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Background: Nutritional education in the community would permit to optimize the advice with regards to the local specificities. The goal of the study was to consolidate the nutritional rehabilitation after hospital management of children severely malnourished. On long term, the impact is to modify feeding habits thus, reducing the prevalence of malnutrition. Methods: Nutritional education was provided to the mothers on how to use local food stuffs for proper feeding. Two random groups of 43 children were made; the first of 20 patients had 3 post discharge visits with the third after 2 months of observation. The second group received routine hospital follow up and only one home immersion for evaluation. Counseling continued during immersions. We compared the dietary diversity on admission and at the end the study between the two groups. Results: Most parents do not feed their children with respect to WHO norms; only 7.0% exclusively breastfed their children till 6 months and 53.5% stopped breastfeeding very early the first three months. At the end of the study, there was an improvement in the knowledge on the varieties of food used to prepare porridges of high nutritional value. The practices of mothers had also changed in particular with the increase in the number of variety food groups consumed by children. Meanwhile, the changes were better in the group followed up at home (p=0.038). Conclusion: In a context where food stuffs are available locally, personalized nutritional education can improve the dietary habits of the population using household immersion.

journal of medical research

Feeding practices and impact of nutritional counseling coupled with home-based follow-up on the knowledge of mothers of children hospitalized for severe acute malnutrition