CHILDHOOD MALNUTRITION IN MOZAMBIQUE: Case reports from the Massinga district hospital

Authors

DOI:

https://doi.org/10.18764/2595-1033v5n12.2022.20

Keywords:

aleitamento materno, alimentação complementar , nutrição infantil, saúde materna, África

Abstract

This paper aims to report the experience of two mothers of children under five years old with malnutrition admitted to the Massinga District Hospital in Mozambique (Africa), to problematize the issues of the reality in which they find themselves. This is an observational, descriptive case reports with qualitative design. Data were collected in 2021 by the clinical nutritionist responsible for the research through the methodology of therapeutic itinerary, from semi-structured interviews according to a guide script of open questions with two mothers, in which one mother has performed breastfeeding and the other has not. The selection was random according to the inclusion criteria of the study, such as being the mother of a child under five years old hospitalized for malnutrition. The data were transcribed and coded preserving the identity of the interviewees for later organization into a timeline and central ideas. From the therapeutic itinerary, it was possible to know the experiences of Mozambican mothers and their difficulties with maternal and child health. Such as the responsibility for the child's feeding and the lack of guidance from the health service regarding breastfeeding and the introduction of food to the child. The results suggest the existence of a lack of a protection network supported by adequate public policies and the importance of traditional knowledge, highlighting the qualitative research for the knowledge of realities. 

Keywords: Breastfeeding, Complementary feeding, Child nutrition, Maternal health, Africa.

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Author Biographies

Najla de Oliveira Cardozo, Univsersidade Estadual Paulista (UNESP)

Nutricionista, Aluna do Programa de Mestrado de Alimentos e Nutrição da Universidade Estadual Paulista, Faculdade de Ciências Farmacêuticas de Araraquara, arte do grupo de pesquisa e estudos em Segurança Alimentar e Nutricional- INTERSSAN/REDESAN, coordenadora do Grupo de Interesse Especial em Obesidade (SIG - obesidade) na rede Latino-Americana de SSAN (2020/2021), membro Civil da Comissão Regional de Segurança Alimentar e Nutricional Sustentável (CRSANS) da região central (2021/2022) e professora do Curso de Especialização em Segurança Alimentar e Nutricional do Instituto de Biociências de Botucatu - UNESP.

Paulino Amido Afai, Universidade Zambeze - Moçambique

Paulino é nutricionista no Hospital do distrito da Massinga em Moçambique e aluno do curso de especialização em Segurança Alimentar e Nutricional com parceria da UNILAB e da UNESP no Brasil.

Maria Rita Marques de Oliveira, Universidade Estadual Paulista - UNESP

Docente da Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) no Instituto de Biociências de Botucatu (Curso de Nutrição). Orienta nos Programas de Pós-Graduação em Alimentos e Nutrição da Faculdade de Ciências Farmacêuticas - Campus de Araraquara, área de concentração Ciências Nutricionais. Coordena o convênio de cooperação entre a UNESP/MCTIC/SEFAE para as ações do Centro de Ciência e Tecnologia em Soberania e Segurança Alimentar e Nutricional da UNESP (INTERSSAN). É membro do Comitê assessor da plataforma NutriSSAN/RNP/MCTIC/SEFAE/RNP. Atua na articulação da Rede Latino-americana de Soberania e Segurança Alimentar e Nutricional. É secretária do Mecanismo de Facilitação da Participação das Universidades no Conselho de Segurança Alimentar e Nutricional da Comunidade dos Países de Língua Portuguesa (MU-CONSAN/CPLP). Representa a UNESP no Conselho Estadual de Segurança Alimentar e Nutricional de São Paulo. Atua principalmente nos seguintes temas:Segurança Alimentar e Nutricional, Nutrição na Obesidade, Educação e processos formativos em Nutrição e Segurança Alimentar e Nutricional.

