Understanding the context-specific causes of child malnutrition, including those related to political commitment and program and policy coherence, is essential for effectively reducing the prevalence of nutrition-related problems such as stunting and anemia and their subsequent negative impacts on human and national development. Between 2005 and 2015 Rwanda made substantial progress in reducing malnutrition, reducing stunting and anemia among children < 5 years of age by 14 and 15 percentage points, respectively. Despite these improvements, stunting and anemia remain important nutrition issues for young children in Rwanda with the prevalence of stunting (38%) among the highest in the world [8]. Furthermore, stunting reduction has varied across the country with some districts experiencing declines in stunting (“reduced stunting districts”), while in others stunting has either increased or stayed the same (“non-reduced stunting districts”). To facilitate greater progress in reducing child malnutrition in Rwanda, we conducted a Stories of Change Study which aimed to document the drivers of stunting and anemia reduction in Rwanda, understand what may have contributed to the variation in stunting reduction across districts, and to understand the remaining nutrition problems and the potential barriers and facilitators to future progress. The overall goal is for these results to be used by program implementers and policymakers to refine programs and policies to further reduce child malnutrition in Rwanda. This study was modeled after similar studies conducted in Bangladesh, Ethiopia, Odisha (India), Nepal, Sen-egal, and Zambia under the Stories of Change in Nutrition project.

Globally, undernutrition is related to almost half of the deaths in children younger than five years of age [1]. It leads to large human and economic costs to countries through increased morbidity and mortality in childhood, poor child growth and development, and hinders adult work capacity and productivity. These consequences, in turn, have serious implications for national development. Eliminating malnutrition has, therefore, been on the forefront of the political agenda of many countries worldwide and for global movements such as Scaling Up Nutrition (SUN). Extensive evidence on what nutritionspecific interventions work to reduce malnutrition exists[1]. Less is known, however, about how to effectively implement these interventions at scale, and what mix of interventions is needed to effectively address the multiple co-existing nutrition problems in different contexts (including nutritionsensitive programs). Additionally, greater clarity is needed on the role that commitment, program and policy coherence, and context-specific factors, play in creating enabling environments to reduce malnutrition. The Stories of Change (SoC) case studies, originally conducted in Bangladesh, Ethiopia, India (Odisha state), Nepal, Senegal, and Zambia, and now in Rwanda, aim to fill some of these knowledge gaps by examining the “drivers of change” in reducing malnutrition across different contexts.

Since the Sustainable Development Goals (SDGs) were adopted by the United Nations General Assembly in 2015, heads of state and ministers at global convenings have repeatedly expressed commitments in support of achieving SDG2 — Zero Hunger — by 2030. Yet progress toward SDG2 has stalled, owing to economic slowdowns, unforeseen crises, geopolitical conflict, and lackluster investment in agricultural productivity and open trade. Where have commitments to SDG2 fallen short? While SDG2 calls for ending global hunger, food insecurity, and malnutrition by 2030, this brief predominantly focuses on progress and commitments related to hunger and food insecurity. Drawing on the results of two recent studies, the policy brief (1) discusses trends and setbacks toward reducing hunger and food insecurity, (2) analyzes progress on the “means of implementation,” or mix of finances, technology, and policy choices, to address SDG2, (3) assesses 107 commitment statements in support of SDG2 made at 68 global meetings since 2015, and (4) explores how to improve accountability in the commitment-making process to accelerate progress toward Zero Hunger.

Achieving Sustainable Development Goal 2 (SDG 2), Zero Hunger, by 2030 is in jeopardy due to slowing and unequal economic growth, climate shocks, the COVID-19 pandemic, conflict, lackluster efforts toward investing in food system sustainability and agricultural productivity growth, and persistent barriers to open food trade. Nevertheless, numerous commitments to achieving SDG 2 have been repeatedly expressed by Heads of State and Ministers at diverse global meetings since the SDGs became a focus in 2015. To identify the intensity and degree of convergence of commitments that national governments have collectively made to realizing SDG 2, this paper provides a qualitative assessment of statements from more than 68 global meetings and 107 intergovernmental commitment documents since 2015. Analyzing these commitments against seven critical factors necessary for impact at scale, we find that stated intentions to solve the global food security and hunger challenge have become more pronounced at global meetings over time, especially in the wake of the crises. However, the intent to act is not consistently matched by commitments to specific actions that could help accelerate reductions in hunger. For instance, while increased financing is often recognized as a priority to reach SDG 2, few commitments in global fora relate to detailed costing of required investments. Similarly, many commitment statements lack specificity regarding what and how policy interventions should be scaled up for greater action on SDG 2 or the ways to enhance different stakeholders’ capacities to implement them. While horizontal coherence was mentioned across most global fora, it was only present in about half of the commitment statements, with even less recognition of the necessity for vertical coherence from global to local levels. Despite global acknowledgement of the importance of accountability and monitoring, usually by way of progress reports, we find few consequences for governments that do not act on commitments made in global fora. We discuss the implications of these findings and offer recommendations for how to strengthen the commitment-making process to help accelerate actions that can reduce food insecurity and hunger and augment the legitimacy of global meetings. This work can inform the policy advocacy community focused on SDG 2 and those engaged in catalyzing and supporting intergovernmental action on other SDGs. Our findings reiterate the importance of attention to global governance and the political economy of global meetings—which is necessary to strengthen our focus on delivering outcomes that put the world on a path that brings the solution to the problems of global hunger and food insecurity within reach.

Despite significant progress, childhood stunting is still a serious public health concern in Rwanda. To make further progress in reduc-ing child stunting it is essential to understand the context-specific drivers of stunting to devise strategies to address these causes. The primary objective of this study was to assess the drivers of change in stunting reduction among children 0-59 months of age between 2005 and 2015 in Rwanda.