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The Role of Public Nutrition Research Organizations in the Construction Implementation and Evaluation of Evidence-Based Nutrition Policy: Two National Experiences in Mexico

机译:公共营养研究组织在基于证据的营养政策的构建实施和评估中的作用:墨西哥的两个国家经验

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摘要

Malnutrition and poor diet are the largest risk factors responsible for the global burden of disease. Therefore, ending all forms of malnutrition by 2030 is a global priority. To achieve this goal, a key element is to design and implement nutrition policies based on the best available scientific evidence. The demand for evidence-based nutrition policies may originate directly from policymakers or through social actors. In both cases, the role of research institutions is to generate relevant evidence for public policy. The two key objects of analysis for the design of an effective policy are the nutrition conditions of the population and the policies and programs available, including the identification of delivery platforms and competencies required by personnel in charge of the provision of services (social response). In addition, systematic literature reviews about risk factors of malnutrition, as well as the efficacy and effectiveness of policy actions, lead to evidence-based policy recommendations. Given the multifactorial nature of malnutrition, the drivers and risk factors operate in several sectors (food and agriculture, health, education, and social development) and may be immediate, underlying or basic causes. This multilevel complexity should be considered when developing nutrition policy. In this article, we show two models for the evidence-based design of nutrition policies and programs that may be useful to academia and decision makers demonstrated by two examples of policy design, implementation and evaluation in Mexico.
机译:营养不良和饮食不良是造成全球疾病负担的最大风险因素。因此,到2030年消除一切形式的营养不良是全球优先事项。为了实现这一目标,关键要素是根据现有的最佳科学证据设计和实施营养政策。对基于证据的营养政策的需求可能直接来自决策者或通过社会参与者。在这两种情况下,研究机构的作用都是为公共政策提供相关证据。设计有效政策的两个主要分析目标是人口的营养状况以及可用的政策和计划,包括确定交付平台和负责提供服务的人员所需的能力(社会应对)。此外,关于营养不良的危险因素以及政策措施的有效性和有效性的系统文献综述导致了基于证据的政策建议。鉴于营养不良的多因素性质,其驱动因素和风险因素在多个部门(粮食和农业,卫生,教育和社会发展)中起作用,并且可能是直接,根本或根本原因。在制定营养政策时应考虑这种多层次的复杂性。在本文中,我们展示了两种以证据为基础的营养政策和计划设计模型,这些模型可能对学术界和决策者有用,这在墨西哥的政策设计,实施和评估方面有两个例子。

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