TY - JOUR
T1 - Experiences and lessons learned for planning and supply of micronutrient powders interventions
AU - Schauer, Claudia
AU - Sunley, Nigel
AU - Hubbell Melgarejo, Carrie
AU - Nyhus Dhillon, Christina
AU - Roca, Claudia
AU - Tapia, Gustavo
AU - Mathema, Pragya
AU - Walton, Shelley
AU - Situma, Ruth
AU - Zlotkin, Stanley
AU - DW Klemm, Rolf
N1 - Funding Information:
The research presented herein is made possible through the generous support of the American people through the United States Agency for International Development (USAID) under the terms of Cooperative Agreement AID‐OAA‐A‐11‐00031 (SPRING), managed by the John Snow Research & Training Institute, Inc. (JSI). The contents of this paper are the responsibility of the authors, and do not necessarily reflect the views of USAID or the United States Government. In addition, the Home Fortification Technical Advisory Group, through support from the United Nations Children′s Fund, provided in kind support. We would like to thank other members of the WG—Diane DeBernardo (USAID), Judy Canahuati (USAID), Tim Quick (USAID), and Edna Possolo (Government of Mozambique)—for their help in conceptualizing the paper, conducting literature reviews, or obtaining or analysing data; Alexis D′Agostino (SPRING) for helping solicit interviews and providing content; Danya Sarkar and Teemar Fisseha (SPRING) for helping conduct literature reviews and process interview content; Sorrel Namaste (SPRING) for providing structural guidance; and Omar Dary and Jeniece Alvey (USAID) for their feedback. We would also like to thank the interviewees for their time in completing questionnaires or clarifying information regarding the interventions they have implemented or supported as advisors, suppliers, and government or donor representatives in North, South and Central America; Southern and West Africa; and South‐East Asia.
Funding Information:
The initiative has been led by the MoH with lead support from UNICEF‐Nepal. The program design and implementation have also been supported by the CDC, the National Planning Commission, the Institute of Medicine, WFP, and Micronutrient Initiative. Funding was provided by the European Union, Australian Aid, Work Bank, International Zinc Association, UNICEF, and the Government of Nepal.
Publisher Copyright:
© 2017 The Authors. Maternal and Child Nutrition Published by John Wiley & Sons, Ltd.
PY - 2017/9
Y1 - 2017/9
N2 - Realistic planning for a nutrition intervention is a critical component of implementation, yet effective approaches have been poorly documented. Under the auspices of “The Micronutrient Powders Consultation: Lessons Learned for Operational Guidance,” 3 working groups were formed to summarize experiences and lessons across countries regarding micronutrient powders (MNP) interventions for young children. This paper focuses on programmatic experiences in the planning stages of an MNP intervention, encompassing assessment, enabling environment and adaptation, as well as considerations for supply. Methods included a review of published and grey literature, key informant interviews, and deliberations throughout the consultation process. We found that assessments helped justify adopting an MNP intervention, but these assessments were often limited by their narrow scope and inadequate data. Establishing coordinating bodies and integrating MNP into existing policies and programmes have helped foster an enabling environment and support programme stability. Formative research and pilots have been used to adapt MNP interventions to specific contexts, but they have been insufficient to inform scale-up. In terms of supply, most countries have opted to procure MNP through international suppliers, but this still requires understanding and navigating the local regulatory environment at the earliest stages of an intervention. Overall, these findings indicate that although some key planning and supply activities are generally undertaken, improvements are needed to plan for effective scale-up. Much still needs to be learned on MNP planning, and we propose a set of research questions that require further investigation.
AB - Realistic planning for a nutrition intervention is a critical component of implementation, yet effective approaches have been poorly documented. Under the auspices of “The Micronutrient Powders Consultation: Lessons Learned for Operational Guidance,” 3 working groups were formed to summarize experiences and lessons across countries regarding micronutrient powders (MNP) interventions for young children. This paper focuses on programmatic experiences in the planning stages of an MNP intervention, encompassing assessment, enabling environment and adaptation, as well as considerations for supply. Methods included a review of published and grey literature, key informant interviews, and deliberations throughout the consultation process. We found that assessments helped justify adopting an MNP intervention, but these assessments were often limited by their narrow scope and inadequate data. Establishing coordinating bodies and integrating MNP into existing policies and programmes have helped foster an enabling environment and support programme stability. Formative research and pilots have been used to adapt MNP interventions to specific contexts, but they have been insufficient to inform scale-up. In terms of supply, most countries have opted to procure MNP through international suppliers, but this still requires understanding and navigating the local regulatory environment at the earliest stages of an intervention. Overall, these findings indicate that although some key planning and supply activities are generally undertaken, improvements are needed to plan for effective scale-up. Much still needs to be learned on MNP planning, and we propose a set of research questions that require further investigation.
KW - assessment of nutritional status
KW - infant and child nutrition
KW - iron deficiency anaemia
KW - micronutrients
KW - policy
KW - programme components
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U2 - 10.1111/mcn.12494
DO - 10.1111/mcn.12494
M3 - Article
C2 - 28960875
AN - SCOPUS:85030263228
SN - 1740-8695
VL - 13
JO - Maternal and Child Nutrition
JF - Maternal and Child Nutrition
M1 - e12494
ER -