The document discusses coordination of nutrition partners and programs in Ghana. It finds that malnutrition is addressed by many actors across different sectors, but coordination is challenging. Existing coordination mechanisms at the national level, like NANUPACC and the SUN CSPG, are functionally inactive. Coordination is also limited at regional and district levels. Key barriers to effective coordination include limited nutrition capacity and prioritization across agencies, incomplete decentralization, and reliance on donor funding. Improving coordination will require establishing a National Food and Nutrition Commission to lead engagement across sectors, strengthening multi-sectoral capacity, and increasing dedicated government funding for nutrition programs at all levels.
This document provides an overview of Hazard Analysis and Critical Control Points (HACCP), a systematic approach to identifying, evaluating, and controlling food safety hazards. It describes the seven principles of HACCP including conducting a hazard analysis, determining critical control points, establishing critical limits, and procedures for monitoring, corrective actions, verification, and record keeping. The document also discusses problems that can occur in HACCP implementation if it is not properly designed and implemented, and lists requirements for a successful HACCP system such as plant design, trained personnel, hygiene, and management commitment.
This document is a glossary containing definitions of mathematical and statistical terms. It provides concise explanations of over 150 terms ranging from simple concepts like "adjacent" and "allowance" to more complex ideas like "box-and-whisker plot", "causality", and "frequency histogram". The glossary acts as a reference for understanding key terms across various topics in mathematics and statistics.
This is a project on Food System Management System. It is basically a PowerPoint Presentatiion which will help you to learn new things. Generally this project is given to the students of Nutrition and Dietician.
Effective platforms and coalitions for healthy diets: what concrete results? ...ExternalEvents
"www.fao.org/about/meetings/sustainable-food-systems-nutrition-symposium
The International Symposium on Sustainable Food Systems for Healthy Diets and Improved Nutrition was jointly held by FAO and WHO in December 2016 to explore policies and programme options for shaping the food systems in ways that deliver foods for a healthy diet, focusing on concrete country experiences and challenges. This Symposium waas the first large-scale contribution under the UN Decade of Action for Nutrition 2016-2025. This presentation was part of Parallel session 3.1: Designing, implementing and monitoring evidence-based policies effectively with multiple actors"
Data compilation during the intermediate phase in preparation for the next wo...TransformNutritionWe
This presentation is about TNWA Policy and programs component and more specifically on search approaches for current/ongoing policy and programs focusing on nutrition at national level for Nigeria and Burkina Faso
It also presents TNWA's Stories of Change: change over time in policy and programs: Examples of Senegal and Zambia.
GCARD2: Briefing paper Household Nutrition Security (WFP)GCARD Conferences
While the research agenda is growing, there remains limited concrete evidence on how agriculture–nutrition linkages work. A mapping exercise has been completed by DFID/LCIRAH outlining the research gaps. However more nutrition-relevant data from agricultural interventions needs to be generated, collected and shared, and nutritional indicators need to be included in evaluations. LCIRAH identify the need for greater understanding of the pathways from agricultural inputs and practices through value chains to effects on food environment, consumption and nutrition.
Visit the conference site for more information: http://www.egfar.org/gcard-2012
Bien que les programmes de recherche se multiplient, il n'existe pas encore de preuves concrètes sur la façon dont les relations entre l’agriculture et la nutrition fonctionnent. Un état des lieux a été réalisé par DFID/LCIRAH montrant les lacunes de la recherche dans ce domaine. Cependant, d'importantes données nutritionnelles pertinentes doivent être générées, collectées et partagées ; et les indicateurs nutritionnels doivent être inclus dans les évaluations. LCIRAH identifie la nécessité pour une large compréhension des mécanismes depuis les intrants et pratiques agricoles, a travers les chaines de valeur et aux effets sur les aliments, la consommation et la nutrition.
Visitez le site de la GCARD2 pour plus d'informations: http://www.egfar.org/gcard-2012
The document provides guidelines for organizing workshops to jointly plan actions to address malnutrition through an integrated multi-sectoral approach. It describes how to use problem and solution tree analyses to clarify objectives, organize planning workshops, and adapt the methodology for different contexts and purposes such as training, partnership development, and surveillance system design. The workshops bring together stakeholders from different sectors to develop a shared understanding of the local causes of malnutrition and identify opportunities for strengthening linkages and synergies between existing interventions.
More examples of social accountability efforts in SUN countries
Plus d'examples d'efforts de redevabilite sociale dans les pays SUN
Mas ejemplos de esfuerzos de rendicion de cuenta social en los paises SUN
This document provides an overview of Hazard Analysis and Critical Control Points (HACCP), a systematic approach to identifying, evaluating, and controlling food safety hazards. It describes the seven principles of HACCP including conducting a hazard analysis, determining critical control points, establishing critical limits, and procedures for monitoring, corrective actions, verification, and record keeping. The document also discusses problems that can occur in HACCP implementation if it is not properly designed and implemented, and lists requirements for a successful HACCP system such as plant design, trained personnel, hygiene, and management commitment.
This document is a glossary containing definitions of mathematical and statistical terms. It provides concise explanations of over 150 terms ranging from simple concepts like "adjacent" and "allowance" to more complex ideas like "box-and-whisker plot", "causality", and "frequency histogram". The glossary acts as a reference for understanding key terms across various topics in mathematics and statistics.
This is a project on Food System Management System. It is basically a PowerPoint Presentatiion which will help you to learn new things. Generally this project is given to the students of Nutrition and Dietician.
