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Socioeconomic disparities in Rwanda’s under-5 population’s growth tracking and nutrition promotion: findings from the 2019–2020 demographic and health survey
BACKGROUND: Regular growth monitoring can be used to evaluate young children’s nutritional and physical health. While adequate evaluation of the scope and quality of nutrition interventions is necessary to increase their effectiveness, there is little research on growth monitoring coverage measureme...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504707/ https://www.ncbi.nlm.nih.gov/pubmed/37716969 http://dx.doi.org/10.1186/s12887-023-04284-8 |
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author | Ekholuenetale, Michael Okonji, Osaretin Christabel Nzoputam, Chimezie Igwegbe Edet, Clement Kevin Wegbom, Anthony Ike Arora, Amit |
author_facet | Ekholuenetale, Michael Okonji, Osaretin Christabel Nzoputam, Chimezie Igwegbe Edet, Clement Kevin Wegbom, Anthony Ike Arora, Amit |
author_sort | Ekholuenetale, Michael |
collection | PubMed |
description | BACKGROUND: Regular growth monitoring can be used to evaluate young children’s nutritional and physical health. While adequate evaluation of the scope and quality of nutrition interventions is necessary to increase their effectiveness, there is little research on growth monitoring coverage measurement. The purpose of this study was to investigate socioeconomic disparities in under-5 Rwandan children who participate in growth monitoring and nutrition promotion. METHODS: We used data from the 2019–2020 Rwanda Demographic and Health Survey (RDHS), which included 8092under-5 children. Percentage was employed in univariate analysis. To examine the socioeconomic inequalities, concentration indices and Lorenz curves were used in growth monitoring and nutrition promotion among under-5 children. RESULTS: A weighted prevalence of 33.0% (95%CI: 30.6-35.6%) under-5 children growth monitoring and nutrition promotion was estimated. Growth monitoring and nutrition promotion among under-5 children had higher uptake in the most disadvantaged cohort, as the line of equality sags below the diagonal line in Lorenz curve. Overall, there was pro-poor growth monitoring and nutrition promotion among under-5 in Rwanda (Conc. Index = 0.0994; SE = 0.0111). Across the levels of child and mother’s characteristics, the results show higher coverage of under-5 growth monitoring and nutrition promotion in the most socioeconomic disadvantaged cohort. CONCLUSION: The study found a pro-poor disparity in growth monitoring and nutrition promotion among under-5 children in Rwanda. By implication, the most disadvantaged children had a higher uptake of growth monitoring and nutrition promotion. The Rwanda government should develop policies and programmes to achieve the universal health coverage for the well-off and underserved population. |
format | Online Article Text |
id | pubmed-10504707 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-105047072023-09-17 Socioeconomic disparities in Rwanda’s under-5 population’s growth tracking and nutrition promotion: findings from the 2019–2020 demographic and health survey Ekholuenetale, Michael Okonji, Osaretin Christabel Nzoputam, Chimezie Igwegbe Edet, Clement Kevin Wegbom, Anthony Ike Arora, Amit BMC Pediatr Research BACKGROUND: Regular growth monitoring can be used to evaluate young children’s nutritional and physical health. While adequate evaluation of the scope and quality of nutrition interventions is necessary to increase their effectiveness, there is little research on growth monitoring coverage measurement. The purpose of this study was to investigate socioeconomic disparities in under-5 Rwandan children who participate in growth monitoring and nutrition promotion. METHODS: We used data from the 2019–2020 Rwanda Demographic and Health Survey (RDHS), which included 8092under-5 children. Percentage was employed in univariate analysis. To examine the socioeconomic inequalities, concentration indices and Lorenz curves were used in growth monitoring and nutrition promotion among under-5 children. RESULTS: A weighted prevalence of 33.0% (95%CI: 30.6-35.6%) under-5 children growth monitoring and nutrition promotion was estimated. Growth monitoring and nutrition promotion among under-5 children had higher uptake in the most disadvantaged cohort, as the line of equality sags below the diagonal line in Lorenz curve. Overall, there was pro-poor growth monitoring and nutrition promotion among under-5 in Rwanda (Conc. Index = 0.0994; SE = 0.0111). Across the levels of child and mother’s characteristics, the results show higher coverage of under-5 growth monitoring and nutrition promotion in the most socioeconomic disadvantaged cohort. CONCLUSION: The study found a pro-poor disparity in growth monitoring and nutrition promotion among under-5 children in Rwanda. By implication, the most disadvantaged children had a higher uptake of growth monitoring and nutrition promotion. The Rwanda government should develop policies and programmes to achieve the universal health coverage for the well-off and underserved population. BioMed Central 2023-09-16 /pmc/articles/PMC10504707/ /pubmed/37716969 http://dx.doi.org/10.1186/s12887-023-04284-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Ekholuenetale, Michael Okonji, Osaretin Christabel Nzoputam, Chimezie Igwegbe Edet, Clement Kevin Wegbom, Anthony Ike Arora, Amit Socioeconomic disparities in Rwanda’s under-5 population’s growth tracking and nutrition promotion: findings from the 2019–2020 demographic and health survey |
title | Socioeconomic disparities in Rwanda’s under-5 population’s growth tracking and nutrition promotion: findings from the 2019–2020 demographic and health survey |
title_full | Socioeconomic disparities in Rwanda’s under-5 population’s growth tracking and nutrition promotion: findings from the 2019–2020 demographic and health survey |
title_fullStr | Socioeconomic disparities in Rwanda’s under-5 population’s growth tracking and nutrition promotion: findings from the 2019–2020 demographic and health survey |
title_full_unstemmed | Socioeconomic disparities in Rwanda’s under-5 population’s growth tracking and nutrition promotion: findings from the 2019–2020 demographic and health survey |
title_short | Socioeconomic disparities in Rwanda’s under-5 population’s growth tracking and nutrition promotion: findings from the 2019–2020 demographic and health survey |
title_sort | socioeconomic disparities in rwanda’s under-5 population’s growth tracking and nutrition promotion: findings from the 2019–2020 demographic and health survey |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10504707/ https://www.ncbi.nlm.nih.gov/pubmed/37716969 http://dx.doi.org/10.1186/s12887-023-04284-8 |
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