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Trends and Risk Factors For Childhood Diarrhoea in Rwanda: A Secondary Data Analysis of Three Rwanda Demographic and
Eric Butera1, Jean de Dieu Habimana2, Noel Korukire3
1Community Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Rwanda Journal of Medicine and Health Sciences
|February 16, 2026
Summary
Childhood diarrhea in Rwanda showed a U-shaped prevalence trend, increasing in 2020. Key risk factors include young household heads, large families, and poor sanitation, highlighting the need for targeted health education and improved water access.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Diarrhea remains a major cause of illness and death in children under five, especially in developing nations like Rwanda.
- This study investigates the trends and contributing factors of childhood diarrhea within Rwanda.
Purpose of the Study:
- To analyze the prevalence trends of childhood diarrhea in Rwanda from 2010 to 2020.
- To identify significant risk factors associated with childhood diarrhea in the Rwandan context.
Main Methods:
- Secondary analysis of Rwanda Demographic and Health Surveys (RDHS) data from 2010, 2014/15, and 2019/20.
- Utilized univariate and multivariable logistic regression to identify trends and associated factors, presenting results with adjusted odds ratios and confidence intervals.
Main Results:
- Childhood diarrhea prevalence in Rwanda exhibited a U-shaped trend: 12.81% (2010), 11.62% (2015), and 13.65% (2020).
- Significant risk factors identified include young household heads (<25 years), larger households (≥4 members), lack of breastfeeding, limited media exposure, bottle feeding, and unimproved sanitation facilities.
Conclusions:
- Interventions should prioritize health education for caregivers, promote breastfeeding, and improve water, hygiene, and sanitation (WASH) infrastructure.
- Ensuring universal access to clean water is crucial for effectively reducing childhood diarrhea incidence in Rwanda.
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