cohort·obstetrics and gynecology, pediatrics, public health, nutrition, epidemiology·PMC10594532
Disparities in health and nutrition between semi-urban and rural mothers and birth outcomes of their newborns in Bukavu, DR Congo: a baseline assessment
Primary Health Care Research & Development · 5 authors, 6 centres
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This baseline survey compared health and nutrition practices during pregnancy and birth outcomes between semi-urban and rural mothers in Bukavu, DR Congo. It found significant disparities, with rural areas having higher rates of low birth weight and lower rates of beneficial antenatal practices.
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This study conducted a baseline survey of 471 mother-child pairs recruited post-delivery in two semi-urban and one rural hospital near Bukavu, DRC. The survey assessed socio-demographic parameters, maternal nutrition and health practices during pregnancy, and anthropometric measures. Comparisons revealed significant disparities: rural mothers had lower rates of antimalarial medication use (80.8% vs. 88.6%), deworming (24.6% vs. 88.3%), nutritional supplement consumption (81.5% vs. 89.3%), and being informed about nutrition by medical staff (32.8% vs. 17.1%). The rate of low birth weight was higher in the rural area (10.7% vs. 2.7%). Regression analysis identified rural location as a negative predictor of birth weight, while maternal mid-upper arm circumference (MUAC), age, and gestational age were positive predictors. Limitations include potential selection bias from hospital recruitment, small number of facilities, possible measurement errors, and retrospective self-reporting of pregnancy data. The findings underscore the need to strengthen antenatal care services, especially in rural areas, to improve maternal and infant health.