Thailand's National Nutritional Program : Lessons in Management and Capacity Development
Thailand's community nutrition program has been the most successful in Asia. This paper looks at what made it work from a management and capacity development point of view. Key lessons are identified in the following areas: Building a strong consensus at national and local levels about the importance of nutrition as an investment in the country's future, rather than as a welfare expenditure; using community volunteers on a huge scale, to cut costs, involve and empower local people, instill self-reliance and communicate effectively with target groups; partially empowering communities by involving them in needs assessment, planning, beneficiary selection and program implementation, but keeping central government control over resource allocation, so as to ensure a coherent national program; Seeking local financial contributions to almost all interventions, so as to cut costs, involve communities, instill self-reliance, and increase the chances of sustainability; Making the most use of limited financial and managerial resources by targeting needy provinces, sub-districts and villages, and high risk population groups; Using national nutrition investment plans, rather than policy statements unlinked to resource commitments, as a way of generating a national vision, giving visibility to nutrition, and giving each implementing agency clear responsibilities; Managing the nutrition sector through a series of committees, rather than by a single agency, which encouraged a wide variety of interest groups to feel that nutrition was their business; Building a strong nutrition technical support organization, which also helped maintain commitment to nutrition; Using small amounts of aid for training and building program support capacity, rather than funding large scale service delivery projects. Also discussed is whether the approaches used in Thailand are replicable in other countries, and what nutrition problems and issues remain to be addressed in Thailand.
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Estados Unidos |
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Biblioteca del Banco Mundial |
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English en_US |
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NUTRITION POLICY ACCESS TO SERVICES AGRICULTURAL EXTENSION AGRICULTURAL PRODUCTION AGRICULTURE APPLIED NUTRITION BASIC HEALTH BASIC NEEDS BASIC SANITATION CAPACITY CONSTRAINTS CAPACITY-BUILDING CARE CENTER WORKERS CHILD GROWTH CLEAN DRINKING WATER CLEAN WATER COMMUNITY CONTROL COMMUNITY DEVELOPMENT COMMUNITY NUTRITION COMMUNITY PARTICIPATION CONDENSED MILK COOKING DAY CARE DECENTRALIZATION DEVELOPMENT ACTIVITIES DISADVANTAGED GROUPS DRY SEASON ECONOMIC DEVELOPMENT EDUCATION EMPOWERMENT EXTENSION AGENTS FAMILIES FAMILY PLANNING FEEDING PROGRAMS FOOD FORTIFICATION FOOD INSECURITY FOOD POLICY FOOD PRODUCTION FOOD REQUIREMENTS FOOD SECURITY FOOD SUPPLEMENTATION FOOD SUPPLEMENTS FOOD SUPPLY GROWTH MONITORING GROWTH PROMOTION HEALTH HEALTH CARE HEALTH SERVICES HOUSEHOLDS HOUSING HUMAN DEVELOPMENT HYGIENE IMMUNIZATION INCOME GENERATION INFANT FEEDING INFANT