Governments have a central role to play in creating a food environment that will enable people to have and maintain healthy eating practices.
This study analyzes public policies and government ...actions related to creating healthy food environments in Burkina Faso.
The Healthy Food Environment Policy Index tool used for this study has 2 components, 13 domains, and 56 indicators of good practice adapted to the Burkina Faso context. Official policy documents collected from data sources such as government and nongovernment websites, and through interviews with government and nongovernment resource persons, provided evidence of considerations of food environment in public policy documents in Burkina Faso.
Policies documents show a lack of revision of old texts and administrative processes for new policies and government practices are very slow. Added to this is the absence of a regulatory document for some implemented actions. The analysis of the documents collected in relation to the indicators of Food-Epi tool shows that there is no evidence of consideration of food environments for the indicators concerning the regulation of nutrition and health claims, labeling, taxes on healthy and unhealthy foods, support systems for training for private structures on healthy diets, implementation of food guidelines, and food trade and investment.
This study permits a review of public policies that take into account food environments through the various indicators and constitutes a starting point from which improvements can be made by the government.
The global burden of undernutrition remains high, responsible for significant under-five mortality in resource-limited settings. Numerous sustainable development goals (SDGs) are linked to nutrition, ...and nationally representative nutrition surveillance is a key activity to track progress towards SDGs and guide efficient programmes.
The aim of this study is to look at spatial and temporal trends in undernutrition in children under 5 years age in Burkina Faso.
We used data from annual National Nutrition Surveys using Standardised Monitoring and Assessment of Relief and Transitions methodology (anthropometry, morbidity) over 7 years (2012-2018) in Burkina Faso.
Children of under 5 years from households selected through systemic sampling at countrywide level.
Prevalence of stunting (height-for-age z-score, <-2), underweight (weight-for-age z-score, <-2) and wasting (weight-for-height z-score, <-2) at regional and national. We used general linear mixed models, adjusted by age, survey year, sex, presence of fever and/or diarrhoea, and poverty index to quantify the risk of undernutrition over time and by region of residence.
Between 2012 and 2018, decreases were observed overall in the prevalence of growth retardation (stunting) decreased from 33.0% (95% CI 32.3 to 33.8) in 2012 to 26.7% (95% CI 26.2 to 27.3) in 2018. Underweight reduced from 24.4% (95% CI 23.7 to 25.1) to 18.7% (95% CI 18.2 to 19.2) for the same period and wasting decreased from 10.8% (95% CI 10.3 to 11.3) in 2012 to 8.4% (95% CI 8.1 to 8.8) in 2018. However, there was substantial variation across the country, with increased risk of undernutrition in the regions of Sahel, East and Cascades primarily. High-risk regions were characterised by a lower poverty index and limited access to healthcare services.
Our findings could inform national policymakers in refining and optimising resource allocation based on the identification of high-risk areas.
Evidence on sociodemographic determinants and spatial variations in the fruit and/or vegetable (FV) consumption was reported. This study aimed to explore geographical and sociodemographic disparities ...in the level of FV consumption among adults in Burkina Faso, using the national baseline data.
This was a cross-sectional secondary study of primary data obtained by the 2013 (September to October) World Health Organization Stepwise Approach to Surveillance survey conducted in Burkina Faso. The participants were 4402 women and men aged 25-64 years and living in all 13 Burkinabè Regions. Descriptive and analytical analyses were performed using Student's t test, ANOVA, the chi-square test, Fisher's exact test and logistic regressions.
The prevalence of a typical daily consumption of at least three servings was 4.1% (95% CI: 3.6-4.8) for fruits and 6.6% (95% CI: 5.9-7.3) for vegetables. The national prevalence of adequate FV intake was 5.1% (95% CI: 4.4-5.8), and for two Regions ("Centre-Ouest" and "Nord") the pooled prevalence was 22.4%, while in the other eleven Regions its was significantly lower, 2.4% (p = 0.0001). Using quartiles derived from the national level of consumption, each of these two Regions had a higher proportion (about 50%) of their participants in the fourth quartile (the higher level). The associated sociodemographic factors with the adequate intake were being rural residents (aOR = 1.7, p = 0.011) and women (aOR = 1.3; p = 0.03).
