文章基本信息

标题：How to engage across sectors: lessons from agriculture and nutrition in the Brazilian School Feeding Program
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作者：Corinna Hawkes ; Bettina Gerken Brazil ; Inês Rugani Ribeiro de Castro 等
期刊名称：Revista de Saúde Pública
印刷版ISSN：0034-8910
出版年度：2016
卷号：50
页码：1-13
语种：English
出版社：Universidade de São Paulo
其他摘要：OBJECTIVE: To provide insights for nutrition and public health practitioners on how to engage with other sectors to achieve public health goals. Specifically, this study provides lessons from the example of integrating family farming and a nutrition into a legal framework in Brazil on how to successfully shift other sectors toward nutrition goals. METHODS: The study analyzed policy processes that led to a Brazilian law linking family farming with the National School Feeding Program. Main actors involved with the development of the law were interviewed and their narratives were analyzed using a well-established theoretical framework. RESULTS: The study provides five key lessons for promoting intersectorality. First, nutrition and health practitioners can afford to embrace bold ideas when working with other sectors. Second, they should engage with more powerful sectors (or subsectors) and position nutrition goals as providing solutions that meet the interests of these sector. Third is the need to focus on a common goal – which may not be explicitly nutrition-related – as the focus of the intersectoral action. Fourth, philosophical, political, and governance spaces are needed to bring together different sectors. Fifth, evidence on the success of the intersectoral approach increases the acceptance of the process. CONCLUSIONS: This study on policy processes shows how a convergence of factors enabled a link between family farming and school feeding in Brazil. It highlights that there are strategies to engage other sectors toward nutrition goals which provides benefits for all sectors involved.
其他关键词：School Feeding; Sustainable Agriculture; Farmers Associations; Nutrition Programs and Policies; Food and Nutrition Security.