Stunting, food security, markets and food policy in Rwanda. 2019

Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
Agricultural, Food & Resource Economics Department, Michigan State University, Rm. 213C Morrill Hall of Agriculture, 446 W. Circle Dr, East Lansing, MI, 48824, USA. weathe42@msu.edu.

BACKGROUND Over the past two decades, Rwanda has experienced impressive economic growth, resulting in considerable improvements in living standards and poverty reduction. Despite these gains, progress on reducing the level of stunting in smallholder rural children, particularly boys, continues to be a serious concern. METHODS Policies, dietary diversity and socio-economic factors that may influence stunting in rural Rwandan children were evaluated using a logit model with clustered variance-covariance estimators based on village membership of the household. RESULTS Stunting of rural children was found to be multidimensionally related to the child's gender, weight and age; the dietary diversity, marriage status and education level of the head of household; mother's height; presence of a family garden or if they owned livestock; environmental factors such as altitude and soil fertility and location relative to a main road en route to a market; and a policy that promoted food production. CONCLUSIONS Findings suggest that agricultural policies may be subsidizing poor dietary behavior in that the aggregation of production encourages households to sell high quality nutritious food such as fruit and vegetables, for more voluminous amounts of nutritionally substandard goods, hence low dietary diversity. However, it is less clear if rural food markets are capable of supplying diverse and nutritious foods at affordable prices on a consistent basis, resulting in a lack of diversity and hence, low nutrient quality diets. Rwanda's next round of food security policies should focus on nutrition insecurity with special emphasis on the lack of protein, micronutrients and calories. Multipronged policies and programs focused on income growth, food security, enhanced access to markets and gender-related nutrition risks from inception through 2 years of age in the rural areas are required to improve rural household health outcomes, stunting in particular.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003132 Commerce The interchange of goods or commodities, especially on a large scale, between different countries or between populations within the same country. It includes trade (the buying, selling, or exchanging of commodities, whether wholesale or retail) and business (the purchase and sale of goods to make a profit). (From Random House Unabridged Dictionary, 2d ed, p411, p2005 & p283) Business,Commercial Sector,Prices,Sales,Vendors,Businesses,Commerces,Commercial Sectors,Price,Sale,Sector, Commercial,Sectors, Commercial,Vendor
D004032 Diet Regular course of eating and drinking adopted by a person or animal. Diets
D005260 Female Females
D005523 Food Supply The production and movement of food items from point of origin to use or consumption. Food Supply Chain,Chain, Food Supply,Food Supplies,Food Supply Chains,Supplies, Food,Supply Chain, Food,Supply Chains, Food,Supply, Food
D006130 Growth Disorders Deviations from the average values for a specific age and sex in any or all of the following: height, weight, skeletal proportions, osseous development, or maturation of features. Included here are both acceleration and retardation of growth. Stunted Growth,Stunting,Disorder, Growth,Growth Disorder,Growth, Stunted,Stuntings
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor

Related Publications

Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
November 2009, Environmental science & technology,
Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
July 2019, Maternal & child nutrition,
Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
January 2023, Food security,
Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
January 2022, Ecology of food and nutrition,
Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
April 2023, Foods (Basel, Switzerland),
Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
January 2022, BMC public health,
Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
May 2020, Health promotion practice,
Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
November 2014, Ciencia & saude coletiva,
Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
March 2016, Social science & medicine (1982),
Dave D Weatherspoon, and Steve Miller, and Jean Chrysostome Ngabitsinze, and Lorraine J Weatherspoon, and James F Oehmke
January 2016, American journal of public health,
Copied contents to your clipboard!