{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:32:19Z","timestamp":1792463539903,"version":"4.5.0"},"reference-count":40,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2015,6,15]],"date-time":"2015-06-15T00:00:00Z","timestamp":1434326400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Proc. Nutr. Soc."],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:p>The fundamental role played by good nutrition in enabling personal, social and economic development is now widely recognised as presenting a fundamental global challenge that has to be addressed if major national and international problems are to be resolved in the coming decades. The recent focus provided by the Millennium Development Goals and the Scaling-Up-Nutrition (SUN) movement has been towards reducing the extent of nutrition-related malnutrition in high-burden countries. This has served to emphasise that there is a problem of inadequate professional capacity in nutrition that is sufficiently widespread to severely limit all attempts at the effective delivery and sustainability of nutrition-related and nutrition-enabling interventions that have impact at scale. Many high-burden countries are in sub-Saharan Africa where there is a high dependency on external technical support to address nutrition-related problems. We have sought to explore the nature and magnitude of the capacity needs with a particular focus on achieving levels of competency within standardised professional pre-service training which is fit-for-purpose to meet the objectives within the SUN movement in Africa. We review our experience of engaging with stakeholders through workshops, a gap analysis of the extent of the problem to be addressed, and a review of current efforts in Africa to move the agenda forward. We conclude that there are high aspirations but severely limited human resource and capacity for training that is fit-for-purpose at all skill levels in nutrition-related subjects in Africa. There are no structured or collaborative plans within professional groups to address the wide gap between what is currently available, the ongoing needs and the future expectations for meeting local technical and professional capability. Programmatic initiatives encouraged by agencies and other external players, will need to be matched by improved local capabilities to address the serious efforts required to meet the needs for sustained improvements related to SUN in high-burden countries. Importantly, there are pockets of effort which need to be encouraged within a context in which experience can be shared and mutual support provided.<\/jats:p>","DOI":"10.1017\/s0029665115002062","type":"journal-article","created":{"date-parts":[[2015,6,15]],"date-time":"2015-06-15T07:44:45Z","timestamp":1434354285000},"page":"496-504","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":8,"title":["Building systemic capacity for nutrition: training towards a professionalised workforce for Africa"],"prefix":"10.1017","volume":"74","author":[{"given":"Basma","family":"Ellahi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reginald","family":"Annan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swrajit","family":"Sarkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Amuna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan A.","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,6,15]]},"reference":[{"key":"S0029665115002062_ref33","unstructured":"Capacity Building Nutrition Training in Africa: Workshop Chaired by Dr Basma Ellahi University of Chester at the Sixth African Nutritional Epidemiology Conference, Food and Nutrition Sustainability in Africa; New challenges and opportunities for sustainability, Ghana Institute of Management and Public Health, Accra, Ghana July 21\u201325 2014. Available at http:\/\/www.nutritionghana.org\/anec6\/"},{"key":"S0029665115002062_ref13","unstructured":"Copenhagen consensus (2012) Solving the world's challenges. Available at http:\/\/www.copenhagenconsensus.com\/copenhagen-consensus-iii"},{"key":"S0029665115002062_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61692-4"},{"key":"S0029665115002062_ref17","first-page":"1129","article-title":"Building Nutrition capacity for scaling up nutrition in Africa","volume":"63","author":"Ellahi","year":"2013","journal-title":"Ann Nutr Metab"},{"key":"S0029665115002062_ref31","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v7.24827"},{"key":"S0029665115002062_ref32","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v7.24763"},{"key":"S0029665115002062_ref27","unstructured":"Matta N (2000) Building client capacity through results. Seminar presented at the World Bank Washington DC. In Strengthening capacity to Improve Nutrition FCND Discussion Paper no. 106, pp. 7\u20138. [S Gillespie, editor]. Washington DC: IFPRI."},{"key":"S0029665115002062_ref30","unstructured":"OECD\/DAC (2014) Definiton of capacity development. Available at http:\/\/stats.oecd.org\/glossary\/detail.asp?ID=7230"},{"key":"S0029665115002062_ref39","volume-title":"Capacity Building supported by the United Nations Chapter 3","author":"Pielemeier","year":"1999"},{"key":"S0029665115002062_ref14","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2010.209015"},{"key":"S0029665115002062_ref20","unstructured":"Association for Nutrition (2010) Registration in nutrition, Self Assessment of Professional Competency. Available at http:\/\/www.associationfornutrition.org\/ (accessed 5 May 2011)."},{"key":"S0029665115002062_ref11","unstructured":"Commission on Social Determinants of Health (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. 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