Effective platforms and coalitions for healthy diets: what concrete results? ...ExternalEvents
"www.fao.org/about/meetings/sustainable-food-systems-nutrition-symposium
The International Symposium on Sustainable Food Systems for Healthy Diets and Improved Nutrition was jointly held by FAO and WHO in December 2016 to explore policies and programme options for shaping the food systems in ways that deliver foods for a healthy diet, focusing on concrete country experiences and challenges. This Symposium waas the first large-scale contribution under the UN Decade of Action for Nutrition 2016-2025. This presentation was part of Parallel session 3.1: Designing, implementing and monitoring evidence-based policies effectively with multiple actors"
Data compilation during the intermediate phase in preparation for the next wo...TransformNutritionWe
This presentation is about TNWA Policy and programs component and more specifically on search approaches for current/ongoing policy and programs focusing on nutrition at national level for Nigeria and Burkina Faso
It also presents TNWA's Stories of Change: change over time in policy and programs: Examples of Senegal and Zambia.
GCARD2: Briefing paper Household Nutrition Security (WFP)GCARD Conferences
While the research agenda is growing, there remains limited concrete evidence on how agriculture–nutrition linkages work. A mapping exercise has been completed by DFID/LCIRAH outlining the research gaps. However more nutrition-relevant data from agricultural interventions needs to be generated, collected and shared, and nutritional indicators need to be included in evaluations. LCIRAH identify the need for greater understanding of the pathways from agricultural inputs and practices through value chains to effects on food environment, consumption and nutrition.
Visit the conference site for more information: http://www.egfar.org/gcard-2012
Bien que les programmes de recherche se multiplient, il n'existe pas encore de preuves concrètes sur la façon dont les relations entre l’agriculture et la nutrition fonctionnent. Un état des lieux a été réalisé par DFID/LCIRAH montrant les lacunes de la recherche dans ce domaine. Cependant, d'importantes données nutritionnelles pertinentes doivent être générées, collectées et partagées ; et les indicateurs nutritionnels doivent être inclus dans les évaluations. LCIRAH identifie la nécessité pour une large compréhension des mécanismes depuis les intrants et pratiques agricoles, a travers les chaines de valeur et aux effets sur les aliments, la consommation et la nutrition.
Visitez le site de la GCARD2 pour plus d'informations: http://www.egfar.org/gcard-2012
The document provides guidelines for organizing workshops to jointly plan actions to address malnutrition through an integrated multi-sectoral approach. It describes how to use problem and solution tree analyses to clarify objectives, organize planning workshops, and adapt the methodology for different contexts and purposes such as training, partnership development, and surveillance system design. The workshops bring together stakeholders from different sectors to develop a shared understanding of the local causes of malnutrition and identify opportunities for strengthening linkages and synergies between existing interventions.
More examples of social accountability efforts in SUN countries
Plus d'examples d'efforts de redevabilite sociale dans les pays SUN
Mas ejemplos de esfuerzos de rendicion de cuenta social en los paises SUN
UN REACH in Bangladesh - facilitating multisectoral coordination for nutritionIftekhar Rashid
National Public Health 2013 presentation in Bangladesh from the UN REACH team - "UN REACH in Bangladesh - facilitating multisectoral coordination for nutrition"
Background Document: Development of an Ontario Food and Nutrition Strategyltousaw
This document provides a background and recommendations for developing an Ontario Food and Nutrition Strategy. It analyzes Ontario's current capacity based on 11 functional areas including planning and management, research, knowledge exchange, goal setting, advocacy, programs, communications, funding, resources, evaluation and monitoring. Key recommendations include establishing an inter-ministerial committee to guide the strategy, increasing research partnerships and funding, strengthening existing initiatives, developing goals across ministries, and enhancing evaluation. The strategy aims to improve population health and lower healthcare costs by coordinating food and nutrition efforts across the Ontario government.
SUN Civil Society Learning Route: innovation plan submitted by the National Civil Society alliance. More info: http://suncivilsocietynet.wixsite.com/learningroute/rwanda-learning-route or contact C.Ruberto@savethechildren.org.uk
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation. However, policies do not always specify the exact services community health workers are expected to perform. While community health workers play an important role in nutrition, their responsibilities may need to be prioritized to avoid overburdening them.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation as well as assessing and supporting nutrition interventions. However, policies do not always specify all actions community health workers are expected to perform or reflect actual practices. The data provided are meant to inform efforts to strengthen community nutrition programs and support for community health workers.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation. However, policies do not always specify the exact services community health workers are expected to perform. While community health workers play an important role in nutrition, their responsibilities may need to be prioritized to avoid overburdening them.
Nutrition element portfolio review usaid_ Roshelle Payes & Rebecca Egan_10.14.11CORE Group
The document discusses USAID's nutrition approach, outlining its principles, components, target areas, and role of operating units. It provides context on the global burden of undernutrition and its causes. It then describes the recent shift in global and USAID nutrition strategies from vertical to integrated approaches, from under-fives targeting to the 1000-day window, from nutrient-specific to diet quality measures, from recuperative to preventive focus, and from health platforms to multi-sectoral delivery. It poses questions about reaching the 30% undernutrition reduction goal and delivering comprehensive nutrition interventions at scale through integrated frameworks.
Presentation from the second conference call regarding the development of COP2 - planning, costing, implementing and financing multi-sectoral actions for improved nutrition
Uganda has made some progress improving nutrition but still faces challenges with high levels of stunting and anemia. The government has developed nutrition policies and plans and established units focused on food and nutrition security within the Ministries of Agriculture and Health. However, coverage of key interventions remains limited. A new multisectoral nutrition project funded by GAFSP aims to increase production and consumption of nutrient-rich foods and use of community nutrition services through school gardens, nutrition education, and small community gardens. To further accelerate progress, the document recommends mainstreaming nutrition across agriculture and health programs, strengthening institutions and community interventions, and increasing advocacy efforts.
