Division of Human Nutrition, Faculty of Medicine and Health Science, Stellenbosch University, Cape Town, South Africa.
International Institute of Tropical Agriculture, Ibadan, Nigeria.
Nutr J. 2020 Sep 9;19(1):96. doi: 10.1186/s12937-020-00612-1.
National programs are often developed with little consideration to the sub-national local factors that might affect program success. These factors include political support, capacity for implementation of program and variation in malnutrition indices being tackled. State context factors are evident in the distribution of malnutrition (e.g. high prevalence or gap among Local Government Areas), in the implementation of nutrition-sensitive interventions (e.g. access to early childhood education) and in the political economic context (e.g. presence of external funding agencies). Context is shaped by the economy, population, religion, and poverty, which impact everyday lives. Considering these contexts, a roadmap was developed and validated. The aim of this paper is to report expert review and stakeholder validation to determine feasibility of the developed contextualised roadmap for two Nigerian states.
A validation tool was developed and reviewed using three experts. The content review occurred in two rounds to obtain recommendation and revisions of the developed roadmap and the validation tool. A pilot test of the roadmap and validation tool was done using two stakeholders in South Africa. The roadmap and the validation tool were then sent to the stakeholders and potential end-users in Nigeria using electronic media. Two research assistants were also engaged to deliver and collect hard copies to those who preferred it.
Of the ten stakeholders invited, nine responded. All participants showed an adequate understanding of the roadmap as evidenced by the scores given. Responses regarding the translation of the roadmap to implementation varied. The majority (86,6%) either strongly agreed or agreed that the actions were translatable (43.0 and 43.6% respectively).
The final roadmap comprises of actions that are appropriate for the state's context. It is recommended that stakeholders or end-users of any programme must be involved in the validation of such contextual programmes to improve chances of success.
国家项目的制定往往很少考虑到可能影响项目成功的次国家和地方因素。这些因素包括政治支持、实施项目的能力以及正在解决的营养不良指标的差异。州级背景因素在营养不良的分布中显而易见（例如地方政府区域之间的高流行率或差距），在营养敏感干预措施的实施中（例如获得幼儿教育的机会）以及在政治经济背景中（例如外部资助机构的存在）。背景受经济、人口、宗教和贫困的影响，这些因素影响着人们的日常生活。考虑到这些情况，制定了路线图并进行了验证。本文旨在报告专家审查和利益相关者验证，以确定为尼日利亚两个州制定的具有上下文的路线图的可行性。
开发了一个验证工具，并由三位专家进行了审查。内容审查分两轮进行，以获得对制定的路线图和验证工具的建议和修订。在南非，对路线图和验证工具进行了试点测试，使用了两位利益相关者。然后，通过电子媒体向尼日利亚的利益相关者和潜在最终用户发送了路线图和验证工具。还聘请了两名研究助理，将其分发给那些希望使用纸质版的人，并负责收回。
受邀的十位利益相关者中有九位做出了回应。所有参与者的得分都表明，他们对路线图有足够的理解。关于将路线图转化为实施的反应各不相同。大多数（86.6%）人要么强烈同意要么同意这些行动是可转化的（分别为 43.0%和 43.6%）。
最终的路线图包含适合该州背景的行动。建议任何项目的利益相关者或最终用户都必须参与此类具有上下文的项目验证，以提高成功的机会。
