Stories of change in nutrition in Burkina Faso 1992–2018: a macro-level perspective

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dc.creatorTurowska, Zuzanna
dc.creatorButtarelli, Emilie
dc.creatorSombie, Issa
dc.creatorNisbett, Nicholas
dc.creatorvan den Bold, Mara
dc.creatorBecquey, Elodie
dc.date2023-04
dc.date2024-03-14T12:09:27Z
dc.date2024-03-14T12:09:27Z
dc.date.accessioned2026-06-27T15:37:14Z
dc.descriptionLooking back at the development of successful enabling environments for nutrition may inform policymakers on how to accelerate progress to end all forms of malnutrition by 2030. As under-five stunting declined substantially in Burkina Faso, from a peak at 45% in 1998/99 to 25% in 2018, we analyzed through a stories of change approach the actors, ideas, initiatives, policies and capacities which enabled wide-scale nutrition progress. We triangulated findings from policy analysis, stakeholder mapping, and national-level semi-structured interviews (n = 20). We found that since 2002, nutrition has been anchored in the Ministry of Health, where leadership advocated for the creation of coordination bodies, enabling a coherent defining of nutrition and laying groundwork for better integration of nutrition into and prioritization of nutrition by the health and tangential ministries. Under the leadership of the Ministry of Health and its partners, horizontal and vertical coherence in nutrition action increased, through effective cooperation between nutrition actors; increasing intersectoral collaboration, particularly with the influential agriculture sector; and increasing funding to support nutrition-sensitive programming and build the capacity of nutrition staff. Nevertheless, sustainably organizing funding and human resources at the decentralized level remained challenging, in a context of emerging threats such as climate change and insecurity. Burkina Faso’s health sector’s success in creating an enabling environment for nutrition may have contributed to improvements in child nutrition alongside other sectoral improvements. Enhancing accountability of the Health, Agriculture, WASH, Education and Social Protection sectors and empowering decentralized bodies to take nutrition-relevant decisions may help accelerating progress in nutrition.
dc.identifierhttps://hdl.handle.net/10568/140395
dc.identifier.urihttp://hdl.handle.net/123456789/109646
dc.languageen
dc.publisherSpringer
dc.relationhttps://doi.org/10.1007/s12571-022-01274-z
dc.relationhttps://doi.org/10.1007/s12571-022-01314-8
dc.rightsOpen Access
dc.sourceTurowska, Zuzanna; Buttarelli, Emilie; Sombie, Issa; Nisbett, Nicholas; van den Bold, Mara; and Becquey, Elodie. 2023. Stories of change in nutrition in Burkina Faso 1992–2018: a macro-level perspective. Food Security 15: 535–554. https://doi.org/10.1007/s12571-022-01331-7
dc.subjectpolicy innovation
dc.subjectnutrition-sensitive agriculture
dc.subjectstakeholders
dc.subjectagriculture
dc.subjectmalnutrition
dc.subjectnutrition
dc.titleStories of change in nutrition in Burkina Faso 1992–2018: a macro-level perspective
dc.typeJournal Article

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Instituto Internacional de Investigación sobre Políticas Alimentarias (IFPRI)