Stakeholder perspectives on promoting health enhancing sport through the Rwanda Sports Policy

Sport is an adaptable channel for change. It has been widely used to enhance health and wellbeing, foster social cohesion, and engender peace and development in different societies. The government of Rwanda developed a Sports Development Policy (SDP) to advance sports within the spectrum of its development agendas. However, the extent to which health constructs are integrated and implemented within the tenets of this policy remain unexplored, despite their pivotal role in population wellbeing and in contributing to the country's overarching development goals. This study sought to understand if and how the Rwanda SDP promotes sports for health from the stakeholders' perspectives. In-depth semi structured interviews were used for thirteen purposively sampled stakeholders of the SDP. Thematic and narrative analysis were used to examine and report the findings. Themes highlighted a progressive awareness of the Sports Policy pertaining to health outcomes, less involvement of stakeholders in sport policy formulation which affected its implementation, disproportionate efforts between sports policies for health, competitive, and mass sports activities. Stakeholders further underscored cultural beliefs, attitudes, and contextual environmental factors as the key constraints to bridge the policy theory and practice of sports. Finally, findings emphasise the integral role stakeholders play in the life course of a policy. Further, the SDP does not primarily promote sports for health, but rather elite sports, on the premise that health benefits are automatically achieved through participation in sports activities. Thus, reinforcements are still needed to clearly define the national physical activity plan either through the SDP or other national physical activity guidelines.