Strengthening Implementation and Utilization of Nutrition Interventions through Research: A Framework and Research Agenda.
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Date
2015
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Abstract
Objectives: Evidence-based solutions are available and there is global momentum for scaling up
nutrition interventions. However, the impact of evidence-based interventions is limited by poor
evidence on operational strategies for scaling up nutrition interventions. The objective of this work
was to develop a framework to inform a larger research agenda around delivery and utilization of
nutrition interventions.
Methods: The paper draws on the deliberations of a high-level working group, a web-based econsultation,
a conference of global nutrition experts and a review of the published literature.
Based on these methods, the paper authors develop a framework and propose areas of research
that have been quite neglected, and yet, are critical to enable better translation of global and national political momentum for nutrition into public health impact.
Results: The framework includes distinct components, with embedded sub-elements: 1) the logic
of results frameworks (inputs, processes, outcomes and impacts); 2) Program Impact Pathways
and program theory; 3) "implementation core" elements related to midstream implementation
processes; 4) contextual factors at multiple evels; 5) the enabling policy environment and
governance; and 6) strategic and management capacities for commitment-building, adaptive
management and sustainability. Each framework component is expandable and the overall
framework is adaptable to different nutrition interventions and settings. Examples are provided
from behavior change communications and micronutrient interventions.
Conclusions: A systematic and complete understanding of program implementation, service
delivery and coverage, using the framework and research approaches identified in this review, can
strengthen successful scale-up and sustain actions for nutrition.
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Menon Purnima, Covic Namukolo, Harrigan Paige, Horton Susan E, Kazi Nabeeha, Lamstein Sascha, Neufeld Lynette, Oakley Erica, Pelletier David L. Strengthening Implementation and Utilization of Nutrition Interventions through Research: A Framework and Research Agenda. European Journal of Nutrition & Food Safety. 2015 Special issue; 5(5): 828-829.