Hajeebhoy Nemat, Rigsby Andrew, Mccoll Alyson, Sanghvi Tina, Abrha Teweldebrhan Hailu, Godana Andenet, Roy Sumitro, Phan Linh Thi Hong, Vu Ha Thi Thu, Sather Megan, Uddin Belal
FHI 360, Hanoi, Vietnam.
Food Nutr Bull. 2013 Sep;34(3 Suppl):S181-94. doi: 10.1177/15648265130343S205.
Despite the existence of a strong evidence base for investing in infant and young child feeding (IYCF), sufficiently supported IYCF policies and programs are rare.
To develop evidence-based advocacy strategies in Bangladesh, Ethiopia, and Vietnam to enable policy change and to increase investments in and ensure scale-up and sustainability of IYCF programs.
Situational analysis, formative and opinion leader research, and stakeholder consultations were used to develop three contextualized advocacy strategies.
Data were used to determine how IYCF was perceived and prioritized, identify opinion leaders and partners, identify barriers to and opportunities for strengthening commitment, and select messages, materials, and communication channels. Opinion leader research showed that malnutrition was a concern but not a priority for policy action. Where food security was an issue, poverty reduction strategies rather than IYCF programs were viewed as the solution. Few opinion leaders were aware of the importance of the first 1000 days of life. In addition to policy gaps, awareness and implementation of existing policies were limited. This was often complicated by intragovernment conflicts and perspectives. Advocacy messages needed to be evidence based and delivered by credible champions. Engaging medical associations and the media presented an opportunity rarely leveraged in IYCF advocacy. CONCLUSIONS. Although sociopolitical contexts may vary, awareness of the importance of IYCF is an overarching advocacy challenge. Consequently, investments in IYCF programs and policies lag. Evidence-based advocacy design has a potential for impact on national policies, investments, and commitment to implementation and should be used more widely to inform program design.
尽管有强有力的证据支持对婴幼儿喂养（IYCF）进行投资，但得到充分支持的IYCF政策和项目却很少见。
在孟加拉国、埃塞俄比亚和越南制定基于证据的宣传策略，以推动政策变革，增加对IYCF项目的投资，并确保项目的扩大规模和可持续性。
采用情况分析、形成性研究和意见领袖研究以及利益相关者协商来制定三种因地制宜的宣传策略。
数据用于确定IYCF如何被认知和被列为优先事项，识别意见领袖和合作伙伴，确定加强承诺的障碍和机会，以及选择信息、材料和沟通渠道。意见领袖研究表明，营养不良是一个问题，但并非政策行动的优先事项。在粮食安全成为问题的地方，减贫战略而非IYCF项目被视为解决方案。很少有意见领袖意识到生命最初1000天的重要性。除了政策差距外，现有政策的认知和实施也很有限。这往往因政府内部冲突和观点而变得复杂。宣传信息需要基于证据，并由可信的倡导者来传递。让医学协会和媒体参与提供了一个在IYCF宣传中很少利用的机会。结论。尽管社会政治背景可能各不相同，但对IYCF重要性的认知是一个总体的宣传挑战。因此，对IYCF项目和政策的投资滞后。基于证据的宣传设计有可能影响国家政策、投资以及对实施的承诺，应更广泛地用于为项目设计提供信息。
