Perceptions, Causes and Treatment of Severe Acute Malnutrition, Mbuji‐Mayi, Kasai‐Oriental, Democratic Republic of the Congo

Bibliographic Data

ID15535489
AuthorsJulien Ntaongo Alendi (0000-0003-0624-7189, University of Kinshasa, corresponding author), Marie‐Claire Muyer (University of Kinshasa), Cécile Salpéteur (0000-0002-8135-6169, Action Contre la Faim), Steve Botomba (0000-0003-3355-7449, University of Kinshasa), Jean Baptiste Mayavanga (Ministry of Public Health), Aimée Mupuala (University of Kinshasa), Florence Mbiya Muadi (University of Kinshasa), Samuel Mampunza (0000-0002-6875-0487, University of Kinshasa), Léon Quénéet (Aix-Marseille Université), Marlène Camrrubi (Aix-Marseille Université), Carine Magen Fabregat (Action Contre la Faim)
Year2025
Volume21
Issue3
Pagese70024-e70024
Publication date2025-03-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.70024
PMID40128618
OpenAlexW4408846106
LanguageEN
Citations received2
References cited34

The effective management of severe acute malnutrition (SAM) is contingent upon the perceptions of the affected communities, and preferred therapeutic pathways, object of the present research. A qualitative survey collected 54 semistructured individual interviews, 10 focus groups, and 6 direct observations in Mbujimayi town, Kasaï Oriental province, Democratic Republic of Congo. The deductive approach was used to analyse the data. Cultural and religious beliefs, as well as lived experience, influence perceptions of SAM. The latter is perceived as a shameful disease, a curse, or divine punishment by communities. Food insecurity and poverty following the bankruptcy of Bakwanga diamond Mining (MIBA), then food taboos, women's heavy workloads, poor childcare practices, low birth spacing and lack of access to drinking water were the main causes perceived. Traditional healers are the primary source of care and consider SAM resulting from curses or witchcraft, needing special preparations. Religious leaders regard SAM as a spiritual illness requiring prayers even if modern medicine is administered. Some families turn to prayer, hoping for a therapeutic convocation of the sacred, or self-medication. Modern medicine is the final recourse, frequently combined with the other modalities. For health workers, SAM is linked to nutritional and socioeconomic factors which must be addressed with modern medicine including RUTF. Community awareness and access to education for women is needed to change perceptions. Nutrition programmes would benefit of co-designing their communication and behaviour change strategies with key influential community members of therapeutic pathways of children suffering from SAM

Democracy · Economic growth · Environmental health · Malnutrition · Modalities · Political science · Population · Poverty · Qualitative research · Social science · Socioeconomic status · Sociology · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Law · Medicine · Poverty, Education, and Child Welfare