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We definequality as the extent to which a review addresses a sensible research question anduses rigorous methods (including appropriate methodological safeguards against bias)to search the literature, select eligible studies and collect data, appraise thequality of studies, and synthesize and interpret findings (14, 15). There is empirical evidence that systematic reviews in thebiomedical literature often have important limitations (6–8). Only 16 (10.7%) reviews used anestablished system to evaluate the certainty of evidence. Limitations included no analysis of quality (due to the breadth of the evidence retrieved); the potential for key relevant data to be missed by our search (especially those in languages not interpretable by the research team); and the lack of data reporting on malnutrition across all countries in South Asia. 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