Kodish Stephen R, Farhikhtah Arghanoon, Mlambo Trust, Hambayi Mutinta Nseluke, Jones Vanessa, Aburto Nancy J
United Nations World Food Programme Headquarters, Rome, Italy.
The Pennsylvania State University, University Park, PA, USA.
Food Nutr Bull. 2022 Mar;43(1):104-120. doi: 10.1177/03795721211046140. Epub 2021 Nov 7.
The rural district of Ntchisi is in the central region of Malawi. Among children aged 6 to 23 months, the stunting prevalence is 40% to 50%. To address this high prevalence, the World Food Programme, with cooperating partners, supported the Government of Malawi to implement an integrated stunting prevention program entitled The Right Foods at the Right Time from 2013 to 2018.
To provide implementation lessons learned from systematic documentation of how the Scaling Up Nutrition (SUN) movement, combined with other international and national initiatives and policies, was translated into tailored programming.
During program conception, early design, and implementation, this descriptive study systematically documented the process of translating SUN principles and government policies into an operational stunting prevention program in rural Malawi.
We identified 8 factors that contributed to successful translation of policy into program activities: (1) well-structured National SUN framework, (2) reliable coordination platforms and district ownership, (3) systematic and evidence-informed program design, (4) multiple forms of data used to inform program planning, (5) multisectoral implementation approaches to stunting prevention, (6) innovation in technology to improve overall program efficiency, (7) systematic collaboration among diverse stakeholders, and (8) strong public health nutrition capacity of program team members.
Lessons from this nutrition program in Ntchisi, Malawi, provide one case illustrating how the SUN movement, government policies, and global evidence base can be operationalized into tailored programming for improving nutrition.
恩奇西农村地区位于马拉维中部。在6至23个月大的儿童中，发育迟缓患病率为40%至50%。为解决这一高患病率问题，世界粮食计划署与合作伙伴一道，支持马拉维政府在2013年至2018年实施了一项名为“在正确时间提供正确食物”的综合发育迟缓预防计划。
提供从系统记录扩大营养（SUN）运动如何与其他国际和国家倡议及政策相结合转化为量身定制方案中吸取的实施经验教训。
在项目构思、早期设计和实施过程中，这项描述性研究系统记录了将SUN原则和政府政策转化为马拉维农村地区一项可操作的发育迟缓预防计划的过程。
我们确定了8个有助于将政策成功转化为项目活动的因素：（1）结构完善的国家SUN框架；（2）可靠的协调平台和地区自主权；（3）系统且基于证据的项目设计；（4）用于为项目规划提供信息的多种数据形式；（5）预防发育迟缓的多部门实施方法；（6）技术创新以提高整体项目效率；（7）不同利益相关者之间的系统协作；（8）项目团队成员强大的公共卫生营养能力。
马拉维恩奇西这个营养项目的经验教训提供了一个案例，说明了SUN运动、政府政策和全球证据基础如何能够转化为改善营养的量身定制方案。
