The Formulation of Consensus on Nutrition Policy: Policy Actors' Perspectives on Good Process

Abstract

Abstract

The politics of reducing malnutrition: building commitment and accelerating progress

“…In the past decade, several multicountry and single-country studies of such processes have been undertaken, in which conceptual and analytical frameworks have been applied. [15][16][17][18][19][20][21][22][23] These studies sought to uncover key structures, pathways, and dynamics of policy processes for nutrition, with an emphasis on challenges and constraints. In doing so, research from other specialties (eg, political science 24,25 and health systems 26 ) was drawn on to adopt and adapt analytical frameworks and research methods to study nutrition policy.…”

“…10,23,27 Moreover, translation of any such momentum into eff ect on nutrition status is far from automatic and needs the deliberate alignment of several factors and processes. 10,[18][19][20][21][22] Our review also emphasises three linked factors as being crucial for building and sustaining of momentum and for conversion of that momentum into results.…”

“…In Guatemala and Bolivia, framing has been focused on hunger elimination, strongly determined by Brazil's own Zero Hunger campaign. [18][19][20] In Peru, civil society developed under nutrition reduction as an electoral issue 21 (appendix). In India, nutrition has risen on the agenda through a combination of advocacy around the fi nding that economic growth has not generated nutritional benefi ts, 29 a strong rights-based movement led by the Right to Food initiative, 30 and a growing stakeholder consensus of the need for multisectoral action.…”

The Management of Conflict in Nutrition Policy Formulation: Choosing Growth-Monitoring Indicators in the Context of Dual Burden

“…The policy formulation process profiled here was selected as part of a broader multicountry study of conflict, commitment building, and consensus related to nutrition policy-making [14,19]. Local nutrition advocates suggested the present growth-monitoring conflict as a good case study and identified eight key participants involved in the decision.…”

Assessment of Epidemiologic, Operational, and Sociopolitical Domains for Mainstreaming Nutrition

“…This major constraint, which has technical, operational, and sociopolitical aspects, slowed the progress of an entire major national program. Lastly, the paper from Guatemala, also in this Supplement, demonstrates that disagreements over the participatory process for choosing technical and operational strategies for nutrition could influence the ability of stakeholders to come together to find mutually acceptable strategies [46]. The fourth paper in the Lancet Nutrition Series [47] exhorts countries to focus on building commitment, doing the right thing, not doing the wrong thing, scaling up, and building operational and strategic capacity.…”