolo Section Santé Communautaire, Institut Supérieur des Techniques Médicales de Kinshasa, Kinshasa, République Démocratique du Congo. Author https://orcid.org/0009-0004-0788-992X (unauthenticated)
Pierre Célestin Mufeng Section de Sciences des Aliments, Nutrition & Diététique, Institut Supérieur des Techniques médicales de Kinshasa, Kinshasa, République Démocratique du Congo Author https://orcid.org/0009-0007-6754-0780 (unauthenticated)

DOI:

https://doi.org/10.59228/rcst.025.v4.i4.192

Keywords:

Malnutrition,, poverty, education, dietary practices, Sia health zone

Abstract

This study was carried out to analyze the socio-economic, cultural and environmental factors influencing household dietary practices in the Sia Health Zone. Analysis of household dietary practices in this health zone, located in the Kwilu province of the Democratic Republic of Congo, revealed an alarming prevalence of child malnutrition, reaching 49.9%. This situation is exacerbated by socio-economic, cultural and environmental factors. Poverty was identified as a major cause, with limited access to nutritious food and health services, having an odds ratio (OR) of 2.36 (CI: 1.42-3.91, p < 0.000). Young mothers, often with less education, were at increased risk of malnutrition, with an OR of 4.52 (CI: 1.77-11.54). Families with unstable incomes and those relying mainly on agriculture faced significant challenges, with a chi-square of 30.409 for occupation. In addition, cultural beliefs influence dietary practices, often to the detriment of nutritional diversity, illustrated by an OR of 2.34 (CI: 1.55-3.53). The results underline the importance of improving nutrition education, increasing access to drinking water and strengthening health services to combat malnutrition. Practical recommendations include education programs targeting women and initiatives to diversify food sources to improve nutritional security in this rural region.

Downloads

Download data is not yet available.

References

Action contre la Faim. (2021). Etude sur l'accès aux aliments nutritifs chez les enfants.

Al-Awwad, E., Ayoub, J., Barham, R., Sarhan, W., Al-Holy, M., Abughoush, M., Al-Hourani, H., Olaimat, A., & Al-Jawaldeh, A.2021. Prevalence of Malnutrition and Associated Factors among Children under Five Years Old in Jordan. Journal of Nutrition and Metabolism.

Alvear-Vega, K. M., & Vargas-Garrido, I. F. (2022). Social determinants of acute malnutrition in children under five years of age: A systematic review. Nutrients,

Bakenda, C. (2004). Les déterminants de la malnutrition des enfants de moins de cinq ans.

Banque Mondiale. (2023). Nutrition: Un problème mondial.

Berhanu, G., Dessalegn, B., Ali, H. et Animut, K. (2023). Factors Associated with Undernutrition among Primary School Children in Ethiopia: A Cross-Sectional Study. Ethiopian Journal of Health Sciences, 33(2), 123-132.

Danso, G., & Appiah, S. C. (2023). Determinants of Malnutrition among Children under Five Years in Ghana: Evidence from the 2017/2018 Multiple Indicator Cluster Survey. BMC Public Health, 23(1), 456.

Dipasquale, V., Christian, P., Dominguez-Bello, M. G., Black, R. E., & composition, G. f. (2020). The multiple burdens of malnutrition. The Lancet, 395(10218), 99-101.

Girma, Woldie, H., Mekonnen, F. A., Gonete, K. A. et Sisay, M. (2019). Determinants of Stunting among Children Aged 6-59 Months in Ethiopia: Further Analysis of the 2016 Ethiopian Demographic and Health Survey. BMC Pediatrics, 19(1), 325.

Hassan, M., Khan, A., et Ahmed, M. (2023). Malnutrition and Associated Factors among Under-Five Children in Bangladesh: A Review of the Literature. Journal of Health, Population and Nutrition.

Hasan, M. M., Asif, C. A. A., Barua, A., Banerjee, A., Kalam, M. A., Kader, A., Wahed, T., Noman, M. W., & Talukder, A. (2023). Association de l'accès à l'eau, à l'assainissement et aux installations de lavage des mains avec la dénutrition des enfants de moins de 5 ans au Bangladesh : preuves tirées de deux enquêtes représentatives au niveau national et basées sur la population. BMJ Open, 13(6), e065330. https://doi.org/10.1136/bmjopen-2022-065330

Johnson, L. et al. (2024). Impact of Improved Water and Sanitation Access on Child Malnutrition. Journal of Public Health, 46(2), 256-268.

Smith, H., & Brown, J. (2023). The Role of Protein Deficiency in Child Growth Retardation in Sia. Journal of Nutrition and Child Health, 11(5), 280-310. JSTOR. Retrieved from https://www.jstor.org

Mengesha, Z. B., Hailu, S., Birhane, M., & Belay, M. M. (2021). (2021). Prevalence and Determinants of Stunting among Children Aged 6-59 Months in Rural Ethiopia: A Community-Based Cross-Sectional Study. PLoS One, 16(11), e0259755.