FEEDING PRACTICES INFANT FORMULA INFANTS INFECTIOUS DISEASES INJURIES INSTITUTIONAL CAPACITY INTERVENTION IODINE IRON IRON DEFICIENCY LOCAL GOVERNMENTS MALNOURISHED CHILDREN MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL AND CHILD HEALTH CARE MILK MODERATE MALNUTRITION NEEDS ASSESSMENT NUTRITION NUTRITION EDUCATION NUTRITION IMPROVEMENT NUTRITION INTERVENTIONS NUTRITION PROBLEMS NUTRITION PROGRAMS NUTRITION SECTOR NUTRITION SERVICES NUTRITION STATUS NUTRITIONAL CARE PARASITES PEM POOR FAMILIES POORER PROVINCES POSTERS POVERTY ALLEVIATION PREGNANT WOMEN PRIMARY HEALTH CARE PROTEIN PUBLIC HEALTH QUALITY OF LIFE RICE RISK GROUPS ROADS RURAL AREAS RURAL DEVELOPMENT RURAL HEALTH RURAL HOUSEHOLD SAFE WATER SAFE WATER SUPPLY SANITATION SEVERE MALNUTRITION SUPERVISION SUPPLEMENTARY FEEDING SUSTAINABILITY VILLAGE COMMUNITIES VILLAGE DEVELOPMENT VILLAGE LEVEL VITAMIN A VITAMIN A DEFICIENCY VITAMIN SUPPLEMENTATION WATER SOURCES WORKERS NUTRITION POLICY NUTRITION POLICY ACCESS TO SERVICES AGRICULTURAL EXTENSION AGRICULTURAL PRODUCTION AGRICULTURE APPLIED NUTRITION BASIC HEALTH BASIC NEEDS BASIC SANITATION CAPACITY CONSTRAINTS CAPACITY-BUILDING CARE CENTER WORKERS CHILD GROWTH CLEAN DRINKING WATER CLEAN WATER COMMUNITY CONTROL COMMUNITY DEVELOPMENT COMMUNITY NUTRITION COMMUNITY PARTICIPATION CONDENSED MILK COOKING DAY CARE DECENTRALIZATION DEVELOPMENT ACTIVITIES DISADVANTAGED GROUPS DRY SEASON ECONOMIC DEVELOPMENT EDUCATION EMPOWERMENT EXTENSION AGENTS FAMILIES FAMILY PLANNING FEEDING PROGRAMS FOOD FORTIFICATION FOOD INSECURITY FOOD POLICY FOOD PRODUCTION FOOD REQUIREMENTS FOOD SECURITY FOOD SUPPLEMENTATION FOOD SUPPLEMENTS FOOD SUPPLY GROWTH MONITORING GROWTH PROMOTION HEALTH HEALTH CARE HEALTH SERVICES HOUSEHOLDS HOUSING HUMAN DEVELOPMENT HYGIENE IMMUNIZATION INCOME GENERATION INFANT FEEDING INFANT FEEDING PRACTICES INFANT FORMULA INFANTS INFECTIOUS DISEASES INJURIES INSTITUTIONAL CAPACITY INTERVENTION IODINE IRON IRON DEFICIENCY LOCAL GOVERNMENTS MALNOURISHED CHILDREN MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL AND CHILD HEALTH CARE MILK MODERATE MALNUTRITION NEEDS ASSESSMENT NUTRITION NUTRITION EDUCATION NUTRITION IMPROVEMENT NUTRITION INTERVENTIONS NUTRITION PROBLEMS NUTRITION PROGRAMS NUTRITION SECTOR NUTRITION SERVICES NUTRITION STATUS NUTRITIONAL CARE PARASITES PEM POOR FAMILIES POORER PROVINCES POSTERS POVERTY ALLEVIATION PREGNANT WOMEN PRIMARY HEALTH CARE PROTEIN PUBLIC HEALTH QUALITY OF LIFE RICE RISK GROUPS ROADS RURAL AREAS RURAL DEVELOPMENT RURAL HEALTH RURAL HOUSEHOLD SAFE WATER SAFE WATER SUPPLY SANITATION SEVERE MALNUTRITION SUPERVISION SUPPLEMENTARY FEEDING SUSTAINABILITY VILLAGE COMMUNITIES VILLAGE DEVELOPMENT VILLAGE LEVEL VITAMIN A VITAMIN A DEFICIENCY VITAMIN SUPPLEMENTATION WATER SOURCES WORKERS NUTRITION POLICY |
| spellingShingle |
