National nutrition planning has failed to fulfill its initial promise because of inadequate consideration of political and administrative obstacles to applying the methodology. The political and operational contexts within which multisectoral nutrition planning has occurred are reviewed in order to draw insights and lessons from the experience of the last 10 years. Considered are the political process, macro and micro planning, the multisectoral approach, integration with agricultural and health planning, nutrition interventions, community participation, cost benefit analyses, and information systems evaluation, management and organization. Emphasis on the multisectoral causation of malnutrition has contributed substantially to nutrition programming and remains indispensable for improving nutrition, but requires more thoughtful response to practical implementation problems. Integrating nutrition concerns more effectively into health and agriculture systems offers a more promising approach than efforts to attack malnutrition by encouraging multisectoral nutrition coordinating agencies and national plans.

中文翻译：

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国家营养规划

由于未充分考虑应用该方法的政治和行政障碍，国家营养规划未能兑现其最初的承诺。为了从过去 10 年的经验中汲取见解和教训，审查了开展多部门营养规划的政治和运营背景。考虑的是政治进程、宏观和微观规划、多部门方法、与农业和健康规划的整合、营养干预、社区参与、成本效益分析以及信息系统评估、管理和组织。强调营养不良的多部门因果关系极大地促进了营养规划，并且对于改善营养仍然不可或缺，但需要更深思熟虑地应对实际实施问题。与通过鼓励多部门营养协调机构和国家计划解决营养不良问题相比，将营养问题更有效地纳入卫生和农业系统提供了一种更有前景的方法。