Low birth weight
This is one of the major causes of mortality and morbidity in childhood. According DCAT-II,
10% of children had low birth weight (less than 2.5 kg). Conversely, in 90% of cases,
children weighed at least 2.5 kg. This result is identical to that recorded during the DCAT-I
(2005). The proportion of low birth weight is higher when the mother is under 20 years of age
at the birth of the child than when she is older (12% against 10% at 20-34 years and 8% to
35-49 years) and when there is a birth of rank 1 (12% against 8-10% for other ranks). At
departments level, the proportion of children weighing less than 2.5 kg ranged from a
minimum of 7% in the Likouala to a maximum of 13% in the Lékoumou.
Acute respiratory infections
Table 12: Prevalence of diarrhoea, fever and IRA by age (%)
Age
<6
Diarrhoea 9
Fever
19
IRA
5
Source: DCAT 2012
6 to 11
25
33
6
12 to 23
34
30
6
24 to 35
20
26
6
36 to 47
13
23
5
48 to 59
9
18
2
All
19
25
5
The results of the DCAT II show that the prevalence of acute respiratory infections (ARI) is
not very high in Congo: only 5% of children presented symptoms characteristic of this type
of disease in the two weeks preceding the interview.
It should be noted that the results on the prevalence of IRA are not strictly comparable with
those of DCAT-I, because the prevalence of ARI varies with the season and the information
collected by DHS are only representative of the period reference, that is to say the two weeks
preceding the survey.
Fever
Nationally, a quarter of children below 5 years of age (25%) had fever in the two weeks
preceding the interview. However, in some age groups, the prevalence was higher. Indeed,
estimated at 19% among children aged less than 6 months, it increased significantly to 33%
for children aged 6-11 months and 30% for 12-23 months. Beyond that, it starts to decline
progressively to its lowest level in 48-59 months (18%).
In 47% of cases, treatment or advice was sought in a health facility or from a health care
provider. In addition, when they had fever, 25% of children were treated with anti malarial
and 69% were treated with antibiotics.
Diarrhoea
Nearly one in 5 children (19%) had at least one episode of diarrhoea in the two weeks
preceding the survey and, in addition, in 2% of cases, there was blood in the stool. In only
37% of cases, treatment or advice was sought for the sick child. However when diarrhoea
was accompanied by blood, the proportion reached 54%.
To treat diarrhoea, the results show that in only 28% of cases ORS sachets were given to sick
children or pre packaged liquids. In addition, 18% of children received recommended home
solution, and overall 37% received one and / or another form ORT. Furthermore, in 36% of
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