Prevalence of Malnutrition among Under-Five aged Children and Methods Used to prevent and Control Unmated Nutrition Needs in Population Health of Kicukiro District, Rwanda
DOI:
https://doi.org/10.53819/81018102t7058Abstract
Globally, malnutrition remained a significant issue, especially in low- and middle-income countries like Rwanda. Though progress has been made, millions of people, particularly children, still suffer from malnutrition, however malnutrition information and methods o used to prevent and control in Kicukiro District remains unclear. These reasons led to Specifically to determine the prevalence of malnutrition among Under-Five aged Children, Methods Used to Prevent and Control Unmated Nutrition Needs in Population Health , and evaluate how knowledge, attitudes, and practices of KAP are associated with the increased malnutrition among under-five children attending Kicukiro Health Center. Despite global efforts to combat malnutrition, it remained a significant public health challenge. In Rwanda, malnutrition is associated with mass wasting, distended abdomen of under 5s, stunting growth, poor cognitive and physical development, with increased morbidity and mortalities. Study was mixed-methods of descriptive, cross-sectional, cohort, and triangulation designs of both surveys and Interviews. Structured questionnaires for primary data and rapid retrospective forms for secondary data for the last 5 years data collection using, a 235 sample sizes, in survey, and KIIs and FGDs guides used interviews to get value data numbers. The study opined, that only female next of kin/guardians participated in the stated healthcare of the under children to seek health care in the study area, (102) 43.4%, aged 25 to 35 with zero male community participation. The occupation profile of the respondents, majority lacked employment (126) 53.6 %, and only a few, (45) 19.1%, were employed guardians / next of under 5s with RR (0.2, 0.3) and OD (1.0) income. Most under 5s sex affected by malnutrition was female (123), 52.3%, followed closely by, (112), 47.7% male gender. The prevalence of malnutrition among under 5s was only 12. 8 % (30) in the population health, with RR (0.34. 0.43) due Global partnership supply of fortified food and increased health education on under 5s nutrition by MOH. Food insecurity at the household level is associated with the main supply of inadequate nutrition with RR (0.56., 2.1) and (OD 3.04) signifying the need to improve food security at the household level to mediate a quality long-lasting intervention malnutrition in society. The study concludes that malnutrition among under-five children remains a public health challenge due to limited household access to adequate dietary food. The study recommends diversifying and increasing the supply of fortified foods through global partnerships and coordinated efforts by the Ministries of Health and Agriculture to address food insecurity and support nutrition programs for under-five children.
Keywords: malnutrition under 5yrs children, stunting under nutrition global partnership, community participation.
References
Abel Karamari and Joseline, M. (2023). Knowledge, Attitudes, and Practices on Nutrition among Mothers with Under 5 Years Undernourished Children in Kicukiro District, Rwanda. 11(5), 2051–2073.
Binagwaho, A., Rukundo, A., Powers, S., Donahoe, K. B., Agbonyitor, M., Ngabo, F., Karema, C., Scott, K. W., & Smith Fawzi, M. C. (2020). Trends in burden and risk factors associated with childhood stunting in Rwanda from 2000 to 2015: Policy and program implications. BMC Public Health, 20(1), 1–9. https://doi.org/10.1186/s12889-020-8164-4
Brudevold-Newman, Andrew; Dias, Paula; Jere-Folotiya, Jacqueline; Mooya, Hatembo; Ranjit, Varsha; Ring, H. (2018). Study on Traditional Parenting and Child Care Practices in Zambia. American Institutes for Research, July, 1–120.
