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Determinants of Micronutrient Powder Coverage among Children Aged 6-23 Months in Nyarugenge District, Rwanda
Adeline Ufitinema1, Clemence Nishimwe2, Monica Mochama1
1Public Health, Mount Kenya University, Kigali, Rwanda.
Insights
Micronutrient Powder (MNP) coverage reached 71.1% in Rwanda. Key factors influencing MNP use include child
Area of Science:
- Public Health
- Nutrition Science
- Global Health
Background:
- Micronutrient deficiencies pose significant global health challenges, especially for pregnant women and young children.
- Nyarugenge District, Rwanda, faces challenges in achieving adequate micronutrient intake among children.
- Micronutrient Powders (MNPs) are a key intervention to combat deficiencies in vulnerable populations.
Purpose of the Study:
- To identify the key determinants of Micronutrient Powder (MNP) coverage among children aged 6-23 months in Nyarugenge District, Rwanda.
- To understand factors associated with MNP utilization to inform public health strategies.
- To provide evidence for improving MNP program effectiveness in the region.
Main Methods:
- A cross-sectional study involving 380 children aged 6-23 months was conducted.
- Data analysis utilized SPSS version 21, employing logistic regression to identify determinants of MNP coverage.
- Statistical significance was assessed using adjusted odds ratios (AOR) and 95% confidence intervals (CI).
Main Results:
- Micronutrient Powder (MNP) coverage was observed in 71.1% of the surveyed children.
- Positive associations with MNP coverage included older child age groups (12-23 months), postnatal care attendance, and participation in supplementary feeding programs.
- Maternal factors such as age (30-40 years) and socioeconomic status (UBUDEHE-2) showed negative associations with MNP coverage.
Conclusions:
- Integrating Micronutrient Powder (MNP) distribution with existing maternal and child health services is recommended.
- Enhancing MNP coverage and adherence can be achieved through synergistic program delivery.
- Targeted interventions considering maternal and child health service utilization are crucial for improving nutritional outcomes.
Background:
Micronutrient deficiencies continue to affect millions globally, particularly pregnant women and children. This study aims to identify the determinants of Micronutrient Powder (MNP) coverage among children aged 6-23 months in Nyarugenge District, Rwanda.
Methods:
A cross-sectional study was conducted on 380 children aged 6-23 months. Data were analyzed using SPSS version 21. Logistic regression was employed to assess the determinants of MNP coverage.
Results:
The study found that 71.1% of children received MNP. Children aged 12-17 months (AOR = 1.63, 95% CI: 1.005-2.483, p = 0.046); 18-23 months (AOR = 2.14, 95% CI: 1.061-4.335, p = 0.034); Attendance at postnatal care (PNC) (AOR = 2.62, 95% CI: 1.346-5.097, p = 0.004), participation in supplementary feeding programs (AOR = 2.94, 95% CI: 1.214-7.109, p = 0.017), and having married mothers (AOR = 1.85, 95% CI: 1.033-3.306, p = 0.037) were positively associated with MNP coverage. Conversely, mothers aged 30-40 years (AOR = 0.14, 95% CI: 0.026-0.771, p = 0.024), UBUDEHE-2 (AOR = 0.40, 95% CI: 0.162-0.906, p = 0.031) were negatively associated with MNP coverage.
Conclusion:
Integrating MNP distribution with maternal and child health services could enhance MNP coverage and adherence.
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