CHAP VI. CONCLUSION AND RECOMANDATION
VI.1.CONCLUSION
Gastrointestinal parasites are highly prevalent in this
research and poverty was implicated as an important risk factor for infections.
Malnutrition is considered the most common cause of immunodeficiency throughout
the world. In this research, malnutrition contributes to 52% of all children.
The causes of malnutrition are multiple and complex and infections are a common
precipitating factor.
An acute gastrointestinal infection is the most important
cause of high morbidity and mortality among malnourished children and
malnutrition is an important associated factor in these deaths.
Particularly, defects in the innate immune response resulting
from protein calorie malnutrition may contribute to the susceptibility of
malnourished children to infection.
Children studied present gastrointestinal infections and
malnutrition. A positive relationship might have been observed between
Trichomonas intestinalis and double infections with moderate children
underweight. Among the risk factors there are nutrition factors: low
consummation of fruits, vegetable and meat proteins. And hygienic factors;
unboiled water and children taking food without their parents. The sensible
control measures have to be planed for sustainable well being of children.
VI.2.RECOMANDATION
Adequate sanitation contributes strongly to the
gastrointestinal infections reduction among children. The different control
measures of gastrointestinal infections and reduction of death of children due
to gastrointestinal infections and malnutrition involves different partners:
v Mareba Health Center:
· Specific information for parents especially uneducated
ones, should be planed for explaining them the means of gastrointestinal
intestinal infections, the means of preventions and their relationship with
malnutrition. It is also of interested to educate parents how they can prepare
a balanced diet for their children by using the food eaten at home to avoid
malnutrition.
· Laboratory should be well equipped with all required
materials so it can be able to detect all possible pathogens such as viruses
and identify the genus of bacteria.
v Parents:
· Parents especially women and caretakers are most to be
with children for long time, they have to always wash their hand with soap and
water thoroughly after using bathroom and before eating, clean breast and
nipple before breast feeding children, keep all materials of children cleaned
and wash fruits and vegetables to be given to the children.
· The parents should:
ü Provide nutritionally adequate meals to all children
especially under 5 years old.
ü Establish home gardens (Akarima
k'igikoni) and promote the consumption of fruits and vegetables.
ü Promote hand-washing at home (Kandagira
ukarabe).
ü Use treated water to avoid gastrointestinal infections.
· Most of parents breast their children and they should
breast them until 6 months without giving any other food, and also continue to
breast them until 2 years old. They have to take a balanced diet in order to
breast their children sufficiently.
· It has been found that, in our study many children do
not eat meats because of high cost; the parents should grow the house eatable
mice and doves in order to provide animal proteins and iron to their children
at low cost.
· In village, the parents should associate and collect
together the food for their children so one of them will be able to feed all
children frequently.
v Mareba Sector administration:
The control measures of gastrointestinal infections, education
of people to prepare a balanced diet and control measures of how they prepare
the food must be taken in consideration at the level of sector.
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