Rwanda Journal of Medicine and Health Sciences
Rwanda J Med Health Sci. 2025;8(3):502–513 · PMID: 41694270
The Determinants of Exclusive Breastfeeding in Rwanda: A Secondary Data Analysis of the RDHS 2019/2020
Munyambaraga IC, Dushimimana P, Tuyishime I, Turabayo JL, Manishimwe P, Nayituriki WG, Mushimiyimana TK, Cyubahiro A, Byiringiro H, Umutoniwase EM, Nizeyimana JP, Ikuzwe C, Ubuzima P, Habtu M.
Abstract
A weighted secondary data analysis of the 2019–2020 Rwanda Demographic and Health Survey (RDHS) including 4,359 children under five. The study found an exclusive breastfeeding (EBF) prevalence of 80.5%. Mothers in the Southern (AOR 1.948), Western (AOR 2.391), and Northern (AOR 2.091) provinces had significantly higher odds of EBF compared to Kigali. Wealthier mothers were substantially less likely to breastfeed exclusively (AOR 0.524, 95% CI: 0.364–0.753), highlighting socioeconomic and geographic inequities in infant feeding practices.
Key Findings
- EBF prevalence: 80.5% nationally (down from 87% in 2015)
- Southern Province: AOR 1.948 (95% CI: 1.151–3.299)
- Western Province: AOR 2.391 (95% CI: 1.549–3.690)
- Northern Province: AOR 2.091 (95% CI: 1.141–3.831)
- Rich wealth quintile: AOR 0.524 — significantly less likely to EBF
Exclusive Breastfeeding
RDHS 2019/2020
Maternal & Child Health
Rwanda
Cross-sectional Study