This presentation covers the USAID Office of Maternal, Child Health and Nutrition; the Office of Health Systems; Office of Population and Reproductive Health; and the Center for Innovation and Impact.
This document provides background information on nutrition policies and programs in Egypt. It summarizes a landscape analysis study conducted in 2012 that examined challenges to implementing nutrition interventions at scale. The study made recommendations to improve coordination between stakeholders. It also discusses Egypt's commitment to the 2014 International Conference on Nutrition, which established global targets to reduce malnutrition. The current study aims to understand facilitators, barriers, and collaboration around translating these policies into actions by interviewing national-level stakeholders. It seeks to examine cross-sectoral coordination and the follow-up on prior recommendations to improve nutrition governance.
This document summarizes a research paper on marketing the sustainable home grown school feeding program in Anambra State, Nigeria. The paper aims to build a model for efficient stakeholder participation. It begins with an introduction that describes school feeding programs globally and in Nigeria. It discusses the problem statement around ensuring stakeholder involvement and ownership for sustainability. The paper then justifies the study and outlines its objectives and hypotheses. The scope is described as focusing on stakeholders in Anambra State, including parents, teachers, and caterers. A literature review covers theories of marketing and consumer behavior. The goal is to understand stakeholder awareness, involvement, trust, and willingness to participate to develop a sustainable model.
This document introduces a toolkit for mapping the nutrition workforce. It was created by SPRING to help countries strengthen their capacity to deliver effective nutrition actions. The toolkit provides guidance and tools to assess the size, composition, qualifications and roles of the nutrition workforce within the health sector at the national, district, facility and individual provider levels. This data can then be used to develop strategies to strengthen the workforce and scale up nutrition programs. While focused on the health sector, the approach could also be adapted to assess the workforce delivering nutrition-sensitive actions across other sectors.
Presentation_Arabi - Breaking Barriers to Improve Health and Nutrition:CORE Group
National-level actions can help strengthen nutrition services delivered by health systems. This includes developing a national nutrition strategy, strengthening leadership and governance, developing implementation plans, and including capacity building and ongoing monitoring in national plans. Convergence between health and nutrition services is important, as seen in India's National Nutrition Strategy which links nutritional interventions to essential health services. Kenya also developed a National Capacity Development Framework to comprehensively address capacity needs at multiple levels. However, challenges in establishing community-facility linkages and limited dedicated nutrition budgets remain barriers to sustainability.
Joyce Njoro, Senior Programme Officer, REACH/UN Network for SUNSUN_Movement
The document discusses functional capacities needed for effective nutrition governance. It defines functional capacities as essential management skills like planning, managing change, and sustaining technical capacities. REACH supports developing capacities for multi-sector coordination of national nutrition policies. Key functional capacities include engaging stakeholders, assessing situations to create shared visions, formulating multi-sector strategies and plans, budgeting and implementing in a coordinated way, and jointly monitoring and learning. The document provides examples of how these capacities can be strengthened in different country contexts.
Sector-wide approaches (SWAps) in health were developed in the 1990s in response to fragmented donor projects and prescriptive lending. SWAps aim to support government-led health sector policies and strategies through coordinated funding that supports national health plans. The goals of SWAps include increased government leadership, improved donor coordination, strengthened health sector management, and more coherent sector policy and planning. However, implementing SWAps effectively requires strong government commitment and leadership as well as transparent negotiation between donors and government to account for local context. It may take 5-10 years of sustained implementation before SWAps significantly impact health outcomes.
Kano State has a population of over 9 million people, most of whom live rurally. The state has high rates of HIV, tuberculosis, maternal mortality, and child mortality. USAID/HFG has worked in Kano State to establish a Technical Working Group on tuberculosis funding and advocate for the inclusion of TB services in the state's contributory health insurance scheme. Key accomplishments include establishing a functional TWG, conducting an analysis of TB burden and funding gaps, and building stakeholder capacity in health financing. Challenges include untimely release of funds and limitations of the project's duration. Continued advocacy and establishing follow-on support are recommended.
The Expanded Food and Nutrition Education ProgramAndrew Klein
The Expanded Food and Nutrition Education Program (EFNEP) provides nutrition education to improve food resource management, nutrition practices, and food safety. However, the cost-effectiveness of EFNEP varies significantly between states and program components, ranging from $142 to $1,953 per participant. This is because recruitment and curriculum delivery are led by local volunteers without national standards, leading to differences in participants and program implementation across states.
Food and nutrition security monitoring and analysis systems finalUN Global Pulse
Executive summary of the United Nations Children’s Fund (UNICEF) and World Food Programme (WFP) research: “Food and Nutrition Security and Analysis Systems: A Review of Five Countries (Indonesia, Madagascar, Malawi, Nepal and Zambia),” conducted as part of UN Global Pulse’s Rapid Impact and Vulnerability Assessment Fund (RIVAF). For more information: http://www.unglobalpulse.org/projects/rapid-impact-and-vulnerability-analysis-fund-rivaf
Presentation_Lamstein - Breaking Barriers to Improve Health and NutritionCORE Group
This document discusses strengthening nutrition services at the district level through health systems. It recommends building capacity of health providers through training, determining who delivers nutrition services, and instituting supervision systems. It also suggests ensuring infrastructure, resources, supplies, and cross-sector coordination. Case studies from various countries demonstrate coordinating nutrition activities, increasing government commitment, harmonizing district and community efforts, and building country ownership.
