Are Data Available For Tracking Progress On Nutrition Policies Programs And Outcomes In Nepal

Author : Neupane, Sumanta,Jangid, Manita,Scott, Samuel,Nguyen, Phuong Hong,Kim, Sunny S.,Murira, Zivai,Torlesse, Harriet,Menon, Purnima
Publisher : Intl Food Policy Res Inst
Page : 48 pages
File Size : 46,8 Mb
Release : 2021-07-15
Category : Political Science
ISBN : 8210379456XXX

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Are data available for tracking progress on nutrition policies, programs, and outcomes in Nepal? by Neupane, Sumanta,Jangid, Manita,Scott, Samuel,Nguyen, Phuong Hong,Kim, Sunny S.,Murira, Zivai,Torlesse, Harriet,Menon, Purnima Pdf

The World Health Organization (WHO) and other global nutrition and health agencies recommend nutrition actions throughout the life-course to address malnutrition in all its forms. In this report, we examined how Nepal’s nutrition policies and programs addressed recommended nutrition actions, nutrition outcomes, and the determinants of these outcomes. We reviewed population-based surveys and administrative data systems in order to assess the data availability on nutrition actions, and on the indicators of determinants and outcomes. Our policy review identified a total of 53 recommended evidence-based nutrition actions, of which 50 nutrition actions were applicable in Nepal. Of these, 45 were addressed in the country’s nutrition policies and programs and some of the actions were only available in some districts. Nutrition actions that were not included in current policies and programs included calcium supplementation and advice on consuming calcium during pregnancy, and daily iron and folic acid (IFA) supplementation during childhood. Current policies addressed daily or intermittent IFA supplementation during preconception and food supplementation for malnourished lactating women during the postnatal period; however, there was no program to implement these actions. Nepal’s Multi-Sector Nutrition Plan (MSNP) recognized and addressed all key determinants of nutrition; it also expressed an intent to address all SDG nutrition targets for maternal, infant, and young child nutrition. Noncommunicable diseases (NCDs), however, were addressed separately by a multisectoral plan for NCDs. Our data review found that out of 45 actions that policies and programs addressed, population-based surveys contained data on only 27 actions and administrative data systems contained data on only 25 actions. Population-based surveys and administrative data sources contained no data on: food supplementation during adolescence; weight monitoring and various types of counseling during pregnancy; optimal timing (delayed) of umbilical cord clamping, support for breastfeeding and immediate skin-to-skin contact, optimal feeding of low-birth-weight infants and counseling of mothers of low-birth-weight infants on kangaroo mother care (KMC) during delivery and in the postpartum period; breastfeeding counseling, counseling on appropriate complementary feeding, counseling after growth monitoring, and inpatient management of severe acute malnutrition (SAM) during early childhood. Population-based surveys contained data on most of the indicators of immediate and underlying determinants, while administrative data systems did not have data on all indicators of immediate determinants. Data on all indicators of nutrition outcomes were available from population-based surveys. In conclusion, Nepal’s policy and program landscape for nutrition is robust, however the gaps in data availability for tracking progress on nutrition actions are much larger than the gap in policies and programs for addressing recommended actions. Future population-based surveys and modifications of administrative data systems should aim to fill the identified data gaps for nutrition actions.

Author : Neupane, Sumanta,Jangid, Manita,Scott, Samuel,Nguyen, Phuong Hong,Kim, Sunny S.,Murira, Zivai,Torlesse, Harriet,Menon, Purnima
Publisher : Intl Food Policy Res Inst
Page : 42 pages
File Size : 46,5 Mb
Release : 2021-07-15
Category : Political Science
ISBN : 8210379456XXX

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Are data available for tracking progress on nutrition policies, programs, and outcomes in Maldives? by Neupane, Sumanta,Jangid, Manita,Scott, Samuel,Nguyen, Phuong Hong,Kim, Sunny S.,Murira, Zivai,Torlesse, Harriet,Menon, Purnima Pdf

