Validation of a roadmap for mainstreaming nutrition-sensitive interventions at state level in Nigeria
Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
BioMed Central
Abstract
Background: National programs are often developed with little consideration to the sub-national local factors that
might affect program success. These factors include political support, capacity for implementation of program and
variation in malnutrition indices being tackled. State context factors are evident in the distribution of malnutrition
(e.g. high prevalence or gap among Local Government Areas), in the implementation of nutrition-sensitive
interventions (e.g. access to early childhood education) and in the political economic context (e.g. presence of
external funding agencies). Context is shaped by the economy, population, religion, and poverty, which impact
everyday lives. Considering these contexts, a roadmap was developed and validated. The aim of this paper is to
report expert review and stakeholder validation to determine feasibility of the developed contextualised roadmap
for two Nigerian states.
Methods: A validation tool was developed and reviewed using three experts. The content review occurred in two
rounds to obtain recommendation and revisions of the developed roadmap and the validation tool. A pilot test of
the roadmap and validation tool was done using two stakeholders in South Africa. The roadmap and the validation
tool were then sent to the stakeholders and potential end-users in Nigeria using electronic media. Two research
assistants were also engaged to deliver and collect hard copies to those who preferred it.
Results: Of the ten stakeholders invited, nine responded. All participants showed an adequate understanding of
the roadmap as evidenced by the scores given. Responses regarding the translation of the roadmap to
implementation varied. The majority (86,6%) either strongly agreed or agreed that the actions were translatable
(43.0 and 43.6% respectively).
Conclusions: The final roadmap comprises of actions that are appropriate for the state’s context. It is
recommended that stakeholders or end-users of any programme must be involved in the validation of such
contextual programmes to improve chances of success.
Description
CITATION: Ezekannagha, O., et al. 2020. Validation of a roadmap for mainstreaming nutrition-sensitive interventions at state level in Nigeria. Nutrition Journal, 19:96, doi:10.1186/s12937-020-00612-1.
The original publication is available at https://nutritionj.biomedcentral.com
The original publication is available at https://nutritionj.biomedcentral.com
Keywords
Nutrition-sensitivity, Diet therapy -- Nigeria
Citation
Ezekannagha, O., et al. 2020. Validation of a roadmap for mainstreaming nutrition-sensitive interventions at state level in Nigeria. Nutrition Journal, 19:96, doi:10.1186/s12937-020-00612-1