How to Achieve Transparency in Public-Private Partnerships Engaged in Hunger and Malnutrition Reduction.

Multi-stakeholder partnerships are important facilitators of improving nutrition in developing countries to achieve the United Nations' Sustainable Development Goals. Often, the role of industry is challenged and questions are raised as to the ethics of involving for-profit companies in humanitarian projects. The Second International Conference on Nutrition placed great emphasis on the role of the private sector, including industry, in multi-stakeholder partnerships to reduce hunger and malnutrition. Governments have to establish regulatory frameworks and institutions to guarantee fair competition and invest in infrastructure that makes investments for private companies attractive, eventually leading to economic growth. Civil society organizations can contribute by delivering nutrition interventions and behavioral change-related communication to consumers, providing capacity, and holding governments and private sector organizations accountable. Industry provides technical support, innovation, and access to markets and the supply chain. The greatest progress and impact can be achieved if all stakeholders cooperate in multi-stakeholder partnerships aimed at improving nutrition, thereby strengthening local economies and reducing poverty and inequality. Successful examples of public-private partnerships exist, as well as examples in which these partnerships did not achieve mutually agreed objectives. The key requirements for productive alliances between industry and civil society organizations are the establishment of rules of engagement, transparency and mutual accountability. The Global Social Observatory performed a consultation on conflicts of interest related to the Scaling Up Nutrition movement and provided recommendations to prevent, identify, manage and monitor potential conflicts of interest. Multi-stakeholder partnerships can be successful models in improving nutrition if they meet societal demand with transparent decision-making and execution. Solutions to the issue of malnutrition are available. We have the resources and knowledge, and we must act as a global community in the immediate future. Transparency about the roles and contributions of each partner may be a key factor for successful cooperation in multi-stakeholder partnerships.

Eggersdorfer M ，Bird JK 《-》

Balancing the benefits and risks of public-private partnerships to address the global double burden of malnutrition.

Kraak VI ，Harrigan PB ，Lawrence M ，Harrison PJ ，Jackson MA ，Swinburn B ... -  《-》

Food security in a world without borders.

de Haen H ，Thompson B 《-》

Public-Private Partnerships and Undernutrition: Examples and Future Prospects.

In this chapter, we clarify what is meant by public-private partnerships (PPPs), provide examples of both successful and less successful PPPs and describe some broad lessons. We see scope for PPPs that would reduce aspects of undernutrition. However, this optimism comes with significant caveats. First, while there would appear to be a large body of evidence on this topic, closer examination shows that there are few independent, rigorous assessments of the impact of commercial sector engagement in nutrition. Considerable caution is therefore warranted when assessing either commendations or criticisms of PPPs in nutrition. Second, progress in this area requires that the private sector recognize that past and current actions by some firms have created an environment of mistrust and that the public sector accept that sustainable PPPs permit private firms to generate profits. Progress also requires recognition that PPPs involving multiple firms can be problematic either because such partnerships force competitors to collaborate or because they create the potential for the involved firms to lock out firms that are not members of the partnership. Lest this all sound too negative, from a nutrition perspective, we note that there may be significant scope for the involvement of the private sector in driving innovations that could reduce undernutrition. More speculatively, there may also be scope for the private sector to act as a financier of investments to improve children's nutritional status. For PPPs to succeed, there must be open discussions of the objectives, roles and expectations of all parties along with potential conflicts of interest.

Hoddinott J ，Gillespie S ，Yosef S 《-》

Challenges to Establish Effective Public-Private Partnerships to Address Malnutrition in All Its Forms.

Every country is affected by some form of malnutrition. Some governments and nutrition experts look to public-private partnerships (PPPs) to address the burden of malnutrition. However, nutrition-related PPPs face opposition, are difficult to form, and there is limited evidence of their effectiveness. We conducted a literature review and 30 semi-structured interviews with individuals involved in or researching nutrition-related PPPs to identify the factors that shape their creation and effectiveness in food systems. Several factors make it difficult to establish nutrition-related PPPs in food systems: a lack of understanding of the causal pathways behind many nutrition problems; a weak architecture for the global governance of nutrition; power imbalances between public and private sector nutrition actors; and disagreements in the nutrition community on the advisability of engaging the private sector. These complexities in turn make it difficult for PPPs to be effective once established due to goal ambiguity and misalignment, resource imbalances, and weak accountability. If effective nutrition-related PPPs are to be established, private sector conflicts of interest must be addressed, trust deficits between private and public sector actors must be surmounted, and evidence must be assessed as to whether PPPs can achieve more for public health nutrition than private and public sector actors working separately.

Fanzo J ，Shawar YR ，Shyam T ，Das S ，Shiffman J ... -  《International Journal of Health Policy and Management》