Zoungrana Bassibila, Sawadogo Prosper Saga, Somda Namwin Siourimè, Tapsoba François, Tankoano Abel, Savadogo Aly
Centre de Recherche en Sciences Biologiques, Alimentaires et Nutritionnelles, Laboratoire de Biochimie et Immunologie Appliquées (CRSBAN/LaBIA), Unité de Formation et de Recherche en Sciences de la Vie et de la Terre (UFR/SVT), Université Ouaga I Pr Joseph Ki-Zerbo, 03 BP 7021 Ouagadougou 03, Ouagadougou, Burkina Faso.
Food and Agriculture Organization of United Nations (FAO), Ouagadougou, Burkina Faso.
Pan Afr Med J. 2019 Nov 14;34:145. doi: 10.11604/pamj.2019.34.145.17946. eCollection 2019.
The consequences of severe acute malnutrition are measured in terms of health and survival, but also of cognitive development, its productivity and the overall national economy. Its management requires enormous financial resources. The purpose of this study was to assess the effectiveness of treating severe acute malnutrition versus cost of treatment of severe acute malnutrition in children.
We conducted a retrospective study of 199 children aged 0-59 months admitted to the Centre for Nutritional Recovery and Education in Kaya, Burkina Faso, from January to December 2014. The cost of treatment, the length of stay in the Centre for Nutritional Recovery and Education, daily weight gain and the speed of recovery were analyzed based on the standards calculation methods. Mann-Whitney test and Kruskall-Wallis test were used to compare the medians (0.05 threshold).
As expected, children aged 6-23 months were the most affected (51.8%) and acute respiratory infections were the most associated diseases (57.9%). The median length of stay in the Centre for Nutritional Recovery and Education was 9.0 (7.0-13.0) days, the mean speed of recovery was 100.0 (65.8 - 143.3) g/day and the average daily weight gain was 18.1 (11.6 - 27.7) g/kg/day. The average cost of treatment in a malnourished child is estimated to be 15 715,3 FCFA (25.2 USD).
The cost of treatment is hardly affordable by the parents of malnourished children; hence the necessity for government and development partners interventions.
重度急性营养不良的后果不仅体现在健康和生存方面，还包括认知发展、生产力以及国民经济整体状况。对其进行管理需要巨额资金。本研究旨在评估治疗儿童重度急性营养不良的效果及其治疗成本。
我们对2014年1月至12月入住布基纳法索卡亚营养康复与教育中心的199名0至59个月大的儿童进行了回顾性研究。基于标准计算方法，分析了治疗成本、在营养康复与教育中心的住院时长、每日体重增加量以及康复速度。采用曼-惠特尼检验和克鲁斯卡尔-沃利斯检验来比较中位数（阈值为0.05）。
正如预期，6至23个月大的儿童受影响最大（51.8%），急性呼吸道感染是最常见伴随疾病（57.9%）。在营养康复与教育中心的住院中位数时长为9.0（7.0 - 13.0）天，平均康复速度为100.0（65.8 - 143.3）克/天，平均每日体重增加量为18.1（11.6 - 27.7）克/千克/天。一名营养不良儿童的平均治疗成本估计为15715.3非洲法郎（25.2美元）。
营养不良儿童的父母几乎难以承担治疗费用；因此，政府和发展伙伴进行干预很有必要。
