Scaling Up Scaling Down : Overcoming Malnutrition in Developing Countries book cover
1st Edition

Scaling Up Scaling Down
Overcoming Malnutrition in Developing Countries

ISBN 9781138981331
Published February 29, 2016 by Routledge
320 Pages

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Book Description

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



List of Contributors

Part I: Malnutrition and Hunger: The Challenge

  1. Eliminating Hunger After the End of The Cold War: Progress and Constraints
  2. Nutritional Status: The Master Key to Child Survival
  3. How Did We Get Here? A History of International Nutrition
  4. The Culture of Nutrition Practice in a New Development Era
  5. Part II: Scaling Up the Grassroots

  6. Scaling up, Scaling Down: NGO Paths to Overcoming Hunger
  7. Scaling Up a Poverty Alleviation and Nutrition Program in Vietnam
  8. Evaluation of the Hearth Program in Haiti: Mothers Help Scale Up a Nutrition Program
  9. Equity and Sustainability of the Health System: A Community Agenda in the Central Region of Togo
  10. Part III: Assessment in Partnership with the Grassroots

  11. Increasing Micronutrient Intakes in Rural Bangladesh: An NGO’s Search for Program Sustainability
  12. Community Based Assessment of Nutritional Problems: Scaling up Local Actions, Scaling Down Top-Down Management
  13. Rapid Food and Livelihood Security Assessments: A Comprehensive Approach for Diagnosing Nutrition Insecurity
  14. Nutrition Capacity Building: Reflections on an Application of the Nutrition Program Constraints Assessment in South Africa
  15. Part IV: Scaling Down the Summit

  16. Opportunities for the Summit: Improving the Practice of Public Nutrition
  17. Overcoming Malnutrition in a New Era: Conclusions and Lessons

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Thomas J. Marchione


"Scaling Up, Scaling Down: Overcoming Malnutrition in Developing Countries is an interesting volume that addresses a question that most people working in economic and social development face today: how to foster programs specific to particular settings in a way that promotes sustainability beyond the project itself. The major strength of the book is the authors' attempt to treat both the issue of moving beyond the small, controlled setting of a pilot project to a much larger effort ('scaling up'), as well as the response which must be made from the central agencies to facilitate such expansion ('scaling down')."