An Investment Framework for Nutrition in Kenya

Eberwein, Julia Dayton; Kakietek, Jakub; Beni, Davide De; Moloney, Grainne; Pereira, Audrey; Akuoku, Jonathan Kweku; Volege, Marjorie; Matu, Sicily; Shekar, Meera

doi:10.1596/26282

Cited by 4 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Effective MNG requires various sectors to collaborate and coordinate coherently. Insufficient indices and mechanisms for multisectoral collaboration and coordination within and among various sectors involved in nutrition hinder the effective implementation of integrated nutrition interventions (72,76) . There is a need for Kenya to put emphasis on coordination frameworks that bring together relevant sectors, especially non-traditional sectors to facilitate multisectoral collaboration and coordination.…”

Section: Inadequate Coordination Frameworkmentioning

confidence: 99%

“…Resource mobilisation and commitment are yet to meet the requirements stipulated in the KNNAP. Limited resource allocation not only affects implementation but also impedes the capacity to assess progress (76) . Generation of evidence on MNG progress, successes, challenges and impact will bolster advocacy for additional resources for multisectoral nutrition actions in Kenya.…”

Section: Limited Financial Resourcesmentioning

confidence: 99%

See 1 more Smart Citation

Utilising emerging perspectives at the global and regional level to frame multisectoral nutrition governance landscape in Kenya

Korir,

Oldewage-Theron,

Mugambi

et al. 2024

Public Health Nutr.

View full text Add to dashboard Cite

Objective: Multisectoral Nutrition Governance (MNG) is a vital enabling determinant of improved nutrition outcomes. Despite this, it remains to be a complex phenomenon that lacks adequate understanding, especially in developing countries like Kenya. This narrative review aims to discuss the evolution of MNG, the current state of MNG, barriers and challenges, and based on these identify entry points for improvement within the complex governance structure in Kenya. Design: The Peer Review of Electronic Search Strategies (PRESS) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to ensure rigorous and transparent identification of literature and interpretation. Setting: Kenya and developing countries with similar contexts. Participants: The review included 45 documents (peer-reviewed articles and grey literature) that reported on MNG in developing countries. Results: We acknowledge that MNG is a complex and evolving determinant of better nutrition outcomes. The paper highlights challenges Kenya and other developing countries face such as inadequate leadership, inadequate coordination, insufficient capacity, inadequate monitoring and evaluation systems, and limited financial resources, among others. For Kenya in particular, there is inadequate understanding of what MNG is, and how it can be effectively operationalized and tracked. Conclusions: To enhance understanding of MNG in Kenya, a country-specific assessment of MNG processes and impact outcomes using standard tools and defined metrics is vital. Such assessment will generate evidence of progress, successes, and challenges that will compel the government and stakeholders to invest more in multisectoral nutrition approaches to achieve its’ nutrition goals.

show abstract

Section: Inadequate Coordination Frameworkmentioning

confidence: 99%

Section: Limited Financial Resourcesmentioning

confidence: 99%

Utilising emerging perspectives at the global and regional level to frame multisectoral nutrition governance landscape in Kenya

Korir,

Oldewage-Theron,

Mugambi

et al. 2024

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

An early-stage cost and implementation feasibility study of the administration of pro/synbiotics to infants 0-5 months in rural Kenya

McCallum,

Otiti,

Achieng

et al. 2024

Preprint

View full text Add to dashboard Cite

BackgroundUndernutrition underlies approximately 45% of global deaths among children less than five years old, making it one of the most concerning global child health issues. ThePRObiotics andSYNbiotics in infants inKenya (PROSYNK) trial is assessing whether supervised doses of pro/synbiotics daily for the first 10 days and then weekly to age 6 months (total of 32 doses), has a positive impact on gut health and thereby growth and nutrition. This study is an early-stage cost and implementation feasibility study defining unit costs for the PROSYNK trial and estimating programmatic cost and feasibility of delivering the intervention to infants in rural Kenya.MethodsThis provider perspective costing study uses a combination of ingredients approach, activity-based costing and microcosting. First, an empirical cost analysis of the PROSYNK trial was conducted by review of trial documentation and time and motion observations. Next, semi-structured interviews with key informants informed a thematic analysis of implementation feasibility and the development of a theoretical programme structure which formed the basis for estimation of total economic programme costs.ResultsThe economic cost of delivering the full pro/synbiotics course under trial conditions was measured as $757.32 per participant. Experience gained during PROSYNK and discussions with key informants revealed that it was feasible for the Ministry of Health (MoH) to implement programmatic delivery of the pro/synbiotics, particularly through community-based delivery, without a cold chain and with pro/synbiotic administered directly into infant’s mouths. Incremental economic costs to the MoH of delivering the pro/synbiotic programmatically were estimated to be $9.15 per infant per full course under the base case scenario.ConclusionPro/synbiotic administration in early life may be feasible and bear similar costs to existing nutrition interventions. This study will provide policy makers and stakeholders with vital cost and feasibility information to inform effective programmatic implementation in Kenya and similar settings.

show abstract

Fighting Hunger Things that Really Matter

Agrawal

2017

SSRN Journal

View full text Add to dashboard Cite

An Investment Framework for Nutrition in Kenya

Cited by 4 publications

References 6 publications

Utilising emerging perspectives at the global and regional level to frame multisectoral nutrition governance landscape in Kenya

Utilising emerging perspectives at the global and regional level to frame multisectoral nutrition governance landscape in Kenya

An early-stage cost and implementation feasibility study of the administration of pro/synbiotics to infants 0-5 months in rural Kenya

Fighting Hunger Things that Really Matter

Contact Info

Product

Resources

About