ArticleAmerican journal of public health2016
Community-Based Health Financing and Child Stunting in Rural Rwanda.
Article in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Establishing a safe community program: a qualitative systematic literature review.BMC public health · 2025Pooled it
- Health insurance and the distribution of healthcare use in Rwanda's Vision Umurenge Programme: evidence from the Seventh Integrated Household Living Conditions Survey.Global health action · 2026Article
- Joint statistical analysis of household food insecurity and child stunting in Hawassa Zuria district, Sidama region, Ethiopia.Journal of health, population, and nutrition · 2025Article
- Non-Communicable Diseases in Children: Systems-Based Approaches to Incorporating Nutrition into Medical Care.Children (Basel, Switzerland) · 2025Article
- Associations between undernutrition and malaria infection: a case-control study from Rwanda.Malaria journal · 2025Article
- HIV response financing challenges in Sub-Saharan Africa: barriers to achieving the 95-95-95 UNAIDS targets.Frontiers in public health · 2025Review
- Financing for equity for women's, children's and adolescents' health in low- and middle-income countries: A scoping review.PLOS global public health · 2024Article
- Article
- Predictors and factors associated with stunting among under- five-year children: a cross-sectional population-based study in Rwanda of the 2014-2015 demographic and Health Survey.African health sciences · 2022Article
- Child stunting and associated risk factors in selected food-insecure areas in Rwanda: an analytical cross-sectional study.The Pan African medical journal · 2022Article
- A qualitative analysis of infant and young child feeding practices in rural Rwanda.Public health nutrition · 2021Article
- Health Insurance in Sub-Saharan Africa: A Scoping Review of the Methods Used to Evaluate its Impact.Applied health economics and health policy · 2020Article
- Benefits of Technology in the Age of COVID-19 and Diabetes. . .Mobile Phones From a Rwanda Perspective.Journal of diabetes science and technology · 2020Article
- Trends in burden and risk factors associated with childhood stunting in Rwanda from 2000 to 2015: policy and program implications.BMC public health · 2020Article
- Assessing national and subnational inequalities in medical care utilization and financial risk protection in Rwanda.International journal for equity in health · 2019Article
- Health inequality and community-based health insurance: a case study of rural Rwanda with repeated cross-sectional data.International journal of public health · 2019Article
- A Comparison of Health Achievements in Rwanda and Burundi.Health and human rights · 2018Article
- Decomposing health inequality with population-based surveys: a case study in Rwanda.International journal for equity in health · 2018Article
- Does foreign aid crowd out government investments? Evidence from rural health centres in Rwanda.BMJ global health · 2017Article
- Race to the Top: evaluation of a novel performance-based financing initiative to promote healthcare delivery in rural Rwanda.Global health actionArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectivesWe analyzed the likelihood of rural children (aged 6-24 months) being stunted according to whether they were enrolled in Mutuelles, a community-based health-financing program providing health insurance to rural populations and granting them access to health care, including nutrition services.
methodsWe retrieved health facility data from the District Health System Strengthening Tool and calculated the percentage of rural health centers that provided nutrition-related services required by Mutuelles' minimum service package. We used data from the 2010 Rwanda Demographic and Health Survey and performed multilevel logistic analysis to control for clustering effects and sociodemographic characteristics. The final sample was 1061 children.
resultsAmong 384 rural health centers, more than 90% conducted nutrition-related campaigns and malnutrition screening for children. Regardless of poverty status, the risk of being stunted was significantly lower (odds ratio = 0.60; 95% credible interval = 0.41, 0.83) for Mutuelles enrollees. This finding was robust to various model specifications (adjusted for Mutuelles enrollment, poverty status, other variables) or estimation methods (fixed and random effects).
conclusionsThis study provides evidence of the effectiveness of Mutuelles in improving child nutrition status and supported the hypothesis about the role of Mutuelles in expanding medical and nutritional care coverage for children.
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