This presentation by Kenda Cunningham, Helen Keller International was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Integrating nutrition into health systems: opportunities and challengesTransform Nutrition
This presentation by Shams El Arifeen, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Using the health system to deliver nutrition interventions in BangladeshTransform Nutrition
This presentation by Masum Billah, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Linking social protection and nutrition in Bangladesh: results from the Trans...Transform Nutrition
1) The Transfer Modality Research Initiative (TMRI) in Bangladesh evaluated the impacts of different social protection interventions on household welfare and child nutrition.
2) The study found that cash transfers, food transfers, and combinations of the two all improved household consumption and food security. However, adding nutrition behavior change communication (BCC) led to significantly larger improvements.
3) In northern Bangladesh, cash transfers combined with BCC reduced child stunting rates by 7.3 percentage points over two years, suggesting social protection needs to address both income and nutrition knowledge to impact child nutrition outcomes.
Odisha's progress in nutrition: multiple drivers of changeTransform Nutrition
Odisha has made progress in reducing mortality and improving nutrition outcomes through scaling up key health and nutrition interventions. A timeline analysis found coverage of interventions like antenatal care, institutional delivery, immunization, and ICDS supplementary nutrition increased from the 1990s onwards. This was enabled by Odisha's clear state vision for reducing mortality and malnutrition, investment in frontline workers and platforms like ICDS and health, stable bureaucracy, and support from development partners and civil society. However, challenges remain like high stunting levels, inter-district variability, and need to strengthen coordination across sectors influencing nutrition determinants.
Welcome and overview of Transform Nutrition in South Asia Transform Nutrition
The document discusses undernutrition around the world and strategies to address it. Most stunting occurs in South Asia and Sub-Saharan Africa. Undernutrition leads to increased child mortality, disease burden, cognitive impairment and lost economic potential. The Transform Nutrition Consortium aims to generate evidence on effective direct nutrition interventions and ways to maximize nutrition outcomes through agriculture, social protection and building commitment. The goal is to accelerate reductions in undernutrition.
Strengthening nutrition-sensitivity of social protection programmes in India:...Transform Nutrition
This presentation by Suman Chakrabarti, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Stories of Change in Nutrition in South Asia: Evidence from BangladeshTransform Nutrition
This presentation by Nick Nisbett, Institute of Development Studies was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
This presentation by Stuart Gillespie, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Integrating nutrition into health systems: opportunities and challengesTransform Nutrition
This presentation by Shams El Arifeen, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Using the health system to deliver nutrition interventions in BangladeshTransform Nutrition
This presentation by Masum Billah, iccdr,b was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Linking social protection and nutrition in Bangladesh: results from the Trans...Transform Nutrition
1) The Transfer Modality Research Initiative (TMRI) in Bangladesh evaluated the impacts of different social protection interventions on household welfare and child nutrition.
2) The study found that cash transfers, food transfers, and combinations of the two all improved household consumption and food security. However, adding nutrition behavior change communication (BCC) led to significantly larger improvements.
3) In northern Bangladesh, cash transfers combined with BCC reduced child stunting rates by 7.3 percentage points over two years, suggesting social protection needs to address both income and nutrition knowledge to impact child nutrition outcomes.
Odisha's progress in nutrition: multiple drivers of changeTransform Nutrition
Odisha has made progress in reducing mortality and improving nutrition outcomes through scaling up key health and nutrition interventions. A timeline analysis found coverage of interventions like antenatal care, institutional delivery, immunization, and ICDS supplementary nutrition increased from the 1990s onwards. This was enabled by Odisha's clear state vision for reducing mortality and malnutrition, investment in frontline workers and platforms like ICDS and health, stable bureaucracy, and support from development partners and civil society. However, challenges remain like high stunting levels, inter-district variability, and need to strengthen coordination across sectors influencing nutrition determinants.
Welcome and overview of Transform Nutrition in South Asia Transform Nutrition
The document discusses undernutrition around the world and strategies to address it. Most stunting occurs in South Asia and Sub-Saharan Africa. Undernutrition leads to increased child mortality, disease burden, cognitive impairment and lost economic potential. The Transform Nutrition Consortium aims to generate evidence on effective direct nutrition interventions and ways to maximize nutrition outcomes through agriculture, social protection and building commitment. The goal is to accelerate reductions in undernutrition.
Strengthening nutrition-sensitivity of social protection programmes in India:...Transform Nutrition
This presentation by Suman Chakrabarti, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Stories of Change in Nutrition in South Asia: Evidence from BangladeshTransform Nutrition
This presentation by Nick Nisbett, Institute of Development Studies was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
This presentation by Stuart Gillespie, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
Drivers of nutritional change in South Asia: Insights from empirical analyses...Transform Nutrition
This presentation by Derek Headey, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
4. day 2 session 1 nutrition sensitive programs and policiesPOSHAN
Presentation made at a two-day workshop "Stepping up to India’s Nutrition Challenge: The Critical Role of Policy Makers" for district administrators from India’s Aspirational Districts, on 6-7 Aug 2018, at Mussoorie.
Presentation made at a two-day workshop "Stepping up to India’s Nutrition Challenge: The Critical Role of Policy Makers" for district administrators from India’s Aspirational Districts, on 6-7 Aug 2018, at Mussoorie.
