scholarly journals Prioritizing and Funding Nepal’s Multisector Nutrition Plan

2016 ◽  
Vol 37 (4_suppl) ◽  
pp. S151-S169 ◽  
Author(s):  
Amanda Pomeroy-Stevens ◽  
Madhukar B. Shrestha ◽  
Monica Biradavolu ◽  
Kusum Hachhethu ◽  
Robin Houston ◽  
...  
Keyword(s):  
Human Resources ◽  
Policy Implementation ◽  
Priority Setting ◽  
Mixed Method ◽  
Longitudinal Design ◽  
Nutrition Policy ◽  
Local Planning ◽  
Enabling Environment ◽  
Central Level ◽  
Qualitative Changes

Background: Nepal has a long tradition of designing good multisectoral nutrition policy. However, success of policy implementation has varied. More evidence on how to successfully carry out multisector nutrition policy is needed. Objective: We tracked the influence of Nepal’s multisectoral nutrition plan (MSNP) on the process of priority setting and budgeting from 2014 to 2016. Methods: This study used a mixed-method longitudinal design to track qualitative and budgetary changes related to MSNP processes nationally as well as in 3 districts. Qualitative changes in each study area were assessed through interviews, observation, news content, and meeting notes. Changes in allocations and expenditures were calculated based on budget documents, work plans, and validation interviews. Results: Improved understanding of the MSNP was documented nationally and in study districts but not in VDCs. Human resources, ownership, bottom-up planning, coordination, advocacy, and sustainable structures all emerged as important factors within the enabling environment. Evidence suggests the MSNP influenced improvements in the last 3 factors. We also found notable increases in activities and financing for nutrition—allocations increased steadily between FY 2013–2014 and FY 2015–2016, and 28% of total nutrition allocations in the final year came from new or expanded MSNP-affiliated activities. Data from 3 districts highlight challenges linking local planning and budgeting to central-level structures. Conclusions: The MSNP appears to have strengthened the nutrition system in Nepal and increased priority and funding for nutrition. Next steps include strengthening linkages to the districts and below. Other countries can learn from the MSNP’s success in increasing investment for nutrition.

scholarly journals Prioritizing and Funding the Uganda Nutrition Action Plan

2016 ◽  
Vol 37 (4_suppl) ◽  
pp. S124-S141 ◽  
Author(s):  
Amanda Pomeroy-Stevens ◽  
Alexis D’Agostino ◽  
Nancy Adero ◽  
Hannah Foehringer Merchant ◽  
Abel Muzoora ◽  
...  
Keyword(s):  
Human Resources ◽  
Priority Setting ◽  
Action Plan ◽  
Nutrition Knowledge ◽  
Mixed Methods Design ◽  
Enabling Factors ◽  
Expenditure Data ◽  
Funding Mechanisms ◽  
High Level ◽  
Qualitative Changes

Background: In 2010, Uganda began developing its first multisectoral nutrition plan, the Uganda Nutrition Action Plan (UNAP), to reduce malnutrition. While the UNAP signals high-level commitment to addressing nutrition, knowledge gaps remain about how to successfully implement such a plan. Objective: We tracked the UNAP’s influence on the process of priority setting and funding for nutrition from 2013 to 2015. Methods: This study used a longitudinal mixed methods design to track qualitative and budgetary changes related to UNAP processes nationally as well as in 2 study districts. Qualitative changes were assessed through interviews, news content, and meeting notes. Changes in allocations and expenditures were calculated based on budget documents, work plans, and validation interviews. Results: Important enabling factors named by stakeholders included identity, human resources, sustainable structures, coordination, advocacy, and adaptation of the UNAP to local needs. Evidence suggests that the UNAP facilitated improvements in the last 3 factors. We found no systematic increases in planned nutrition activities, nor did we find increases in allocations or expenditures for nutrition between fiscal years 2013-2014 and 2014-2015. Expenditure data were not always available for all funding mechanisms. In the 2 study districts, there was little flexibility within financing structures to allow for additional nutrition activities. Conclusions: Results suggest the UNAP has played an important role in strengthening the enabling environment for nutrition action. The next UNAP will need to translate these improvements into a greater number of nutrition activities and higher levels of funding at the national and subnational levels.

