Policies and programmes to improve preconception nutrition in South Asia

IF 5 Q1 HEALTH CARE SCIENCES & SERVICES
Avishek Hazra , Tashi Choedon , Monica Shrivastav , Raj Kumar Verma , Cheshta Gulati , Dhammica Rowel , Abner Daniel , Preetu Mishra , Naveen Paudyal , Naureen Arshad , Muhammad Salman , Wisal Khan , Khadija Khalif Osman Warfa , Muhammad Amin , Ahmadwali Aminee , Ireen Akhter Chowdhury , Kinley Dorji , Indrani Chakma , Aishath Shahula Ahmed , Hari Prasad Pokhrel , Vani Sethi
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引用次数: 0

Abstract

The health and health behaviours of women before conception significantly influence maternal and child health outcomes. Despite growing evidence supporting preconception nutrition care, data on the implementation of related policies and programmes remains limited. This paper reviews public policies and programmes delivering preconception nutrition interventions in eight South Asian countries, targeting married pre-pregnant women aged 15–49 years and identifies the systems bottlenecks in programme implementation. Most countries, except Sri Lanka, lack universal programmes for health and nutrition screening, provision of essential micronutrients, counselling on healthy eating and treatment for at-risk women. Even in countries, where supportive policies exist, implementation of comprehensive nutrition services for pre-pregnant women faces significant bottlenecks across six health system building blocks. Addressing these barriers is critical to improving intervention effectiveness, programme implementation, and informed decision-making. Further testing of a proposed comprehensive algorithm for preconception nutrition in diverse country contexts across South Asia is necessary.
改善南亚孕前营养的政策和规划
妇女孕前的健康和保健行为对孕产妇和儿童健康结果有重大影响。尽管越来越多的证据支持孕前营养保健,但有关政策和规划实施情况的数据仍然有限。本文回顾了八个南亚国家提供孕前营养干预措施的公共政策和规划,目标是15-49岁的已婚孕前妇女,并确定了规划实施中的系统瓶颈。除斯里兰卡外,大多数国家缺乏健康和营养检查、提供基本微量营养素、健康饮食咨询和高危妇女治疗的普遍方案。即使在存在支持性政策的国家,为孕前妇女提供全面营养服务的工作也面临着六个卫生系统组成部分的重大瓶颈。消除这些障碍对于提高干预措施的有效性、规划的实施和知情决策至关重要。有必要在南亚不同国家背景下进一步测试拟议的孕前营养综合算法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.20
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