Presented by Muntita Hambayi
Presented at Report Launch "Mapping Linkages Between Agriculture, Food Security and Nutrition in Malawi"
Ufulu Gardens, 28th April, 2015
An examination of the dynamics of nutrition program implementation in Ethiopi...essp2
1) The study assessed facilitators and constraints to implementing Ethiopia's National Nutrition Program (NNP) at national and sub-national levels. It found that while the NNP design considered multi-sector involvement, implementation faced challenges with leadership, capacity, awareness, coordination, and budget constraints, especially at sub-national levels.
2) Key challenges included lack of nutrition focal points in non-health sectors, limited awareness outside health sectors, and minimal sub-national coordination. Budget limitations were also a constraint.
3) Recommendations included establishing high-level multi-sectoral coordination led by the Prime Minister's office, capacity building at sub-national levels, and designating nutrition focal points in all
Presentation made at a two-day workshop "Stepping up to India’s Nutrition Challenge: The Critical Role of Policy Makers" for district administrators from India’s Aspirational Districts, on 6-7 Aug 2018, at Mussoorie.
Presentation made at a two-day workshop "Stepping up to India’s Nutrition Challenge: The Critical Role of Policy Makers" for district administrators from India’s Aspirational Districts, on 6-7 Aug 2018, at Mussoorie.
1. The document summarizes the Together for Nutrition 2015 conference in Ethiopia which brought together evidence on cross-sectoral approaches to improving nutrition.
2. Key topics included trends in Ethiopia's nutritional indicators, the role of nutrition interventions and programs in agriculture, gender, and social sciences in shaping nutrition.
3. The conference aimed to take stock of current nutrition status, drivers of improvement, and future directions for action across multiple sectors including food production, social safety nets, and women's empowerment.
Production of fortified food for a public supplementary nutrition program: Pe...POSHAN
This document discusses decentralized production models for take-home rations (THR) under the Integrated Child Development Services (ICDS) program in India. It provides examples of different state-level models, including centralized procurement and decentralized production through self-help groups. The features of a successful decentralized production unit pilot in Rajasthan are outlined, including its ability to meet quality, assurance, delivery and cost requirements. The model is analyzed and its success demonstrated in areas like nutritious food production, assured delivery, financial sustainability, and collateral social benefits. Key enabling conditions for replicating such decentralized production unit models are identified as access to financing, technical assistance, strong political support, maturity of involved self-help groups, and access
Scaling up impact on nutrition: Global perspectivesessp2
This document discusses key considerations for scaling up nutrition programs based on a literature review. It identifies 9 key elements: 1) having a clear vision, 2) determining what is being scaled, 3) understanding enabling/disabling conditions, 4) identifying drivers/barriers, 5) developing a scaling up strategy, 6) building capacity, 7) establishing governance structures, 8) securing adequate and stable financing, and 9) conducting monitoring, evaluation and learning to ensure accountability. The document emphasizes the importance of a collective vision and appropriate indicators to guide scaling up, as well as evaluating not just outcomes but also impact pathways and scaling up processes themselves.
Changing patterns of malnutrition in Ethiopia and lessons learned. Stunting, wasting, and underweight rates in children under 5 have declined significantly from 2000 to 2014 due to decisive government commitment and leadership. Key factors contributing to improvements include strengthened primary health care and nutrition-specific interventions, expanded access to agriculture and education, and multi-sectoral nutrition policies integrated across health, agriculture, education, industry, and social protection sectors. Remaining challenges include continuing to address equity and quality, strengthening nutrition-sensitive actions and information systems, and managing the emerging issues of overweight and obesity.
Presentation_Kavle - Breaking Barriers to Improve Health and NutritionCORE Group
This document summarizes the Baby-Friendly Community Initiative (BFCI) implemented in western Kenya to improve health and nutrition at the community level. The BFCI expands on steps taken in hospitals to support breastfeeding and proper nutrition. It serves as a multisectoral platform addressing maternal nutrition, breastfeeding, complementary feeding, growth monitoring, hygiene, and kitchen gardens. The BFCI is implemented through community mother support groups, household visits, and linking communities to health facilities. It also addresses feeding practices for sick and vulnerable children. Lessons learned include screening for malnutrition, addressing cultural myths, and counseling on continued feeding for sick children.
List of abstracts delivering for nutrition in india - 24 sep 2019POSHAN
1. The document provides an agenda and list of abstracts for a conference on "Delivering for Nutrition in India: Insights from Implementation Research".
2. The keynote address will provide an overview of the history and importance of implementation research in nutrition for scaling up programs effectively.
3. Several presentations will provide insights from implementation research studies on using technology and mobile apps to improve service delivery in India's ICDS nutrition program, and on data collection and use to enhance nutrition surveillance and monitoring.
On December 5th, 2016, Transform Nutrition Co-Research Director John Hoddinott gave a seminar on issues surrounding chronic undernutrition in Ethiopia. In addition to reviewing current trends and the factors associated with these, Dr Hoddinott summarized TN research on chronic undernutrition in Ethiopia, conveying key messages and outlining areas requiring attention in the future. The lecture was attended by representatives from civil society organizations, academics, government officials and researchers.