NUTRITION POLICY ACCESS TO SERVICES AGRICULTURAL EXTENSION AGRICULTURAL PRODUCTION AGRICULTURE APPLIED NUTRITION BASIC HEALTH BASIC NEEDS BASIC SANITATION CAPACITY CONSTRAINTS CAPACITY-BUILDING CARE CENTER WORKERS CHILD GROWTH CLEAN DRINKING WATER CLEAN WATER COMMUNITY CONTROL COMMUNITY DEVELOPMENT COMMUNITY NUTRITION COMMUNITY PARTICIPATION CONDENSED MILK COOKING DAY CARE DECENTRALIZATION DEVELOPMENT ACTIVITIES DISADVANTAGED GROUPS DRY SEASON ECONOMIC DEVELOPMENT EDUCATION EMPOWERMENT EXTENSION AGENTS FAMILIES FAMILY PLANNING FEEDING PROGRAMS FOOD FORTIFICATION FOOD INSECURITY FOOD POLICY FOOD PRODUCTION FOOD REQUIREMENTS FOOD SECURITY FOOD SUPPLEMENTATION FOOD SUPPLEMENTS FOOD SUPPLY GROWTH MONITORING GROWTH PROMOTION HEALTH HEALTH CARE HEALTH SERVICES HOUSEHOLDS HOUSING HUMAN DEVELOPMENT HYGIENE IMMUNIZATION INCOME GENERATION INFANT FEEDING INFANT FEEDING PRACTICES INFANT FORMULA INFANTS INFECTIOUS DISEASES INJURIES INSTITUTIONAL CAPACITY INTERVENTION IODINE IRON IRON DEFICIENCY LOCAL GOVERNMENTS MALNOURISHED CHILDREN MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL AND CHILD HEALTH CARE MILK MODERATE MALNUTRITION NEEDS ASSESSMENT NUTRITION NUTRITION EDUCATION NUTRITION IMPROVEMENT NUTRITION INTERVENTIONS NUTRITION PROBLEMS NUTRITION PROGRAMS NUTRITION SECTOR NUTRITION SERVICES NUTRITION STATUS NUTRITIONAL CARE PARASITES PEM POOR FAMILIES POORER PROVINCES POSTERS POVERTY ALLEVIATION PREGNANT WOMEN PRIMARY HEALTH CARE PROTEIN PUBLIC HEALTH QUALITY OF LIFE RICE RISK GROUPS ROADS RURAL AREAS RURAL DEVELOPMENT RURAL HEALTH RURAL HOUSEHOLD SAFE WATER SAFE WATER SUPPLY SANITATION SEVERE MALNUTRITION SUPERVISION SUPPLEMENTARY FEEDING SUSTAINABILITY VILLAGE COMMUNITIES VILLAGE DEVELOPMENT VILLAGE LEVEL VITAMIN A VITAMIN A DEFICIENCY VITAMIN SUPPLEMENTATION WATER SOURCES WORKERS NUTRITION POLICY NUTRITION POLICY ACCESS TO SERVICES AGRICULTURAL EXTENSION AGRICULTURAL PRODUCTION AGRICULTURE APPLIED NUTRITION BASIC HEALTH BASIC NEEDS BASIC SANITATION CAPACITY CONSTRAINTS CAPACITY-BUILDING CARE CENTER WORKERS CHILD GROWTH CLEAN DRINKING WATER CLEAN WATER COMMUNITY CONTROL COMMUNITY DEVELOPMENT COMMUNITY NUTRITION COMMUNITY PARTICIPATION CONDENSED MILK COOKING DAY CARE DECENTRALIZATION DEVELOPMENT ACTIVITIES DISADVANTAGED GROUPS DRY SEASON ECONOMIC DEVELOPMENT EDUCATION EMPOWERMENT EXTENSION AGENTS FAMILIES FAMILY PLANNING FEEDING PROGRAMS FOOD FORTIFICATION FOOD INSECURITY FOOD POLICY FOOD PRODUCTION FOOD REQUIREMENTS FOOD SECURITY FOOD SUPPLEMENTATION FOOD SUPPLEMENTS FOOD SUPPLY GROWTH MONITORING GROWTH PROMOTION HEALTH HEALTH CARE HEALTH SERVICES HOUSEHOLDS HOUSING HUMAN DEVELOPMENT HYGIENE IMMUNIZATION INCOME GENERATION INFANT FEEDING INFANT FEEDING PRACTICES INFANT FORMULA INFANTS INFECTIOUS DISEASES INJURIES INSTITUTIONAL CAPACITY INTERVENTION IODINE IRON IRON DEFICIENCY LOCAL GOVERNMENTS MALNOURISHED CHILDREN MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL AND CHILD HEALTH CARE MILK MODERATE MALNUTRITION NEEDS ASSESSMENT NUTRITION NUTRITION EDUCATION NUTRITION IMPROVEMENT NUTRITION INTERVENTIONS NUTRITION PROBLEMS NUTRITION PROGRAMS NUTRITION SECTOR NUTRITION SERVICES NUTRITION STATUS NUTRITIONAL CARE PARASITES PEM POOR FAMILIES POORER PROVINCES POSTERS POVERTY ALLEVIATION PREGNANT WOMEN PRIMARY HEALTH CARE PROTEIN PUBLIC HEALTH QUALITY OF LIFE RICE RISK GROUPS ROADS RURAL AREAS RURAL DEVELOPMENT RURAL HEALTH RURAL HOUSEHOLD SAFE WATER SAFE WATER SUPPLY SANITATION SEVERE MALNUTRITION SUPERVISION SUPPLEMENTARY FEEDING SUSTAINABILITY VILLAGE COMMUNITIES VILLAGE DEVELOPMENT VILLAGE LEVEL VITAMIN A VITAMIN A DEFICIENCY VITAMIN SUPPLEMENTATION WATER SOURCES WORKERS NUTRITION POLICY Heaver, Richard Kachondam, Yongyout Thailand's National Nutritional Program : Lessons in Management and Capacity Development |
