在布基纳法索萨赫勒地区促进口腔健康和对抗营养不良：“布基纳法索预防坏疽性口炎宣传与能力建设项目”（PSRCPN/BF）的综合营养战略。
Promoting oral health and fighting malnutrition in the Sahel region of Burkina Faso: the integrated nutrition strategy of the 'projet de sensibilisation et de renforcement des capacités pour La prévention du Noma Au Burkina Faso' (PSRCPN/BF).
作者信息
Tapsoba Hadissa, Yameogo Peegdsom Simplice Assomption, Bougoum Souleymane, Ilboudo Achille
机构信息
Réseau pour la Promotion de la santé Bucco-dentaire et la Recherche en Afrique, Ouagadougou, Burkina Faso.
Département de Santé Publique, Université de Liège, Liège, Belgique.
出版信息
BMC Public Health. 2025 Jul 29;25(1):2585. doi: 10.1186/s12889-025-23943-2.
SUMMARY
Owing to its major health and social consequences, malnutrition in the Sahel region of Burkina Faso is a determinant of noma. The ‘Projet de Sensibilisation et de Renforcement des Capacités pour la Prévention du Noma’ (PSRCPN/BF) aims to reduce morbidity due to malnutrition and noma through an integrated community-based approach. This article presents the nutrition component of this project.
METHODS
The PSRCPN/BF has three main objectives: prevention of malnutrition, improvement of oral and dental health, and management of noma cases. The nutrition component targets pregnant and breastfeeding women as well as children aged six to 23 months via integrated strategies: awareness-raising via community groups, malnutrition screening, referral of detected cases to health centres and distribution of enriched rations of infant flour. Partnerships with NGOs, local associations and public health structures have helped to implement the program in 104 villages.
RESULTS
The project achieved significant results between 2021 and 2024. 6,030 awareness-raising groups were created with women volunteers, with an effective participation rate of over 96% of the target audience. 134,804 children were screened each year. All children screened positive were referred to health centres. The prevalence of severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) were 0.93% and 3.68%, respectively. These numbers decreased from 1.35% in 2021 to 0.57% in 2024 for SAM, and from 4.53 to 2.10% for MAM.
CONCLUSION
While malnutrition has declined significantly, its prevalence remains a matter of concern and the fight against it must be intensified. The project findings suggest the effectiveness of integrated strategies and highlights the importance of implementing a community-based, multi-sectoral approach.
摘要
由于其重大的健康和社会影响，布基纳法索萨赫勒地区的营养不良是坏疽性口炎的一个决定因素。“预防坏疽性口炎宣传与能力建设项目”（PSRCPN/BF）旨在通过基于社区的综合方法降低营养不良和坏疽性口炎的发病率。本文介绍了该项目的营养部分。
方法
PSRCPN/BF有三个主要目标：预防营养不良、改善口腔和牙齿健康以及管理坏疽性口炎病例。营养部分通过综合策略针对孕妇、哺乳期妇女以及6至23个月大的儿童：通过社区团体提高认识、进行营养不良筛查、将检测出的病例转诊至健康中心以及分发强化婴儿面粉配给。与非政府组织、地方协会和公共卫生机构的合作有助于在104个村庄实施该项目。
结果
该项目在2021年至2024年期间取得了显著成果。与女性志愿者一起创建了6030个提高认识小组，目标受众的有效参与率超过96%。每年对134804名儿童进行筛查。所有筛查呈阳性的儿童都被转诊至健康中心。重度急性营养不良（SAM）和中度急性营养不良（MAM）的患病率分别为0.93%和3.68%。SAM的患病率从2021年的1.35%降至2024年的0.57%，MAM的患病率从4.53%降至2.10%。
结论
虽然营养不良率已显著下降，但其患病率仍然令人担忧，必须加强与之作斗争。项目结果表明了综合策略的有效性，并突出了实施基于社区的多部门方法的重要性。
Zotero 插件