Measuring the coverage of nutrition interventions along the continuum of care: time to act at scale
Measuring the coverage of nutrition interventions along the continuum of care: time to act at scale
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DOI：
10.1136/bmjgh-2018-001290
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发表时间：
2019-07-01
影响因子：
8.1
通讯作者：
Requejo, Jennifer
中科院分区：
文献类型：
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作者：
Gillespie, Stuart;Menon, Purnima;Requejo, Jennifer
国际社会致力于解决营养不良问题。然而，由于若干衡量和数据收集方面的挑战，沿着护理连续体的高影响干预措施的覆盖率数据仍然很少。在这份分析文件中，我们确定了所有国家都应跟踪的24项营养干预措施，并确定其覆盖范围目前是否通过主要的家庭营养和健康调查来衡量。然后，我们提出了三个案例研究，使用已发表的文献和经验数据，从大规模的举措，以说明这种数据收集的创新是可行的。我们发现，大多数核心干预措施的数据并没有以标准化的方式在各国进行常规收集。案例研究，生长监测和筛查急性营养不良，婴儿和幼儿喂养咨询，营养监测在印度突出的挑战和潜在的解决方案。推进营养干预措施覆盖面衡量议程对于在降低营养不良率方面取得持续进展至关重要。这将需要：（1）就一套经验证的覆盖率核心指标达成全球共识，这些指标涉及经证实的、高影响力的针对营养的干预措施;（2）将覆盖率衡量和指标指导纳入世卫组织的干预建议;（3）将这些指标纳入数据收集机制和相关的干预措施交付平台;（4）制定持续改进衡量的议程。
The global community is committed to addressing malnutrition. And yet, coverage data for high-impact interventions along the continuum of care remain scarce due to several measurement and data collection challenges. In this analysis paper, we identify 24 nutrition interventions that should be tracked by all countries, and determine if their coverage is currently measured by major household nutrition and health surveys. We then present three case studies, using published literature and empirical data from large-scale initiatives, to illustrate the kind of data collection innovations that are feasible. We find that data are not routinely collected in a standardised way across countries for most of the core set of interventions. Case studies-of growth monitoring and screening for acute malnutrition, infant and young child feeding counselling, and nutrition monitoring in India-highlight both challenges and potential solutions. Advancing the nutrition intervention coverage measurement agenda is essential for sustained progress in driving down rates of malnutrition. It will require (1) global consensus on a core set of validated coverage indicators on proven, high-impact nutrition-specific interventions; (2) the inclusion of coverage measurement and indicator guidance in WHO intervention recommendations; (3) the incorporation of these indicators into data collection mechanisms and relevant intervention delivery platforms; and (4) an agenda for continuous measurement improvement.