| description |
Thailand's community nutrition
program has been the most successful in Asia. This paper
looks at what made it work from a management and capacity
development point of view. Key lessons are identified in the
following areas: Building a strong consensus at national and
local levels about the importance of nutrition as an
investment in the country's future, rather than as a
welfare expenditure; using community volunteers on a huge
scale, to cut costs, involve and empower local people,
instill self-reliance and communicate effectively with
target groups; partially empowering communities by involving
them in needs assessment, planning, beneficiary selection
and program implementation, but keeping central government
control over resource allocation, so as to ensure a coherent
national program; Seeking local financial contributions to
almost all interventions, so as to cut costs, involve
communities, instill self-reliance, and increase the chances
of sustainability; Making the most use of limited financial
and managerial resources by targeting needy provinces,
sub-districts and villages, and high risk population groups;
Using national nutrition investment plans, rather than
policy statements unlinked to resource commitments, as a way
of generating a national vision, giving visibility to
nutrition, and giving each implementing agency clear
responsibilities; Managing the nutrition sector through a
series of committees, rather than by a single agency, which
encouraged a wide variety of interest groups to feel that
nutrition was their business; Building a strong nutrition
technical support organization, which also helped maintain
commitment to nutrition; Using small amounts of aid for
training and building program support capacity, rather than
funding large scale service delivery projects. Also
discussed is whether the approaches used in Thailand are
replicable in other countries, and what nutrition problems
and issues remain to be addressed in Thailand. |
| topic_facet |
NUTRITION POLICY ACCESS TO SERVICES AGRICULTURAL EXTENSION AGRICULTURAL PRODUCTION AGRICULTURE APPLIED NUTRITION BASIC HEALTH BASIC NEEDS BASIC SANITATION CAPACITY CONSTRAINTS CAPACITY-BUILDING CARE CENTER WORKERS CHILD GROWTH CLEAN DRINKING WATER CLEAN WATER COMMUNITY CONTROL COMMUNITY DEVELOPMENT COMMUNITY NUTRITION COMMUNITY PARTICIPATION CONDENSED MILK COOKING DAY CARE DECENTRALIZATION DEVELOPMENT ACTIVITIES DISADVANTAGED GROUPS DRY SEASON ECONOMIC DEVELOPMENT EDUCATION EMPOWERMENT EXTENSION AGENTS FAMILIES FAMILY PLANNING FEEDING PROGRAMS FOOD FORTIFICATION FOOD INSECURITY FOOD POLICY FOOD PRODUCTION FOOD REQUIREMENTS FOOD SECURITY FOOD SUPPLEMENTATION FOOD SUPPLEMENTS FOOD SUPPLY GROWTH MONITORING GROWTH PROMOTION HEALTH HEALTH CARE HEALTH SERVICES HOUSEHOLDS HOUSING HUMAN DEVELOPMENT HYGIENE IMMUNIZATION INCOME GENERATION INFANT FEEDING INFANT FEEDING PRACTICES INFANT FORMULA INFANTS INFECTIOUS DISEASES INJURIES INSTITUTIONAL CAPACITY INTERVENTION IODINE IRON IRON DEFICIENCY LOCAL GOVERNMENTS