TY - JOUR
T1 - Priority interventions to improve maternal and child diets in Sub-Saharan Africa and South Asia
AU - on behalf of the Global Nutrition and Policy Consortium
AU - Masters, William A.
AU - Rosettie, Katherine
AU - Kranz, Sarah
AU - Pedersen, Sarah H.
AU - Webb, Patrick
AU - Danaei, Goodarz
AU - Mozaffarian, Dariush
AU - Adekugbe, Olayinka
AU - Adhikar, Ramesh Kant
AU - Amatya, Archana
AU - Atomsa, Gudina Egata
AU - Badham, Jane
AU - Bhattacharjee, Lalita
AU - Bhattarai, Manav
AU - Baye, Kaleab
AU - Beyero, Mesfin
AU - Brahmbhatt, Viral
AU - Chandrasekhar, S.
AU - Chandyo, Ram Krishna
AU - Christensen, Cheryl
AU - Covic, Namukolo
AU - Dalton, Babukiika
AU - Desai, Sonalde
AU - Dufour, Charlotte
AU - Fracassi, Patrizia
AU - Getahun, Zewditu
AU - Gulati, Seema
AU - Haidar, Jemal
AU - Hailu, Tesfaye
AU - Kapil, Umesh
AU - Kazi-Hutchins, Nabeeha
AU - Kebede, Aweke
AU - Kinabo, Joyce
AU - Kussaga, Jamal Bakari
AU - Levin, Carol
AU - Mavrotas, George
AU - Mehta, Ranju
AU - Mohan, Sailesh
AU - Mwanja, Wilson Waiswa
AU - Oguntona, Babatunde
AU - Oladipo, Abiodun
AU - Oniang'o, Ruth
AU - Paarlberg, Robert
AU - Pandey Rana, Pooja
AU - Prabhakaran, D.
AU - Prakash, V.
AU - Puri, Seema
AU - Roy, S. K.
AU - Sharma, Rekha
AU - Thorne-Lyman, Andrew
N1 - Publisher Copyright:
© 2017 The Authors. Maternal and Child Nutrition published by John Wiley & Sons, Ltd.
PY - 2018/4
Y1 - 2018/4
N2 - Nutrition-sensitive interventions to improve overall diet quality are increasingly needed to improve maternal and child health. This study demonstrates feasibility of a structured process to leverage local expertise in formulating programmes tailored for current circumstances in South Asia and Africa. We assembled 41 stakeholders in 2 regional workshops and followed a prespecified protocol to elicit programme designs listing the human and other resources required, the intervention's mechanism for impact on diets, target foods and nutrients, target populations, and contact information for partners needed to implement the desired programme. Via this protocol, participants described 48 distinct interventions, which we then compared against international recommendations and global goals. Local stakeholders' priorities focused on postharvest food systems to improve access to nutrient-dense products (75% of the 48 programmes) and on production of animal sourced foods (58%), as well as education and social marketing (23%) and direct transfers to meet food needs (12.5%). Each programme included an average of 3.2 distinct elements aligned with those recommended by United Nations system agencies in the Framework for Action produced by the Second International Conference on Nutrition in 2014 and the Compendium of Actions for Nutrition developed for the Renewed Efforts Against Child Hunger initiative in 2016. Our results demonstrate that a participatory process can help local experts identify their own priorities for future investments, as a first step in a novel process of rigorous, transparent, and independent priority setting to improve diets among those at greatest risk of undernutrition.
AB - Nutrition-sensitive interventions to improve overall diet quality are increasingly needed to improve maternal and child health. This study demonstrates feasibility of a structured process to leverage local expertise in formulating programmes tailored for current circumstances in South Asia and Africa. We assembled 41 stakeholders in 2 regional workshops and followed a prespecified protocol to elicit programme designs listing the human and other resources required, the intervention's mechanism for impact on diets, target foods and nutrients, target populations, and contact information for partners needed to implement the desired programme. Via this protocol, participants described 48 distinct interventions, which we then compared against international recommendations and global goals. Local stakeholders' priorities focused on postharvest food systems to improve access to nutrient-dense products (75% of the 48 programmes) and on production of animal sourced foods (58%), as well as education and social marketing (23%) and direct transfers to meet food needs (12.5%). Each programme included an average of 3.2 distinct elements aligned with those recommended by United Nations system agencies in the Framework for Action produced by the Second International Conference on Nutrition in 2014 and the Compendium of Actions for Nutrition developed for the Renewed Efforts Against Child Hunger initiative in 2016. Our results demonstrate that a participatory process can help local experts identify their own priorities for future investments, as a first step in a novel process of rigorous, transparent, and independent priority setting to improve diets among those at greatest risk of undernutrition.
KW - diet quality
KW - food systems
KW - malnutrition
KW - nutrition-sensitive agriculture
KW - priority setting
KW - programme design
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U2 - 10.1111/mcn.12526
DO - 10.1111/mcn.12526
M3 - Article
C2 - 28971572
AN - SCOPUS:85044269156
SN - 1740-8695
VL - 14
JO - Maternal and Child Nutrition
JF - Maternal and Child Nutrition
IS - 2
M1 - e12526
ER -