{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T23:39:05Z","timestamp":1733873945036,"version":"3.30.1"},"reference-count":26,"publisher":"CAIRN","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,18]]},"abstract":"<jats:p>Introduction\u00a0: Madagascar a adopt\u00e9 des strat\u00e9gies de lutte contre la malnutrition maternelle depuis plusieurs ann\u00e9es, mais l\u2019\u00e9valuation de leur mise en \u0153uvre n\u2019est pas effective. But de l\u2019\u00e9tude\u00a0: La pr\u00e9sente \u00e9tude vise \u00e0 d\u00e9crire l\u2019appr\u00e9ciation par les b\u00e9n\u00e9ficiaires des interventions visant \u00e0 lutter contre la malnutrition maternelle et \u00e0 identifier leurs attentes. M\u00e9thode\u00a0: Une \u00e9tude qualitative a \u00e9t\u00e9 men\u00e9e dans la r\u00e9gion d\u2019Amoron\u2019i Mania \u00e0 Madagascar. La population d\u2019\u00e9tude \u00e9tait constitu\u00e9e par des m\u00e8res d\u2019enfants \u00e2g\u00e9s de moins de 5\u00a0ans, des femmes enceintes ainsi que d\u2019autres membres de la famille et de la communaut\u00e9 (p\u00e8res de famille, grand-m\u00e8res, matrones et agents communautaires). Six focus groups et 16\u00a0entretiens individuels ont \u00e9t\u00e9 r\u00e9alis\u00e9s pour collecter les donn\u00e9es dont le traitement a \u00e9t\u00e9 r\u00e9alis\u00e9 en utilisant la m\u00e9thode d\u2019analyse th\u00e9matique. R\u00e9sultats\u00a0: L\u2019aide alimentaire, l\u2019am\u00e9lioration de la production de l\u2019agriculture et de l\u2019\u00e9levage et l\u2019\u00e9ducation nutritionnelle op\u00e9r\u00e9es par les ONG constituent les interventions les plus connues. Les centres de sant\u00e9 n\u2019ont pas \u00e9t\u00e9 cit\u00e9s comme intervenant et leurs interventions ont \u00e9t\u00e9 m\u00e9connues. L\u2019efficacit\u00e9 de l\u2019intervention \u00e9tait jug\u00e9e g\u00e9n\u00e9ralement sur les avantages per\u00e7us par les b\u00e9n\u00e9ficiaires. Les intervenants qui \u0153uvraient par projet ont \u00e9t\u00e9 estim\u00e9s non p\u00e9rennes. Deux principaux probl\u00e8mes ont \u00e9t\u00e9 \u00e9voqu\u00e9s, l\u2019insuffisance de la production agricole entra\u00eenant l\u2019inaccessibilit\u00e9 des ingr\u00e9dients qu\u2019exigent l\u2019\u00e9ducation nutritionnelle et la faible couverture des interventions. L\u2019am\u00e9lioration de la production agricole constitue la principale suggestion \u00e9voqu\u00e9e pour lutter contre la malnutrition maternelle. Conclusions\u00a0: Les b\u00e9n\u00e9ficiaires ont estim\u00e9 que les interventions existantes dans la r\u00e9gion \u00e9taient insuffisantes pour r\u00e9soudre le probl\u00e8me de malnutrition chez les m\u00e8res.<\/jats:p>","DOI":"10.3917\/spub.201.0113","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T00:25:20Z","timestamp":1593476720000},"page":"113-122","source":"Crossref","is-referenced-by-count":0,"title":["Appr\u00e9ciation des interventions de lutte contre la malnutrition maternelle par la population \u00e0 Madagascar"],"prefix":"10.3917","volume":"Vol. 32","author":[{"given":"Lantonirina","family":"Ravaoarisoa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamy Jean Jacques","family":"Razafimahatratra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamy Andrianirina","family":"Rakotondratsara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dolor\u00e8s","family":"Pourette","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio","family":"Rakotonirina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean de Dieu Marie","family":"Rakotomanga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1 https:\/\/www.who.int\/features\/qa\/malnutrition\/fr\/ Organisation mondiale de la sant\u00e9 (OMS). Qu\u2019est-ce que la malnutrition\u00a0? [Internet]. 2016 [Visit\u00e9 le 13\/10\/2019]. En ligne\u00a0: ."