The document discusses India's Poshan Abhiyaan (National Nutrition Mission) which aims to reduce undernutrition in the country. It provides background on India's high levels of malnutrition according to NFHS-4 and global reports. The mission aims to reduce stunting in children under 6 from 38.4% to 25% by 2022. It will be implemented over 315 districts in the first phase focusing on monitoring, convergence of nutrition programs, and real-time monitoring through ICT. The mission structure includes a National Council on Nutrition Challenges, National Nutrition Mission Steering Group and Empowered Programme Committee to oversee implementation at national, state and district levels through convergence of schemes across multiple ministries.
Assessing the impact on child nutrition of Ethiopia’s Community-based Nutriti...essp2
The document summarizes an evaluation of Ethiopia's Community-based Nutrition (CBN) program conducted by Tulane University. The CBN program was implemented in rural areas through volunteer community health workers and health extension workers to monitor child growth, hold community conversations, and conduct home visits. The evaluation found the CBN program was associated with reductions in stunting and severe stunting compared to expected trends. Children in areas with more contact from health workers through the CBN program saw greater improvements in nutrition indicators. However, overall participation levels in the CBN program were low at 30%, suggesting increased community engagement is needed as the program expands its coverage across Ethiopia.
Improving maternal nutrition: A review of evidence on the one-full meal programPOSHAN
Presentation made at a virtual event on “Improving maternal nutrition: A review of evidence on the One-Full Meal program” which was co-hosted by the ICMR-National Institute of Nutrition (NIN), Hyderabad, Institute of Economic Growth (IEG), International Food Policy Research Institute (IFPRI), and UNICEF, on 31 March 2020.
Nutrition financing at the state-level: The case of RajasthanPOSHAN
This presentation was made by Dr. Yashodhara Rana (Results for Development) in the session on ‘Big numbers about small children: Research on nutrition financing’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
The impact of social protection programs in Ethiopia on children’s nutritiona...essp2
This document summarizes research on the impacts of social protection programs in Ethiopia on child nutrition. It finds that while the Productive Safety Nets Programme (PSNP) and social cash transfer pilot program in Tigray improved household food security, neither program improved child nutrition outcomes. Child malnutrition levels remained high, likely because the programs did not effectively integrate nutrition education and interventions. Maternal education had limited impact on child nutrition, and many children faced chronic undernutrition from a very young age. Improving nutrition knowledge and hygiene practices is needed for social protection to fully address child malnutrition in Ethiopia.
The document outlines several key nutrition issues facing the region such as high rates of malnutrition, food insecurity, and inadequate nutrition awareness. It also discusses the various organizations that are responding to these issues through programs focused on health, food security, and nutrition education. Finally, it examines the challenges faced in coordinating these efforts and how the district is working to strengthen nutrition governance and prioritize interventions through its Nutrition Action Plan.
Improving Quality of Care in Partnership with Governments and Communities_Mic...CORE Group
The document summarizes Indonesia's Community-based Nutrition Project, which aims to reduce stunting in children under five. The $129.5 million, 5-year project will target over 5,400 villages in 11 Indonesian provinces. It has two components: (1) providing block grants and technical assistance to communities, and (2) training health providers, supplying micronutrients, and raising awareness. The goal is to improve nutrition by increasing access to healthcare, sanitation, and education on feeding practices. An impact evaluation will assess whether the holistic package can successfully reduce stunting rates.
Drivers of nutritional change in South Asia: Insights from empirical analyses...Transform Nutrition
This presentation by Derek Headey, IFPRI was shown at the Transform Nutrition - Evidence for Action regional meeting in Kathmandu, Nepal on 8 July 2017. This one-day event shared Transform Nutrition evidence on key issues related to nutrition policy in Nepal, Bangladesh and India, lessons on strategies for change from other contexts and discuss the relevance and applicability of the research findings to policies/programmes that aim to address nutrition in South Asia.
4. day 2 session 1 nutrition sensitive programs and policiesPOSHAN
Presentation made at a two-day workshop "Stepping up to India’s Nutrition Challenge: The Critical Role of Policy Makers" for district administrators from India’s Aspirational Districts, on 6-7 Aug 2018, at Mussoorie.
Presentation made at a two-day workshop "Stepping up to India’s Nutrition Challenge: The Critical Role of Policy Makers" for district administrators from India’s Aspirational Districts, on 6-7 Aug 2018, at Mussoorie.
Presented by Muntita Hambayi
Presented at Report Launch "Mapping Linkages Between Agriculture, Food Security and Nutrition in Malawi"
Ufulu Gardens, 28th April, 2015
An examination of the dynamics of nutrition program implementation in Ethiopi...essp2
1) The study assessed facilitators and constraints to implementing Ethiopia's National Nutrition Program (NNP) at national and sub-national levels. It found that while the NNP design considered multi-sector involvement, implementation faced challenges with leadership, capacity, awareness, coordination, and budget constraints, especially at sub-national levels.
2) Key challenges included lack of nutrition focal points in non-health sectors, limited awareness outside health sectors, and minimal sub-national coordination. Budget limitations were also a constraint.
3) Recommendations included establishing high-level multi-sectoral coordination led by the Prime Minister's office, capacity building at sub-national levels, and designating nutrition focal points in all
Presentation made at a two-day workshop "Stepping up to India’s Nutrition Challenge: The Critical Role of Policy Makers" for district administrators from India’s Aspirational Districts, on 6-7 Aug 2018, at Mussoorie.
