Effective Use of Near Real-time Monitoring System for Stunting Reduction in Zimbabwe

• 作者: A.Chineka A.Ndlovu C.Siwela I.Ngnie-Teta J.Makanjera M.A.Ayoya M.Dodzo V.Singh Z.Gomora
• 来源期刊: 健康科学:英文版
• 学科: 生物学
• 关键词: NEAR REAL-TIME monitoring(NRTM) STUNTING DECISION-MAKING UNICEF Zimbabwe
• 年，卷（期）: 2019,（2）
• 页码范围: 89-100
• 页数: 12页
• 分类号: Q

摘要

Background:In Zimbabwe,26.2 percent of children under five are stunted.Evidence has shown that multi-sector interventions are key to addressing stunting.Yet,practical implementation is difficult,often occurring through separate disjointed and uncoordinated sector actions with limited access to real time information for decision-making.Objective:To describe the design,implementation,successes,challenges and lessons learned from using a near-real time monitoring(NRTM)system as a monitoring tool for multi-sectoral community based model for stunting reduction in Zimbabwe.Methods:An open source technology was used to obtain the information needed on the multi-sectoral coordination process,provide a common platform to capture and present data on situational factors,community conditions and practices to be acted upon and thus contribute to reducing stunting.Results:Significant improvements in community data flows were noted;the system brought together several types of data,concepts,stakeholders and multi-sector energies into focused programming.Several challenges including conceptual issues,initial coordination,financial resources and missed partnership opportunities were documented.The introduction of the NRTM system resulted in improved data flows for programme monitoring and facilitated multi-sector collaboration.Conclusion:NRTM is an effective monitoring tool for the multi-sectoral community based model to reduce stunting in Zimbabwe.