Work

Factors contributing to the persistence of undernutrition among children under 5 years of age in Rwanda: a community participatory qualitative study

Year: 2025

Type: article

Abstract: BACKGROUND: Undernutrition remains a significant global health challenge, particularly among children <5 years of age. Despite efforts to combat this issue, millions of children worldwide, especially in low-income countries such as Rwanda, continue to suffer from undernutrition, which adversely affects their health, growth, and development. OBJECTIVE: This study aimed to explore and analyse the factors contributing to the persistence of undernutrition among children <5 years of age in Rwanda that are not adequately addressed by existing community interventions. METHODS: A participatory research design with the open-space meeting method was used to collect the primary data. Eight open-space meetings were conducted in two selected districts in the Northern Province of Rwanda. A total of 194 participants, including community health workers, parents/caregivers, and healthcare professionals, participated in discussions. Thematic analysis using Atlas.ti software was used to analyse the qualitative data. RESULTS: The findings revealed a complex interplay of factors contributing to the persistence of undernutrition among children <5 years of age in Rwanda. Key factors identified included conflicts among parents, limited involvement of male parents in childcare, the mental health status of children, inexperienced home caregivers, and inadequate family planning practices. CONCLUSION: Despite concerted efforts by governmental and non-governmental organizations, undernutrition among children <5 years of age remains a pressing issue in Rwanda. This study highlights specific household-related factors not adequately targeted by existing interventions and proposes potential strategies to address them effectively, aiming to reduce undernutrition among children <5 years in Rwanda.

Source: Global Health Action

DOI: 10.1080/16549716.2025.2581454

Authors: Madeleine Mukeshimana, Theoneste Ntakirutimana, Marie Laetitia Ishimwe Bazakare, Gunilla Krantz

Institutions: University of Rwanda, University of Gothenburg

Language: English

Topic: Child Nutrition and Water Access

Subfield: Nutrition and Dietetics

Field: Nursing

Domain: Health Sciences

SDGs: Good health and well-being, Zero hunger, Reduced inequalities

Open Access status: gold

Estimated APC paid: $1,509