KNOWLEDGE, ATTITUDES AND PRACTICES OF TRADITIONAL PRACTITIONERS ABOUT JAUNDICE IN BOBO-DIOULASSO, BURKINA FASO

Knowledge, Attitudes and Practices of traditional practitioners about jaundice in Bobo-Dioulasso, Burkina Faso Introduction: Jaundice, according to popular knowledge cannot be treated in modern medicine and that’s why people consult traditional Practitioners. The objective of this paper was to study knowledge, attitudes and practices of traditional Practitioners (TP) about jaundice. Material and Methods: A descriptive cross sectional study was carried out from February 1st to April 30th inBobo-Dioulasso, Burkina. An individual questionnaire was used to collect about 100 TP members of two associations in the Bobo-Dioulasso. Results: The average age of participants was 48.51 (± 14) years old and sex ratio 1.9. Most of TP half (59%) were illiterate. The average number of practice was18.28 (± 11... 4) years old and the majority of TP (73%) were trained in Their family. Only few TP had (18%) the authorization of practice. Despite that all the TP knew jaundice, the level of knowledge of the causes was unsufficient in more than 91%. Only10% of TP named as hepatitis because 69% versus malaria. A good knowledge of jaundice causes was statistically associated to the alphabe-literacy (p = 0.003) but not to the anciennity of practice (p = 0. 5). The majority of machinery (86.5%) used herbal plants for the jaundice treatment.The most herbal plants cited by the TP were Cochlospermumtinctorium,Terminaliamacroptera,Commiphoraafricana,Anogeissusleiocarpus. Decoction was the most representation form used (74. 7%) and drinking is the most administration route (92. 7%). Some TP (9. 1%) think that the modern treatment was at risk of death in the presence of jaundice. The medical complementary exams were the main reason for TP to refer patients suffering from jaundice in modern medicine (48. 7%). Conclusion: this study shows an unsufficient knowledge of TP about jaundice notably its etiology. Herbal plants were the material the most used for the treatment of PD

The Role of Food Insecurity and Dietary Diversity on Recovery from Wasting among Hospitalized Children Aged 6-23 Months in Sub-Saharan Africa and South Asia

BACKGROUND: Current guidelines for the management of childhood wasting primarily focus on the provision of therapeutic foods and the treatment of medical complications. However, many children with wasting live in food-secure households, and multiple studies have demonstrated that the etiology of wasting is complex, including social, nutritional, and biological causes. We evaluated the contribution of household food insecurity, dietary diversity, and the consumption of specific food groups to the time to recovery from wasting after hospital discharge. METHODS: We conducted a secondary analysis of the Childhood Acute Illness Network (CHAIN) cohort, a multicenter prospective study conducted in six low- or lower-middle-income countries. We included children aged 6-23 months with wasting (mid-upper arm circumference [MUAC] ≤ 12.5 cm) or kwashiorkor (bipedal edema) at the time of hospital discharge. The primary outcome was time to nutritional recovery, defined as a MUAC > 12.5 cm without edema. Using Cox proportional hazards models adjusted for age, sex, study site, HIV status, duration of hospitalization, enrollment MUAC, referral to a nutritional program, caregiver education, caregiver depression, the season of enrollment, residence, and household wealth status, we evaluated the role of reported food insecurity, dietary diversity, and specific food groups prior to hospitalization on time to recovery from wasting during the 6 months of posthospital discharge. FINDINGS: Of 1286 included children, most participants (806, 63%) came from food-insecure households, including 170 (13%) with severe food insecurity, and 664 (52%) participants had insufficient dietary diversity. The median time to recovery was 96 days (18/100 child-months (95% CI: 17.0, 19.0)). Moderate (aHR 1.17 [0.96, 1.43]) and severe food insecurity (aHR 1.14 [0.88, 1.48]), and insufficient dietary diversity (aHR 1.07 [0.91, 1.25]) were not significantly associated with time to recovery. Children who had consumed legumes and nuts prior to diagnosis had a quicker recovery than those who did not (adjusted hazard ratio (aHR): 1.21 [1.01,1.44]). Consumption of dairy products (aHR 1.13 [0.96, 1.34], p = 0.14) and meat (aHR 1.11 [0.93, 1.33]), p = 0.23) were not statistically significantly associated with time to recovery. Consumption of fruits and vegetables (aHR 0.78 [0.65,0.94]) and breastfeeding (aHR 0.84 [0.71, 0.99]) before diagnosis were associated with longer time to recovery. CONCLUSION: Among wasted children discharged from hospital and managed in compliance with wasting guidelines, food insecurity and dietary diversity were not major determinants of recovery