Leveraging the Scaling Up Nutrition Movement to Operationalize Stunting Prevention Activities: Implementation Lessons From Rural Malawi

2021 ◽  
pp. 037957212110461
Author(s):  
Stephen R. Kodish ◽  
Arghanoon Farhikhtah ◽  
Trust Mlambo ◽  
Mutinta Nseluke Hambayi ◽  
Vanessa Jones ◽  
...  
Keyword(s):  
Prevention Program ◽  
Program Planning ◽  
Scaling Up ◽  
Evidence Base ◽  
Lessons Learned ◽  
Government Policies ◽  
Team Members ◽  
High Prevalence ◽  
The Government ◽  
The Right

Background: The rural district of Ntchisi is in the central region of Malawi. Among children aged 6 to 23 months, the stunting prevalence is 40% to 50%. To address this high prevalence, the World Food Programme, with cooperating partners, supported the Government of Malawi to implement an integrated stunting prevention program entitled The Right Foods at the Right Time from 2013 to 2018. Objective: To provide implementation lessons learned from systematic documentation of how the Scaling Up Nutrition (SUN) movement, combined with other international and national initiatives and policies, was translated into tailored programming. Methods: During program conception, early design, and implementation, this descriptive study systematically documented the process of translating SUN principles and government policies into an operational stunting prevention program in rural Malawi. Results: We identified 8 factors that contributed to successful translation of policy into program activities: (1) well-structured National SUN framework, (2) reliable coordination platforms and district ownership, (3) systematic and evidence-informed program design, (4) multiple forms of data used to inform program planning, (5) multisectoral implementation approaches to stunting prevention, (6) innovation in technology to improve overall program efficiency, (7) systematic collaboration among diverse stakeholders, and (8) strong public health nutrition capacity of program team members. Conclusions: Lessons from this nutrition program in Ntchisi, Malawi, provide one case illustrating how the SUN movement, government policies, and global evidence base can be operationalized into tailored programming for improving nutrition.

scholarly journals Management of Distress in Patients with Cancer—Are We Doing the Right Thing?

2020 ◽  
Vol 54 (12) ◽  
pp. 978-984
Author(s):  
Joost Dekker ◽  
Kristi D Graves ◽  
Terry A Badger ◽  
Michael A Diefenbach
Keyword(s):  
Emotional Support ◽  
Hybrid Approach ◽  
Psychosocial Care ◽  
Evidence Base ◽  
Case Finding ◽  
Lessons Learned ◽  
Distress Screening ◽  
Underlying Assumption ◽  
Patients With Cancer ◽  
The Right

Abstract Background Screening for distress and referral for the provision of psychosocial care is currently the preferred approach to the management of distress in patients with cancer. To date, this approach has shown a limited effect on the reduction of distress. Recent commentaries have argued that the implementation of distress screening should be improved. On the other hand, the underlying assumption that a referral for psychosocial care is required for distressed patients can be questioned. This has led to the development of an alternative approach, called emotional support and case finding. Purpose In the context of finding innovative solutions to tomorrow’s health challenges, we explore ways to optimize distress management in patients with cancer. Methods and Results We discuss three different approaches: (i) optimization of screening and referral, (ii) provision of emotional support and case finding, and (iii) a hybrid approach with multiple assessments, using mobile technology. Conclusions We suggest continued research on the screening and referral approach, to broaden the evidence-base on improving emotional support and case finding, and to evaluate the utility of multiple assessments of distress with new interactive mobile tools. Lessons learned from these efforts can be applied to other disease areas, such as cardiovascular disease or diabetes.

scholarly journals Industri dan Perdagangan Gula di Indonesia: Pembelajaran dari Kebijakan Zaman Penjajahan – Sekarang

2016 ◽  
Vol 27 (2) ◽  
pp. 133 ◽  
Author(s):  
Sri Wahyuni ◽  
NFN Supriyati ◽  
Julia Forcina Sinuraya
Keyword(s):  
Future Development ◽  
Financial Support ◽  
Lessons Learned ◽  
Colonial Period ◽  
Government Policies ◽  
Research Institutions ◽  
Colonial Era ◽  
The Government ◽  
In The Beginning ◽  
Sugarcane Industry

