5. day 2 session 2 enabling and leadership
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The document discusses building an enabling environment for nutrition aimed at reducing undernutrition through political commitment and effective policy processes. It emphasizes key factors such as framing, knowledge, evidence, and governance capacity as vital for converting political momentum into impactful actions. Additionally, it highlights the importance of individual and systemic capacities, nutrition leadership, and evidence-based decision-making in addressing the challenges of undernutrition effectively.
5. day 2 session 2 enabling and leadership
- 1. Transforming Nutrition: Ideas, Policy and Outcomes Transforming Nutrition: Ideas, Policy and Outcomes Building an Enabling Environment for Nutrition Day 2, Session 1 7 August 2018
- 2. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes The Politics of Reducing Malnutrition: Building Commitment and Accelerating Impact 2
- 3. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes Understanding the policy processes behind action to tackle undernutrition – nutrition’s enabling environment “Enabling Environment for nutrition = political and policy processes that build and sustain momentum for the effective implementation of actions that reduce undernutrition. Rather than wait for political will to emerge by chance…a (political) momentum can be developed and sustained” 3 Gillespie, S., Haddad, L., Mannar, V., Menon, P., & Nisbett, N. (2013). The politics of reducing malnutrition: building commitment and accelerating progress. The Lancet.
- 4. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes 4 Characterizing Enabling Environments What does an enabling environment for undernutrition reduction look like? • Three vital factors for converting momentum into impact: Framing, knowledge and evidence Politics and governance Capacity and financial resources Impact
- 5. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes • First 1000 days • Nutrition for Growth • Zero Hunger • Child Rights • Child Survival • Mothers’ Double/triple burden of care / unpaid care • Hidden Hunger • ‘Global Goals’ - MDGs / SDGs 5 Framing, knowled ge and evidence Politics and governan ce Capacity and financial resourc es Impact
- 6. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes What is Political Economy? “the competing interests, incentives, and ideologies of a range of different actors with direct and indirect interests in nutrition, and the resultant inequalities” Nisbett, N. Gillespie, S. Haddad, J. & Harris, J. 2015 Why Worry About the Politics of Childhood Undernutrition? World Development 64 pp420-433 6 Framing, knowled ge and evidence Politics and governan ce Capacity and financial resource s Impact
- 7. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes Monitoring and Evaluation Agenda Setting Decision Making Policy Implementation Policy Formulation Civil Society Donors Cabinet Parliament Ministries Private Sector 7
- 8. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes WHAT KINDS OF CAPACITY MATTER? • INDIVIDUAL: • tools, skills • performance and personal capacity • COMMUNITY: • Social capital, CBOs, leadership • ORGANIZATIONAL: staff and infrastructure • Staff workload, supervision • Facilities, services, horizontal and vertical links • SYSTEMIC: structures, systems, roles • Decision-making forums and processes • Systems of financing, communications, problem-solving, M&E etc. • Authority, responsibility, power, leadership 8Potter, C., & Brough, R. (2004). Systemic capacity building: a hierarchy of needs. Health policy and planning, 19(5), 336-345. Framing, knowled ge and evidence Politics and governan ce Capacity and financial resourc es Impact
- 9. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes Individual capacity can make a difference: Health Centre Workers in India, asked, without prompting, “what is important for keeping a child healthy and strong?” www.hungamaforchange.org/ 9
- 10. Transforming Nutrition: Ideas, Policy and Outcomes • Why some countries choose to address nutrition is becoming better known. Evidence on ‘what to do’ is relatively clear. What’s not clear is why it’s not done. • Individuals have been recognised as essential in championing the policy changes necessary to address undernutrition • But…who leads, how and why do leaders emerge, and how do they operate are key questions. Nutrition leadership: why and how?
- 11. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes Motivators Personal experience Exposure Training Data Political & communication skills Strategy/vision Alliance building Use of evidence Communication Boundary crossing Knowledge Technical / nutrition specific Programming/practice Decision makers Influencers Clients Find the framing Advocacy/campaigns Electoral pressure Persuade individuals around them Training: Mobilisation skills Grassroots accountability and advocacy skills ‘Leadership Training’ Workplace competency, performance & rewards criteria Support networks/ alliances Consensus building Bring others in Reward and exemplify other champions and cases of success Bring champions together Training and education – how to recognise nutrition. Information on rights and responsibilities and what are the politicians doing? Clear narratives Clear evidence Brief multisec training Immersions Support think tanks, other knowledge brokers, media Improve curricula Clear narratives Clear evidence Brief multisec training Immersions Make nutrition visible at the community level – real time monitoring; community accountability; support for community mobilisers Find the framing Advocacy/campaigns Electoral pressure Persuade individuals around them Nutrition Champions Nutrition Policy Entrepreneurs Nutrition Supporters Nisbett, N., Wach, E., Haddad, L., El-Arifeen, S., Wach (2014) What are the factors enabling and constraining effective leaders in Nutrition? A four country Study. IDS Working Paper 447 IDS: Brighton
- 12. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes 12
- 13. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes Doing the right things in the right order Prioritising and sequencing and addressing the most limiting factors! Source: Doing Growth Diagnostics in Practice: A ‘Mindbook’ Ricardo Hausmann, Bailey Klinger, Rodrigo Wagner CID Working Paper No. 177 September 2008. Harvard University.13
- 14. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes Decision matrix
- 15. Transforming Nutrition: Ideas, Policy and OutcomesTransforming Nutrition: Ideas, Policy and Outcomes Challenges to effective nutrition action at scale • Getting Nutrition onto the List of Priorities and Keeping It There • Doing the Right Things • Not Doing the Wrong Things • Acting at Scale • Reaching Those in Need • Data based decision making for nutrition • Building Strategic and Operational Capacity • ( and.. Mobilizing Resources) Maternal and child undernutrition: effective action at national level Jennifer Bryce, Denise Coitinho, Ian Darnton-Hill, David Pelletier, Per Pinstrup-Andersen. Lancet 2008. 15
Editor's Notes
- #2: Welcome to Brighton, to IDS, to the Sixth annual Transforming Short course Nicholas Nisbett; co-convenor of this course along with Purnima Menon Fellow at IDS and a member of the Transform Nutrition Consortium Not only will we spend a fantastic week together exploring the latest in nutrition knowledge and evidence and considering how to put that into action But you will join a global community of over 200 people who have been through our short course here and in India.
- #12: What is motivating people to become leaders in nutrition, is there anything common in their background which may have led to them to champion nutrition? What enables leaders to operate effectively in the nutrition policy sphere; In particular, what are their analytical and political capabilities? What are the external challenges and barriers to their effective operation? What do leaders assess as knowledge gaps that are important to fill; how do they employ their existing knowledge? This is dynamic. How can the international policy community better support and nurture emerging leaders?