卢旺达尼亚鲁根盖区6至23个月儿童微量营养素粉覆盖率的决定因素
Determinants of Micronutrient Powder Coverage among Children Aged 6-23 Months in Nyarugenge District, Rwanda.
作者信息
Ufitinema Adeline, Nishimwe Clemence, Mochama Monica, Kubahoniyesu Theogene
机构信息
Public Health, Mount Kenya University, Kigali, Rwanda.
Departement of Nursing, College of Health Sciences, Mount Kenya University, Kigali, Central Rwanda.
出版信息
Rwanda J Med Health Sci. 2025 Mar 31;8(1):49-60. doi: 10.4314/rjmhs.v8i1.4. eCollection 2025 Mar.
BACKGROUND
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.
METHODS
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.
RESULTS
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.
CONCLUSION
Integrating MNP distribution with maternal and child health services could enhance MNP coverage and adherence.
背景
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。
方法
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。
结果
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。
结论
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。
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