Browsing by Author "Sous la direction de : Pr. Dr. Ir. Niyongabo Aloys"

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    Autonomisation des femmes et malnutrition aiguë sévère chez les enfants de 6 à 59 mois de district sanitaire de Buye au nord du Burundi
    (UB, EANSI, 2025-08) Hakizimana, Désiré; Sous la direction de : Pr. Dr. Ir. Niyongabo Aloys; Co-directeur Dr. Jean Claude Nkurunziza
    Introduction : Severe acute malnutrition is a major global and Burundian public health crisis, accounting for one-fifth of childhood deaths. In the Buye health district, 5% of children under five suffer from acute malnutrition, including 2.3% with severe forms, exceeding the WHO acceptable threshold of 2%. Few studies in Burundi have examined the impact of women’s empowerment on child nutrition, despite the importance of addressing social inequalities in interventions. Methodology : A case-control study was conducted in Buye health district involving 120 mother-child pairs (children aged 6–59 months), including 40 cases of severe acute malnutrition and 80 controls, randomly selected based on inclusion and matching criteria. Data were collected through a KoboCollect questionnaire and analyzed using Stata 15.1 (α = 5%). Variables with p < 0.20 in bivariate analysis were included in the final model, and those with p < 0.05 were considered significant. The model’s reliability was confirmed by the ROC curve. Results: Factors associated with severe acute malnutrition included maternal employment (OR=0.008; 95% CI [0.00–0.13]; p=0.001), severe household food insecurity (OR=30.56; 95% CI [2.05–454.6]; p=0.01), participation in socio-cultural events (OR=0.02; 95% CI [0.00–0.23]; p=0.002), husband’s decision to seek children healthcare (OR=24.61; 95% CI [1.32–457.8]; p=0.03), husband’s unilateral decision on harvest use (OR=0.11; 95% CI [0.01–0.85]; p=0.03), woman’s income-generating activities (OR=0.21; 95% CI [0.01–0.71]; p=0.02), and woman’s decision on the daily composition of meal (OR=0.10; 95% CI [0.01–0.71]; p=0.02). Conclusion : The study emphasizes the importance of an integrated approach to strengthen women’s empowerment to improve child nutrition by promoting their employment, household food security, and community engagement, while considering family decision-making dynamics.