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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Bibliographic Details
| Main Authors: |
Heaver, Richard,
Kachondam, Yongyout |
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| Language: | English
en_US |
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| Published: |
World Bank, Washington, DC
2002-01
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| Subjects: | 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, |
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| Online Access: | http://documents.worldbank.org/curated/en/2002/01/6710264/thailands-national-nutritional-program-lessons-management-capacity-development
https://hdl.handle.net/10986/13729
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