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Research on Agriculture for Improved Nutrition
• Background
   • Potential for agricultural change to improve nutrition and...
   • Increasing interest in agriculture-nutrition but...
   • Evidence base poor - 2 systematic reviews (Masset et
     al, 2011, Girard et al, 2012) reveal little evidence of impact & a
     need for more & better designed research
   • Need to determine pattern, design & direction of current
     research to inform future funding
• DFID commission:
   • Mapping and gap analysis of current and planned research
   • Leverhulme Centre for Integrative Research on Agriculture and
     Health (LCIRAH)
   • Centre for Sustainable International Development (CSID) at
     University of Aberdeen
   • Report submitted August 2012
Methodology/ Research Process
• Conceptual framework linking agriculture, food
  and nutrition
• Template for data collection & inclusion criteria
• List of relevant organisations to contact (n=135)
• Final list of eligible projects (n=151)
• Completion of template – project team &/or
  researchers
• Mapping and gap analysis.
• Information collected between April and August
  2012.
• Overseen by Expert Panel
Conceptual Framework
                              Research chain for agriculture and nutrition
Developed to                                                                         Policy & Governance




                                                                                                                                                    Political & Economic Context, e.g. fragile/ stable state, humanitarian situation
define pathways                                      Agricultural                      Impacts/ outcomes                      Indirect impacts/
by which                                       interventions/ practices                 related to nutrition                 intervening factors

agriculture may                                                                    NUTRITIONAL STATUS
                                               Agricultural inputs                                                         Health/ education
contribute to                                  e.g. crops/ animal/                    (anthropometry and biomarkers)
                                                                                                                           status & wellbeing
nutrition directly                             fish breeding,
                                               technology, fertilisers,
and indirectly                                 irrigation                      farmers, agricultural workers, (pregnant)
                      Climate & Environment




                                                                                women, children, infants, populations in
                                                                               fragile states/humanitarian crises, urban
                                                                                  consumers, other high risk groups
Helpful for                                    Agricultural                                                                Health care &
characterizing                                 practices e.g. cropping/
                                               horticultural/ fish/ animal          Food consumption &
                                                                                                                           education e.g.
                                                                                                                           national investment in
individual                                     raising practices, input use,        intake e.g. household food             services, household
                                               time allocation                      expenditure, food
research projects                                                                   consumption & dietary
                                                                                                                           practices
                                                                                    diversity; individual food &
as well as                                                                          nutrient intake & dietary
                                                                                    diversity; infant & young child
identifying gaps in                            Food value chain
                                                                                    feeding practices                      Economic outcome
                                               e.g. storage,
the research                                   processing,
                                                                                                                           e.g. household
                                                                                    Food environment                       income, national
overall                                        distribution, retailing
                                                                                    availability, nutrient quality,        growth
                                                                                    affordability, acceptability




                                                                                  Culture, Gender & Equity
Realigning Agriculture for Improved Nutrition (RAIN)
                            Policy & Governance: Yes - aims to produce coordination between agriculture & health sectors & shared goal of nutrition


                                    Agricultural                            Impacts/ outcomes                           Indirect impacts/
                              interventions/ practices                      related to nutrition                       intervening factors


                              Agricultural inputs                       NUTRITIONAL STATUS                          Health/ education status
                              Vegetable seeds & small                 Target: children < 2, pregnant/lactating      & wellbeing Child health
                              animals provided at the                women in one district in Zambia. Aims to       (health card, vaccination
                              beginning then farmers are             reduce prevalence of chronic malnutrition      status, de-worming, vitamin A,




                                                                                                                                                      Political & Economic Context: No
                              supported to generate their           among young children & improve nutritional      incidence of child illness) &
                              own inputs later on .                    status of pregnant & lactating women.        maternal health, e.g. BMI
Climate & Environment: No




                                                                     Measures: Prevalence of stunting <5 yrs
                                                                    (HAZ scores), prevalence of wasting (WAZ,
                                                                                       WHZ)