Alexander First Nations Parents’ Perceptions of a School Nutrition Policy

2020 ◽  
Vol 81 (2) ◽  
pp. 66-71 ◽  
Author(s):  
Christina Gillies ◽  
Anna Farmer ◽  
Katerina Maximova ◽  
Noreen D. Willows ◽  
Keyword(s):  
Policy Implementation ◽  
First Nations ◽  
Structured Interview ◽  
Nutrition Policy ◽  
School Nutrition ◽  
Healthy Foods ◽  
Promotion Strategy ◽  
Food Programs ◽  
Health Promotion Strategy ◽  
Survey Responses

Purpose: A school nutrition policy (SNP) is one promising school-based health promotion strategy to improve the food environments of First Nations children. The aim of this study was to explore First Nations parents’ perceptions of a SNP. Methods: A process evaluation of policy implementation was conducted using a mixed-methods design. Parents (n = 83) completed a 19-question survey to capture their perceptions of the policy. Survey responses informed questions in an 11-question semi-structured interview guide. Transcripts from interviews with parents (n = 10) were analyzed using content analysis to identify barriers and facilitators to policy implementation. Results: Parents were supportive of the SNP and the school’s food programs, which they perceived as helping to address community concerns related to nutrition. However, some parents opposed the restriction of unhealthy foods at school celebrations and fundraisers. In addition, despite being aware of the SNP, parents were unable to demonstrate an understanding of the SNP content. Finally, parents struggled to provide their children with healthy foods to bring to school due to lack of affordable and accessible food in the community. Conclusions: Although SNPs may be well-received in First Nations communities, their implementation must be supported by parent involvement and consideration of wider socioeconomic conditions.

scholarly journals An Analysis of Self-Build and Custom Housebuilding in the South West of England

Urban Science ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 9
Author(s):  
Annie Hamilton Gingell ◽  
Sina Shahab
Keyword(s):  
Mixed Method ◽  
National Policy ◽  
Freedom Of Information ◽  
Local Planning ◽  
National Data ◽  
The South ◽  
Policy Interventions ◽  
South West ◽  
Land Bank ◽  
Method Approach

This paper seeks to evaluate how successful national policy interventions have been at addressing land barriers to self-build and custom housebuilding when applied by Local Planning Authorities (LPAs) across the South West of England. A longitudinal triangulated mixed method approach was undertaken to comprehensively interrogate the research objective. This comprised submitting a Freedom of Information (FOI) request to each LPA within the study area; an assessment of the most recently produced Strategic Housing Market Assessments (SHMAs); deriving alternative demand estimates using national data as a proxy; and alternate estimates of supply calculated using BuildStore and The Land Bank Partnership plot search websites. The findings of the study revealed that LPA Registers can only be viewed as a minimum assessment of demand for self-build and custom housebuilding and the effectiveness of LPAs in classifying suitable development permissions for self-build and custom housebuilding was highly dependent on the mechanisms used to identify permissions.

Gaps in Nutrition Policy Implementation in Childcare Centres in The Edmonton Metropolitan Region: A Cross-Sectional Survey

2021 ◽  
pp. 1-8
Author(s):  
Marjorie Rafaela Lima Do Vale ◽  
Anna Farmer ◽  
Rebecca Gokiert ◽  
Geoff Ball ◽  
Katerina Maximova
Keyword(s):  
Policy Implementation ◽  
Policy Development ◽  
Statistical Tests ◽  
Nutrition Policy ◽  
Metropolitan Region ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Writing Evaluation ◽  
Additional Support ◽  
Implementation Resources

Purpose: To describe (i) nutrition policies in childcare centres, (ii) the resources and processes used to enable policy implementation, and (iii) the association between policy implementation and childcare centres’ or administrators’ characteristics. Methods: Between October 2018 and June 2019 a web-based survey that addressed nutrition policy, policy implementation, and sociodemographic characteristics was sent to eligible childcare programs (centre-based and provided meals) in the Edmonton (Alberta) metropolitan region. The survey was pretested and pilot tested. Statistical tests examined the relationship between policy implementation with centres’ and administrators’ characteristics. Results: Of 312 childcare centres that received the survey invitation, 43 completed it. The majority of centres had a nutrition policy in place (94%). On average, centres had about 9 of the 17 implementation resources and processes assessed. Most often administrators reported actively encouraging the implementation of the nutrition policy (n = 35; 87%) and least often writing evaluation reports of the implementation of the nutrition policy (n = 9; 22%). Administrator’s education level was associated with implementation total score (p = 0.009; Kruskal-Wallis). Conclusion: Most childcare centres had a nutrition policy in place, but many lacked resources and processes to enable policy implementation. Additional support is required to improve nutrition policy development and implementation.

