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How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study

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  • Jean Nepo Utumatwishima
  • Ingrid Mogren
  • Aline Umubyeyi
  • Ali Mansourian
  • Gunilla Krantz

Abstract

Child stunting (chronic undernutrition) is a major public health concern in low- and middle-income countries. In Rwanda, an estimated 33% of children are affected. This study investigated the household living conditions and the impact of gender-related decision-making on child stunting. The findings contribute to ongoing discussion on this critical public health issue. In December 2021, a population-based cross-sectional study was conducted in Rwanda’s Northern Province; 601 women with children aged 1–36 months were included. Stunting was assessed using low height-for-age criteria. The Multidimensional Poverty Index (MPI) was used to determine household socioeconomic status. Researcher-designed questionnaires evaluated gender-related factors such as social support and household decision-making. Multivariable logistic regression analysis identified risk factor patterns. Six hundred and one children were included in the study; 27.1% (n = 163) were diagnosed as stunted; there was a higher prevalence of stunting in boys (60.1%) than girls (39.9%; p

Suggested Citation

  • Jean Nepo Utumatwishima & Ingrid Mogren & Aline Umubyeyi & Ali Mansourian & Gunilla Krantz, 2024. "How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study," PLOS ONE, Public Library of Science, vol. 19(3), pages 1-18, March.
    • Handle: RePEc:plo:pone00:0290919
    DOI: 10.1371/journal.pone.0290919
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    1. Alkire, Sabina & Foster, James, 2011. "Counting and multidimensional poverty measurement," Journal of Public Economics, Elsevier, vol. 95(7), pages 476-487.
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