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Strengthening advocacy and policy change for infant and young child feeding

机译:加强对婴幼儿喂养的宣传和政策变化

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摘要

The creation of environments that are more supportive of optimal infant and young child feeding (IYCF) requires countries to enact policies, such as those related to the Maternity Protection Convention, the International Code of Marketing of Breast‐milk Substitutes (the Code), and the Baby‐Friendly Hospital Initiative. However, challenges are experienced in the translation of international policy standards into national legal measures, and there is an important gap in understanding how countries achieve progress. Policy advocacy is a nearly universal feature, but there are methodological challenges and few studies evaluating strategies and effects. The purpose of this supplement to Maternal & Child Nutrition is to address those gaps. This supplement contains three papers that present findings from a real‐time evaluation of the advocacy efforts of Alive & Thrive (A&T), United Nations International Children's Emergency Fund (UNICEF), and partners, that sought to support governments in fostering enabling environment for optimal IYCF in Southeast Asia (SEA) and Africa. A combination of two emergent, theory‐based evaluation approaches was used: developmental evaluation and contribution analysis. The overall objective of the evaluation was to document the extent to which policy objectives were or were not achieved in each country and to identify the key drivers of policy change. One contribution of the supplement is a distinction between and illustration of triggers and drivers of policy change. Three main drivers of policy change were identified: (a) the use of an explicit advocacy approach; (b) the creation of a strategic group of actors; and (c) the realization of 15 critical tasks (more specifically for the Code). Each of the critical tasks has been identified as having triggered progress on the Code in those countries. This supplement provides evidence that the advocacy efforts of A&T, UNICEF, and partners contributed to enhanced IYCF policies in SEA and reveals how it helped to achieve progress. The insights contained in this supplement can serve as a guide for policy advocates for enhanced IYCF policies. A short communication puts findings into perspective within global context.
机译:创建更支持最佳婴幼儿喂养(IYCF)的环境要求各国制定政策,例如与《生育保护公约》,《国际母乳代用品销售守则》(《守则》)和爱婴医院倡议。但是,在将国际政策标准转化为国家法律措施方面遇到了挑战,在理解各国如何取得进展方面存在重大差距。政策倡导几乎是普遍的特征,但是存在方法上的挑战,很少有评估策略和效果的研究。母婴营养补充品的目的是解决这些差距。本补编包含三篇论文,这些论文提出了对“生命与繁荣”(A&T),联合国国际儿童应急基金(UNICEF)和合作伙伴的倡导工作进行实时评估的结果,这些研究旨在支持政府为创造最佳环境创造有利条件。 IYCF在东南亚(SEA)和非洲。结合使用了两种新兴的,基于理论的评估方法:发展评估和贡献分析。评估的总体目标是记录每个国家实现或未实现政策目标的程度,并确定政策变化的主要驱动力。补编的一个贡献是政策变化的触发因素和驱动因素之间的区别和说明。确定了政策变化的三个主要驱动因素:(a)使用明确的倡导方法; (b)建立战略角色团体; (c)实现15项关键任务(更具体而言,是针对《守则》)。在这些国家,每项关键任务都被认为已触发了《守则》的进展。该补编提供了证据,表明A&T,联合国儿童基金会和合作伙伴的宣传工作为加强东南亚的IYCF政策做出了贡献,并揭示了它如何帮助取得进展。本补编中包含的见解可以为政策制定者提供指导,以加强IYCF政策。简短的交流将调查结果纳入全球范围内。

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