Evidence map›Paper›PMID 38999745›Full record

ArticleNutrients2024

Evaluating Double-Duty Actions in Rwanda's Secondary Cities.

Sophia Demekas, Helen Prytherch, Francine Bayisenge, Straton Habumugisha, Klaus Kraemer, Jimena Monroy-Gomez, Immaculée Nabacu, Cornelia Speich, Innocente Turinimigisha, Dominique Barjolle

Abstract read
In one paragraph

Article in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Sophia DemekasDepartment of Environmental Systems Science, ETH Zürich, 8092 Zürich, Switzerland.ORCID 0009-0006-1891-9287
Helen PrytherchSwiss Tropical and Public Health Institute, 4123 Allschwil, Switzerland.ORCID 0000-0002-6999-5718
Francine BayisengeSwiss TPH, Kigali Office, KG 501 St 9, Kigali 23WV+XP, Rwanda.
Straton HabumugishaSight and Life, Kigali Office, P.O. Box 325, Kigali 23WV+V3, Rwanda.
Klaus KraemerSight and Life, 4303 Kaiseraugst, Switzerland.ORCID 0000-0002-2592-6104
Jimena Monroy-GomezIndependent Researcher, 1700 Fribourg, Switzerland.
Immaculée NabacuSight and Life, Kigali Office, P.O. Box 325, Kigali 23WV+V3, Rwanda.
Cornelia SpeichSwiss Tropical and Public Health Institute, 4123 Allschwil, Switzerland.ORCID 0000-0001-8749-6851
Innocente TurinimigishaSight and Life, Kigali Office, P.O. Box 325, Kigali 23WV+V3, Rwanda.
Dominique BarjolleDepartment of Environmental Systems Science, ETH Zürich, 8092 Zürich, Switzerland.ORCID 0000-0001-5125-9686

Funding

Swiss Cooperation and Development Agency 000
6 · The paper itself

Abstract

The double burden of malnutrition (DBM) is escalating in low- and middle-income countries (LMICs), including in Rwanda, most notably in urbanizing areas. The 2019-2020 Rwanda Demographic Health Survey (DHS) revealed that 33% of children under 5 years old are stunted while 42% of women in urban areas are overweight or obese. This coexistence has contributed to a surge in non-communicable diseases (NCDs), particularly in secondary cities. Using the World Health Organization's (WHOs) "double-duty action" (DDA) concept, this study aims to identify and evaluate interventions with double-duty potential in Rwanda's Rusizi and Rubavu districts and generate key recommendations for their improvement. A desk review of national policies pinpointed four programs with the greatest DDA potential: early childhood development (ECD) centers, the school feeding program, farmer field schools (FFS), and the provision of nutrition-sensitive direct support. In-person interviews with key stakeholders assessed the implementation of each program and a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis was used to generate context-specific recommendations for their improvement. The main finding of this research is that Rwanda's potential to address the DBM can be improved across multiple sectors by implementing a few key changes: targeting beliefs surrounding nutrition, improving trainings for community educators, enhancing parent-particularly father-involvement, and engaging in close monitoring and follow-up. These findings offer actionable streps that governments and nutrition stakeholders can take to improve similar interventions in other rapidly urbanizing LMICs.

Indexed as

CitiesChildChild, PreschoolFemaleHumansInfantMaleMalnutritionNutritional StatusRwandadouble burden of malnutritionfood system transitionnutrition interventionsnutrition policy

Identifiers

PMID38999745
PMCPMC11243673

What OpenQuestion holds

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LicenceCC BY
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.