Bangladesh National Nutrition Services: Assessment of Implementation Status

doi:10.1596/978-1-4648-0640-7

Publication:
Bangladesh National Nutrition Services: Assessment of Implementation Status

dc.contributor.author	Saha, Kuntal K.
dc.contributor.author	Billah, Masum
dc.contributor.author	Menon, Purnima
dc.contributor.author	El Arifeen, Shams
dc.contributor.author	Mbuya, Nkosinathi V.N.
dc.date.accessioned	2015-08-11T14:54:29Z
dc.date.available	2015-08-11T14:54:29Z
dc.date.issued	2015-08-11
dc.description.abstract	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.	en
dc.identifier.doi	10.1596/978-1-4648-0640-7
dc.identifier.isbn	978-1-4648-0640-7
dc.identifier.uri	https://hdl.handle.net/10986/22377
dc.language.iso	en_US
dc.publisher	Washington, DC: World Bank
dc.relation.ispartofseries	World Bank Study;
dc.rights	CC BY 3.0 IGO
dc.rights.holder	World Bank
dc.rights.uri	http://creativecommons.org/licenses/by/3.0/igo
dc.subject	health system delivery platforms
dc.subject	National Nutrition Services Program
dc.subject	NNS
dc.subject	nutrition
dc.subject	operations research
dc.subject	HSDP
dc.title	Bangladesh National Nutrition Services	en
dc.title.subtitle	Assessment of Implementation Status	en
dc.type	Book	en
dc.type	Livre	fr
dc.type	Libro	es
dspace.entity.type	Publication
okr.date.disclosure	2015-08-11
okr.doctype	Publications & Research
okr.doctype	Publications & Research::Publication
okr.globalpractice	Health, Nutrition, and Population
okr.identifier.doi	10.1596/978-1-4648-0640-7
okr.identifier.report	98839
okr.language.supported	en
okr.region.administrative	South Asia
okr.region.country	Bangladesh
okr.topic	Health, Nutrition and Population::Health Service Management and Delivery
okr.topic	Health, Nutrition and Population::Health Systems Development & Reform
okr.topic	Health, Nutrition and Population::Nutrition
okr.unit	GHNDR
relation.isAuthorOfPublication	ec5a0c7f-a23f-55f1-90f8-471c398e14cc
relation.isAuthorOfPublication.latestForDiscovery	ec5a0c7f-a23f-55f1-90f8-471c398e14cc