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Stakeholder perspectives on barriers and facilitators on the implementation of the 1000 days plus nutrition policy activities in Ghana

Stakeholder perspectives on barriers and facilitators on the implementation of the 1000 days plus nutrition policy activities in Ghana
Stakeholder perspectives on barriers and facilitators on the implementation of the 1000 days plus nutrition policy activities in Ghana
Optimizing nutrition in the preconception and 1000 days periods have long-term benefits such as higher economic productivity, reduced risk of related non-communicable diseases and increased health and well-being. Despite Ghana’s recent progress in reducing malnutrition, the situation is far from optimal. This qualitative study analyzed the maternal and child health nutrition policy framework in Ghana to identify the current barriers and facilitators to the implementation of nutrition policies and programs relating to the first 1000 days plus. Data analyzed included in-depth interviews and focus group discussions conducted in Ghana between March and April 2019. Participants were composed of experts from government agencies, civil society organizations, community-based organizations and international partners at national and subnational levels. Seven critical areas were identified: planning policy implementation, resources, leadership and stakeholders’ engagement, implementation guidance and ongoing communication, organizational culture, accountability and governance and coverage. The study showed that, to eradicate malnutrition in Ghana, priorities of individual stakeholders have to be merged and aligned into a single 1000 days plus nutrition policy framework. Furthermore, this study may support stakeholders in implementing successfully the 1000 days plus nutrition policy activities in Ghana.
1000 days plus, Barriers, First 1000 days, Ghana, Health policy implementation, Maternal child health, Nutrition, Qualitative research, Stakeholder analysis, Sub-Saharan Africa
1660-4601
Galaurchi, Anne
e46f6c8e-1926-463b-84ee-2a5cabea440a
Chatio, Samuel T.
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Beeri, Paula
f43cf17d-fdd5-4c5b-ba13-851f32d81c28
Oduro, Abraham R.
dd6fc6ff-5927-48bc-abfb-d572eb3da430
Ofosu, Winfred
3cea117a-5829-4993-ae08-004b86c91f9f
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Newell, Marie-Louise
c6ff99dd-c23b-4fef-a846-a221fe2522b3
Norris, Shane
1d346f1b-6d5f-4bca-ac87-7589851b75a4
Ward, Kate
39bd4db1-c948-4e32-930e-7bec8deb54c7
Nonterah, Engelbert A.
aacb7a34-ceef-4a9f-93b8-707a29db42c6
Biesma, Regien
dba0067f-0dbb-4077-862d-1be5508e30e4
INPreP group
Galaurchi, Anne
e46f6c8e-1926-463b-84ee-2a5cabea440a
Chatio, Samuel T.
9335e5cc-b71c-4366-9066-f9f2b487c000
Beeri, Paula
f43cf17d-fdd5-4c5b-ba13-851f32d81c28
Oduro, Abraham R.
dd6fc6ff-5927-48bc-abfb-d572eb3da430
Ofosu, Winfred
3cea117a-5829-4993-ae08-004b86c91f9f
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Newell, Marie-Louise
c6ff99dd-c23b-4fef-a846-a221fe2522b3
Norris, Shane
1d346f1b-6d5f-4bca-ac87-7589851b75a4
Ward, Kate
39bd4db1-c948-4e32-930e-7bec8deb54c7
Nonterah, Engelbert A.
aacb7a34-ceef-4a9f-93b8-707a29db42c6
Biesma, Regien
dba0067f-0dbb-4077-862d-1be5508e30e4

Galaurchi, Anne, Chatio, Samuel T., Beeri, Paula, Oduro, Abraham R., Ofosu, Winfred, Hanson, Mark, Newell, Marie-Louise, Norris, Shane, Ward, Kate, Nonterah, Engelbert A. and Biesma, Regien , INPreP group (2021) Stakeholder perspectives on barriers and facilitators on the implementation of the 1000 days plus nutrition policy activities in Ghana. International Journal of Environmental Research and Public Health, 18 (10), [5317]. (doi:10.3390/ijerph18105317).

Record type: Article

Abstract

Optimizing nutrition in the preconception and 1000 days periods have long-term benefits such as higher economic productivity, reduced risk of related non-communicable diseases and increased health and well-being. Despite Ghana’s recent progress in reducing malnutrition, the situation is far from optimal. This qualitative study analyzed the maternal and child health nutrition policy framework in Ghana to identify the current barriers and facilitators to the implementation of nutrition policies and programs relating to the first 1000 days plus. Data analyzed included in-depth interviews and focus group discussions conducted in Ghana between March and April 2019. Participants were composed of experts from government agencies, civil society organizations, community-based organizations and international partners at national and subnational levels. Seven critical areas were identified: planning policy implementation, resources, leadership and stakeholders’ engagement, implementation guidance and ongoing communication, organizational culture, accountability and governance and coverage. The study showed that, to eradicate malnutrition in Ghana, priorities of individual stakeholders have to be merged and aligned into a single 1000 days plus nutrition policy framework. Furthermore, this study may support stakeholders in implementing successfully the 1000 days plus nutrition policy activities in Ghana.

Text
ijerph-18-05317 - Version of Record
Available under License Creative Commons Attribution.
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More information

Accepted/In Press date: 8 May 2021
e-pub ahead of print date: 17 May 2021
Keywords: 1000 days plus, Barriers, First 1000 days, Ghana, Health policy implementation, Maternal child health, Nutrition, Qualitative research, Stakeholder analysis, Sub-Saharan Africa

Identifiers

Local EPrints ID: 450796
URI: http://eprints.soton.ac.uk/id/eprint/450796
ISSN: 1660-4601
PURE UUID: af6f0fe9-c70e-4cef-bc1c-fc5a65d1173e
ORCID for Mark Hanson: ORCID iD orcid.org/0000-0002-6907-613X
ORCID for Marie-Louise Newell: ORCID iD orcid.org/0000-0002-1074-7699
ORCID for Kate Ward: ORCID iD orcid.org/0000-0001-7034-6750

Catalogue record

Date deposited: 12 Aug 2021 16:30
Last modified: 26 Nov 2021 03:05

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Contributors

Author: Anne Galaurchi
Author: Samuel T. Chatio
Author: Paula Beeri
Author: Abraham R. Oduro
Author: Winfred Ofosu
Author: Mark Hanson ORCID iD
Author: Shane Norris
Author: Kate Ward ORCID iD
Author: Engelbert A. Nonterah
Author: Regien Biesma
Corporate Author: INPreP group

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