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Article

What Influences the Implementation and Sustainability of Nutrition-Sensitive Agriculture Interventions? A Case Study from Southern Bangladesh

1
Athena Institute, Faculty of Science, Vrije Universiteit of Amsterdam, 1081 HV Amsterdam, The Netherlands
2
Barcelona Institute for Global Health (ISGlobal), University of Barcelona; 08007 Barcelona, Spain
3
Barcelona Saint John of God University Hospital, University of Barcelona; 08950 Barcelona, Spain
4
Center for Non-Communicable Diseases and Nutrition, BRAC James P Grant School of Public Health, BRAC University, Dhaka 1213, Bangladesh
5
Food and Agriculture Organization of the United Nations (FAO), Representation in Bangladesh, Dhaka 1205, Bangladesh
*
Author to whom correspondence should be addressed.
Academic Editors: Libby Swanepoel and Jessica E. Raneri
Sustainability 2021, 13(21), 12049; https://doi.org/10.3390/su132112049
Received: 22 September 2021 / Revised: 23 October 2021 / Accepted: 25 October 2021 / Published: 31 October 2021
(This article belongs to the Special Issue Diet, Human Health and Wellbeing in Traditional Food Systems)
Nutrition-sensitive agriculture (NSA) provides a promising pathway for addressing malnutrition. Fulfilling this promise needs a better understanding of the implementation and sustainability of NSA interventions because of their highly complex nature. This study aimed to explore the factors affecting the implementation and sustainability of NSA interventions. A case study design was employed using two focus group discussions with beneficiaries (n = 15), semi-structured interviews with beneficiaries (n = 13), and actors involved in implementation (n = 18). Factors were thematically analyzed using both deductive and inductive approaches adapting the consolidated framework for implementation research. A complex interaction of the factors across the five domains was found: outer setting—nutrition sensitivity of policies, institutional framework; inner setting—culture, social and economic environment, biophysical environment, local capacity, other programs or projects; characteristics of actors—beneficiaries, family members, household capacity, implementers; intervention characteristics—adaptability, design quality, cost of interventions; and, implementation process—fit-to-context, integration and multisectoral collaboration, continuous motivation through engagement, monitoring. Implementing and sustaining NSA needs consideration of multiple factors, with careful analysis of the absorptive capacities of local institutions and beneficiary households. Future studies should explore which mechanisms created for adoption can be continued beyond the project funding cycle, and how. View Full-Text
Keywords: multisector nutrition; factors; scaling-up; case study; qualitative study; food system; facilitator; barrier multisector nutrition; factors; scaling-up; case study; qualitative study; food system; facilitator; barrier
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MDPI and ACS Style

Sharma, I.K.; Essink, D.; Fumado, V.; Mridha, M.K.; Bhattacharjee, L.; Broerse, J.E.W. What Influences the Implementation and Sustainability of Nutrition-Sensitive Agriculture Interventions? A Case Study from Southern Bangladesh. Sustainability 2021, 13, 12049. https://doi.org/10.3390/su132112049

AMA Style

Sharma IK, Essink D, Fumado V, Mridha MK, Bhattacharjee L, Broerse JEW. What Influences the Implementation and Sustainability of Nutrition-Sensitive Agriculture Interventions? A Case Study from Southern Bangladesh. Sustainability. 2021; 13(21):12049. https://doi.org/10.3390/su132112049

Chicago/Turabian Style

Sharma, Indu K., Dirk Essink, Victoria Fumado, Malay K. Mridha, Lalita Bhattacharjee, and Jacqueline E.W. Broerse. 2021. "What Influences the Implementation and Sustainability of Nutrition-Sensitive Agriculture Interventions? A Case Study from Southern Bangladesh" Sustainability 13, no. 21: 12049. https://doi.org/10.3390/su132112049

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