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The Determinants of Exclusive Breastfeeding in Rwanda: A Secondary Data Analysis of the RDHS 2019/2020

Year: 2025

Type: article

Abstract: Background: Exclusive breastfeeding for the first six months is crucial for infant survival, growth, and development. However, factors influencing exclusive breastfeeding practices in Rwanda remain underexplored. This study aimed to assess the determinants of exclusive breastfeeding and identify associated factors. Methods: A secondary data analysis of the 2019-2020 Rwanda Demographic and Health Survey (RDHS) was conducted with a nationally representative sample of 4,359 children under five years. A weighted analysis was conducted. Bivariate and multivariable logistic regression analyses identified key determinants for exclusive breastfeeding with significance level set at p value <0.05. Results: The prevalence of exclusive breastfeeding was 80.5%. Mothers in the Southern Province (AOR 1.948, 95% CI: 1.151-3.299), Western Province (AOR 2.391, 95% CI: 1.549-3.690), and Northern Province (AOR 2.091, 95% CI: 1.141-3.831) had higher odds of exclusive breastfeeding than those in Kigali. Wealthier mothers were less likely to breastfeed exclusively (AOR 0.524, 95% CI: 0.364-0.753). Children aged 6-23 months had significantly lower odds of breastfeeding compared to those under 6 months (AOR 0.014, 95% CI: 0.011-0.018). Conclusion: This study underscores the need to promote exclusive breastfeeding practices, particularly among mothers in Kigali and higher-income households, to improve child health outcomes.

Source: Rwanda Journal of Medicine and Health Sciences

DOI: 10.4314/rjmhs.v8i3.5