Soins traditionnels donnes aux nouveau-nés et nourrissons dans le district sanitaire de Kloto (Togo) : risques et avantages
AbstractPurpose: Evaluate the traditional practices of management of neonates and infants, to identify practices to encourage and practices to discourage in the promotion of child health in the health district of Kloto.
Population and methods: it was a quantitative and qualitative cross-sectional investigation, conducted from May 28 to June 14, 2008 in the health district of Kloto, and which involved 21 traditional birth attendants, 21 tradipractitioners, 70 pregnant women, 70 lactating women and 70 neonates and infants 0-6 months.
Results: more than nine out of ten tradipractitioners received consultation of newborns and infants. They administered care as oral decoction (4.8%), body massage (33.3%) and bath (57.1%). Thirty percent of the neonates had received their first bath since the birth and seventy percent within the first 24 hours of life. They had already received an indefinite nature ophthalmic ointment in 50% of cases. Neonates whose umbilical cord had been treated with ash or Shea butter were in 100% of cases in rural areas. More than eight traditional birth attendants on 10 (83.3%) knew that infants must take the first feeding as soon as its first hour of life. Two-thirds (66.7%) of traditional birth attendants in urban areas and the third party (33.3%) in rural areas felt that the first administration of water and complementary foods to infants should be before 6 months of age. According to 81.7% to 90% of pregnant women the customary time for initiation of infants at the first feeding is the hour after birth. They threw the colostrum in 20% or more of cases. According to 9 out of ten pregnant women first administration of water to the infant was traditionally after 6 months of age of the infant. The traditional time of the introduction of the first baby food is the period of 2 to 6 months of age of the infant, declared by over three quarters of pregnant women. These pregnant women actually introduced the first food to their babies before there one month of age in 100% of cases in urban areas and 75% of cases in rural areas. Introduced food type was porridge or other liquids in almost 100% of cases. According to the majority of lactating women, the customary time for initiation of infants at the first feeding is the hour after his birth. They directly used colostrum in 97.1% of cases. The traditional time of the first administration of water to the baby is before 6 months of age of the infant according to 9 out of 10 mothers. And according to 78.6% of these mothers, the introduction of the first baby food is traditionally from the sixth month of age of the infant. Introduced food type was porridge or other liquids in more than 90% of cases, the pulp or other foods in 1.6%.
Conclusion: This study to measure the degree of involvement of the practitioners in the health of children, and we reflect the reality of beneficial or harmful traditional practices.
Keywords: Traditional care, newborn and infant, risks and advantages, Togo
J. Rech. Sci. Univ. Lomé (Togo), 2012, Série D, 14(2) : 27-37