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Stakeholder Perspectives on Barriers and Facilitators on the Implementation of the 1000 Days Plus Nutrition Policy Activities in Ghana

Author

Listed:
  • Anne Galaurchi

    (Global Health Unit, Department of Health Sciences, University Medical Center Groningen (UMCG), 9700 RB Groningen, The Netherlands)

  • Samuel T. Chatio

    (Navrongo Health Research Centre, Ghana Health Service, Navrongo 00233, Ghana)

  • Paula Beeri

    (Navrongo Health Research Centre, Ghana Health Service, Navrongo 00233, Ghana)

  • Abraham R. Oduro

    (Navrongo Health Research Centre, Ghana Health Service, Navrongo 00233, Ghana)

  • Winfred Ofosu

    (Upper East Regional Health Directorate, Ghana Health Service, PMB, Bolgatanga 00233, Ghana)

  • Mark Hanson

    (Institute of Developmental Sciences and NIHR Biomedical Research Centre, University of Southampton and University Hospital Southampton, Southampton SO17 1 BJ, UK)

  • Marie-Louise Newell

    (Department of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton SO17 1 BJ, UK)

  • Shane A. Norris

    (SAMRC Developmental Pathways for Health Research Unit (DPHRU), Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa
    Global Health Research Institute, School of Health and Human Development, University of Southampton, Southampton SO17 1 BJ, UK)

  • Kate A. Ward

    (SAMRC Developmental Pathways for Health Research Unit (DPHRU), Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2193, South Africa
    Global Health Research Institute, School of Health and Human Development, University of Southampton, Southampton SO17 1 BJ, UK
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton SO17 1 BJ, UK)

  • Engelbert A. Nonterah

    (Navrongo Health Research Centre, Ghana Health Service, Navrongo 00233, Ghana
    Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, 3508 GA Utrecht, The Netherlands
    Contributed equally as joint senior authors.)

  • Regien Biesma

    (Global Health Unit, Department of Health Sciences, University Medical Center Groningen (UMCG), 9700 RB Groningen, The Netherlands
    Contributed equally as joint senior authors.)

  • on behalf of the INPreP Study Group

    (INPreP Study Group
    Co-Investigators and researchers of the INPreP study group include: Karen Hofman, Hermann Sorgho, Mary Barker, Caroline Fall, Cornelius Debpuur, Romuald Boua, Agnes Erzse, Sarah Kehoe, Daniella Watson, and Polly Hardy-Johnson.)

Abstract

Optimizing nutrition in the preconception and 1000 days periods have long-term benefits such as higher economic productivity, reduced risk of related non-communicable diseases and increased health and well-being. Despite Ghana’s recent progress in reducing malnutrition, the situation is far from optimal. This qualitative study analyzed the maternal and child health nutrition policy framework in Ghana to identify the current barriers and facilitators to the implementation of nutrition policies and programs relating to the first 1000 days plus. Data analyzed included in-depth interviews and focus group discussions conducted in Ghana between March and April 2019. Participants were composed of experts from government agencies, civil society organizations, community-based organizations and international partners at national and subnational levels. Seven critical areas were identified: planning policy implementation, resources, leadership and stakeholders’ engagement, implementation guidance and ongoing communication, organizational culture, accountability and governance and coverage. The study showed that, to eradicate malnutrition in Ghana, priorities of individual stakeholders have to be merged and aligned into a single 1000 days plus nutrition policy framework. Furthermore, this study may support stakeholders in implementing successfully the 1000 days plus nutrition policy activities in Ghana.

Suggested Citation

  • Anne Galaurchi & Samuel T. Chatio & Paula Beeri & Abraham R. Oduro & Winfred Ofosu & Mark Hanson & Marie-Louise Newell & Shane A. Norris & Kate A. Ward & Engelbert A. Nonterah & Regien Biesma & on beh, 2021. "Stakeholder Perspectives on Barriers and Facilitators on the Implementation of the 1000 Days Plus Nutrition Policy Activities in Ghana," IJERPH, MDPI, vol. 18(10), pages 1-19, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5317-:d:556168
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    References listed on IDEAS

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    1. Breda, Joao & Castro, Lea Samanta Nash & Whiting, Stephen & Williams, Julianne & Jewell, Jo & Engesveen, Kaia & Wickramasinghe, Kremlin, 2020. "Towards better nutrition in Europe: Evaluating progress and defining future directions," Food Policy, Elsevier, vol. 96(C).
    2. Daron Acemoglu & Simon Johnson, 2007. "Disease and Development: The Effect of Life Expectancy on Economic Growth," Journal of Political Economy, University of Chicago Press, vol. 115(6), pages 925-985, December.
    3. Maria Belizan & R. Martin Chaparro & Marilina Santero & Natalia Elorriaga & Nadja Kartschmit & Adolfo L. Rubinstein & Vilma E. Irazola, 2019. "Barriers and Facilitators for the Implementation and Evaluation of Community-Based Interventions to Promote Physical Activity and Healthy Diet: A Mixed Methods Study in Argentina," IJERPH, MDPI, vol. 16(2), pages 1-14, January.
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