Carrots and Sticks : The Political Economy of Nutrition Policy Reforms

The World Bank and other development partners have been involved in the implementation of nutrition programs for over 30 years. While a number of these programs have become successful and sustainable large-scale operations, many others have been hi...

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Main Authors: Natalicchio, Marcela, Garrett, James, Mulder-Sibanda, Menno, Ndegwa, Steve, Voorbraak, Doris
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2013
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2009/02/10496012/carrots-sticks-political-economy-nutrition-policy-reforms
http://hdl.handle.net/10986/13746
id okr-10986-13746
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ACCOUNTABILITY
ACCOUNTABILITY MEASURES
ADVOCACY EFFORTS
AGRICULTURE
ASSETS
BANKS
BREAST-FEEDING
CAPACITY BUILDING
CHILD DEVELOPMENT
CHILD SURVIVAL
CITIZEN
CITIZENS
CIVIL SERVANTS
CIVIL SOCIETY
CIVIL SOCIETY ACTORS
CIVIL SOCIETY ORGANIZATIONS
COMMUNITY BUILDING
CONFIDENCE
CORRUPT
DECENTRALIZATION
DEVELOPING COUNTRIES
DEVELOPMENT STRATEGIES
DISCRETION
ECONOMIC GROWTH
EFFECTIVE POLICIES
ELDERLY
EMERGENCY SITUATIONS
ENFORCEMENT MECHANISMS
EQUIPMENT
EXISTING CAPACITY
FISHERIES
FOOD SECURITY
GOOD GOVERNANCE
HEALTH POLICY
HEALTH REFORM
HEALTH SECTOR
HEALTH SECTOR REFORM
HEALTH SYSTEMS
HEALTH WORKERS
HUMAN CAPITAL
HUMAN DEVELOPMENT
HUMAN NUTRITION
HUMAN RIGHTS
IMPACT OF POLICIES
INFORMATION SYSTEM
INITIATIVE
INSTITUTIONAL CAPACITY
INSTITUTIONALIZATION
INTEGRATION
INTERNATIONAL ASSISTANCE
INTERNATIONAL CENTER FOR RESEARCH ON WOMEN
INTERNATIONAL COMMUNITY
INTERNATIONAL CONFERENCE ON NUTRITION
INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE
IRON
ISOLATION
LAWS
LEADERSHIP
LIVESTOCK
LOBBYING
LOCAL COMMUNITIES
LOCAL GOVERNMENTS
MEDIA
MILLENNIUM DEVELOPMENT GOALS
MINISTER
MINISTRY OF EDUCATION
MINISTRY OF HEALTH
MODERNIZATION
NATIONAL COMMITTEE
NATIONAL DEVELOPMENT
NATIONAL POLICY
NATIONAL POLICY MAKERS
NATIONALS
NATURAL RESOURCES
NGOS
NUTRITION
NUTRITION POLICIES
NUTRITION PROGRAMS
NUTRITIONISTS
PARADIGM SHIFT
PATRONAGE
PERSONAL COMMITMENT
PERSONAL COMMUNICATION
PERSONALITY
PLANS OF ACTION
POLICY ANALYST
POLICY CHANGE
POLICY DEVELOPMENT
POLICY DIALOGUE
POLICY DOCUMENT
POLICY FORMULATION
POLICY GOALS
POLICY PROCESS
POLICY PROCESSES
POLICY RESEARCH
POLITICAL ACTION
POLITICAL CHANGE
POLITICAL LEADERS
POLITICAL POWER
POLITICAL PROCESS
POLITICAL SUPPORT
POLITICAL SYSTEMS
POLITICAL TURMOIL
POLITICIANS
POOR HOUSEHOLDS
POOR PEOPLE
POTENTIAL CONTRIBUTION
POVERTY REDUCTION
POVERTY REDUCTION STRATEGY
POWER RELATIONS
PRACTITIONERS
PRIVATE SECTOR
PROGRESS
PUBLIC ATTENTION
PUBLIC FUNDS
PUBLIC OFFICIALS
PUBLIC SERVICE
QUALITY OF SERVICES
REMEDIES
REMEDY
RESEARCH ORGANIZATIONS
RESPECT
RURAL COMMUNITIES
SANCTION
SANCTIONS
SCIENTIFIC EVIDENCE
SERVICE DELIVERY
SERVICE PROVIDERS
SOCIAL MARKETING
SOCIAL SECTOR
SPONSORS
SUSTAINABLE FINANCING
TECHNICAL CAPACITY
WARS
WORLD HEALTH ORGANIZATION
spellingShingle ACCOUNTABILITY
ACCOUNTABILITY MEASURES
ADVOCACY EFFORTS
AGRICULTURE
ASSETS
BANKS
BREAST-FEEDING
CAPACITY BUILDING
CHILD DEVELOPMENT
CHILD SURVIVAL
CITIZEN
CITIZENS
CIVIL SERVANTS
CIVIL SOCIETY
CIVIL SOCIETY ACTORS
CIVIL SOCIETY ORGANIZATIONS
COMMUNITY BUILDING
CONFIDENCE
CORRUPT
