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Socio-demographic and environmental determinants of under-5 stunting in Rwanda: Evidence from a multisectoral study

Child stunting is an important household, socio-economic, environmental and nutritional stress indicator. Nationally, 33% of children under 5 in Rwanda are stunted necessitating the need to identify factors perpetuating stunting for targeted interventions. Our study assessed the individual and commu...

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Autores principales: Kalinda, Chester, Phri, Million, Qambayot, Maria Albin, Ishimwe, Marie Consolatrice Sage, Gebremariam, Alemayehu, Bekele, Abebe, Wong, Rex
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043183/
https://www.ncbi.nlm.nih.gov/pubmed/36998275
http://dx.doi.org/10.3389/fpubh.2023.1107300
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author Kalinda, Chester
Phri, Million
Qambayot, Maria Albin
Ishimwe, Marie Consolatrice Sage
Gebremariam, Alemayehu
Bekele, Abebe
Wong, Rex
author_facet Kalinda, Chester
Phri, Million
Qambayot, Maria Albin
Ishimwe, Marie Consolatrice Sage
Gebremariam, Alemayehu
Bekele, Abebe
Wong, Rex
author_sort Kalinda, Chester
collection PubMed
description Child stunting is an important household, socio-economic, environmental and nutritional stress indicator. Nationally, 33% of children under 5 in Rwanda are stunted necessitating the need to identify factors perpetuating stunting for targeted interventions. Our study assessed the individual and community-level determinants of under-5 stunting essential for designing appropriate policy and program responses for addressing stunting in Rwanda. A cross-sectional study was conducted between September 6 and October 9, 2022, in five districts of Rwanda including, Kicukiro, Ngoma, Burera, Nyabihu and Nyanza. 2788 children and their caregivers were enrolled in the study and data on the individual level (child, caregiver/household characteristics), and community-level variables were collected. A multilevel logistic regression model was used to determine the influence of individual and community-level factors on stunting. The prevalence of stunting was 31.4% (95% CI: 29.5–33.1). Of this, 12.2% were severely stunted while 19.2% were moderately stunted. In addition, male gender, age above 11 months, child disability, more than six people in the household, having two children below the age of five, a child having diarrhea 1–2 weeks before the study, eating from own plate when feeding, toilet sharing, and open defecation increased the odds of childhood stunting. The full model accounted for 20% of the total variation in the odds of stunting. Socio-demographic and environmental factors are significant determinants of childhood stunting in Rwanda. Interventions to address under-five stunting should be tailored toward addressing individual factors at household levels to improve the nutritional status and early development of children.
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spelling pubmed-100431832023-03-29 Socio-demographic and environmental determinants of under-5 stunting in Rwanda: Evidence from a multisectoral study Kalinda, Chester Phri, Million Qambayot, Maria Albin Ishimwe, Marie Consolatrice Sage Gebremariam, Alemayehu Bekele, Abebe Wong, Rex Front Public Health Public Health Child stunting is an important household, socio-economic, environmental and nutritional stress indicator. Nationally, 33% of children under 5 in Rwanda are stunted necessitating the need to identify factors perpetuating stunting for targeted interventions. Our study assessed the individual and community-level determinants of under-5 stunting essential for designing appropriate policy and program responses for addressing stunting in Rwanda. A cross-sectional study was conducted between September 6 and October 9, 2022, in five districts of Rwanda including, Kicukiro, Ngoma, Burera, Nyabihu and Nyanza. 2788 children and their caregivers were enrolled in the study and data on the individual level (child, caregiver/household characteristics), and community-level variables were collected. A multilevel logistic regression model was used to determine the influence of individual and community-level factors on stunting. The prevalence of stunting was 31.4% (95% CI: 29.5–33.1). Of this, 12.2% were severely stunted while 19.2% were moderately stunted. In addition, male gender, age above 11 months, child disability, more than six people in the household, having two children below the age of five, a child having diarrhea 1–2 weeks before the study, eating from own plate when feeding, toilet sharing, and open defecation increased the odds of childhood stunting. The full model accounted for 20% of the total variation in the odds of stunting. Socio-demographic and environmental factors are significant determinants of childhood stunting in Rwanda. Interventions to address under-five stunting should be tailored toward addressing individual factors at household levels to improve the nutritional status and early development of children. Frontiers Media S.A. 2023-03-14 /pmc/articles/PMC10043183/ /pubmed/36998275 http://dx.doi.org/10.3389/fpubh.2023.1107300 Text en Copyright © 2023 Kalinda, Phri, Qambayot, Ishimwe, Gebremariam, Bekele and Wong. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Kalinda, Chester
Phri, Million
Qambayot, Maria Albin
Ishimwe, Marie Consolatrice Sage
Gebremariam, Alemayehu
Bekele, Abebe
Wong, Rex
Socio-demographic and environmental determinants of under-5 stunting in Rwanda: Evidence from a multisectoral study
title Socio-demographic and environmental determinants of under-5 stunting in Rwanda: Evidence from a multisectoral study
title_full Socio-demographic and environmental determinants of under-5 stunting in Rwanda: Evidence from a multisectoral study
title_fullStr Socio-demographic and environmental determinants of under-5 stunting in Rwanda: Evidence from a multisectoral study
title_full_unstemmed Socio-demographic and environmental determinants of under-5 stunting in Rwanda: Evidence from a multisectoral study
title_short Socio-demographic and environmental determinants of under-5 stunting in Rwanda: Evidence from a multisectoral study
title_sort socio-demographic and environmental determinants of under-5 stunting in rwanda: evidence from a multisectoral study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043183/
https://www.ncbi.nlm.nih.gov/pubmed/36998275
http://dx.doi.org/10.3389/fpubh.2023.1107300
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