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编程促进营养改善:无国界医生组织预防营养不良的方法——从多方面入手。

Programming towards Improved Nutrition: Welthungerhilfe's Approach to the Prevention of Malnutrition - In All Its Forms.

机构信息

Deutsche Welthungerhilfe e.V., Bonn, Germany,

Deutsche Welthungerhilfe e.V., Bonn, Germany.

出版信息

World Rev Nutr Diet. 2020;121:105-115. doi: 10.1159/000507493. Epub 2020 Oct 6.

DOI:10.1159/000507493
PMID:33502369
Abstract

Social injustice and poor policy frameworks contribute to hunger and all forms of malnutrition in a variety of ways. With its work in 38 partner countries, Welthungerhilfe (WHH) aims to make a significant contribution to achieving the Sustainable Development Goal target of eradicating hunger and all forms of malnutrition by 2030. In order to achieve this, WHH has strengthened its strategic approach: "Programming towards Improved Nutrition (PtIN)" is WHH's initiative to improve nutrition among children, women, and men of vulnerable households. PtIN is an integrated, intersectoral system approach which considers the multiple causes of malnutrition and identifies the enabling factors that contribute to reaching food and nutrition security. PtIN consists of four pillars: First, the rights-based approach, which puts the most vulnerable population groups as rights holders into the center of all efforts. Second, a multisectoral approach and thinking in systems supports the better alignment of relevant sectors to work in a more nutrition-sensitive way. A special emphasis is set on the link between humanitarian and development interventions to fight malnutrition and strengthen resilience in a comprehensive approach. Third, a multi-stakeholder approach refers to the fact that only joint measures by all relevant actors concerned can bring about a lasting end to all forms of malnutrition, including overweight and obesity. Fourth, by recognizing malnutrition as a complex problem that needs a complex answer and to understand the bigger picture, context-specific nutrition programming approaches help to capture holistically the magnitude, severity, and the causes of food and nutrition insecurity within a specific community or region of a country. PtIN calls on governments to ensure the appropriate legal framework and supports the empowerment of citizens and civil society organizations in partner countries to participate in the design, implementation, and monitoring of policies and programs. PtIN also especially addresses small and medium private sector actors as important stakeholders in shaping healthy food systems.

摘要

社会不公和政策框架不完善以各种方式导致饥饿和各种形式的营养不良。Welthungerhilfe(WHH)通过在 38 个伙伴国家开展工作,旨在为实现到 2030 年消除饥饿和各种形式营养不良的可持续发展目标做出重大贡献。为了实现这一目标,WHH 加强了其战略方法:“改善营养方案(PtIN)”是 WHH 提高弱势家庭儿童、妇女和男子营养水平的倡议。PtIN 是一种综合的、跨部门的系统方法,它考虑了营养不良的多种原因,并确定了有助于实现粮食和营养安全的有利因素。PtIN 由四个支柱组成:第一,基于权利的方法,将最脆弱的人群作为权利持有者置于所有努力的中心。第二,多部门方法和系统思维支持更好地协调相关部门,以更具营养敏感性的方式开展工作。特别强调人道主义和发展干预之间的联系,以综合方式抗击营养不良和增强抵御力。第三,多利益攸关方方法是指只有所有相关利益攸关方共同采取措施,才能从根本上消除包括超重和肥胖在内的所有形式的营养不良。第四,通过认识到营养不良是一个复杂的问题,需要一个复杂的答案,并了解大局,针对具体情况的营养方案方法有助于全面了解特定社区或国家特定区域内粮食和营养不安全的程度、严重性和原因。PtIN 呼吁各国政府确保适当的法律框架,并支持增强伙伴国家公民和民间社会组织的权能,以参与政策和方案的设计、实施和监测。PtIN 还特别将中小私营部门行为体作为塑造健康食品系统的重要利益攸关方。

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