scholarly journals Implementing Multisector Nutrition Programs in Ethiopia and Nepal

2016 ◽  
Vol 37 (4_suppl) ◽  
pp. S115-S123 ◽  
Author(s):  
Eileen Kennedy ◽  
Habtamu Fekadu ◽  
Shibani Ghosh ◽  
Kedar Baral ◽  
Dale Davis ◽  
...  

Effective governance is essential for effective nutrition program implementation. There are additional challenges in launching multisector plans to enhance nutritional status. The present study compares the challenges and opportunities in Ethiopia and Nepal in designing and implementing a multisector plan for nutrition. A semi-quantitative questionnaire with open-ended questions was used to solicit information from senior national-level policy officials and other key stakeholders. The nature of the major nutrition problems in each country was similar; these include malnutrition (particularly stunting), food insecurity, and micronutrient malnutrition. The main challenges identified included the need for more specificity in the roles of agencies/individuals in program implementation, more effective mechanisms for linking national to subnational officials, methods for creating awareness of the plans, and a dedicated line item in the budgets of each agency. The level of enthusiasm was high in both countries. Respondents in both countries highlighted the need to identify a “champion” at the highest level who would keep the momentum for the respective plans alive.

2012 ◽  
Vol 33 (2_suppl1) ◽  
pp. S71-S92 ◽  
Author(s):  
Usha Ramakrishnan ◽  
Alyssa Lowe ◽  
Sheila Vir ◽  
Shuba Kumar ◽  
Rani Mohanraj ◽  
...  

Background Inadequate nutrient intake, early and multiple pregnancies, poverty, caste discrimination, and gender inequality contribute to poor maternal nutrition in India. While malnutrition is seen throughout the life cycle, it is most acute during childhood, adolescence, pregnancy, and lactation. Although nutrition policies are on the books and interventions are in place, child malnutrition and maternal undernutrition persist as severe public health problems. Objective To evaluate the implementation of maternal nutrition programs in India. Methods The research was conducted in two phases. Phase 1 consisted of a desk review of national and state policies pertinent to maternal nutrition and national-level key informant interviews with respondents who have a working knowledge of relevant organizations and interventions. Phase 2 utilized in-depth interviews and focus group discussions at the state, district, and community levels in eight districts of two states: Tamil Nadu and Uttar Pradesh. All data were analyzed thematically. Results India has a rich portfolio of programs and policies that address maternal health and nutrition; however, systematic weaknesses, logistical gaps, resource scarcity, and poor utilization continue to hamper progress. Conclusions Elevating the priority given to maternal nutrition in government health programs and implementing strategies to improve women's status will help to address many of the challenges facing India's nutrition programs. Programs can be strengthened by promoting integration of services, ensuring effective procurement mechanisms for micronutrient and food supplements, establishing regional training facilities for improved program implementation, and strengthening program monitoring and evaluation.


Author(s):  
Waliou Amoussa Hounkpatin ◽  
Carmelle Mizehoun-Adissoda ◽  
Jaurès Lokonon ◽  
Ulbad Polycarpe Tougan ◽  
Jean Luc Satchi Gbondje ◽  
...  

Background: Nutrition is a major determinant of health and an essential factor in the development of countries. Faced with food insecurity and malnutrition, Benin has implemented policies and programs aiming to reduce the progression of this burden. Aims: To take inventory of nutritional status and interventions implemented to reduce the prevalence of different forms of malnutrition and food insecurity in Benin. Methods: A review of nutritional and food data available at the national level and consultation of intervention management reports was carried out from May to July 2020 and then, the data were compiled and structured. Results: Even though Benin has natural resources and remarkable biodiversity, the country faces a double nutritional burden marked by undernutrition: stunting (32%), anemia (71.5%), underweight (17%), wasting (5%) in children under 5 years, exclusive breastfeeding rate (42%) and over-nutrition: obesity (7.4%), diabetes (12.4%) in adults. Food insecurity remains persistent in 9.6% of households and undernourishment concerns 7.4%. The main interventions at the community level are made by the National Integrated School Feeding Program and the Coordinated Early Childhood Nutrition and Development Project. In addition, are the implementation of essential nutrition actions and nutrition-sensitive interventions involving different sectors such as, non-governmental organizations and technical and financial partners. Conclusion: Food and nutrition situation in Benin has been slightly improved thanks to the implementation of multisectoral coordination of interventions. Nonetheless, many challenges remain to be addressed, including the scaling up of successful interventions and advocacy for a substantial mobilization of resources in order to achieve global nutrition targets and sustainable development goals. Keywords: Nutritional status, Diet, Intervention, Benin.


