Connaissances et pratiques nutritionnelles chez les femmes enceintes dans le district sanitaire de Cankuzo au Burundi
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Date
2025-06
Journal Title
Journal ISSN
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Publisher
UB, EANSI
Abstract
Introduction: Pregnancy is the most critical and demanding period regarding nutrition in a woman's life. This is a vulnerable phase where the nutrition and lifestyle of the mother significantly influence the health of both the mother and the newborn. Nutritional knowledge is a key factor in ensuring positive outcomes during pregnancy and is crucial for adopting healthy eating habits and improving dietary quality. The aim of this study is to analyze the factors influencing this knowledge and these practices in the Cankuzo health district, Burundi.
Methodology: A cross-sectional study was conducted among 384 pregnant women from six health centers in the Cankuzo health district. Participant inclusion was limited to women who came for prenatal follow-up during the survey and agreed to participate in our study. A questionnaire adapted from a standard tool developped by WHO and FAO was used for data collection. Analysis was performed using STATA 15 software.
Results: The results indicate that only 29% [(95% CI: 0.24-0.33)] of women in the Cankuzo health district have satisfactory nutritional knowledge, and only 13% [(95% CI: 0.10-0.17)] have satisfactory nutritional practices. In multivariate analysis, household size of 5 members or more (OR = 3.89; 95% CI: 1.22-12.40; p = 0.021), access to the market (OR = 2.97; 95% CI: 1.48-5.96; p = 0.002), non-agricultural income (OR = 17.52; 95% CI: 6.79-45.18; p = 0.001), and being a member of a cooperative (OR = 32.38; 95% CI: 13.7-79.61; p = 0.001) are factors associated with nutritional knowledge. Factors such as non-agricultural income (OR = 28.35; 95% CI: 10.01-80.3; p = 0.000), involvement in community structures (OR = 26.48; 95% CI: 9.07-77.31; p = 0.000), and access to health services (OR = 9.91; 95% CI: 2.55-38.51; p = 0.001) are associated with nutritional practices, as well as the woman's profession, with an (OR = 101.6; 95% CI: 2.23-4617.9; p = 0.01) for female farmers and (OR = 85.59; 95% CI: 2.14-3413.9; p = 0.01) for female traders.
Conclusion: Our study, the first conducted on a large population of pregnant women in a rural setting, reports a low prevalence of nutritional knowledge and practices among pregnant women. These findings highlight the need for nutrition sensitization interventions among pregnant women to improve maternal and child health.
Description
Mémoire présenté et défendu publiquement en vue de l’obtention du diplôme de Master en Nutrition et Santé Option : Nutrition et Santé Publique