KNOWLEDGE AND ATTITUDE TOWARDS THE INTEGRATED EARLY CHILDHOOD DEVELOPMENT SERVICES AMONG CAREGIVERS IN BURERA DISTRICT OF RWANDA
Globally poor developmental milestones for under 5 years are critical public health issues. Nearly 200 million children are at risk of not meeting adequate developmental milestones in their first five years. Rwanda is among countries that face poor child development where 38% of children under the age of five are stunting. To find long term solution of poor child development, GoR have introduced community based solution where all parents with under 6 children receive Early Childhood Development (ECD) services in their community. However, since the introduction of ECD services, parent’s knowledge and attitude on the components or benefits of integrated ECD are not well known. Thus this study was carried out to examine the knowledge and attitude towards IECD among caregivers mostly with children aged under-six years in Burera district of Rwanda. The study was conducted under cross-sectional research design where structured questionnaire was used as research instruments. The simple random sampling was used. Data were analyzed using SPSS 22.0 and presented in form of percentages, frequencies and graphs. Descriptive statistics were used to analyze quantitative data and Logistic regression were be used to examine the fac-tors associated with caregivers ‘of knowledge towards IECD services in Burera District, where odd ratio and 95% confidence interval were estimated. This study involved 300 caregivers as a total sample, of which 256 (85.3%) were female. The total of 249 (83%) were married while 25 (8.3%) were single. Only 26% of respondents had secondary school level. Majority of caregiver’s occupation was agriculture 90.3%. The caregivers in Burera district has satisfactory knowledge towards IECD services, 50.0% showed good knowledge and 43% showed moderate knowledge according to original bloom’s cutoff points. Therefore 93% of the caregivers in Burera District has satisfactory knowledge. And the result shows that 90.7% of caregivers in Burera has satisfactory attitudes towards IECD services. Married caregivers were less likely to have poor knowledge on IECD service [AOR=0.065; 95%CI: 0.008-0.539, p=0.011]. Caregiver’s from a household with 2-4 household members were nearly four times more likely to have good knowledge on IECD services [AOR=3.710; 95%CI: 1.420-9.694, p=0.007]. Father’s as secondary caregiver’s were less likely to have good knowledge on IECD services [AOR=0.113; 95%CI: 0.038-0.340, p=0.001]. Being married, having less than four household members and being father as secondary caregiver’s were factors associated with IECD service knowledge. The study therefore concluded that caregivers in Burera district have satisfactory knowledge on child development and demonstrated good attitude to child development. Research recommended that Burera district officials should have a joint plan of action that prepared at the local level with the aim of improving parent knowledge and attitude towards IECD services focusing on divorced, window or separated caregivers. Health professional or a local authority should have a time to provide messages related to IECD services to father’s caregivers.
- School of Public Health