Factors associated with men involvement in child nutrition in health center area of Burundi
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20243630Keywords:
Associated factors, Burundi, Child nutrition, Fathers of children, Health center, Men involvementAbstract
Background: Men play a central role in decision making regarding women's and children's health, their involvement in child nutrition has been proven to be essential in the prevention of child undernutrition. In Burundi, nutrition interventions have been introduced to strengthen mothers' knowledge on infant feeding, but no interventions are targeting men specifically. The objective of this study was to analyze the factors of men involvement in child nutrition.
Methods: A cross-sectional analytical study was carried out from July 2023 up March 2024 in health centers of Vumbi health district in Burundi. The study population consisted of 231 men with children aged 6-23 months. A questionnaire downloaded in Kobocollect application was used during data collection and the analysis were performed using Stata 15.
Results: The level of men involvement in child nutrition was 53.68% in the area. The men education level (OR=2.54; CI95%: [1.36-4.75]), men participation in nutrition sessions facilitated by the CHWs (OR=3.29; CI95%: [1.82-5.96]), men knowledge in terms of their involvement in child nutrition (OR=2.00; CI95%: [1.12-3.56]), and women accompaniment to health services (OR=2.30; CI95%: [1.18-4.46]) all with p<0.05 were statistically associated with men involvement in child nutrition.
Conclusions: The men involvement in children nutrition for Muramba health center is low, which demonstrates a flaw in child nutrition with the consequent high rate of malnourished children in the locality.
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References
World Health Organization. Levels and trends in child malnutrition: UNICEF. Estimate Key findings of the 2021 edition. Available at: https://iris.who.int/handle/10665/341135. Accessed 01 May 2024.
World Health Organization. The State of Food Security and Nutrition in the World 2021: Transforming food systems for food security, improved nutrition and affordable healthy diets for all, Food & Agriculture, 2021. Available at: https://openknowledge.fao.org/server/api/core/bitstreams/1c38676f-f5f7-47cf-81b3-f4c9794eba8a/content. Accessed 01 May 2024.
Ministry of Good Governance and Planning [Burundi] (MPBGP), Ministry of Public Health and the Fight against AIDS [Burundi] (MSPLS), Institute of Statistics and Economic Studies of Burundi (ISTEEBU), and ICF. Third Demographic and Health Survey, Bujumbura, Burundi: ISTEEBU, MSPLS, and ICF. 2017. Available at: https://dhsprogram.com/pubs/pdf/FR335/FR335.pdf. Accessed on 01 May 2024.
World Health Organization. Children: reducing mortality. Weekly Epidemiological Record, 2014. Available at: https://iris.who.int/handle/10665/242265. Accessed 01 May 2024.
Muthiru AW. Factors Influencing Male Involvement In Young Children Feeding Practices: A Case Of Dagoretti Informal Settlements (Doctoral dissertation, University of Nairobi).
Mkandawire E, Hendriks SL. "The role of the man is to look for food": Lessons from men's involvement in maternal and child health programmes in rural Central Malawi. PLOS ONE. 2019;14(8):E0221623.
Gnoumou Thiombiano B. Gender and Household Decision-Making in Burkina Faso. Cah qué demography. 2015;43(2):249‑78.
Mallan KM, Nothard M, Thorpe K, Nicholson JM, Wilson A, Scuffham PA, et al. The role of fathers in child feeding: perceived responsibility and predictors of participation. Child Care Health Dev. 2014;40(5):715‑22.
Rakotomanana H, Walters CN, Komakech JJ, Hildebrand D, Gates GE, Thomas DG, et al. Fathers' involvement in child care activities: Qualitative findings from the highlands of Madagascar. PLOS ONE. 2021;16(3):E0247112.
Bogale SK, Cherie N, Bogale EK. Fathers involvement in child feeding and its associated factors among fathers having children aged 6 to 24 months in Antsokia Gemza Woreda, Ethiopia: Cross-sectional study. PLOS ONE. 2022;17(11):E0276565.
Kansiime N, Atwine D, Nuwamanya S, Bagenda F. Effect of male involvement on the nutritional status of children less than 5 years: A Cross Sectional Study in a Rural Southwestern District of Uganda. J Nutr Metab. 2017;2017:1‑9.
Baltim LS. Catholic Relief Services C. Father engagement in nutrition: A qualitative analysis in Muhanga and Karongi districts in Rwanda, 2020. Available at: https://www.crs.org/sites/default/files/tools-research/father-engagement-in-nutrition.pdf. Accessed 01 May 2024.
Drysdale RE, Slemming W, Makusha T, Richter LM. Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa. Matern Child Nutr. 2021;17(S1):e13177.
Ministry of Finance, Budget and Economic Planning [Burundi], Ministry of Public Health and the Fight against AIDS [Burundi] (MSPLS), Institute of Statistics and Economic Studies of Burundi (ISTEEBU). National Survey on the Nutritional and Mortality Situation in Burundi (ENSNMB 2022). Bujumbura, Burundi: ISTEEBU and MSPLS; 2022.
Nkurunziza S, Meessen B, Van Geertruyden JP, Korachais C. Determinants of stunting and severe stunting among Burundian children aged 6-23 months: evidence from a national cross-sectional household survey, 2014. BMC Pediatr. 2017;17(1):176.
Barankanira E, Iradukunda A. Determinants of poor glycemic control in Burundi. 2019. Available at: https://www.afriquescience.net/admin/postpdfs/ef0b5963d509331bb6b685856dc51f221729206962.pdf. Accessed on 01 May 2024.
Wolkanto AA, Gemebo TD, Dake SK, Hailemariam TG. Fathers' involvement in complementary feeding of children in Damot Woyde District, South Ethiopia: a community-based cross-sectional study. BMC Nutr. 2023;9(1):8.
Guerrero AD, Chu L, Franke T, Kuo AA. Father involvement in feeding interactions with their young children. Am J Health Behav. 2016;40(2):221‑30.
Saaka M, Awini S, Kizito F, Hoeschle-Zeledon I. Fathers' level of involvement in childcare activities and its association with the diet quality of children in Northern Ghana. Public Health Nutr. Apr 2023;26(4):771‑8.
Bhattacharyya DS, Sarker T, Akter N, Shafique S, Nabi MH, Hawlader MDH, et al. Factors associated with fathers' involvement in infant and young child feeding and nurturing care in the urban slums of Bangladesh: A cross‐sectional study. Food Sci Nutr. 2023;11(7):4020‑9.
Mukuria AG, Martin SL, Egondi T, Bingham A, Thuita FM. Role of social support in improving infant feeding practices in western Kenya: a quasi-experimental study. Glob Health Sci Pract. 2016; 4(1):55‑72.
