Academic Journal
Evaluating Double-Duty Actions in Rwanda’s Secondary Cities
| العنوان: | Evaluating Double-Duty Actions in Rwanda’s Secondary Cities |
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| المؤلفون: | Sophia Demekas, Helen Prytherch, Francine Bayisenge, Straton Habumugisha, Klaus Kraemer, Jimena Monroy-Gomez, Immaculée Nabacu, Cornelia Speich, Innocente Turinimigisha, Dominique Barjolle |
| المصدر: | Nutrients, Vol 16, Iss 13, p 1998 (2024) |
| بيانات النشر: | MDPI AG |
| سنة النشر: | 2024 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | double burden of malnutrition, food system transition, nutrition policy, nutrition interventions, Nutrition. Foods and food supply, TX341-641 |
| الوصف: | 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. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2072-6643 |
| Relation: | https://www.mdpi.com/2072-6643/16/13/1998; https://doaj.org/toc/2072-6643; https://doaj.org/article/2fc92a0eec904c27a341f4e9c1dc07ae |
| DOI: | 10.3390/nu16131998 |
| الاتاحة: | https://doi.org/10.3390/nu16131998 https://doaj.org/article/2fc92a0eec904c27a341f4e9c1dc07ae |
| رقم الانضمام: | edsbas.E457F613 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 20726643 |
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| DOI: | 10.3390/nu16131998 |