Scaling Up Scaling Down: Overcoming Malnutrition in Developing Countries

The individual and institutional capacities required for the prevention and reduction of nutritional insecurity and hunger in lesser-developed countries as the twenty-first century approaches are identified in this book. Household nutritional "security" can be defined as the successful The essays in this book champion the idea of increasing, or scaling up, grass roots operations to provide nutritional security, while scaling down the efforts of national and international institutions. Scaling up involves strengthening local capacities to improve and expand upon current successful programs by building upon existing local culture and organizations. This, in turn, enables the programs to strengthen relationships with national governments, international bilateral/multilateral donors, as well as non-governmental organizations. Scaling down concerns the ways and means by which these various organizations encourage and complement the local development. Therefore, as local capacities are scaled up, the national/international control over decisions and functions is, ideally, scaled down. The volume also directly addresses the resultant complication: how to create programs that are both culturally specific and that will flourish well into the future.

Table of Contents:
Foreword Preface List of Contributors Part I: Malnutrition and Hunger: The Challenge Eliminating Hunger After the End of The Cold War: Progress and Constraints Nutritional Status: The Master Key to Child Survival How Did We Get Here? A History of International Nutrition The Culture of Nutrition Practice in a New Development Era Part II: Scaling Up the Grassroots Scaling up, Scaling Down: NGO Paths to Overcoming Hunger Scaling Up a Poverty Alleviation and Nutrition Program in Vietnam Evaluation of the Hearth Program in Haiti: Mothers Help Scale Up a Nutrition Program Equity and Sustainability of the Health System: A Community Agenda in the Central Region of Togo Part III: Assessment in Partnership with the Grassroots Increasing Micronutrient Intakes in Rural Bangladesh: An NGO’s Search for Program Sustainability Community Based Assessment of Nutritional Problems: Scaling up Local Actions, Scaling Down Top-Down Management Rapid Food and Livelihood Security Assessments: A Comprehensive Approach for Diagnosing Nutrition Insecurity Nutrition Capacity Building: Reflections on an Application of the Nutrition Program Constraints Assessment in South Africa Part IV: Scaling Down the Summit Opportunities for the Summit: Improving the Practice of Public Nutrition Overcoming Malnutrition in a New Era: Conclusions and Lessons