Making the health system work for the delivery of nutrition interventions.

Maternal & Child Nutrition
Shannon E KingTimothy Roberton

Abstract

Addressing malnutrition requires strategies that are comprehensive and multi-sectoral. Within a multi-sectoral approach, the health system is essential to deliver 10 nutrition-specific interventions, which, if scaled up, could substantially reduce under-5 deaths in high-burden countries through improving maternal and child undernutrition. This study identifies the health system components required for the effective delivery of these interventions, highlighting opportunities and challenges for nutrition programmes and policies. We reviewed implementation guidance for each nutrition-specific intervention, mapping the delivery process for each intervention and determining the health system components required for their delivery. We integrated the components into a single health systems framework for nutrition, illustrating the pathways by which health system components influence household-level determinants of nutrition and individual-level health outcomes. Nutrition-specific interventions are typically delivered in one of four ways: (i) when nutrition interventions are intentionally sought out, (ii) when care is sought for other, unrelated interventions, (iii) at a health facility after active community case finding and referral,...Continue Reading

References

Jan 24, 2006·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·John Nixon, Philippe Ulmann
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May 14, 2010·Food and Nutrition Bulletin·Keith Bezanson, Paul Isenman
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Jun 12, 2013·Lancet·Zulfiqar A BhuttaUNKNOWN Lancet Nutrition Interventions Review Group, the Maternal and Child Nutrition Study Group
Jun 12, 2013·Lancet·Stuart GillespieUNKNOWN Maternal and Child Nutrition Study Group
Jun 18, 2014·Annals of the New York Academy of Sciences·Purnima MenonDavid Pelletier
Apr 14, 2017·The Journal of Nutrition·Lynnette M NeufeldLawrence Haddad
Feb 13, 2019·Maternal & Child Nutrition·Rehana A SalamZulfiqar A Bhutta
Feb 13, 2019·Maternal & Child Nutrition·Ann M WeberLia C H Fernald
Feb 13, 2019·Maternal & Child Nutrition·Rafael Pérez-Escamilla, Cyril Engmann
May 28, 2019·Annals of the New York Academy of Sciences·Megan W BourassaStephen A Vosti

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