Infection and malnutrition among the children and women in age of procreer in mali

Abstract

Malnutrition and the infections are common problems of public health of the children in the countries in the process of development. With an aim of determining the prévalence of the malnutrition and infection and their possible relations, a cross-sectional study laminated by cluster sampling was carried out of January 30 at March 16, 2006 in two areas of Mali: Koulikoro (rural rural) and the district of Bamako (urban zone). It related to a sample of 692 children from 24 to 59 months and 803 women in age to procreate. Anthropometric measurements and the proportioning of C reactive Proteine (CRP) had been carried out to determine the prevalency of the malnutrition. The prevalence of the infection in the studied children significantly was accentuated in urban environment with 35.2 ± 0.47 % than in rural medium with 14.8 ±0.35 % (p=0.0001). Among women in age to procreate on the other hand, it was comparable in the two mediums with 24.8 ± 0.35 % in rural medium and 17.6 ± 0.47 % in urban environment (p<0.05). The urban children are infected statistically than those of the rural medium (p=0,000) with respectively 35.2% against 14.8%. As for the women, it is rather the reverse with 4.8 % against 17.6 % although that is not significant (p<0.05). The proportion of the wasting and infected children is comparable in the two mediums with respectively 6.1 % in rural medium and 4.6 % in urban environment. On the other hand in rural medium, the proportion of children having a statung and a underweight significantly were infected than those of the urban environment (p=0.000). The relation between underground and the other nutritional deficiencies in the children from 24 to 59 months is statistically significant with the delay of growth and the wasting in the two mediums, but the force of association for the wasting is not very strong in urban environment (p=0.004). Among women, no significant relation had been observed between infection and chronic energy deficit.