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. 2019 Apr 21;34(3):207–215. doi: 10.1093/heapol/czz024

Table 3.

Coalition attributes, beliefs, resources and strategies

Nutrition/stunting coalition Food security/hunger coalition
Coalition attributes Largely international in genesis and organizational makeup Largely national grouping including the government executive
Advocacy network; support shared causes, motivated by shared values Political network; both beliefs and political/economic interests important
Professional network; epistemic community, motivated by shared interpretation of knowledge Professional network; epistemic community, motivated by shared interpretation of knowledge
Moral or economic imperative of reducing child malnutrition Political imperative of maintaining the social contract

Normative core beliefs Set of ideas around providing help to people and doing social good Zambian Humanism as the national philosophy, explicitly rejecting both the capitalist and communist models
Development approach that sees assistance largely as supporting state intervention; open to market-led approaches to improving nutrition Socialist in its outlook, with centre-left socialist political parties ruling
Increasingly market-led due to external pressures and political imperatives

Policy core beliefs Malnutrition as lack of a diet quality and freedom from disease leading to stunting Malnutrition as a lack of calories leading to hunger
Distance themselves from hunger as too simplistic Yet to see their role in broader malnutrition issues
Poor, rural communities of most concern, particularly women Poor, rural communities of most concern, particularly farmers

Secondary policy beliefs Addressing the nexus of a lack of diet quality and access to health services and adequate child care as the answer Producing more staple food (maize) as the answer
Maize farmers (mostly male) as the key target group
Food producers (farmers) and child carers (mostly female) as the target group Sector-based agriculture programmes as the administrative setup
Multisectoral co-ordination as the administrative setup

Resources Nutrition policy action largely funded by international donor resources Food security policy largely nationally funded, taking up to 80% of the agriculture budget
National ministries have minor nutrition departments with funding for salaries but little for programmes Any focus on nutrition more broadly than calories in written policy is largely unfunded in practice

Strategies Frame a narrative that speaks to human and economic development Maintain ‘business as usual’ agriculture policy
Challenge the primacy of maize in a diet diversity/quality narrative Update policy approach with new technology (e-vouchers for a wider range of inputs)
Increase awareness of nutrition statistics Maintain funding through government budgets (in the face of opposition to agricultural subsidies by international donors)
Fund nutrition programmes through donor support