Ufitinema Adeline, Nishimwe Clemence, Mochama Monica, Kubahoniyesu Theogene
Public Health, Mount Kenya University, Kigali, Rwanda.
Departement of Nursing, College of Health Sciences, Mount Kenya University, Kigali, Central Rwanda.
Rwanda J Med Health Sci. 2025 Mar 31;8(1):49-60. doi: 10.4314/rjmhs.v8i1.4. eCollection 2025 Mar.
Micronutrient deficiencies continue to affect millions globally, particularly pregnant women and children. This study aims to identify the determinants of Micronutrient Powder (MNP) coverage among children aged 6-23 months in Nyarugenge District, Rwanda.
A cross-sectional study was conducted on 380 children aged 6-23 months. Data were analyzed using SPSS version 21. Logistic regression was employed to assess the determinants of MNP coverage.
The study found that 71.1% of children received MNP. Children aged 12-17 months (AOR = 1.63, 95% CI: 1.005-2.483, p = 0.046); 18-23 months (AOR = 2.14, 95% CI: 1.061-4.335, p = 0.034); Attendance at postnatal care (PNC) (AOR = 2.62, 95% CI: 1.346-5.097, p = 0.004), participation in supplementary feeding programs (AOR = 2.94, 95% CI: 1.214-7.109, p = 0.017), and having married mothers (AOR = 1.85, 95% CI: 1.033-3.306, p = 0.037) were positively associated with MNP coverage. Conversely, mothers aged 30-40 years (AOR = 0.14, 95% CI: 0.026-0.771, p = 0.024), UBUDEHE-2 (AOR = 0.40, 95% CI: 0.162-0.906, p = 0.031) were negatively associated with MNP coverage.
Integrating MNP distribution with maternal and child health services could enhance MNP coverage and adherence.
微量营养素缺乏仍然在全球影响着数百万人，尤其是孕妇和儿童。本研究旨在确定卢旺达尼亚鲁根盖区6至23个月大儿童中微量营养素粉（MNP）覆盖率的决定因素。
对380名6至23个月大的儿童进行了一项横断面研究。使用SPSS 21版软件对数据进行分析。采用逻辑回归评估MNP覆盖率的决定因素。
研究发现71.1%的儿童接受了MNP。12至17个月大的儿童（调整后比值比[AOR]=1.63，95%置信区间[CI]：1.005 - 2.483，p = 0.046）；18至23个月大的儿童（AOR = 2.14，95% CI：1.061 - 4.335，p = 0.034）；产后护理（PNC）的参与情况（AOR = 2.62，95% CI：1.346 - 5.097，p = 0.004），参与补充喂养计划（AOR = 2.94，95% CI：1.214 - 7.109，p = 0.017），以及母亲已婚（AOR = 1.85，95% CI：1.033 - 3.306，p = 0.037）与MNP覆盖率呈正相关。相反，30至40岁的母亲（AOR = 0.14，95% CI：0.026 - 0.771，p = 0.024），UBUDEHE - 2（AOR = 0.40，95% CI：0.162 - 0.906，p = 0.031）与MNP覆盖率呈负相关。
将MNP分发与母婴健康服务相结合可以提高MNP覆盖率和依从性。
