Assessment of the Efficiency of Application of the National Protocol for Integrated Management of Severe Acute Malnutrition in National Hospital Center of Nouakchott -Mauritania


  • Sima Boulebatt Laboratory of natural resources and sustainable development, Faculty of Sciences, Ibn Tofail University, Kenitra, Morocco.
  • Nada Belmejdoub Laboratory of natural resources and sustainable development, Faculty of Sciences, Ibn Tofail University, Kenitra, Morocco.
  • Fatima Aslaou Research Team on Health and Nutrition of Mother and Child, University Mohammed V, Faculty of Medicine and Pharmacy, Rabat 10500, Morocco
  • Hefdhallah Al-Aizari Department of Chemistry, Faculty of Education, University of Dhamar, Yemen
  • Nasser Abdellahi MD National Hospital Center (CHN) of Nouakchott -Mauritania
  • Ahmed Feil MD National Hospital Center (CHN) of Nouakchott -Mauritania
  • Driss Belghyti Laboratory of natural resources and sustainable development, Faculty of Sciences, Ibn Tofail University, Kenitra, Morocco.


Mauritania, Anthropometric parameters, IMSAM, Malnutrition


Malnutrition is a worldwide concern with worrisome outcomes that affect substantially the lifestyle of infants. Addressing and combating malnutrition is crucial for ensuring the healthy growth and development of infants. It requires comprehensive interventions that encompass not only improving access to nutritious food but also addressing underlying causes such as poverty, inadequate healthcare, and lack of education. By addressing malnutrition, we can enhance the well-being and prospects of infants worldwide. This study aimed to investigate the effectiveness of the IMSAM protocol on malnourished Mauritanian children during their hospitalization. The study sample consisted of 230 participants, including 126 boys and 104 girls, who were selected from both rural and urban areas. The study was conducted in the Pediatric Service of the National Hospital Center in Nouakchott, Mauritania, focusing on children who underwent the national protocol for the Integrated Management of Severe Acute Malnutrition (IMSAM). In addition, the medical and nutritional treatment, and body measurements were appreciated as well as the anthropometric parameters. The study results revealed significant differences in average weight before and after the intervention (P < .001). The regression test indicated a negative prediction of weight gain (P < .05), influenced by variables such as the Z-score of weight-toheight (P/T), presence of edema after nutritional support, and final health status. Finally, it is important to highlight that an IMSAM-based intervention, when combined with rational management, has the potential to mitigate the adverse effects of malnutrition by maximizing social skills.


Ibrahim HAA, Helmy E, Amin A, Mahmoud D. Biochemical and Anthropometric Nutritional Assessment in Children Infected with COVID-19: A Cross-sectional Study. Open Access Maced J Med Sci. 2022;10(B):1818- 1826.

Baiyeri SO, Samuel-Baiyeri CC. Nutrients, the Bioavailability of Micronutrients and Antinutrient Composition of African Yam Bean Tubers. Trop J Nat Prod Res. 2023;7(4).

Blake E. Identification terminology for the Management of small and nutritionally At-risk Infants under 6 months and their Mothers (MAMI): A qualitative study. MSc project report. Published online 2022.

Emokpae MA, Nimenibo-Uadia RI. The Role of Metallothionein and Some Micronutrients in the Pathogenesis of HIV Infection: A Review: doi.

org/10.26538/tjnpr/v2i7. 1. Trop J Nat Prod Res TJNPR. 2018;2(7):303-308.

Christian P, Lee S E, Donahue Angel M, Adair LS, Arifeen SE, Ashorn P, Black RE. Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low-and middle-income countries. Int J Epidemiol. 2013;42(5):1340-1355.

Oluwole OO, Olomitutu OE, Paliwal R, Oyatomi O, Abberton M, Obembe O. Preliminary assessment of the association between DArT-SEQ SNP and some nutritional traits in African yam bean. Trop J Nat Prod Res. Published online 2017.

Djoumessi YF. The impact of malnutrition on infant mortality and life expectancy in Africa. Nutrition. Published online 2022:111760.

Kerac M, Blencowe H, Grijalva-Eternod C, McGrath M, Shoham J, Cole TJ, Seal A. Prevalence of wasting among under 6-month-old infants in developing countries and implications of new case definitions using WHO growth standards: a secondary data analysis. Arch Dis Child. 2011;96(11):1008-1013.

Blencowe H, Krasevec J, De Onis M, Black RE, An X, Stevens G. A, Borghi E., Hayashi C, Estevez D. National, regional, and worldwide estimates of low birth weight in 2015, with trends from 2000: a systematic analysis. Lancet Glob Health. 2019;7(7):e849-e860.

Grey K, Gonzales G. B, Abera M, Lelijveld N, Thompson D, Berhane M, Abdissa A, Girma T, Kerac M. Severe malnutrition or famine exposure in childhood and cardiometabolic non-communicable disease later in life: a systematic review. BMJ Glob Health. 2021;6(3):e003161.

