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

Food Security · 6 authors, 5 centres

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The study used a qualitative 'stories of change' approach, triangulating policy analysis, stakeholder mapping, and 20 semi-structured interviews to analyze the macro-level factors behind Burkina Faso's success in reducing child stunting. It found that since 2002, anchoring nutrition in the Ministry of Health, advocating for coordination bodies, and increasing intersectoral collaboration, especially with agriculture, created a more coherent and prioritized nutrition landscape.

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nutrition

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ORIGINAL PAPER

PMC10066126

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

Food Security

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ABSTRACT

Looking 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.

CITATION EXPORT

Zuzanna Turowska, Emilie Buttarelli, Issa Sombié et al.. Stories of change in nutrition in Burkina Faso 1992–2018: a macro-level perspective. Food Security. (2022). https://doi.org/10.1007/s12571-022-01331-7

AUTHORS

6 · 5 CENTRES

Zuzanna Turowska, Emilie Buttarelli, Issa Sombié, Nicholas Nisbett, Mara Van den Bold, Elodie Becquey

1grid.419346.d0000 0004 0480 4882Consulting for the International Food Policy Research Institute, Washington, DC USA
2grid.463389.30000 0000 9980 0286Institut Supérieur des Sciences de la Population, Ouagadougou, Burkina Faso
3grid.93554.3e0000 0004 1937 0175Institute of Development Studies, Brighton, UK
4grid.419346.d0000 0004 0480 4882International Food Policy Research Institute, Washington, DC USA
5IFPRI, Almadies, Parcelles 22 Zone 10 Lot 227, BP24063 Dakar, Senegal