References

AKOMBI, B.J; AGHO, K.E; HALL, J.J; WALI, N; RENZAHO, A.M.N; MEROM, D. Stunting, wasting and underweight in Sub-Saharan Africa: A systematic review. Int. J. Environ. Res. Public Health, Switzerland, v.14, n.8, p. 863, 2017. https://doi.org/10.3390/ijerph14080863

ALMEIDA, J.M; LUZ SAB, UED F.V. Support of breastfeeding by health professionals: integrative review of the literature. Rev Paul Pediatr, São Paulo, v. 33, n.3, p.355-62, 2015. https://doi.org/10.1016/j.rpped.2014.10.002

AMARAL, L.J.X; SALES, S.S; CARVALHO, D.P.S.R.P; CRUZ, G.K.P; AZEVEDO, I.C; JÚNIOR, M.A.F. Fatores que influenciam na interrupção do aleitamento materno exclusivo em nutrizes. Rev. Gaúcha Enferm, Porto Alegre, v. 36, n. spe, p. 127-134, 2015. https://doi.org/10.1590/1983-1447.2015.esp.56676

BALOGUN, O.O.O; SULLIVAN, E.J; MCFADDEN, A; OTA, E; GAVINE, A; GARNER, C.D; RENFREW, M.J; MACGILLIVRAY, S. Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev, England, v.11, n.11, p. CD001688, 2016. https://doi.org/ 10.1002/14651858.CD001688.pub3

BLACK, R.E; TAYLOR, C.E; AROLE, S; BANG, A; BHUTTA, Z.A; CHOWDHURY, A.M.R; et al. Comprehensive review of the evidence regarding the effectiveness of community-based primary health care in improving maternal, neonatal and child health: 8. summary and recommendations of the Expert Panel. J Glob Health. Scotland, v.7, n.1, p. 010908, 2017. https://doi.org/10.7189/jogh.07.010908

BOWATTE, G; THAM, R; ALLEN, K; TAN, D; LAU, M; DAI, X. et al. Breastfeeding and childhood acute otitis media: a systematic review and meta‐analysis. Acta Paediatrica, v.104, n.467,p. 85‐95. 2015. https://doi.org/10.1111/apa.13151

CHOWDHURY, R; SINHA, B; SANKAR, M.J; TANEJA, S; BHANDARI, N; ROLLINS, N; et al. Breastfeeding and maternal health outcomes: a systematic review and meta‐analysis. Acta Paediatrica, Norway, v. 104, p.96‐113, 2015. https://doi.org/ doi: 10.1111 / apa.13102

DEMÉTRIO, F; SANTANA, E.R; PEREIRA-SANTOS, M. O Itinerário Terapêutico no Bra-sil: revisão sistemática e metassíntese a partir das concepções negativa e positiva de saúde. Saúde em Debate. Rio de Janeiro, v. 43, n. spe7, pp. 204-221, 2019. https://doi.org/10.1590/0103-11042019S716

DAVIS, T.P; WETZEL, C; HERNANDEZ-AVILAN, E; MENDONZA LOPES, C; CHASE, R.P; WINCH, P.J; et al. Reducing child global undernutrition at scale in Sofala Province, Mozambique, using Care Group Volunteers to communicate health messages to mothers. Glob Health Sci Pract. United States, v.1, n.1, p.35-51, 2013. https://doi.org/10.9745/GHSP-D-12-00045

FRANCIS, J.J; JOHNSTON, M; ROBERSTON, C; GLIDEWELL, L; ENTWISTLE, V; ECCLES, M.P; et al. “What is an adequate sample size? Operationalising data satura-tion for theory-based interview study”. Psychol Health, United States, v. 25, n.1, p. 1229-45, 2010.

KLEINMAN, A. Concepts and a model for the comparison of medical systems as cultural systems. Soc Sci Med. New York, v.12, n.2B, p. 85-95, 1978. https://doi.org/10.1016/0160-7987(78)90014-5

GOLDING, N; BURSTEIN, R; LONGBOTTON, J; BROWNE, A.J; FULLMAN, N; OS-GOOD-ZIMMERMAN; et al. Mapping under-5 and neonatal mortality in Africa, 2000-15: a baseline analysis for the Sustainable Development Goals. Lancet, England, v.390, n.10108, p.2171-2182, 2017. https://doi.org/10.1016/S0140-6736(17)31758-0