This presentation captures how nutrition has changed in Burkina over time, by not only assessing nutrition relevant data,
programs and policies, but also on capturing experiential learning from those doing nutrition relevant
work in the region
•
Understand How Burkina Faso has created an enabling environment allowing for positive and sustained
change
•
Identify how multi sectoral nutrition relevant policies and programs are designed and implemented in
different contexts, what has worked well, what has not, why, and how Burkina Faso can share experiences
and approaches
•
Frame a constructive discussion in mobilizing future actions and commitments
• Use stories and storytelling to cut through complexity and engage audiences
Prepared by:
Richmond Aryeetey (University of Ghana), Afua Atuobi-Yeboah (University of Ghana), Mara van den Bold (International Food Policy Research Institute), Nick Nisbett (Institute of Development Studies)
More Related Content
Similar to Coordinating nutrition partners and programs in Ghana
UN REACH in Bangladesh - facilitating multisectoral coordination for nutritionIftekhar Rashid
National Public Health 2013 presentation in Bangladesh from the UN REACH team - "UN REACH in Bangladesh - facilitating multisectoral coordination for nutrition"
Background Document: Development of an Ontario Food and Nutrition Strategyltousaw
This document provides a background and recommendations for developing an Ontario Food and Nutrition Strategy. It analyzes Ontario's current capacity based on 11 functional areas including planning and management, research, knowledge exchange, goal setting, advocacy, programs, communications, funding, resources, evaluation and monitoring. Key recommendations include establishing an inter-ministerial committee to guide the strategy, increasing research partnerships and funding, strengthening existing initiatives, developing goals across ministries, and enhancing evaluation. The strategy aims to improve population health and lower healthcare costs by coordinating food and nutrition efforts across the Ontario government.
SUN Civil Society Learning Route: innovation plan submitted by the National Civil Society alliance. More info: http://suncivilsocietynet.wixsite.com/learningroute/rwanda-learning-route or contact C.Ruberto@savethechildren.org.uk
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation. However, policies do not always specify the exact services community health workers are expected to perform. While community health workers play an important role in nutrition, their responsibilities may need to be prioritized to avoid overburdening them.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation as well as assessing and supporting nutrition interventions. However, policies do not always specify all actions community health workers are expected to perform or reflect actual practices. The data provided are meant to inform efforts to strengthen community nutrition programs and support for community health workers.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation. However, policies do not always specify the exact services community health workers are expected to perform. While community health workers play an important role in nutrition, their responsibilities may need to be prioritized to avoid overburdening them.
Nutrition element portfolio review usaid_ Roshelle Payes & Rebecca Egan_10.14.11CORE Group
The document discusses USAID's nutrition approach, outlining its principles, components, target areas, and role of operating units. It provides context on the global burden of undernutrition and its causes. It then describes the recent shift in global and USAID nutrition strategies from vertical to integrated approaches, from under-fives targeting to the 1000-day window, from nutrient-specific to diet quality measures, from recuperative to preventive focus, and from health platforms to multi-sectoral delivery. It poses questions about reaching the 30% undernutrition reduction goal and delivering comprehensive nutrition interventions at scale through integrated frameworks.
Presentation from the second conference call regarding the development of COP2 - planning, costing, implementing and financing multi-sectoral actions for improved nutrition
Uganda has made some progress improving nutrition but still faces challenges with high levels of stunting and anemia. The government has developed nutrition policies and plans and established units focused on food and nutrition security within the Ministries of Agriculture and Health. However, coverage of key interventions remains limited. A new multisectoral nutrition project funded by GAFSP aims to increase production and consumption of nutrient-rich foods and use of community nutrition services through school gardens, nutrition education, and small community gardens. To further accelerate progress, the document recommends mainstreaming nutrition across agriculture and health programs, strengthening institutions and community interventions, and increasing advocacy efforts.
This presentation covers the USAID Office of Maternal, Child Health and Nutrition; the Office of Health Systems; Office of Population and Reproductive Health; and the Center for Innovation and Impact.
This document provides background information on nutrition policies and programs in Egypt. It summarizes a landscape analysis study conducted in 2012 that examined challenges to implementing nutrition interventions at scale. The study made recommendations to improve coordination between stakeholders. It also discusses Egypt's commitment to the 2014 International Conference on Nutrition, which established global targets to reduce malnutrition. The current study aims to understand facilitators, barriers, and collaboration around translating these policies into actions by interviewing national-level stakeholders. It seeks to examine cross-sectoral coordination and the follow-up on prior recommendations to improve nutrition governance.
This document summarizes a research paper on marketing the sustainable home grown school feeding program in Anambra State, Nigeria. The paper aims to build a model for efficient stakeholder participation. It begins with an introduction that describes school feeding programs globally and in Nigeria. It discusses the problem statement around ensuring stakeholder involvement and ownership for sustainability. The paper then justifies the study and outlines its objectives and hypotheses. The scope is described as focusing on stakeholders in Anambra State, including parents, teachers, and caterers. A literature review covers theories of marketing and consumer behavior. The goal is to understand stakeholder awareness, involvement, trust, and willingness to participate to develop a sustainable model.
This document introduces a toolkit for mapping the nutrition workforce. It was created by SPRING to help countries strengthen their capacity to deliver effective nutrition actions. The toolkit provides guidance and tools to assess the size, composition, qualifications and roles of the nutrition workforce within the health sector at the national, district, facility and individual provider levels. This data can then be used to develop strategies to strengthen the workforce and scale up nutrition programs. While focused on the health sector, the approach could also be adapted to assess the workforce delivering nutrition-sensitive actions across other sectors.
