Evidence map›Paper›PMID 38517120›Full record

ArticleMaternal & child nutrition2024

Before and after study of a national complementary and supplementary feeding programme in Rwanda, 2017-2021.

Katharine A Hebert, Emmanuel Nsengiyumva, Christine Kayitesi, Karen Hariharan, Charles Opondo, Elaine Ferguson, Elizabeth Allen, Irene Uwonkunda, Adeline Ufitinema, Cyprien Baribwira

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  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

10 authors.

Katharine A HebertClinton Health Access Initiative, Boston, Massachusetts, USA.ORCID 0009-0007-0566-5318
Emmanuel NsengiyumvaClinton Health Access Initiative, Boston, Massachusetts, USA.
Christine KayitesiClinton Health Access Initiative, Boston, Massachusetts, USA.
Karen HariharanClinton Health Access Initiative, Boston, Massachusetts, USA.
Charles OpondoLondon School of Hygiene and Tropical Medicine, London, UK.
Elaine FergusonLondon School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-4673-5128
Elizabeth AllenLondon School of Hygiene and Tropical Medicine, London, UK.
Irene UwonkundaNational Child Development Agency, Kigali, Rwanda.
Adeline UfitinemaNational Child Development Agency, Kigali, Rwanda.
Cyprien BaribwiraInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland, USA.

Funding

Netherlands Development Finance Company (FMO)New Zealand Ministry of Foreign Affairs and Trade (MFAT)Sight and LifeU.K. Foreign, Commonwealth and Development Office (FCDO)
6 · The paper itself

Abstract

To address high rates of malnutrition among children from vulnerable households in Rwanda, the government initiated a national food supplementation programme. A before and after evaluation, using repeat cross-sectional surveys in randomly selected villages was conducted; aimed at assessing the effectiveness of providing fortified blended food (FBF) to children 18-23 months of age, pregnant and lactating women in the lowest tier of Rwanda's social support system. Data were collected in 2017, 2018 and 2021 through interviews with caregivers; anthropometric measurements and a capillary blood sample were obtained from children. The primary statistical analysis compared the nutritional status of children before and after the introduction of FBF. We enroled 724 children during each survey. The prevalence of stunting declined from 47% to 35% between 2017 and 2021; in 2018, the prevalence of stunting was 43%. Children had a 42% reduction in the odds of being stunted (adjusted odds ratio [AOR]: 0.58, 95% confidence interval [CI]: 0.47-0.74, p < 0.001) from 2017 to 2021 even after adjusting for inherent, distal, proximal, and intermediate covariates. The reduction in stunting observed within the first year of the programme was not statistically significant (AOR: 0.83, 95% CI: 0.67-1.03, p < 0.091). We observed meaningful reductions in the prevalence of stunting among children which coincided with the introduction of Government-led initiative to reduce malnutrition. The Rwandan Government has committed to improving the living conditions of vulnerable households and has made strong investments in reducing malnutrition. The impact of these investments can be seen in the overall trend towards improved nutritional status highlighted in this evaluation.

Indexed as

Growth DisordersInfant Nutritional Physiological PhenomenaNutritional StatusAdultCross-Sectional StudiesDietary SupplementsFemaleFood, FortifiedHumansInfantMalePrevalenceProgram EvaluationRwandachild development and growthcomplementary feedinginfantmicronutrientspregnant womenstunting

Identifiers

PMID38517120
PMCPMC11168355

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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.