Scaling up a health and nutrition hotline in Malawi: the benefits of multisectoral collaboration

Blauvelt, Carla; West, Melissa; Maxim, Luciana; Kasiya, Alinafe; Dambula, Isaac; Kachila, Upile; Ngwira, Hope; Armstrong, Corinne

doi:10.1136/bmj.k4590

Cited by 19 publications

(41 citation statements)

References 3 publications

(3 reference statements)

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“…CCPF was developed iteratively by public, private, government, community, donor, and non-governmental stakeholders. CCPF will be one of the first government run nationwide health hotlines in Africa when the handover is completed in 2019 33…”

Section: How Multisectoral Collaboration Work: Country Case Study Fimentioning

confidence: 99%

Business not as usual: how multisectoral collaboration can promote transformative change for health and sustainable development

Kuruvilla

Hinton²,

Boerma

et al. 2018

BMJ

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Section: How Multisectoral Collaboration Work: Country Case Study Fimentioning

confidence: 99%

Business not as usual: how multisectoral collaboration can promote transformative change for health and sustainable development

Kuruvilla

Hinton²,

Boerma

et al. 2018

BMJ

Self Cite

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“…47 However, system components look different within different community, cultural, and political contexts and require localized understanding. 48…”

Section: Discussionmentioning

confidence: 99%

What Is the Role of Civil Society in Multisectoral Nutrition Governance Systems? A Multicountry Review

Busse

Covic

Aakesson³

et al. 2020

Food Nutr Bull

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Background: Solutions to create enabling nutrition environments must come from within communities and involve multiple sectors. As vital actors in community mobilization, rights-based advocacy, and accountable public institutions, civil society organizations (CSOs) can help ensure nutrition programs and policies represent and reach all community members to achieve impact. Objectives: To review attributes of civic engagement in multisectoral nutrition governance systems and to provide recommendations to increase CSO participation. Methods: We reviewed 7 national case studies of Civil Society Networks involved with the Scaling Up Nutrition movement and characterized 6 functional attributes of CSOs in multisectoral nutrition governance: identify needs of all community members, mobilize and build civic capacity, advocate for political commitments, inform program design and evaluation, ensure accountability mechanisms in public institutions, and report challenges and successes using broad media campaigns. Results: All studies described government agencies involved with multisectoral nutrition governance systems, at national and subnational levels; however, there was limited evidence of subnational platforms for CSO engagement. Although countries increased investments in public institutions for nutrition, it was unclear whether nutrition service quality improved and none reported corresponding investments in civil society. Conclusion: Our characterization identifies strategies to engage CSOs in multisectoral nutrition governance at multiple ecological levels. We hope future adaptation and application of this characterization will increase community ownership and diverse representation in nutrition governance systems. Both of these are key to enabling national and international entities to address malnutrition’s underlying determinants in ways that align with local contexts, values, and systems change processes.

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“…2015; Sanghvi et al 2013) and low community support for large-scale nutrition projects (Carroll et al 2019;de Villiers et al 2015) created barriers for the implementation process. On the other hand, seven studies cited that developing informal alliances can enable implementation (Schneider et al 2019;Eby et al 2019;Kavle et al 2019a;Carroll et al 2019;Tanumihardjo et al 2017;Blauvelt et al 2018;Nankunda et al 2010). Examples of such informal alliances include involving experts like dieticians, (Schneider et al 2019) or engaging with community leaders that can increase the acceptability of an intervention (Carroll et al 2019).…”

Section: External Policy and Incentives (Outer Settings)mentioning

confidence: 99%

“…Two studies cited inadequate stakeholder engagement as a barrier for the implementation of large-scale nutrition interventions (Anjorin et al 2019;Blauvelt et al 2018), where issues such as competing agendas (Blauvelt et al 2018) and lack of stakeholder attention to malnutrition (Harris et al 2017) often impede implementation efforts. Poor communication among stakeholders (Anjorin et al 2019), ineffective coordination, and unsupportive leadership (Kennedy et al 2016) were all factors shown to interfere with effective stakeholder engagement.…”

Section: Cosmopolitan (Outer Setting)mentioning

confidence: 99%

Barriers and Facilitators to the Implementation of Large-Scale Nutrition Interventions in Africa: A Scoping Review

Ezezika

Gong

Abdirahman

et al. 2021

Glob Implement Res Appl

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The effective implementation of large-scale nutrition interventions in Africa is an ongoing challenge. This scoping review identifies and explores the barriers and facilitators to the implementation of large-scale nutrition interventions in the African region. We searched PubMed, EMBASE, Scopus, ERIC, and Web of Science using search terms focused specifically on barriers and facilitators to the implementation of nutrition interventions in Africa. To supplement the database search, reference lists in publications included for full-text review were also examined to identify eligible articles for inclusion. Eligible studies underwent quality assessment, and a directed content analysis approach to data extraction was conducted and aligned to the Consolidated Framework for Implementation Research (CFIR) to facilitate narrative synthesis. The search identified 1452 citations and following removal of duplicates and our inclusion/exclusion criteria, 34 papers were eligible for inclusion. More than half of included studies (n = 19) reflect research conducted in East Africa. Overarching thematic areas spanning the barriers and facilitators that were identified included policy and legislation; leadership management; resources mobilization; and cultural context and adaptability. Key activities that facilitate the development of successful implementation include (1) more supportive policy and legislation to improve government competency, (2) effective leadership, strategic partnership, and coordination across multiple sectors, (3) more effective resource mobilization, and (4) adequate adaptation of the intervention so that it is culturally relevant, tailored to local needs and aligned to research data. The barriers and facilitators identified under the CFIR domains can be used to build knowledge on how to adapt large-scale nutrition interventions to national and local settings.Registration Open Science Framework (https://osf.io/6m8fy).

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Scaling up a health and nutrition hotline in Malawi: the benefits of multisectoral collaboration

Abstract: Carla Blauvelt and colleagues describe a multisectoral collaboration that enabled the scale up of a health advice telephone service and its transition to government in Malawi

Cited by 19 publications

References 3 publications

Business not as usual: how multisectoral collaboration can promote transformative change for health and sustainable development

Business not as usual: how multisectoral collaboration can promote transformative change for health and sustainable development

What Is the Role of Civil Society in Multisectoral Nutrition Governance Systems? A Multicountry Review

Barriers and Facilitators to the Implementation of Large-Scale Nutrition Interventions in Africa: A Scoping Review

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