Presentation_Arabi - Breaking Barriers to Improve Health and Nutrition:CORE Group
National-level actions can help strengthen nutrition services delivered by health systems. This includes developing a national nutrition strategy, strengthening leadership and governance, developing implementation plans, and including capacity building and ongoing monitoring in national plans. Convergence between health and nutrition services is important, as seen in India's National Nutrition Strategy which links nutritional interventions to essential health services. Kenya also developed a National Capacity Development Framework to comprehensively address capacity needs at multiple levels. However, challenges in establishing community-facility linkages and limited dedicated nutrition budgets remain barriers to sustainability.
Joyce Njoro, Senior Programme Officer, REACH/UN Network for SUNSUN_Movement
The document discusses functional capacities needed for effective nutrition governance. It defines functional capacities as essential management skills like planning, managing change, and sustaining technical capacities. REACH supports developing capacities for multi-sector coordination of national nutrition policies. Key functional capacities include engaging stakeholders, assessing situations to create shared visions, formulating multi-sector strategies and plans, budgeting and implementing in a coordinated way, and jointly monitoring and learning. The document provides examples of how these capacities can be strengthened in different country contexts.
Sector-wide approaches (SWAps) in health were developed in the 1990s in response to fragmented donor projects and prescriptive lending. SWAps aim to support government-led health sector policies and strategies through coordinated funding that supports national health plans. The goals of SWAps include increased government leadership, improved donor coordination, strengthened health sector management, and more coherent sector policy and planning. However, implementing SWAps effectively requires strong government commitment and leadership as well as transparent negotiation between donors and government to account for local context. It may take 5-10 years of sustained implementation before SWAps significantly impact health outcomes.
Kano State has a population of over 9 million people, most of whom live rurally. The state has high rates of HIV, tuberculosis, maternal mortality, and child mortality. USAID/HFG has worked in Kano State to establish a Technical Working Group on tuberculosis funding and advocate for the inclusion of TB services in the state's contributory health insurance scheme. Key accomplishments include establishing a functional TWG, conducting an analysis of TB burden and funding gaps, and building stakeholder capacity in health financing. Challenges include untimely release of funds and limitations of the project's duration. Continued advocacy and establishing follow-on support are recommended.
The Expanded Food and Nutrition Education ProgramAndrew Klein
The Expanded Food and Nutrition Education Program (EFNEP) provides nutrition education to improve food resource management, nutrition practices, and food safety. However, the cost-effectiveness of EFNEP varies significantly between states and program components, ranging from $142 to $1,953 per participant. This is because recruitment and curriculum delivery are led by local volunteers without national standards, leading to differences in participants and program implementation across states.
Food and nutrition security monitoring and analysis systems finalUN Global Pulse
Executive summary of the United Nations Children’s Fund (UNICEF) and World Food Programme (WFP) research: “Food and Nutrition Security and Analysis Systems: A Review of Five Countries (Indonesia, Madagascar, Malawi, Nepal and Zambia),” conducted as part of UN Global Pulse’s Rapid Impact and Vulnerability Assessment Fund (RIVAF). For more information: http://www.unglobalpulse.org/projects/rapid-impact-and-vulnerability-analysis-fund-rivaf
Presentation_Lamstein - Breaking Barriers to Improve Health and NutritionCORE Group
This document discusses strengthening nutrition services at the district level through health systems. It recommends building capacity of health providers through training, determining who delivers nutrition services, and instituting supervision systems. It also suggests ensuring infrastructure, resources, supplies, and cross-sector coordination. Case studies from various countries demonstrate coordinating nutrition activities, increasing government commitment, harmonizing district and community efforts, and building country ownership.
Similar to Coordinating nutrition partners and programs in Ghana (20)
This presentation captures how nutrition has changed in Burkina over time, by not only assessing nutrition relevant data,
programs and policies, but also on capturing experiential learning from those doing nutrition relevant
work in the region
•
Understand How Burkina Faso has created an enabling environment allowing for positive and sustained
change
•
Identify how multi sectoral nutrition relevant policies and programs are designed and implemented in
different contexts, what has worked well, what has not, why, and how Burkina Faso can share experiences
and approaches
•
Frame a constructive discussion in mobilizing future actions and commitments
• Use stories and storytelling to cut through complexity and engage audiences
Prepared by:
Richmond Aryeetey (University of Ghana), Afua Atuobi-Yeboah (University of Ghana), Mara van den Bold (International Food Policy Research Institute), Nick Nisbett (Institute of Development Studies)
The Knowledge for Implementation and Impact Initiative (KI3) set out to strengthen the availability, access and utilization of implementation knowledge to accelerate progress in scaling up implementation and impact on nutrition. One of its activities focused on the development of a Tools Map, which is an interactive, user friendly, and visually engaging map on implementation tools. This slide deck shows a practical example of where the Tools Map has been used to identify implementation tools on IYCF in West Africa.
