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Challenges to Establish Effective Public-Private Partnerships to Address Malnutrition in All Its Forms

Background: Every country is affected by some form of malnutrition. Some governments and nutrition experts look to public-private partnerships (PPPs) to address the burden of malnutrition. However, nutrition-related PPPs face opposition, are difficult to form, and there is limited evidence of their...

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Autores principales: Fanzo, Jessica, Shawar, Yusra Ribhi, Shyam, Tara, Das, Shreya, Shiffman, Jeremy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kerman University of Medical Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9309966/
https://www.ncbi.nlm.nih.gov/pubmed/33619927
http://dx.doi.org/10.34172/ijhpm.2020.262
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author Fanzo, Jessica
Shawar, Yusra Ribhi
Shyam, Tara
Das, Shreya
Shiffman, Jeremy
author_facet Fanzo, Jessica
Shawar, Yusra Ribhi
Shyam, Tara
Das, Shreya
Shiffman, Jeremy
author_sort Fanzo, Jessica
collection PubMed
description Background: Every country is affected by some form of malnutrition. Some governments and nutrition experts look to public-private partnerships (PPPs) to address the burden of malnutrition. However, nutrition-related PPPs face opposition, are difficult to form, and there is limited evidence of their effectiveness. Methods: We conducted a literature review and 30 semi-structured interviews with individuals involved in or researching nutrition-related PPPs to identify the factors that shape their creation and effectiveness in food systems. Results: Several factors make it difficult to establish nutrition-related PPPs in food systems: a lack of understanding of the causal pathways behind many nutrition problems; a weak architecture for the global governance of nutrition; power imbalances between public and private sector nutrition actors; and disagreements in the nutrition community on the advisability of engaging the private sector. These complexities in turn make it difficult for PPPs to be effective once established due to goal ambiguity and misalignment, resource imbalances, and weak accountability. Conclusion: If effective nutrition-related PPPs are to be established, private sector conflicts of interest must be addressed, trust deficits between private and public sector actors must be surmounted, and evidence must be assessed as to whether PPPs can achieve more for public health nutrition than private and public sector actors working separately.
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spelling pubmed-93099662022-08-09 Challenges to Establish Effective Public-Private Partnerships to Address Malnutrition in All Its Forms Fanzo, Jessica Shawar, Yusra Ribhi Shyam, Tara Das, Shreya Shiffman, Jeremy Int J Health Policy Manag Original Article Background: Every country is affected by some form of malnutrition. Some governments and nutrition experts look to public-private partnerships (PPPs) to address the burden of malnutrition. However, nutrition-related PPPs face opposition, are difficult to form, and there is limited evidence of their effectiveness. Methods: We conducted a literature review and 30 semi-structured interviews with individuals involved in or researching nutrition-related PPPs to identify the factors that shape their creation and effectiveness in food systems. Results: Several factors make it difficult to establish nutrition-related PPPs in food systems: a lack of understanding of the causal pathways behind many nutrition problems; a weak architecture for the global governance of nutrition; power imbalances between public and private sector nutrition actors; and disagreements in the nutrition community on the advisability of engaging the private sector. These complexities in turn make it difficult for PPPs to be effective once established due to goal ambiguity and misalignment, resource imbalances, and weak accountability. Conclusion: If effective nutrition-related PPPs are to be established, private sector conflicts of interest must be addressed, trust deficits between private and public sector actors must be surmounted, and evidence must be assessed as to whether PPPs can achieve more for public health nutrition than private and public sector actors working separately. Kerman University of Medical Sciences 2021-01-16 /pmc/articles/PMC9309966/ /pubmed/33619927 http://dx.doi.org/10.34172/ijhpm.2020.262 Text en © 2021 The Author(s); Published by Kerman University of Medical Sciences https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Fanzo, Jessica
Shawar, Yusra Ribhi
Shyam, Tara
Das, Shreya
Shiffman, Jeremy
Challenges to Establish Effective Public-Private Partnerships to Address Malnutrition in All Its Forms
title Challenges to Establish Effective Public-Private Partnerships to Address Malnutrition in All Its Forms
title_full Challenges to Establish Effective Public-Private Partnerships to Address Malnutrition in All Its Forms
title_fullStr Challenges to Establish Effective Public-Private Partnerships to Address Malnutrition in All Its Forms
title_full_unstemmed Challenges to Establish Effective Public-Private Partnerships to Address Malnutrition in All Its Forms
title_short Challenges to Establish Effective Public-Private Partnerships to Address Malnutrition in All Its Forms
title_sort challenges to establish effective public-private partnerships to address malnutrition in all its forms
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9309966/
https://www.ncbi.nlm.nih.gov/pubmed/33619927
http://dx.doi.org/10.34172/ijhpm.2020.262
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