This report on the political economy of undernutrition in Pakistan
describes research carried out to provide technical assistance to inform
the work of stakeholders (including DFID Pakistan) committed to
addressing undernutrition in Pakistan through an analysis of the
political economy around the underlying and basic causes of
undernutrition in the country. The aim of the study was to understand
constraints and opportunities at the agenda-setting stage of the policy
cycle, with a focus on the commitment of national actors and
institutions to nutrition-related policies
The study concludes that Pakistan is lagging behind in the reduction of
under-nutrition. Initial gains made on nutrition following the 2010
devolution can be sharpened and sustained with simple, evidence based
and affordable joint interventions across key sectors of health, food,
agriculture, poverty, education, water and sanitation supported with
links to disaster mitigation and recovery. Leveraging nutrition as a
wider development agenda requires championing by the political and
bureaucratic leadership and significant funding commitment by the state.
The ‘homelessness’ of nutrition must be addressed in the provinces with
central convening structures. These will help to shape the province
specific response across sectors where siloes have developed. Provincial
strategising must be supported with national coordination through the
development of a national nutrition policy, funding consolidation under
Medium Term Budgetary Framework and links with key federal programmes.
Nutrition advocacy, community education, defining of affordable
interventions, technical capacity building at districts and interim
progress monitoring are key areas for investment in Pakistan.
Shehla Zaidi; Zulfiqar Bhutta; Shandana Mohmand; Mejia Acosta, A. Assignment Report: The Political Economy of Undernutrition National Report: Pakistan. Institute of Development Studies, Brighton, UK (2013) iv + 83 pp.
Assignment Report: The Political Economy of Undernutrition National Report: Pakistan