Transforming delivery

How to choose the best interventions and delivery strategies to scale up nutrition?

A mobile health application to manage acute malnutrition

Community based Management of Acute Malnutrition (CMAM) is a proven high-impact and cost-effective approach in the treatment of acute malnutrition in developing countries. However, success is limited if treatment protocols are not followed, record keeping and data management is poor and reliable data is not available in time for decision makers.

There is strong evidence that mobile device based (mHealth) applications can improve frontline health workers’ ability to apply CMAM treatment protocols more effectively and to improve the provision of supply chain management. A new Transform Nutrition working paper is now available A mobile health application to manage acute malnutrition Lessons from developing and piloting the app in five countries which we hope will inform future mobile health projects.

A mobile app to manage acute malnutrition

A new Transform Nutrition research brief A mobile app to manage acute malnutrition is now available. In this brief programme staff in Niger, Chad, Mali, Kenya and Afghanistan discuss the challenges they faced adapting a mobile health app and rolling it out in some of the most remote, hard to reach health facilities in the world and make valuable recommendations for other mobile health application developments .

 

Challenging dominance: identity politics in the Integrated Child Development Services (ICDS) Programme, India

By Shilpa Deshpande, PhD Candidate, Institute of Development Studies, University of Sussex

Ten years before I joined the ICDS as an anganwadi worker, my cousin mother-in-law used to work here. At that time, the division of the village population between anganwadi workers was such that lower caste households were served by my mother-in-law whereas only the higher caste households were served by Lata madam, this was her rule….so… my mother-in-law’s field area was scattered across the village. Then when I joined, Lata madam said that just like my mother-in-law I should be given the lower caste communities. I refused…. I said give me any part of the village but I want half and I want it along a continuous line then only will I be able to work. This led to a fight, which continued for several days.

Meena, Anganwadi worker [Read more...]

Pastoral Community Platforms as channels for Behavioural Change for Nutrition

New research just been published by Transform Nutrition and Vétérinaires Sans Frontières Suisse with preliminary findings of a study on Pastoral Community Platforms as Channels for Behavioural Change for Improved Nutrition (BCIN) The research was designed to explore the potential of using pastoral-community platforms for channeling maternal, infant and young-child nutrition messages to community members. We have also published some useful case studies which provide an insight into the perceptions of the participants of the study who live in the study area.

Bangladesh : Delivering for Success at Scale

Conference on Delivering for Success at Scale 7- 8 February 2017, BRAC Auditorium, Mohakhali, Dhaka, Bangladesh

This conference built on the longstanding partnership between BRAC, ICDDR,B and the Institute of Development Studies (IDS) to explore the role of knowledge in the conceptualisation, design, delivery and management of development programmes and policies. Bangladesh has been a lead player in the use and integration of research into development decision-making, notably in relation to health systems, nutrition, social protection, agriculture and poverty. Evidence will continue to be important in strategic development planning by the Government of Bangladesh among others.

The conference included examples of how high quality research can be embedded within programmes, showcased research findings, discussed the challenges of integrating research with programmes, highlighted successful examples and discussed future needs. The UK Department for International Development funded Transform Nutrition and Future Health Systems presented relevant research.

Read an article about the conference in the Bangladesh Financial Express ‘On health and nutrition’. We also published a blog by Rittika Brahmachari, IIHMR Pathways to scaling up interventions: reflections from delivering for success at scale 

For more information contact Aazia Hossain aazia@icddrb.org

What factors influence community nutrition workers in performing their jobs? Preliminary findings from Bihar, India

by Aparna John, PhD candidate, Institute of Development Studies at University of Sussex

Child undernutrition rates in India are among the highest in the world (Raykar et.al, 2015). Despite the decline in undernutrition indicators such as stunting (low height for age), underweight (low weight for age) and wasting (low weight for height), India is home to 40 million stunted and 17 million wasted children. The Government of India has invested in efforts to reduce childhood undernutrition and improve maternal and child health through one of its flagship programmes — the Integrated Child Development Services (ICDS) Scheme. ICDS, the world’s largest community nutrition programme, is delivered by 1.34 million village based female workers, Anganwadi workers (AWWs). [Read more...]

Should the Maternal Infant and Young Children Nutrition programme in Kenya be scaled up?

This briefing Social Return On Investment Assessment Of A Baby Friendly Community Intervention In Urban Poor Settings, Nairobi, Kenya by Transform Nutrition project partners African Population Health Research Center answers that question. It outlines the impact of the Maternal Infant and Young Children Nutrition project that aimed to improve the health and nutritional status of children and inform implementation of the government’s Baby Friendly Community Initiative. The Study is now also featured in June 2016 issue of Field Exchange.

Public-Private Partnerships and the Reduction of Undernutrition in Developing Countries

This Transform Nutrition discussion paper Public-Private Partnerships and the Reduction of Undernutrition in Developing Countries brings structure to the discussion of private-sector engagement in nutrition. It clarifies different models of engagement, reviews the evidence base on public-private partnerships (PPPs) for the reduction of undernutrition, and outlines some potential ways forward.