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People Centred Advocacy for a more Sustainable Food System (IIED Toolkit, 2018)

Fostering civic action and agency to ensure that citizens have voice and choice in relation to the food they eat is vital. However, food systems are complex and many actors help shape and influence them at local, national and international levels. By lobbying from the grassroots up, systemic changes to food systems can be made in order to address local and national challenges. This toolkit aims to provide essential guidance and ideas to advocacy professionals and civil society organisations wishing to mobilise and support low-income citizen groups to advocate for improved diets. It is ideal for civil society organisations that work with those most affected and neglected by food policy, low income consumers, producers, traders, processers and vendors – the people who form the backbone of informal food systems, but whose needs are rarely factored in by policy makers.

Click here for full toolkit.

The Power of People-Centered Nutrition Interventions (Chapter 4.2 of Good Nutrition: Perspectives for the 21st Century, Karger e-book, 2016)

The process of understanding nutrition related problems, and of developing appropriate solutions – i.e., design thinking – can be quite challenging. In fact, there are far more examples of public health solutions that ignore the end-user than of ones that are built with the end-user in mind. For this very reason, the goal of this chapter is to convey the relevance of people-centered design to nutrition interventions, and to share some strategies for putting people at the heart of nutrition interventions.

The chapter uses case studies to consider the role of participatory photography, and grandmothers and indigenous knowledge systems in nutrition interventions.

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Dial ‘N’ for Nutrition? A Landscape Analysis of What We Know About m-Nutrition, m-Agriculture and m-Development (IDS Working Paper 481, 2017)

Child undernutrition is one of the most devastating realities in many parts of the world. Globally in 2015, 159 million children below the age of five years were too short for their age (stunted) and 50 million were too thin for their height (wasted). Inadequate nutrition in early childhood can have lifelong consequences, including poor physical and psychological health, and low educational attainment and employment opportunities.

Behaviour change of child carers is central to the effectiveness of many interventions addressing child undernutrition. For example, early and exclusive breastfeeding and the complementary feeding of infants between six and 23 months requires changes in feeding, caring and playing with children, as well as changes in the types and frequency of foods consumed and their preparation.

Agriculture is probably the sector with the most studies on the effectiveness of nutrition-sensitive interventions. For agriculture to become more nutrition sensitive, choices will need to be made about who controls resources, which crops and animals are farmed, the types of storage and processing patterns adopted, and the metrics used to assess interventions. All of these changes are embedded in long cultural traditions and are not necessarily straightforward to change.

The purpose of this paper is to assist would-be implementers and evaluators to understand the landscape they are operating in, so they can design nutrition and agriculture interventions that stand the greatest chance of working, and evaluation designs that stand the greatest chance of finding answers rigorously.

Click here for full paper.

 

Nutrition Knowledge Bank (GSMA mNutrition Initiative that provides advice via mobile phones)

A new open-access Knowledge Bank aims to deliver nutrition information to three million people in 12 developing countries.

The Knowledge Bank, part of the GSMA mNutrition initiative to help tackle malnutrition in Africa and Asia, is a collection of content on good nutritional practices and includes downloadable factsheets and mobile messages.

Adequate nutrition is critical to the physical and mental development of children and to long-term human health, but one out of three people in developing countries suffers from micronutrient deficiency. Experts consider poor access to agricultural and health information a major barrier to the uptake of improved nutritional practises, particularly by women and vulnerable groups in marginalized areas.

mNutrition delivers content to people at risk of malnutrition in Bangladesh, Ghana, Kenya, Malawi, Mozambique, Myanmar, Nigeria, Pakistan, Sri Lanka, Tanzania, Uganda and Zambia. An expert consortium on nutritional matters—BMJ, CABI, the Global Alliance for Improved Nutrition (GAIN), the International Livestock Research Institute (ILRI) and Oxfam International—is partnering with local organizations in these countries to produce useful and reliable nutritional, agricultural and health information, which is then distributed through mobile phone networks in each country.

The Nutrition Knowledge Bank is searchable by country and subject. The messages and factsheets are available in several local languages and take into account the differing cultural contexts. The topics covered include breastfeeding advice for new mothers, practical tips for rearing dairy cows and growing healthier crops for human consumption.

The Nutrition Knowledge Bank can be found at: https://www.cabi.org/nutritionkb

Social accountability initiatives in health and nutrition: lessons from India, Pakistan and Bangladesh (Making All Voices Count Research Report 2017)

South Asia is home to nearly a quarter of the world’s population and is a region of dynamic economic growth, yet it performs relatively poorly on health and nutrition indicators. As a potential route towards addressing this poor performance, a range of accountability initiatives has been implemented to improve service delivery in the health and nutrition sectors.

This is a rich and vibrant field, with a great deal to offer in terms of best practice; but there is little work that focuses on South Asian innovation and practice generally, and takes a comparative and theoretical perspective to ground existing and future accountability initiatives in health and nutrition specifically. This report fills this gap.

It highlights a set of four key considerations for the design and analysis of such programmes:

  • the need to understand community heterogeneity (rather than assuming homogeneity, as many interventions do)
  • the role of community collective action and/or its role in coercion or ‘noisy protest’ in effecting change
  • the ways in which cooperation, capacity and commitment affect the community and frontline provider relationship, and the ability and willingness to deliver
  • to meet demands the ways in which clientelism and other such extant local political structures form the backdrop against which accountability actions play out.

 

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