Evidence map›Paper›PMID 35985782›Full record

ArticleBMJ open2022

Benchmarking policy goals and actions for healthy food environments in Ethiopia to prevent malnutrition in all its forms using document analysis.

Ursula Trübswasser, Jeroen Candel, Tirsit Genye, Anne Bossuyt, Michelle Holdsworth, Kaleab Baye, Elise Talsma

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 41% of its field
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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

7 authors at 5 institutions in 4 countries.

Ursula TrübswasserDivision of Human Nutrition and Health, Chair Group Global Nutrition, Wageningen University & Research, Wageningen, The Netherlands utruebswasser@gmail.com.ORCID 0000-0001-9178-7205
Jeroen CandelPublic Administration and Policy Group, Department of Social Sciences, Wageningen University & Research, Wageningen, The Netherlands.
Tirsit GenyeEthiopia NIPN Technical Assistance Project (ENTAP), International Food Policy Research Institute, Addis Ababa, Ethiopia.
Anne BossuytEthiopia NIPN Technical Assistance Project (ENTAP), International Food Policy Research Institute, Addis Ababa, Ethiopia.
Michelle HoldsworthUMR MoISA (Montpellier Interdisciplinary Center on Sustainable Agri-Food Systems), (Univ. Montpellier, CIRAD, CIHEAM-IAMM, INRAE, Institut Agro, IRD, Montpellier, France.
Kaleab BayeCenter for Food Science and Nutrition, Addis Ababa University, Addis Ababa, Ethiopia.
Elise TalsmaDivision of Human Nutrition and Health, Chair Group Global Nutrition, Wageningen University & Research, Wageningen, The Netherlands.
International Food Policy Research Institute · USUnité de Nutrition Humaine · FRAddis Ababa University · ETCentre de Coopération Internationale en Recherche Agronomique pour le Développement · FRWageningen University & Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUnhealthy diets resulting in overweight and obesity and diet-related non-communicable diseases are of increasing concern in Ethiopia, alongside persistent undernutrition, and have been linked to unhealthy food environments. Little is known about the policy response to unhealthy food environments in Ethiopia. The objective of this study was to assess how different food environment domains have been addressed in Ethiopian policy goals and action over time and how this compares with global good practice benchmarks.

settingEthiopia. PRIMARY AND SECONDARY OUTCOME MEASURES: We analysed intentions and plans of the government to act, using policy documents (outputs of decision-making in the form of published strategies, plans or policies) related to improving diets and nutritional status through healthy food environments in Ethiopia between 2008 and 2020. Our coding framework was guided by the policy component (n=7 domains) of the Healthy Food-Environment Policy Index, which was modified to include food quality and safety as an eighth domain.

resultsFrom the 127 policy outputs identified, 38 were retained, published by 9 different government ministries and institutions. Our results show that eight food environment domains have been addressed to some extent, but gaps remain compared with global best practice, especially in food promotion, processing, retail, price and trade. From 2018, policy began to embrace the wider food system, with more explicit food environment interventions becoming apparent.

conclusionsPolicy efforts achieved in food safety, food processing, marketing and labelling are important stepping stones to building future policy actions addressing the food environment domains of food retail, food provision and food trade. Benchmarking of food environment policy actions should also consider actions on food fortification, agro-processing and informal markets in the context of multiple forms of malnutrition.

Indexed as

BenchmarkingMalnutritionEthiopiaGoalsHealth PromotionHumansNutrition PolicyPublic Healthhealth policynutrition & dieteticspublic health

Identifiers

PMID35985782
PMCPMC9396152
OpenAlexW4292379995

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.