Except for the Regions of "Centre-Ouest" and "Nord" of Burkina Faso, the prevalence of adequate consumption of FV was very low in its other eleven Regions. Measures to increase consumption in urban people are urgent while women should be the key actor in the family-based approaches implementation and the nutrition education promoting FV consumption.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
In the face of food shortages and precariousness, school meals are an effective means of encouraging pupils to attend and stay in school, and of combating nutritional deficiencies. Unfortunately, ...there are bottlenecks to be identified and resolved.
Analyzing the composition of meals served to school-age children in primary schools in the province of Kadiogo, while assessing the opinion of school staff on these meals (Burkina Faso).
A descriptive cross-sectional survey about school meals was carried out during the period from April to May 2019 among school stakeholders in primary schools in five (05) municipalities of the province of Kadiogo.
Insufficient quantity and quality of rations served were recorded in primary schools. The endogenous initiative canteens represented 46.4% of the registered canteens. The promotion of Health-Hygiene-Nutrition (H-H-N) activities in schools encountered difficulties in covering the sanitary needs of school-aged children because unavailability of socio-sanitary infrastructures. School meals consisted of starchy foods and legumes in rural schools and more diversified meals consisting of fruits and vegetables as well as meat and fish in urban schools. In rural municipalities, school meals were insufficient in quantity and quality, while in the urban municipality, macronutrient intakes were in excess with micronutrient intakes largely deficient.
Despite the shortcomings, school officials specified that school meals cover lunch rations, increase school enrolment, and improve school-aged children' learning capacity.
Abstract Context School-age is a dynamic period of growth and development, leading to good health and a productive adult life. Adequate dietary intake provides essential nutrients for growth, health ...and cognition. However, the practices of adequate nutrition is still not a matter of course for schoolchildren in many countries. The aim of this study was to identify associated factors of dietary diversity among students in public primary school in the Central Plateau Region. Method Multi-stage sampling was used to select schoolchildren. A semi-structured questionnaire was used to collect information’s of food consumption at home and at school using a 24-h dietary recall method. Binary logistic regression was used to identify variables associated with students' dietary diversity scores (DDS) with statistical significance at p < 0.05 , after performing Chi-square test of independence to identify candidates variables at p < 0.25 . Results The study involved 560 pupils aged 6 to 14 older, including 52.9% girls and 47.9% boys. Dietary diversity was divided into three classes: low (DDS ≤ 4), medium (DDS = 5) and high (DDS ≥ 6). Thus, 13.4% of students have a low DDS and average in 48.9%, versus 37.7% high. Students in Ganzourgou were twice as likely to have a low DDS (AOR = 2.01, 95% CI:1.00–4.04) compared to those in Oubritenga. Household drinking water source, pupil status and father's occupation were significantly associated with pupils' dietary intake. Conclusion Primary schoolchildren don’t have good dietary practices in the Plateau Central Region. Promoting dietary diversification in households and balanced meals in school canteens would be necessary to improve the DDS of schoolchildren. Trial registration Clinical Trial Number: 2022_33_/MS/MESRSI/CERS of 02/14/2022.
Introduction The food environment is an important factor in the efforts of countries worldwide to achieve a transition to sustainable food systems. The objective of this study is to formulate and ...prioritize actions to be addressed to the government of Burkina Faso for the creation of a healthy food environment, which will contribute to reducing malnutrition in all its forms and non-communicable diseases. Methods National experts were brought together to identify and prioritize actions to fill the gaps identified through a multi-step assessment process following the methodology of the Healthy Food and Environment Policy Index (Food-EPI). Results Up to 20 priority policy actions were recommended to the Burkina Faso government. Actions in the policy component focused mainly on regulation of food promotion and marketing, particularly to children, and others in the infrastructure support component focused largely on political leadership, i.e., strong and visible political support from the government to improve the food environment, population nutrition, diet-related non-communicable diseases and their inequalities. Conclusion The priority actions to be recommended to the government will strengthen advocacy for government decisions to create a healthier food environment in the country.