<strong>English</strong><br />Sugarcane industry and trade (SIT) in Indonesia is significantly influenced by the government policies. This paper reviewed SIT policies from colonial period up to now to obtain valuable lessons for future development of SIT.  Lessons learned include: (1) During the colonial era, the peak triumph was achieved through farmers’ sacrifice; (2) High financial support for research institutions to produce super varieties, such as POJ 2838 and 3016 with productivity as high as 18 ton/ha of crystal; (3) In the beginning of independence, Indonesia’s institutions and manpower were not exclusively ready to optimally develop SIT; (4) There were no comprehensive policies and several of the existing one were conflicting. Based on these lessons, a comprehensive policy issued by related institutions are strongly required for future development of SIT.<br /><br /><br /><strong>Indonesian</strong><br />Industri dan Perdagangan Gula Indonesia sangat ditentukan oleh kebijakan pemerintah. Tulisan ini bertujuan untuk mereview kebijakan IPG sejak zaman penjajahan sampai sekarang, untuk dijadikan pembelajaran dalam pengembangan IPG ke depan. Pembelajaran yang dapat dipetik antara lain: (1) Kejayaan gula pada zaman penjajahan dicapai dengan mengorbankan petani; (2) Dukungan dana yang kuat, sehingga lembaga penelitian mampu menghasilkan varietas ajaib POJ 2838 dan 3016 dengan produktivitas sebesar 18 ton hablur/ha; (3) Pada awal kemerdekaan, kelembagaan dan sumberdaya manusia Indonesia belum siap untuk mengembangkan pergulaan secara optimal; (4) Kebijakan kurang komprehensif dan kadang-kadang saling bertentangan. Berdasarkan pembelajaran ini, untuk pengembangan pergulaan ke depan diperlukan kebijakan yang komprehensif dari semua pihak yang terkait.

scholarly journals Improving quality for maternal care - a case study from Kerala, India

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 166 ◽  
Author(s):  
Ioana Vlad ◽  
VP Paily ◽  
Rajeev Sadanandan ◽  
Françoise Cluzeau ◽  
M Beena ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Post Partum ◽  
Guideline Implementation ◽  
Evidence Base ◽  
Lessons Learned ◽  
Inclusive Development ◽  
Local Context ◽  
Policy Makers ◽  
Development Framework ◽  
The Government

Background: The implementation of maternal health guidelines remains unsatisfactory, even for simple, well established interventions. In settings where most births occur in health facilities, as is the case in Kerala, India, preventing maternal mortality is linked to quality of care improvements. Context: Evidence-informed quality standards (QS), including quality statements and measurable structure and process indicators, are one innovative way of tackling the guideline implementation gap. Having adopted a zero tolerance policy to maternal deaths, the Government of Kerala worked in partnership with the Kerala Federation of Obstetricians & Gynaecologists (KFOG) and NICE International to select the clinical topic, develop and initiate implementation of the first clinical QS for reducing maternal mortality in the state. Description of practice: The NICE QS development framework was adapted to the Kerala context, with local ownership being a key principle. Locally generated evidence identified post-partum haemorrhage as the leading cause of maternal death, and as the key priority for the QS. A multidisciplinary group (including policy-makers, gynaecologists and obstetricians, nurses and administrators) was established. Multi-stakeholder workshops convened by the group ensured that the statements, derived from global and local guidelines, and their corresponding indicators were relevant and acceptable to clinicians and policy-makers in Kerala. Furthermore, it helped identify practical methods for implementing the standards and monitoring outcomes. Lessons learned: An independent evaluation of the project highlighted the equal importance of a strong evidence-base and an inclusive development process. There is no one-size-fits-all process for QS development; a principle-based approach might be a better guide for countries to adapt global evidence to their local context.

scholarly journals KEKUASAAN DEWAN PERWAKILAN RAKYAT DALAM PENGGUNAAN HAK ANGKET MENURUT UNDANG-UNDANG DASAR 1945

Solusi ◽  
2019 ◽  
Vol 17 (3) ◽  
pp. 303-316
Author(s):  
Evi Purnamawati
Keyword(s):  
House Of Representatives ◽  
Separation Of Powers ◽  
Government Policies ◽  
Conceptual Approach ◽  
State Institutions ◽  
Legislative Oversight ◽  
The Republic ◽  
The Government ◽  
The Right ◽  
Research Type

