Nutrition and Food Insecurity: Scaling Up Nutrition during Transition Periods
As authorities in Europe struggle to cope with hundreds of thousands of immigrants seeking refuge from areas of civil unrest, food and nutrition insecurity will be a major issue. Societal transitions challenge the capacity of existing infrastructures to scale their nutrition operations.
In an excellent review, Gillespie and colleagues identify 9 elements that affect efforts to increase the scale of nutrition interventions. They are:
- The vision/goal of the effort. What is the purpose? What does success look like?
- What is being scaled? Is it adapting a new technology? Is it changing current practices/processes? Does scaling up involve industry or societal change?
- Is the environment conducive to change?
- What are the drivers that may facilitate change? Or the barriers that may constrain acceptance?
- Is there agreement on the strategy, processes, and pathways which will be successful?
- Is there the capacity (individual, organizational, or societal) to plan and implement change?
- Governance may be required to implement nutrition programs. Are the structures and systems in place to underpin all stages of the scale-up process?
- Are the necessary financial resources in place?
- Will there be monitoring, evaluation, and learning throughout the process to bring accountability and effective governance?
Gillespie S, Menon P, Kennedy AL. Scaling up impact on nutrition: What will it take? 2015 Adv Nutr doi; 10.3945/an.115.008276