Analysis of the nutritional composition and organization of school meals in the province of Kadiogo in Burkina Faso: challenges and prospects

Background

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.

Objective

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).

Methods

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.

Results

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.

Conclusion

Despite the shortcomings, school officials specified that school meals cover lunch rations, increase school enrolment, and improve school-aged children' learning capacity.

Field-based assessment of the design of lysimeters for landfill final cover seepage control

Lysimeters are considered the most appropriate instrument for assessing percolations rates through landfill final covers. Their design, however, must take into consideration the unsaturated nature of water seepage, otherwise they may act as a sink or cause flow avoidance. The aim of this study was to investigate whether using a simple approach to lysimeter design produces reliable seepage control data. Two different design methods were compared using a three-year field database of suction and seepage data collected from large-scale lysimeters installed at the St-Nicephore landfill in Canada. The first, or control, whose side walls were as high as the thickness of the cover material, was inspired from lysimeters installed during the Alternative Cover Assessment Program (ACAP; USA). The second lysimeter was designed based on the proposed simple design methodology, which focuses on the unsaturated flow and hydraulic properties of the materials to determine the optimal wall height. Analysis of the database did not show any indication of significant preferential flow, or alteration of the flow regime by the second lysimeter, which collected as much percolation as the control one (less than 5% difference). The linear method has not been tested for extreme climatic conditions and the wall heights calculated using this method may be very high when designed for very fine-grained soil covers.

Acceptance and challenges of the introduction of the routine community-based vitamin A supplementation strategy: the case of Burkina Faso

OBJECTIVES

With the phase-out of the polio campaigns, Burkina Faso has developed a new strategy for routine community-based vitamin A supplementation (VAS) by institutionalising community-based health workers (CBHW) to sustain the gain of two decades of successful programming. Formative research was conducted soon after the strategy was introduced to solicit feedback on the acceptability of the new approach by the implementing actors while identifying the main implementation challenges for improving its effectiveness and sustainability.

DESIGN

This qualitative study was conducted in 2018 through (i) document review, (ii) individual interviews with key informants at the central, regional and district levels, and (iii) focus groups with CBHW and caregivers.

SETTING

Data collection was carried out at six levels of sites covering the entire country and selected based on VAS coverage rates with the community routine. A total of six health districts were selected.

PARTICIPANTS

We conducted 46 individual interviews with health workers and 20 focus groups with 59 CBHW and 108 caregivers.

RESULTS

The study showed good acceptability of the strategy by all stakeholders. In the first 2 years of implementation, the national coverage of VAS was maintained at a high level (above 90 %) and there was a reduction in operational costs. The main challenges included delayed CBHW remuneration and weak communication and supervision.

CONCLUSIONS

The acceptability of the community-based routine VAS was good and was perceived to have a high potential for sustainability. Addressing identified challenges will allow us to better manage the expectations of community stakeholders and maintain the initial results.

Determinants of the practice of exclusive breastfeeding in Guinea: evidence from 2018 Guinean demographic and health survey

BACKGROUND

Exclusive breastfeeding is critical for infant survival and development. However, the rate of exclusive breastfeeding in the first 6 months of life is low in sub-Saharan Africa. With the current trend in breastfeeding rates in many countries including in Guinea, the World Health Assembly target of at least 50% of children aged less than 6 months being exclusively breastfeed by 2025 is likely to be compromised and lives a numerous infant that are be at risk. The objective of this study was to identify the individual and contextual determinants of the practice of Exclusive Breastfeeding (EBF) in Guinea.

METHOD

We conducted a secondary analysis of data from the 2018 Guinea Demographic and Health Survey (DHS). The study population consisted of women who gave birth between the ages of 15 and 49. Our sample consisted of women who had their last birth six (06) months prior to collection. The enumeration areas were our second level. A multilevel logistic regression was performed using Stata version 15.1 software. Three statistical models were implemented: The final model was obtained using the bottom-up step-by-step method. The intra-class correlation coefficient was calculated.

RESULTS

On the 851 women included in our study, 33% reported having exclusively breastfed during the first 6 months of life of their children. After a multivariate analysis, the variables associated with exclusive breastfeeding are: children aged 2-3 months (OR = 0.53 CI95% = [0.36-0.79]) and children aged 4-5 months (OR = 0.23 IC95% = [0.14-0.36]), women in the Faranah area (OR = 2.69 IC95% = [1.21-5.94]) and those in Mamou (OR = 2.27 IC95% = [1.00-5.94]), women who gave birth in a health facility (OR = 1.94 IC95% = [1.34-2.80]) and women living in polygamous households (OR = 0.68 IC95% = [0.48-0.98]).

CONCLUSION

The practice of exclusive breastfeeding remains low in Guinea. For the achievement of Sustainable Development Goals, particularly the improvement of exclusive breastfeeding practices, the individual and contextual determinants identified in this study should be taken into consideration in policies and programmes.

[Prevalence and factors associated with stunting among schoolchildren in Dori in the Sahel region of Burkina Faso]

OBJECTIVES

To study the factors associated with stunted physical growth in primary school children and adolescents in the Burkina Faso Sahel.

MATERIALS AND METHODS

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.

RESULTS

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).

CONCLUSIONS

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.

[The use of psychoactive substances among street teenagers in Ouagadougou]

Objectives: To study the determinants of psychoactive substance use among street teenagers living in Ouagadougou.Methods: Qualitative and quantitative cross-sectional study with street teenagers living on the Zogona campus in Ouagadougou, in September 2012. A focus group was then formed with eight members of the group.Results: The median age was 16 years (range: 12 to 20 years). The various psychotropic agents were tobacco, alcohol, gasoline, glue sniffing and cannabis. Seventeen of the 31 teenagers had already been admitted to a rehabilitation centre and none of them attended school at the time of data collection. However, 12 street teenagers had previously attended school. The main reasons for the presence of these teenagers in the street were “poverty in the family”, “death of the parents”, “Koranic school”. The main reasons reported by the teenagers for substance use were “to give oneself courage”, “to relieve hunger”, “to be like the others”, “to be accepted by the group”, “to protect oneself from the cold”. The main determinants of substance abuse were social exclusion, group membership, and group identification.Conclusion: Psychoactive substance use is an integral part of the life of street teenagers and is a major obstacle to social integration.

[Vulnerability of male prisoners to HIV /AIDS in Ouagadougou/ Burkina Faso]

OBJECTIVE

To evaluate the vulnerability of male prisoners to HIV, risk behaviour and access to prevention.

METHODS

This cross-sectional descriptive study was conducted in july and August 2012 in Ouagadougou Prison in Burkina Faso. Two trained investigators collected data by means of individual interviews in the prison visiting room using a questionnaire administered to male inmates 18 years and older, imprisoned for more than three months. Two focus groups were conducted with prison guards and healthcare personnel.

RESULTS

A total of165 male prisoners were interviewed. The mean prison sentence was 19 months, the median age of the inmates was 28years and 45% of them were illiterate. About4% of male prisoners reported having had homosexual relations during their imprisonment. However, data indicate underreporting and denial of homosexual behaviour by prisoners. 49% of prisoners shared razors or razorblades in prison. None of the interviewees reported injected drug use or tattoos in prison. The majority (84%) of prisoners had a good knowledge of HIVjAIDS and 6% were aware of the risk of sexually transmitted infections. Only 5% of prisoners had had a screening test during their stay in prison.

CONCLUSION

Prison conditions, homosexual behaviour and absence of condoms in prison accentuate the vulnerability of prisoners to HIV j AIDS. Implementation of a prevention programme and management HIV-positive prisoners would help to reduce significantly the risk of HIV transmission in prison.