Factors Associated With Minimum Acceptable Diet among Children Aged 6 to 23 Months in Rwanda
Ildephonse Harindintwari1, Monica Mochama1, Charles Nsanzabera1,2
1School of Public Health, Mount Kigali University, Kigali, Rwanda.
Insights
Globally, many young children lack adequate diets. In Rwanda, only 23.9% of children aged 6-23 months met the minimum acceptable diet (MAD), emphasizing the need for improved nutrition interventions.
Area of Science:
- Public Health
- Nutrition Science
- Child Development
Background:
- Globally, suboptimal infant and young child feeding practices are prevalent, with 70% failing to meet dietary diversity or meal frequency recommendations.
- This study addresses the critical issue of inadequate nutrition in children aged 6 to 23 months, a vulnerable demographic.
Purpose of the Study:
- To assess the prevalence of the minimum acceptable diet (MAD) among children aged 6 to 23 months in Rwanda.
- To identify key factors associated with achieving the MAD in the Rwandan context.
Main Methods:
- Cross-sectional study utilizing secondary data from the 2019-2020 Rwanda Demographic and Health Survey (RDHS).
- Analysis included 1,203 children, with weighted data analyzed using bivariate and multivariable logistic regression (STATA 17).
Main Results:
- The prevalence of MAD was low at 23.9%.
- Factors significantly associated with higher MAD included residence in the Eastern Province, access to nutrition information, higher household wealth (richest households: AOR 5.93), and delivery in health facilities (AOR 3.42).
- Minimum meal frequency (MMF) was low, particularly for children aged 9-23 months (11.9%).
Conclusions:
- The low prevalence of MAD underscores the urgent need for interventions promoting dietary diversity and meal frequency.
- Targeted support for low-income households is crucial to enhance child feeding practices and improve nutritional outcomes.
Background:
Globally, one in two children aged 6 to 23 months fails to meet recommended dietary practices, with 70% fail to meet dietary diversity or meal frequency. This study assessed factors associated with the minimum acceptable diet (MAD) among children aged 6 to 23 months in Rwanda.
Methods:
This cross-sectional study utilized secondary data from the 2019-2020 Rwanda Demographic and Health Survey (RDHS), analyzing 1,203 children. Weighted data were analyzed using STATA version 17, employing bivariate and multivariable logistic regression at a 5% significance level.
Results:
The prevalence of MAD was 23.9%. Among breastfed children aged 6-8 months, 27.09% achieved the minimum meal frequency (MMF), while only 11.9% of children aged 9-23 months met the MMF. Significant factors associated with MAD included residence in the Eastern Province (AOR: 1.66; 95% CI: 1.02-2.27), access to nutrition-related information (AOR: 1.72; 95% CI: 1.03-2.41), and household wealth, with the richest households showing the highest odds (AOR: 5.93; 95% CI: 3.08-11.42). Delivery in health facilities also increased odds (AOR: 3.42; 95% CI: 1.20-9.77).
Conclusion:
The low prevalence of MAD highlights the need for promoting dietary diversity and meal frequency, support low-income households to improve child feeding practices.
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