DECENTRALIZATION
DEVELOPING COUNTRIES
DEVELOPMENT STRATEGIES
DISCRETION
ECONOMIC GROWTH
EFFECTIVE POLICIES
ELDERLY
EMERGENCY SITUATIONS
ENFORCEMENT MECHANISMS
EQUIPMENT
EXISTING CAPACITY
FISHERIES
FOOD SECURITY
GOOD GOVERNANCE
HEALTH POLICY
HEALTH REFORM
HEALTH SECTOR
HEALTH SECTOR REFORM
HEALTH SYSTEMS
HEALTH WORKERS
HUMAN CAPITAL
HUMAN DEVELOPMENT
HUMAN NUTRITION
HUMAN RIGHTS
IMPACT OF POLICIES
INFORMATION SYSTEM
INITIATIVE
INSTITUTIONAL CAPACITY
INSTITUTIONALIZATION
INTEGRATION
INTERNATIONAL ASSISTANCE
INTERNATIONAL CENTER FOR RESEARCH ON WOMEN
INTERNATIONAL COMMUNITY
INTERNATIONAL CONFERENCE ON NUTRITION
INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE
IRON
ISOLATION
LAWS
LEADERSHIP
LIVESTOCK
LOBBYING
LOCAL COMMUNITIES
LOCAL GOVERNMENTS
MEDIA
MILLENNIUM DEVELOPMENT GOALS
MINISTER
MINISTRY OF EDUCATION
MINISTRY OF HEALTH
MODERNIZATION
NATIONAL COMMITTEE
NATIONAL DEVELOPMENT
NATIONAL POLICY
NATIONAL POLICY MAKERS
NATIONALS
NATURAL RESOURCES
NGOS
NUTRITION
NUTRITION POLICIES
NUTRITION PROGRAMS
NUTRITIONISTS
PARADIGM SHIFT
PATRONAGE
PERSONAL COMMITMENT
PERSONAL COMMUNICATION
PERSONALITY
PLANS OF ACTION
POLICY ANALYST
POLICY CHANGE
POLICY DEVELOPMENT
POLICY DIALOGUE
POLICY DOCUMENT
POLICY FORMULATION
POLICY GOALS
POLICY PROCESS
POLICY PROCESSES
POLICY RESEARCH
POLITICAL ACTION
POLITICAL CHANGE
POLITICAL LEADERS
POLITICAL POWER
POLITICAL PROCESS
POLITICAL SUPPORT
POLITICAL SYSTEMS
POLITICAL TURMOIL
POLITICIANS
POOR HOUSEHOLDS
POOR PEOPLE
POTENTIAL CONTRIBUTION
POVERTY REDUCTION
POVERTY REDUCTION STRATEGY
POWER RELATIONS
PRACTITIONERS
PRIVATE SECTOR
PROGRESS
PUBLIC ATTENTION
PUBLIC FUNDS
PUBLIC OFFICIALS
PUBLIC SERVICE
QUALITY OF SERVICES
REMEDIES
REMEDY
RESEARCH ORGANIZATIONS
RESPECT
RURAL COMMUNITIES
SANCTION
SANCTIONS
SCIENTIFIC EVIDENCE
SERVICE DELIVERY
SERVICE PROVIDERS
SOCIAL MARKETING
SOCIAL SECTOR
SPONSORS
SUSTAINABLE FINANCING
TECHNICAL CAPACITY
WARS
WORLD HEALTH ORGANIZATION
Natalicchio, Marcela
Garrett, James
Mulder-Sibanda, Menno
Ndegwa, Steve
Voorbraak, Doris
Carrots and Sticks : The Political Economy of Nutrition Policy Reforms
relation Health, Nutrition and Population (HNP) discussion paper;
description The World Bank and other development partners have been involved in the implementation of nutrition programs for over 30 years. While a number of these programs have become successful and sustainable large-scale operations, many others have been hindered by political and administrative obstacles. The disparate results of these nutrition programs suggest that generating technically sound knowledge about nutrition and providing it to policymakers is not enough to ensure good results. It is also crucial to understand the political context, and the constraints and motivations of politicians, public officials, and other relevant players to initiate, implement, and sustain sound policies. In May 2007 the World Bank held an international workshop on these issues to help increase the impact of nutrition programs and policies at the country level. This paper summarizes the results of that workshop. Drawing from the political economy literature, it presents two frameworks for understanding how to undertake action to put nutrition on the agenda and move it forward, as well as insights on how and why