A model for combatting malnutrition in children: nutritional rehabilitation centers.

PIP: Few Senegalese mothers are skilled in handling the dietary transition from nursing to adult food for their children. At least 20% of the children aged 1 to 4 are affected by 2 broad types of protein-calorie malnutrition, marasmus and kwashiorkor. To correct these diets, nutritional rehabilitation centers (NRCs) have been established in 2 villages. Children and mothers come to these centers for periods of up to 3 weeks. Mothers learn to use locally available, inexpensive food products to prepare well-balanced meals high in calories and protein. Traditional cooking techniques of the typical rural home are used (examples of recipes used in NRCs are given), and mothers are also taught better methods of selecting, cultivating, and preserving foods. Because the NRC approach not only costs about 1/10th that of a hospital stay, but also seems more effective in preventing a recurrence of malnutrition, it may become a widespread alternative to traditional hospitalization.^ieng

[Ecology of a focus of cutaneous leishmaniasis in the Thiès region (Senegal, West Africa). 3. Evaluation of the endemicity in the human population]. / Ecologie d'un foyer de leishmaniose cutanée dans la région de Thiès (Sénégal, Afrique de l'Ouest). 3. Evaluation de l'endémicité dans la population humaine.

During their epidemiological survey of the cutaneous leishmaniasis focus fo Keur-Moussa, the authors try to evaluate the disease frequency by using various epidemiological indices. The incidence showed variations from year to year (from 3.31 p. 1,000 in 1976 to 0.26 p. 1,000 in 1978). A 12.4% prevalence rate was established from a systematic investigation in January 1978. During the same survey, 57.8% of the population had a positive leishmanin skin test. The value and significance of these different rates are then discussed.

[Current data on health services in the Cap-Vert region. I. Inventory of resources]. / Données actuelles sur les services de santé pour la région du Cap-Vert. I: Indicateurs de moyens.

PIP: This document provides detailed information on the health facilities and manpower of the Cap-Vert region of Senegal. The Cap-Vert region is the most developed of Senegal and contains .3% of the territory but 21% of the population. Its 1,200,000 residents have much higher incomes and literacy rates than are found in the remainder of the country. Cap-Vert is divided into 3 health areas with 18 auxiliary health posts or dispensaries and 30 municipal health posts and dispensaries, in addition to 2 Red Cross posts, 10 health services affiliated with religious groups, and 13 other posts. Each center has at least 1 nurse and 18 physicians are attached to them as a group. Their function is to provide general medical care. 59 private general medical practitioners and 39 specialists also offer services. The region contains state, municipal and private hospitals. Preventive facilities include 23 maternal-child health centers; the institute of social hygiene, which provides tuberculosis and venereal disease surveillance and ambulatory care for some ailments; a service for epidemic diseases; medical care for schools; the bureau of health education; the Pasteur Institute which provides laboratory tests, produces vaccines, and conducts research and teaching programs; and municipal health services. Drugs are provided without charge in public hospitals but not in private facilities. The density of curative and preventive services is the greatest in Senegal, but it does not compensate for the budgetary shortages and the problems created by a suboptimal standard of personnel. Availability of health care varies widely according to socioeconomic level and ability to pay. The private system covers about 400,000 persons, the semipublic system based on Catholic-run health posts covers about 450,000 persons, and the state system covers about 350,000 persons totally and another 150,000 or so who also use the private services intermittently. The share of health costs assumed by the recipients of health care in the form of fees and payments is helpful although it falls far short of the total and should perhaps be increased.^ieng

[Ecology of the focus of cutaneous leishmaniasis in the region of Thies (Senegal, West Africa). 3. Evaluation of the endemicity in the human population]. / Ecologie d'un foyer de leishmaniose cutanée dans la région de Thiès (Sénégal, Afrique de l'Ouest). 3. Evaluation de l'endémicité dans la population humaine.

During the epidemiological survey of the cutaneous leishmaniasis focus of Keur-Moussa, the authors try to evaluate the disease frequency by using various epidemiological indices. The incidence showed variations from year to year (from 3.31 p. 1,000 in 1976 to 0.26 p. 1,000 in 1978). A 12.4% prevalence rate was established from a systemic investigation in January 1978. During the same survey, 57.8% of the population had a positive leishmanin skin test. The value and significance of these different rates are then discussed.