RESUMEN
Aims: To assess feeding practices in children aged 6 to 23 months living in rural setting in southern Benin. Study Design: Population based cross-sectional and evaluative study. Place and Duration of Study: Southern Benin, from 1st April to 27th June, 2014. Methodology: Two hundred and fourty children (49.16% girls) aged 6-23 months were randomly selected by cluster sampling technique. Data on breastfeeding and, complementary feeding, food safety and socio-demographic characteristics were collected using a questionnaire. Feeding practices in children were assessed through World Health Organization indicators using predefined scores. Results: The median age of the children was 13 months and 61.65% children aged 12-23 months. Breastfeeding (82.08%), complementary feeding (37.08%) and food safety (15.94%) were adequate among the children. The overall quality of feeding practices was inadequate among children (73.90%) aged 6-23 months. Conclusion: Feeding practices was inadequate in children aged 6 to 23 months in southern Benin rural setting. Nutrition education interventions in mothers are needed to improve feeding practices in children aged 6 to 23 months living in southern Benin rural areas.
RESUMEN
In developing countries; few data are available on healthcare-associated infections. In Burkina Faso; there has been a failure to take into account risk management and patient safety in the quality assurance program. The main objective of our study was to carry out an assessment of healthcare-associated infection in a first level hospital. We conducted a crosssectional study in June 2011 in the care units of Ziniare District Hospital (Ziniare; Burkina Faso). The hospital has been divided in three components: i) hospital population (care providers; in-patients and patients' guardians); ii) healthcare and services organization; iii) hospital environment. We included: care providers of the clinical services; hospital inpatients and patients' guardians; hospitalization infrastructure and nursing units; and all the documents relating to standards and protocols. Data collection has been done by direct observation; interviews and biological samples taken at different settings. In hospital population; care providers and patients' guardians represented a high source of infection: adherence to hygiene practice on the part of care providers was low (12/19); and no patients' guardian experienced good conditions of staying in the hospital. In healthcare and services organization; healthcare waste management represented a high-risk source of infection. In hospital environment; hygiene level of the infrastructure in the hospital rooms was low (6.67). Prevalence of isolated bacteria was 71.8. Urinary-tract catheters infections were the most significant in our sample; followed by surgical-site infections. In total; 56.26(9/19) of germs were -Lactamase producers (ESBL). They were represented by Escherichia coli and Klebsiella pneumoniae. Our analysis identified clearly healthcare-associated infection as a problem in Ziniare district hospital. Hence; a national program of quality assurance in the hospitals should now integrate the risk infectious management of healthcare-associated infections