Malnutrition among Pygmy children under five in Bafwasende (DRC), 2025: A cross-sectional study
DOI:
https://doi.org/10.62438/tunismed.v103i10.6381Keywords:
Malnutrition, Prevalence, Pygmy children, Nutritional status, Tshopo ProvinceAbstract
Introduction: Malnutrition remains a major public health issue in the Democratic Republic of Congo, particularly affecting marginalized indigenous populations. Socioeconomic, cultural, and environmental factors contribute to their vulnerability. This study aims to identify factors associated with malnutrition among Pygmy children under five years of age in the Bafwasende territory.
Methodology: A cross-sectional descriptive study was conducted among children and their mothers/caregivers in Bafwasende, Tshopo province. Data were collected using KoboCollect and analyzed with SPSS. Nutritional status was assessed using WHO Anthro Z-Scores to evaluate underweight, stunting, and wasting. Descriptive statistics were applied, with absolute and relative frequencies used for categorical variables.
Results: Among 455 children, 28,4% suffer from acute malnutrition(wasting), 69,0% have stunting, and 47,3% have underweight. Children from low-food consumption households, with food expenditures of less than 5,000 CDF, as well as those aged 6 to 11 months, are most at risk. Malnutrition is also more common among children of very young, uneducated, or separated mothers.
Conclusion: The study highlights an alarming situation, requiring targeted interventions adapted to the cultural and socio-economic realities of indigenous peoples to improve their health and nutrition.
Downloads
References
World Health Organization. Nutrition and Food Safety. Geneva: World Health Organization; 2023. Available from: https://www.who.int
Ministry of Public Health, Hygiene and Prevention (Democratic Republic of Congo). Analysis of the nutritional situation of indigenous children in the DRC. Kinshasa: Ministry of Health; 2023.
United Nations Children’s Fund. The State of the World's Children 2024 – Statistical Compendium. New York: UNICEF; 2024. Available from: https://data.unicef.org
International Fund for Agricultural Development. Sustainable and resilient food systems for indigenous peoples. Rome: International Fund for Agricultural Development; 2022. Available from: https://www.ifad.org
National Nutrition Program. National Nutrition Survey (ENN 2023). Kinshasa: Ministry of Health, Democratic Republic of Congo; 2023. Available from: https://pronanutrdc.org
Ministry of Public Health, Hygiene and Prevention (Democratic Republic of Congo), in collaboration with The Demographic and Health Surveys Program. Democratic Republic of Congo Demographic and Health Survey 2024 (EDS-RDC 2024). Rockville (MD): ICF; 2024. Available from: https://dhsprogram.com/pubs/pdf/FR400/FR400.pdf
Food and Agriculture Organization of the United Nations. Integrated Response Programme for Malnutrition and Food Insecurity in the Democratic Republic of Congo. Rome: Food and Agriculture Organization; 2021. Available from: https://www.fao.org
International Labour Organization. Convention No. 169 concerning Indigenous and Tribal Peoples. Geneva: International Labour Organization; 2020. Available from: https://www.ilo.org
Kayembe PK, Mbuyi CM, Tshimanga M. Factors associated with malnutrition in children under five years of age in the Democratic Republic of Congo. Congolese Journal of Public Health. 2022;14(2):45–53.
Action Against Hunger. Why does world hunger still exist? Paris: Action Against Hunger; 2022. Available from: https://www.actioncontrelafaim.org
Nkongolo BK, Muyer MC. Prevalence and inequalities of malnutrition in Befale territory, Democratic Republic of Congo, 2022. Journal of Global Health Economics and Policy. 2023;3:e2023012. doi:10.52872/001c.122853
United Nations Educational, Scientific and Cultural Organization. Mbandaka: UNESCO promotes the valorization of indigenous Pygmy knowledge. Paris: UNESCO; 2021. Available from: https://www.unesco.org
Pan American Health Organization. Nutritional status of indigenous children in Latin America. Washington (DC): Pan American Health Organization; 2021. Available from: https://www.paho.org
Food and Agriculture Organization of the United Nations. The State of Food Security and Nutrition in the World 2019. Rome: Food and Agriculture Organization; 2019. Available from: https://www.fao.org
United Nations Children’s Fund. Nutrition of children and women in the Democratic Republic of Congo. Kinshasa: UNICEF; 2020. Available from: https://www.unicef.org/drcongo/nutrition
International Fund for Agricultural Development. Indigenous Peoples’ Food Systems for Better Nutrition. Rome: International Fund for Agricultural Development; 2022. Available from: https://www.ifad.org
Berhe KT, Gesesew HA, Ward PR. Traditional healing practices and their impact on mental health in sub-Saharan Africa: a systematic review. BMJ Open. 2024;14(9):e083004. doi:10.1136/bmjopen-2024-083004
Ahlberg BM. Integrated health care systems and indigenous medicine: reflections from sub-Saharan Africa. Frontiers in Sociology. 2017;2:12. doi:10.3389/fsoc.2017.00012
Adu-Gyamfi S, Anderson EN. Indigenous medicine and traditional healing in Africa: a systematic synthesis of the literature. Open Access Journal of Oncology Medicine. 2019;2(1):1–12
Additional Files
Published
Issue
Section
Categories
License
Copyright (c) 2025 La Tunisie Médicale

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.