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Author Saha, Kuntal K., author

Title Bangladesh National Nutrition Services : assessment of implementation status / Kuntal K. Saha, Masum Billah, Purmina Menon, Shams El Arifeen, and Nkosinathi V N. Mbuya
Published Washington, DC : World Bank Group, [2015]
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Description 1 online resource
Contents Front Cover ; Contents; Acknowledgments; Executive Summary; Abbreviations; Chapter 1 Introduction; Background; Objectives of Operations Research; Methods; Data Collection; Subnational-Level Data Collection; Data Quality Assurance and Processing; Ethical Approval; Note; Chapter 2 Results; Availability of Operational Guidance for National Nutrition Services Intervention Areas; Management and Support Services; Findings from Qualitative Research on Institutional Arrangements; Summary of Findings on Design and Institutional Arrangements
2.1 What's Working Well in the Management and Support Domains?2.2 What's Working Well in Training and Capacity Development?; 2.3 What's Working Well in Implementation and Service Delivery?; 2.4 Family Welfare Volunteers and Health Assistants: What Is Their Potential to Extend Outreach?; 2.5 What's Working Well with Monitoring?; 2.6 Example of Development Partner Support to NNS: UNICEF; Figures; 2.1 Allocation and Usage of Funds for FY2011/12 and First Six Months of 2012/13
2.2 Major Components of National Nutrition Services Operational Plan and Their Program Managers and Deputy Program Manager2.3 Number of Upazila Receiving Their First Training, by Year, 2012-14; 2.4 Upazila Receiving NNS Trainings in Each Division; C.2 Number of Upazila Receiving Different Nutrition Trainings for the First Time, 2012-14; Tables; 1.1 Major Domains, Related Specific Research Questions, and Planned Data Collection; 1.2 Study Areas Selected for Field-Level Data Collection; 1.3 Categories of Interviewees and Number of Interviews at the National Level
Findings on Training from Review of National Nutrition Services Operational DocumentsFindings from National Nutrition Services Implementation Roll-Out Data; Findings from National-Level Interviews on NNS Training, Capacity, and Roll-Out; Summary of Findings on Training and Implementation Roll-Out; Delivery of Services; Insights on National Nutrition Services Delivery from National-Level Stakeholders; Community-Based Mechanisms for Creating Awareness and Demand for Nutrition Services; Availability of National Nutrition Services, Equipment, and Job Aides; Summary of Findings on Service Delivery
Monitoring and EvaluationSummary of Findings and Recommendations Regarding Monitoring; Summary of Findings on Exposure to NNS Interventions; Development Partner Support to NNS; Analysis and Recommendations; Chapter 3 Key Lessons and Recommendations; Abstract; Program Design; Institutional Issues and Governance; Training and Roll-Out; Program Implementation/Service Delivery; Monitoring and Evaluation; Final Conclusions; Note; Appendix A Qualitative Research and Service Delivery Data; Appendix B Community Clinics Data; Appendix C Training Data; References; Boxes
Summary This report presents the findings of an operations research study conducted to assess the implementation of the Government of Bangladesh's National Nutrition Services Program (NNS) and to identify the achievements, determine the bottlenecks that adversely impact these achievements, and highlight potential solutions to ensure smooth delivery of the program. A mixed methods research approach was used to evaluate five major domains of the program: management and support services; training and capacity development; service delivery; monitoring and evaluation, and; exposure to interventions. The study found that the overall NNS effort is an ambitious, but valuable approach to support nutrition actions through an existing health system with diverse platforms. The results indicate that although the maintenance of strong and stable leadership of NNS is an essential element to ensure integrated and well-coordinated comprehensive service delivery for the line directorate, the current arrangement is unable to ensure effective implementation and coordination of NNS. Focusing on some of the critical challenges related to leadership and coordination in the first instance, and on embedding a small core set of interventions into well-matched (for scale, target populations, and potential for impact) health system delivery platforms is most likely to help achieve scale and impact. Strategic investments in ensuring transparency, engaging available technical partners for monitoring and implementation support, and not shying away from other potential high coverage outreach platforms like some NGO platforms also could prove fruitful. Moreover, although the Government of Bangladesh, and the health system in particular, must lead the effort to deliver for nutrition, it is clear that development partners who have expressed a commitment to nutrition must coordinate their own activities and provide the support that can deliver on nutrition's potential for Bangladesh
Notes "A World Bank study."
Bibliography Includes bibliographical references (page 83)
Notes Description based on print version record and CIP data provided by publisher
Subject National Nutrition Services (Program : Bangladesh)
Nutrition policy -- Bangladesh.
Nutrition -- Bangladesh.
Nutrition Policy.
Form Electronic book
Author Arifeen, Shams El, author
Billah, Masum, author
Mbuya, Nkosinathi, author
Menon, Purnima, author
LC no. 2016299608
ISBN 1464806411
9781464806414 (electronic)