Carrots and Sticks : The Political Economy of Nutrition Policy Reforms

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dc.contributorNatalicchio, Marcela
dc.contributorGarrett, James
dc.contributorMulder-Sibanda, Menno
dc.contributorNdegwa, Steve
dc.contributorVoorbraak, Doris
dc.creatorNatalicchio, Marcela
dc.creatorGarrett, James
dc.creatorMulder-Sibanda, Menno
dc.creatorNdegwa, Steve
dc.creatorVoorbraak, Doris
dc.date2013-06-04T20:24:47Z
dc.date2013-06-04T20:24:47Z
dc.date2009-02
dc.date.accessioned2026-07-01T00:33:07Z
dc.descriptionThe World Bank and other development partners have been involved in the implementation of nutrition programs for over 30 years. While a number of these programs have become successful and sustainable large-scale operations, many others have been hindered by political and administrative obstacles. The disparate results of these nutrition programs suggest that generating technically sound knowledge about nutrition and providing it to policymakers is not enough to ensure good results. It is also crucial to understand the political context, and the constraints and motivations of politicians, public officials, and other relevant players to initiate, implement, and sustain sound policies. In May 2007 the World Bank held an international workshop on these issues to help increase the impact of nutrition programs and policies at the country level. This paper summarizes the results of that workshop. Drawing from the political economy literature, it presents two frameworks for understanding how to undertake action to put nutrition on the agenda and move it forward, as well as insights on how and why political factors derail reforms and how to keep that from happening. These frameworks are accompanied by a discussion of the politics of nutrition policies, including typical obstacles to policy development and implementation, and possible solutions. To complement the political economy approach, the paper also draws on the insights that management and organizational fields offer regarding change promotion. Experiences from Senegal, Madagascar, Ghana, Tanzania, Benin, and India are discussed, sketching out the history of nutrition policies and the factors that promoted change, main obstacles and challenges. The paper closes with an attempt to encapsulate all elements presented in a single analytical framework, and provides plans of action for specific countries as prepared by some of the participants.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2009/02/10496012/carrots-sticks-political-economy-nutrition-policy-reforms
dc.identifierhttps://hdl.handle.net/10986/13746
dc.identifierhttps://doi.org/10.1596/13746
dc.identifier.urihttp://hdl.handle.net/123456789/405923
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, Nutrition and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectACCOUNTABILITY
dc.subjectACCOUNTABILITY MEASURES
dc.subjectADVOCACY EFFORTS
dc.subjectAGRICULTURE
dc.subjectASSETS
dc.subjectBANKS
dc.subjectBREAST-FEEDING
dc.subjectCAPACITY BUILDING
dc.subjectCHILD DEVELOPMENT
dc.subjectCHILD SURVIVAL
dc.subjectCITIZEN
dc.subjectCITIZENS
dc.subjectCIVIL SERVANTS
dc.subjectCIVIL SOCIETY
dc.subjectCIVIL SOCIETY ACTORS
dc.subjectCIVIL SOCIETY ORGANIZATIONS
dc.subjectCOMMUNITY BUILDING
