评估卢旺达二级城市的双重义务行动
Sophia Demekas1, Helen Prytherch2,3, Francine Bayisenge4
1Department of Environmental Systems Science, ETH Zürich, 8092 Zürich, Switzerland.
Nutrients
|July 13, 2024
概括
卢旺达面临着营养不良的双重负担,高发育迟缓和肥胖率. 通过有针对性的教育,加强培训和更多的家长参与来改善营养计划,可以有效地应对这种不断升级的公共卫生挑战.
科学领域:
- 公共卫生与营养
- 国际发展国际发展
- 卫生政策 卫生政策
背景情况:
- 营养不良的双重负担 (DBM),以营养不良和营养过剩为特征,是低收入和中等收入国家 (LMICs) 越来越关注的问题.
- 卢旺达具有显著的DBM,儿童发育迟缓和成人超重/肥胖率高,特别是在城市化地区,导致非传染性疾病 (NCD) 的增加.
研究的目的:
- 识别和评估具有"双重行动" (DDA) 潜力的干预措施,以解决卢旺达的DBM问题.
- 为改善Rusizi和Rubavu地区的营养计划提供特定背景的建议.
主要方法:
- 办公室审查国家政策,以确定具有DDA潜力的项目 (ECD中心,学校养,农民实地学校,对营养敏感的直接支持).
- 与关键利益相关者进行面试,以评估计划实施情况.
- 优势,弱点,机遇和威胁 (SWOT) 分析以提供建议.
主要成果:
- 确定有高DDA潜力的四个项目:幼儿发展中心,学校养计划,农民实地学校和对营养敏感的直接支持.
- 改善的关键领域包括解决营养信仰,加强社区教育工作者培训,增加家长 (特别是父亲) 的参与,加强监测和后续行动.
结论:
- 卢旺达可以通过在多个部门实施有针对性的变革来提高其解决DBM的能力.
- 建议侧重于改善现有的营养干预措施,以更好地应对营养不良和营养过剩,同时在城市化LMICs.
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