Presentation made at a two-day workshop "Stepping up to India’s Nutrition Challenge: The Critical Role of Policy Makers" for district administrators from India’s Aspirational Districts, on 6-7 Aug 2018, at Mussoorie.
1. The document summarizes the Together for Nutrition 2015 conference in Ethiopia which brought together evidence on cross-sectoral approaches to improving nutrition.
2. Key topics included trends in Ethiopia's nutritional indicators, the role of nutrition interventions and programs in agriculture, gender, and social sciences in shaping nutrition.
3. The conference aimed to take stock of current nutrition status, drivers of improvement, and future directions for action across multiple sectors including food production, social safety nets, and women's empowerment.
Production of fortified food for a public supplementary nutrition program: Pe...POSHAN
This document discusses decentralized production models for take-home rations (THR) under the Integrated Child Development Services (ICDS) program in India. It provides examples of different state-level models, including centralized procurement and decentralized production through self-help groups. The features of a successful decentralized production unit pilot in Rajasthan are outlined, including its ability to meet quality, assurance, delivery and cost requirements. The model is analyzed and its success demonstrated in areas like nutritious food production, assured delivery, financial sustainability, and collateral social benefits. Key enabling conditions for replicating such decentralized production unit models are identified as access to financing, technical assistance, strong political support, maturity of involved self-help groups, and access
Scaling up impact on nutrition: Global perspectivesessp2
This document discusses key considerations for scaling up nutrition programs based on a literature review. It identifies 9 key elements: 1) having a clear vision, 2) determining what is being scaled, 3) understanding enabling/disabling conditions, 4) identifying drivers/barriers, 5) developing a scaling up strategy, 6) building capacity, 7) establishing governance structures, 8) securing adequate and stable financing, and 9) conducting monitoring, evaluation and learning to ensure accountability. The document emphasizes the importance of a collective vision and appropriate indicators to guide scaling up, as well as evaluating not just outcomes but also impact pathways and scaling up processes themselves.
Changing patterns of malnutrition in Ethiopia and lessons learned. Stunting, wasting, and underweight rates in children under 5 have declined significantly from 2000 to 2014 due to decisive government commitment and leadership. Key factors contributing to improvements include strengthened primary health care and nutrition-specific interventions, expanded access to agriculture and education, and multi-sectoral nutrition policies integrated across health, agriculture, education, industry, and social protection sectors. Remaining challenges include continuing to address equity and quality, strengthening nutrition-sensitive actions and information systems, and managing the emerging issues of overweight and obesity.
Presentation_Kavle - Breaking Barriers to Improve Health and NutritionCORE Group
This document summarizes the Baby-Friendly Community Initiative (BFCI) implemented in western Kenya to improve health and nutrition at the community level. The BFCI expands on steps taken in hospitals to support breastfeeding and proper nutrition. It serves as a multisectoral platform addressing maternal nutrition, breastfeeding, complementary feeding, growth monitoring, hygiene, and kitchen gardens. The BFCI is implemented through community mother support groups, household visits, and linking communities to health facilities. It also addresses feeding practices for sick and vulnerable children. Lessons learned include screening for malnutrition, addressing cultural myths, and counseling on continued feeding for sick children.
List of abstracts delivering for nutrition in india - 24 sep 2019POSHAN
1. The document provides an agenda and list of abstracts for a conference on "Delivering for Nutrition in India: Insights from Implementation Research".
2. The keynote address will provide an overview of the history and importance of implementation research in nutrition for scaling up programs effectively.
3. Several presentations will provide insights from implementation research studies on using technology and mobile apps to improve service delivery in India's ICDS nutrition program, and on data collection and use to enhance nutrition surveillance and monitoring.
On December 5th, 2016, Transform Nutrition Co-Research Director John Hoddinott gave a seminar on issues surrounding chronic undernutrition in Ethiopia. In addition to reviewing current trends and the factors associated with these, Dr Hoddinott summarized TN research on chronic undernutrition in Ethiopia, conveying key messages and outlining areas requiring attention in the future. The lecture was attended by representatives from civil society organizations, academics, government officials and researchers.
The document discusses India's Poshan Abhiyaan (National Nutrition Mission) which aims to reduce undernutrition in the country. It provides background on India's high levels of malnutrition according to NFHS-4 and global reports. The mission aims to reduce stunting in children under 6 from 38.4% to 25% by 2022. It will be implemented over 315 districts in the first phase focusing on monitoring, convergence of nutrition programs, and real-time monitoring through ICT. The mission structure includes a National Council on Nutrition Challenges, National Nutrition Mission Steering Group and Empowered Programme Committee to oversee implementation at national, state and district levels through convergence of schemes across multiple ministries.
Assessing the impact on child nutrition of Ethiopia’s Community-based Nutriti...essp2
The document summarizes an evaluation of Ethiopia's Community-based Nutrition (CBN) program conducted by Tulane University. The CBN program was implemented in rural areas through volunteer community health workers and health extension workers to monitor child growth, hold community conversations, and conduct home visits. The evaluation found the CBN program was associated with reductions in stunting and severe stunting compared to expected trends. Children in areas with more contact from health workers through the CBN program saw greater improvements in nutrition indicators. However, overall participation levels in the CBN program were low at 30%, suggesting increased community engagement is needed as the program expands its coverage across Ethiopia.
