{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T07:56:41Z","timestamp":1764403001379,"version":"3.41.2"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T00:00:00Z","timestamp":1591574400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010409","name":"Children's Investment Fund Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010409","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Despite a shared commitment to achieving global nutrition targets, development and emergency\u2010humanitarian actors tend to prioritize different nutrition outcomes and actions. New approaches are needed to bridge the divide between these communities and to strengthen the overall evidence base for prevention of wasting. To better understand how these different groups perceive and prioritize actions for wasting prevention, key informant interviews (<jats:italic>n<\/jats:italic> = 21) were conducted, and an online survey was fielded among nutrition professionals working in low\u2010income countries (<jats:italic>n<\/jats:italic> = 107). Additionally, nutrition policy and strategy documents for select global and country institutions (<jats:italic>n<\/jats:italic> = 12) were analysed to identify interventions and approaches for addressing different forms of undernutrition. The findings of this study suggest that at both global and country levels, development actors tend to prioritize stunting prevention, and emergency\u2010humanitarian actors tend to prioritize treatment of acute malnutrition. It was less common for wasting prevention to be mentioned as an explicit priority. Many interventions were perceived by respondents to influence both stunting and wasting despite limited published evidence of effectiveness on wasting for water, sanitation and hygiene, growth monitoring and promotion, breastfeeding promotion and micronutrient supplementation. To help unify the nutrition community around prevention of wasting, the discourse about priority interventions should shift from \u2018stunting versus wasting\u2019 and \u2018prevention versus treatment\u2019 to a life\u2010course framing around child survival, growth and development. Respondents identified a need for more programme and research funding that prioritizes both wasting and stunting as outcomes. They also suggest leveraging existing national coordination bodies that bring development and emergency\u2010humanitarian partners together.<\/jats:p>","DOI":"10.1111\/mcn.13035","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T14:09:35Z","timestamp":1591625375000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["How do nutrition professionals working in low\u2010income countries perceive and prioritize actions to prevent wasting? A mixed\u2010methods study"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8140-5429","authenticated-orcid":false,"given":"Scott B.","family":"Ickes","sequence":"first","affiliation":[{"name":"Department of Applied Health Science Wheaton College  Wheaton Illinois USA"},{"name":"Departments of Global Health and Health Services University of Washington School of Public Health  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Craig","sequence":"additional","affiliation":[{"name":"Independent Consultant  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca A.","family":"Heidkamp","sequence":"additional","affiliation":[{"name":"Department of International Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1596\/978-1-4648-0423-6_ch7"},{"key":"e_1_2_10_3_1","unstructured":"Angood C. (2014).The wasting and stunting (WaSt) project \u2013 Investigating the relationship between wasting and stunting and exploring the implications for policy programmes and research. Retrieved March 23 2020 fromwww.ennonline.net\/ourwork\/reviews\/wastingstunting"},{"key":"e_1_2_10_4_1","unstructured":"BBC. (2014 October 24).Ethiopia's famine: Remembering 30 years on \u2013 BBC News. [Video file]. Retrieved fromhttps:\/\/www.youtube.com\/watch?v=6SVByPiF6iQ&feature=youtu.be"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61693-6"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60996-4"},{"key":"e_1_2_10_7_1","unstructured":"Bill & Melinda Gates Foundation Nutrition Strategy Overview. (2019).Retrieved fromhttps:\/\/www.gatesfoundation.org\/What-We-Do\/Global-Development\/Nutrition"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqz050"},{"key":"e_1_2_10_9_1","unstructured":"Catholic Relief Services Nutrition Program Description. (2019).Retrieved fromhttps:\/\/www.crs.org\/our-work-overseas\/program-areas\/nutrition"},{"key":"e_1_2_10_10_1","unstructured":"Children's Investment Fund Foundation Strategy. (2019).Retrieved fromhttps:\/\/ciff.org\/priorities\/childhood-adolescence\/nutrition\/"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2019-000571"},{"volume-title":"Designing and conducting mixed methods research","year":"2011","author":"Creswell J. W.","key":"e_1_2_10_12_1"},{"key":"e_1_2_10_13_1","unstructured":"Emergency Nutrition Network. (2018).The Current State of Evidence and Thinking on Wasting Prevention. Available at:https:\/\/www.ennonline.net\/fex\/59\/wastingprevention"},{"key":"e_1_2_10_14_1","unstructured":"Emergency Nutrition Network. (2019).The current state of evidence and thinking on wasting prevention. Field Exchange 59 p29. Retrieved from.http:\/\/www.ennonline.net\/fex\/59\/wastingprevention"},{"key":"e_1_2_10_15_1","unstructured":"Emergency Nutrition Network Strategy. (2016\u20102020).Retrieved fromhttps:\/\/www.ennonline.net\/attachments\/2461\/Strategy-2016-2020_WEB-final.pdf"},{"key":"e_1_2_10_16_1","unstructured":"Global Nutrition Report. (2018).Retrieved fromhttps:\/\/globalnutritionreport.org\/reports\/global-nutrition-report-2018. Submitted to the Children's Investment Fund Foundation."