India's Tamil Nadu Nutrition Program : Lessons and Issues in Management and Capacity Development
The Tamil Nadu Nutrition Program (TINP) is one of very few around the world that has reduced malnutrition on a large scale, and over a long period. It did well because it coupled good strategies and strong commitment at the sectoral level with good...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2002/11/3541884/indias-tamil-nadu-nutrition-program-lessons-issues-management-capacity-development http://hdl.handle.net/10986/13787 |
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okr-10986-137872021-04-23T14:03:09Z India's Tamil Nadu Nutrition Program : Lessons and Issues in Management and Capacity Development Heaver, Richard AGED CHILD DEVELOPMENT CHILD HEALTH SERVICES CHILD MALNUTRITION CHILD MORTALITY CLIENT COUNTRIES DECENTRALIZATION DEVELOPMENT ACTIVITIES DIET EMPLOYMENT EMPOWERMENT FAMILIES FAMILY HEALTH FEED FOOD INSECURITY FOOD PREPARATION FOOD PROCESSING FOOD PRODUCTION FOOD SECURITY FOOD SUPPLEMENTATION HEALTH INTERVENTIONS HEALTH SECTOR HEALTH SERVICES HEALTH WORKERS INCOME INCOMES INFORMATION CAMPAIGNS INSTITUTIONAL CAPACITY INTERVENTION IRON IRON SUPPLEMENTS LABOR FORCE MALNUTRITION MANAGERS MASS MEDIA MATERNAL AND CHILD HEALTH MORTALITY MOTHERS MOTIVATION NUTRITION NUTRITION EDUCATION NUTRITION INTERVENTIONS NUTRITION PROGRAMS NUTRITIONAL STATUS OLD CHILDREN POLICY RESEARCH PREGNANT WOMEN PREVALENCE OF MALNUTRITION PRIMARY HEALTH CARE PUBLIC HEALTH QUALITY CONTROL RURAL AREAS RURAL DEVELOPMENT SERVICE DELIVERY SOCIAL WELFARE STUNTING SUPERVISION SUSTAINABILITY VACCINES VITAMIN A WASTING The Tamil Nadu Nutrition Program (TINP) is one of very few around the world that has reduced malnutrition on a large scale, and over a long period. It did well because it coupled good strategies and strong commitment at the sectoral level with good micro-design at the field level. Success factors included intensive sector analysis prior to the program's design, which helped build political and financial commitment to nutrition, as well as a sound technical basis for the program ; careful choice of committed managers, at least during the first ten years ; using paid village level workers, resulting in low drop-outs and high motivation ; well designed recruitment criteria, ensuring that field workers were competent and acceptable to clients ; a carefully planned training and supervision system, which was entirely field rather institution based-a model worth testing in other countries ; a focus on a small number of interventions, tightly targeted on high risk clients, which made field workers' jobs feasible ; an efficient management information system, which provided rapid feedback to clients at the local level, as well as program managers ; involving local communities through information campaigns before the program began, and using women's and children's groups to help with implementation. But TINP was not an unqualified success, and much can be learned from its weaknesses: the commitment and integrity of program management declined substantially after the first ten years, program performance might have suffered less if local communities had been empowered to play a greater role in worker supervision and quality control; the health referral system never worked well, and more could have been done to identify food insecure families, and enroll them in existing food security programs; TINP's support systems in nutrition communications, operational research and program evaluation remained weak, because capacity strengthening plans were not developed for them the Bank failed to carry out analytical work on management and capacity development issues, despite continuing capacity constraints in the nutrition program. 2013-06-05T18:10:26Z 2013-06-05T18:10:26Z 2002-11 http://documents.worldbank.org/curated/en/2002/11/3541884/indias-tamil-nadu-nutrition-program-lessons-issues-management-capacity-development 1-932126-68-6 http://hdl.handle.net/10986/13787 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research South Asia India |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
AGED CHILD DEVELOPMENT CHILD HEALTH SERVICES CHILD MALNUTRITION CHILD MORTALITY CLIENT COUNTRIES DECENTRALIZATION DEVELOPMENT ACTIVITIES DIET EMPLOYMENT EMPOWERMENT FAMILIES FAMILY HEALTH FEED FOOD INSECURITY FOOD PREPARATION FOOD PROCESSING FOOD PRODUCTION FOOD SECURITY FOOD SUPPLEMENTATION HEALTH INTERVENTIONS HEALTH SECTOR HEALTH SERVICES HEALTH WORKERS INCOME INCOMES INFORMATION CAMPAIGNS INSTITUTIONAL CAPACITY INTERVENTION IRON IRON SUPPLEMENTS LABOR FORCE MALNUTRITION MANAGERS MASS MEDIA MATERNAL AND CHILD HEALTH MORTALITY MOTHERS MOTIVATION NUTRITION NUTRITION EDUCATION NUTRITION INTERVENTIONS NUTRITION PROGRAMS NUTRITIONAL STATUS OLD CHILDREN POLICY RESEARCH PREGNANT WOMEN PREVALENCE OF MALNUTRITION PRIMARY HEALTH CARE PUBLIC HEALTH QUALITY CONTROL RURAL AREAS RURAL DEVELOPMENT SERVICE DELIVERY SOCIAL WELFARE STUNTING SUPERVISION SUSTAINABILITY VACCINES VITAMIN A WASTING |
