Supporting data-driven district-level multi-sectoral nutrition sensitization: Insights from three...

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Supporting data-driven district-level multi-sectoral nutrition sensitization: Insights from three states in India Abhilasha Vaid 1 , Shruthi Cyriac 2 , Suman Chakrabarti 1 , Srabashi Ray 3 , Parul Tyagi 1 , Purnima Menon 4 1 Poverty, Health and Nutrition Division, International Food Policy Research Institute (IFPRI), New Delhi, India; 2 St John’s Research Institute, Bengaluru; 3 Oregon State University, Corvallis; 4 IFPRI, Washington DC, USA SUMMARY & CONCLUSIONS BACKGROUND METHODS RESULTS OBJECTIVES India, which carries the highest burden of global undernutrition, has a decentralized governance landscape that requires district-level coordination and multi-sectoral actions to deliver on nutrition. Little is known, however, about how to motivate and support district leadership and other actors for strengthening delivery of various government programs to close gaps in the immediate and underlying determinants of nutrition in a data-driven and evidence-based manner. To compile, synthesize, and harmonize fragmented data from various publicly available sources in the form of a compact District Nutrition Profile (DNP). To test the use of the data profiles to sensitize district- level nutrition actors to the problem of nutrition, the role of multiple determinants of high levels of undernutrition and to identify local actions to address nutrition. We compiled a set of district-level indicators on the state of nutrition and its multiple determinants in the form of a user-friendly infographic, the DNP. Indicators were grouped using the UNICEF conceptual framework for nutrition, which lays out the causes of undernutrition at three levels─ immediate, underlying, and basic. Data from diverse national, state and district level surveys, were used to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. DNPs were used by civil society organizations (CSOs) in nine districts of Uttar Pradesh, Odisha and Madhya Pradesh at district-level nutrition-sensitization workshops. We assessed the utility of this through learning sessions with CSOs and analysis of district workshop documentations. The DNPs were routinely updated after incorporating suggestions after stakeholder discussions at the district- level and whenever new data sources were publicly available. A SAMPLE DNP (GAYA, BIHAR) ACKNOWLEDGEMENTS CONTACT INFORMATION POSHAN partners Vatsalya, Vikas Samvad and the Public Health Resource Network (PHRN) for their inputs. Financial support from the Bill & Melinda Gates Foundation Abhilasha Vaid ([email protected]), Communications Specialist, Poverty, Health and Nutrition Division, IFPRI Purnima Menon ([email protected]), Senior Research Fellow, Poverty, Health and Nutrition Division, IFPRI It was feasible to package data at the district-level despite significant data gaps. The DNP proved to be useful in identifying nutrition- related challenges at the district-level and helped district administrators to engage with complex data, which are otherwise challenging to interpret or are unused. Knowledge mobilization partners in the states of Uttar Pradesh, Odisha, Madhya Pradesh and Bihar are using DNPs to convene nutrition conversations at the district- level. The DNPs, linked with meaningful facilitated dialogue, are helping to raise awareness among district actors about the role of different sectors. Critical challenges lie ahead in data representativeness, timeliness and in moving from awareness to action in a multisectoral framework. Despite large gaps in the availability of consistently collected district-level data, synthesized and visually appealing data profiles are a high-potential tool for engaging local policy actors in data-driven dialogues that help demystify multisectoral actions for nutrition. There is a need for investments in routinely conducted comprehensive, consistent and representative surveys on nutrition and to invest further in facilitating the use of data in local planning for effective decentralized decisions about nutrition in India and other countries.

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Page 1: Supporting data-driven district-level multi-sectoral nutrition sensitization: Insights from three states in India

Supporting data-driven district-level multi-sectoral nutrition sensitization: Insights from three states in India

Abhilasha Vaid1, Shruthi Cyriac2, Suman Chakrabarti1, Srabashi Ray3, Parul Tyagi1, Purnima Menon4

1Poverty, Health and Nutrition Division, International Food Policy Research Institute (IFPRI), New Delhi, India; 2St John’s Research Institute, Bengaluru; 3Oregon State University, Corvallis; 4IFPRI, Washington DC, USA

SUMMARY & CONCLUSIONS

BACKGROUND

METHODS

RESULTS

OBJECTIVES

India, which carries the highest burden of global

undernutrition, has a decentralized governance

landscape that requires district-level coordination and

multi-sectoral actions to deliver on nutrition.

Little is known, however, about how to motivate and

support district leadership and other actors for

strengthening delivery of various government programs to

close gaps in the immediate and underlying determinants

of nutrition in a data-driven and evidence-based manner.

To compile, synthesize, and harmonize fragmented data

from various publicly available sources in the form of a

compact District Nutrition Profile (DNP).

To test the use of the data profiles to sensitize district-

level nutrition actors to the problem of nutrition, the role of

multiple determinants of high levels of undernutrition and

to identify local actions to address nutrition.

We compiled a set of district-level indicators on the state

of nutrition and its multiple determinants in the form of a

user-friendly infographic, the DNP.

Indicators were grouped using the UNICEF conceptual

framework for nutrition, which lays out the causes of

undernutrition at three levels─ immediate, underlying, and

basic.

Data from diverse national, state and district level

surveys, were used to compile a set of indicators on the

state of nutrition and its cross-sectoral determinants.

DNPs were used by civil society organizations (CSOs) in

nine districts of Uttar Pradesh, Odisha and Madhya

Pradesh at district-level nutrition-sensitization

workshops. We assessed the utility of this through

learning sessions with CSOs and analysis of district

workshop documentations.

The DNPs were routinely updated after incorporating

suggestions after stakeholder discussions at the district-

level and whenever new data sources were publicly

available.

A SAMPLE DNP (GAYA, BIHAR)

ACKNOWLEDGEMENTS

CONTACT INFORMATION

POSHAN partners Vatsalya, Vikas Samvad and

the Public Health Resource Network (PHRN) for

their inputs.

Financial support from the Bill & Melinda Gates

Foundation

Abhilasha Vaid ([email protected]),

Communications Specialist, Poverty, Health and

Nutrition Division, IFPRI

Purnima Menon ([email protected]), Senior

Research Fellow, Poverty, Health and Nutrition

Division, IFPRI

It was feasible to package data at the district-level despite

significant data gaps.

The DNP proved to be useful in identifying nutrition-

related challenges at the district-level and helped district

administrators to engage with complex data, which are

otherwise challenging to interpret or are unused.

Knowledge mobilization partners in the states of Uttar

Pradesh, Odisha, Madhya Pradesh and Bihar are using

DNPs to convene nutrition conversations at the district-

level.

The DNPs, linked with meaningful facilitated dialogue, are

helping to raise awareness among district actors about

the role of different sectors.

Critical challenges lie ahead in data

representativeness, timeliness and in moving from

awareness to action in a multisectoral framework.

Despite large gaps in the availability of consistently

collected district-level data, synthesized and visually

appealing data profiles are a high-potential tool for

engaging local policy actors in data-driven dialogues

that help demystify multisectoral actions for nutrition.

There is a need for investments in routinely conducted

comprehensive, consistent and representative surveys

on nutrition and to invest further in facilitating the use of

data in local planning for effective decentralized

decisions about nutrition in India and other countries.