Mfukaka M.K ,1992, De la production lignagère à la production marchande : Données du problème pour un développent endogène. [Thèse pour Master en Administration et Gestion publiques, Anvers RUCA].

Ministère de la Santé Publique Hygiène et Prévention : (2022). Plan Stratégique Intégrée de la sante de la Reproduction, de la Mère, du Nouveau-né, de l’enfant, de l’adolescent et nutrition

Ministère de la Santé Publique Hygiène et Prévention : (2022). Rapport annuel sur la prise en charge intégrée de la malnutrition aiguë en République Démocratique du Congo. Programme de Prise en Charge Intégrée de la Malnutrition Aiguë.

Mohseni, M., Aryankhesal, A. et Kalantari, N. (2019). Nutrition Transition in Iran : Trends and Challenges. Iranian Journal of Public Health, 48(1), 1-10.

Paul, A., Arra, B., Hakobyan, M., Hovhannisyan, M. G., & Kauhanen, J. (2021). Socioeconomic Inequalities in Child Development in Armenia: The Role of Regional and Household-Level Factors. International Journal for Equity in Health, 20(1), 158.

Rivadeneira, M. F., Moncayo, A. L., Cóndor, J. D., Tello, B., Buitrón, J., Astudillo, F., Caicedo-Gallardo, J. D., Estrella-Proaño, A., Naranjo-Estrella, A., & Torres, A. L.(2022). Socioeconomic Factors and Nutritional Status of Indigenous Kichwa Children in the Ecuadorian Amazon. International Journal of Environmental Research and Public Health, Saha, K., Saha, S., Pandya, A., Raval, D., Patil, M. S. et Saxena, D. (2022). Parity and Birth Spacing as Determinants of Undernutrition in India: Evidence from the National Family Health Survey (NFHS) 2015-16. BMC Public Health, 22(1), 1761.

Sharma, R., Singh P. et Mushrau A. (2021). Nutritional Status and Its Determinants among Primary School Children in Bangladesh. Journal of Health, Population and Nutrition.

Smith, J. et Brown, J (2024). The Role of Breastfeeding and Complementary Feeding Practices in Preventing Child Malnutrition. Maternal & Child Nutrition, 20(1), e13578.

Smith, A., & Brown, J. (2024). Community-Based Nutrition Education Programs. Public Health Nutrition, 18(6), 150-178. PubMed. Retrieved from https://pubmed.ncbi.nlm.nih.gov

Smith, H., & Brown, J. (2023). The Role of Protein Deficiency in Child Growth Retardation in Sia. Journal of Nutrition and Child Health, 11(5), 280-310. JSTOR. Retrieved from https://www.jstor.org.

Tanang, A. M. (2009). Facteurs explicatifs de la malnutrition des enfants de moins de cinq ans au Cameroun.

Tesfaye, R., & Egata, G. (2022). Determinants of Stunting among Children Aged 6-59 Months in Ethiopia: A Multi-Level Analysis of the 2016 Demographic and Health Survey. PLoS One, 17(2), e0264134.

Toma, A., T. M., Andargie, K. T., Alula, R. A., Kebede, B. M., & Gujo, M. M. (2023). Determinants of Acute Malnutrition among Children Aged 6-59 Months in Ethiopia: A Community-Based Cross-Sectional Study. BMC Nutrition, 9(1), 23.

UNICEF. (2019). La situation des enfants dans le monde 2019 : Enfants, nourriture et nutrition.

WHO. (2023). Malnutrition. Yehuala, D., G. K., Orcho, A. H., Gebresilassie, M. H., Meshesha, H. A., Amera, T. G., & Tariku, E. Z. (2023). (2023). Determinants of Malnutrition among Children Aged 6-59 Months in Ethiopia: Evidence from the 2019 Ethiopian Mini Demographic and Health Survey. PLoS One, 18(3), e0282320.

Zelalem, A., Demilew, Y. M., Dagne, S., & Dessie, A. M. (2023). et al. (2023). Factors Associated with Undernutrition among Children Aged 6-59 Months in Ethiopia: A Community-Based Cross-Sectional Study. BMC Pediatrics, 23(1), 123

Zeray, A., Kibret, G. D. et Leshargie, C. T. (2019). Prévalence et facteurs associés de la dénutrition chez les enfants de moins de cinq ans issus de ménages modèles et non modèles dans la zone du Gojjam oriental, au nord-ouest de l'Éthiopie : Une étude transversale comparative. BMC Nutrition, 5, 27. https://doi.org/10.1186/s40795-019-0290-y.