f) In fragile states, how direct nutrition interventions can be effectively scaled up to meet increased and emergency needs through periods of crises
In fragile contexts, such as emergencies and periods of crisis, proven preventative direct nutrition interventions are rarely prioritized given the need to save lives through curative interventions. The short-term nature of crises also results in limited scale-up activity. This study will look at how to scale up (i.e. expand, replicate, adapt, and sustain) nutrition-specific interventions to meet the increased needs of vulnerable people during periods of crisis. More specifically, researchers will review the scale up of High Impact Nutrition Interventions (HINI) and Integrated Management of Acute Malnutrition (IMAM) in Kenya. The study will also assess the degree to which a supporting policy environment can enable the scale up of nutrition-specific interventions. The aim of the study is to develop and pilot a new design framework for scaling up nutrition-specific interventions in fragile states. The study, due to be completed in 2015, is being led by Andrew Hall, and Assumpta Ndumi of Save the Children UK.