This study analyzes the power of the questionnaire rights of the House of Representatives of the Republic of Indonesia. The House of Representatives is a House of Representatives and holds the power to form laws. The House of Representatives has the functions of legislative and legislative oversight. This research uses research methods using the method of literature (ribarary research). Type of normative juridical research through approaching legislation and conceptual approach of the research results of the House of Representatives, which essentially has the power to form the current law, the power began to widen towards supervision and budget, actually with the oversight function of the House of Representatives (DPR) towards the executive in practice the meaning of the teaching of separation of powers began to shift, the teaching of separation of powers between state institutions must not intervene with one another. In carrying out its functions the DPR has the right of Interpellation which is the right to request information from the Government in handling Government policies that have an impact on the life of society and the state. In addition, the DPR has the Right to Question, namely the Right to Investigate Government policies that are alleged to be in conflict with laws and regulations and express opinions outside the institution. Members of the DPR have the right to submit draft laws, ask questions, submit proposals and opinions, defend themselves, the right of immunity, and the right to protocol. The recommendation of this research is that the writer suggests that the DPR should make the regulation on questionnaire rights clearer especially about the process of using the questionnaire right so that there is no multi-interpretation so that violations do not occur in the process of using the inquiry right.

Fatwa-Fatwa Majelis Ulama Indonesia (Mui) Dalam Pemikiran Hukum Islam Di Indonesia

AKADEMIKA ◽  
2014 ◽  
Vol 8 (2) ◽  
pp. 166-179
Author(s):  
Khozainul Ulum
Keyword(s):  
Government Policies ◽  
New Order ◽  
Political Factor ◽  
Governmental Organization ◽  
The Government ◽  
The Right ◽  
Religious Considerations

The Indonesian Ulema Council (MUI) is a non governmental organization facilitating clerics (ulema), zu'ama, and Islamic scholars in Indonesia to guide, nurture and protect the Muslims throughout Indonesia. MUI is an institution that is considered to have the right to issue verdicts (fatwa) related to Islamic legal matters in Indonesia. However, the emergence of MUI as such a fatwa institution during the New Order era is considered to have become a religious justification related to various religion-related government policies. So not surprisingly if on the beginning of its establishment, the MUI was not considered the institution representing and serving Muslims. Moreover, there have been some MUI verdicts (fatwa) often causing controversy in society. Even the decision of MUI to issue fatwa is questioned for, some reasons, not being in line with the government policies. At this point, the socio-political factor could influence the content of the MUI fatwa instead of being based solely on religious considerations

Kebijakan Kewajiban Vaksin Covid-19 Bukan Bentuk Pelanggaran HAM oleh Pemerintah

INICIO LEGIS ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 183-193
Author(s):  
Aprilina Pawestri ◽  
Ida Wahyuliana
Keyword(s):  
Human Rights ◽  
Large Change ◽  
John Stuart Mill ◽  
Government Policies ◽  
Economic Conditions ◽  
Human Rights Violations ◽  
Corona Virus ◽  
Pros And Cons ◽  
The Government ◽  
The Right

