Maternal and child undernutrition: effective action at national level

Bryce, Jennifer; Coitinho, Denise Costa; Darnton‐Hill, Ian; Pelletier, David; Pinstrup‐Andersen, Per

doi:10.1016/s0140-6736(07)61694-8

Cited by 371 publications

(308 citation statements)

References 35 publications

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“…The bi-cyclic model for practice provides a systematic process for intervention management that has applications irrespective of the issues being addressed, the practice context, the strategy mix and the level of intervention. It integrates capacity-building steps (steps 1,3,5,6,7,15,17) into the sequential practice cycle, making it an explicit approach to practice consistent with previous arguments about the need to bring capacitybuilding strategies to the forefront of PHN practice (30,31) . Our proposition then is that this model, if applied in practice, will enhance practice effectiveness compared with earlier less integrated approaches and serve a useful practice improvement function.…”

Section: Feedback Between Cyclesmentioning

confidence: 93%

The public health nutrition intervention management bi-cycle: a model for training and practice improvement

Hughes

Margetts

2011

Public Health Nutr.

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Objective: The present paper describes a model for public health nutrition practice designed to facilitate practice improvement and provide a step-wise approach to assist with workforce development. Design: The bi-cycle model for public health nutrition practice has been developed based on existing cyclical models for intervention management but modified to integrate discrete capacity-building practices. Setting: Education and practice settings. Subjects: This model will have applications for educators and practitioners. Results: Modifications to existing models have been informed by the authors' observations and experiences as practitioners and educators, and reflect a conceptual framework with applications in workforce development and practice improvement. From a workforce development and educational perspective, the model is designed to reflect adult learning principles, exposing students to experiential, problem-solving and practical learning experiences that reflect the realities of work as a public health nutritionist. In doing so, it assists the development of competency beyond knowing to knowing how, showing how and doing. This progression of learning from knowledge to performance is critical to effective competency development for effective practice. Conclusions: Public health nutrition practice is dynamic and varied, and models need to be adaptable and applicable to practice context to have utility. The paper serves to stimulate debate in the public health nutrition community, to encourage critical feedback about the validity, applicability and utility of this model in different practice contexts.

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Section: Feedback Between Cyclesmentioning

confidence: 93%

The public health nutrition intervention management bi-cycle: a model for training and practice improvement

Hughes

Margetts

2011

Public Health Nutr.

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“…70 The fourth paper in the 2008 Lancet Series acknowledged the "inextricable" role of the private sector and its importance, but also called for additional evaluation of eff ectiveness and documentation of best practices. 71 However, although the private sector is now even more important in the national nutrition system, too few independent and rigorous evaluations have been done of the eff ectiveness of involvement of the commercial sector in nutrition. In the absence of such evaluations, distrust of the private sector, especially the food industry, remains high and is somewhat linked to the decadeslong tension related to the marketing of breast-milk Nutrition outcomes are the result of many factors that governments do and do not have control of.…”

Section: Private Sector Engagement: Maximising Potential and Managingmentioning

confidence: 99%

“…We reiterate the conclusion of the 2008 Series that much more needs to be done to strengthen strategic and operational capacity. 71,154 Governments and donors should allocate more resources to establish a more sustainable foundation for nutrition implementation by training the next generation of implementers who in turn will be mentors for the generation after that.…”

Section: Capacity For Scale Upmentioning

confidence: 99%

The politics of reducing malnutrition: building commitment and accelerating progress

et al. 2013

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In the past 5 years, political discourse about the challenge of undernutrition has increased substantially at national and international levels and has led to stated commitments from many national governments, international organisations, and donors. The Scaling Up Nutrition movement has both driven, and been driven by, this developing momentum. Harmonisation has increased among stakeholders, with regard to their understanding of the main causes of malnutrition and to the various options for addressing it. The main challenges are to enhance and expand the quality and coverage of nutrition-specifi c interventions, and to maximise the nutrition sensitivity of more distal interventions, such as agriculture, social protection, and water and sanitation. But a crucial third level of action exists, which relates to the environments and processes that underpin and shape political and policy processes. We focus on this neglected level. We address several fundamental questions: how can enabling environments and processes be cultivated, sustained, and ultimately translated into results on the ground? How has high-level political momentum been generated? What needs to happen to turn this momentum into results? How can we ensure that high-quality, well-resourced interventions for nutrition are available to those who need them, and that agriculture, social protection, and water and sanitation systems and programmes are proactively reoriented to support nutrition goals? We use a six-cell framework to discuss the ways in which three domains (knowledge and evidence, politics and governance, and capacity and resources) are pivotal to create and sustain political momentum, and to translate momentum into results in high-burden countries.

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“…The movement was a response to the 2008 Lancet series on maternal and child nutrition which showed that there was an unacceptably high burden of undernutrition among women and children (2)(3)(4)(5)(6) . The 2008 series and its sequel in 2013 (7)(8)(9)(10) both demonstrated that undernutrition, especially stunting, was clustered in a few high burden countries.…”

Section: The Scaling Up Nutrition Movementmentioning

confidence: 99%

Capacity for scaling up nutrition: a focus on pre-service training in West Africa and a Ghanaian case study

et al. 2015

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The 2013 Lancet series on maternal and child nutrition is identified and advocated for improved institutional and human capacity in nutrition towards scaling up nutrition (SUN) in countries with high stunting rates. Of the fifty-four countries with high burden of child undernutrition who have committed to the SUN movement, thirty-six are in Africa. In the present paper, the academic platform of the SUN movement in Ghana presents an overview of nutrition pre-service capacity in West Africa with a focus on Ghana. The present paper is based on the findings of a sub-region-wide assessment of degree programmes in nutrition in West Africa, plus another report on pre-service nutrition capacity in diploma awarding nursing and nutrition programmes in Ghana. Although there is inadequate evidence on pre-service nutrition training in the sub-region, the two reports provide useful evidence for action, including inadequate number and distribution of pre-service nutrition training programmes, low nutrition graduate output, poor quality of the programme curriculum and instruction, and sub-optimal capital investment. The present paper calls for urgent action to improve pre-service nutrition capacity building as a critical step towards SUN in West Africa.

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Maternal and child undernutrition: effective action at national level

Cited by 371 publications

References 35 publications

The public health nutrition intervention management bi-cycle: a model for training and practice improvement

The public health nutrition intervention management bi-cycle: a model for training and practice improvement

The politics of reducing malnutrition: building commitment and accelerating progress

Capacity for scaling up nutrition: a focus on pre-service training in West Africa and a Ghanaian case study

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