Integrating Women and Girls’ Nutrition Services into Health Systems in Low- and Middle-Income Countries: A Systematic Review

Women’s nutrition has been highlighted as a global priority to ensure the health and well-being of both them and future generations. This systematic review summarises the available literature on the integration of nutrition services for girls and women of reproductive age (GWRA) into existing public...

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Main Authors: Rachael Menezes, Natasha Lelijveld, Stephanie V. Wrottesley, Eilise Brennan, Emily Mates, Philip T. James
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/21/4488
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author Rachael Menezes
Natasha Lelijveld
Stephanie V. Wrottesley
Eilise Brennan
Emily Mates
Philip T. James
author_facet Rachael Menezes
Natasha Lelijveld
Stephanie V. Wrottesley
Eilise Brennan
Emily Mates
Philip T. James
author_sort Rachael Menezes
collection DOAJ
description Women’s nutrition has been highlighted as a global priority to ensure the health and well-being of both them and future generations. This systematic review summarises the available literature on the integration of nutrition services for girls and women of reproductive age (GWRA) into existing public health systems across low- and middle-income countries, as well as any barriers to integration. We searched PubMed and Cochrane Database of Systematic Reviews for articles published since 2011 according to eligibility criteria. A total of 69 articles were included. Evidence suggested that several services for GWRA are well integrated into public health systems, including antenatal care services, nutrition education and counselling, and micronutrient supplementation programmes. However, there was limited evidence on the integration of family planning, adolescent health, and reproductive health services. Barriers to integration fell into five main themes: lack of training and capacity building, poor multisectoral linkages and coordination, weak advocacy, lack of M&E systems, and inequity. We identified a lack of evidence and services for non-pregnant GWRA and for women postpartum. Addressing barriers to integration and gaps in nutrition services for GWRA would increase service coverage and contribute to improving health outcomes for GWRA and future generations.
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spelling doaj.art-1d1012fdc776481ab152788e0f7ac4fd2023-11-24T06:12:17ZengMDPI AGNutrients2072-66432022-10-011421448810.3390/nu14214488Integrating Women and Girls’ Nutrition Services into Health Systems in Low- and Middle-Income Countries: A Systematic ReviewRachael Menezes0Natasha Lelijveld1Stephanie V. Wrottesley2Eilise Brennan3Emily Mates4Philip T. James5Emergency Nutrition Network, Kidlington OX5 2DN, UKEmergency Nutrition Network, Kidlington OX5 2DN, UKEmergency Nutrition Network, Kidlington OX5 2DN, UKEmergency Nutrition Network, Kidlington OX5 2DN, UKEmergency Nutrition Network, Kidlington OX5 2DN, UKEmergency Nutrition Network, Kidlington OX5 2DN, UKWomen’s nutrition has been highlighted as a global priority to ensure the health and well-being of both them and future generations. This systematic review summarises the available literature on the integration of nutrition services for girls and women of reproductive age (GWRA) into existing public health systems across low- and middle-income countries, as well as any barriers to integration. We searched PubMed and Cochrane Database of Systematic Reviews for articles published since 2011 according to eligibility criteria. A total of 69 articles were included. Evidence suggested that several services for GWRA are well integrated into public health systems, including antenatal care services, nutrition education and counselling, and micronutrient supplementation programmes. However, there was limited evidence on the integration of family planning, adolescent health, and reproductive health services. Barriers to integration fell into five main themes: lack of training and capacity building, poor multisectoral linkages and coordination, weak advocacy, lack of M&E systems, and inequity. We identified a lack of evidence and services for non-pregnant GWRA and for women postpartum. Addressing barriers to integration and gaps in nutrition services for GWRA would increase service coverage and contribute to improving health outcomes for GWRA and future generations.https://www.mdpi.com/2072-6643/14/21/4488integrationwomen’s nutritionreproductive ageinterventionspublic health systems
spellingShingle Rachael Menezes
Natasha Lelijveld
Stephanie V. Wrottesley
Eilise Brennan
Emily Mates
Philip T. James
Integrating Women and Girls’ Nutrition Services into Health Systems in Low- and Middle-Income Countries: A Systematic Review
Nutrients
integration
women’s nutrition
reproductive age
interventions
public health systems
title Integrating Women and Girls’ Nutrition Services into Health Systems in Low- and Middle-Income Countries: A Systematic Review
title_full Integrating Women and Girls’ Nutrition Services into Health Systems in Low- and Middle-Income Countries: A Systematic Review
title_fullStr Integrating Women and Girls’ Nutrition Services into Health Systems in Low- and Middle-Income Countries: A Systematic Review
title_full_unstemmed Integrating Women and Girls’ Nutrition Services into Health Systems in Low- and Middle-Income Countries: A Systematic Review
title_short Integrating Women and Girls’ Nutrition Services into Health Systems in Low- and Middle-Income Countries: A Systematic Review
title_sort integrating women and girls nutrition services into health systems in low and middle income countries a systematic review
topic integration
women’s nutrition
reproductive age
interventions
public health systems
url https://www.mdpi.com/2072-6643/14/21/4488
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