},{"key":"e_1_2_10_17_1","unstructured":"Ickes S. Craig C. &Heidkamp R.(2019).Bringing prevention of wasting into nutrition community priorities: Nutrition stakeholder perspectives and systematic review of nutrition education and food supplementation interventions."},{"key":"e_1_2_10_18_1","unstructured":"International Rescue Committee Nutrition Program Description. (2018).https:\/\/www.rescue.org\/resource\/nutrition\u2010international\u2010rescue\u2010committee"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/15648265150361S102"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12516"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/advances\/nmy101"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.3945\/an.111.001115"},{"volume-title":"Qualitative data analysis: A methods sourcebook","year":"2014","author":"Miles M. B.","key":"e_1_2_10_23_1"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-018-0277-1"},{"key":"e_1_2_10_25_1","unstructured":"National Multi\u2010sectoral Nutrition Action Plan (NMNAP) \u2013 Tanzania. (2016\u20132021).Retrieved fromhttp:\/\/tfnc.go.tz\/uploads\/pressreleases\/sw1520878189-NMNAP%202016-21.pdf"},{"key":"e_1_2_10_26_1","unstructured":"National Nutrition Strategy \u2013 India. (2018\u20102022)http:\/\/niti.gov.in\/writereaddata\/files\/document_publication\/Nutrition_Strategy_Booklet.pdf"},{"key":"e_1_2_10_27_1","unstructured":"National Strategic Plan of Action for Nutrition (NSPAN) \u2013 Nigeria. (2014\u20102019).Retrieved fromhttps:\/\/extranet.who.int\/nutrition\/gina\/en\/node\/23587"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.3945\/jn.116.243857"},{"volume-title":"Qualitative research and evaluation methods","year":"2002","author":"Patton M. Q.","key":"e_1_2_10_29_1"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/15648265110322S203"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60843-0"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqy326"},{"issue":"2","key":"e_1_2_10_33_1","first-page":"26","article-title":"Contextualizing complementary feeding in a broader framework for stunting prevention","volume":"9","author":"Stewart C. P.","year":"2013","journal-title":"Maternal and Child Nutrition"},{"key":"e_1_2_10_34_1","unstructured":"The Council of Research and Technical Advice on Acute Malnutrition. (2018).A research agenda for acute malnutrition (CORTASAM). No Wasted Lives; 2018."},{"key":"e_1_2_10_35_1","unstructured":"The Lives Saved Tool. (2020).The lives saved tool. Retrieved March 1 2020 fromhttps:\/\/www.livessavedtool.org"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzy080"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1159\/000354935"},{"key":"e_1_2_10_39_1","unstructured":"United Nations Agenda for the Reduction of Chronic Undernutrition in Mozambique. (2015\u20102019).http:\/\/scalingupnutrition.org\/wp\u2010content\/uploads\/2016\/02\/UN\u2010Agenda\u2010for\u2010the\u2010Reduction\u2010of\u2010Chronic\u2010Undernutrition\u2010Mozambique.pdf"},{"key":"e_1_2_10_40_1","unstructured":"United States Agency for International Development (USAID) Mulitsectoral Nutrition Strategy. (2014\u20102025).https:\/\/www.usaid.gov\/nutrition\u2010strategy"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61692-4"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0000000000000448"},{"key":"e_1_2_10_43_1","unstructured":"Wasting\u2010Stunting Technical Interest Group. (2018).Child wasting and stunting: Time to overcome the separation. Emergency Nutrition Network."},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(19)30244-5"},{"key":"e_1_2_10_45_1","unstructured":"WHO\/UNICEF\/WFP. (2014).Global nutrition targets 2025: Wasting policy brief (WHO\/NMH\/NHD\/14.8). Geneva: World Health Organization."},{"key":"e_1_2_10_46_1","unstructured":"World Food Programme Nutrition Strategy \u2013 Bangladesh. (2017\u20102020).Retrieved fromhttps:\/\/docs.wfp.org\/api\/documents\/WFP-0000019637\/download\/?_ga=2.208061584.320611093.1550786541-44927734.1550786541"},{"key":"e_1_2_10_47_1","unstructured":"World Food Programme Strategic Plan. (2017\u20102021).Retrieved fromhttps:\/\/docs.wfp.org\/api\/documents\/WFP-0000019573\/download\/?_ga=2.131273039.1373492103.1528794361-1767849330.1498626707"},{"key":"e_1_2_10_48_1","unstructured":"World Health Organization. (2017).Global nutrition monitoring framework: Operational guidance for tracking progress in meeting targets for 2025."}],"container-title":["Maternal &amp; Child Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fmcn.13035","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.13035","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/mcn.13035","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.13035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T10:33:36Z","timestamp":1698748416000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/mcn.13035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,8]]},"references-count":47,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1111\/mcn.13035"],"URL":"https:\/\/doi.org\/10.1111\/mcn.13035","archive":["Portico"],"relation":{},"ISSN":["1740-8695","1740-8709"],"issn-type":[{"type":"print","value":"1740-8695"},{"type":"electronic","value":"1740-8709"}],"subject":[],"published":{"date-parts":[[2020,6,8]]},"assertion":[{"value":"2019-11-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13035"}}