Stories of change in nutrition: a tool pool

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In recent years, the discourse around nutrition has, at a global level, gained major political momentum. Yet although there is substantial evidence on what is needed to improve nutrition outcomes, less is known about how to achieve it: how to operationalise actions effectively across sectors, at the appropriate scale, in line with local contexts, and in ways that link nutrition-specific and nutrition-sensitive interventions.

This paper, which draws on inputs to, and discussions at, a methods development workshop, highlights the various concepts, methods, and tools that Stories of Change (SoC) researchers are considering to measure nutrition-relevant change in their respective countries. The focus is on nutrition-relevant policy and practice. These tools apply to 11 subthemes, which are to some extent sequential within policy/programming cycles: (1) assessing the nutrition problem, (2) stakeholder and institutional analysis/mapping, (3) understanding enabling environments for nutrition, (4) agenda setting and political commitment for nutrition, (5) policy formulation and policy processes, (6) multisectoral coordination, (7) implementation and vertical coherence, (8) scaling up, (9) assessing capacity, (10) assessing finance, and (11) monitoring, evaluation, and accountability. Examining these various methods and tools together allows for a holistic consideration of the processes that—while challenging to document and measure—play a key role in improving nutrition-relevant policy and practice, which, in turn, drives national achievement in reducing malnutrition.

 

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