Socioeconomic disparities in Rwanda’s under-5 population’s growth tracking and nutrition promotion: findings from the 2019–2020 demographic and health survey

BMC Pediatrics

Research

Clement Kevin Edet¹  Michael Ekholuenetale²  Anthony Ike Wegbom³  Chimezie Igwegbe Nzoputam⁴  Osaretin Christabel Okonji⁵  Amit Arora⁶ 

[1] Department of Community Medicine, College of Medical Sciences, Rivers State University, 500101, Port Harcourt, Nigeria;Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, 200284, Ibadan, Nigeria;Department of Public Health Sciences, College of Medical Sciences, Rivers State University, 500101, Port Harcourt, Nigeria;Department of Public Health, Center of Excellence in Reproductive Health Innovation (CERHI), College of Medical Sciences, University of Benin, 300001, Benin City, Nigeria;Department of Medical Biochemistry, School of Basic Medical Sciences, University of Benin, 300001, Benin City, Nigeria;School of Pharmacy, University of the Western Cape, 7530, Cape Town, South Africa;Translational Health Research Institute, Western Sydney University, 2560, Campbelltown, NSW, Australia;School of Health Sciences, Western Sydney University, 2751, Penrith, NSW, Australia;Health Equity Laboratory, 2560, Campbelltown, NSW, Australia;Discipline of Child and Adolescent Health, The Children’s Hospital at Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, 2145, Westmead, NSW, Australia;Oral Health Services, Sydney Local Health District and Sydney Dental Hospital, NSW Health, 2010, Surry Hills, NSW, Australia;

关键词: First 2000 days;    Malnutrition;    Stunting;    Socioeconomic inequalities;    Growth monitoring;    Nutrition promotion;   

DOI  :  10.1186/s12887-023-04284-8

 received in 2023-06-02, accepted in 2023-09-01,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundRegular growth monitoring can be used to evaluate young children’s nutritional and physical health. While adequate evaluation of the scope and quality of nutrition interventions is necessary to increase their effectiveness, there is little research on growth monitoring coverage measurement. The purpose of this study was to investigate socioeconomic disparities in under-5 Rwandan children who participate in growth monitoring and nutrition promotion.MethodsWe used data from the 2019–2020 Rwanda Demographic and Health Survey (RDHS), which included 8092under-5 children. Percentage was employed in univariate analysis. To examine the socioeconomic inequalities, concentration indices and Lorenz curves were used in growth monitoring and nutrition promotion among under-5 children.ResultsA weighted prevalence of 33.0% (95%CI: 30.6-35.6%) under-5 children growth monitoring and nutrition promotion was estimated. Growth monitoring and nutrition promotion among under-5 children had higher uptake in the most disadvantaged cohort, as the line of equality sags below the diagonal line in Lorenz curve. Overall, there was pro-poor growth monitoring and nutrition promotion among under-5 in Rwanda (Conc. Index = 0.0994; SE = 0.0111). Across the levels of child and mother’s characteristics, the results show higher coverage of under-5 growth monitoring and nutrition promotion in the most socioeconomic disadvantaged cohort.ConclusionThe study found a pro-poor disparity in growth monitoring and nutrition promotion among under-5 children in Rwanda. By implication, the most disadvantaged children had a higher uptake of growth monitoring and nutrition promotion. The Rwanda government should develop policies and programmes to achieve the universal health coverage for the well-off and underserved population.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

Fig. 1