Assessment of Epidemiologic, Operational, and Sociopolitical Domains for Mainstreaming Nutrition

Menon, Purnima; Frongillo, Edward A.; Pelletier, David; Stoltzfus, Rebecca J.; Ahmed, Anisuddin; Ahmed, Tahmeed

doi:10.1177/15648265110322s207

Cited by 16 publications

(17 citation statements)

References 31 publications

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“…Capacity development for strategic and operational purposes needs to create and strengthen organizations and systems to support empowered workforces to achieve stated objectives. The type of organizational and systemic capacities required will depend on the choice of intervention(s) and delivery platform(s) ( 99 , 100 ). For example, in community-based programs such as the example from Nepal, the female community health workers needed to have the appropriate skills, supplies of IFA, and the time and motivation to deliver the intervention with quality to ensure uptake, despite barriers experienced by users.…”

Section: Resultsmentioning

confidence: 99%

Scaling Up Impact on Nutrition: What Will It Take?

Gillespie¹,

Menon²,

Kennedy

2015

Advances in Nutrition

Self Cite

121

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Despite consensus on actions to improve nutrition globally, less is known about how to operationalize the right mix of actions—nutrition-specific and nutrition-sensitive—equitably, at scale, in different contexts. This review draws on a large scaling-up literature search and 4 case studies of large-scale nutrition programs with proven impact to synthesize critical elements for impact at scale. Nine elements emerged as central: 1) having a clear vision or goal for impact; 2) intervention characteristics; 3) an enabling organizational context for scaling up; 4) establishing drivers such as catalysts, champions, systemwide ownership, and incentives; 5) choosing contextually relevant strategies and pathways for scaling up, 6) building operational and strategic capacities; 7) ensuring adequacy, stability, and flexibility of financing; 8) ensuring adequate governance structures and systems; and 9) embedding mechanisms for monitoring, learning, and accountability. Translating current political commitment to large-scale impact on nutrition will require robust attention to these elements.

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Section: Resultsmentioning

confidence: 99%

Scaling Up Impact on Nutrition: What Will It Take?

Gillespie¹,

Menon²,

Kennedy

2015

Advances in Nutrition

Self Cite

121

View full text Add to dashboard Cite

show abstract

“…A sixth example (funded by the World Bank for the explicit purpose of creating actionable knowledge) is the Mainstreaming Nutrition Initiative, which conducted engaged, prospective research in 5 countries for the explicit purpose of developing "process guidance" on how to elevate and sustain nutrition on national policy agendas. That research was guided by broad, transdisciplinary conceptual frameworks of the policy process (103,135), the findings of earlier work on global health (136,137), and the principles of grounded theory (138). These methodological strategies identified broadly relevant dynamics and strategies in the policy process that received inadequate attention in earlier work (93,(139)(140)(141)(142)(143).…”

Section: Nutrition Policymentioning

confidence: 99%

Expanding the Frontiers of Population Nutrition Research: New Questions, New Methods, and New Approaches

Pelletier

Porter

Aarons

et al. 2013

Advances in Nutrition

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Nutrition research, ranging from molecular to population levels and all points along this spectrum, is exploring new frontiers as new technologies and societal changes create new possibilities and demands. This paper defines a set of frontiers at the population level that are being created by the increased societal recognition of the importance of nutrition; its connection to urgent health, social, and environmental problems; and the need for effective and sustainable solutions at the population level. The frontiers are defined in terms of why, what, who, and how we study at the population level and the disciplinary foundations for that research. The paper provides illustrations of research along some of these frontiers, an overarching framework for population nutrition research, and access to some of the literature from outside of nutrition that can enhance the intellectual coherence, practical utility, and societal benefit of population nutrition research. The frontiers defined in this paper build on earlier forward-looking efforts by the American Society for Nutrition and extend these efforts in significant ways. The American Society for Nutrition and its members can play pivotal roles in advancing these frontiers by addressing a number of well-recognized challenges associated with transdisciplinary and engaged research.

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“…In addition to financial resources, this framework asserts that feasibility depends on the degree of the intervention's technical complexity in four domains: (a) intervention characteristics, (b) delivery characteristics, (c) government capacity requirements, and (d) usage characteristics (for detailed information, see Table 1). This framework has previously been used to assess complexity of a range of health interventions including condom promotion (Gericke et al, 2005), tuberculosis directly observed treatment, short-course (DOTS) programs (Gericke et al, 2005), diet improvement (Snowdon et al, 2010), and food poisoning risk reduction strategies (Wu & Khlangwiset, 2010), as well as identifying strategies to improve nutrition mainstreaming (Menon et al, 2011).…”

mentioning

confidence: 99%

Assessing Scale-Up of mHealth Innovations Based on Intervention Complexity: Two Case Studies of Child Health Programs in Malawi and Zambia

Noordam

George

Sharkey

et al. 2015

Journal of Health Communication

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As interest in mHealth (including Short Message Services or SMS) increases, it is important to assess potential benefits and limitations of this technology in improving interventions in resource-poor settings. The authors analyzed two case studies (early infant diagnosis of HIV and nutrition surveillance) of three projects in Malawi and Zambia using a conceptual framework that assesses the technical complexity of the programs, with and without the use of SMS technology. The authors based their findings on literature and discussions with key informants involved in the programs. For both interventions, introducing SMS reduced barriers to effective and timely delivery of services by simplifying the tracking and analysis of data and improving communication between healthcare providers. However, the primary implementation challenges for both interventions were related to broader program delivery characteristics (e.g., human resource needs and transportation requirements) that are not easily addressed by the addition of SMS. The addition of SMS technology itself introduced new layers of complexity.

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Assessment of Epidemiologic, Operational, and Sociopolitical Domains for Mainstreaming Nutrition

Abstract: Although undernutrition impacts a range of short-and long-term

Cited by 16 publications

References 31 publications

Scaling Up Impact on Nutrition: What Will It Take?

Scaling Up Impact on Nutrition: What Will It Take?

Expanding the Frontiers of Population Nutrition Research: New Questions, New Methods, and New Approaches

Assessing Scale-Up of mHealth Innovations Based on Intervention Complexity: Two Case Studies of Child Health Programs in Malawi and Zambia

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