Charles Shapu, R., Ismail, S., Ahmad, N., Ying, L. P., & Abubakar Njodi, I. (2020). Knowledge, Attitude, and Practice of Adolescent Girls towards Reducing Malnutrition in Maiduguri Metropolitan Council, Borno State, Nigeria: Cross-Sectional Study. Nutrients, 12(6). https://doi.org/10.3390/nu12061681
Gebre, G. G., Chefebo, D. E., & Kacharo, D. K. (2023). Knowledge, attitude, and practice towards malnutrition and micronutrient deficiency among male and female farmers in Ethiopia. BMC Nutrition, 9(1), 1–14. https://doi.org/10.1186/s40795-023-00791-0
Girma, M., Hussein, A., Norris, T., Genye, T., Tessema, M., Bossuyt, A., Hadis, M., van Zyl, C., Goyol, K., & Samuel, A. (2024). Progress in Water, Sanitation and Hygiene (WASH) coverage and potential contribution to the decline in diarrhea and stunting in Ethiopia. Maternal and Child Nutrition, 20(S5). https://doi.org/10.1111/mcn.13280
global nutrition report. (2023). c23.png (1200×700). Global Nutrition Report.Org. https://globalnutritionreport.org/media/profiles/2023.2.2/charts/rwanda/c23.png
Habyarimana, F., Zewotir, T., Ramroop, S., & Ayele, D. G. (2016). Spatial Distribution of Determinants of Malnutrition of Children under Five Years in Rwanda: Simultaneous Measurement of Three Anthropometric Indices. Journal of Human Ecology, 54(3), 138–149. https://doi.org/10.1080/09709274.2016.11906996
HAKIZIMANA, T. N., NSANZABERA, C., MOCHAMA, M., & IMBABAZI, J. de la C. (2023). KNOWLEDGE ATTITUDE and PRACTICE TOWARDS FIRST 1000 DAYS NUTRITIONAL REQUIREMENT AMONG LACTATING MOTHERS IN GICUMBI DISTRICT, RWANDA. Cognizance Journal of Multidisciplinary Studies, 3(10), 60–73. https://doi.org/10.47760/cognizance.2023.v03i10.006
Kalinda, C., Qambayot, M. A., Ishimwe, S. M. C., Regnier, D., Bazimya, D., Uwizeyimana, T., Desie, S., Rudert, C., Gebremariam, A., Brennan, E., Karumba, S., Wong, R., & Bekele, A. (2024). Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: a systematic review and meta-analysis. Systematic Reviews, 13(1), 16. https://doi.org/10.1186/s13643-023-02438-4
Kassie, G. W., & Workie, D. L. (2020). Determinants of under-nutrition among children under five years of age in Ethiopia. BMC Public Health, 20(1), 1–11. https://doi.org/10.1186/s12889-020-08539-2
MIGEPROF. (2018, November 14). MIGEPROF: ’Keep the pace in end stunting and malnutrition’-MIGEPROF Minister tells Rwamagana residents. MIGEPROF.
Monique, U. (2022). Nurses’ Knowledge and Practice in The Management of Childhood Malnutrition in Selected Health Centers in Rwanda. http://154.68.126.42/bitstream/handle/123456789/1853/Uwera Monique.pdf?sequence=1&isAllowed=y
Mulenga, E., Amukugo, H., & Shilunga, A. (2018). The experiences of mothers and caregivers on feeding practices of children under the age of five years with undernutrition in Oshikoto region, Namibia. International Journal of Healthcare, 4(2), 20. https://doi.org/10.5430/ijh.v4n2p20
Murakatete, T. (2020). Empowering Rwandan communities to reduce chronic malnutrition through a multisectoral approach. https://www.who.int/about/accountability/results/who-results-report-2020-mtr/country-story/2022/empowering-rwandan-communities-to-reduce-chronic-malnutrition
Obasohan, P. E., Walters, S. J., Jacques, R., & Khatab, K. (2024). Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria. BMC Nutrition, 10(1), 1–12. https://doi.org/10.1186/s40795-023-00813-x
Pai, S., & Bahadur, K. (2020). The Impact of Food Insecurity on Child Health. Pediatric Clinics of North America, 67(2), 387–396. https://doi.org/10.1016/j.pcl.2019.12.004
Sami ullah Zarkoon, M. N. M. B. H. A. A. . (2022). Assess the Impact of Childhood Nutritional Status: a Case Study of District Kohlu Balochistan. Pakistan Journal of International Affairs, 5(4). https://doi.org/10.52337/pjia.v5i4.694
World Bank., U.-W.-T. W. (2020). Joint child malnutrition estimates—Levels and trends. Global database on child growth and malnutrition.
World Health Organization. (2021). Levels and Trends in Child Malnutrition UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates Key Findings of the 2021 Edition. World Health Organization.
