Nordhagen Stella, Nielsen Jennifer, van Mourik Tom, Smith Erin, Klemm Rolf
Helen Keller International Africa Regional Office, BP 29.898, Dakar, Senegal.
Helen Keller International, One Dag Hammarskjold Plaza, Floor 2, New York, NY, 10017, USA.
Eval Program Plann. 2019 Dec;77:101695. doi: 10.1016/j.evalprogplan.2019.101695. Epub 2019 Jul 31.
Using agriculture to improve nutrition is an approach growing in popularity, with programs becoming increasingly complex and multisectoral. While there is an active line of research assessing the impacts of such programs, little has been written about the process of successfully implementing them. As such, this paper uses a multisectoral nutrition-sensitive agriculture program implemented in four African countries as a case study to address key challenges in and lessons learned from implementation. We highlight the overall flexibility of nutrition-sensitive agriculture but also the need to adapt certain aspects to the particular context, as well as the opportunities for cross-context learning (and the limits to this). Integrating rigorous evaluation into such complex programs and forging diverse cross-sectoral partnerships offer both rewards and challenges, upon which we reflect. Main lessons learned from the program include the importance of carefully sequencing interventions, retaining flexibility in implementation, allowing for considerable time for cross-sector integration and coordination, and considering community impacts when designing research.
利用农业改善营养是一种越来越受欢迎的方法，相关项目正变得日益复杂且涉及多个部门。虽然有一系列活跃的研究在评估此类项目的影响，但关于成功实施这些项目的过程却鲜有著述。因此，本文以在四个非洲国家实施的一个多部门营养敏感型农业项目为例，探讨实施过程中的关键挑战和经验教训。我们强调了营养敏感型农业的总体灵活性，但也指出需要根据具体情况对某些方面进行调整，以及跨背景学习的机会（及其局限性）。将严格的评估纳入此类复杂项目并建立多样化的跨部门伙伴关系既带来回报也带来挑战，我们对此进行了反思。该项目的主要经验教训包括精心安排干预措施的顺序、在实施过程中保持灵活性、为跨部门整合与协调留出足够时间，以及在设计研究时考虑社区影响的重要性。
