Despite a shared commitment to achieving global nutrition targets, development and emergency-humanitarian actors tend to prioritize different nutrition outcomes and actions. New approaches are needed to bridge the divide between these communities and to strengthen the overall evidence base for prevention of wasting. To better understand how these different groups perceive and prioritize actions for wasting prevention, key informant interviews (n = 21) were conducted, and an online survey was fielded among nutrition professionals working in low-income countries (n = 107). Additionally, nutrition policy and strategy documents for select global and country institutions (n = 12) were analysed to identify interventions and approaches for addressing different forms of undernutrition. The findings of this study suggest that at both global and country levels, development actors tend to prioritize stunting prevention, and emergency-humanitarian actors tend to prioritize treatment of acute malnutrition. It was less common for wasting prevention to be mentioned as an explicit priority. Many interventions were perceived by respondents to influence both stunting and wasting despite limited published evidence of effectiveness on wasting for water, sanitation and hygiene, growth monitoring and promotion, breastfeeding promotion and micronutrient supplementation. To help unify the nutrition community around prevention of wasting, the discourse about priority interventions should shift from 'stunting versus wasting' and 'prevention versus treatment' to a life-course framing around child survival, growth and development. Respondents identified a need for more programme and research funding that prioritizes both wasting and stunting as outcomes. They also suggest leveraging existing national coordination bodies that bring development and emergency-humanitarian partners together.

中文翻译：

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在低收入国家工作的营养专家如何看待和优先考虑预防浪费的行动？混合方法研究。

尽管共同致力于实现全球营养目标，但发展和紧急人道主义行动者往往会优先考虑不同的营养成果和行动。需要新的方法来弥合这些社区之间的鸿沟，并加强预防浪费的总体证据基础。为了更好地了解这些不同群体如何看待和优先考虑预防浪费的行动，我们进行了关键知情人访谈（n = 21），并在低收入国家（n = 107）的营养专业人员中进行了在线调查。此外，对选定的全球和国家机构（n = 12）的营养政策和战略文件进行了分析，以确定解决不同形式营养不良的干预措施和方法。这项研究的结果表明，在全球和国家层面，发展行动者倾向于优先考虑发育迟缓预防，紧急人道主义行动者倾向于优先治疗急性营养不良。将预防浪费作为明确的优先事项提及的情况较少见。受访者认为许多干预措施会影响发育迟缓和消瘦，尽管已发表的证据有限，表明消瘦对水、环境卫生和个人卫生、生长监测和促进、母乳喂养促进和微量营养素补充的有效性。为了帮助营养界统一围绕预防消瘦，关于优先干预措施的讨论应该从“发育迟缓与消瘦”和“预防与治疗”转变为围绕儿童生存、成长和发育的生命历程框架。受访者认为需要更多的计划和研究资金，优先考虑浪费和发育迟缓作为结果。他们还建议利用现有的国家协调机构，将发展和紧急人道主义合作伙伴联系在一起。