Table_1_Strength and weakness of the National Nutrition Improvement Program in Rural and Nomadic Women: findings from a policy triangle framework.DOCX

IntroductionNutrition-sensitive agriculture (NSA) is a comprehensive, inter-sectoral approach to improve food security and nutrition. In Iran, “National Nutrition Improvement Program in Rural and Nomadic Women” has been developed and implemented as a NSA program. The main purpose of this study was analysis of this program using the Policy Triangle Framework.
MethodsThis was a qualitative policy analysis study, which was conducted retrospectively. The study population included policymakers and executors at macro (Tehran Province) and micro levels (County and village) from the two involved ministries, as well as rural women in Tehran province. The collected data included the program document (N = 210), in-depth semi-structured interviews (N = 40), as well as focus group discussions (N = 8). Data was analyzed using MAXQDA 2010 software with a deductive approach.
ResultsThe findings of this study indicated that the underlying factors including social, economic and cultural status, health, structural-environmental and political are associated to the development of the program. The current program is a multi-faceted, in accordance with the existing needs, which provides opportunities to improve nutrition and community health, empower women, strengthen socio-economic status at the micro and macro levels and pave the way for other projects, by connecting the nutrition sector to agriculture. The analysis has also shown that the content of this program requires more consideration in budget and motivational measures. Although developing an NSA program based on inter-sectoral collaboration is a valuable step, it needs to be improved in the areas of sustainability, inter-sectoral collaboration, resources and facilities, monitoring and evaluation, as well as needs assessment.
ConclusionThe findings of the present study can be used as evidence by policymakers and planners in redesigning and implementing the program, or developing other NSA programs.

引言
营养敏感型农业（Nutrition-sensitive agriculture, NSA）是一种多部门协同的综合性方法，旨在提升粮食安全与营养水平。伊朗已将"农村与游牧妇女国家营养改善计划"作为营养敏感型农业项目开发并推行。本研究的核心目标为采用政策三角框架对该项目开展分析。

方法
本研究为一项回顾性定性政策分析研究。研究对象涵盖参与该项目的两个部委的宏观层面（德黑兰省）与微观层面（区县及村落）的政策制定者与执行者，以及德黑兰省的农村妇女。收集的数据包括项目文档（N=210）、半结构化深度访谈（N=40）以及焦点小组讨论资料（N=8）。本研究采用演绎法，借助MAXQDA 2010软件对数据进行分析。

结果
本研究结果显示，社会、经济与文化地位、健康状况、结构环境及政治因素等潜在因素与该项目的发展密切相关。当前项目兼具多维度特征，契合现有需求，通过将营养领域与农业领域相衔接，为改善营养与社区健康、赋能女性、提升微观与宏观层面的社会经济地位创造了条件，并为其他项目的开展铺平了道路。分析同时显示，该项目在预算与激励措施方面仍需进一步完善考量。尽管基于跨部门协作构建营养敏感型农业项目是一项极具价值的举措，但该项目在可持续性、跨部门协作、资源与设施配置、监测评估以及需求评估等方面仍有待优化。

结论
本研究结果可作为政策制定者与规划者重新设计、推行该项目，或开发其他营养敏感型农业项目的参考依据。