Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: a systematic review and meta-analysis
Abstract Background Addressing childhood stunting is a priority and an important step in the attainment of Global Nutrition Targets for 2025 and Sustainable Development Goals (SDGs). In Rwanda, the prevalence of child stunting remains high despite concerted efforts to reduce it. Methods Utilizing th...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Systematic Reviews |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13643-023-02438-4 |
| _version_ | 1827388778553016320 |
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| author | Chester Kalinda Maria Albin Qambayot Sage Marie C. Ishimwe Denis Regnier Darius Bazimya Theogene Uwizeyimana Samson Desie Christiane Rudert Alemayehu Gebremariam Elizabeth Brennan Silver Karumba Rex Wong Abebe Bekele |
| author_facet | Chester Kalinda Maria Albin Qambayot Sage Marie C. Ishimwe Denis Regnier Darius Bazimya Theogene Uwizeyimana Samson Desie Christiane Rudert Alemayehu Gebremariam Elizabeth Brennan Silver Karumba Rex Wong Abebe Bekele |
| author_sort | Chester Kalinda |
| collection | DOAJ |
| description | Abstract Background Addressing childhood stunting is a priority and an important step in the attainment of Global Nutrition Targets for 2025 and Sustainable Development Goals (SDGs). In Rwanda, the prevalence of child stunting remains high despite concerted efforts to reduce it. Methods Utilizing the United Nations International Children’s Emergency Fund (UNICEF) framework on maternal and child nutrition, this study systematically evaluated the determinants of child stunting in Rwanda and identified available gaps. Twenty-five peer-reviewed papers and five Demographic and Health Surveys (DHS) reports were included in the final selection of our review, which allowed us to identify determinants such as governance and norms including wealth index, marital status, and maternal education, while underlying determinants were maternal health and nutrition factors, early initiation of breastfeeding, water treatment and sanitation, and immediate factors included infections. Results A total of 75% of the overall inequality in stunting was due to the difference in the social determinants of stunting between poor and nonpoor households. Maternal education (17%) and intergenerational transfer (31%) accounted for most of the inequalities in stunting, and an increase in gross domestic product per capita contributed to a reduction in its prevalence. There is a paucity of information on the impact of sociocultural norms, early life exposures, maternal health and nutrition, and Rwandan topography. Conclusion The findings of this study suggest that improving women’s status, particularly maternal education and health; access to improved water, sanitation, and hygiene-related factors; and the socioeconomic status of communities, especially those in rural areas, will lay a sound foundation for reducing stunting among under-5 children. |
| first_indexed | 2024-03-08T16:23:53Z |
| format | Article |
| id | doaj.art-fa2e2a2f4fdb4036a7eea53d1330f0b5 |
| institution | Directory Open Access Journal |
| issn | 2046-4053 |
| language | English |
| last_indexed | 2024-03-08T16:23:53Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Systematic Reviews |
| spelling | doaj.art-fa2e2a2f4fdb4036a7eea53d1330f0b52024-01-07T12:13:40ZengBMCSystematic Reviews2046-40532024-01-0113111210.1186/s13643-023-02438-4Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: a systematic review and meta-analysisChester Kalinda0Maria Albin Qambayot1Sage Marie C. Ishimwe2Denis Regnier3Darius Bazimya4Theogene Uwizeyimana5Samson Desie6Christiane Rudert7Alemayehu Gebremariam8Elizabeth Brennan9Silver Karumba10Rex Wong11Abebe Bekele12Bill and Joyce Cummings Institute of Global Health, University of Global Health EquityCentre for One Health, University of Global Health EquityInstitute of Global Health Equity Research (IGHER), University of Global Health EquitySchool of Medicine, University of Global Health EquityBill and Joyce Cummings Institute of Global Health, University of Global Health EquityBill and Joyce Cummings Institute of Global Health, University of Global Health EquityUNICEF Kigali OfficeUNICEF ESAROHealth Office, US Agency For International Development (USAID)Catholic Relief Services, Rwanda Country ProgramCatholic Relief Services, Rwanda Country ProgramBill and Joyce Cummings Institute of Global Health, University of Global Health EquitySchool of Medicine, University of Global Health EquityAbstract Background Addressing childhood stunting is a priority and an important step in the attainment of Global Nutrition Targets for 2025 and Sustainable Development Goals (SDGs). In Rwanda, the prevalence of child stunting remains high despite concerted efforts to reduce it. Methods Utilizing the United Nations International Children’s Emergency Fund (UNICEF) framework on maternal and child nutrition, this study systematically evaluated the determinants of child stunting in Rwanda and identified available gaps. Twenty-five peer-reviewed papers and five Demographic and Health Surveys (DHS) reports were included in the final selection of our review, which allowed us to identify determinants such as governance and norms including wealth index, marital status, and maternal education, while underlying determinants were maternal health and nutrition factors, early initiation of breastfeeding, water treatment and sanitation, and immediate factors included infections. Results A total of 75% of the overall inequality in stunting was due to the difference in the social determinants of stunting between poor and nonpoor households. Maternal education (17%) and intergenerational transfer (31%) accounted for most of the inequalities in stunting, and an increase in gross domestic product per capita contributed to a reduction in its prevalence. There is a paucity of information on the impact of sociocultural norms, early life exposures, maternal health and nutrition, and Rwandan topography. Conclusion The findings of this study suggest that improving women’s status, particularly maternal education and health; access to improved water, sanitation, and hygiene-related factors; and the socioeconomic status of communities, especially those in rural areas, will lay a sound foundation for reducing stunting among under-5 children.https://doi.org/10.1186/s13643-023-02438-4RwandaChild healthStuntingDemographic and Health SurveysMeta-analysis |
| spellingShingle | Chester Kalinda Maria Albin Qambayot Sage Marie C. Ishimwe Denis Regnier Darius Bazimya Theogene Uwizeyimana Samson Desie Christiane Rudert Alemayehu Gebremariam Elizabeth Brennan Silver Karumba Rex Wong Abebe Bekele Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: a systematic review and meta-analysis Systematic Reviews Rwanda Child health Stunting Demographic and Health Surveys Meta-analysis |
| title | Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: a systematic review and meta-analysis |
| title_full | Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: a systematic review and meta-analysis |
| title_fullStr | Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: a systematic review and meta-analysis |
| title_full_unstemmed | Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: a systematic review and meta-analysis |
| title_short | Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: a systematic review and meta-analysis |
| title_sort | leveraging multisectoral approach to understand the determinants of childhood stunting in rwanda a systematic review and meta analysis |
| topic | Rwanda Child health Stunting Demographic and Health Surveys Meta-analysis |
| url | https://doi.org/10.1186/s13643-023-02438-4 |
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