The World Health Organization (WHO) and other global nutrition and health agencies recommend nutrition actions across the life-course to address malnutrition in all its forms. In this report, we examined how Maldives’ nutrition policies and programs addressed recommended nutrition actions, determinants, and outcomes. We reviewed population-based surveys and assess the availability of data on nutrition actions, nutrition outcomes, and the determinants of these outcomes. Our policy review identified a total of 53 recommended evidence-based nutrition actions; of these, 49 nutrition actions were applicable in Maldives and 31 were addressed in the country’s nutrition policies and programs. The Maldives nutrition plan (the Integrated National Nutrition Strategic Plan, or INNSP) recognized and addressed all key determinants of nutrition except women’s status (appropriate age of marriage/childbirth) and infectious diseases; the country’s nutrition plan aimed to track progress on all nutrition outcome indicators. Our data review found that of 31 actions addressed by policies and programs, population-based surveys contained data on only 22 actions. Neither of the population-based surveys contained data on a range of actions, including advice on consuming iron and folic acid (IFA) during pregnancy, support for early initiation of breastfeeding and immediate skin-to-skin contact, optimal feeding of low-birth-weight infants, counseling of mothers of low-birth-weight infants on kangaroo mother care (KMC) during delivery and postpartum period, counseling on infant and young child feeding (IYCF), growth monitoring, and counseling after growth monitoring during early childhood. The population-based surveys contained data on most of the indicators for immediate and underlying determinants; indicators that were not available included maternal dietary diversity during pregnancy, household food insecurity, and coverage under social protection schemes. With the exception of anemia among non-pregnant women, data on all nutrition outcomes was available in population-based surveys. In conclusion, Maldives should consider updating its national policies and programs to address existing gaps in recommended nutrition actions; in addition, future population-based surveys may also need to be revised to fill identified data gaps around nutrition actions and determinants.

Author : Neupane, Sumanta,Jangid, Manita,Scott, Samuel,Nguyen, Phuong Hong,Kim, Sunny S.,Murira, Zivai,Torlesse, Harriet,Menon, Purnima
Publisher : Intl Food Policy Res Inst
Page : 46 pages
File Size : 45,7 Mb
Release : 2021-07-15
Category : Political Science
ISBN : 8210379456XXX

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Are data available for tracking progress on nutrition policies, programs, and outcomes in Pakistan? by Neupane, Sumanta,Jangid, Manita,Scott, Samuel,Nguyen, Phuong Hong,Kim, Sunny S.,Murira, Zivai,Torlesse, Harriet,Menon, Purnima Pdf

The World Health Organization (WHO) and other global nutrition and health agencies recommend nutrition actions throughout the life-course to address malnutrition in all its forms. In this report, we examined how Pakistan’s nutrition policies and programs addressed recommended nutrition actions, nutrition outcomes, and the determinants of these outcomes. We reviewed population-based surveys and administrative data systems to assess the availability of data on nutrition actions and on indicators of determinants and outcomes. Our policy review identified a total of 53 recommended evidence-based nutrition actions, of which 51 were applicable to Pakistan; of those, 47 were addressed in nutrition policies and programs. Nutrition actions not included in current policies and programs were: daily iron and folic acid (IFA) supplementation and deworming during preconception; and food supplementation for complementary feeding, and daily IFA supplementation during early childhood. The Pakistan Multi-Sectoral Nutrition Strategy (PMNS) (2018–2025) was found to recognize and address all the key determinants of nutrition; it also expressed an intent to address all the Sustainable Development Goal (SDG) nutrition targets for maternal, infant, and young child nutrition. Targets for noncommunicable diseases (NCDs) were not currently set in the national strategies. Our data review found that, out of 47 actions that policies and programs addressed, population-based surveys contained data on 26 actions and administrative data sources contained data on 22 actions. Neither surveys nor administrative sources contained data on any actions aimed at adolescence, on energy and protein dietary supplements, on various types of counseling, on birth preparedness during pregnancy, or on optimal timing (delayed) of umbilical cord clamping; they also did not contain data on indicators related to newborn care, IFA supplementation around delivery and in the postpartum period, or counseling after growth monitoring during early childhood. The data gaps in population-based surveys on nutrition actions during early childhood were compensated for by the data on these nutrition actions that was available from administrative sources. Neither of the population-based surveys contained data on nutrition actions during early childhood such as breastfeeding counseling, counseling on appropriate complementary feeding, growth monitoring, and identification and management of severe acute malnutrition (SAM), or management of moderate acute malnutrition (MAM); administrative data sources, however, contained data on these actions. Population-based surveys contained data on most of the indicators on immediate and underlying determinants of undernutrition, but administrative data sources lacked data on indicators of immediate determinants. Population-based surveys contained data on all outcome indicators. In conclusion, Pakistan’s policy landscape for nutrition is robust, but there is limited consideration of targets for NCDs. The gaps in data availability for tracking progress on nutrition are much greater than are the gaps in policies and programs for addressing the recommended actions. Future population-based surveys and future modifications of other data systems should aim to fill the identified data gaps for nutrition actions.

