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Bangladesh National Nutrition Services: Assessment of
Implementation Status presents the findings of an operations
research study conducted to assess the implementation of the
government of Bangladesh's National Nutrition Services Program
(NNS) and to identify the achievements, determine the bottlenecks
that adversely impact these achievements, and highlight potential
solutions to ensure smooth delivery of the program. The authors
used a mixed-methods research approach to evaluate five major
domains of the program: management and support services, training
and capacity development, service delivery, monitoring and
evaluation, and exposure to interventions. The overall NNS effort
is an ambitious but valuable approach to support nutrition actions
through an existing health system with diverse platforms. Although
the maintenance of strong and stable leadership of NNS is an
essential element to ensure integrated and well-coordinated
comprehensive service delivery for the line directorate, the
current arrangement is unable to ensure effective implementation
and coordination of NNS. Focusing on some of the critical
challenges of leadership and coordination and focusing on embedding
a core set of interventions into well-matched (for scale, target
populations, and potential for impact) health system delivery
platforms most likely will help achieve scale and impact. Strategic
investments in ensuring transparency, engaging available technical
partners for monitoring and implementation support, and not
avoiding other potential high-coverage outreach platforms (such as
some nongovernmental organizations) could also prove fruitful.
Moreover, although the government of Bangladesh and the health
system in particular must lead the effort to deliver for nutrition,
development partners who have expressed a commitment to nutrition
must coordinate their own activities and provide the support that
can deliver on nutritions potential for Bangladesh.
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