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Outil pédagogique interactif participant à la lutte contre la malnutrition et sa prévention

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Evaluation of the method

In 2014, Margot Magnin, nutritionist at the University of Geneva, carried out an evaluation of the effectiveness of the treatment of children suffering from acute to moderate malnutrition in the 12 centres treating acute to moderate malnutrition in the suburb of Antananarivo. These were managed by the Madagascar-based NGO, Miray.

The results of her study show :

  1. A very good rate of immediate recovery of children (83%), higher for children under age 2 than for older children..
  2. Lasting state of good nutrition of the children : 20 months on average from the start of the nutrition programme, with 79% of the children maintaining good nutritional health..

Three reasons are given to explain these results :

  1. « The « boosting » effect caused by the enriched flour the children consume for 5 weeks. Well-nourished, , the children rapidly put on weight and show « joie de vivre ». . This convinces the parents that their decision is the right one and they have even more confidence in the team running the programme.
  2. The « human effect » linked to the warm, respectful, and encouraging environment provided by the team. This encourages the participants to adopt and experiment with the new practices and seeing their effectiveness, to promote them in their entourage.
  3. The « practical effect », that is, the appropriation of the knowledge followed by discussions, exchanges on practices, which take place progressively around the games where everyone is on an equal basis, with no stigmatisation whatsoever.

Having acquired new habits, the parents are happy and proud to see the improvement in their children’s health. They note that relations within the family are more peaceful thanks to a decrease in their concerns ; also, the improvement of meals due to better control over their budget.

Margot Mangin, Dietician, with an HES degree, working on a « Masters of Advanced Studies » (MAS-SP) from the University of Geneva, carried out this evaluation with the collaboration and technical support of Dr. Beat Still and Mr. Emilien Jeannot from the Institute of Global Health from the University of Geneva.

The quantitative and the qualitative articles on the Nutricartes® has just been published by ACTA PAEDIATRICA (Impact Factor 1.65)

Margot Magnin is pleased to « be able to send it to the team in the field in Madagascar to encourage them to continue their admirable efforts! » and « hopes that this will support the very important work undertaken by L’APPEL and motivate the troops all the more to continue in this direction »