JARDÍ, C; CASANOVA, B.D; ARIJA, V. Nutrition Education Programs Aimed at African Mothers of Infant Children: A Systematic Review. Int J Environ Res Public Health, Swit-zerland, v.18, n.14, p.709, 2021. https://doi.org/10.3390/ijerph18147709

MORÉ, C.L.O.O. A entrevista semiestruturada ou de profundidade, no contexto da saúde, dilemas epistemiológicos e desafios da sua construção e aplicação. Atas, Portugal, n.1, v.3, p 07-21, 2015

ONIS, M; DEWEY, K.G; BORGHI, E; ONYANGO, A.W; BLOSSNER, M; DAELMAND, B et al. The World Health Organization's global target for reducing childhood stunting by 2025: rationale and proposed actions. Matern Child Nutr. England, v. 2, n. 2, p.6-26, 2013. https://doi.org/10.1111/mcn.12075

PAES-SOUSA, R; CHAVANE, L; COELHO, V.S.P. Diversidades e convergências nos indicadores de Saúde no Brasil e em Moçambique. Novos estud. CEBRAP, São Paulo, v. 38, n. 2, p. 291-320, 2019. https://doi.org/10.25091/S01013300201900020005

ROSE, E.S; BLEVINS, M; GONZÁLEZ- CALVO, L; NDATIMANA, E; GREEN, A.F; LOPEZ, M; et al. Determinants of undernutrition among children aged 6 to 59 months in rural Zambézia Province, Mozambique: results of two population-based serial cross-sectional sur-veys. BMC Nutr, England, v.1, n.1, p. 41, 2015. https://doi.org/10.1186/s40795-015-0039-1

SILVA, D.C; BUDÓ, M.L.D; SCHIMITH, M.D; TORRES, G.V; DURGANTE, V.L; RIZZATTI, S.J.S; et al. Influence of social networks on the therapeutic itineraries of people with venous ulcer. Rev. Gaúcha Enferm, Rio Grande do Sul, v. 35, n. 3, p. 90-96, 2014. https://doi.org/10.1590/1983-1447.2014.03.45072

SANTOS, R.C; SILVA, M.S. Condições de vida e itinerários terapêuticos de quilombolas de Goiás. Saúde Soc. Goiás, v. 23, n.3, p.1049-63, 2014. https://doi.org/10.1590/S0104-12902014000300025

SHETTY, A.K. Global Maternal, Newborn, and Child Health: Successes, Challenges, and Opportunities. Pediatr Clin North Am, United States, v. 63, n.1, p.1-18, 2016. https://doi.org/10.1016/j.pcl.2015.08.001

WORLD HEALTH ORGANIZATION (WHO); UNITED NATIONS CHILDREN’S FUND (UNICEF). Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised Baby-friendly Hospital Initiative. Geneva: WHO; 2018. Disponível em: https://apps.who.int/iris/handle/10665/272943. Acesso em: 10 de dezembro de 2021.

WORLD HEALTH ORGANIZATION (WHO); UNITED NATIONS CHILDREN’S FUND (UNICEF). Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised Baby-friendly Hospital Initiative. Geneva: WHO; 2018. Disponível em: https://apps.who.int/iris/handle/10665/272943. Acesso em: 10 de dezembro de 2021.

WOUK K, TULLY K.P, LABBOK M.H. Systematic Review of Evidence for Baby-Friendly Hospital Initiative Step 3. J Hum Lact, United States, v.33, p.1, p.50-82, 2017. https://doi.org/10.1177/0890334416679618

ZIELIŃSKA, M.A; SOBCZAK, A; HAMUŁKA, J. Breastfeeding knowledge and exclusive breastfeeding of infants in first six months of life. Rocz Panstw Zakl Hig.;Poland, v.68, n.1, p.51-59. 2017. PMID: 28303701

Published

2022-05-03

How to Cite

Cardozo, N. de O., Afai, P. A., & Oliveira, M. R. M. de. (2022). CHILDHOOD MALNUTRITION IN MOZAMBIQUE: Case reports from the Massinga district hospital . Kwanissa: Revista De Estudos Africanos E Afro-Brasileiros, 5(12). https://doi.org/10.18764/2595-1033v5n12.2022.20

Issue

Section

Relatos de Experiências