Helen Keller International, Regional Office for Africa, 11 Nord Foire Azure BP 29898 Dakar, Senegal.
Proc Nutr Soc. 2013 Nov;72(4):381-5. doi: 10.1017/S002966511300342X. Epub 2013 Sep 12.
The scaling up nutrition (SUN) policy framework requires extensive public–private partnership (PPP). Malnutrition is multi-dimensional and should engage multi-sectoral platforms. The SUN policy however did not fully embrace the dynamics of harnessing PPP. The objectives of the present paper are to highlight the reasons for the apprehension around PPP and illustrate how effective coordination of PPP in West Africa has contributed to implementing large-scale food fortification with micronutrients as a complementary nutrition intervention. The experience of Helen Keller International (HKI) in scaling up food fortification was emphasised with understanding of the factors contributing to indifference by the international community to private sector contribution to SUN. The roles of different stakeholders in a PPP are elucidated and the process linked to who, why and how to engage. The private sector provides direct nutrition services while the public sector creates the enabling environment for the private sector to thrive on social values. Through this approach fortified vegetable oil and wheat flour are now reaching over 70% of the population in West Africa. As a neutral broker HKI coordinated and facilitated dialogue among the different stakeholders. The core competencies of each stakeholder were harnessed and each partner was held accountable. It concludes that multi-sectoral relationship must be transparent, equitable and based on shared mutual interests. The rules and values of PPP offer opportunities for SUN.
营养强化政策框架（SUN）需要广泛的公私伙伴关系（PPP）。营养不良是多方面的，应该涉及多个部门的平台。然而，SUN 政策并没有充分接受利用公私伙伴关系的动态。本文的目的是强调对公私伙伴关系的担忧的原因，并说明西非如何有效地协调公私伙伴关系，以实施大规模的食物营养强化作为补充营养干预措施。本文强调了海伦·凯勒国际组织（Helen Keller International，HKI）在扩大食物营养强化方面的经验，并了解了国际社会对私营部门为 SUN 做出贡献的冷漠的原因。阐述了公私伙伴关系中不同利益相关者的作用，并将这一过程与谁、为什么以及如何参与联系起来。私营部门提供直接的营养服务，而公共部门则为私营部门在社会价值观基础上蓬勃发展创造有利环境。通过这种方法，强化植物油和小麦面粉现在已经覆盖了西非 70%以上的人口。作为一个中立的调解人，HKI 协调并促进了不同利益相关者之间的对话。利用每个利益相关者的核心能力，并让每个合作伙伴承担责任。结论是，多部门关系必须是透明、公平的，并基于共同的共同利益。公私伙伴关系的规则和价值观为 SUN 提供了机会。
