Valerie Greffeuille1, Yves Kameli1, Chhoun Chamnan2, Mary Chea3, Sok Daream2, Pattanee Winichagoon4, Chaniphun Butryee4, Bach Mai Le5, Tran Thi Lua5, Siti Muslimatum6, Airin Roshita6, Sengchanh Kounnavong7, Frank T Wieringa8, Jacques Berger1. 1. UMR-204 Nutripass, French National Research Institute for Sustainable Development (IRD), IRD/UM/SupAgro, Montpellier, France. 2. DFPTQ - The Department of Fisheries Post-Harvest Technologies and Quality Control, Ministry of Agriculture, Forestry and Fisheries, Phnom Penh, Cambodia. 3. NMCHC - National Maternal and Child Health Center, Ministry of Health, Phnom Penh, Cambodia. 4. Institute of Nutrition, Mahidol University, Bangkok, Thailand. 5. NIN - National Institute of Nutrition, Ministry of Health, Hanoi, Vietnam. 6. SEAMEO RECFON - South East Asian Ministers of Education Organization, Regional Centre for Food and Nutrition, Jakarta, Indonesia. 7. NIOPH - National Institute of Public Health, Ministry of Health, Vientiane, Lao People's Democratic Republic. 8. UMR-204 Nutripass, French National Research Institute for Sustainable Development (IRD), IRD/UM/SupAgro, Montpellier, France. franck.wieringa@ird.fr.
Abstract
BACKGROUND: Despite scientific evidence on the potential impact or importance of specific interventions to improve micronutrient status of vulnerable groups, political commitment and extensive support from national stakeholders is paramount to support introduction and implementation of these interventions at national level. In order to develop efficient nutritional strategies to improve the micronutrient status of children < 5 years of age and women of reproductive age that will be supported by a wide range of stakeholders, a better understanding of viewpoints on the nutrition politics and strategies is necessary. Multi-criteria mapping (MCM) was successfully used to assess the stakeholder's viewpoint in a wide variety of contexts since the late 1990s. OBJECTIVE: The objective of the present study was to assess the viewpoints of stakeholders on a wide range of potential nutritional interventions in the five Southeast Asian countries participating in the SMILING project. METHOD: MCM methodology was used to appraise the stakeholder's viewpoints in five countries. RESULTS: The results show that the overall stakeholders' preference was for actions already implemented in their country rather than for new, innovative options, even for supplementation. Indirect interventions such like food fortification (except in Indonesia), delayed cord clamping or food-based approaches were generally less favored by the stakeholders. However, the majority of stakeholders agreed that new approaches should be considered and put in place in the future provided that evidence of their impact was demonstrated, that they received adequate technical support for their implementation and their monitoring, and that they will be accompanied by strong advocacy among decision-makers, civil society and beneficiaries. CONCLUSIONS FOR PRACTICE: To conclude, for the introduction of new, innovative strategies to reduce micronutrient deficiencies in South-East Asia, convincing stakeholders appears to be the first hurdle to be taken.
BACKGROUND: Despite scientific evidence on the potential impact or importance of specific interventions to improve micronutrient status of vulnerable groups, political commitment and extensive support from national stakeholders is paramount to support introduction and implementation of these interventions at national level. In order to develop efficient nutritional strategies to improve the micronutrient status of children < 5 years of age and women of reproductive age that will be supported by a wide range of stakeholders, a better understanding of viewpoints on the nutrition politics and strategies is necessary. Multi-criteria mapping (MCM) was successfully used to assess the stakeholder's viewpoint in a wide variety of contexts since the late 1990s. OBJECTIVE: The objective of the present study was to assess the viewpoints of stakeholders on a wide range of potential nutritional interventions in the five Southeast Asian countries participating in the SMILING project. METHOD: MCM methodology was used to appraise the stakeholder's viewpoints in five countries. RESULTS: The results show that the overall stakeholders' preference was for actions already implemented in their country rather than for new, innovative options, even for supplementation. Indirect interventions such like food fortification (except in Indonesia), delayed cord clamping or food-based approaches were generally less favored by the stakeholders. However, the majority of stakeholders agreed that new approaches should be considered and put in place in the future provided that evidence of their impact was demonstrated, that they received adequate technical support for their implementation and their monitoring, and that they will be accompanied by strong advocacy among decision-makers, civil society and beneficiaries. CONCLUSIONS FOR PRACTICE: To conclude, for the introduction of new, innovative strategies to reduce micronutrient deficiencies in South-East Asia, convincing stakeholders appears to be the first hurdle to be taken.
Entities:
Keywords:
Children; Fortification; Micronutrient deficiencies; Multi-criteria mapping; Nutrition policies; Southeast Asia; Stakeholder; Women of reproductive age
Authors: R A Thurlow; P Winichagoon; T Pongcharoen; S Gowachirapant; A Boonpraderm; M S Manger; K B Bailey; E Wasantwisut; R S Gibson Journal: Eur J Clin Nutr Date: 2006-05 Impact factor: 4.016
Authors: Gerard J Casey; Davide Sartori; Susan E Horton; Tran Q Phuc; Luong B Phu; Dang T Thach; Tran C Dai; Giovanni Fattore; Antonio Montresor; Beverley-A Biggs Journal: PLoS One Date: 2011-09-08 Impact factor: 3.240