Objective: to identify and catalogue peer-reviewed research on Adolesecent (10-19 years) nutrition in West Africa
----------
Objectif : Identifier et cataloguer la recherche revue par des pairs sur la nutrition des adolescents (10-19 ans) en Afrique de l'Ouest.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central19various
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Coordinating nutrition partners and programs in Ghana
1. VOICE FOR CHANGE PARTNERSHIP (V4CP)
PROGRAM BRIEF|June 2020Sawudatu ZAKARIAH-AKOTO and Richmond ARYEETEY
Coordinating Nutrition Partners and Programs
in Ghana
BACKGROUND
Malnutrition is a multifactorial problem; different sectors and partners are often needed to address its multiple drivers (1). Achieving optimal outcomes
requires effective coordination and coherent actions across the multiple actors involved in the nutrition landscape (2). Vertical coordination ensures systematic
harmonization of decision-making and actions across national and subnational policies, plans, resources, implementation, and monitoring mechanisms. Horizon-
tal coordination systematically integrates policies, plans, resources, implementation, and monitoring mechanisms across sectors and agencies. Horizontal coor-
dination can occur at the national and subnational levels, and may involve such diverse partners as government agencies, donors, civil society organizations
(CSOs), development partners (DPs), academia, and the private sector (Table 1).
Suboptimal coordination has been linked with inability to scale up effective interventions to address malnutrition both within Ghana and globally (2, 3).
This advocacy brief reviews coordination across sectors and governance levels in Ghana’s nutrition landscape, based on review of existing literature; describes
existing coordination mechanisms that have been operational in Ghana in the past decade or more; and highlights the gaps and challenges that need to be
addressed.
Table 1: Key sectors involved in nutrition in Ghana and their core roles
Institution/Agency Role in Nutrition
Health institutions Delivery of nutrition services, particularly nutrition-specific interventions
Agriculture institutions and partners Delivery of Food security interventions and nutrition-sensitive agricultural interventions
Educational institutions and partners Awareness creation about nutrition through delivery of school-based nutrition programs
(including curriculum and school meals)
Local government, regional and dis-
trict assemblies
Governance and leadership of nutrition-sensitive interventions at subnational levels and
key coordination of sanitation services
Academic and research institutions Research, innovation, and evaluation to inform decision-making in nutrition
Donor agencies Funding, supply of logistics, and capacity building
United Nations agencies Funding and technical support of nutrition-specific and nutrition-sensitive interventions
STAKEHOLDERS IN THE NUTRITION LANDSCAPE IN GHANA
Drawing on evidence from multiple sources and studies, including the Transform Nutrition West Africa (TNWA) Stories of Change in Nutrition study, we
find that there are many actors involved in addressing malnutrition and its drivers (3-5). A stakeholder mapping done as part of the Stories of Change (SoC)
study identified over 100 actors/stakeholders involved in the nutrition landscape in Ghana at various levels (Appendix1). These actors come from diverse sec-
tors, including government, civil society, donors, the United Nations (UN), business, and academic institutions, with government agencies making up the major-
ity. Within government, 11 ministries were identified as highly involved in nutrition policy development and program implementation. In addition to institutional
actors, there are also individual actors who serve as champions or influencers of nutrition, often in partnership with some of the listed organizational actors.
2. 2
SUMMARY | APRIL 2010
PERCEIVED VALUE OF VARIOUS STAKEHOLDER IN NUTRITION
The Ghana Health Service (GHS) is the lead implementing agency for nutrition programs in Ghana. The GHS—especially its Nutrition Department (ND)—is
therefore considered a key institution for nutrition in the country (3-5). According to the SoC study, the ND’s capacity to engage with a wide range of partners
involved in nutrition makes it particularly important. Other highly influential actors in nutrition include the Council for Scientific and Industrial Research, the
Food and Agriculture Organization of the United Nations (FAO), Global Affairs Canada (GAC), the Global Fund, UNICEF Ghana, the University of Ghana, USAID,
and the World Bank, as well as Ghana’s Ministry of Health, Ministry of Food and Agriculture, and National Development Planning Commission. An additional 25
institutions also play critical roles.
RECOGNITION OF THE IMPORTANCE OF NUTRITION COORDINATION IN GHANA
As expressed in the National Nutrition Policy (NNP) and several other policies, the Government of Ghana recognizes multisectoral coordination as “an
overarching multi-sectoral framework for achieving optimal nutrition and reducing malnutrition among people living in Ghana.”1 Thus, the NNP seeks to
strengthen coordination mechanisms at national and subnational levels as part of effective governance and implementation of nutrition programs. To achieve
this, the NNP highlights the need to coordinate action across the various ministries, departments, and agencies (MDAs) implementing nutrition-relevant actions.
The NNP identifies specific actions to strengthen coordination, including strengthening human and institutional capacity for nutrition and related services
at all levels of the health system and provision of technical nutrition support for relevant MDAs involved in nutrition-sensitive programs. The NNP also recom-
mends that existing regional planning and coordinating units within the Regional Administration System should have coordinating responsibility across sectors.
The plan further proposes that a regional focal person be appointed to lead nutrition coordination at the regional level. A similar approach is proposed for the
district level, —that is, to appoint a district focal person to work through the district planning and coordinating units to ensure coherence across sectors. These
mechanisms have not yet been established.
EXISTING COORDINATION MECHANISMS
Horizontal Coordination
There have been multiple national-level coordination mechanisms for nutrition policy and programming in Ghana—most notably, the National Nutrition
Partners Coordination Committee (NANUPACC), convened by the director of the GHS ND, and the Scaling Up Nutrition (SUN) Cross-Sectoral Planning Group
(CSPG), was coordinated by the National Development Planning Committee (NDPC) and led by a national SUN focal person. Both mechanisms operated con-
vened stakeholders from academia, the government, and UN agencies to contribute to policy and program planning. In-depth interviews with key stakeholders
suggest that the formation of the SUN CSPG in 2011 stifled the activities of the NANUPACC and eventually resulted in the SUN CSPG replacing the NANUPACC as
the main coordination mechanism for nutrition in Ghana.
