Background: The Government of Ethiopia and development partners have invested heavily in nutrition through multisectoral nutrition programs and the recently announced Food and Nutrition Policy. By making nutrition a political priority, the government has enabled multisectoral collaboration. Objective: To trace the development of multisectoral nutrition policy in Ethiopia and identify lessons learned from implementation. Methods: We utilize the literature and stakeholder interviews across government ministries, donors, and nongovernmental organizations (NGOs) to analyze Ethiopia’s progress toward multisectoral nutrition governance through 5 lenses: coordination and structural accountability, political commitment, financing, human resources, and data monitoring and transparency. Results: Despite significant progress, coordination and structural accountability for nutrition activities and outcomes across and within sectors remain challenges. While political will is strong, financing is often insufficient. Ethiopia has a shortage of nutrition policy makers and experts but is investing in education to close this gap. Finally, wider sharing of data across ministries and partners would enable enhanced feedback and improvement upon existing programs. Several lessons are notable for policy makers and partners: (1) making nutrition a national political priority is key to fostering multisectoral collaboration and improving nutrition outcomes; (2) nutrition champions are critical for political prioritization of nutrition; (3) multisectoral collaboration has helped reduce undernutrition in Ethiopia, due to expansion from nutrition-specific to nutrition-sensitive strategies; and (4) accountability structures are vital to effective coordination, monitoring, and evaluation in multisectoral nutrition governance. Conclusions: Ethiopia has made significant progress toward multisectoral integration for nutrition. Despite contextual differences, lessons learned from Ethiopia may guide other countries aiming to reduce malnutrition.

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营养、健康和农业的多部门整合：埃塞俄比亚的实施经验教训

背景：埃塞俄比亚政府和发展伙伴通过多部门营养计划和最近宣布的食品和营养政策在营养方面进行了大量投资。通过将营养作为政治优先事项，政府促成了多部门合作。目标：追踪埃塞​​俄比亚多部门营养政策的发展并确定从实施中吸取的经验教训。方法：我们利用政府部委、捐助者和非政府组织 (NGO) 的文献和利益相关者访谈，通过 5 个视角分析埃塞俄比亚在多部门营养治理方面的进展：协调和结构问责制、政治承诺、融资、人力资源和数据监测和透明度。结果：尽管取得了重大进展，跨部门和部门内营养活动和成果的协调和结构问责仍然是挑战。虽然政治意愿强烈，但资金往往不足。埃塞俄比亚缺乏营养政策制定者和专家，但正在投资教育以弥补这一差距。最后，跨部委和合作伙伴更广泛地共享数据将有助于加强对现有计划的反馈和改进。对政策制定者和合作伙伴而言，有几项教训值得注意：(1) 将营养作为国家政治优先事项是促进多部门合作和改善营养成果的关键；(2) 营养倡导者对于营养的政治优先次序至关重要；(3) 多部门合作有助于减少埃塞俄比亚的营养不足，由于从营养特定战略扩展到营养敏感战略；(4) 问责结构对于多部门营养治理中的有效协调、监测和评估至关重要。结论：埃塞俄比亚在营养多部门整合方面取得了重大进展。尽管存在背景差异，但从埃塞俄比亚吸取的经验教训可能会指导其他旨在减少营养不良的国家。