Improving maternal nutrition: A review of evidence on the one-full meal programPOSHAN
Presentation made at a virtual event on “Improving maternal nutrition: A review of evidence on the One-Full Meal program” which was co-hosted by the ICMR-National Institute of Nutrition (NIN), Hyderabad, Institute of Economic Growth (IEG), International Food Policy Research Institute (IFPRI), and UNICEF, on 31 March 2020.
Nutrition financing at the state-level: The case of RajasthanPOSHAN
This presentation was made by Dr. Yashodhara Rana (Results for Development) in the session on ‘Big numbers about small children: Research on nutrition financing’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
The impact of social protection programs in Ethiopia on children’s nutritiona...essp2
This document summarizes research on the impacts of social protection programs in Ethiopia on child nutrition. It finds that while the Productive Safety Nets Programme (PSNP) and social cash transfer pilot program in Tigray improved household food security, neither program improved child nutrition outcomes. Child malnutrition levels remained high, likely because the programs did not effectively integrate nutrition education and interventions. Maternal education had limited impact on child nutrition, and many children faced chronic undernutrition from a very young age. Improving nutrition knowledge and hygiene practices is needed for social protection to fully address child malnutrition in Ethiopia.
The document outlines several key nutrition issues facing the region such as high rates of malnutrition, food insecurity, and inadequate nutrition awareness. It also discusses the various organizations that are responding to these issues through programs focused on health, food security, and nutrition education. Finally, it examines the challenges faced in coordinating these efforts and how the district is working to strengthen nutrition governance and prioritize interventions through its Nutrition Action Plan.
Improving Quality of Care in Partnership with Governments and Communities_Mic...CORE Group
The document summarizes Indonesia's Community-based Nutrition Project, which aims to reduce stunting in children under five. The $129.5 million, 5-year project will target over 5,400 villages in 11 Indonesian provinces. It has two components: (1) providing block grants and technical assistance to communities, and (2) training health providers, supplying micronutrients, and raising awareness. The goal is to improve nutrition by increasing access to healthcare, sanitation, and education on feeding practices. An impact evaluation will assess whether the holistic package can successfully reduce stunting rates.
Nutritional itervention public health .pptxmeseret49
This document provides an overview of nutritional interventions. It discusses direct and indirect interventions, as well as essential nutrition actions. Direct, nutrition-specific interventions target the immediate causes of undernutrition like inadequate dietary intake and illness. Examples include breastfeeding promotion, complementary feeding, and management of acute malnutrition. Indirect, nutrition-sensitive interventions address the underlying determinants of undernutrition through sectors like agriculture, social protection, and education. Essential nutrition actions promote seven evidence-based practices to improve nutrition, delivered through integrated health services and community programs. The document outlines considerations for planning, implementing and evaluating effective nutritional interventions.
Eileen Wallace from the Children's Food Trust presented on their Eat Better, Start Better program which aims to improve nutrition for children aged 0-5. The presentation covered the Trust's goals of promoting legislation, maximizing benefits, and improving out of school eating. It also provided an overview of the voluntary food and drink guidelines for early years settings in England and the Trust's training programs to increase knowledge of the guidelines among early years practitioners and parents. The goals of the program are to improve food provision for young children in settings and at home, increase nutrition knowledge among early years staff, and increase cooking skills and nutrition knowledge for parents.
Healthy Behaviour, Food Safety and Quality Policy Comparison FINSophia Amenyah
The document compares policies related to healthy lifestyles, food safety and quality in Indonesia, Ghana, Tanzania and Zimbabwe. All countries have ongoing policies but objectives, targets and implementation differ. Key actors involved in implementation vary between countries. Monitoring and evaluation processes exist but could be strengthened, especially by adding quantifiable indicators. Funding and infrastructure limitations were identified. Recommendations include ensuring policies are evidence-based, participatory and focused on self-efficacy with improved evaluation to create effective future policies.
Indicators and dilemma of breast feeding assessment last Tarek Al 3reeny
The document discusses breastfeeding indicators and their purpose and dilemmas. It provides historical background on the development of breastfeeding indicators since 1991. While indicators are meant to assess practices and monitor progress, they have limitations for smaller local programs due to their limited set of measures. The document also notes dilemmas in definitions, methodology, and applications of some individual indicators related to sample sizes, recall periods, and age ranges. It concludes that indicators need country-specific revisions and that national expert panels should create customized indicators for assessing breastfeeding practices.
Preliminary results: Malawi Zero Hunger and Malnutrition Strategic ReviewIFPRIMaSSP
This presentation shared preliminary findings from the Malawi Zero Hunger and Malnutrition Strategic Review (ZHMSR), which is a government-led, independent, analytical, and consultative exercise to identify the key challenges Malawi faces in achieving the second Sustainable Development Goal (SDG 2), to "end hunger, achieve food security and improved nutrition, and promote sustainable agriculture" by 2030.
The results were presented at the Lilongwe office of the International Food Policy Research Institute (IFPRI) by Dr. Grace Kumchulesi, from the ZHMSR research team. The seminar is part of IFPRI Malawi's Brown Bag Research Seminar series, which allows for presentation of early research results for discussion and feedback.
Nutrition related programmes & PitfallsKunal Modak
The document discusses India's history of nutrition programs and current status of malnutrition. It outlines several national programs established since the 1970s to address undernutrition, including the Integrated Child Development Services program, adolescent girls' schemes, and programs focused on micronutrient deficiencies. The document also discusses pitfalls faced in program implementation such as lack of community participation and intersectoral coordination. Current priorities include reducing childhood stunting and anemia prevalence through improved counseling and rehabilitation efforts.
