Predictors and factors associated with stunting among under- five-year children: a cross-sectional population-based
Joselyne Rugema1, Joselyne Mukantwari1, Innocent Twagirayezu1
1University of Rwanda College of Medicine and Health Sciences, School of Nursing and Midwifery.
Insights
Stunting affects 37.5% of children under five in Rwanda, with age, sex, and household wealth as key predictors. Interventions targeting maternal and nutrition health are crucial to combat this public health challenge.
Area of Science:
- Child Health
- Public Health
- Nutrition Science
Background:
- Child stunting is a significant global health issue affecting physical, mental, and cognitive development.
- In Rwanda, stunting poses a considerable risk to child well-being, increasing vulnerability to illness and mortality.
Purpose of the Study:
- To identify predictors and associated factors of stunting in children under five years old in Rwanda.
- To inform targeted interventions for stunting reduction in the Rwandan context.
Main Methods:
- Utilized data from the 2014-2015 Rwanda Demographic and Health Survey (RDHS).
- Analyzed anthropometric data of 3599 children under five using Stata software.
- Employed descriptive statistics and logistic regression to determine associations and predictors of stunting.
Main Results:
- 37.5% of children under five in Rwanda were found to be stunted.
- Significant associations with stunting were observed for child's age, sex, place of residence, and household wealth index.
- Age, sex, and household wealth index were identified as significant predictors of stunting.
Conclusions:
- Child stunting remains a substantial public health burden in Rwanda.
- Age and sex are critical predictors of stunting in children under five.
- Household wealth significantly predicts stunting, highlighting socioeconomic disparities. Maternal and nutrition health interventions are imperative.
Background:
Globally, stunting affects 159 million Under-five-years-old (U-5) children. Stunting affects the physical, mental, and cognitive development of children increasing the risk of suffering and death. This paper aimed to determine the predictors and factors associated with stunting among under-five children in Rwanda.
Methods:
We retrieved data from the Rwanda Demographic and Health Survey (RDHS) 2014-2015 data set. A sample of 3599 U-5 eligible children with complete and valid anthropometric data was taken. Stata software was used to analyze the data extracted using a developed checklist. Descriptive statistics and Logistic regression analysis were performed to test the association between study variables.
Results:
Of 3599 U-5 children, 37.5% of children were stunted. The demographic characteristics: age (p< 0.001), sex (p<0.001), and place of residence (p< 0.001) and Household wealth index (p <0.001) were associated with stunting. Age, sex, and household wealth index were predictors of stunting.
Conclusion:
Stunting is still a burden in Rwanda. Age and sex were predictors of stunting among children under 5 years of age. Household wealth index was a predictor and significantly associated with stunting among children U-5 years in Rwanda. Investing in the interventions that target maternal and nutrition health support is imperative.
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