Abstract

Diet quality is a critical determinant of human health and increasingly serves as a key indicator for food system sustainability. However, data on diets are limited, scattered, often project-dependent, and current data collection systems do not support high-frequency or consistent data flows. We piloted in Rwanda a data collection system, powered by the principles of citizen science, to acquire high frequency data on diets. The system was deployed through an unstructured supplementary service data platform, where respondents were invited to answer questions regarding their dietary intake. By combining micro-incentives with a normative nudge, 9,726 responses have been crowdsourced over 8 weeks of data collection. The cost per respondent was < $1 (system set-up, maintenance, and a small payment to respondents), with interactions taking <15 min. Exploratory analyses show that >70% of respondents consume tubers and starchy vegetables, leafy vegetables, fruits, legumes, and wholegrains. Women consumed better quality diets than male respondents, revealing a sex-based disparity in diet quality. Similarly, younger respondents (age ≤ 24 years) consumed the lowest quality diets, which may pose significant risks to their health and mental well-being. Middle-income Rwandans were identified to have consumed the highest quality diets. Long-term tracking of diet quality metrics could help flag populations and locations with high probabilities of nutrition insecurity, in turn guiding relevant interventions to mitigate associated health and social risks.

Highlights

  • The triple burden of malnutrition: undernourishment, micronutrient deficiencies, and over nutrition is a global challenge, with almost a billion people experiencing undernutrition and a further 2 billion currently overweight (Global Nutrition Report Independent Expert Group, 2020)

  • We aim to develop a generic and widely applicable data collection system that leverages on the application of citizen science and digital tools for high frequency collection of diet data

  • We have developed and tested an innovative system that leverages digital tools to directly crowdsource diet quality information from across Rwandan society

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Summary

Introduction

The triple burden of malnutrition: undernourishment, micronutrient deficiencies, and over nutrition is a global challenge, with almost a billion people experiencing undernutrition and a further 2 billion currently overweight (Global Nutrition Report Independent Expert Group, 2020). High-Frequency Diet Quality Data Collection (Reinhardt and Fanzo, 2014), with undernutrition often associated with lower and middle-income countries and overnutrition with high income countries This spectrum is increasingly blurred, with the different forms of malnutrition observable in the same country, household, and even in the same person (Doak et al, 2000, 2005; Global Nutrition Report Independent Expert Group, 2018). In lower-middle income countries (LMICs), increased consumption of both healthy and unhealthy foods has been observed (Imamura et al, 2015) These dynamic patterns are in many cases the manifestation of nutrition transitions, where wealthier and more urban individuals shift towards consumption of processed, sweetened, and salted foods (Popkin, 2015). A consequence of such a transition is that the population of overweight children is larger than that suffering wasting (FAO, 2018; World Bank, 2019; Kinyonki et al, 2020)

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