Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa

Changes in the immediate, underlying and basic determinants of nutritional status at the community- and household-level are a logical and empirical prerequisite to reducing high levels of undernutrition in high burden countries. This paper considers these factors directly from the perspective of com...

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Autores principales: Nisbett, Nicholas, van den Bold, Mara, Gillespie, Stuart, Menon, Purnima, Davis, Peter, Roopnaraine, Terence, Kampman, Halie, Kohli, Neha, Singh, Akriti, Warren, Andrea
Formato: Journal Article
Lenguaje:Inglés
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://hdl.handle.net/10568/146495
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author Nisbett, Nicholas
van den Bold, Mara
Gillespie, Stuart
Menon, Purnima
Davis, Peter
Roopnaraine, Terence
Kampman, Halie
Kohli, Neha
Singh, Akriti
Warren, Andrea
author_browse Davis, Peter
Gillespie, Stuart
Kampman, Halie
Kohli, Neha
Menon, Purnima
Nisbett, Nicholas
Roopnaraine, Terence
Singh, Akriti
Warren, Andrea
van den Bold, Mara
author_facet Nisbett, Nicholas
van den Bold, Mara
Gillespie, Stuart
Menon, Purnima
Davis, Peter
Roopnaraine, Terence
Kampman, Halie
Kohli, Neha
Singh, Akriti
Warren, Andrea
author_sort Nisbett, Nicholas
collection Repository of Agricultural Research Outputs (CGSpace)
description Changes in the immediate, underlying and basic determinants of nutritional status at the community- and household-level are a logical and empirical prerequisite to reducing high levels of undernutrition in high burden countries. This paper considers these factors directly from the perspective of community members and frontline workers interviewed in six countries in South Asia and sub-Saharan Africa. In each country, in-depth interviews were conducted with mothers, other community members and health workers to understand changes in health and nutrition practices, nutrition-specific interventions, underlying drivers and nutrition-sensitive interventions, and life conditions. Overall, the need for basic improvements in livelihood opportunities and infrastructure are solidly underscored. Nutrition-specific and -sensitive changes represented in most cases by deliberate government or NGO supported community interventions are rolling out at a mixed and uneven pace, but are having some significant impacts where solidly implemented. The synthesis presented here provides an invaluable source of information for understanding how community-level change occurred against a wider backdrop of national level progress.
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spelling CGSpace1464952025-03-03T19:29:00Z Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa Nisbett, Nicholas van den Bold, Mara Gillespie, Stuart Menon, Purnima Davis, Peter Roopnaraine, Terence Kampman, Halie Kohli, Neha Singh, Akriti Warren, Andrea health households nutrition government infrastructure livelihoods state intervention communities Changes in the immediate, underlying and basic determinants of nutritional status at the community- and household-level are a logical and empirical prerequisite to reducing high levels of undernutrition in high burden countries. This paper considers these factors directly from the perspective of community members and frontline workers interviewed in six countries in South Asia and sub-Saharan Africa. In each country, in-depth interviews were conducted with mothers, other community members and health workers to understand changes in health and nutrition practices, nutrition-specific interventions, underlying drivers and nutrition-sensitive interventions, and life conditions. Overall, the need for basic improvements in livelihood opportunities and infrastructure are solidly underscored. Nutrition-specific and -sensitive changes represented in most cases by deliberate government or NGO supported community interventions are rolling out at a mixed and uneven pace, but are having some significant impacts where solidly implemented. The synthesis presented here provides an invaluable source of information for understanding how community-level change occurred against a wider backdrop of national level progress. 2017-06 2024-06-21T09:07:16Z 2024-06-21T09:07:16Z Journal Article https://hdl.handle.net/10568/146495 en Open Access Elsevier Nisbett, Nicholas; van den Bold, Mara; Gillespie, Stuart; Menon, Purnima; Davis, Peter; Roopnaraine, Terry; Kampman, Halie; Kohli, Neha; Singh, Akriti; and Warren, Andrea. 2017. Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa. Global Food Security 13(June 2017): 74-82. https://doi.org/10.1016/j.gfs.2017.01.006
spellingShingle health
households
nutrition
government
infrastructure
livelihoods
state intervention
communities
Nisbett, Nicholas
van den Bold, Mara
Gillespie, Stuart
Menon, Purnima
Davis, Peter
Roopnaraine, Terence
Kampman, Halie
Kohli, Neha
Singh, Akriti
Warren, Andrea
Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa
title Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa
title_full Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa
title_fullStr Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa
title_full_unstemmed Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa
title_short Community-level perceptions of drivers of change in nutrition: Evidence from South Asia and sub-Saharan Africa
title_sort community level perceptions of drivers of change in nutrition evidence from south asia and sub saharan africa
topic health
households
nutrition
government
infrastructure
livelihoods
state intervention
communities
url https://hdl.handle.net/10568/146495
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