National nutrition strategies that focus on maternal, infant, and young child nutrition in Southeast Asia do not consistently align with regional and international recommendations

Autor: Tuan T Nguyen, Mellissa Withers, Karin Lapping, Edward A. Frongillo, Timothy D Mastro, Amy Weissman, Jennifer Cashin, Roger Mathisen, Ashley Darnell
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Philippines
Psychological intervention
Breastfeeding
Context (language use)
Myanmar
Southeast asian
03 medical and health sciences
0302 clinical medicine
Pregnancy
Environmental health
Medicine
Humans
030212 general & internal medicine
Child
Wasting
Asia
Southeastern
Breastfeeding promotion
030109 nutrition & dietetics
Nutrition and Dietetics
plan of action for nutrition
business.industry
Public Health
Environmental and Occupational Health
Infant
Newborn
Obstetrics and Gynecology
Infant
Monitoring and evaluation
Southeast Asia
maternal
infant
and young child nutrition (MIYCN)
Breast Feeding
Community mobilization
Indonesia
Child
Preschool
Pediatrics
Perinatology and Child Health
Supplement Article
Female
medicine.symptom
business
national nutrition strategy
Child Nutritional Physiological Phenomena
ASEAN
Zdroj: Maternal & Child Nutrition
ISSN: 1740-8709
1740-8695
Popis: We examined the consistency of national nutrition strategies and action plans (NNS) focusing on maternal, infant, and young child nutrition in Southeast Asia with regional and international recommendations. Between July and December 2017, we identified and extracted information on context, objectives, interventions, indicators, strategies, and coordination mechanisms from the most recent NNS in nine Southeast Asian countries. All NNS described context, objectives, and the following interventions: antenatal care, micronutrient supplementation during pregnancy, breastfeeding promotion, improved complementary feeding, nutrition in emergencies, and food fortification or dietary diversity. Micronutrient supplementation for young children was included in eight NNS; breastfeeding promotion during pregnancy and support at birth in seven; and school feeding, deworming, and treatment of severe acute malnutrition in six. All NNS contained programme monitoring and evaluation plans with measurable indicators and targets. Not all NNS covered wasting, exclusive breastfeeding, low birthweight, and childhood overweight. Strategies for achieving NNS goals and objectives were health system strengthening (nine), social and behaviour change communication (nine), targeting vulnerable groups (eight), and social or community mobilization (four). All addressed involvement, roles and responsibilities, and collaboration mechanisms among sectors and stakeholders. There was a delay in releasing NNS in Indonesia, Myanmar, and the Philippines. In conclusion, although Southeast Asian NNS have similarities in structure and contents, some interventions and indicators vary by country and do not consistently align with regional and international recommendations. A database with regularly updated information on NNS components would facilitate cross‐checking completeness within a country, comparison across countries, and knowledge sharing and learning.
Databáze: OpenAIRE
Externí odkaz: