Marc Luy
[Healthy life expectancy: a critical look at the benefits and potential of the demographic health indicator]
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
generating countrylevel political commitment critical driving forward action throughout united nations decade action nutrition 20162025 review empirical nutrition policy literature ask factors generate sustain constrain political commitment nutrition circumstances aim inform strategic commitmentbuilding actionswe adopted framework synthesis method realist review protocol initial framework derived relevant theory populated empirical evidence test modify five steps undertaken initial theoretical framework development search relevant empirical literature study selection quality appraisal data extraction analysis synthesis framework modification75 studies included identified 18 factors drive commitment organised five categories actors institutions political societal contexts knowledge evidence framing capacities resources irrespective countrycontext effective nutrition actor networks strong leadership civil society mobilisation supportive political administrations societal change focusing events cohesive resonant framing robust data systems available evidence commitment drivers lowincome middleincome country studies also frequently reported international actors empowered institutions vertical coordination capacities resources uppermiddleincome highincome country studies private sector interference frequently undermined commitmentpolitical commitment something simply exists emerges accidentally created strengthened time strategic action successfully generating commitment likely require core set actions contextdependent adaptations ultimately necessitate strategic actions cohesive resourced strongly led nutrition actor networks responsive multifactorial multilevel dynamic political systems operate attempt influence accelerating formation effectiveness networks nutrition decade core task actors involved