political factors derail reforms and how to keep that from happening. These frameworks are accompanied by a discussion of the politics of nutrition policies, including typical obstacles to policy development and implementation, and possible solutions. To complement the political economy approach, the paper also draws on the insights that management and organizational fields offer regarding change promotion. Experiences from Senegal, Madagascar, Ghana, Tanzania, Benin, and India are discussed, sketching out the history of nutrition policies and the factors that promoted change, main obstacles and challenges. The paper closes with an attempt to encapsulate all elements presented in a single analytical framework, and provides plans of action for specific countries as prepared by some of the participants.
author2 Natalicchio, Marcela
author_facet Natalicchio, Marcela
Natalicchio, Marcela
Garrett, James
Mulder-Sibanda, Menno
Ndegwa, Steve
Voorbraak, Doris
format Publications & Research :: Working Paper
author Natalicchio, Marcela
Garrett, James
Mulder-Sibanda, Menno
Ndegwa, Steve
Voorbraak, Doris
author_sort Natalicchio, Marcela
title Carrots and Sticks : The Political Economy of Nutrition Policy Reforms
title_short Carrots and Sticks : The Political Economy of Nutrition Policy Reforms
title_full Carrots and Sticks : The Political Economy of Nutrition Policy Reforms
title_fullStr Carrots and Sticks : The Political Economy of Nutrition Policy Reforms
title_full_unstemmed Carrots and Sticks : The Political Economy of Nutrition Policy Reforms
title_sort carrots and sticks : the political economy of nutrition policy reforms
publisher World Bank, Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2009/02/10496012/carrots-sticks-political-economy-nutrition-policy-reforms
http://hdl.handle.net/10986/13746
_version_ 1764424080571760640
spelling okr-10986-137462021-04-23T14:03:09Z Carrots and Sticks : The Political Economy of Nutrition Policy Reforms Natalicchio, Marcela Garrett, James Mulder-Sibanda, Menno Ndegwa, Steve Voorbraak, Doris Natalicchio, Marcela Garrett, James Mulder-Sibanda, Menno Ndegwa, Steve Voorbraak, Doris ACCOUNTABILITY ACCOUNTABILITY MEASURES ADVOCACY EFFORTS AGRICULTURE ASSETS BANKS BREAST-FEEDING CAPACITY BUILDING CHILD DEVELOPMENT CHILD SURVIVAL CITIZEN CITIZENS CIVIL SERVANTS CIVIL SOCIETY CIVIL SOCIETY ACTORS CIVIL SOCIETY ORGANIZATIONS COMMUNITY BUILDING CONFIDENCE CORRUPT DECENTRALIZATION DEVELOPING COUNTRIES DEVELOPMENT STRATEGIES DISCRETION ECONOMIC GROWTH EFFECTIVE POLICIES ELDERLY EMERGENCY SITUATIONS ENFORCEMENT MECHANISMS EQUIPMENT EXISTING CAPACITY FISHERIES FOOD SECURITY GOOD GOVERNANCE HEALTH POLICY HEALTH REFORM HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SYSTEMS HEALTH WORKERS HUMAN CAPITAL HUMAN DEVELOPMENT HUMAN NUTRITION HUMAN RIGHTS IMPACT OF POLICIES INFORMATION SYSTEM INITIATIVE INSTITUTIONAL CAPACITY INSTITUTIONALIZATION INTEGRATION INTERNATIONAL ASSISTANCE INTERNATIONAL CENTER FOR RESEARCH ON WOMEN INTERNATIONAL COMMUNITY INTERNATIONAL CONFERENCE ON NUTRITION INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE IRON ISOLATION LAWS LEADERSHIP LIVESTOCK LOBBYING LOCAL COMMUNITIES LOCAL GOVERNMENTS MEDIA MILLENNIUM DEVELOPMENT GOALS MINISTER MINISTRY OF EDUCATION MINISTRY