Scaling up nutrition in fragile and conflict-affected states: The pivotal role of governance

Taylor, Sebastian; Pérez-Ferrer, Carolina; Griffiths, Andrew; Brunner, Eric J.

doi:10.1016/j.socscimed.2014.12.016

Cited by 16 publications

(15 citation statements)

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“…A major challenge facing NANs is institutionalizing national nutrition responses, including effectively coordinating actions and commitment‐building activities within and across multiple policy sectors (horizontal dimension) and levels (vertical dimension). Sectors have typically included health and agriculture, but also education, economic development, finance, gender, industry, labor, social protection, water, and sanitation among others . The complex institutional arrangements involved and the limited “institutional ownership” for nutrition resulting from such arrangements were commonly reported challenges .…”

Section: Resultsmentioning

confidence: 99%

“…). Sectors have typically included health and agriculture,64,93,99,102,105 but also education, economic development, finance, gender, industry, labor, social protection, water, and sanitation among others 44,45,50,61,91,105,106,120. The complex institutional arrangements involved and the limited "institutional ownership" for nutrition resulting from such arrangements were commonly reported challenges 34,44,45,50,56,61,64,66,90,121.…”

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confidence: 99%

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Generating political commitment for ending malnutrition in all its forms: A system dynamics approach for strengthening nutrition actor networks

et al. 2019

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Summary Generating political commitment for ending all forms of malnutrition represents a key challenge for the global nutrition community. Without commitment, the policies, programs, and resources needed to improve nutrition are unlikely to be adopted, effectively implemented, nor sustained. One essential driver of commitment is nutrition actor network (NAN) effectiveness, the web of individuals and organizations operating within a given country who share a common interest in improving nutrition and who act collectively to do so. To inform new thinking and action towards strengthening NAN effectiveness, we use a systems dynamics theoretical approach and literature review to build initial causal loop diagrams (CLDs) of political commitment and NAN effectiveness and a qualitative group model building (GMB) method involving an expert workshop to strengthen model validity. First, a “nutrition commitment system” CLD demonstrates how five interrelated forms of commitment—rhetorical, institutional, operational, embedded, and system‐wide—can dynamically reinforce or diminish one another over time. Second, we present CLDs demonstrating factors shaping NAN effectiveness organized into three categories: actor features, resources, and capacities; framing strategies, evidence, and norms; and institutional, political, and societal contexts. Together, these models generate hypotheses on how political commitment and NAN effectiveness could be strengthened in future and may provide potential starting points for country‐specific conversations for doing so.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

Generating political commitment for ending malnutrition in all its forms: A system dynamics approach for strengthening nutrition actor networks

et al. 2019

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“…Por meio de uma busca exploratória em bases como SCOPUS ou Google Acadêmico com palavraschave como "governance indicators" and "socioeconomic development" encontrou-se poucos estudos sobre o tema (Gaysigiz, 2013;Taylor et al, 2015;Marino et al,2016;Narankhuu, 2018 e;Caetano et al, 2019 A. M. C. da Silva;P.…”

Section: Revisão De Literaturaunclassified

“…O autor revelou que a qualidade da governança das instituições em um país tem um nível considerável de influência no desenvolvimento nacional. Neste sentido,Taylor (2015) identificou que a qualidade da governança de um país é um fator forte para adesão do mesmo à política de nutrição 'Scaling Up Nutrition' (SUN), ou seja, o fortalecimento da governança em Estados onde há desnutrição aguda e crônica pode aumentar seu envolvimento com iniciativas como o SUN.…”

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Influência da corrupção agregada no desenvolvimento social e na geração de riqueza dos países do Mercosul

Silva

Santos

Ribeiro

2019

Rev. contab. organ.

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A. M. C. da Silva;P. R. P. dos Santos; C. de M. de A. Ribeiro / Rev. Cont Org (2019) n. temático Fraudes e Corrupção: o que Contabilidade e Organizações têm a dizer? 75-85 75 A corrupção é uma temática em ascensão nos governos mundiais, sendo um dos fatores associados à governança pública e ao desenvolvimento socioeconômico. Tendo em vista o cenário mundial, a presente pesquisa tem por finalidade investigar como a corrupção agregada influencia os indicadores socioeconômicos -Produto Interno Bruto (PIB) e Índice de Desenvolvimento Humano (IDH) -dos países do Mercosul. Para tanto, foram realizados testes de regressão em painel compreendendo uma análise temporal de 1996 a 2016. Com o desenvolvimento do estudo foi possível estimar uma relação significativa estatisticamente entre a Qualidade Regulatória e o IDH, já em relação ao PIB, o Controle de Corrupção, Estabilidade Política, Estado de Direito e Voz e Responsabilidade foram os indicadores que o influenciaram de forma positiva. As evidências indicam, assim, que a capacidade explicativa do modelo é melhor para o PIB do que para o IDH.

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“…In general, efforts to scale up nutrition in the context of low‐income countries are facilitated by core investments in human, organizational, and financial resources (Pelletier et al, ). In particularly vulnerable countries and regions, such as in fragile or conflict‐affected states, good governance has been identified as the key consideration determining whether scaling‐up nutrition will be successful (Taylor, Perez‐Ferrer, Griffiths, & Brunner, ). Integration into existing health systems can also make efforts to promote nutrition more effective, but such integration can also be challenging (Atun, de Jongh, Secci, Ohiri, & Adeyi, ; Mounier‐Jack et al, ).…”

Section: Introductionmentioning

confidence: 99%

Perils of scaling up: Effects of expanding a nutrition programme in Madagascar

Weber

Galasso

Fernald

2019

Maternal & Child Nutrition

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Scaling up integrated nutrition programmes from small, targeted interventions or pilot studies to large-scale government-run programmes can be challenging, with risks of changing the nature and quality of the interventions such that effectiveness is not sustained. In 1999, the Government of Madagascar introduced a nationwide, community-based, growth-monitoring and nutrition education programme, which was gradually scaled up throughout the country until 2011. Data from three nationally representative surveys, administered pre-and post-programme implementation, in participating and non-participating communities, were used to evaluate the effectiveness of the programme to reduce malnutrition in children under 5 after two phases of expansion (1999-2004 and 2004-2011). In our analyses, we compared "original" communities, who had initiated the programme during the first phase, and "new" communities, who initiated the programme during the second phase. "Original"communities demonstrated a significant effect on mean weight-for-age and on the prevalence of underweight by 2004; this effect was sustained at a reduced level through 2011. In contrast, "new" communities showed no benefits for any childhood nutritional outcomes. An explanation for these findings may be that community health workers in the "new" communities reported lower motivation and less use of key messages and materials than those in the "original" communities. Frontline workers reported increased workload and irregular pay across the board during the second phase of programme expansion. Our findings underscore the risk of losing effectiveness if programme quality is not maintained during scale-up. Key factors, such as training and motivation of frontline workers, are important to address when bringing a programme to scale.

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Scaling up nutrition in fragile and conflict-affected states: The pivotal role of governance

Cited by 16 publications

References 16 publications

Generating political commitment for ending malnutrition in all its forms: A system dynamics approach for strengthening nutrition actor networks

Generating political commitment for ending malnutrition in all its forms: A system dynamics approach for strengthening nutrition actor networks

Influência da corrupção agregada no desenvolvimento social e na geração de riqueza dos países do Mercosul

Perils of scaling up: Effects of expanding a nutrition programme in Madagascar

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