Suchergebnisse

BACKGROUND: National programs are often developed with little consideration to the sub-national local factors that might affect program success. These factors include political support, capacity for implementation of program and variation in malnutrition indices being tackled. State context factors are evident in the distribution of malnutrition (e.g. high prevalence or gap among Local Government Areas), in the implementation of nutrition-sensitive interventions (e.g. access to early childhood education) and in the political economic context (e.g. presence of external funding agencies). Context is shaped by the economy, population, religion, and poverty, which impact everyday lives. Considering these contexts, a roadmap was developed and validated. The aim of this paper is to report expert review and stakeholder validation to determine feasibility of the developed contextualised roadmap for two Nigerian states. METHODS: A validation tool was developed and reviewed using three experts. The content review occurred in two rounds to obtain recommendation and revisions of the developed roadmap and the validation tool. A pilot test of the roadmap and validation tool was done using two stakeholders in South Africa. The roadmap and the validation tool were then sent to the stakeholders and potential end-users in Nigeria using electronic media. Two research assistants were also engaged to deliver and collect hard copies to those who preferred it. RESULTS: Of the ten stakeholders invited, nine responded. All participants showed an adequate understanding of the roadmap as evidenced by the scores given. Responses regarding the translation of the roadmap to implementation varied. The majority (86,6%) either strongly agreed or agreed that the actions were translatable (43.0 and 43.6% respectively). CONCLUSIONS: The final roadmap comprises of actions that are appropriate for the state's context. It is recommended that stakeholders or end-users of any programme must be involved in the validation of such contextual programmes to ...

Malnutrition, mostly resulting from poor food, health, and care practices, is related to physiological, socioeconomic, and psychological factors and remains one of the leading causes of mortality in children under five years of age in low- and middle-income countries. Nigeria, as with many parts of the world, is experiencing a multiple malnutrition burden, where undernutrition, including micronutrient deficiencies, exists alongside overweight, obesity, and associated diet-related non-communicable diseases. Recent data show that 37 percent of children under five years of age are stunted while 68 percent suffer some degree of anaemia. Overweight and obesity are also common among adults with prevalence rate of about 33 percent. The Nigerian government embraces sustainable food system approaches in its policy and programmes to address malnutrition problems in the country. Food systems approaches take a holistic understanding of all activities and processes involved in food production, processing, storage, transportation, trade, transformation, retail, and consumption. In this paper, we identify and discuss the types of research that can support the operationalization of food systems approaches to improving the quality of diets in Nigeria. Specifically, we structured a consultative workshop with key stakeholders, reviewed the literature, and applied food systems framework to the Nigerian context. The process enabled us to identify 39 research questions crucial to: understanding how changes in food systems can lead to healthier diets; identifying and testing entry points for improving availability and effective demand for healthier food; and creating at scale a supportive policy and market environment for achieving heathier and sustainable diets in Nigeria. ; Non-PR ; IFPRI1; DCA; CRP4; 2 Promoting Healthy Diets and Nutrition for all ; A4NH ; CGIAR Research Program on Agriculture for Nutrition and Health (A4NH)