모리타니아 다르비다(Dar El Beida) 지역 중등도 급성 영양결핍 아동 대응 주민 주도 통합모델 PBN (Programme Better Nutrition) 파일럿 사례 연구 = A Community-Led Integrated Model for Moderate Acute Malnutrition Response in Dar El Beida, Mauritania: A Better Nutrition Programme Pilot Case Study

다국어 초록 (Multilingual Abstract)

In this paper, we describe the Better Nutrition Programme (BNP) pilot study led by community health workers in Darbeida, Mauritania, which examined the short-term outcomes for children with moderate acute malnutrition and their caregivers. Implemented between April and June 2025 and assessing three cohorts (29 households), the 4-week program combined center-based caregiver education, participatory cooking, and home visits. During the sessions, caregivers learned about hygiene, child nutrition, and responsive feeding, whereas children engaged in play and joint music activities designed to promote attachment. Anthropometric measurements (MUAC, weight, height) and qualitative data obtained from interviews and field logs were analyzed descriptively and thematically. The completion rate was 97%, and most children showed short-term improvements in MUAC (+3.6-4.5 mm) and weight (+0.72-0.73 kg). Caregivers showed better recognition of the signs of malnutrition, improved growth monitoring, and adoption of balanced feeding and hygiene practices. The playing of music and regular home visits appeared to strengthen emotional bonding, parenting efficacy, and sustained participation. Overall, the community- driven BNP, which integrated nutritional education, psychosocial support, and home visits, showed favorable short-term trends in nutritional and psychosocial outcomes. These findings have practical implications for integrating and scaling community-based nutrition programs within the primary health-care system.