干旱区生态环境知识资源中心(Arid): Mid-term evaluation of Maternal and Child Nutrition Programme (MCNP II) in Kenya

Arid

DOI	10.1186/s12889-022-14627-2
	Mid-term evaluation of Maternal and Child Nutrition Programme (MCNP II) in Kenya
	Codjia, Patrick; Kutondo, Edward; Kamudoni, Penjani; Munga, Judith; Ahluwalia, Aneesha; Sharma, Indrani; de Jong, Yvon; Amolo, Tom; Maina-Gathigi, Lucy; Mwenda, Victoria; Chaudhry, Hemant; Bukania, Zipporah
通讯作者	Bukania, Z
来源期刊	BMC PUBLIC HEALTH
EISSN	1471-2458
出版年	2022
卷号	22 期号:1
英文摘要	Background Kenya is faced with a triple burden of malnutrition which is multi-faceted with health and socio-economic implications. Huge geographical disparities exist, especially, in the arid and semi-arid lands exacerbated by inadequate resource allocation to the nutrition sector and challenges in multi-sectoral coordination and nutrition governance. UNICEF's Maternal and Child Nutrition Programme is a four-year (2018-2022) resilience-building, multi-sectoral program focused on pregnant and lactating women, mothers of children under five years and children under five years. The objective of the mid-term evaluation was to establish the relevance, effectiveness, efficiency, and sustainability of the programme. Methods The field evaluation conducted between June and July 2021, adopted a concurrent mixed-methods approach, where qualitative information was gathered through 29 key informant interviews and 18 focus group discussions (6 FGDs per population group; women of reproductive age, adolescent girls and men). Quantitatively, data were obtained through desk review of secondary data from programme reports, budgets, and project outputs where descriptive analysis was undertaken using Excel software. Qualitative information was organized using Nvivo software and analyzed thematically. Results The findings provide evidence of the relevance of the Maternal and Child Nutrition Programme II to the nutrition situation in Kenya and its alignment with the Government of Kenya and donor priorities. Most planned programme targets were achieved despite operating in a COVID-19 pandemic environment. The use of innovative approaches such as family mid-upper arm circumference, integrated management of acute malnutrition surge model, Malezi bora and Logistic Management Information Management System contributed to the realization of effective outputs and outcomes. Stringent financial management strategies contributed toward programme efficiencies; however, optimal utilization of the resources needs further strengthening. The programme adopted strategies for strengthening local capacity and promoting ownership and long-term sustainability. Conclusion The programme is on track across the four evaluation criteria. However, a few suggestions are recommended to improve relevance, effectiveness, efficiency, and sustainability. A formal transition strategy needs to be developed in consultation with multi-stakeholder groups and implemented in phases. UNICEF Nutrition section should explore a more integrated programming mode of delivery through joint initiatives with other agencies under the Delivery as One UN agenda, along the more gender transformative approaches with more systematic involvement of males and females in gender-based discussions.
英文关键词	Nutrition Mid-term evaluation Evaluation Maternal and child nutrition UNICEF
类型	Article
语种	英语
开放获取类型	Green Submitted, gold, Green Published
收录类别	SCI-E
WOS记录号	WOS:000889556700008
WOS类目	Public, Environmental & Occupational Health
WOS研究方向	Public, Environmental & Occupational Health
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/392015
推荐引用方式 GB/T 7714	Codjia, Patrick,Kutondo, Edward,Kamudoni, Penjani,et al. Mid-term evaluation of Maternal and Child Nutrition Programme (MCNP II) in Kenya[J],2022,22(1).
APA	Codjia, Patrick.,Kutondo, Edward.,Kamudoni, Penjani.,Munga, Judith.,Ahluwalia, Aneesha.,...&Bukania, Zipporah.(2022).Mid-term evaluation of Maternal and Child Nutrition Programme (MCNP II) in Kenya.BMC PUBLIC HEALTH,22(1).
MLA	Codjia, Patrick,et al."Mid-term evaluation of Maternal and Child Nutrition Programme (MCNP II) in Kenya".BMC PUBLIC HEALTH 22.1(2022).