Ouermi A. S, Kalmogho A, Sanogo B, Savadogo H, Guira I, Barro M, Koueta F. Malnutrition aiguë sévère chez les enfants de 6 à 59 mois: états des lieux dans le service de pédiatrie du centre hospitalier universitaire régional de Ouahigouya (Burkina Faso). J Afr Cas Clin Rev. 2021;5(3):426-434.

Hossain A, Niroula B, Duwal S, Ahmed S, Kibria MdG. Maternal profiles and social determinants of severe acute malnutrition among children under-five years of age: A case-control study in Nepal. Heliyon. 2020;6(5):e03849. doi:10.1016/j.heliyon.2020.e03849

Engl M, Binns P, Trehan I, Lelijveld N, Angood C, McGrath M, Groce N, Kerac M. Children living with disabilities are neglected in severe malnutrition protocols: a guideline review. Arch Dis Child. 2022;107(7):637-643.

Grijalva-Eternod CS, Beaumont E, Rana R, Abate N, Barthorp H, McGrath M, Negesse A, Abera M, Abdissa A, Girma T, Allen E, Kerac M, Berhane M. Malnutrition in Infants Aged under 6 Months Attending Community Health Centres: A Cross-Sectional Survey. Nutrients. 2021;13(8):2489. doi:10.3390/nu13082489

Kerac M, Mwangome M, McGrath M, Haider R, Berkley JA. Management of acute malnutrition in infants aged under 6 months (MAMI): current issues and future directions in policy and research. Food Nutr Bull. 2015;36(1_suppl1):S30-S34.

Organization WH. WHO Child Growth Standards: Length/Height-for-Age, Weight-for-Age, Weight-forLength, Weight-for-Height, and Body Mass Index-for-Age: Methods and Development. World Health Organization; 2006.

Lelijveld N, Kerac M, McGrath M, Mwangome M, Berkley JA. A review of methods to detect cases of severely malnourished infants less than 6 months for their admission into therapeutic care. Emerg Nutr Netw. Published online 2017.

Kerac M, McGrath M, Connell N, Kompala C, Moore W H., Bailey, J., Wells, J. C ‘Severe malnutrition’: thinking deeply, communicating simply. BMJ Glob Health. 2020;5(11):1-9.

Svedberg P. How many people are malnourished? Annu Rev Nutr. 2011;31:263-283.

EPHI I. Ethiopian Public Health Institute (EPHI)[Ethiopia] and ICF. Ethiop Mini Demogr Health Surv 2019 Key Indic. Published online 2019.

Ly YA. Determinants of Child Malnutrition in Mauritania. Published online 2020.

Tran IC, Gregory C, O’Connor P, Imohe A, Do LAH, Suchdev PS. A scoping review on the associations and potential pathways between malnutrition and measles. MedRxiv. Published online 2023:2023-01.

Nguefack F, Adjahoung CA, Keugoung B, Kamgaing N, Dongmo R. Prise en charge hospitalière de la malnutrition aigue sévère chez l’enfant avec des préparations locales alternatives aux F-75 et F-100: résultats et défis. Pan Afr Med J. 2015;21(1).

Diall H, Dembélé A, Touré YI, et al. Les facteurs influençant les indicateurs de performance à l’URENI de la pédiatrie du CHU Gabriel Touré. Mali Santé Publique. Published online 2019:7-13.

Bah A. Etude de la prévalence de la malnutrition aigüe sévère avec complication chez les enfants de 6 à 59 mois à l’hôpital Nianankoro Fomba de Ségou. Mali Santé Publique. Published online 2021:43-48.

Kambale RM, Kasengi JB, Kivukuto JM, Cubaka LM, Mungo BM, Balaluka GB. Profil infectieux et mortalité des enfants âgés de 0 à 5 ans admis pour malnutrition aiguë sévère: étude de cohorte rétrospective au Centre Nutritionnel et Thérapeutique de Bukavu, République

Démocratique du Congo. Pan Afr Med J. 2016;23:1-8.

Zoungrana B, Sawadogo PS, Somda NS, Tapsoba F, Tankoano A, Savadogo A. Performance et coût de la prise en charge de la malnutrition aiguë sévère avec complications à Kaya, Burkina Faso. Pan Afr Med J. 2019;34:1-6.



How to Cite

Boulebatt, S., Belmejdoub, N., Aslaou, F., Al-Aizari, H., Abdellahi, N., Feil, A., & Belghyti, D. (2023). Assessment of the Efficiency of Application of the National Protocol for Integrated Management of Severe Acute Malnutrition in National Hospital Center of Nouakchott -Mauritania: Tropical Journal of Natural Product Research (TJNPR), 7(9), 3911–3915. Retrieved from