8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

1/21

1

Patrick Webb and Shibani Ghosh (TuftsUniversity)

Kedar Baral (Patan Acadey of !ealth

Sciences" #e$al)

Se$teber %&1'

Nutrition Governance

Presentation for the Science Forum,

Bonn, Germany

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

2/21

%

Source W! (%&1') Global #utrition Policy *evie+

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

3/21

'

What strate,ies are e-ective for enablin, ulti.sectoral coordination and coherence for

nutrition/

  What ty$es of institutional investents andca$acity

  buildin, yield the best systeic and strate,ic

ca$acity/

  !o+ should resources allocated to nutrition.sensitive

  $ro,raes be assi,ned to nutrition

Research priorities in 2013 LancetSeries (Paper !

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

4/21

0

Pro"ramme an# Po$icy Sta"es an#

Sta%eho$#ers

Source eroy 2 " 3enon P (%&&4) J. Nutr..

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

5/21

Source 3asset et al7 %&11

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

6/21

5Worl

d Bank (%&1&) What can we learn from nutrition impact evaluations? 

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

7/21

#at:l $olicy akers;

8istrict o

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

8/21

3S#P (n%C5)

Suahaara (nDC%&)

Sunaula !aEar (n?C1?)

Kisan (n0C%&)

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

9/21

Le"en

#

 Terai  !ill

8istricts

3ountain 8istricts

6

Service 8elivery evels

Sector 9oordination evels

9ross.inistry coordinationlevel

9ross.$olicy and donor

coordination

Policy" institutions" ,overnance

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

10/21

1&

Source +n data %&1'

Leve$ *nstitution+*n#ivi#ua$

#ational Policy akers" donors" @#Gs" acadeics*e,ional Adinistrator" *8 !ealth" *8 A,riculture" *8

ivestock" *8 ducation" *8 8WS" *8 W8

8istrict 8" 8!C8P!" A,riculture" ivestock"ducation" 8WS" Pro,ra

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

11/21

11

Source PoS!A# data %&1'

 Sector reIuency=alidPercent

ocal Gov7CSocial8evelo$ent D5 167D

!ealth 05 1176

A,riculture and ivestock 46 %'71

ducation 05 1176

Water Su$$ly %5 57D#GCPrivate 1&' %57D

 Total '45 1&&

Sectors @ntervie+ed ('45CD??)

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

12/21

1%

Source PoS!A# data %&1'

Governento

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

13/21

1'Source PoS!A# data %&1'

  *e,ion

 8istrict @laka =89 Ward P value

Wors %&7D D76 '74 &7&15

ack ofa+areness ofsu$$leentaryfoods"

icronutrientdeJciencies 1'74 '7% & &7&&%

!i,h +orkloadand lack of

care of children & 1?71 %%74 &7&10#%6

#%

D4 #D6

Perce$tions of underlyin, causes of

alnutrition

# '56 ore

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

14/21

10

Source +n data %&1'

  *e,ional 8istrict @laka

$ value

Su$$ort 1'74 D7% D75 &7006

Shared o+nershi$ of

,oals %&7D ''74 %071 &71163andatoryechanis 1D7% 017& 1?7% &7&&&

 Trainin, 1'74 1?74 1&71 &7000

Shared resources 5%71 ?171 ?&75 &7?1?Allo+anceCJscalbeneJts ??7% %&76 1D7D &7&&&

#o incentive '70 174 %?7' &7&&&

8onLt kno+ & & 17' &710'

@ncentives to collaborate across sectors

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

15/21

1?

Source PoS!A# data %&1'

ack of fuelCtrans$ortation facilities toJeld

ack of interestCotivation  Too heavy +orkload already

ack of skills and ca$acity to +ork acrosssectors

Bureaucratic constraints to cross.inistry+ork

Political uncertainty (iMed or no si,nals)

rte# #isincentives to crosssectora$ co$$a'ora

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

16/21

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

17/21

1D

Source +n data %&1'

 

ocal8evelo$ent and

Social8evelo$ent 

!ealth 

A,riculture andivestock 

ducation 

WaterSu$$ly  #Gs

 Nes %% '' '' '? 0% '0

 Nes butneedrefreshers 4 5 %& 11 4 11

 #o ?0 %5 %6 %5 %' 0'

P&7&&%

e $eo$le in other de$artent su

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

18/21

14

Source PoS!A# data %&1'

O8o you feel that your de$artent issu

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

19/21

16Source S+art et al7 (%&&4) Nutrition Primary Health !are Perspective (8

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

20/21

%&

 A$$ro$riate sa$le fraes and *9Ta$$roach to

$olicy research/

 Analytical a$$roach connectin, date on$olicy

Jdelity outcoes at Jeld level/

What is Qthe counterfactual: in $olicy andi$leentation $rocess enhanceent/

8eterinin, Qsi,niJcance: in $olicy

So any IuestionsR

8/9/2019 Nutrition Governance, Presentation for the Science Forum, Bonn, Germany, September 2013

21/21

any co$$a'orators/