Background Addressing childhood stunting is a priority and an important step in the attainment of... more 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.
This case study is one of six case studies produced through a year-long collaboration in 2015 bet... more This case study is one of six case studies produced through a year-long collaboration in 2015 between ENN and the Global Nutrition Cluster (GNC) to capture and disseminate knowledge about the Nutrition Cluster experiences of responding to Level 2 and Level 3 emergencies. They each provide very rich insights into the achievements of the cluster approach and the challenges of working in complex environments. The findings and recommendations documented in this case study are those of the authors. They do not necessarily represent the views of UNICEF, its Executive Directors or the countries that they represent and should not be attributed to them.
This case study is one of six case studies produced through a year-long collaboration in 2015 bet... more This case study is one of six case studies produced through a year-long collaboration in 2015 between ENN and the Global Nutrition Cluster (GNC) to capture and disseminate knowledge about the Nutrition Cluster experiences of responding to Level 2 and Level 3 emergencies. They each provide very rich insights into the achievements of the cluster approach and the challenges of working in complex environments. The findings and recommendations documented in this case study are those of the authors. They do not necessarily represent the views of UNICEF, its Executive Directors or the countries that they represent and should not be attributed to them.
is the Nutrition Manager for UNICEF Somalia. He is a medical doctor with a Master's in Public Hea... more is the Nutrition Manager for UNICEF Somalia. He is a medical doctor with a Master's in Public Health and Nutrition and over 15 years' experience working in health and nutrition programmes in across Africa. Madina Ali Abdirahman is a Nutrition O cer with UNICEF Somalia with over 15 years' experience in nutrition with UNICEF and Non-Governmental Organisations (NGOs) in Somalia. Dorothy Nabiwemba is a Nutrition O cer with UNICEF Somalia with several years' experience in nutrition programming, including with the World Food Programme (WFP) in South Sudan. Pramila Ghimire is the Head of Nutrition and School Meals for WFP Somalia. Pramila holds a Masters' degrees in Public Health Nutrition, Sociology and Business Administration and over 18 years' experience in food security and nutrition.
Background Addressing childhood stunting is a priority and an important step in the attainment of... more 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.
This case study is one of six case studies produced through a year-long collaboration in 2015 bet... more This case study is one of six case studies produced through a year-long collaboration in 2015 between ENN and the Global Nutrition Cluster (GNC) to capture and disseminate knowledge about the Nutrition Cluster experiences of responding to Level 2 and Level 3 emergencies. They each provide very rich insights into the achievements of the cluster approach and the challenges of working in complex environments. The findings and recommendations documented in this case study are those of the authors. They do not necessarily represent the views of UNICEF, its Executive Directors or the countries that they represent and should not be attributed to them.
This case study is one of six case studies produced through a year-long collaboration in 2015 bet... more This case study is one of six case studies produced through a year-long collaboration in 2015 between ENN and the Global Nutrition Cluster (GNC) to capture and disseminate knowledge about the Nutrition Cluster experiences of responding to Level 2 and Level 3 emergencies. They each provide very rich insights into the achievements of the cluster approach and the challenges of working in complex environments. The findings and recommendations documented in this case study are those of the authors. They do not necessarily represent the views of UNICEF, its Executive Directors or the countries that they represent and should not be attributed to them.
is the Nutrition Manager for UNICEF Somalia. He is a medical doctor with a Master's in Public Hea... more is the Nutrition Manager for UNICEF Somalia. He is a medical doctor with a Master's in Public Health and Nutrition and over 15 years' experience working in health and nutrition programmes in across Africa. Madina Ali Abdirahman is a Nutrition O cer with UNICEF Somalia with over 15 years' experience in nutrition with UNICEF and Non-Governmental Organisations (NGOs) in Somalia. Dorothy Nabiwemba is a Nutrition O cer with UNICEF Somalia with several years' experience in nutrition programming, including with the World Food Programme (WFP) in South Sudan. Pramila Ghimire is the Head of Nutrition and School Meals for WFP Somalia. Pramila holds a Masters' degrees in Public Health Nutrition, Sociology and Business Administration and over 18 years' experience in food security and nutrition.
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