F. Delpeuch et al., NUTRITION FOR YOUNG-CHILDREN AND THE DEVA LUATION OF THE CFA FRANCE, Bulletin of the World Health Organization, 74(1), 1996, pp. 67-75
Developing countries frequently see their currency depreciated to vary
ing degrees. The consequences of such monetary disturbances on the nut
rition of young children are not well known, though children are the m
ost vulnerable in nutritional terms. One year after the 50% devaluatio
n of the CFA Franc (communaute financiere africaine, ''African Financi
al community''), which took place on 12 January 1994 simultaneously in
fourteen countries, nine of which are on the UNDP list of least devel
oped countries, we wanted to find out the long-term effects of the dev
aluation, and the strategies that families had adopted to cope with it
. In Brazzaville, Congo, in December 1994, an epidemiological survey w
as conducted on a representative sample of 893 children between the ag
es of 4 and 12 months in two districts, and indicators of child nutrit
ion were established. A comparable survey had been conducted in Decemb
er 1993, before the devaluation. In Senegal, in the absence of a previ
ous survey which could be used in comparison, a qualitative survey usi
ng RAP methodology, was conducted in January 1995 in two towns near th
e capital. In three districts in each of these towns, a cluster of ten
plots was chosen at random and surveyed, with a combination of semi-s
tructured individual interviews with mothers (n = 60) and group interv
iews with all the women together (n = 6). The information was put toge
ther with interviews of 25 local traders selling food. In the Congo, c
omparison of the two surveys shows that the practice of breast-feeding
had hardly changed, nor had the age at which baby food was introduced
(90% of children of 4-5 months take semi-solid and solid foods); on t
he other hand, more children are being given the ordinary family meal
earlier, at 6-9 months. The proportion of baby foods based on commerci
ally imported flour has fallen (from 32% in 1993 to 18% in 1994), and
has been replaced with local products based on maize; this change is m
ore marked among poorer families. The low nutritional value of such pr
eparations is in part compensated by the addition of sugar, though les
s milk is added (28% in 1994 as opposed to 43% in 1993). In Senegal, m
others do not seem to have changed their breast-feeding practices eith
er, the age at which baby foods are introduced, or the number of times
they are provided daily. The most important change is the drop in qua
lity of food given to children, and the poorer family food for the old
er children. The partial switch from imported products to local produc
e was an expected consequence of devaluation; it is clearly confirmed
here for nutrition of young children, with the consequent loss of nutr
itional quality (a reduction in energy density and in nutrients). The
first thing needed is, therefore, an improvement in local manufacture
of food supplements of good nutritional quality, for young children. M
others also complain of the increased difficulty in managing a family
diet so as to take account of economic needs, cultural values and nutr
ition. They therefore criticize a number of nutritional education mess
ages that are clearly no longer appropriate to the new economic contex
t. Finally the fact that young children are getting poorer quality nut
rition is worrying for the future: if it lasts, the nutritional status
of children will deteriorate; whenever possible, monitoring must be e
stablished so that measures can be taken when necessary to forestall a
ny dramatic deterioration that would endanger the health of the childr
en.