Author : Jangid, Manita,Neupane, Sumanta,Murira, Zivai,Auer, S.R.,Scott, Samuel,Menon, Purnima
Publisher : Intl Food Policy Res Inst
Page : 10 pages
File Size : 52,6 Mb
Release : 2021-07-16
Category : Political Science
ISBN : 8210379456XXX

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Are data available for tracking progress on nutrition policies and programs in South Asia? by Jangid, Manita,Neupane, Sumanta,Murira, Zivai,Auer, S.R.,Scott, Samuel,Menon, Purnima Pdf

The World Health Organization (WHO) and other global nutrition and health agencies recommend nutrition actions throughout the life-course to address malnutrition in all its forms. As global recommendations are updated based on available evidence, it is anticipated that governments and stakeholders will, in turn, build on these recommendations to update national policies and programs. Little is known in the South Asia region about policy coherence with globally recommended actions. Even less is known about the degree to which countries are able to track their progress on nutrition actions. To address the gap, this brief summarizes the policy and program gaps in addressing nutrition actions, along with data gaps in population-based surveys in all the countries in the South Asia region, including Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka.

Author : Menon, Purnima,Avula, Rasmi,Sarswat, Esha,Mani, Sneha,Jangid, Manita
Publisher : Intl Food Policy Res Inst
Page : 60 pages
File Size : 42,5 Mb
Release : 2021-01-07
Category : Political Science
ISBN : 8210379456XXX

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Tracking India’s progress on addressing malnutrition and enhancing the use of data to improve programs by Menon, Purnima,Avula, Rasmi,Sarswat, Esha,Mani, Sneha,Jangid, Manita Pdf

Data systems and their usage are of great significance in the process of tracking malnutrition and improving programs. The key elements of a data system for nutrition include (1) data sources such as survey and administrative data and implementation research, (2) systems and processes for data use, and (3) data stewardship across a data value chain. The nutrition data value chain includes the prioritization of indicators, data collection, curation, analysis, and translation to policy and program recommendations and evidence based decisions. Finding the right fit for nutrition information systems is important and must include neither too little nor too much data; finding the data system that is the right fit for multiple decision makers is a big challenge. Developed together with NITI Aayog, this document covers issues that need to be considered in the strengthening of efforts to improve the availability and use of data generated through the work of POSHAN Abhiyaan, India’s National Nutrition Mission. The paper provides guidance for national-, state-, and district-level government officials and stakeholders regarding the use of data to track progress on nutrition interventions, immediate and underlying determinants, and outcomes. It examines the availability of data across a range of interventions in the POSHAN Abhiyaan framework, including population-based surveys and administrative data systems; it then makes recommendations for the improvement of data availability and use. To improve monitoring and data use, this document focuses on three questions: what types of indicators should be used; what types of data sources can be used; and with what frequency should progress on different indicator domains be assessed.

Author : International Food Policy Research Institute
Publisher : Intl Food Policy Res Inst
Page : 118 pages
File Size : 43,9 Mb
Release : 2014-11-13
Category : Social Science
ISBN : 9780896295643

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Global Nutrition Report 2014 by International Food Policy Research Institute Pdf

At the 2013 Nutrition for Growth Summit in London, 96 signatories (governments, civil society organizations, donors, United Nations’ agencies, and businesses) agreed to support the creation of an annual report on global nutrition that would be authored by an independent expert group, in partnership with a large number of contributors. The first edition of this report, the Global Nutrition Report 2014, puts a spotlight on worldwide progress by the 193 member countries of the United Nations in improving their nutrition status, identifies bottlenecks to change, highlights opportunities for action, and contributes to strengthened nutrition accountability on country and global levels.

Author : Matthias Kalkuhl,Joachim von Braun,Maximo Torero
Publisher : Springer
Page : 626 pages
File Size : 54,8 Mb
Release : 2016-04-12
Category : Business & Economics
ISBN : 9783319282015

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Food Price Volatility and Its Implications for Food Security and Policy by Matthias Kalkuhl,Joachim von Braun,Maximo Torero Pdf

This book provides fresh insights into concepts, methods and new research findings on the causes of excessive food price volatility. It also discusses the implications for food security and policy responses to mitigate excessive volatility. The approaches applied by the contributors range from on-the-ground surveys, to panel econometrics and innovative high-frequency time series analysis as well as computational economics methods. It offers policy analysts and decision-makers guidance on dealing with extreme volatility.