MALNOURISHED CHILDREN MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL AND CHILD HEALTH CARE MILK MODERATE MALNUTRITION NEEDS ASSESSMENT NUTRITION NUTRITION EDUCATION NUTRITION IMPROVEMENT NUTRITION INTERVENTIONS NUTRITION PROBLEMS NUTRITION PROGRAMS NUTRITION SECTOR NUTRITION SERVICES NUTRITION STATUS NUTRITIONAL CARE PARASITES PEM POOR FAMILIES POORER PROVINCES POSTERS POVERTY ALLEVIATION PREGNANT WOMEN PRIMARY HEALTH CARE PROTEIN PUBLIC HEALTH QUALITY OF LIFE RICE RISK GROUPS ROADS RURAL AREAS RURAL DEVELOPMENT RURAL HEALTH RURAL HOUSEHOLD SAFE WATER SAFE WATER SUPPLY SANITATION SEVERE MALNUTRITION SUPERVISION SUPPLEMENTARY FEEDING SUSTAINABILITY VILLAGE COMMUNITIES VILLAGE DEVELOPMENT VILLAGE LEVEL VITAMIN A VITAMIN A DEFICIENCY VITAMIN SUPPLEMENTATION WATER SOURCES WORKERS NUTRITION POLICY |
| author |
Heaver, Richard Kachondam, Yongyout |
| author_facet |
Heaver, Richard Kachondam, Yongyout |
| author_sort |
Heaver, Richard |
| title |
Thailand's National Nutritional Program : Lessons in Management and Capacity Development |
| title_short |
Thailand's National Nutritional Program : Lessons in Management and Capacity Development |
| title_full |
Thailand's National Nutritional Program : Lessons in Management and Capacity Development |
| title_fullStr |
Thailand's National Nutritional Program : Lessons in Management and Capacity Development |
| title_full_unstemmed |
Thailand's National Nutritional Program : Lessons in Management and Capacity Development |
| title_sort |
thailand's national nutritional program : lessons in management and capacity development |
| publisher |
World Bank, Washington, DC |
| publishDate |
2002-01 |
| url |
http://documents.worldbank.org/curated/en/2002/01/6710264/thailands-national-nutritional-program-lessons-management-capacity-development https://hdl.handle.net/10986/13729 |
| work_keys_str_mv |
AT heaverrichard thailandsnationalnutritionalprogramlessonsinmanagementandcapacitydevelopment AT kachondamyongyout thailandsnationalnutritionalprogramlessonsinmanagementandcapacitydevelopment |
| _version_ |
1807158132026114048 |
| spelling |
dig-okr-10986137292024-08-08T17:11:38Z Thailand's National Nutritional Program : Lessons in Management and Capacity Development Heaver, Richard Kachondam, Yongyout NUTRITION POLICY ACCESS TO SERVICES AGRICULTURAL EXTENSION AGRICULTURAL PRODUCTION AGRICULTURE APPLIED NUTRITION BASIC HEALTH BASIC NEEDS BASIC SANITATION CAPACITY CONSTRAINTS CAPACITY-BUILDING CARE CENTER WORKERS CHILD GROWTH CLEAN DRINKING WATER CLEAN WATER COMMUNITY CONTROL COMMUNITY DEVELOPMENT COMMUNITY NUTRITION COMMUNITY PARTICIPATION CONDENSED MILK COOKING DAY CARE DECENTRALIZATION DEVELOPMENT ACTIVITIES DISADVANTAGED GROUPS DRY SEASON ECONOMIC DEVELOPMENT EDUCATION EMPOWERMENT EXTENSION AGENTS FAMILIES FAMILY PLANNING FEEDING PROGRAMS FOOD FORTIFICATION FOOD INSECURITY FOOD POLICY FOOD PRODUCTION FOOD REQUIREMENTS FOOD SECURITY FOOD SUPPLEMENTATION FOOD SUPPLEMENTS FOOD SUPPLY GROWTH MONITORING GROWTH PROMOTION HEALTH HEALTH CARE HEALTH SERVICES HOUSEHOLDS HOUSING HUMAN DEVELOPMENT HYGIENE IMMUNIZATION INCOME GENERATION INFANT FEEDING INFANT FEEDING PRACTICES INFANT FORMULA INFANTS INFECTIOUS DISEASES INJURIES