nutrition innovation lab process research: understanding processes that support nutrition program...
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7/21/2019 Nutrition Innovation Lab Process research: Understanding processes that support nutrition program impacts, Sept 2013
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Nutrition Innovation Lab Processresearch: Understanding
processes that support nutritionprogram impacts
Shibani GhoshNutrition Innovation Lab- Asia and Africa
Tufts University
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esearch !uestions
• "o# and #hy $arge-sca$e% mu$tisector po$icies and programs achievenutrition goa$s&
• "o# can po$icy and programimp$ementation be enhanced tosupport both nutrition-speci'c andnutrition-sensitive actions&
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Leroy J L , Menon P J. Nutr. 2008;138:628-629
©2008 by American Society for Nutrition
Program Steps and
Sta(eho$ders
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7/21/2019 Nutrition Innovation Lab Process research: Understanding processes that support nutrition program impacts, Sept 2013
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)
*or$
d +an( ,./.0 What can we learnfrom nutrition impact evaluations? *ashington% 1232
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Legen
d
Terai "i$$
1istricts
5ountain 1istricts
Sentine$ 6
Service 1e$ivery
Sector 3oordination
3ross-ministry coordination
3ross-Po$icy and donor coordination
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7
Key Issues in vertical and horizontal
coherence
Individual capacity :Skills, knowledge, training, experience,
attitudes to multi- sector actions, nutrition goals, priorityproblems
Institutional capacity :
erceived constraints to multi-sectorcollaboration, resource use e!ciency,
System capacity :
"isincentives to collaboration, innovation,venues #or Gi$$espie et a$2 ,./80 Lancet Series Paper 9
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!uestions
• Perceived constraints in #or(ingacross sectors
• Incentives for co$$aboration acrossinstitutions and sectors
• ;pected hurd$es to mu$ti-sectorcoordination
• <no#$edge and training in nutrition
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5ethods
• Structured open ended=uestionnaires
• > 7.. intervie#s ,nationa$ do#n to#ard0
• Annua$ surveys
• ?irst survey conducted: ?ebruary to @une ./8
• 1ata entry in process
•Pre$iminary 'ndings: September./8
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Level Institution$Individual
Nationa$ Po$icy ma(ers% donors% INGs% academics
egiona$ Administrator% 1 "ea$th% 1 Agricu$ture% 1Livestoc(% 1 ducation% 1 1*S% 1 *1
1istrict L1% 1"B1P"% Agricu$ture% Livestoc(%
ducation% 1*S% 3hamber of 3ommerceProgram Cce Socia$ 1ev Sec 113% P$anningD% 113% 3hair NG federation% NGs
I$a(a "ea$th% Agricu$ture% Livestoc(%du esource 3enter
E13 E13 Secretary% "ea$th% Agricu$ture%Livestoc(% ducation ,schoo$ teacher0% NGs
*ard ?3"E% epresentative F *ard 3itien ?orum%epresentative 5G% epresentative3ooperativeBGroups
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Ana$ysis
• 1egree of vertica$ coherence #ithin sector
• 1egree of co$$aboration across sectors,horionta$ concurrence0
– *ithin region% district% E13% #ard
• Dect of concurrence and coherence onvariabi$ity of outcomes on the ground
,community0• 3hange in concurrence or coherence overtime ,5SNP and program imp$ementation0
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esu$ts ,1emographics0 ?re=uency PercentLevel
egiona$ H 72)1istrict 7 7
I$a(a 7H .2)%espondenttype
Government
oCcia$ 8 7828NG oCcia$ H7 )2/ING oCcia$ 6 /26
Tota$ 86 /..
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Sectors Intervie#ed
Sector ?re=uencyEa$idPercent
Loca$ and Socia$
1eve$opment 76 /H27"ea$th 96 //2H
Agricu$ture and Livestoc( H 82/
ducation 96 //2H
*ater Supp$y 6 627NGBPrivate /.8 627
Tota$ 86 /..
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Priority Prob$ems
• ?ood Security
• Uti$iation
• Production
• 1iseaseBI$$ness
• Lac( of ducationBA#areness
• Practices ,cu$tura$ practices% breast
feeding0• No signi'cant diDerences in identi'cation
of priority prob$emsJ
7/21/2019 Nutrition Innovation Lab Process research: Understanding processes that support nutrition program impacts, Sept 2013
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egiona$ 1istrict I$a(a 3ount K 3ount K 3ount K
?oodsecurity /) )/27. /)H )72. 97 )H2).
Uti$iation 7)2H. /9/ ).27. 97 )H2).
Production /6 ))2. /88 972. 8) 9928.
1iseaseBI$$ness /6 ))2. //) 9/29. 87 962.
Practices 7 92/. 8 H2H. / 2.
ducation 6 H27. 6 H92. 76 H62.
3hiS=uare,pM.2./0 NMH NM7 NM7H
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1isaggregation egiona$ 1istrict I$a(a P va$ue
3ount K 3ount K 3ount K
1e-#orming 6 .27.K 72H.K 8 82.K .2./6
Lac( of
a#areness ofsupp$ementaryfoods%micronutrientde'ciencies 9 /82.K H 82.K . .2..K .2..
