Improving nutrition through multisectoral approaches

Improving nutrition through multisectoral approaches
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通过多部门方法改善营养

DOI:
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发表时间:
2013
期刊:
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影响因子:
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通讯作者:
A. Marini
A. Marini
中科院分区:
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文献类型:
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作者:
Sailesh Tiwari;H. Zaman;Y. Hoberg;A. Goyal;A. Herforth;J. Bergeron;Jaime Saavedra Chanduvi;M. Shekar;L. Elder;H. Alderman;A. Marini

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本报告提供了操作指南,以最大限度地提高投资对妇女和幼儿营养状况的影响。本文件中的建议基于迄今为止有关营养不良问题的证据,旨在就如何将营养纳入农业、社会保护和卫生领域的主流提供具体指导。该文件由五个模块组成,包括引言、对贫困、经济增长和营养之间关系的经济分析,以及针对上述每个重点领域的一个模块。同时还提供了农业、社会保护和卫生模块的配套简报,作为完整指导说明中相应章节的摘要。对营养敏感的社会保护的目标是:1) 将活动针对营养最脆弱的人群,如孕妇和24个月以下的儿童;2) 在社会保护干预措施中纳入营养教育和咨询活动,以提高家庭对护理和就医行为的认识;3) 将营养服务纳入社会保护干预措施;4) 通过在危机时期扩大项目规模以及针对受冲击地区,减少外部金融、价格和天气冲击带来的短期和长期负面经济影响。针对每个目标的循证干预措施以及实施考虑因素,作为将营养干预措施纳入卫生投资和政策的选项呈现。到目前为止,“增强营养框架”已得到全球100多个合作伙伴的认可,30个发展中国家已承诺加强营养工作。这些国家的领导人将营养作为对本国人民发展的一项投资列为优先事项,并认识到营养是对经济和社会发展的一项投资,有助于增强本国实力。
This report provides operational guidance to maximize the impact of investments on nutrition outcomes for women and young children. The recommendations in this document build on evidence to date on issues of malnutrition, with the aim of providing concrete guidance on how to mainstream nutrition into agriculture, social protection, and health. The document is composed of five modules, including an introduction, an economic analysis of the relationship between poverty, economic growth and nutrition, and one module for each of the aforementioned focus sectors. Accompanying briefs for the agriculture, social protection and health modules are also available and serve as a summary of their corresponding chapters in the full guidance note. The objectives of the nutrition sensitive social protection are: 1) target activities to the most nutritionally vulnerable populations such as pregnant women and children less than 24 months; 2) include nutrition education and counseling activities within social protection interventions to increase household awareness of care giving and health seeking behaviors; 3) integrate nutrition services into social protection interventions; and 4) reduce the acute and long-term negative financial impacts of external financial, price, and weather shocks by scaling up programs in times of crises and by targeting shock-affected areas. Evidence-based interventions to address each objective, along with implementation considerations, are presented as options to integrate nutrition interventions in health investment and policies. To date, the scaling up nutrition framework has been endorsed by over 100 partners worldwide and 30 developing countries have committed to scaling up nutrition. Leaders of these countries are prioritizing nutrition as an investment in their people's growth, and recognizing nutrition as an investment in economic and social development to strengthen their nations.