Lamstein Sascha, Pomeroy-Stevens Amanda, Webb Patrick, Kennedy Eileen
The Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) Project, JSI Research & Training Institute, Inc, Arlington, VA, USA
The Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) Project, JSI Research & Training Institute, Inc, Arlington, VA, USA.
Food Nutr Bull. 2016 Dec;37(4 suppl):S107-S114. doi: 10.1177/0379572116675994.
Based on the data collected in Uganda, Nepal, and Ethiopia, the papers included in this supplement fill a critical gap in evidence regarding multisectoral National Nutrition Action Plans. The studies offer new data and new thinking on how and why governance, effective financial decentralization, and improved accountability all matter for nutrition actions in low-income countries. This introductory paper offers an overview of the current state of evidence and thinking on the multisectoral nutrition policy cycle, including how governance and financing support that process. It also explores the benefits of applying a systems lens to understand the dynamic, enabling processes of the policy cycle-from research to knowledge and ultimately action-and to provide more dynamic and accurate information for nutrition advocacy and evidence-based decision-making. It concludes with key findings from the 5 country-level studies included. Several important themes emerge: the egregious gap in human resources needed for effective nutrition actions in most low-income settings, the value of research on bottlenecks and successes, and the need for routine monitoring of national policies and plans to measure their effectiveness in achieving both their own stated goals and global sustainable development goals. Reviewing these studies together provides a path forward in building stronger, evidence-based multisectoral nutrition policies and supporting implementation of the nutrition activities included within them.
基于在乌干达、尼泊尔和埃塞俄比亚收集的数据，本增刊中的论文填补了多部门国家营养行动计划证据方面的关键空白。这些研究提供了关于治理、有效的财政分权以及加强问责制如何以及为何对低收入国家的营养行动至关重要的新数据和新思考。这篇引言性论文概述了多部门营养政策周期的现有证据和思考状况，包括治理和融资如何支持这一进程。它还探讨了运用系统视角来理解政策周期从研究到知识并最终转化为行动的动态、赋能过程的益处，以及为营养宣传和基于证据的决策提供更动态、准确信息的益处。论文最后总结了纳入的5项国家层面研究的主要发现。出现了几个重要主题：大多数低收入环境中有效开展营养行动所需人力资源的严重缺口、对瓶颈和成功案例进行研究的价值，以及对国家政策和计划进行常规监测以衡量其在实现自身既定目标和全球可持续发展目标方面有效性的必要性。综合审视这些研究为制定更有力、基于证据的多部门营养政策以及支持其中所含营养活动的实施提供了前进方向。