Author(s):  
Waliou Amoussa Hounkpatin ◽  
Carmelle Mizehoun-Adissoda ◽  
Jaurès Lokonon ◽  
Ulbad Polycarpe Tougan ◽  
Jean Luc Satchi Gbondje ◽  
...  

Background: Nutrition is a major determinant of health and an essential factor in the development of countries. Faced with food insecurity and malnutrition, Benin has implemented policies and programs aiming to reduce the progression of this burden. Aims: To take inventory of nutritional status and interventions implemented to reduce the prevalence of different forms of malnutrition and food insecurity in Benin. Methods: A review of nutritional and food data available at the national level and consultation of intervention management reports was carried out from May to July 2020 and then, the data were compiled and structured. Results: Even though Benin has natural resources and remarkable biodiversity, the country faces a double nutritional burden marked by undernutrition: stunting (32%), anemia (71.5%), underweight (17%), wasting (5%) in children under 5 years, exclusive breastfeeding rate (42%) and over-nutrition: obesity (7.4%), diabetes (12.4%) in adults. Food insecurity remains persistent in 9.6% of households and undernourishment concerns 7.4%. The main interventions at the community level are made by the National Integrated School Feeding Program and the Coordinated Early Childhood Nutrition and Development Project. In addition, are the implementation of essential nutrition actions and nutrition-sensitive interventions involving different sectors such as, non-governmental organizations and technical and financial partners. Conclusion: Food and nutrition situation in Benin has been slightly improved thanks to the implementation of multisectoral coordination of interventions. Nonetheless, many challenges remain to be addressed, including the scaling up of successful interventions and advocacy for a substantial mobilization of resources in order to achieve global nutrition targets and sustainable development goals. Keywords: Nutritional status, Diet, Intervention, Benin.


2021 ◽  
pp. 089011712110561
Author(s):  
Karen Strazza ◽  
Julia Jordan ◽  
Kate Ferriola-Bruckenstein ◽  
Heather Kane ◽  
John Whitehill ◽  
...  

Purpose This study describes how recipients of the Centers for Disease Control and Prevention funded Sodium Reduction in Communities Program (SRCP) worked with emergency food programs to improve access to healthy food to address chronic conditions. Design SRCP recipients partnered with emergency food programs to implement sodium reduction strategies including nutrition standards, procurement practices, environmental strategies, and behavioral economics approaches. Setting SRCP recipients and emergency food programs in Washington County and Benton County, Arkansas and King County, Washington. Subjects SRCP recipient staff, emergency food program staff, and key stakeholders. Measures We conducted semi-structured interviews with key stakeholders and systematic review of program documents. Analysis Data were analyzed using effects matrices for each recipient. Matrices were organized using select implementation science constructs and compared in a cross-case analysis. Results Despite limited resources, emergency food programs can implement sodium reduction interventions which may provide greater access to healthy foods and lead to reductions in health disparities. Emergency food programs successfully implemented sodium reduction interventions by building on the external and internal settings; selecting strategies that align with existing processes; implementing change incrementally and engaging staff, volunteers, and clients; and sustaining changes. Conclusion Findings contribute to understanding the ways in which emergency food programs and other organizations with limited resources have implemented public health nutrition interventions addressing food insecurity and improving access to healthy foods. These strategies may be transferable to other settings with limited resources.


2017 ◽  
Vol 672 (1) ◽  
pp. 217-237 ◽  
Author(s):  
Craig Gundersen ◽  
Adam Dewey ◽  
Monica Hake ◽  
Emily Engelhard ◽  
Amy S. Crumbaugh

An extensive literature has described U.S. food insecurity and its determinants, but there has been little work on the geographic distribution of food insecurity and no work on the distribution of private food assistance by geography. To study the former, we use data from the Map the Meal Gap (MMG) project, which is broken down by Rural-Urban Continuum Codes. For the latter, we combine MMG data with data from the Hunger in America 2014 (HIA 2014) survey to determine the geographic distribution of charitable food assistance. At the national level, we find few differences across the rural-urban interface, but we do find differences within and across regions. We also find that regardless of how it is measured, the distribution of charitable food assistance is directed more toward counties with smaller populations—a finding that holds even after controlling for factors that influence the distribution of charitable assistance.


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