1
|
Bezabih AM, Kahsay ZH, Kahsay A, Bekele A, Seid O, Asfaw S, Gebrearegay F, Tadesse K, Bazzano AN, Jogo W, Covic N, Busse H. Challenges to joint planning, monitoring, and evaluation for nutrition-sensitive agriculture in Ethiopia: an exploratory qualitative study. AGRICULTURE & FOOD SECURITY 2022; 11:61. [PMID: 36844477 PMCID: PMC9945876 DOI: 10.1186/s40066-022-00400-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 11/07/2022] [Indexed: 01/10/2023]
Abstract
Background Nutrition-sensitive agriculture is an effective multi-sectoral approach to address the underlying causes of malnutrition. However, successful implementation requires the involvement of different sectors to jointly plan, monitor, and evaluate key activities, which is often challenged by contextual barriers. Previous studies in Ethiopia have not adequately explored these contextual barriers. Hence, the current study aimed to qualitatively explore the challenges to joint planning, monitoring, and evaluation for nutrition-sensitive agriculture among sectors in Ethiopia. Methods A qualitative exploratory study was conducted in Tigray and Southern Nations, Nationalities, and Peoples (SNNP) of Ethiopia regional states in 2017. Ninety-four key informants were purposively selected from government agencies primarily in health and agriculture, from local (kebele) to national levels, and ranging from academic organizations, research institutions, and implementing partners. Researchers developed a semi-structured guide and conducted key informant interviews which were audiotaped, transcribed verbatim in local language, and translated to English. All transcriptions were imported into ATLAS.ti Version 7.5 software for coding and analysis. The data analysis followed an inductive approach. Transcriptions were coded line by line; then similar codes were grouped into categories. Subsequently, non-repetitive themes were identified from the categories using thematic analysis methodology. Results The following themes were identified as challenges that hinder joint planning, monitoring, and evaluation to link nutrition to agriculture: (1) limited capacity, (2) workload in home sector (agriculture or nutrition), (3) lack of attention to nutrition interventions, (4) inadequate supportive supervision, (5) problematic reporting system, and (6) weak technical coordinating committees. Conclusions and recommendations Gaps in human and technical resources, limited attention from different sectors, and absence of routine monitoring data hindered joint planning, monitoring, and evaluation activities for nutrition-sensitive agriculture in Ethiopia. Short-term and long-term training for experts and intensification of supportive supervision may address gaps in capacity. Future studies should address whether routine monitoring and surveillance in nutrition-sensitive multi-sectoral activities provides long-term improvement in outcomes.
Collapse
Affiliation(s)
- Afework Mulugeta Bezabih
- grid.30820.390000 0001 1539 8988School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Znabu Hadush Kahsay
- grid.30820.390000 0001 1539 8988School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Amaha Kahsay
- grid.30820.390000 0001 1539 8988School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Abate Bekele
- grid.30820.390000 0001 1539 8988School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Omer Seid
- grid.442845.b0000 0004 0439 5951Department of Public Health Nutrition, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
| | - Selemawit Asfaw
- grid.30820.390000 0001 1539 8988School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Freweeini Gebrearegay
- grid.30820.390000 0001 1539 8988School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Kidane Tadesse
- grid.30820.390000 0001 1539 8988School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia
| | - Alessandra N. Bazzano
- grid.265219.b0000 0001 2217 8588School of Public Health and Tropical Medicine, Tulane University, 1440 Canal St, New Orleans, LA 70119 USA
| | | | - Namukolo Covic
- Agriculture for Nutrition and Health Research, International Food Policy Research Institute, Addis Ababa, Ethiopia
| | - Heidi Busse
- grid.28803.310000 0001 0701 8607School of Human Ecology, University of Wisconsin, Madison, USA
| |
Collapse
|