Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK
Wellcome Trust Centre for Human Genetics, Oxford, UK.
BMJ Open. 2023 Jan 30;13(1):e062684. doi: 10.1136/bmjopen-2022-062684.
Robust data on nutrition are essential to realise the right to nutrition for every child. Created in 2009, UNICEF's Nutrition Dashboard (NutriDash) collects nutrition programme information from 125 countries. An in-depth review of NutriDash was conducted to understand its strengths and identify key actions to increase its effectiveness and efficiency.
Adapting the Centres for Disease Control and Prevention updated guidelines for evaluating public health surveillance systems, a mixed-methods approach was used. A questionnaire was designed to capture information on key attributes of NutriDash and disseminated to UNICEF country offices for quantitative feedback on user experiences. Structured key informant interviews were held with internal and external stakeholders to gain qualitative perceptions on data generated from NutriDash. Analysis involved producing frequency distributions for the questionnaire data and performing thematic analyses on interview data.
A total of 53 respondents completed the questionnaire (42% response rate), representing 48 countries and good regional geographic representation. Most respondents (96%) worked in UNICEF country offices. The percentages of participants who agreed or strongly agreed with each attribute of the NutriDash system were as follows: acceptability: 71%, stability: 68%, simplicity; 63%, data quality: 60%, flexibility: 58% and usefulness: 43%. Internal and external stakeholders commented on the value of NutriDash; its use ranging from nutrition global trend monitoring for programme planning to producing reports and dashboards. Key themes derived from this review as areas for improvement included communication, access to data and data quality.
This review has identified key themes that will inform improvements to NutriDash and form a baseline for future periodic reviews to continuously enhance the system to improve availability of timely quality nutrition programme data. UNICEF will continue to engage with countries, key partners and governments to improve the NutriDash data value chain and ensure the right to nutrition for every child.
为了实现每个儿童的营养权利，需要掌握关于营养的可靠数据。联合国儿童基金会的营养数据板（NutriDash）于 2009 年创建，用于收集来自 125 个国家的营养方案信息。为了了解其优势并确定提高其有效性和效率的关键措施，对 NutriDash 进行了深入审查。
采用疾病控制与预防中心更新的公共卫生监测系统评估指南，采用混合方法。设计了一份问卷，以获取关于 NutriDash 关键属性的信息，并分发给儿基会国家办事处，以获取用户对使用经验的定量反馈。与内部和外部利益攸关方进行了结构性关键人员访谈，以了解从 NutriDash 生成的数据的定性看法。分析包括为问卷数据生成频率分布，并对访谈数据进行主题分析。
共有 53 名受访者完成了问卷（42%的回复率），代表了 48 个国家，具有良好的区域地理代表性。大多数受访者（96%）在儿基会国家办事处工作。对 NutriDash 系统每个属性表示同意或强烈同意的参与者百分比如下：可接受性：71%，稳定性：68%，简单性：63%，数据质量：60%，灵活性：58%，有用性：43%。内部和外部利益攸关方对 NutriDash 的价值发表了评论；它的用途从营养全球趋势监测到方案规划，再到制作报告和数据板。从这次审查中得出的关键主题包括沟通、数据访问和数据质量，这些都是需要改进的领域。
本次审查确定了将为改进 NutriDash 提供信息的关键主题，并为未来定期审查奠定基础，以不断提高系统的可用性，提供及时的高质量营养方案数据。儿基会将继续与各国、主要伙伴和政府合作，以改善 NutriDash 数据价值链，并确保每个儿童的营养权利。