Author : K.F. Michaelsen,L.M. Neufeld,A.M. Prentice
Publisher : Karger Medical and Scientific Publishers
Page : 192 pages
File Size : 44,5 Mb
Release : 2020-01-28
Category : Medical
ISBN : 9783318066494

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Global Landscape of Nutrition Challenges in Infants and Children by K.F. Michaelsen,L.M. Neufeld,A.M. Prentice Pdf

Malnutrition among children remains a persistent problem around the world. This publication aims to map the challenges within the global landscape of childhood nutrition and considers the importance of nutrition both prior to conception and in children beyond two years of age. Session I provides an updated picture of malnutrition around the world, the recent progress that has been made in eliminating malnutrition in all its forms and several data limitations to track such progress. The role of milk in early life is covered in session II. The chapters describe different aspects of cow’s milk and the possible role of optimized plant proteins as an alternative to dairy ingredients in treating children with severe acute malnutrition. Session III considers the ramifications of environmental constraints to healthy child growth. The chapters cover the issue of how persistent gut damage and systemic inflammation can precipitate malnutrition as well as the putative effects of alterations in the gut microbiota. This overview of diverse issues is relevant to the epidemiology, biology of nutrition in early life, programmatic implications, and future directions.

Author : Anonim
Publisher : Unknown
Page : 30 pages
File Size : 51,9 Mb
Release : 2008
Category : Child welfare
ISBN : UIUC:30112096469975

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UNICEF in Nepal, 2008-2010: Programme funding requirements by Anonim Pdf

Author : Huihui Wang,Kyoko Shibata Okamura,Mamata Ghimire,Yurie Tanimichi Hoberg,Ali Winoto Subandoro
Publisher : World Bank Publications
Page : 85 pages
File Size : 47,9 Mb
Release : 2022-05-24
Category : Business & Economics
ISBN : 9781464818530

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A Guiding Framework for Nutrition Public Expenditure Reviews by Huihui Wang,Kyoko Shibata Okamura,Mamata Ghimire,Yurie Tanimichi Hoberg,Ali Winoto Subandoro Pdf

Nutrition investments affect human capital formation, which in turn affects economic growth. Malnutrition is intrinsically connected to human capital—undernutrition contributes to nearly half of child mortality, and stunting reduces productivity and earnings in adulthood. Improving nutrition requires a multisectoral effort, but it is difficult to identify and quantify the basic financing parameters as used in traditional sectors. What is being spent and by whom and on what? To address these questions, nutrition public expenditure reviews (NPERs) determine the level of a country’s overall nutrition public spending and assess whether its expenditure profile will enable the country to realize its nutrition goals and objectives. When done well, NPERs go beyond simply quantifying how much is spent on nutrition; they measure how well money is being spent to achieve nutrition outcomes and identify specific recommendations for improvement. A Guiding Framework for Nutrition Public Expenditure Reviews presents the key elements of an NPER and offers guidance, practical steps, and examples for carrying out an NPER. The book draws upon good practices from past NPERs as well as common practices and expertise from public expenditure reviews in other sectors. This handbook is intended for practitioners who are tasked with carrying out NPERs. Other target audiences include country nutrition policy makers, development partner officials, government technical staff, and nutrition advocates. The book presents data and analytical challenges faced by previous NPER teams and lays out the kinds of analyses that past NPERs have been able to carry out and those that they were unable to perform because of data or capacity constraints. It concludes with further work needed at the global and country levels to create the conditions necessary to conduct more comprehensive NPERs.

Author : International Food Policy Research Institute (IFPRI)
Publisher : Intl Food Policy Res Inst
Page : 182 pages
File Size : 53,5 Mb
Release : 2016-06-14
Category : Political Science
ISBN : 9780896295841

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Global Nutrition Report 2016 by International Food Policy Research Institute (IFPRI) Pdf

Few challenges facing the global community today match the scale of malnutrition, a condition that directly affects 1 in 3 people. Malnutrition manifests itself in many different ways: as poor child growth and development; as individuals who are skin and bone or prone to infection; as those who are carrying too much weight or whose blood contains too much sugar, salt, fat, or cholesterol; or those who are deficient in important vitamins or minerals. Malnutrition and diet are by far the biggest risk factors for the global burden of disease: every country is facing a serious public health challenge from malnutrition. The economic consequences represent losses of 11 percent of gross domestic product (GDP) every year in Africa and Asia, whereas preventing malnutrion delivers $16 in returns on investment for every $1 spent. The world’s countries have agreed on targets for nutrition, but despite some progress in recent years the world is off track to reach those targets. This third stocktaking of the state of the world’s nutrition points to ways to reverse this trend and end all forms of malnutrition by 2030.

