@article{fdi:010090724,
  title = {{I}dentifying priority double-duty actions to tackle the double burden of malnutrition in infants and young children in {P}eru : assessment and prioritisation of government actions by national experts},
  author = {{H}uayta, {V}. {M}. {R}. and {P}radeilles, {R}ebecca and {C}reed-{K}anashiro, {H}. {M}. and {R}ousham, {E}. and {D}elgado, {D}. and {P}areja, {R}. and {L}andais, {E}dwige and {V}erdezoto, {N}. and {H}aycraft, {E}. and {H}oldsworth, {M}ichelle},
  editor = {},
  language = {{ENG}},
  abstract = {{M}ultiple forms of malnutrition coexist in infants and young children ({IYC}) in {P}eru. {T}he {W}orld {H}ealth {O}rganization has proposed double-duty actions ({DDA}s) to simultaneously address undernutrition and overweight/obesity. {W}e assessed current implementation of- and priority for- government-level actions to tackle multiple forms of malnutrition in {IYC} in {P}eru. {M}apping of current policy activity was undertaken against 47 indicators of good practice for five {DDA}s (exclusive breastfeeding, complementary feeding, food marketing, maternal nutrition, preschool nutrition; assessed by 27 indicators) and for the enabling policy environment, i.e., 'infrastructure support' (health in all policies, platforms for interactions, financing, monitoring, governance, leadership; assessed by 20 indicators). {I}nterviews with 16 national experts explored views on the level of and barriers to implementation of {DDA}s and infrastructure support, as well as their prioritisation based on likely impact and feasibility. {T}he level of implementation of actions was categorised into two groups (agenda setting/formulation vs. implementation/evaluation). {M}ean scores were generated for prioritisation of {DDA}s and infrastructure support. {D}eductive qualitative analysis was undertaken to identify barriers that influence policy implementation. {O}nly 5/27 {DDA} indicators were reported as fully implemented by all national experts (international code that regulates the marketing of breastmilk substitutes, iron supplementation for {IYC}, micronutrient powders in {IYC}, iron/folic acid supplementation in pregnant women, paid maternity leave). {O}nly 1/20 infrastructure support indicator (access to nutrition information) was rated as fully implemented by all experts. {B}arriers to implementing {DDA}s and infrastructure support included: legal feasibility or lack of regulations, inadequate monitoring/evaluation to ensure enforcement, commercial influences on policymakers, insufficient resources, shifting public health priorities with the {COVID}-19 pandemic and political instability. {T}he experts prioritised 12 indicators across all five {DDA}s and eight infrastructure support indicators. {E}xperts highlighted the need to improve implementation of all {DDA}s and identified ways to strengthen the enabling policy environment.},
  keywords = {{PEROU}},
  booktitle = {},
  journal = {{P}los {O}ne},
  volume = {19},
  numero = {5},
  pages = {e0303668 [24 p.]},
  ISSN = {1932-6203},
  year = {2024},
  DOI = {10.1371/journal.pone.0303668},
  URL = {https://www.documentation.ird.fr/hor/fdi:010090724},
}