Abstract
Climate change affects most remarkably Savannah regions in ways that alter agricultural productivity. In addition, these regions are marked by high prevalence of malnutrition and mortality ...related to undernourishment in children under 5 years old. One of the most promising solutions to sustainably fight malnutrition is to design programs that will consider locally produced foods and production approaches that protect the soil. The present study was designed to evaluate the nutritional quality of grains produced in the Savannah in order to provide data that will be used to make recommendations for nutrition and sustainable farming. Farmers in the Savannah region in Togo were interviewed about their productions and their produced grains were sampled for biochemical characterization. All producers exploit family lands and mainly produce grains. More than 98% of producers breed poultry by only at the family level. Biochemical characterization of the sampled foods shows that pulses present a relative high level of sand, fatty matters and proteins. Results show that both cereals and pulses contain sufficient energy, fatty matters, vitamins and minerals that are necessary for human wellbeing. Foods formulations could be made especially for children under food substitution. In addition, pulses production is encouraged for sustainable soil preservation.
Graphical abstract
Even if under-five children mortality tends to decrease considerably in developed countries, it remains a major concern in Sub-Saharan Africa. The purpose of the present study is to assess causes of ...healthcare discontinuation and factors associated with mortality among severe acute malnourished children under five years old in the health district of Gorom–Gorom in Burkina Faso.
A descriptive retrospective study on healthcare discontinuation and deaths of severely acute malnourished children under five years old who registered from July to December 2018, in the health district of Gorom–Gorom in Burkina Faso.
A total of 377 records of children suffering from severe acute malnutrition were exploited. Children of age range 6–23 months were the most predominantly malnourished. Healthcare discontinuation was observed at rates around 24.4%.Deaths were recorded in 9.72% of children hospitalized in the CRNE and around 1% in children in the ambulatory care management. The severe acute malnutrition co-morbidity factors included oral candidiasis OR = 14.8; (95%CI 1.128–194.285), dehydration OR = 11.46; (95%CI 1.085–121.038) and malaria OR = 8.32; (95%CI 1.915–36.191).
The risk of death of severe acute malnourished children is higher when the disease is associated with complications.
Background: Simplified and reliable tools for individual and household diet quality assessment have been found helpful to reduce cost of the dietary survey. The main objective of this study was to ...determine the household’s diet profile in the Centre-West Region of Burkina Faso. Methods: A cross-sectional study was conducted on household food consumption using the last seven days recall. Food consumption score (FCS) was calculated by adding sores of the consumed food groups for each household. Results: Overall, 985 households were involved from 37 rural and three urban places from the Centre-West Region of Burkina Faso. With regard to the FCS, 28%, 28%, and 44% of the households had a poor (FCS ≤ 21), borderline (21< FCS ≤ 35), and acceptable (FCS > 35) scores, respectively. Increased FCS improved the food consumption frequency rich in nutrient (vitamin A, iron, protein) groups. The quality of household’s diet was determined by socioeconomic variables such as household assets and number of income sources. Urban households get their food from the market places, while rural ones consumed their own productions. Conclusion: Diet quality based on food groups' consumption was associated with the socioeconomic status of households with regard to a certain food vulnerability. More efforts are required to strengthen the food security in vulnerable households regarding healthy diets for the population.
To study the factors associated with stunted physical growth in primary school children and adolescents in the Burkina Faso Sahel.
This was a secondary analysis of the data from the survey conducted ...by the Directorate of Nutrition in June 2016 in 13 primary schools. The baseline study was conducted from May 15 to 24, 2016. This secondary analysis of the database took place from March to August 2017. The study participants were made up of male and female students from public primary schools and who were beneficiaries of the school canteens of the Dori municipality at the time of the survey. Logistic regression was used to identify the factors associated with a 5% significance level.
The analysis involved a sample of 568 students aged 5 to 15 years. Girls accounted for 52% of students. The prevalence of stunting was 32.92% (95% CI 29-36%), it was 28.93% (95 % CI 23.84-34.62%) among boys and 36.61 % (95% CI 31.28-42.28%) in girls. Among primary students, age (ORa = 4.38, P = 0.00), anemia (ORa = 0.24, P = 0.01) and latrine use (ORa = 0.58 with P = 0.02) were the factors statistically associated with stunting (P < 0.05).
The prevalence of stunting among primary school students in the commune of Dori remains high. Associated factors were age, anemia and latrine use. Promotion of latrine use in households and prevention of anemia in children under 5 years of age would be necessary for the reduction of stunting among adolescents.
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