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    Heaton, Tim B. Crookston, Benjamin Pierce, Hayley and Amoateng, Acheampong Yaw 2016. Social inequality and children’s health in Africa: a cross sectional study. International Journal for Equity in Health, Vol. 15, Issue. 1,


    Heaton, Tim B. 2015. Are Improvements in Child Health Due to Increasing Status of Women in Developing Nations?. Biodemography and Social Biology, Vol. 61, Issue. 3, p. 252.


    Pridmore, Pat Carr-Hill, Roy Amuyunzu-Nyamongo, Mary Lang’o, Daniel McCowan, Tristan and Charnes, Gabriela 2015. Tackling the Urban Health Divide Though Enabling Intersectoral Action on Malnutrition in Chile and Kenya. Journal of Urban Health, Vol. 92, Issue. 2, p. 313.


    Vélez, Luis F. Sanitato, Mary Barry, Donna Alilio, Martin Apfel, Franklin Coe, Gloria Garcia, Amparo Kaufman, Michelle Klein, Jonathan Kutlesic, Vesna Meadowcroft, Lisa Nilsen, Wendy O'Sullivan, Gael Peterson, Stefan Raiten, Daniel and Vorkoper, Susan 2014. The Role of Health Systems and Policy in Producing Behavior and Social Change to Enhance Child Survival and Development in Low- and Middle-Income Countries: An Examination of the Evidence. Journal of Health Communication, Vol. 19, Issue. sup1, p. 89.


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Tackling the drivers of child undernutrition in developing countries: what works and how should interventions be designed?

  • Pat Pridmore (a1) and Roy Carr-Hill (a1)
  • DOI: http://dx.doi.org/10.1017/S1368980010001795
  • Published online: 19 July 2010
Abstract
AbstractObjective

The present paper presents a synthesis of available evidence to support action on the interventions that can effectively address the main drivers of child undernutrition in developing countries. It also discusses how interventions should be designed and identifies policy-relevant areas for further research.

Design

A structured literature review of fifty-eight controlled evaluations and studies in developing countries were selected because they are methodologically sound, recent (reported within the past 10 years), report on nutritional status, cover a wide range of interventions and are implemented by a range of different agencies.

Setting

Indirect interventions in developing countries, which address the underlying and basic causes of child undernutrition and can potentially be implemented in the short to medium term.

Subjects

Children under 5 years of age and their mothers across a range of developing countries.

Results

Evidence has now accumulated to guide action on a range of indirect interventions that can reduce child undernutrition, but for all these interventions context is all-important. There is less evidence on how these interventions can be effectively implemented on a large scale.

Conclusions

Efforts should be directed towards improving implementation of effective interventions on a large scale. Donors need to keep commitments both in dollar terms and in terms of the Paris Declaration so that the push for improved nutrition does not become donor driven. At the country level, there is a need for enabling governance structures, institutions and evidence-based decision making. Within countries there is a need for well-trained personnel with delegated authority, accountable to local people. It is essential for chains of accountability to be transparent and for active involvement of households in decision-making processes.

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Copyright
Corresponding author
*Corresponding author: Email p.pridmore@ioe.ac.uk
Linked references
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Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
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