Multi-criteria Mapping of Stakeholders’ Viewpoints in Five Southeast Asian Countries on Strategies to Reduce Micronutrient Deficiencies Among Children and Women of Reproductive Age: Findings from the SMILING Project |
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Authors: | Greffeuille Valerie Kameli Yves Chamnan Chhoun Chea Mary Daream Sok Winichagoon Pattanee Butryee Chaniphun Le Bach Mai Lua Tran Thi Muslimatum Siti Roshita Airin Kounnavong Sengchanh Wieringa Frank T Berger Jacques |
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Institution: | 1.UMR-204 Nutripass, French National Research Institute for Sustainable Development (IRD), IRD/UM/SupAgro, Montpellier, France ;2.DFPTQ - The Department of Fisheries Post-Harvest Technologies and Quality Control, Ministry of Agriculture, Forestry and Fisheries, Phnom Penh, Cambodia ;3.NMCHC - National Maternal and Child Health Center, Ministry of Health, Phnom Penh, Cambodia ;4.Institute of Nutrition, Mahidol University, Bangkok, Thailand ;5.NIN - National Institute of Nutrition, Ministry of Health, Hanoi, Vietnam ;6.SEAMEO RECFON - South East Asian Ministers of Education Organization, Regional Centre for Food and Nutrition, Jakarta, Indonesia ;7.NIOPH - National Institute of Public Health, Ministry of Health, Vientiane, Lao People’s Democratic Republic ; |
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Abstract: | Background Despite scientific evidence on the potential impact or importance of specific interventions to improve micronutrient status of vulnerable groups, political commitment and extensive support from national stakeholders is paramount to support introduction and implementation of these interventions at national level. In order to develop efficient nutritional strategies to improve the micronutrient status of children < 5 years of age and women of reproductive age that will be supported by a wide range of stakeholders, a better understanding of viewpoints on the nutrition politics and strategies is necessary. Multi-criteria mapping (MCM) was successfully used to assess the stakeholder’s viewpoint in a wide variety of contexts since the late 1990s. ObjectiveThe objective of the present study was to assess the viewpoints of stakeholders on a wide range of potential nutritional interventions in the five Southeast Asian countries participating in the SMILING project. MethodMCM methodology was used to appraise the stakeholder’s viewpoints in five countries. ResultsThe results show that the overall stakeholders’ preference was for actions already implemented in their country rather than for new, innovative options, even for supplementation. Indirect interventions such like food fortification (except in Indonesia), delayed cord clamping or food-based approaches were generally less favored by the stakeholders. However, the majority of stakeholders agreed that new approaches should be considered and put in place in the future provided that evidence of their impact was demonstrated, that they received adequate technical support for their implementation and their monitoring, and that they will be accompanied by strong advocacy among decision-makers, civil society and beneficiaries. Conclusions for practiceTo conclude, for the introduction of new, innovative strategies to reduce micronutrient deficiencies in South-East Asia, convincing stakeholders appears to be the first hurdle to be taken. |
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