Does nutrition education improve complementary feeding practices and mothers nutrition knowledge? A case study of Western Kenya presented by Jacqueline Kipkorir PhD Student,, Kenyatta University
Find out more about this research:
http://www.bioversityinternational.org/news/detail/improving-nutrition-through-local-agricultural-biodiversity-in-kenya/
The National Nutrition Policy of Nepal from 2004 aims to improve nutrition nationwide by reducing malnutrition rates. The key objectives are reducing protein-energy malnutrition, anemia, iodine deficiency, vitamin A deficiency, and intestinal worm infestation among children and women. The policy outlines strategies like community participation, advocacy, research, and multi-sector coordination to achieve its overall goal of ensuring nutritional well-being for all Nepalis. While programs have scaled up infant and young child feeding, coverage of interventions remains low and nutrition surveys need to be conducted more routinely. Strengthening food security and fully implementing breastfeeding recommendations could help address remaining weaknesses in Nepal's efforts to improve public health through nutrition.
The National Nutritional Policy adopted in 1993 aims to improve nutritional status in India through a comprehensive multi-sectoral approach. The policy's general objective is to improve nutritional status, while specific objectives include promoting favorable practices, reducing deficiencies and excess, assuring treatment for malnutrition, and providing support for people with HIV/AIDS. It involves both direct interventions like expanding nutrition programs and indirect interventions like ensuring food security, public distribution systems, and improving health, education, and women's status. The policy is monitored by various government groups and linked to goals of reducing poverty, improving education, lowering mortality, and combating disease.
This document discusses nutrition programs and policies in Kenya. It outlines the high rates of stunting and malnutrition among Kenyan children. Factors contributing to malnutrition include low maternal education, poor infant and young child feeding practices, micronutrient deficiencies, gender inequality, and high population growth. The document also discusses Kenya's national nutrition policies and strategies, as well as programs led by USAID and others. It summarizes research on the impact of a nutrition education intervention in improving knowledge and reducing undernutrition. Empowering women with nutrition education through cooking classes has also shown benefits. Overall, the document stresses the importance of nutrition education and school feeding programs in addressing malnutrition in Kenya.
“Enhanced Homestead Food Production (E-HFP) to improve household food security and nutrition” presented by Pooja Pandey, Hellen Keller International-Nepal at the ReSAKSS-Asia Conference, Nov 14-16, 2011, in Kathmandu, Nepal.
This document summarizes Northern Ireland's approach to tackling childhood obesity. It discusses the health risks and costs of childhood obesity. The keynote speakers will discuss the marketing of food to children, lifetime costs of childhood obesity, and Northern Ireland's obesity policy and strategy. Northern Ireland's "A Fitter Future for All" framework aims to create an environment supporting a healthy lifestyle and diet. It outlines actions to address early childhood, school environments, food production, and empowering healthy choices. Implementation involves various partners leading different outcomes to prevent and reduce obesity.
Using a community-based early childhood development center as a platform to p...IFPRIMaSSP
Presented by Dr. Aulo Gelli, International Food Policy Research Institute (IFPRI) at IFPRI Malawi workshop and policy dialogue, 'Nutrition-sensitive social protection and integrated programs in Malawi: Evidence from a longitudinal study in Zomba spanning the 2016-17 food crises,' in Lilongwe, Malawi, May 17, 2018.
Nutrition and Health: Improving Complementary Foods In Ethiopia By Adding Loc...IFSD14
1) Two studies in Ethiopia found that providing nutrition education on adding pulses to complementary foods improved mothers' knowledge and practices and positively impacted children's nutritional status.
2) Specifically, the Wolayita study found that education sessions covering recipes, demonstrations, and home visits significantly increased mothers' knowledge, attitudes, and practices of complementary feeding and led to greater weight gain and improved weight-for-age in young children.
3) Providing continued lessons, interactive discussions, repeated demonstrations and follow-ups was an effective approach for the nutrition education intervention.
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1. 20 Years of Nutrition
Progress in Nepal
By: Kenda Cunningham, Akriti Singh, Derek
Headey, Pooja Pandey Rana, and Chandni
2. Stories of Change in Nutrition
• Overall objective: To document experience on “how” (versus “what”)
nutritional change has and can happen in an initial set of 6 countries:
Bangladesh, Nepal, India, Senegal, Zambia and Ethiopia
• Nepal study objectives:
• To identify drivers of reductions in undernutrition in Nepal using
both quatitative and qualitative techniques
• To examine how these drivers vary by nutrition indicator and
agro-ecological zone
• Outputs
• Book chapters
• Policy briefs
• Videos
• Peer-reviewed journal articles
http://www.transformnutrition.org/stories_of_change/stories-of-change-
special-issue/
3. Methods
• Quantitative drivers: 1996 to 2011; DHS data; stunting (<2y),
wasting (<5y), and maternal underweight; decomposition
techniques
• Mother’s perspectives: 1996 to present; qualitative open-
ended interviews; life-history approach by 5 year birth periods
• Policy perspectives: document review; net-mapping of
stakeholders; qualitative key informant interviews from MSNP
stakeholders
• Ethical approval: Nepal Health Research Council and
IFPRI’s Internal Review Board
7. Changes in Underlying Determinants: 1996 to
2011 (%)
23
59
33
25
33
11
7 10
0
10
20
30
40
50
60
70
80
90
100
4 or more ANC
visits
Iron
supplements
Born in health
facility
All vaccinations Open
defecation
Water source:
tube well
Water source:
piped
Maternal
empowerment
9. Maternal perspectives: nutrition-
specific changes over time
• Maternal nutrition: Diets during pregnancy & lactation
were poor: resource constraints and decision-making
compound knowledge gaps.