dc.subjectCONFIDENCE
dc.subjectCORRUPT
dc.subjectDECENTRALIZATION
dc.subjectDEVELOPING COUNTRIES
dc.subjectDEVELOPMENT STRATEGIES
dc.subjectDISCRETION
dc.subjectECONOMIC GROWTH
dc.subjectEFFECTIVE POLICIES
dc.subjectELDERLY
dc.subjectEMERGENCY SITUATIONS
dc.subjectENFORCEMENT MECHANISMS
dc.subjectEQUIPMENT
dc.subjectEXISTING CAPACITY
dc.subjectFISHERIES
dc.subjectFOOD SECURITY
dc.subjectGOOD GOVERNANCE
dc.subjectHEALTH POLICY
dc.subjectHEALTH REFORM
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SECTOR REFORM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH WORKERS
dc.subjectHUMAN CAPITAL
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN NUTRITION
dc.subjectHUMAN RIGHTS
dc.subjectIMPACT OF POLICIES
dc.subjectINFORMATION SYSTEM
dc.subjectINITIATIVE
dc.subjectINSTITUTIONAL CAPACITY
dc.subjectINSTITUTIONALIZATION
dc.subjectINTEGRATION
dc.subjectINTERNATIONAL ASSISTANCE
dc.subjectINTERNATIONAL CENTER FOR RESEARCH ON WOMEN
dc.subjectINTERNATIONAL COMMUNITY
dc.subjectINTERNATIONAL CONFERENCE ON NUTRITION
dc.subjectINTERNATIONAL FOOD POLICY RESEARCH INSTITUTE
dc.subjectIRON
dc.subjectISOLATION
dc.subjectLAWS
dc.subjectLEADERSHIP
dc.subjectLIVESTOCK
dc.subjectLOBBYING
dc.subjectLOCAL COMMUNITIES
dc.subjectLOCAL GOVERNMENTS
dc.subjectMEDIA
dc.subjectMILLENNIUM DEVELOPMENT GOALS
dc.subjectMINISTER
dc.subjectMINISTRY OF EDUCATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMODERNIZATION
dc.subjectNATIONAL COMMITTEE
dc.subjectNATIONAL DEVELOPMENT
dc.subjectNATIONAL POLICY
dc.subjectNATIONAL POLICY MAKERS
dc.subjectNATIONALS
dc.subjectNATURAL RESOURCES
dc.subjectNGOS
dc.subjectNUTRITION
dc.subjectNUTRITION POLICIES
dc.subjectNUTRITION PROGRAMS
dc.subjectNUTRITIONISTS
dc.subjectPARADIGM SHIFT
dc.subjectPATRONAGE
dc.subjectPERSONAL COMMITMENT
dc.subjectPERSONAL COMMUNICATION
dc.subjectPERSONALITY
dc.subjectPLANS OF ACTION
dc.subjectPOLICY ANALYST
dc.subjectPOLICY CHANGE
dc.subjectPOLICY DEVELOPMENT
dc.subjectPOLICY DIALOGUE
dc.subjectPOLICY DOCUMENT
dc.subjectPOLICY FORMULATION
dc.subjectPOLICY GOALS
dc.subjectPOLICY PROCESS
dc.subjectPOLICY PROCESSES
dc.subjectPOLICY RESEARCH
dc.subjectPOLITICAL ACTION
dc.subjectPOLITICAL CHANGE
dc.subjectPOLITICAL LEADERS
dc.subjectPOLITICAL POWER
dc.subjectPOLITICAL PROCESS
dc.subjectPOLITICAL SUPPORT
dc.subjectPOLITICAL SYSTEMS
dc.subjectPOLITICAL TURMOIL
dc.subjectPOLITICIANS
dc.subjectPOOR HOUSEHOLDS
dc.subjectPOOR PEOPLE
dc.subjectPOTENTIAL CONTRIBUTION
dc.subjectPOVERTY REDUCTION
dc.subjectPOVERTY REDUCTION STRATEGY
dc.subjectPOWER RELATIONS
dc.subjectPRACTITIONERS
dc.subjectPRIVATE SECTOR
dc.subjectPROGRESS
dc.subjectPUBLIC ATTENTION
dc.subjectPUBLIC FUNDS
dc.subjectPUBLIC OFFICIALS
dc.subjectPUBLIC SERVICE
dc.subjectQUALITY OF SERVICES
dc.subjectREMEDIES
dc.subjectREMEDY
dc.subjectRESEARCH ORGANIZATIONS
dc.subjectRESPECT
dc.subjectRURAL COMMUNITIES
dc.subjectSANCTION
dc.subjectSANCTIONS
dc.subjectSCIENTIFIC EVIDENCE
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVIDERS
dc.subjectSOCIAL MARKETING
dc.subjectSOCIAL SECTOR
dc.subjectSPONSORS
dc.subjectSUSTAINABLE FINANCING
dc.subjectTECHNICAL CAPACITY
dc.subjectWARS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleCarrots and Sticks : The Political Economy of Nutrition Policy Reforms

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