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. 2020 Jul 20:nqaa179. doi: 10.1093/ajcn/nqaa179

TABLE 3.

Key cross-governmental coordination strategies for strengthening and accelerating national nutrition research1

Option Description Advantages Disadvantages Paths forward
New Office of the National Director of Food and Nutrition (ONDFN)
  • President-appointed, Senate-confirmed Director, serving as the Principal Nutrition Advisor to the White House, heads of executive branch departments and agencies, senior military, and Congress

  • Modeled after the Office of the Director of National Intelligence

  • Coordinate and harmonize the work of the ≥10 US departments and agencies that comprise the federal nutrition community

  • Ensure that timely and objective national nutrition information is provided to key federal leaders

  • Tested, effective model

  • Dedicated leadership, staff, and funding

  • Builds on the ICHNR, with much stronger coordination and synergies across departments and agencies and a stronger dissemination platform

  • Can be mobilized to advise on urgent situations (e.g., COVID-19) which require pre-existing robust leadership and coordination across departments and agencies

  • Focus on multiple nutrition issues could dilute relative focus on research and innovation

  • May be too high-level to address on-the-ground infrastructure and investment needs of key research agencies

  • Congressional authorization and appropriation

  • Presidential appointment of the Director, with Senate confirmation

New US Global Nutrition Research Program (USGNRP)
  • Charged with improving coordination and integration of federal research on food and nutrition and the implications for the nation

  • Modeled after the US Global Change Research Program

  • Overseen by the Executive Office of the President and facilitated by a National Coordination Office

  • Funded by a small portion of relevant research budgets from the participating departments and agencies

  • Tested, effective model

  • Dedicated structure, staff, and budget

  • Builds on the ICHNR

  • Renewed and clear mandate for coordination, with explicit requirements for strategic planning, rigorous assessments, and annual reporting

  • Budget dependent on size and commitment of participating departments and agencies to its research area

  • Staffing dependent on detailed personnel from participating departments and agencies, reducing continuity

  • Presidential Initiative (with or without subsequent Congressional codification)

  • Congressional authorization, ideally associated with Congressional appropriations

New Associate Director for Nutrition Science in the White House Office of Science and Technology Policy (OSTP)
  • Non–cabinet-level position, President-appointed and Senate-confirmed

  • Serves as the President's advisor on issues related to nutrition research

  • Modeled after other Associate Director positions and initiatives

  • Provides high-level leadership and harmonization to leverage and translate federal and nonfederal nutrition research efforts

  • Identify and help develop more coordinated and innovative nutrition research initiatives

  • Brings a key leader to the White House for improved coordination, communication, and strategic planning

  • Elevates work and impact of individual federal departments and agencies and the ICHNR

  • Can hire advisors, special assistants, and fellows to deepen expertise and impact

  • Creates collaborations with private sector, state and local governments, academic communities, other countries

  • OSTP positions can vary greatly from one administration to the next, greatly limiting long-term continuity and success

  • OSTP initiatives may not align with focus or levels of research funding

  • Staffing often small, transient, and reliant on temporary staff

  • Success highly dependent on the skills and interests of the hired person

  • Presidential appointment, with Senate confirmation

New US Task Force on Federal Nutrition Research
  • Charged with improving coordination and integration of federal nutrition research

  • Modeled after the successful US Task Force for Combating Antibiotic-Resistant Bacteria

  • Co-chaired by the Secretaries of HHS, USDA, DoD, and possibly VA, with additional broad membership from other departments and agencies

  • Complementary Presidential Advisory Council

  • Would develop a 5-y National Action Plan with required annual reporting to the President on progress

  • Tested, successful model

  • Executive Order would elevate federal prioritization of nutrition research

  • Cabinet-level leadership

  • Concrete National Action Plan with required annual reports

  • Advisory Council to leverage external expertise

  • Strengthen coordination, communication, and budgetary priorities toward the highest-impact shared agenda

  • Presidential Executive Order often does not bring or align with dedicated funding

  • More transient in nature, with defined scope and time period

  • Presidential Executive Order

  • Presidential directive to revise the ICHNR structure

  • Congressional inquiry on the above actions

  • Legislation to revise the ICHNR charge, structure, and funding

1

COVID-19, coronavirus disease 2019; DoD, Department of Defense; HHS, Department of Health and Human Services; ICHNR, Interagency Committee on Human Nutrition Research; VA, Department of Veterans Affairs.