},{"key":"rb2","doi-asserted-by":"crossref","unstructured":"2 Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et\u00a0al. Maternal and child undernutrition: global and regional exposures and health consequences. The Lancet. 2008;371(9608):243-60. DOI: 10.1016\/S0140-6736(07)61690-0.","DOI":"10.1016\/S0140-6736(07)61690-0"},{"key":"rb3","doi-asserted-by":"crossref","unstructured":"3 Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013; 382(9890):427-51. DOI: 10.1016\/S0140-6736(13)60937-X.","DOI":"10.1016\/S0140-6736(13)60937-X"},{"key":"rb4","doi-asserted-by":"crossref","unstructured":"4 Balarajan Y, Ramakrishnan U, \u00d6zaltin E, Shankar AH, Subramanian\u00a0S. Anaemia in low-income and middle-income countries. The Lancet. 2011;378(9809):2123-35. DOI: 10.1016\/S0140-6736(10)62304-5.","DOI":"10.1016\/S0140-6736(10)62304-5"},{"key":"rb5","unstructured":"5 https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/44110\/9789241598019_eng.pdf;jsessionid=247CF66207AC91076547A406D68CBE61?sequence=1 World Health Organization (WHO). Global prevalence of vitamin A deficiency in populations at risk 1995-2005: WHO Global Database on Vitamin A Deficiency. Geneva: WHO; 2009. [Visit\u00e9 le 13\/10\/2019]. En ligne\u00a0: ."},{"key":"rb6","doi-asserted-by":"crossref","unstructured":"6 Mason JB, Shrimpton R, Saldanha LS, Ramakrishnan U, Victora CG, Girard AW, et al. The first 500\u00a0days of life: policies to support maternal nutrition. Glob Health Action. 2014;7(1):23623. DOI:\u00a010.3402\/gha.v7.23623.","DOI":"10.3402\/gha.v7.23623"},{"key":"rb7","doi-asserted-by":"crossref","unstructured":"7 Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, et al. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? The Lancet. 2013;382(9890):452-77. DOI: 10.1016\/S0140-6736(13)60996-4.","DOI":"10.1016\/S0140-6736(13)60996-4"},{"key":"rb8","doi-asserted-by":"crossref","unstructured":"8 Kavle JA, Landry M. Addressing barriers to maternal nutrition in low- and middle-income countries: A review of the evidence and programme implications. Matern Child Nutr. 2018;14(1). DOI:\u00a010.1111\/mcn.12508.","DOI":"10.1111\/mcn.12508"},{"key":"rb9","unstructured":"9 Institut national de la statistique de Madagascar (Instat), ICF Macro. Enqu\u00eate d\u00e9mographique et de sant\u00e9 Madagascar\u00a02008-2009. Tananarive\u00a0: Instat &amp; ICF Macro\u00a0; 2010."},{"key":"rb10","unstructured":"10 R\u00e9publique de Madagascar. Plan national d\u2019action pour la nutrition-III\u00a02017-2021. Tananarive\u00a0: ONN\u00a0; 2017."},{"key":"rb11","unstructured":"11 http:\/\/extwprlegs1.fao.org\/docs\/pdf\/mad149705.pdf R\u00e9publique de Madagascar. Politique nationale de nutrition. Tananarive\u00a0: ONN\u00a0; 2004. [Visit\u00e9 le 13\/10\/2019]. En ligne\u00a0: ."},{"key":"rb12","unstructured":"12 https:\/\/madagascar.unfpa.org\/sites\/default\/files\/pub-pdf\/OMD_Summary_0.pdf Instat. Enqu\u00eate nationale de suivi des objectifs du mill\u00e9naire pour le d\u00e9veloppement \u00e0 Madagascar, 2012-2013\u00a0: Objectif\u00a01. Antananarivo\u00a0: Instat\u00a0; 2014. [Visit\u00e9 le 13\/10\/2019]. En ligne\u00a0: ."},{"key":"rb13","doi-asserted-by":"crossref","unstructured":"13 Peters DH, Adam T, Alonge O, Agyepong IA, Tran N. Republished research: Implementation research: what it is and how to do it? Br J Sports Med. 2014;48(8):731-6. DOI: 10.1136\/bmj.f6753.","DOI":"10.1136\/bmj.f6753"},{"key":"rb14","doi-asserted-by":"crossref","unstructured":"14 Dell EM, Erikson SL, Andrianirina E, Smith G. Women\u2019s knowledge in Madagascar: A health needs assessment study. Glob Public Health. 2012;7(1):29-41. DOI: 0.1080\/17441692.2011.557083.","DOI":"10.1080\/17441692.2011.557083"},{"key":"rb15","unstructured":"15 Mattern C, Rakotomanana E. Identification of the sociocultural determinants of stunting: Qualitative analysis in three districts of\u00a0Madagascar: Final report. Tananarive: Institut Pasteur de Madagascar; 2015."