Mid-level actors and their operating environments for implementing nutrition-sensitive programming in Ethiopia

This paper provides an analysis of mid-level actors and their operating environments in relation to implementing nutrition-sensitive programming in Ethiopia. We used an innovative, multi-sited qualitative method encompassing the group of implementing actors in health, agriculture, and social protect...

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Bibliographic Details
Main Authors: Warren, Andrea M., Frongillo, Edward A.
Format: Journal Article
Language:Inglés
Published: Elsevier 2017
Subjects:
Online Access:https://hdl.handle.net/10568/171041
Description
Summary:This paper provides an analysis of mid-level actors and their operating environments in relation to implementing nutrition-sensitive programming in Ethiopia. We used an innovative, multi-sited qualitative method encompassing the group of implementing actors in health, agriculture, and social protection below regional level and a sample of households from a community receiving these government services. Systemic constraints and day-to-day operational challenges within sectoral programming characterized the mid-level operating environment. Communities experienced nutrition-related improvements over time, but were constrained in their ability to engage with government programming by their physical environment. Mid-level actors are subject to complex constraints originating from both systemic factors and day-to-day resource constraints. Further development of existing service provision platforms and attention to community constraints is recommended to align national nutrition agendas with implementation capacities and community needs.