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

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, objective...

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Autores principales: Nguyen, Tuan T., Darnell, Ashley, Weissman, Amy, Cashin, Jennifer, Withers, Mellissa, Mathisen, Roger, Lapping, Karin, Mastro, Timothy D., Frongillo, Edward A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591308/
https://www.ncbi.nlm.nih.gov/pubmed/32603533
http://dx.doi.org/10.1111/mcn.12937
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author Nguyen, Tuan T.
Darnell, Ashley
Weissman, Amy
Cashin, Jennifer
Withers, Mellissa
Mathisen, Roger
Lapping, Karin
Mastro, Timothy D.
Frongillo, Edward A.
author_facet Nguyen, Tuan T.
Darnell, Ashley
Weissman, Amy
Cashin, Jennifer
Withers, Mellissa
Mathisen, Roger
Lapping, Karin
Mastro, Timothy D.
Frongillo, Edward A.
author_sort Nguyen, Tuan T.
collection PubMed
description 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.
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spelling pubmed-75913082020-10-30 National nutrition strategies that focus on maternal, infant, and young child nutrition in Southeast Asia do not consistently align with regional and international recommendations Nguyen, Tuan T. Darnell, Ashley Weissman, Amy Cashin, Jennifer Withers, Mellissa Mathisen, Roger Lapping, Karin Mastro, Timothy D. Frongillo, Edward A. Matern Child Nutr Supplement Article 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. John Wiley and Sons Inc. 2020-06-30 /pmc/articles/PMC7591308/ /pubmed/32603533 http://dx.doi.org/10.1111/mcn.12937 Text en © 2020 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Supplement Article
Nguyen, Tuan T.
Darnell, Ashley
Weissman, Amy
Cashin, Jennifer
Withers, Mellissa
Mathisen, Roger
Lapping, Karin
Mastro, Timothy D.
Frongillo, Edward A.
National nutrition strategies that focus on maternal, infant, and young child nutrition in Southeast Asia do not consistently align with regional and international recommendations
title National nutrition strategies that focus on maternal, infant, and young child nutrition in Southeast Asia do not consistently align with regional and international recommendations
title_full National nutrition strategies that focus on maternal, infant, and young child nutrition in Southeast Asia do not consistently align with regional and international recommendations
title_fullStr National nutrition strategies that focus on maternal, infant, and young child nutrition in Southeast Asia do not consistently align with regional and international recommendations
title_full_unstemmed National nutrition strategies that focus on maternal, infant, and young child nutrition in Southeast Asia do not consistently align with regional and international recommendations
title_short National nutrition strategies that focus on maternal, infant, and young child nutrition in Southeast Asia do not consistently align with regional and international recommendations
title_sort national nutrition strategies that focus on maternal, infant, and young child nutrition in southeast asia do not consistently align with regional and international recommendations
topic Supplement Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7591308/
https://www.ncbi.nlm.nih.gov/pubmed/32603533
http://dx.doi.org/10.1111/mcn.12937
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