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Experiences and lessons learned for planning and supply of micronutrient powders interventions

机译:计划和提供微量营养素粉干预措施的经验和教训

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摘要

Realistic planning for a nutrition intervention is a critical component of implementation, yet effective approaches have been poorly documented. Under the auspices of “The Micronutrient Powders Consultation: Lessons Learned for Operational Guidance,” 3 working groups were formed to summarize experiences and lessons across countries regarding micronutrient powders (MNP) interventions for young children. This paper focuses on programmatic experiences in the planning stages of an MNP intervention, encompassing assessment, enabling environment and adaptation, as well as considerations for supply. Methods included a review of published and grey literature, key informant interviews, and deliberations throughout the consultation process. We found that assessments helped justify adopting an MNP intervention, but these assessments were often limited by their narrow scope and inadequate data. Establishing coordinating bodies and integrating MNP into existing policies and programmes have helped foster an enabling environment and support programme stability. Formative research and pilots have been used to adapt MNP interventions to specific contexts, but they have been insufficient to inform scale‐up. In terms of supply, most countries have opted to procure MNP through international suppliers, but this still requires understanding and navigating the local regulatory environment at the earliest stages of an intervention. Overall, these findings indicate that although some key planning and supply activities are generally undertaken, improvements are needed to plan for effective scale‐up. Much still needs to be learned on MNP planning, and we propose a set of research questions that require further investigation.
机译:营养干预措施的切合实际的计划是实施的关键组成部分,但是有效的方法文献很少。在“微量营养素粉咨询:操作指导的经验教训”的主持下,成立了3个工作组,总结了各国在针对幼儿的微量营养素粉(MNP)干预方面的经验和教训。本文重点关注MNP干预计划阶段的计划经验,包括评估,有利的环境和适应以及供应方面的考虑。方法包括回顾已发表的文献和灰色文献,关键知情人访谈以及整个咨询过程中的讨论。我们发现评估有助于证明采用MNP干预是合理的,但是这些评估通常受到范围狭窄和数据不足的限制。建立协调机构并将MNP纳入现有政策和计划中,有助于营造有利的环境并支持计划的稳定性。形成性研究和试点已用于使MNP干预措施适应特定情况,但不足以提供扩大规模的信息。在供应方面,大多数国家选择通过国际供应商来采购MNP,但这仍然需要在干预的最早阶段就了解并驾驭当地的监管环境。总体而言,这些发现表明,尽管通常进行了一些关键的计划和供应活动,但仍需要改进以计划有效的扩大规模。关于MNP计划,仍然需要学习很多知识,我们提出了一系列需要进一步研究的研究问题。

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