ABSTRAKKeberadaan corona virus di Indonesia membawa perubahan yang sangat besar pada kondisi ekonomi, kesehatan, pendidikan dan lain sebagainya. Berbagai kebijakan di ambil salah satunya adalah pemberian vaksin secara masal dan bertahap. Namun kebijakan ini menimbulkan pro dan kontra dalam masyarakat. Khususnya kebijakan kewajiban vaksin yang dinilai melanggar hak asasi manusia. Karena seharusnya pilihan vaksin adalah sukarela. Ini diperkuat dengan munculnya sanksi bagi yang menolak dilakukan vaksinasi. Kajian ini lakukan untuk mengurai permasalahan apakah kewajiban vaksinasi COVID-19 merupakan bentuk pelanggaran hak asasi manusia yang dilakukan oleh pemerintah. Untuk menjawab rumusan tersebut digunakan metode penelitian normatif dengan pendekatan undang-undang dan konseptual. Dan hasil penelitian ini bahwa kebijakan pemerintah menetapkan kewajiban vaksin tidak bisa lantas di justifikasi sebagai bentuk pelanggaran hak asasi manusia. Karena masyarakat juga memiiki kewajiban sebagai warganegara di bidang kesehatan sebagaimana Pasal 9 ayat 1 UU No. 36 Tahun 2009. Diperkuat Komnas HAM dan sejalan dengan teori yang di sebutkan John Stuart Mill bahwa setiap individu memiliki hak untuk bertindak berdasarkan keinginan mereka selama tindakan mereka tidak merugikan orang lain. Dengan tetap mengupayakan langkah persuasif dengan menimalkan sanksi administratif. Kata Kunci: kebijakan, kewajiban vaksin, pelanggaran HAM  ABSTRACTThe existence of corona virus in Indonesia brings a very large change in economic conditions, health, education and so on. Various policies are taken, one of which is the provision of vaccines en masse and gradually. But this policy raises pros and cons in society. Especially the policy of vaccine obligations that are considered to violate human rights. The vaccine option should be voluntary. This is reinforced by the emergence of sanctions for those who refuse vaccinations. This study was conducted to unravel the problem of whether the COVID-19 vaccination obligation is a form of human rights violations committed by the government. To answer the formulation is used normative research methods with legal and conceptual approaches. And the results of this study that government policies set vaccine obligations can not be then justified as a form of human rights violations. Because the community also has obligations as citizens in the field of health as Article 9 paragraph 1 of Law No. 36 of 2009. Strengthened Komnas HAM and in line with the theory mentioned by John Stuart Mill that every individual has the right to act on their wishes as long as their actions do not harm others. By continuing to pursue persuasive steps by imposing administrative sanctions.Keywords: policies, vaccine obligations, human rights violations

scholarly journals PARAMETER PENGAWASAN POLITIK DEWAN PERWAKILAN RAKYAT REPUBLIK INDONESIA MENURUT UNDANG-UNDANG DASAR NEGARA REPUBLIK INDONESIA TAHUN 1945

2019 ◽  
Vol 19 (2) ◽  
pp. 229
Author(s):  
Hananto Widodo
Keyword(s):  
Good Governance ◽  
Government Policies ◽  
The Republic ◽  
The Government ◽  
The Right ◽  
Free Government ◽  
Government Authority

<em>Amendments to the 1945 Constitution have provided support to the DPR, including strengthening the DPR's oversight function. Article 22 Paragraph (2) of the 1945 Constitution of the Republic of Indonesia. The DPR's supervisory function as a compilatory composer is elaborated in Article 79 paragraphs (2) and (3) of Law No. 17 of 2014 concerning the People's Consultative Assembly, the People's Representative Council, the Regional Representative Council and the Regional People's Representative Council (MD3). In Article 79 paragraphs (2) and (3) of MD3 Law only norms are formulated which become the object of interpellation and the questionnaire rights are legislation and policies. The formulation of Article 79 paragraphs (2) and (3) does not explain the parameters used by the DPR to request policies from the Government. The purpose of this article is to provide parameters for the use of interpellation rights and questionnaire rights to government policies. This type of research in this paper is normative research. With primary legal material for the 1945 Constitution of the Republic of Indonesia and Law No. 17 of 2014 concerning the People's Consultative Assembly, the People's Representative Council, the Regional Representative Council and the Regional People's Representative Council (MD3). The parameters of the right of interpellation and the right of questionnaire to government policies that were born from free government authority are general principles of good governance (AAUPB).</em>

scholarly journals Vaccines for Tourism Business Actors: Fulfilment or Violation of Human Rights?

2021 ◽  
Vol 8 (3) ◽  
pp. 401-416
Author(s):  
I Wayan Wiryawan
Keyword(s):  
Human Rights ◽  
Local Government ◽  
Government Policies ◽  
Right To Life ◽  
Legal Research ◽  
Legal Principles ◽  
Vaccine Refusal ◽  
Tourism Sector ◽  
The Government ◽  
The Right

