达卡持续存在的儿童营养不良问题:整合政治考虑因素和多部门干预措施,寻找向前迈进的解决方案

Shafkat Meraj, Shaheem Nuraj
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引用次数: 0

摘要

作为世界上人口最稠密的城市之一,达卡仍在努力应对儿童营养不良这一长期挑战。虽然粮食短缺、粮食不安全和喂养不当是造成儿童营养不良的原因,但各种社会和经济决定因素,包括产妇教育、家庭收入和居住地,也进一步加剧了这一问题。虽然卫生部门支助项目和国家营养计划等现有干预措施在减少短期和长期儿童营养不良方面取得了长足进步,但覆盖面不足等挑战阻碍了其整体范围和有效性。为了解决阻碍供资能力以及营养相关服务的广度和质量的问题,有必要了解影响这些问题的因素,包括对儿童营养的政治承诺、政策调整、计划设计和实施、监测和评估以及干预策略和服务提供。展望未来,考虑到政治优先次序、多部门协调和有针对性的初级干预战略的综合战略对于在低收入、中等收入国家和地区以及达卡等城市有效解决儿童营养不良问题至关重要。
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Persistent Child Malnutrition in Dhaka: Integrating Political Considerations and Multisectoral Interventions for Solutions Moving Forward
One of the world’s most densely populated cities in the World, Dhaka continues to grapple with its persisting challenge of child malnutrition. While food shortages, food insecurity, and inadequate feeding practices contribute to child malnutrition, various social and economic determinants, including maternal education, family household income, and geographic residence further exacerbate the problem. While existing interventions like the Health Sector Support Project and National Nutrition Programme have made strides in reducing short-term and long-term child malnutrition, challenges such as insufficient coverage hamper its overall scope and effectiveness. In order to address issues hampering funding capacity and the breadth and quality of nutrition-related services, it is necessary to understand the factors affecting them, including political commitment toward child nutrition, policy alignment, program design and implementation, monitoring and evaluation, and intervention strategies and service delivery. Moving forward, comprehensive strategies taking into account political prioritization, multisectoral coordination, and targeted primary intervention strategies are crucial for tackling child malnutrition effectively in LMICs and cities like Dhaka and beyond.
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