Scaling up impact on nutrition: what will it take?

Scaling up impact on nutrition: what will it take?

Despite consensus on actions to improve nutrition globally, less is known about how to operationalize the right mix of actions — nutrition-specific and nutrition-sensitive — equitably, at scale, in different contexts. This review draws on a large scaling-up literature search and 4 case studies of large-scale nutrition programs with proven impact to synthesize critical elements for impact at scale.

Nine elements emerged as central:

1) having a clear vision or goal for impact;

2) intervention characteristics;

3) an enabling organizational context for scaling up;

4) establishing drivers such as catalysts, champions, systemwide ownership, and incentives;

5) choosing contextually relevant strategies and pathways for scaling up,

6) building operational and strategic capacities;

7) ensuring adequacy, stability, and flexibility of financing;

8) ensuring adequate governance structures and systems; and

9) embedding mechanisms for monitoring, learning, and accountability. Translating current political commitment to large-scale impact on nutrition will require robust attention to these elements.