First Nations students’ perceptions of school nutrition policy implementation: A mixed methods study

2018 ◽  
Vol 75 (5) ◽  
pp. 533-540 ◽  
Author(s):  
Christina Gillies ◽  
Anna Farmer ◽  
Katerina Maximova ◽  
Noreen D. Willows ◽  
Keyword(s):  
Mixed Methods ◽  
Policy Implementation ◽  
First Nations ◽  
Nutrition Policy ◽  
School Nutrition ◽  
Mixed Methods Study ◽  
Perceptions Of School

scholarly journals Food Sales Outlets, Food Availability, and the Extent of Nutrition Policy Implementation in Schools in British Columbia

2007 ◽  
Vol 98 (4) ◽  
pp. 246-250 ◽  
Author(s):  
Karen Rideout ◽  
Ryna Levy-Milne ◽  
Carla Martin ◽  
Aleck S. Ostry
Keyword(s):  
British Columbia ◽  
Policy Implementation ◽  
Food Availability ◽  
Nutrition Policy ◽  
Food Sales

scholarly journals P116 Serving Their Needs: Nutrition Policy Implementation in the Early Care and Education Setting

2020 ◽  
Vol 52 (7) ◽  
pp. S71
Author(s):  
Caree Cotwright ◽  
Jori Hall ◽  
Nicole Arrington ◽  
Nathalie Celestin ◽  
Hayley Sanders ◽  
...  
Keyword(s):  
Policy Implementation ◽  
Nutrition Policy ◽  
Early Care And Education ◽  
Early Care

scholarly journals Tracking health sector priority setting processes and outcomes for human resources for health, five-years after political devolution: a county-level case study in Kenya

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Joshua Munywoki ◽  
Nancy Kagwanja ◽  
Jane Chuma ◽  
Jacinta Nzinga ◽  
Edwine Barasa ◽  
...  
Keyword(s):  
Service Delivery ◽  
Human Resources ◽  
Priority Setting ◽  
Human Resources For Health ◽  
Health Sector ◽  
Health Service Delivery ◽  
County Level ◽  
Health Coverage ◽  
Middle Income

Abstract Background Health sector priority setting in Low and Middle-Income Countries (LMICs) entails balancing between a high demand and low supply of scarce resources. Human Resources for Health (HRH) consume the largest allocation of health sector resources in LMICs. Health sector decentralization continues to be promoted for its perceived ability to improve efficiency, relevance and participation in health sector priority setting. Following the 2013 devolution in Kenya, both health service delivery and human resource management were decentralized to county level. Little is known about priority setting practices and outcomes of HRH within decentralized health systems in LMICs. Our study sought to examine if and how the Kenyan devolution has improved health sector priority setting practices and outcomes for HRH. Methods We used a mixed methods case study design to examine health sector priority setting practices and outcomes at county level in Kenya. We used three sources of data. First, we reviewed all relevant national and county level policy and guidelines documents relating to HRH management. We then accessed and reviewed county records of HRH recruitment and distribution between 2013 and 2018. We finally conducted eight key informant interviews with various stakeholder involved in HRH priority setting within our study county. Results We found that HRH numbers in the county increased by almost two-fold since devolution. The county had two forms of HRH recruitment: one led by the County Public Services Board as outlined by policy and guidelines and a parallel, politically-driven recruitment done directly by the County Department of Health. Though there were clear guidelines on HRH recruitment, there were no similar guidelines on allocation and distribution of HRH. Since devolution, the county has preferentially staffed higher level hospitals over primary care facilities. Additionally, there has been local county level innovations to address some HRH management challenges, including recruiting doctors and other highly specialized staff on fixed term contract as opposed to permanent basis; and implementation of local incentives to attract and retain HRH to remote areas within the county. Conclusion Devolution has significantly increased county level decision-space for HRH priority setting in Kenya. However, HRH management and accountability challenges still exist at the county level. There is need for interventions to strengthen county level HRH management capacity and accountability mechanisms beyond additional resources allocation. This will boost the realization of the country’s efforts for promoting service delivery equity as a key goal – both for the devolution and the country’s quest towards Universal Health Coverage (UHC).

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