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通过集体影响框架评估埃塞俄比亚营养的多部门方法:质量研究
Yetayesh Maru1, Stanley Chitekwe1, Firehiwot Mesfin1
1Nutrition Section, UNICEF Ethiopia, Addis Ababa, Ethiopia.
尽管有共同的议程,但在埃塞俄比亚有效的多部门营养协调面临挑战. 低于最佳的共享测量,沟通和资源阻碍了进展,凸显了改善治理的必要性.
科学领域:
- 公共卫生
- 营养科学
- 卫生政策
背景情况:
- 营养不良的驱动因素复杂,需要多部门的干预.
- 埃塞俄比亚的营养政策认识到多部门方法的好处,
- 有效的营养计划需要强有力的跨部门合作.
研究的目的:
- 确定埃塞俄比亚有效多部门协调的促进者和挑战.
- 应用集体影响框架来分析营养管理.
- 为改善大规模营养计划的设计和实施提供指导.
主要方法:
- 采用国家级营养治理利益相关者的关键信息人面试 (KIIs; n=63) 的定性研究.
- 与从地方到国家层面参与营养计划实施的利益相关者进行焦点小组讨论 (FGD; n=39).
- 应用集体影响框架来评估协调条件
主要成果:
- 解决营养不良问题存在各个部门的共同议程.
- 分享测量,加强活动,持续沟通和骨干支持在区域范围内不理想.
- 资源,治理和问责结构的局限性阻碍了有效的协调.
结论:
- 集体影响框架有效地确定了埃塞俄比亚多部门营养协调的障碍.
- 解决资源,治理和问责缺口对于加强协调至关重要.
- 结果为优化营养计划设计和实施提供了更多的见解.
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