| spellingShingle |
AGED CHILD DEVELOPMENT CHILD HEALTH SERVICES CHILD MALNUTRITION CHILD MORTALITY CLIENT COUNTRIES DECENTRALIZATION DEVELOPMENT ACTIVITIES DIET EMPLOYMENT EMPOWERMENT FAMILIES FAMILY HEALTH FEED FOOD INSECURITY FOOD PREPARATION FOOD PROCESSING FOOD PRODUCTION FOOD SECURITY FOOD SUPPLEMENTATION HEALTH INTERVENTIONS HEALTH SECTOR HEALTH SERVICES HEALTH WORKERS INCOME INCOMES INFORMATION CAMPAIGNS INSTITUTIONAL CAPACITY INTERVENTION IRON IRON SUPPLEMENTS LABOR FORCE MALNUTRITION MANAGERS MASS MEDIA MATERNAL AND CHILD HEALTH MORTALITY MOTHERS MOTIVATION NUTRITION NUTRITION EDUCATION NUTRITION INTERVENTIONS NUTRITION PROGRAMS NUTRITIONAL STATUS OLD CHILDREN POLICY RESEARCH PREGNANT WOMEN PREVALENCE OF MALNUTRITION PRIMARY HEALTH CARE PUBLIC HEALTH QUALITY CONTROL RURAL AREAS RURAL DEVELOPMENT SERVICE DELIVERY SOCIAL WELFARE STUNTING SUPERVISION SUSTAINABILITY VACCINES VITAMIN A WASTING Heaver, Richard India's Tamil Nadu Nutrition Program : Lessons and Issues in Management and Capacity Development |
| geographic_facet |
South Asia India |
| relation |
HNP discussion paper series; |
| description |
The Tamil Nadu Nutrition Program (TINP)
is one of very few around the world that has reduced
malnutrition on a large scale, and over a long period. It
did well because it coupled good strategies and strong
commitment at the sectoral level with good micro-design at
the field level. Success factors included intensive sector
analysis prior to the program's design, which helped
build political and financial commitment to nutrition, as
well as a sound technical basis for the program ; careful
choice of committed managers, at least during the first ten
years ; using paid village level workers, resulting in low
drop-outs and high motivation ; well designed recruitment
criteria, ensuring that field workers were competent and
acceptable to clients ; a carefully planned training and
supervision system, which was entirely field rather
institution based-a model worth testing in other countries ;
a focus on a small number of interventions, tightly targeted
on high risk clients, which made field workers' jobs
feasible ; an efficient management information system,
which provided rapid feedback to clients at the local level,
as well as program managers ; involving local communities
through information campaigns before the program began, and
using women's and children's groups to help with
implementation. But TINP was not an unqualified success, and
much can be learned from its weaknesses: the commitment and
integrity of program management declined substantially after
the first ten years, program performance might have suffered
less if local communities had been empowered to play a
greater role in worker supervision and quality control; the
health referral system never worked well, and more could
have been done to identify food insecure families, and
enroll them in existing food security programs; TINP's
support systems in nutrition communications, operational
research and program evaluation remained weak, because
capacity strengthening plans were not developed for them the
Bank failed to carry out analytical work on management and
capacity development issues, despite continuing capacity
constraints in the nutrition program. |
| format |
Publications & Research :: Working Paper |
| author |
Heaver, Richard |
| author_facet |
Heaver, Richard |
| author_sort |
Heaver, Richard |
| title |
India's Tamil Nadu Nutrition Program : Lessons and Issues in Management and Capacity Development |
| title_short |
India's Tamil Nadu Nutrition Program : Lessons and Issues in Management and Capacity Development |
| title_full |
India's Tamil Nadu Nutrition Program : Lessons and Issues in Management and Capacity Development |
| title_fullStr |
India's Tamil Nadu Nutrition Program : Lessons and Issues in Management and Capacity Development |
| title_full_unstemmed |
India's Tamil Nadu Nutrition Program : Lessons and Issues in Management and Capacity Development |
| title_sort |
india's tamil nadu nutrition program : lessons and issues in management and capacity development |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2002/11/3541884/indias-tamil-nadu-nutrition-program-lessons-issues-management-capacity-development http://hdl.handle.net/10986/13787 |
| _version_ |
1764424407348936704 |