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Gastrointestinal infections and under nutrition among children between 0 and 5 years old. Case of Mareba sector, Bugesera district, eastern province, Rwanda


par Wilson NSENGIYUMVA
Kigali institute of Rwanda (KIE) - Licence 2012
  

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CHAPTER IV. RESULTS INTERPRETATION

Figure 3: The prevalence of gastrointestinal infection according to identified parasites in 50 infected children.

This figure above shows that the main causal agent of gastrointestinal infections identified among the stool sample was the yeasts with 30%, followed by Trichomonas intestinalis (14%), Entamoeba histolytica (8%), bacterial agents (8%) and 6% of the sample with White Blood Cells were found. Among the children tested for malaria, 16% were found to be infected by Plasmodium malaria at trophozoites stage.

Figure 4: Classification of children ages and infections

This figure shows that the highest prevalence of infections was found in children from 25 months to 5years (34%), followed by children from 13 to 24 months (32%), from 0 to 6 months (18%) and children from 7 to 12 months (16%).

Figure 5: Gender presentation of children infected by gastrointestinal parasite.

The above figure shows that among the 50 children tested, 19 were girls with percentage of 73.60% positive and 26% unidentified infections, 31 were boys with a percentage of 77.4% positive and 22.5% with unidentified infections.

Figure 6: Category of malnutrition according to different methods

This figure shows that considering Weight for age method 4% present moderate and 4% severe underweight. By Length for age method no underweight observed and by Weight for height method 44% children present underweight.

Figure 7: Prevalence of malnutrition among children according to the infectious agents

According to the figure above, the majority of the infected children were moderately underweight. A positive relationship seems to exist between Trichomonas intestinalis and underweight, as 100% of the children infected by Trichomonas intestinalis were moderately underweight. Also, 66.6% of the children with double infections (bacteria and yeasts) were also moderately underweight.

Figure 8: Percentage of parents who agree that their children have sufficient nutrition and sufficient weight

Interviewed parents responded that the nutrition and the weight of most of children below 6 months are sufficient (88.9%) because they are breasted by their mothers. But for children from7 to 12 months, the percentage of responders who answered that the nutrition and weight are sufficient is low (12.5%) and (37.5%). And the level of satisfaction was even lower for older children as only 5.9% and 6.3% of parents agreed that the nutrition and the weight of their children between 13 months and 5 years old were sufficient. They said that children above 6 months lack a balanced diet due to economic reason.

Figure 9: Order of taking meal.

According to interviewed parents, none of the children from 0 to 6 months eat and drink porridge, (88.9%) are breasted by their mothers. The times of breastfeeding decrease when age increase from 88.9% to 18.8%. Unless children from 0 to 6 months who did not drink porridge, more than 80% of children from7 months to 5 years drink porridge. The times of eating increase with age of children as they become mature. But the percentage of children eating more than 2 times per day remains low, with not more than 43.8% among the 25 months to 5 years.

Figure 10: Classification of children ages and percentage of children taking food.

This figure shows the all children from 0 to 6 months eat any meal; they feed on the milk of their mothers. The consummation of vegetables and beans was high among all age groups, but the percentage of children eating vegetable increased slightly from 7-12 months (62.5%) to 25 months-5years (75%), while the one of beans increased from 87.5% to 93.8%. The consummation of fruits is quite low among the 7-12 months (25%), but increased between 13-24 months to 52.9% to reach 68.7% for the children over 25 months. The children consuming meats, eggs and milk remains below 20% throughout all ages groups. The consummation of meat and eggs even decreased from 12.5% among the 7-12 months to 6.2% among the 25 months- 5 years. The consummation of milk only increased slightly from 12.5% among the 7-12 months to 18.7% among the 25 months- 5 years.

Figure 11: Children habits.

This figure shows that 0% of 0 to 6 months children drink water and 88.9% feed (breast) on their parents. A high percentage of children from 7 months to 5 years take food without their parents and drink unboiled water. The percentage of children taking food with their parents and drink boiled water decrease according to the increasing of age (12.5% to 6.2%). It is constant to children from 7 to 12 months (12.5%).

Figure 12: Children health.

Children sickness times increase with age (11.1 to 62.5%). The highest prevalence of symptoms is found in children under 6 months (88.9%) and decrease with increasing of age, unless 25 months to 5 years the percentage is less increased. The percentages of children manifesting symptoms more than one day per week at all age were low.

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