Multi-sectoral nutrition policy and programme design, coordination and implementation in Ethiopia
Multi-sectoral nutrition governance has been hailed as an effective mechanism to reduce undernutrition. Ethiopia has adopted the approach and has been implementing nutrition programmes with some success, but undernutrition remains high for a range of reasons. This study explores political economy ch...
| Autores principales: | , , |
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| Formato: | Artículo preliminar |
| Lenguaje: | Inglés |
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Institute of Development Studies
2020
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/171252 |
| _version_ | 1855534721297022976 |
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| author | Ayele, Seife Zegeye, Elias Asfaw Nisbett, Nicholas |
| author_browse | Ayele, Seife Nisbett, Nicholas Zegeye, Elias Asfaw |
| author_facet | Ayele, Seife Zegeye, Elias Asfaw Nisbett, Nicholas |
| author_sort | Ayele, Seife |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Multi-sectoral nutrition governance has been hailed as an effective mechanism to reduce undernutrition. Ethiopia has adopted the approach and has been implementing nutrition programmes with some success, but undernutrition remains high for a range of reasons. This study explores political economy challenges facing Ethiopia in nutrition programme design, coordination and implementation, and looks at root causes that remain less understood. Using reviews of literature, qualitative interviews and a deep-dive study of two interventions, the study finds that the policy narrative has shifted in Ethiopia from the historically dominant narrative of ‘food and production security’ to ‘food and nutrition security’. The former ad hoc and reactive responses to droughts and famines have given way to an understanding of the complexity of undernutrition, its causes and consequences. However, in several critical areas, multi-sectoral nutrition coordination under the federal Ministry of Health, and regional bureaux of health, has been ineffective for many reasons, including lack of accountability mechanisms; perceived coordinator bias; inadequate staffing and resources; and low priority often given to programmes, which results in undernutrition – the ‘silent problem’ – being side-lined to ‘competing priorities’. As envisaged in the Food and Nutrition Policy, the study recommends setting up a well-equipped, and independent, multisectoral governance structure, and offers several recommendations that can reinvigorate the process towards sustainably reducing undernutrition. |
| format | Artículo preliminar |
| id | CGSpace171252 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Institute of Development Studies |
| publisherStr | Institute of Development Studies |
| record_format | dspace |
| spelling | CGSpace1712522025-02-19T14:31:24Z Multi-sectoral nutrition policy and programme design, coordination and implementation in Ethiopia Ayele, Seife Zegeye, Elias Asfaw Nisbett, Nicholas nutrition policies programmes malnutrition food security nutrition security governance implementation nutrition policies Multi-sectoral nutrition governance has been hailed as an effective mechanism to reduce undernutrition. Ethiopia has adopted the approach and has been implementing nutrition programmes with some success, but undernutrition remains high for a range of reasons. This study explores political economy challenges facing Ethiopia in nutrition programme design, coordination and implementation, and looks at root causes that remain less understood. Using reviews of literature, qualitative interviews and a deep-dive study of two interventions, the study finds that the policy narrative has shifted in Ethiopia from the historically dominant narrative of ‘food and production security’ to ‘food and nutrition security’. The former ad hoc and reactive responses to droughts and famines have given way to an understanding of the complexity of undernutrition, its causes and consequences. However, in several critical areas, multi-sectoral nutrition coordination under the federal Ministry of Health, and regional bureaux of health, has been ineffective for many reasons, including lack of accountability mechanisms; perceived coordinator bias; inadequate staffing and resources; and low priority often given to programmes, which results in undernutrition – the ‘silent problem’ – being side-lined to ‘competing priorities’. As envisaged in the Food and Nutrition Policy, the study recommends setting up a well-equipped, and independent, multisectoral governance structure, and offers several recommendations that can reinvigorate the process towards sustainably reducing undernutrition. 2020 2025-01-29T12:57:54Z 2025-01-29T12:57:54Z Working Paper https://hdl.handle.net/10568/171252 en Open Access Institute of Development Studies Ayele, Seife; Zegeye, Elias Asfaw; and Nisbett, Nicholas. 2020. Multi-sectoral nutrition policy and programme design, coordination and implementation in Ethiopia. IDS Working Paper March 2020. https://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/15200 |
| spellingShingle | nutrition policies programmes malnutrition food security nutrition security governance implementation nutrition policies Ayele, Seife Zegeye, Elias Asfaw Nisbett, Nicholas Multi-sectoral nutrition policy and programme design, coordination and implementation in Ethiopia |
| title | Multi-sectoral nutrition policy and programme design, coordination and implementation in Ethiopia |
| title_full | Multi-sectoral nutrition policy and programme design, coordination and implementation in Ethiopia |
| title_fullStr | Multi-sectoral nutrition policy and programme design, coordination and implementation in Ethiopia |
| title_full_unstemmed | Multi-sectoral nutrition policy and programme design, coordination and implementation in Ethiopia |
| title_short | Multi-sectoral nutrition policy and programme design, coordination and implementation in Ethiopia |
| title_sort | multi sectoral nutrition policy and programme design coordination and implementation in ethiopia |
| topic | nutrition policies programmes malnutrition food security nutrition security governance implementation nutrition policies |
| url | https://hdl.handle.net/10568/171252 |
| work_keys_str_mv | AT ayeleseife multisectoralnutritionpolicyandprogrammedesigncoordinationandimplementationinethiopia AT zegeyeeliasasfaw multisectoralnutritionpolicyandprogrammedesigncoordinationandimplementationinethiopia AT nisbettnicholas multisectoralnutritionpolicyandprogrammedesigncoordinationandimplementationinethiopia |