OF HEALTH MODERNIZATION NATIONAL COMMITTEE NATIONAL DEVELOPMENT NATIONAL POLICY NATIONAL POLICY MAKERS NATIONALS NATURAL RESOURCES NGOS NUTRITION NUTRITION POLICIES NUTRITION PROGRAMS NUTRITIONISTS PARADIGM SHIFT PATRONAGE PERSONAL COMMITMENT PERSONAL COMMUNICATION PERSONALITY PLANS OF ACTION POLICY ANALYST POLICY CHANGE POLICY DEVELOPMENT POLICY DIALOGUE POLICY DOCUMENT POLICY FORMULATION POLICY GOALS POLICY PROCESS POLICY PROCESSES POLICY RESEARCH POLITICAL ACTION POLITICAL CHANGE POLITICAL LEADERS POLITICAL POWER POLITICAL PROCESS POLITICAL SUPPORT POLITICAL SYSTEMS POLITICAL TURMOIL POLITICIANS POOR HOUSEHOLDS POOR PEOPLE POTENTIAL CONTRIBUTION POVERTY REDUCTION POVERTY REDUCTION STRATEGY POWER RELATIONS PRACTITIONERS PRIVATE SECTOR PROGRESS PUBLIC ATTENTION PUBLIC FUNDS PUBLIC OFFICIALS PUBLIC SERVICE QUALITY OF SERVICES REMEDIES REMEDY RESEARCH ORGANIZATIONS RESPECT RURAL COMMUNITIES SANCTION SANCTIONS SCIENTIFIC EVIDENCE SERVICE DELIVERY SERVICE PROVIDERS SOCIAL MARKETING SOCIAL SECTOR SPONSORS SUSTAINABLE FINANCING TECHNICAL CAPACITY WARS WORLD HEALTH ORGANIZATION The World Bank and other development partners have been involved in the implementation of nutrition programs for over 30 years. While a number of these programs have become successful and sustainable large-scale operations, many others have been hindered by political and administrative obstacles. The disparate results of these nutrition programs suggest that generating technically sound knowledge about nutrition and providing it to policymakers is not enough to ensure good results. It is also crucial to understand the political context, and the constraints and motivations of politicians, public officials, and other relevant players to initiate, implement, and sustain sound policies. In May 2007 the World Bank held an international workshop on these issues to help increase the impact of nutrition programs and policies at the country level. This paper summarizes the results of that workshop. Drawing from the political economy literature, it presents two frameworks for understanding how to undertake action to put nutrition on the agenda and move it forward, as well as insights on how and why political factors derail reforms and how to keep that from happening. These frameworks are accompanied by a discussion of the politics of nutrition policies, including typical obstacles to policy development and implementation, and possible solutions. To complement the political economy approach, the paper also draws on the insights that management and organizational fields offer regarding change promotion. Experiences from Senegal, Madagascar, Ghana, Tanzania, Benin, and India are discussed, sketching out the history of nutrition policies and the factors that promoted change, main obstacles and challenges. The paper closes with an attempt to encapsulate all elements presented in a single analytical framework, and provides plans of action for specific countries as prepared by some of the participants. 2013-06-04T20:24:47Z 2013-06-04T20:24:47Z 2009-02 http://documents.worldbank.org/curated/en/2009/02/10496012/carrots-sticks-political-economy-nutrition-policy-reforms http://hdl.handle.net/10986/13746 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research