},{"key":"rb16","unstructured":"16 Programme alimentaire mondial (PAM), Instat. Analyse globale de la s\u00e9curit\u00e9 alimentaire et nutritionnelle et de la vuln\u00e9rabilit\u00e9. Tananarive\u00a0: PAM\u00a0; 2014."},{"key":"rb17","doi-asserted-by":"crossref","unstructured":"17 http:\/\/www.panafrican-med-journal.com\/content\/article\/29\/194\/full\/ Ravaoarisoa L, Rakotonirina J, Andriamiandrisoa D, Humblet P, Dieu\u00a0J de. Habitude alimentaire des m\u00e8res pendant la grossesse et l\u2019allaitement, r\u00e9gion Amoron\u2019i Mania Madagascar\u00a0: \u00e9tude qualitative. Pan Afr Med J. 2018;29. [Visit\u00e9 le 13\/10\/2019]. En ligne\u00a0: .","DOI":"10.11604\/pamj.2018.29.194.12873"},{"key":"rb18","doi-asserted-by":"crossref","unstructured":"18 Haider BA, Bhutta ZA. Multiple-micronutrient supplementation for\u00a0women during pregnancy. Cochrane Pregnancy and Childbirth\u00a0Group, \u00e9diteur. Cochrane Database Syst Rev. 2017. DOI:\u00a010.1002\/14651858.CD004905.pub5.","DOI":"10.1002\/14651858.CD004905.pub5"},{"key":"rb19","doi-asserted-by":"crossref","unstructured":"19 Savy M, Martin-Pr\u00e9vel Y, Traissac P, Eymard-Duvernay S, Delpeuch F. Dietary diversity scores and nutritional status of women change during the seasonal food shortage in rural Burkina Faso. J Nutr. 2006;136(10):2625-32. DOI: 10.1093\/jn\/136.10.2625.","DOI":"10.1093\/jn\/136.10.2625"},{"key":"rb20","unstructured":"20 http:\/\/www.fao.org\/3\/a0800e\/a0800e.pdf Food and Agriculture Organization (FAO). Food aid for food security?: The state of food and agriculture. Rome: FAO; 2006. [Visit\u00e9 le 13\/10\/2019]. En ligne\u00a0: ."},{"key":"rb21","unstructured":"21 http:\/\/www.fao.org\/3\/i3028e\/i3028e.pdf FAO. Investing in agriculture for a better future: The state of food and agriculture. Rome: FAO; 2012. [Visit\u00e9 le 13\/10\/2019]. En ligne\u00a0: ."},{"key":"rb22","doi-asserted-by":"crossref","unstructured":"22 Ruel MT, Quisumbing AR, Balagamwala M. Nutrition-sensitive agriculture: What have we learned so far? Glob Food Secur. 2018;17:128-53. DOI\u00a0: 10.1016\/j.gfs.2018.01.002.","DOI":"10.1016\/j.gfs.2018.01.002"},{"key":"rb23","unstructured":"23 Banque mondiale. Am\u00e9liorer la nutrition au moyen d\u2019approches multisectorielles. Washington, DC\u00a0: Banque mondiale\u00a0; 2012."},{"key":"rb24","doi-asserted-by":"crossref","unstructured":"24 Heikens GT, Amadi BC, Manary M, Rollins N, Tomkins A. Nutrition interventions need improved operational capacity. The Lancet. 2008;371(9608):181-2. DOI: 10.1016\/S0140-6736(07)61691-2.","DOI":"10.1016\/S0140-6736(07)61691-2"},{"key":"rb25","doi-asserted-by":"crossref","unstructured":"25 Horton R. Maternal and child undernutrition: an urgent opportunity. The Lancet. 2008;371(9608):179. DOI: 10.1016\/S0140-6736(07) 61869-8.","DOI":"10.1016\/S0140-6736(07)61869-8"},{"key":"rb26","doi-asserted-by":"crossref","unstructured":"26 Pourette D, Pierlovisi C, Randriantsara R, Rakotomanana E, Mattern\u00a0C. Avoiding a \u201cbig\u201d baby: Local perceptions and social responses toward childbirth-related complications in Menabe, Madagascar. Soc Sci Med. 2018;218:52-61. DOI: 10.1016\/j.socscimed.2018.10.002.","DOI":"10.1016\/j.socscimed.2018.10.002"}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T05:47:06Z","timestamp":1701409626000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cairn.info\/revue-sante-publique-2020-1-page-113.htm?ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2020,6,18]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,6,18]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.201.0113","relation":{},"ISSN":["0995-3914"],"issn-type":[{"type":"print","value":"0995-3914"}],"subject":[],"published":{"date-parts":[[2020,6,18]]}}}