Coherence for nutrition: Insights from nutrition-relevant policies and programs in Burkina Faso and Nigeria

There is consensus that coherence is necessary for implementing effective and sustainable approaches to tackle malnutrition. We look at whether policies and programmes provide a coherent pathway to address nutrition priorities and if programmes are designed to deliver interventions aligned to the nu...

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Autores principales: Billings, Lucy, Pradeilles, Rebecca, Gillespie, Stuart, Vanderkooy, Anna, Diatta, Dieynab, Touré, Mariama, Diatta, Ampa Dogui, Verstraeten, Roosmarijn
Formato: Journal Article
Lenguaje:Inglés
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://hdl.handle.net/10568/142620
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author Billings, Lucy
Pradeilles, Rebecca
Gillespie, Stuart
Vanderkooy, Anna
Diatta, Dieynab
Touré, Mariama
Diatta, Ampa Dogui
Verstraeten, Roosmarijn
author_browse Billings, Lucy
Diatta, Ampa Dogui
Diatta, Dieynab
Gillespie, Stuart
Pradeilles, Rebecca
Touré, Mariama
Vanderkooy, Anna
Verstraeten, Roosmarijn
author_facet Billings, Lucy
Pradeilles, Rebecca
Gillespie, Stuart
Vanderkooy, Anna
Diatta, Dieynab
Touré, Mariama
Diatta, Ampa Dogui
Verstraeten, Roosmarijn
author_sort Billings, Lucy
collection Repository of Agricultural Research Outputs (CGSpace)
description There is consensus that coherence is necessary for implementing effective and sustainable approaches to tackle malnutrition. We look at whether policies and programmes provide a coherent pathway to address nutrition priorities and if programmes are designed to deliver interventions aligned to the nutrition agenda in Nigeria and Burkina Faso. A systematic desk review was performed on nutrition-relevant and programme documents, obtained through grey literature searches and expert recommendations. We developed a framework with an impact pathway structure that includes five process steps, which was used to guide coding, data reduction and synthesis and structure the analysis. We assessed internal coherence along process steps within a given document and external coherence across process steps for explicitly linked policy/programme pairs. The majority of policies and programmes had partial internal coherence for both countries. The identification of relevant nutrition interventions to address challenges and reach objectives was the strongest connection within policies (16 out of 45 had complete coherence) while among programmes the strongest connection was coverage indicators that measure interventions (9 out of 21 had complete coherence). Eight programmes explicitly referenced at least one nutrition-relevant with a total of 16 linked policy/programme pairs (13 pairs for Burkina Faso and 3 for Nigeria) across health, nutrition, agriculture, and social focus areas. However, none of the linked pairs were assessed to have complete external coherence suggesting that priorities at level are not fully realised nor translated at programme level. This study offers a new approach for assessment of and program coherence and specifically examines and program linkages. We conclude that improved leadership on country priority setting and better alignment for nutrition within and across sectors is needed to enhance the effectiveness of nutrition investments.
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spelling CGSpace1426202025-07-23T19:46:31Z Coherence for nutrition: Insights from nutrition-relevant policies and programs in Burkina Faso and Nigeria Billings, Lucy Pradeilles, Rebecca Gillespie, Stuart Vanderkooy, Anna Diatta, Dieynab Touré, Mariama Diatta, Ampa Dogui Verstraeten, Roosmarijn programmes policies nutrition policies nutrition There is consensus that coherence is necessary for implementing effective and sustainable approaches to tackle malnutrition. We look at whether policies and programmes provide a coherent pathway to address nutrition priorities and if programmes are designed to deliver interventions aligned to the nutrition agenda in Nigeria and Burkina Faso. A systematic desk review was performed on nutrition-relevant and programme documents, obtained through grey literature searches and expert recommendations. We developed a framework with an impact pathway structure that includes five process steps, which was used to guide coding, data reduction and synthesis and structure the analysis. We assessed internal coherence along process steps within a given document and external coherence across process steps for explicitly linked policy/programme pairs. The majority of policies and programmes had partial internal coherence for both countries. The identification of relevant nutrition interventions to address challenges and reach objectives was the strongest connection within policies (16 out of 45 had complete coherence) while among programmes the strongest connection was coverage indicators that measure interventions (9 out of 21 had complete coherence). Eight programmes explicitly referenced at least one nutrition-relevant with a total of 16 linked policy/programme pairs (13 pairs for Burkina Faso and 3 for Nigeria) across health, nutrition, agriculture, and social focus areas. However, none of the linked pairs were assessed to have complete external coherence suggesting that priorities at level are not fully realised nor translated at programme level. This study offers a new approach for assessment of and program coherence and specifically examines and program linkages. We conclude that improved leadership on country priority setting and better alignment for nutrition within and across sectors is needed to enhance the effectiveness of nutrition investments. 2021-09-21 2024-05-22T12:10:45Z 2024-05-22T12:10:45Z Journal Article https://hdl.handle.net/10568/142620 en Open Access Oxford University Press Billings, Lucy; Pradeilles, Rebecca; Gillespie, Stuart; Vanderkooy, Anna; Diatta, Dieynab; Touré, Mariama; Diatta, Ampa Dogui; and Verstraeten, Roosmarijn. 2021. Coherence for nutrition: Insights from nutrition-relevant policies and programs in Burkina Faso and Nigeria. Health Policy and Planning 36(10): 1574-1592. https://doi.org/10.1093/heapol/czab108
spellingShingle programmes
policies
nutrition policies
nutrition
Billings, Lucy
Pradeilles, Rebecca
Gillespie, Stuart
Vanderkooy, Anna
Diatta, Dieynab
Touré, Mariama
Diatta, Ampa Dogui
Verstraeten, Roosmarijn
Coherence for nutrition: Insights from nutrition-relevant policies and programs in Burkina Faso and Nigeria
title Coherence for nutrition: Insights from nutrition-relevant policies and programs in Burkina Faso and Nigeria
title_full Coherence for nutrition: Insights from nutrition-relevant policies and programs in Burkina Faso and Nigeria
title_fullStr Coherence for nutrition: Insights from nutrition-relevant policies and programs in Burkina Faso and Nigeria
title_full_unstemmed Coherence for nutrition: Insights from nutrition-relevant policies and programs in Burkina Faso and Nigeria
title_short Coherence for nutrition: Insights from nutrition-relevant policies and programs in Burkina Faso and Nigeria
title_sort coherence for nutrition insights from nutrition relevant policies and programs in burkina faso and nigeria
topic programmes
policies
nutrition policies
nutrition
url https://hdl.handle.net/10568/142620
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