"igh *or($oad
and $ac( ofcare of chi$dren,hunger0 . .2..K 9 /)2/.K / 2.K .2./9
NMH NM7 NM7H
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3onsu$tation ,egiona$% 1istrict%I$a(a0
?re=uency Percent
1o you fee$ that your department is suCcient$y consu$ted #ith on nutrition issuesSuCcient 3onsu$tation of1epartmentsBUnits ,a$$Leve$s0
A$$/9 82/
egiona$ ) /72 1istrict H6 892) I$a(a 8 H2/
InSuCcient 3onsu$tation of1epartmentsBunits ,a$$ $eve$s0
A$$ / 927
egiona$ /6 ))2 1istrict /8/ 972/ I$a(a 9/ )/2HSome#hat SuCcient3onsu$tation
A$$ 6. /)2)
egiona$ 6 .27 1istrict 8H /92. I$a(a /) /H2.1ont <no# A$$ /9 826 egiona$ 62H
1istrict / 928 I$a(a /9 826
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3oherence on ease to #or(
districtBregion0
egiona$ 1istrict I$a(a p va$ue
3ount K 3ount K 3ount K
asy / 62/. /H8 6H29. )9 629.NS
1iCcu$t // 872H. 7 2/. 9 8.29.NS
NMH NM7 NM7H
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Incentives to co$$aborate ,5u$ti-sectora$0
egiona$ 1istrict I$a(a
3ount K 3ount K 3ount Kpva$ue
Support 9 /82.K . 72.K 6726.
K .299H
Shared o#nership,coordinationBgoa$s0 6 .27.K H9
882.K /H
92/.K .2//H
5andatory
*or(ingmechanism ) /72 //9 9/ / /)2 .
3apacity bui$ding,training 9 /82 99 /)2 /.2/ .2999
Shared resources / 62/ /9 )/2/ 9. ).26 .2)/)
A$$o#anceB'sca$
bene'ts toem $o ees /6 ))2 ) .2H /9 /727 .
NMH NM7 NM7H
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1isincentives to co$$aborate ,mu$ti-
sectora$0
egiona$ 1istrict I$a(a
1isincentives 3ount K 3ount K 3ount K p va$ue
Oes // 872H 66 827 8)29 .2.9
No / 62/ // 7)2H )/ 6926 .2.)
1ont <no# . . / .29 . . .28
NMH NM7 NM7H
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1isincentives to 3o$$aborate
• Lac( of a$$o#ance% fue$Btransportation faci$ities to 'e$d% trave$a$$o#ances% dai$y a$$o#ances
• Lac( of interestBmotivation
• *or($oad
• *or(space environment ,inc$udes $ac( of support fromsuperior0
• InsuCcient esources ,'nance% "% budget0
• Lac( of s(i$$s and capacity
• +ureaucratic constraints
• Po$itica$ Upheava$• Lac( of p$anning% coordination and imp$ementation
• Lac( of transparency
• Lac( of representative
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Training and 3apacity ,Ade=uate Training0
Loca$1eve$opmentand Socia$1eve$opment
"ea$th
Agricu$ture andLivestoc(
ducation
*aterSupp$y
NGBprivatesector
3ount K 3ount K 3ount K 3ount K 3ount K 3ount K
Oes ) 82H. 7 )27. 8. 8827. 8 ).2.. /7 6)29. 7 6H2H.
Oes butneedrefreshertraining /6 /2/. /. /27. 9 72.. // 82H. 6 82/. // /.27.
No 8) 962/. H /H26. 8) 8H28. / 62/. 8 //2). . /H29.
*ithin your o#n department
pM.2...
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Training and 3apacity*ithin other departments
Loca$1eve$opment andSocia$1eve$opment
"ea$th
Agricu$tureandLivestoc(
ducation
*aterSupp$y
NGBprivatesector
3ount K 3ount K 3ount K3ount K
3ount K 3ount K
Oes /729
. /) 826. H826
. /6892
. // 928. 8) 892..
Oes but
needrefreshertraining 6 72H. 8 62). /
.2. )
/.2H. 727. // /.27.
No 9/)82H
. / 62/. 6H2
. /62/
. 6 82/. 99 927.
1ont(no# /
/)2. /6 892. /6
/2.. /8
28. 7 62H. /8 /26.
PM.2..
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3onc$usions
• Some coherence observed across $eve$s
• 5ore coherence bet#een district and i$a(a – Priority prob$ems
– Incentives to co$$aborate• 5ore coherence bet#een region and i$a(a
– 1is-incentives to co$$aborate
• Training and capacity concurrence ,#ithin0 – "ea$th% education and #ater sector% NG and
$oca$ private sector
– Agricu$ture% $oca$ and socia$ deve$opment sectors
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3onc$usions
• Training and capacity ,in other departments0 – Loca$ deve$opment and NGBprivate sector
– Agricu$ture% hea$th% nutrition% #ater andsanitation
• 3ontinued ana$yses – e'ning
– 3oherence by speci'c region% district% i$a(a% #ard%
E13 – 3oncurrence by sector at each $eve$
– Lin(ing to outcomes data and programmonitoring data
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esearch Team
• Patric( *ebb
• <edar +ara$
• i$een <ennedy• Shibani Ghosh
• 1ip$av Sap(ota
• Sriu Sharma• Ea$$ey esearch Group ,survey 'rm0