Tourism sector is the largest source of income for Bali province of Indonesia. Unfortunately, the Covid-19 pandemic forced the closure of tourism. Therefore, Bali’s economic growth is experiencing decrease to -10.98%. To accelerate the reopening of tourism, the government has launched the national vaccine movement that also covers tourism business actors. Unfortunately, some parties resist the vaccination because the vaccine is not believed yet to be safe. By using doctrinal legal research, this study examined two problems: the right to health in the context of tourism and the construction of government policies against vaccine resistance by tourism business actors. It examined legal principles and synchronization of laws on human rights related to vaccination. The state is responsible to provide vaccination for the citizens in fulfilling the right to life and health. Each local government produces policy to deal with vaccine refusal. Jakarta and West Java are two provinces that impose fines for residents who refuse vaccines. On the other hand, Bali province does not impose sanctions on such residents. To ensure safety after the reopening of tourism, any local government can propose the record of vaccination as a requirement for every person who will return to work in the tourism sector.

scholarly journals 52 Involvement of People with Dementia and Caregivers in Irish Dementia Research: Experiences, Challenges and Opportunities

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Laura O Philbin ◽  
Kevin Quaid
Keyword(s):  
Capacity Building ◽  
Public Involvement ◽  
Lessons Learned ◽  
Team Members ◽  
People With Dementia ◽  
Development Capacity ◽  
Challenges And Opportunities ◽  
Dementia Research ◽  
The Right ◽  
The Impact

Abstract Background People with dementia and caregivers of people with dementia have the right to inclusion and involvement in research that pertains to them. They can bring unique insights that add significant value to research. Person/Patient Public Involvement (PPI) occurs when the public/patients work in partnership with researchers in setting priorities, planning and managing research studies, as well as in disseminating findings and putting results into practice. In line with Alzheimer Europe’s position, a dementia charity is working hard to support and build capacity for PPI in Irish dementia research. Methods The Dementia Research Advisory Team was established in April 2019 and is supported by the charity. It is a group of Experts by Experience (5 caregivers and 5 people living with dementia) who influence, advise and work with researchers across Ireland in a PPI capacity. Team members collectively developed terms of reference detailing their expectations of researchers, the charity, and their role in all PPI activities. Team members will focus on becoming active stakeholders in Irish dementia research, and the charity will support them to build their capacity to be involved through capacity-building workshops and continuous evaluation. Results This joint presentation will discuss the development, capacity building, and experiences of the Dementia Research Advisory Team. A person with dementia, will discuss the progress of the team and report on members’ experiences of being involved in Irish dementia research. They will also discuss the impact of involvement on team members, and on the research they have been involved in. Practical ‘lessons learned’ on what did and did not work well will be presented, in addition to how the Dementia Research Advisory Team has navigated challenges and opportunities for involvement of people living with dementia and caregivers in research. Conclusion Members of the Dementia Research Advisory Team represent key stakeholders in Irish dementia research.

scholarly journals COORDINATION POVERTY ALLEVIATION PROGRAM, AN ANALYSIS BASED ON INSTRUMENTAL AND INSTITUTIONAL PERSPECTIVE

2019 ◽  
Author(s):  
Gugun Geusan Akbar ◽  
Ikeu Kania ◽  
Aceng Ulumudin ◽  
Abdullah Ramdhani
Keyword(s):  
Leadership Development ◽  
News Media ◽  
Prevention Program ◽  
Poverty Alleviation ◽  
Program Planning ◽  
Secondary Data ◽  
Primary Data ◽  
Poor People ◽  
Institutional Perspective ◽  
The Government

Nowadays, the government has launched various programs for the poor people as a part of the poverty alleviation program. The launch of the various programs involved many parties so that coordination became one of the problems in the poverty prevention program policy in Indonesia. This research was aimed to analyse the coordination of poverty prevention program in Garut as one of the poorest districts in West Java Province. The research used qualitative methods. Data were collected through primary data and secondary data collection. Primary data was collected by interviews and focus group discussions. Secondary data was collected by a review of the literature and data sharing from magazines, reports, news media and others. As the analytical tool, it used the coordination perspectives of Cristensen and Laegreid which adduce the theoretical perspectives related with coordination between organizations, namely instrumental and institutional.The results of the study showed that coordination between organizations in the poverty prevention program is still not good and  still has several factors that become obstacles. Suggestions that can be proposed are the need of leadership development that is collegial collectives. Another suggested thing is the need of common arena development that is aimed to be communication instrument, vision equalization, mission and objectives. It is also aimed to make more integrated program planning from each organization so that the coordination inhibiting factors can be eliminated. Keywords: Poverty Prevention, Coordination Between Organization, Instrumental Perspective, Institutional Perspective

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