Bangladesh National Nutrition Services : Assessment of Implementation Status

This report presents the findings of an operations research study conducted to assess the implementation of the Government of Bangladesh’s National Nutrition Services Program (NNS) and to identify the achievements, determine the bottlenecks that adversely impact these achievements, and highlight pot...

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Main Authors:	Saha, Kuntal K., Billah, Masum, Menon, Purnima, El Arifeen, Shams, Mbuya, Nkosinathi V.N.
Format:	Book
Language:	en_US
Published:	Washington, DC: World Bank 2015
Subjects:	health system delivery platforms National Nutrition Services Program NNS nutrition operations research HSDP
Online Access:	http://hdl.handle.net/10986/22377

id	okr-10986-22377
recordtype	oai_dc
spelling	okr-10986-223772021-04-23T14:04:08Z Bangladesh National Nutrition Services : Assessment of Implementation Status Saha, Kuntal K. Billah, Masum Menon, Purnima El Arifeen, Shams Mbuya, Nkosinathi V.N. health system delivery platforms National Nutrition Services Program NNS nutrition operations research HSDP This report presents the findings of an operations research study conducted to assess the implementation of the Government of Bangladesh’s National Nutrition Services Program (NNS) and to identify the achievements, determine the bottlenecks that adversely impact these achievements, and highlight potential solutions to ensure smooth delivery of the program. A mixed methods research approach was used to evaluate five major domains of the program: management and support services; training and capacity development; service delivery; monitoring and evaluation, and; exposure to interventions. The study found that the overall NNS effort is an ambitious, but valuable approach to support nutrition actions through an existing health system with diverse platforms. The results indicate that although the maintenance of strong and stable leadership of NNS is an essential element to ensure integrated and well-coordinated comprehensive service delivery for the line directorate, the current arrangement is unable to ensure effective implementation and coordination of NNS. Focusing on some of the critical challenges related to leadership and coordination in the first instance, and on embedding a small core set of interventions into well-matched (for scale, target populations, and potential for impact) health system delivery platforms is most likely to help achieve scale and impact. Strategic investments in ensuring transparency, engaging available technical partners for monitoring and implementation support, and not shying away from other potential high coverage outreach platforms like some NGO platforms also could prove fruitful. Moreover, although the Government of Bangladesh, and the health system in particular, must lead the effort to deliver for nutrition, it is clear that development partners who have expressed a commitment to nutrition must coordinate their own activities and provide the support that can deliver on nutrition’s potential for Bangladesh. 2015-08-11T14:54:29Z 2015-08-11T14:54:29Z 2015-08-11 Book 978-1-4648-0640-7 http://hdl.handle.net/10986/22377 en_US World Bank Study; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Washington, DC: World Bank Publications & Research Publications & Research :: Publication South Asia Bangladesh
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	en_US
topic	health system delivery platforms National Nutrition Services Program NNS nutrition operations research HSDP
spellingShingle	health system delivery platforms National Nutrition Services Program NNS nutrition operations research HSDP Saha, Kuntal K. Billah, Masum Menon, Purnima El Arifeen, Shams Mbuya, Nkosinathi V.N. Bangladesh National Nutrition Services : Assessment of Implementation Status
geographic_facet	South Asia Bangladesh
relation	World Bank Study;
description	This report presents the findings of an operations research study conducted to assess the implementation of the Government of Bangladesh’s National Nutrition Services Program (NNS) and to identify the achievements, determine the bottlenecks that adversely impact these achievements, and highlight potential solutions to ensure smooth delivery of the program. A mixed methods research approach was used to evaluate five major domains of the program: management and support services; training and capacity development; service delivery; monitoring and evaluation, and; exposure to interventions. The study found that the overall NNS effort is an ambitious, but valuable approach to support nutrition actions through an existing health system with diverse platforms. The results indicate that although the maintenance of strong and stable leadership of NNS is an essential element to ensure integrated and well-coordinated comprehensive service delivery for the line directorate, the current arrangement is unable to ensure effective implementation and coordination of NNS. Focusing on some of the critical challenges related to leadership and coordination in the first instance, and on embedding a small core set of interventions into well-matched (for scale, target populations, and potential for impact) health system delivery platforms is most likely to help achieve scale and impact. Strategic investments in ensuring transparency, engaging available technical partners for monitoring and implementation support, and not shying away from other potential high coverage outreach platforms like some NGO platforms also could prove fruitful. Moreover, although the Government of Bangladesh, and the health system in particular, must lead the effort to deliver for nutrition, it is clear that development partners who have expressed a commitment to nutrition must coordinate their own activities and provide the support that can deliver on nutrition’s potential for Bangladesh.
format	Book
author	Saha, Kuntal K. Billah, Masum Menon, Purnima El Arifeen, Shams Mbuya, Nkosinathi V.N.
author_facet	Saha, Kuntal K. Billah, Masum Menon, Purnima El Arifeen, Shams Mbuya, Nkosinathi V.N.
author_sort	Saha, Kuntal K.
title	Bangladesh National Nutrition Services : Assessment of Implementation Status
title_short	Bangladesh National Nutrition Services : Assessment of Implementation Status
title_full	Bangladesh National Nutrition Services : Assessment of Implementation Status
title_fullStr	Bangladesh National Nutrition Services : Assessment of Implementation Status
title_full_unstemmed	Bangladesh National Nutrition Services : Assessment of Implementation Status
title_sort	bangladesh national nutrition services : assessment of implementation status
publisher	Washington, DC: World Bank
publishDate	2015
url	http://hdl.handle.net/10986/22377
_version_	1764450983007485952

Bangladesh National Nutrition Services : Assessment of Implementation Status

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