INSTITUTIONAL CAPACITY INTERVENTION IODINE IRON IRON DEFICIENCY LOCAL GOVERNMENTS MALNOURISHED CHILDREN MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL AND CHILD HEALTH CARE MILK MODERATE MALNUTRITION NEEDS ASSESSMENT NUTRITION NUTRITION EDUCATION NUTRITION IMPROVEMENT NUTRITION INTERVENTIONS NUTRITION PROBLEMS NUTRITION PROGRAMS NUTRITION SECTOR NUTRITION SERVICES NUTRITION STATUS NUTRITIONAL CARE PARASITES PEM POOR FAMILIES POORER PROVINCES POSTERS POVERTY ALLEVIATION PREGNANT WOMEN PRIMARY HEALTH CARE PROTEIN PUBLIC HEALTH QUALITY OF LIFE RICE RISK GROUPS ROADS RURAL AREAS RURAL DEVELOPMENT RURAL HEALTH RURAL HOUSEHOLD SAFE WATER SAFE WATER SUPPLY SANITATION SEVERE MALNUTRITION SUPERVISION SUPPLEMENTARY FEEDING SUSTAINABILITY VILLAGE COMMUNITIES VILLAGE DEVELOPMENT VILLAGE LEVEL VITAMIN A VITAMIN A DEFICIENCY VITAMIN SUPPLEMENTATION WATER SOURCES WORKERS NUTRITION POLICY Thailand's community nutrition program has been the most successful in Asia. This paper looks at what made it work from a management and capacity development point of view. Key lessons are identified in the following areas: Building a strong consensus at national and local levels about the importance of nutrition as an investment in the country's future, rather than as a welfare expenditure; using community volunteers on a huge scale, to cut costs, involve and empower local people, instill self-reliance and communicate effectively with target groups; partially empowering communities by involving them in needs assessment, planning, beneficiary selection and program implementation, but keeping central government control over resource allocation, so as to ensure a coherent national program; Seeking local financial contributions to almost all interventions, so as to cut costs, involve communities, instill self-reliance, and increase the chances of sustainability; Making the most use of limited financial and managerial resources by targeting needy provinces, sub-districts and villages, and high risk population groups; Using national nutrition investment plans, rather than policy statements unlinked to resource commitments, as a way of generating a national vision, giving visibility to nutrition, and giving each implementing agency clear responsibilities; Managing the nutrition sector through a series of committees, rather than by a single agency, which encouraged a wide variety of interest groups to feel that nutrition was their business; Building a strong nutrition technical support organization, which also helped maintain commitment to nutrition; Using small amounts of aid for training and building program support capacity, rather than funding large scale service delivery projects. Also discussed is whether the approaches used in Thailand are replicable in other countries, and what nutrition problems and issues remain to be addressed in Thailand. 2013-05-30T20:53:07Z 2013-05-30T20:53:07Z 2002-01 http://documents.worldbank.org/curated/en/2002/01/6710264/thailands-national-nutritional-program-lessons-management-capacity-development https://hdl.handle.net/10986/13729 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank application/pdf text/plain World Bank, Washington, DC |