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Prospective analysis of the development of the national nutrition agenda in Vietnam from 2006 to 2008

机译：对2006年至2008年越南国家营养议程发展的前瞻性分析

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摘要

Improved understanding of how to advance national nutrition policy is critical to ensure greater policy investments in nutrition. We used a participant-observer, change-agent model to prospectively study why and how national nutrition policy advanced in Vietnam between 2006 and 2008. Our goal was to understand strategies used, factors that shaped policy advancement, and the interaction of strategies with factors in this context. Data were collected using questionnaires, informant interviews, programme visits, document reviews and documentation of key events. For analysis, we created a chronology of events, examined strategies and actions used and their results by event, coded interviews and summarized findings using a well-known framework for policy analysis. Our analysis shows that the following elements were critical to bring greater attention to nutrition policy in this context: (1) building a cohesive nutrition policy community through creation and support of an alliance; (2) clearly defining internal and external frames for the nutrition problem; (3) using and creating high-profile internal and external policy windows; and (4) capitalizing on cultural motivations and values. Findings indicate that that rapid nutrition policy advancement is possible if purposeful, contextually sensitive strategies are used where favourable conditions exist, or can be created. The participant-observer, change-agent model was successful in both contributing to policy advancement and documenting it.
机译：更好地了解如何推进国家营养政策对于确保在营养方面加大政策投资至关重要。我们使用参与者-观察者，变革代理模型来前瞻性研究2006年至2008年越南国家营养政策为何以及如何发展。我们的目标是了解所使用的策略，影响政策发展的因素以及策略与因素的相互作用。在这种情况下。使用问卷，知情人访谈，程序访问，文档审查和关键事件的文档收集数据。为了进行分析，我们创建了事件的时间顺序，使用事件检查了策略和操作以及它们的结果，对采访进行了编码，并使用著名的政策分析框架汇总了调查结果。我们的分析表明，以下要素对于在这种情况下引起人们对营养政策的更多关注至关重要：（1）通过建立和支持联盟来建立一个具有凝聚力的营养政策共同体； （2）明确界定营养问题的内部和外部框架； （3）使用和创建引人注目的内部和外部策略窗口； （4）利用文化动机和价值观。研究结果表明，如果在存在或可以创造有利条件的情况下使用有针对性的，因地制宜的战略，可以迅速推进营养政策。参与者－观察者，变更代理模型在促进政策改进和文档化方面均取得了成功。

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  • 来源
    《Health Policy and Planning》 |2012年第1期|p.32-41|共10页
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    Karin Lapping15* Edward A Frongillo2 Lisa J Studdert3 Purnima Menon4 Jennifer Coates5 and Patrick Webb5;

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    1Department of Health and Nutrition, Save the Children, Washington DC, USA, 2Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA, 3Aspen Medical Remote Area Health Corps, Canberra, Australia, 4Poverty, Health and Nutrition Division, International Food Policy Research Institute, New Delhi Office, New Delhi, India and 5Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA;

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