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.
Abstract

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