• Breastfeeding: Mothers across all time periods were
aware that breast milk was best for her child and all
mothers breastfed for at least the first few months.
However, exclusive breastfeeding for 6 months was
unusual.
• Complementary feeding: timely initiation of
complementary foods, particularly animal source foods
was uncommon.
“Yes, immediately after delivery it is milk in our
village. Later on some feed something they buy in
the market.”
- Chitwan, 2005-2010
“I fed only my milk for about 1 or 1.5 years. Till
then just my milk was sufficient for my baby.”
-Chitwan, 1990-1995
10. Maternal perspectives: nutrition-
sensitive changes over time
• Health: Mothers who given birth in the last 5 years were more likely
to have received care during pregnancy, had ANC check-ups, and
delivered at a health facility compared to mothers who gave birth
earlier.
• WASH: The majority of the mothers shared that they had a toilet in
their household but that this was not the case in the past
• Education: all mothers expressed the importance of sending both
sons a& daughters to school, even those who had never gone to
school themselves
• Infrastructure and Migration: Road progress and other community
infrastructural projects noted, as was a shift in labor-migration from
India to the Middle East and Malaysia with varying consequences
“Now it is very clean. There is a toilet in the school. We have a
toilet at home. Now all houses are clean. All houses have a toilet.”
- Rupandehi, 1990-1995
“Some boys will study. Some will go to work. Some will go abroad.
Others will stay at home. [But] girls will go to study.”
– Chitwan, 2010-2015
“...earlier the walls used to be made of mud, the roof made of mud
and dried grass. Later we had tiles, now cyadar; it is improving.”
- Rupandehi, 1995-2000
13. Key policies over time: WASH, Ed, Agri, Mig,
Etc.
Pre-1990 1990-1994 1995-1999 2000-2005 2005-2009 2010-2014 2015 onwards
Nepal
National
Sanitation
Policy &
Guidelines for
Planning and
Implementati
on of the
Sanitation
Program
(1990)
School Sanitation &
Hygiene Education
Program (2000)
School Led Total
Sanitation (SLTS)
(2006)
Sanitation and Hygiene Master Plan
(2011)
Sector
development plan
(drafted)
Rural Water Supply and
San National Policy,
Strategy and Action
Plan (2004)
Urban Water Supply and
Sanitation Policy (2009)
MSNP-PA (2013-2017) Total Sanitation
Guideline
(drafted)
Community Led Total
Sanitation (CLTS)
(2004)
National
Education
System Plan
[1971-1976]
Education For All National School Health
and Nutrition Strategy
(2006)
MSNP-PA (2013-2017)
Education
Act [1971)
National Plan of Action
(EFA/NPA) (2001)
Girls Education
Including Early
Childhood Development
(2009)
National Plan
of Action for
Nutrition
(NPAN) (98-
99)
National Agricultural
Policy (04-05)
Local Governance and
Community
Development Program
(LGCDP) Phase I (08-
12)
National Agriculture Sector Development
Priority (NASDP) (10-15)
Ministry of
Livestock
Development
constituted
(2016)
Local Self
Governance
Act (LSGA)
(99)
Area Development
Program (01)
Nepal Agriculture & Food Security
Country Investment Plan (10-15)
Agriculture Perspective
Plan (03)
Food and Nutrition Security Plan of
Action (12-23)
Agriculture Development Strategy (ADS)
(13-23)
Nepal Agriculture and Food Security
Program (NAFSP) (13-17)
MSNP-PA (13-17)
Local Governance and Community
14. MSNP
Weaknesses
• Lack of clarity for how each
sector should engage
nutrition
• Ambiguity as to whether
coordinated action or
sectoral nutrition-sensitive
actions are needed
• Implementation challenges
including lack of scale up to
all districts
• Capacity and leadership
gaps
Strengths
• Governmental
prioritization of nutrition
and nutrition
architecture
• Common goal across
multiple-sectors
• Focus on community
level needs
15. Discussion Points
• Variation in:
– progress on nutritional status & determinants
– which determinants contribute to different
reductions
– sub-national level
• What is measured (and not) matters!
• Much work remains – in nutritional indicators
but also in IYCF, education, health services,
WASH, and so on. Economic growth will be
insufficient!
• New/unaddressed challenges: over-nutrition,
16. Recommendations
• Expand coverage and target disadvantaged for
high-impact interventions.
• Ensure the MSNP promotes open dialogue re:
weaknesses and has M&E with feedback cycles
to improve the policy and its implementation
• Continue to build strong collaborations across
sectors, but also stakeholder groups
• Prioritize other equally important nutritional
burdens, such as anemia and food hygiene.
