Research School of Population Health, Colleague of Health and Medicine, The Australian National University, Canberra, ACT2601, Australia.
Nutrition and Clinical Services Division, icddr,b, Dhaka1212, Bangladesh.
Public Health Nutr. 2021 Apr;24(S1):s1-s6. doi: 10.1017/S1368980021000884. Epub 2021 Feb 26.
This paper aimed to summarise and critically synthesise the key findings of the articles included in the supplement entitled 'Nutrition Implementation Science: The Experience of a Large-Scale Home Fortification in Bangladesh'.
Commentary, summary and synthesis.
Low- and middle-income country.
The supplement included six articles, including this summary paper. The second article presented an implementation science framework that facilitated conceptualising and evaluating the home-fortification programme in Bangladesh implemented by the Bangladesh Rural Advancement Committee (BRAC). The framework encompasses five components: identifying an 'effective' intervention; scaling-up and implementation fidelity; course corrections during implementation and assessing the implementation's effectiveness; promoting sustainability of interventions and consideration of a concurrent evaluation to identify 'effective' interventions and to assess the process and outcome indicators of implementation. The other four articles in this supplement addressed the different components of the framework. For example, the third article addressed the implementation fidelity of a home-fortification programme, and the fourth article described the use of concurrent evaluation to course correct the implementation plan that resulted in improved implementation fidelity. The fifth article explained the outcome of course correction in the programme coverage, and the sixth article described the cost-effectiveness of the BRAC home-fortification programme.
Overall, the supplement provides a comprehensive understanding of nutrition implementation science, which is very new in the field. The lessons learned in this supplement may enhance the capacity of researchers, policymakers and key stakeholders in the nutrition field to scale up new nutrition interventions and sustain them until malnutrition is alleviated.
本文旨在总结和批判性综合补充材料中题为“营养实施科学：孟加拉大规模家庭强化的经验”的文章的主要发现。
评论、总结和综合。
中低收入国家。
该补充材料包括六篇文章，包括这篇摘要。第二篇文章提出了一个实施科学框架，有助于概念化和评估孟加拉农村发展委员会（BRAC）在孟加拉实施的家庭强化方案。该框架包括五个组成部分：确定“有效”干预措施；扩大规模和实施一致性；在实施过程中进行调整并评估实施的有效性；促进干预措施的可持续性，并考虑同时进行评估，以确定“有效”干预措施，并评估实施的过程和结果指标。本补充材料中的其他四篇文章涉及框架的不同组成部分。例如，第三篇文章探讨了家庭强化方案的实施一致性，第四篇文章描述了同时进行评估以调整实施计划，从而提高实施一致性。第五篇文章解释了该方案在覆盖范围方面的调整结果，第六篇文章描述了 BRAC 家庭强化方案的成本效益。
总的来说，该补充材料提供了对营养实施科学的全面理解，这在该领域是非常新的。本补充材料中的经验教训可能会提高营养领域的研究人员、政策制定者和利益相关者扩大新营养干预措施规模并维持其实施直到缓解营养不良的能力。
