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The role of information in the planning, management and evaluation of community nutrition programmes

机译:信息在社区营养方案的规划、管理和评价中的作用

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Protein-energy malnutrition has many diverse location-specific causes which make if difficult to solve through uniform interventions implemented through vertical programmes. This paper investigates the role of information in the planning, management and evaluation of several community nutrition programmes judged to be successful. The programmes come from Tanzania (Iringa), India (Tamil Nadu), Dominican Republic and Colombia.The review finds that the initial conceptualization and design of these programmes benefited from the results of earlier surveys and experience with similar programmes in the same or other countries. Strong capacity for operations research is important to assist with a myriad of small but important programme design details and larger mid-term re-orientations. The impact of this information depends upon the flexibility of the programme and receptivity of its management towards a learning-by-doing approach. Information for on-going programme management differs widely and conforms to the overall character of the individual programme. Thus, Iringa employs a simple system based on community growth monitoring, primarily to catalyze intervention planning and action at household and community levels. Tamil Nadu's system is far more complex and is primarily intended to assist in the delivery of centrally planned interventions. Programme evaluation benefited from information generated within the programme, but more gorous impact evaluation requires stronger designs and more in-depth analysis than is usually provided. Overall, the review suggests that characteristics like community participation, empowerment and growth monitoring are less important in the short/medium term than strong management, a learning-by-doing approach, and the existence of some method for informing programme design and management about community needs and responses to the programme. The former characteristics may well be important for the longer-term sustainability of programmes.
机译:蛋白质-能量营养不良有许多不同的特定地点原因,因此很难通过纵向计划实施统一的干预措施来解决。本文研究了信息在几个被认为成功的社区营养计划的规划、管理和评估中的作用。这些方案来自坦桑尼亚(伊林加)、印度(泰米尔纳德邦)、多米尼加共和国和哥伦比亚。强大的运筹学能力对于协助处理无数小而重要的项目设计细节和更大的中期重新定位非常重要。这些信息的影响取决于方案的灵活性及其管理层对边做边学方法的接受程度。正在进行的方案管理信息差别很大,并符合各个方案的总体特点。因此,Iringa采用了一个基于社区增长监测的简单系统,主要是为了促进家庭和社区层面的干预计划和行动。泰米尔纳德邦的系统要复杂得多,主要目的是协助实施中央计划的干预措施。方案评价受益于方案内产生的信息,但更宏大的影响评价需要比通常提供的更有力的设计和更深入的分析。总的说来,审查表明,在短期/中期,社区参与、赋权和增长监测等特点不如强有力的管理、边做边学的方法以及存在某种方法来告知方案设计和管理层关于社区需求和对方案的反应。前者的特征对于方案的长期可持续性可能很重要。

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