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The role of evidence in nutrition policy‐making in Ethiopia: Institutional structures and issue framing

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  • Helen Walls
  • Deborah Johnston
  • Elisa Vecchione
  • Abdulfatah Adam
  • Justin Parkhurst

Abstract

Malnutrition is the single greatest contributor to the global burden of morbidity and mortality, with most cases arising in low‐ and middle‐income countries. However, the multi‐sectoral nature of nutrition policy‐making adds considerable complexity to the implementation of effective programmes. This raises questions about why or how relevant policy change can come about within different country settings. This article examines multi‐sectoral nutrition policy‐making from the health sector perspective, specifically focusing on different sectoral perspectives and the role and use of evidence within this. Ethiopia provides a unique example of the challenging nature of multi‐sectoral nutrition policy‐making, even with a strong co‐ordinating infrastructure. In December 2014 we undertook 23 in‐depth semi‐structured interviews with stakeholders from key health sector organizations, along with a related documentary analysis. Participants represented a diverse range of perspectives, including government representatives, policy stakeholders, aid providers from multi‐lateral organizations and academic researchers. Our respondents described how nutrition framing in Ethiopia is changing, with greater consideration of overweight, obesity and non‐communicable diseases, as well as undernutrition and micronutrient deficiencies. However, overweight‐ and obesity‐related concerns are still less evident in key documents. Some health actors described the challenge of enacting structural policy changes when doing so requires engagement from the agriculture sector. While multi‐sectoral plans and infrastructure to address malnutrition are in place, respondents suggested that the mandate for addressing nutrition resting with the health sector was reinforced by the nature of evidence collected. This study of nutrition policy‐making in Ethiopia highlights the complex interaction of evidence within different conceptualisations of policy problems and responses. Despite Ethiopia's strategic framework and its progress in achieving terms of nutrition targets, it shares the challenge of countries elsewhere in addressing nutrition as a multi‐sectoral issue.

Suggested Citation

  • Helen Walls & Deborah Johnston & Elisa Vecchione & Abdulfatah Adam & Justin Parkhurst, 2019. "The role of evidence in nutrition policy‐making in Ethiopia: Institutional structures and issue framing," Development Policy Review, Overseas Development Institute, vol. 37(2), pages 293-310, March.
    • Handle: RePEc:bla:devpol:v:37:y:2019:i:2:p:293-310
    DOI: 10.1111/dpr.12385
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    References listed on IDEAS

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    1. World Bank, 2013. "Improving Nutrition through Multisectoral Approaches," World Bank Publications - Reports 16953, The World Bank Group.
    2. Walls, Helen L. & Cornelsen, Laura & Lock, Karen & Smith, Richard D., 2016. "How much priority is given to nutrition and health in the EU Common Agricultural Policy?," Food Policy, Elsevier, vol. 59(C), pages 12-23.
    3. March, James G. & Olsen, Johan P., 1983. "The New Institutionalism: Organizational Factors in Political Life," American Political Science Review, Cambridge University Press, vol. 78(3), pages 734-749, December.
    4. Garrett, James, ed. & Natalicchio, Marcela, ed., 2011. "Working multisectorally in nutrition: Principles, practices, and case studies," Research reports jamesgarrett, International Food Policy Research Institute (IFPRI).
    5. Richard Heaver, 2005. "Strengthening Country Commitment to Human Development: Lessons from Nutrition," World Bank Publications - Books, The World Bank Group, number 7310, December.
    6. Christopher Cramer & Deborah Johnston & Bernd Mueller & Carlos Oya & John Sender, 2017. "Fairtrade and Labour Markets in Ethiopia and Uganda," Journal of Development Studies, Taylor & Francis Journals, vol. 53(6), pages 841-856, June.
    7. Baker, P. & Hawkes, C. & Wingrove, K. & Demaio, A. & Parkhurst, Justin & Thow, A.M. & Walls, H., 2018. "What drives political commitment for nutrition? A review and framework synthesis to inform the United Nations Decade of Action on Nutrition," LSE Research Online Documents on Economics 86630, London School of Economics and Political Science, LSE Library.
    8. Nisbett, Nicholas & Wach, Elise & Haddad, Lawrence & El Arifeen, Shams, 2015. "What drives and constrains effective leadership in tackling child undernutrition? Findings from Bangladesh, Ethiopia, India and Kenya," Food Policy, Elsevier, vol. 53(C), pages 33-45.
    Full references (including those not matched with items on IDEAS)

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