Author : UNICEF.
Publisher : UNICEF
Page : 100 pages
File Size : 55,8 Mb
Release : 2009
Category : Business & Economics
ISBN : 9789280644425

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State of the World's Children by UNICEF. Pdf

On 20 November 2009, the global community celebrates the 20th anniversary of the adoption by the United Nations General Assembly of the Convention on the Rights of the Child, the unique document that sets international standards for the care, treatment and protection of all individuals below age 18. To celebrate this landmark, the United Nations Children's Fund is dedicating a special edition of its flagship report The State of the World's Children to examining the Convention's evolution, progress achieved on child rights, challenges remaining, and actions to be taken to ensure that its promise becomes a reality for all children.

Author : Gillespie, Stuart,van den Bold, Mara
Publisher : Intl Food Policy Res Inst
Page : 48 pages
File Size : 43,8 Mb
Release : 2015-12-25
Category : Social Science
ISBN : 8210379456XXX

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Stories of change in nutrition by Gillespie, Stuart,van den Bold, Mara Pdf

This paper—which draws on inputs to, and discussions at, a methods development workshop—highlights the various concepts, methods, and tools that SoC researchers are considering to measure nutrition-relevant change in their respective countries. The focus is on nutrition-relevant policy and practice. These tools apply to 11 subthemes, which are to some extent sequential within policy/programming cycles: (1) assessing the nutrition problem, (2) stakeholder and institutional analysis/mapping, (3) understanding enabling environments for nutrition, (4) agenda setting and political commitment for nutrition, (5) policy formulation and policy processes, (6) multisectoral coordination, (7) implementation and vertical coherence, (8) scaling up, (9) assessing capacity, (10) assessing finance, and (11) monitoring, evaluation, and accountability. Examining these various methods and tools together allows for a holistic consideration of the processes that—while challenging to document and measure—play a key role in improving nutrition-relevant policy and practice, which, in turn, drives national achievement in reducing malnutrition.

Author : World Bank,World Bank Publications
Publisher : World Bank Publications
Page : 228 pages
File Size : 52,7 Mb
Release : 2009-01-01
Category : Health services accessibility
ISBN : 9780821379516

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Improving Effectiveness and Outcomes for the Poor in Health, Nutrition, and Population by World Bank,World Bank Publications Pdf

This study evaluates the effectiveness of the World Bank Group's support for health, nutrition, and population (HNP) in developing countries from 1997 to 2008 - totaling more than $17 billion - and distills lessons for greater impact in the future. It finds that the Bank Group now funds a smaller share of global support for HNP than a decade ago, but its support remains substantial and adds considerable value. About two-thirds of the Bank's HNP support has had satisfactory outcomes, often in difficult environments. But in a number of country settings, particularly in Africa, it has not performed well, in part due to high complexity and weak capacity. Only half of HNP support had a pro-poor focus, while support to reduce high fertility and promote family planning has dwindled. The evaluation highlights the contribution of investments in water supply, sanitation, and hygiene to improving the health of the poor and the lessons from support for sector-wide approaches, communicable disease control, and health reform. Moving forward, the World Bank needs to improve the performance of its HNP support and the Bank and IFC need to take actions to ensure their support reaches the poor and contributes greater social benefits, respectively.

Author : International Food Policy Research Institute (IFPRI)
Publisher : Intl Food Policy Res Inst
Page : 8 pages
File Size : 44,8 Mb
Release : 2016-09-16
Category : Political Science
ISBN : 8210379456XXX

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Highlights of the IFPRI and FAO partnership by International Food Policy Research Institute (IFPRI) Pdf

For four decades, the rich partnership between the Food and Agriculture Organization of the United Nations (FAO) and the International Food Policy Research Institute (IFPRI) has generated cutting-edge technical knowledge and enhanced expertise in support of food security and improved nutrition for all, and for making agriculture and food systems more inclusive, productive, resilient, and sustainable. Driven by these shared goals, FAO and IFPRI have contributed to a strong evidence base to strengthen the capacity of policy makers in making sound policy decisions. Our work helped create important information resources and networks for food security, strengthen the focus on gender in agriculture, spur strategic public investment in agriculture, promote productive and sustainable rural development, and advocate for enhancing the positive impact of agriculture and food systems on nutrition. This brochure presents highlights and successes of the partnership between FAO and IFPRI.