Evidence map›Paper›PMID 32830637›Full record

ArticlePublic health nutrition2021

Double-duty solutions for optimising maternal and child nutrition in urban South Africa: a qualitative study.

Agnes Erzse, Susan Goldstein, Shane A Norris, Daniella Watson, Sarah H Kehoe, Mary Barker, Emmanuel Cohen, Karen J Hofman

Abstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Urban Nutrition in the Global South: A Narrative Review of Current Research.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
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  17. Public health nutrition · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Agnes ErzseSAMRC/Centre for Health Economics and Decision Science, PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand,Johannesburg, South Africa.
Susan GoldsteinSAMRC/Centre for Health Economics and Decision Science, PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand,Johannesburg, South Africa.
Shane A NorrisSAMRC/Wits Developmental Pathways for Health Research Unit (DPHRU), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Daniella WatsonSchool of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID 0000-0001-6353-7495
Sarah H KehoeMRC Lifecourse Epidemiology Unit, University of Southampton and NIHR Southampton Biomedical Research Centre, University Hospitals Southampton NHS Foundation Trust, Southampton, UK.
Mary BarkerMRC Lifecourse Epidemiology Unit, University of Southampton and NIHR Southampton Biomedical Research Centre, University Hospitals Southampton NHS Foundation Trust, Southampton, UK.
Emmanuel CohenSAMRC/Wits Developmental Pathways for Health Research Unit (DPHRU), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Karen J HofmanSAMRC/Centre for Health Economics and Decision Science, PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand,Johannesburg, South Africa.

Funding

Department of Health RP-PG-0216-20004Medical Research Council G0400519Medical Research Council MC_PC_MR/R018545/1Medical Research Council MC_UP_A620_1016Medical Research Council MC_UU_12011/3Medical Research Council MC_UU_12011/4Medical Research Council MR/N011848/1
6 · The paper itself

Abstract

objectiveTo obtain a community perspective on key nutrition-specific problems and solutions for mothers and children.

designA qualitative study comprising nine focus group discussions (FGD) following a semi-structured interview guide.

settingThe township of Soweto in South Africa with a rising prevalence of double burden of malnutrition.

participantsMen and women aged ≥18 years (n 66). Three FGD held with men, six with women.

resultsDespite participants perceived healthy diet to be important, they felt their ability to maintain a healthy diet was limited. Inexpensive, unhealthy food was easier to access in Soweto than healthier alternatives. Factors such as land use, hygiene and low income played a fundamental role in shaping access to foods and decisions about what to eat. Participants suggested four broad areas for change: health sector, social protection, the food system and food environment. Their solutions ranged from improved nutrition education for women at clinic visits, communal vegetable gardens and government provision of food parcels to regulatory measures to improve the healthiness of their food environment.

conclusionsSouth Africa's current nutrition policy environment does not adequately address community-level needs that are often linked to structural factors beyond the health sector. Our findings suggest that to successfully address the double burden of malnutrition among women and children, a multifaceted approach is needed combining action on the ground with coherent policies that address upstream factors, including poverty. Further, there is a need for public engagement and integration of community perspectives and priorities in developing and implementing double-duty actions to improve nutrition.

Indexed as

Child Nutritional Physiological PhenomenaPovertyAdolescentAdultChildFemaleHumansMothersSouth AfricaVegetablesDouble burden of malnutritionDouble-duty actionsMaternal and child healthSouth AfricaUpstream determinants of health

Identifiers

PMID32830637
PMCPMC10195233

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.