PMID- 33661554
OWN - NLM
STAT- MEDLINE
DCOM- 20220321
LR  - 20220321
IS  - 1740-8709 (Electronic)
IS  - 1740-8695 (Print)
IS  - 1740-8695 (Linking)
VI  - 18 Suppl 1
IP  - Suppl 1
DP  - 2022 Jan
TI  - Multisectoral nutrition planning in Nepal: Evidence from an organizational 
      network analysis.
PG  - e13112
LID - 10.1111/mcn.13112 [doi]
LID - e13112
AB  - Multisectoral approaches are central to the global Scaling Up Nutrition (SUN) 
      movement and the Sustainable Development Goals. Nepal joined SUN in 2011 and 
      approved the first 5-year Multisectoral Nutrition Plan (MSNP) in 2012, covering 
      2013-2017. This mixed methods study draws on organizational network analysis 
      (ONA) and qualitative interviews with a sample of 22 organizations to examine (1) 
      levels of engagement and network dynamics among government sectors and 
      development organizations and (2) milestones and processes in the development and 
      implementation of Nepal's MSNP. Findings suggest that the development of the MSNP 
      was related to the high density of organizational connections; the leadership 
      role of the Nepal's National Planning Commission and the National Nutrition and 
      Food Security Secretariat; and the bridging roles played by a few government 
      ministries and UN agencies that linked organizations that did not have direct 
      relationships with each other. Specialized roles were observed for the three 
      types of working relationships: policy dialogue, strategic planning and 
      implementation. Partners were less connected on MSNP implementation than for 
      policy dialogue and strategic planning, which may have constrained collaborative 
      scale-up efforts. The Ministry of Agricultural Development, in particular, was 
      the conduit for connecting non-health sectors into the broader network. Our study 
      offers insights into the structure and dynamics of multisectoral planning in 
      Nepal. It also contributes to a small but growing literature that illustrates how 
      ONA can be applied to measure and use network results to elucidate the processes 
      for strengthening multisectoral planning and implementation of nutrition-specific 
      and nutrition-sensitive interventions.
CI  - (c) 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons 
      Ltd.
FAU - Ruducha, Jenny
AU  - Ruducha J
AD  - Braintree Global Health, Vancouver, British Columbia, Canada.
FAU - Bhatia, Amiya
AU  - Bhatia A
AD  - Department of Global Health and Development, London School of Hygiene and 
      Tropical Medicine, London, UK.
FAU - Mann, Carlyn
AU  - Mann C
AD  - Braintree Global Health, Vancouver, British Columbia, Canada.
FAU - Torlesse, Harriet
AU  - Torlesse H
AD  - Nutrition Section, UNICEF Regional Office for South Asia, Kathmandu, Nepal.
LA  - eng
PT  - Journal Article
DEP - 20210304
PL  - England
TA  - Matern Child Nutr
JT  - Maternal & child nutrition
JID - 101201025
SB  - IM
MH  - *Government
MH  - Humans
MH  - Nepal
MH  - *Nutritional Status
PMC - PMC8770655
OTO - NOTNLM
OT  - case study
OT  - intersectoral collaboration
OT  - organizational network analysis
OT  - qualitative research
OT  - social networks, Nepal
OT  - undernutrition
COIS- The authors have no conflict of interest.
EDAT- 2021/03/05 06:00
MHDA- 2022/03/22 06:00
PMCR- 2021/03/04
CRDT- 2021/03/04 12:17
PHST- 2020/10/22 00:00 [revised]
PHST- 2020/06/10 00:00 [received]
PHST- 2020/11/03 00:00 [accepted]
PHST- 2021/03/05 06:00 [pubmed]
PHST- 2022/03/22 06:00 [medline]
PHST- 2021/03/04 12:17 [entrez]
PHST- 2021/03/04 00:00 [pmc-release]
AID - MCN13112 [pii]
AID - 10.1111/mcn.13112 [doi]
PST - ppublish
SO  - Matern Child Nutr. 2022 Jan;18 Suppl 1(Suppl 1):e13112. doi: 10.1111/mcn.13112. 
      Epub 2021 Mar 4.