Scaling up an Integrated Strategy for Attention to Nutrition (EsIAN) to Prevent Stunting, Micronutrient Deficiency and Obesity in Mexico
Anabelle Bonvecchio *
National Institute of public health, Cuernavaca Morelos, Mexico.
Armando Garcia
National Institute of public health, Cuernavaca Morelos, Mexico.
Lynnette Neufeld
GAIN, Geneva, Switzerland.
Juan Rivera
National Institute of public health, Cuernavaca Morelos, Mexico.
Wendy Gonzalez
National Institute of public health, Cuernavaca Morelos, Mexico.
Florence Theodore
National Institute of public health, Cuernavaca Morelos, Mexico.
Ana Lilia Lozada
National Institute of public health, Cuernavaca Morelos, Mexico.
*Author to whom correspondence should be addressed.
Abstract
Objectives: Describes the scaling-up process of the EsIAN to prevent stunting, micronutrient deficiency and obesity during the 1,000 days of life.
Methods: A case study that used participant observation and document review as primary methods for data collection.
Results: Lessons learned and recommendations from the pilot study were incorporated. The training was enhanced with a computer training course to facilitate that it reaches all levels of the cascade. The behavior change communication strategy was pilot tested and further reformulated to better provide answer to the needs of health providers, community volunteers and target populations. A supportive supervision system was designed and will be implemented to follow up. The political will of the new government and its need to show short-term results played a key role in the scaling-up process. Time, coordination and budget constraint represent major challenges for the scaling up and its impact.
Conclusions: Strategy will reach about 80,000 health providers and volunteers and more than six million beneficiaries' families. The scaling-up of this evidence-based intervention in to the window of opportunity for healthy growth and development is a promising way to impact the health and survival of the nation´s children.