It is unclear when the NANUPACC was established and whether it still exists. It has been reported that the NANUPACC was an informal entity (3) that
convened partners on an ad hoc basis. Stakeholder interviews indicate that the NANUPACC stopped activities sometime in 2011, when Ghana joined the Scaling
Up Nutrition (SUN) Movement. That was when the multi-stakeholder platform, (the CSPG) for SUN was established. After about two years of intense activity
that resulted in the finalization of the NNP, the SUN CSPG also became functionally inactive. In 2014, the NDPC established a SUN technical working group, even
though the CSPG had not been disbanded. When the SUN CSPG focal person’s term expired in 2017, the NDPC did not appoint a replacement, between 2017
and 2019, further limiting the functionality of the SUN technical working group.
In addition to the NANUPACC and SUN CSPG, there are other mechanisms that exist to ensure coherence among multiple agencies within sectors as well as ad
hoc or standing coordination mechanisms for addressing specific nutrition issues within sectors (Table 2). All these mechanisms have contributed to important
gains in nutrition programming in Ghana. At the national level, the SUN CSPG was crucial in the finalization and validation of the NNP and in facilitating the
development of a long-term national food and nutrition security policy.
Regional and district-level coordination of nutrition
At the subnational level, nutrition programs are led primarily by nutrition officers from the regional and district health administrations. Regional nutrition
officers exercise responsibility over district nutrition officers and report to the GHS ND director, as well as to the Regional Director of Health Services. District
nutrition officers manage nutrition programming at district and subdistrict levels and report to regional nutrition officers and the District Director of Health
Services. Limited subnational-level evidence suggests that at the district level, there is limited coordination of nutrition activities across sectors (6).
The main barriers to subnational coordination of nutrition actions include incomplete decentralization of governance, limited funding, low awareness of
the scale of malnutrition, and non-prioritization of nutrition across agencies outside the health sector (3, 6). Incomplete decentralization has been identified as a
hinderance to coordination, as it limits evidence sharing, leading to suboptimal formulation and implementation of nutrition policies and programs. Incomplete
decentralization also limits capacity for institutionalizing intersectoral engagements. The result is that interactions are often ad hoc and informal.
1 Ministry of Health. 2016. National Nutrition Policy, Ghana.
3. 3
SUMMARY | APRIL 2010
Table 2: Coordination mechanisms relevant for nutrition at national level in Ghana
Coordination mechanism Purpose Convening/Lead agency
Ghana Coalition of Civil Society Organizations for SUN Nutrition prioritization through SUN Movement Hunger Alliance, Ghana
SUN Academic Platform Evidence-informed decision making and capacity building University of Ghana
SUN Development Partners Group Funding and technical support United Nations/UNICEF
Other development partner groups for health, educa-
tion, agriculture, water, and sanitation
Sector-specific objectives with beneficial overlaps for nutri-
tion
National Child Health Coordinating Body Child health program planning GHS, Director-General
Micronutrient Task Team Addressing anemia GHS Nutrition Department
National Salt Iodization Committee Supporting and promoting iodized salt availability and use Ministry of Trade and Industry
Infant and Young Child Feeding (IYCF) Task Team Promoting optimal infant and young child feeding GHS Nutrition Department
National Food Fortification Alliance Promoting use of fortified foods Ghana Standards Authority
Severe Acute Malnutrition Technical Committee Prevention and treatment of acute malnutrition GHS
HIV/AIDS Nutrition Assessment and Counselling and
Support (NACS) Technical Working Group
Prevention and treatment of malnutrition among HIV-in-
fected persons
National AIDS Control Program
Codex Alimentarius2 Sub-Committee on Food and Nu-
trition
Establishing food standards Food and Drugs Authority
School Feeding Programme Steering Committee Implementation of school feeding program FDA
FDA Food Safety Committee Food safety promotion FDA
FDA Communications Sub-Committee FDA
FDA Monitoring and Evaluation Sub-Committee FDA
FDA Technical Advisory Committee on Nutrition FDA
Two case studies illustrate opportunities for initiating subnational coordination of nutrition. The first is from 2018 on the facilitative role of the Ghana
Trade and Livelihoods Coalition (GTLC) in Poyentanga, in Wa West District (6). In this community, which previously had no formal nutrition coordination mecha-
nism, GTLC stimulated the formation of a cross-sectoral committee. The committee has representatives from government agencies (health, education, and
agriculture), assembly members, chiefs, other identified community leaders, and mother-to-mother support groups. It now coordinates efforts across sectors to
improve nutrition service delivery and to advocate for increased budget allocation to nutrition.
The second case is from Upper Manya Krobo District, where the Nutrition Links project has stimulated the formation of a district coordination team focused on
addressing nutrition (7). Nutrition Links was implemented between 2014 and 2018 to increase capacity of local agencies to improve health, agriculture, and
private sector services that influence child and maternal nutrition. The project facilitated the creation of a cross-sectoral committee of stakeholders comprising
the District Assembly, Department of Agriculture, Department of Education, Health Administration, and the Upper Manya Kro Rural Bank (8). Nutrition Links
generated data to create awareness of the scale of malnutrition in the district. It also facilitated regular meetings of the committee for training, decision making,
and joint review of progress on cross-sectoral action. These two case studies demonstrate the capacity and opportunities for initiating cross-sectoral mecha-
nisms for nutrition at sub-regional levels in Ghana. Because both cases were initiated by projects that have ended, there is limited evidence on the sustainability
of these initiatives.
