Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5114550 | Global Food Security | 2017 | 9 Pages |
Abstract
Changes in the immediate, underlying and basic determinants of nutritional status at the community- and household-level are a logical and empirical prerequisite to reducing high levels of undernutrition in high burden countries. This paper considers these factors directly from the perspective of community members and frontline workers interviewed in six countries in South Asia and sub-Saharan Africa. In each country, in-depth interviews were conducted with mothers, other community members and health workers to understand changes in health and nutrition practices, nutrition-specific interventions, underlying drivers and nutrition-sensitive interventions, and life conditions. Overall, the need for basic improvements in livelihood opportunities and infrastructure are solidly underscored. Nutrition-specific and -sensitive changes represented in most cases by deliberate government or NGO supported community interventions are rolling out at a mixed and uneven pace, but are having some significant impacts where solidly implemented. The synthesis presented here provides an invaluable source of information for understanding how community-level change occurred against a wider backdrop of national level progress.
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Authors
Nicholas Nisbett, Mara van den Bold, Stuart Gillespie, Purnima Menon, Peter Davis, Terry Roopnaraine, Halie Kampman, Neha Kohli, Akriti Singh, Andrea Warren, the Stories of Change Study Team the Stories of Change Study Team,