• Address data gaps and prioritize research, to
enable evidence-based policies & programs
17. THANK YOU!
• Co-authors
• Government of Nepal
• Nutrition stakeholders
• Suaahara/HKI
• IFPRI (Transform Nutrition)
• CIFF
• NIL (Tufts/JHU)
• Global Food Security
Editor's Notes
In recent years there has been a major upswing in global attention and political momentum to the challenge of addressing undernutrition. There is now demand for learning that comes directly from countries on not only what works and why, but how we get there.
The Stories of Change project was led by IFPRI with various partners, and was a quick research project meant to engage local and global experts to quickly synthesise available evidence and complement it when necessary to TELL A STORY in six countries, including Nepal.
It applies research approaches in selected countries to better understand, engage with, influence and evaluate multisectoral action to reduce undernutrition.
Quantitative analysis seeks to document and disentangle the key drivers of positive change in rates of undernutrition, through in-depth statistical analyses of DHS data over multiple years.
Then qualitative work to analyzes the political economy of nutrition, investigating policy-relevant challenges, constraints, incentives, trade-offs, opportunities relating to operationalizing, scaling up and sustaining plans for multisectoral action on nutrition.
Additional qualitative work was done to complement the numbers by triangulating this with viewpoints of those most frequently living in conditions ripe for malnutrition – mothers in rural Nepal.
Improvements in all 3 indicators over time.
Stunting shows most drastic reductions
Wasting
Maternal underweight (<18.5 BMI)
LITTLE to NO movement on any IYCF indicators over time.
We next look at trends in several broad sources of nutritional change available to us in the DHS data.
HUGE improvements in asset index and parental education (more so among mothers than fathers)
Birth order shows number of children so small declines and interval between children increasing --- good indicators for progress on Health Timing and Spacing of Pregnancies
Maternal height is missing because scale is different but increased from 150 to 151.5 cm – good sign of maternal nutrition progressing
All went in the direction you’d expect
HUGE movement in WASH (particularly access to toilets) and health indicators – showing access to and use of service improvements
These are the results of the analysis of drivers of stunting change from the DHS data, for all children, and then split into under- and over-one year, because different factors affect younger or older children more.
An important finding of the analysis is that the model using available variables explains approximately 60% for stunting and 85% for maternal underweight but all (actually a little more than all) for wasting. of the actual changes observed over this period. The grey area at the top of the bars shows how much is left unexplained due to the limitations of the DHS dataset, which doesn’t cover everything relevant to stunting. (ex; nothing about food security/agricultural production/etc. and women’s empowerment data is very weak and only about d-making.
Most striking is the contribution of health services (in dark blue at the bottom), accounting for a significant % of the reduction in each nutritional outcome indicator
Water and sanitation issues also drive some of the stunting story: having a private toilet is important particularly for older children, and not having piped water is a drag on change particularly for younger children. Both water and sanitation appear to require not only individual households to have access to improved facilities, but entire communities; it is only when we start to approach zero open defecation or 100% improved water sources that children stop being exposed to pathogens and HAZ improves.
Health service use has also driven some of the change in stunting here: Being fully vaccinated is important particularly for older children, being born in a medical facility is important to younger children, and mothers not attending enough antenatal visits is detrimental to younger children.
So we can start to understand some of the drivers of stunting reductions, and start to build on these.
Still progress is needed – most hoped for change involved roads, particularly black tops and ability to get between villages.
2nd most hope for change was health facilities.
Better education and jobs were also mentioned
Current programs focus on women but need to include men in intervention programs also mentioned
Netmap exercise among sampling of stakeholders – 1 shot in time of something that is not static in reality but gives a good picture.
Size of circle = degree of influence
Color is type of stakeholders - Government of Nepal (GoN), development partners (including donors and international NGOs), academia, local NGOs and civil society, and others including individuals who shape and influence the nutrition-related discourse in Nepal.
- 42 linked stakeholders, and has high centralization, meaning that a few stakeholders have many links while most have few, and not all are connected to each other
Lines show linkages: 89 total links comprised of 42 funding links, 32 technical links and 15 advocacy links
Lots of actors but concentrated work with the MOHP and NPC even though nut is now specified as MS in Nepal
FCHVs – 1988
Vit A supplementation - 1994
IFA during pregnancy – 98, along with iodized salt strategy
Anemia control for pregnant women – 2000 and again 2006
Safe delivery incentive program – 2005
MSNP – 2011
IYCF strategy - 2015
Education for all – 2000 onwards a real push to make education accessible and address gender gaps
CLTS and SLTS
Ag Development Strategy
The interviews complemented the policy process data gathered from the document review. Rather than being used to gather greater detailed information on how the policy change for the MSNP came about, the degree and ways in which evidence has been used in decision-making, whether particular individuals served as nutrition champions during this time, how resource allocation decisions were made, or other related policy dimensions, these interviews focused almost exclusively on the MSNP and generated rich discussions on its strengths and weaknesses.
Variation in progress on nutritional indicators at a national level – greater reduction in stunting than maternal underweight for ex. Why?
Variation in which determinants contributed to the reductions seen. – Sanitation played a bigger role for weight among women and children, whereas health services played a bigger role for stunting as did education.
Variation in progress on nutritional indicators and contributions by determinants at the sub-national level – points at importance of sub-national analysis to go next mile in Nepal.
Lots not measured and complex multi-sectoral, nationally representative datasets are needed and should shed additional light --- Thanks NIL!
UNICEF MICS, National Nut Surv System, etc.