An Integrated Strategy for Attention in Nutrition (EsIAN) Increases Physicians' and Nurses' Nutrition Knowledge and Perceptions in Mexico

Fernández-Gaxiola, Ana Cecilia; García‐Guerra, Armando; Neufeld, Lynnette M.; Quezada-Sánchez, Amado D.; Hernandez-Cabrera, Amira; Bonvecchio, Anabelle; Lozada, Ana Lilia; Rivera, Juan Á.

doi:10.9734/ejnfs/2015/21141

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“…Three key areas of change included 1 ) the types of supplements provided—ensuring that they met both biological criteria (i.e., responded to the nutritional issues in the population), and acceptance criteria to ensure high potential to be used as intended, tested in a rigorous randomized trial before implementing (47–50); 2 ) an overhaul of the communications and interpersonal counseling component, designed based on formative research results and pilot-tested; and 3 ) working closely with the Secretary of Health, a redesign of the training and supervision strategy within the health system. The changes were pilot-tested at a small scale, and based on results (51, 52), now rolled out at national scale. Other novel program modifications, for example the addition of an existing early childhood stimulation program to the package of interventions, were tested in a large randomized trial (53) and have not been implemented as such but have highlighted and increased attention to early childhood stimulation.…”

Section: Illustrations Of Ir In Nutritionmentioning

confidence: 99%

Implementation Science in Nutrition: Concepts and Frameworks for an Emerging Field of Science and Practice

Tumilowicz

Ruel²,

et al. 2019

Current Developments in Nutrition

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Malnutrition in all its forms has risen on global and national agendas in recent years because of the recognition of its magnitude and its consequences for a wide range of human, social, and economic outcomes. Although the WHO, national governments, and other organizations have endorsed targets and identified appropriate policies, programs, and interventions, a major challenge lies in implementing these with the scale and quality needed to achieve population impact. This paper presents an approach to implementation science in nutrition (ISN) that builds upon concepts developed in other policy domains and addresses critical gaps in linking knowledge to effective action. ISN is defined here as an interdisciplinary body of theory, knowledge, frameworks, tools, and approaches whose purpose is to strengthen implementation quality and impact. It includes a wide range of methods and approaches to identify and address implementation bottlenecks; means to identify, evaluate, and scale up implementation innovations; and strategies to enhance the utilization of existing knowledge, tools, and frameworks based on the evolving science of implementation. The ISN framework recognizes that quality implementation requires alignment across 5 domains: the intervention, policy, or innovation being implemented; the implementing organization(s); the enabling environment of policies and stakeholders; the individuals, households, and communities of interest; and the strategies and decision processes used at various stages of the implementation process. The success of aligning these domains through implementation research requires a culture of inquiry, evaluation, learning, and response among program implementers; an action-oriented mission among the research partners; continuity of funding for implementation research; and resolving inherent tensions between program implementation and research. The Society for Implementation Science in Nutrition is a recently established membership society to advance the science and practice of nutrition implementation at various scales and in varied contexts.

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Section: Illustrations Of Ir In Nutritionmentioning

confidence: 99%