Knowledge, attitudes, and practices regarding complementary feeding among mothers in Rwamagana District, Rwanda: a cross-sectional study

Abstract

<title>Abstract</title> Objective Malnutrition remains a critical barrier to child health in low- and middle-income countries. In Rwanda, while national stunting rates have declined, they remain high among children under two years of age. To assess mothers' knowledge, attitudes, and practices (KAP) regarding complementary feeding for children aged 6–23 months in Rwamagana District, this study was conducted. Results A cross-sectional study was conducted with 92 mothers attending two health centers in Rwamagana. The majority of mothers (91.3%) correctly identified six months as the appropriate age to introduce complementary foods, and 89.1% had breastfed in the previous 24 hours. However, dietary diversity was suboptimal: 80.4% of children consumed dark green vegetables, 14.1% consumed meat, and 5.4% consumed fish. A significant proportion of mothers (71.7%) prioritized watery porridge over nutrient-dense thick porridge. Despite high maternal confidence (77.2%) and positive attitudes toward breastfeeding beyond six months (97.8%), gaps remain in the quality and diversity of complementary foods provided.