a) Scaling up of nutrition interventions including in crisis contexts and addressing governance issues
Nutrition-specific interventions address the immediate causes of undernutrition, such as dietary intake and the prevention and treatment of disease. In fragile contexts, such as emergencies, proven preventative interventions are rarely prioritized because of the need to save lives through curative interventions. Short-term programming cycles also result in limited scale up. Under this study, researchers have produced an evidence review on scaling up impact on nutrition by Stuart Gillespie, Purnima Menon and Andrew Kennedy, which was presented at workshops in Addis Ababa and Delhi and seminars in Dublin and Dhaka, and submitted to The Lancet in June 2014. The review collated and drew on the wider scaling up literature (from nutrition and beyond) to review 24 operational frameworks and 18 scaling up programme experiences and to develop 4 in-depth case studies. Nine critical linked elements to guide scaling up strategies and processes on nutrition were identified. This output is complete, but has also led to a new “supra-pillar” study: “Stories of Change” in which detailed case studies of nutrition-relevant processes in several high-burden countries will be undertaken to foster more experiential learning, across countries (highly demanded by SUN).
