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有效的国际反营养不良行动:为什么它被证明是如此困难,可以做些什么来加快进步?
Saul S Morris1, Bruce Cogill, Ricardo Uauy
1London School of Hygiene & Tropical Medicine, London, UK.
Lancet (London, England)
|January 22, 2008
概括
针对母亲和儿童营养不良的国际营养体系在管理,资源调动,服务提供和能力建设方面存在重大缺陷. 诸如分裂之类的系统性问题阻碍了进步,需要新的国际架构.
科学领域:
- 全球健康 全球健康
- 国际发展国际发展
- 营养科学 营养科学
背景情况:
- 跨国组织在高负担国家合作打击母婴营养不良.
- 这些实体形成了一个国际营养系统,通过财务,智力和个人联系相互连接.
研究的目的:
- 评估国际营养体系在四个关键功能领域的表现.
- 识别系统性弱点,并提出可行的改进建议.
- 概述营养干预措施的新国际架构.
主要方法:
- 来自不同来源的定量和定性数据的审查.
- 评估系统在管理,财务资源调动,直接提供服务 (灾害/冲突) 和人力/机构资源加强方面的表现.
- 使用问题树方法分析系统性问题的分析.
主要成果:
- 在所有四个功能领域都发现了重大缺陷.
- 经常出现的主题包括碎片化,缺乏基于证据的优先级,机构惯性和部门间合作不足.
- 组织内部的系统问题在很大程度上导致了这些弱点.
结论:
- 目前的国际营养体系是分散的,表现不佳.
- 解决系统性问题和实施优先行动对于开发更有效的国际架构至关重要.
- 建议侧重于克服发现的弱点,以改善母婴营养结果.
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