COORDINATION OF NUTRITION PROGRAMS IN GHANA
Existing coordination mechanisms have contributed to achieving important gains in nutrition programming in Ghana. At the national level, the SUN CSPG
was crucial in the finalization and validation of the NNP(9), the Cost of Hunger in Africa Report (10), and the national long-term food and nutrition security pol-
icy. Within and across sectors, various coordination mechanisms have been reported to contribute to a number of programs including the school feeding pro-
gram, which receives technical support from the national School Feeding Programme Steering Committee. On the other hand, there are instances of programs
that have stagnated or been impeded by the poor functioning of coordination mechanisms. For example, lack of consensus within the SUN CSPG is partly why a
national action plan for nutrition has not be developed. Similarly, a recent stakeholder analysis shows that the inability of the National Breastfeeding Authority
to meet frequently is one if the key gaps for national capacity to scale up effective breastfeeding interventions (11).
2 Codex Alimentarius is a collection of internationally recognized standards, codes of practice, guidelines, and other recommendations relating to
foods, food production, and food safety.
4. 4
SUMMARY | APRIL 2010
SOURCES OF FUNDING FOR COORDINATION OF NUTRITION PROGRAMS AND CHALLENGES
Coordination mechanisms are mainly funded by development partners and donor agencies. Between 2011 and 2015, the work of the SUN CSPG was sup-
ported by the UN Development Assistance Framework (UNDAF) as well as by UN REACH, a support mechanism that aimed to assist countries with a high burden
of child and maternal undernutrition to accelerate the scale-up of food and nutrition actions. There is no evidence of funding mechanisms for NANUPACC or for
subnational coordination.
CONFLICT OF INTEREST
There is limited evidence of conflict of interest (COI) across sectors. There is a high level of shared interest and ownership of outcomes around the NNP,
along with suspicion of the private sector’s intentions because of its profit focus. At the outset of establishing the SUN CSPG, initial COI challenges were ad-
dressed through cross-sectoral training on COI. There is, however, no national COI framework to guide nutrition partners involved in coordination mechanisms.
SUSTAINABILITY OF COORDINATION MECHANISMS
A key challenge to sustainable functioning of nutrition coordination mechanisms is funding. Individual agencies and coordination mechanisms depend
heavily on donor funding for nutrition activities. Thus, coordination mechanisms come alive when there is donor funding and tend to dwindle or die when donor
funds become unavailable.
CHALLENGES TO NUTRITION COORDINATION IN GHANA
Evidence from multiple sources identified key challenges for nutrition policy and program coordination:
1. There are multiple agencies involved in nutrition policy and programming, but their engagement lacks effective organization. This limits their ability to
leverage the power of their networks. There is limited appreciation of the role that different sectors and agencies can play to address malnutrition.
Malnutrition is predominantly considered a health issue rather than a human development issue. Consequently, there is low prioritization of nutrition
in the programs and budgets of non-health sectors and agencies.
2. There is limited nutrition competence in terms of number and distribution of personnel with nutrition training across sectors and agencies. Further,
the GHS Nutrition Department has limited capacity and power to lead and coordinate multiple sectors to address nutrition. The ND also lacks tech-
nical capacity to coordinate the input and activities of other key stakeholders.
3. The two main national-level coordination mechanisms are functionally inactive. It is unclear whether NANUPACC is still in existence, and the SUN
CSPG only meets on an ad hoc basis. A SUN focal point has not been appointed since 2017. As a consequence, there is limited importance given to
nutrition when making decisions on human development priorities. In particular, there is limited engagement between government agencies and
CSOs, researchers, and business. (12). Although the private sector is always indicated in national nutrition coordination frameworks, it is difficult to
locate their participation in nutrition actions, especially at subnational level. Partial decentralization of governance limits engagement of partners at
the subnational level on nutrition programming
4. Budgeting and expenditure on nutrition-related actions tend to be uncoordinated. Nutrition budgets are often subsumed under ministerial budgets.
Apart from salaries of personnel, government funding of nutrition is extremely low.
SUGGESTED STRATEGIES TO IMPROVE COORDINATION OF NUTRITION IN GHANA
Implementing the following strategies to improve coordination of nutrition programs could contribute to better nutrition outcomes in Ghana.
1. Establish a National Food and Nutrition Commission to lead engagement and ensure coherence across all relevant sectors (government, UN, research-
ers, civil society, business). This recommendation comes out of a joint consensus of key stakeholders in nutrition in Ghana in January 2020 (see at-
tached communique by nutrition partners). Parliament and the executive branch of government have the power to make this possible. The National
Nutrition Commission (a technical agency) should work closely with a high-level inter-ministerial committee on decision-making for nutrition. Linked
to this, it is recommended that the GHS ND should be restructured so that its scope extends beyond health. At subnational levels, nutrition focal
persons should be appointed, and functional coordination mechanisms established, as indicated in the National Nutrition Policy.
2. Strengthen capacity of stakeholders across all relevant sectors and agencies. Capacity strengthening can be achieved through a combination of in-
service training and pre-service training on the determinants of malnutrition and the role that diverse programs can play to address malnutrition.
3. Parliament and the Ministry of Finance should prioritize and increase government funding for nutrition at regional, district, and community levels.
Across agencies, make clear budget lines for nutrition as part of the current outcome-based institutional budgeting system, so that nutrition budgets
are not subsumed under various agency activities and thus rendered “invisible.” In addition, nutrition-relevant government institutions should create
systems to track disbursements and expenditures related to nutrition actions to enable accurate estimation of nutrition funding.