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Factors contributing to the persistence of undernutrition among children under 5 years of age in Rwanda

A community participatory qualitative study

Bibliographic Data

ID19529619
AuthorsMadeleine Mukeshimana (0000-0001-6983-5434, University of Rwanda, corresponding author), Théoneste Ntakirutimana (0000-0002-4870-6251, University of Kigali), Marie Laetitia Ishimwe Bazakare (0009-0005-5724-4377, Rwanda Development Board), Gunilla Krantz (0000-0001-8926-2530, University of Gothenburg)
Year2025
Volume18
Issue1
Pages2581454-2581454
Publication date2025-12-31
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2025.2581454
PMID41294054
OpenAlexW4416723093
LanguageEN
References cited29

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

Citizen journalism · Malnutrition · Nutrition Disorders · Participatory action research · Psychological intervention · Public health · Qualitative research · Child Nutrition and Water Access · Global Maternal and Child Health · Poverty, Education, and Child Welfare

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