                              Agricultural                                                                          Health care &
                              practices Establish                                                                   education Use of health
                              smallholder model farmers                 Food consumption &                          services, maternal knowledge
                              (SMFs) - homestead                        intake Aims to improve                      of HIV, child feeding, health
                              gardening, small-scale animal                                                         seeking and nutrition
                                                                        consumption (diversity &
                              husbandry.
                                                                        quantity) of nutritious foods.
                                                                        Measures: Household Hunger
                                                                        Scale & Household Dietary
                              Food value chain                          Diversity Score, IYCF in first 2
                                                                        yrs                                         Economic outcome
                              Linkages to markets &                                                                 Maternal involvement in
                              potentially to micro-                                                                 income-earning work,
                              finance services                           Food environment                           remuneration for work, use of
                                                                         Aims to improve availability               loans for agricultural purposes
                                                                         of and access to sufficient
                                                                         quality foods. Not clear how
                                                                         measured.




                                       Culture, Gender & Equity: Yes - aims for improved gender equality awareness & practices
Sustainable Production of Underutilized Vegetables to Enhance Rural Food Security
                                                                                                                                     Policy & Governance: No
Climate & Environment: Yes – looking at the impact of crop diversification on the environment



                                                                                                      Agricultural                        Impacts/ outcomes                       Indirect impacts/
                                                                                                interventions/ practices                  related to nutrition                   intervening factors


                                                                                                Agricultural inputs                   NUTRITIONAL STATUS                    Health/ education status
                                                                                                Selecting & evaluating different                                            & wellbeing
                                                                                                indigenous /underutilised                     Not measured
                                                                                                                                                                            No
                                                                                                vegetables , including for




                                                                                                                                                                                                       Political & Economic Context: No
                                                                                                nutritional quality




                                                                                                Agricultural                                                                Health care &
                                                                                                practices Conducting on-                                                    education
                                                                                                farm experiments of different          Food consumption &                   No
                                                                                                indigenous /underutilised              intake
                                                                                                vegetables
                                                                                                                                       Not measured



                                                                                                Food value chain                                                            Economic outcome
                                                                                                Detailed value-chain                                                        Looking at the economic
                                                                                                analyses for promising                                                      empowerment of women
                                                                                                species, e.g. testing                  Food environment
                                                                                                packaging technologies &               Measures: indigenous
                                                                                                determining market potential           /underutilised vegetables
                                                                                                                                       use, distribution & nutritional
                                                                                                                                       quality.




                                                                                                             Culture, Gender & Equity: Yes - project is about economic empowerment of women
Mapping: overview of project funding &
        organisational arrangements
• Significant majority (133/ 151) part of larger
  programme or funding initiative (e.g. CGIAR
  A4NH)
• Multiple funders reported (46 in total), but
  dominated by 5 (BMGF, CIDA, IDRC, USAID, DFID)
• One third (n=57) led by CGIAR centres
• Lead organisations international or North
  America/ Europe
• Almost all included LMIC organisation as a
  partner
Mapping: overview of project types & focus

• Sub-Saharan Africa focus of 93/151. South
  Asia next with 36.
• Emphasis on women and children (‘1000
  days’) & rural poor/ farmers
• Very few projects targeted urban populations
  or men as a specific group
Category                                                     Theme                                                  Number of projects
Agricultural production of nutritious* foods                 Biofortification (crop breeding)                       17
                                                             Agricultural development/technology                    15
                                                             Traditional/indigenous/local foods                     11
                                                             Home gardening/homestead production                    11
                                                             Aquacultural technology development                    7
                                                             Other                                                  6
                                                             Agrobiodiversity                                       5
                                                                                                            Total                   66
Value chains                                                 Of nutritious* foods                                   12
                                                             Specific to biofortification                           10
                                                             Not specified                                          2
                                                                                                            Total                   24
Agricultural growth/ development more broadly                                                                                       21

Multi-sectoral nutrition projects that include agriculture                                                                               7

Reducing/ understanding impact of aflatoxin contamination                                                                                4

Policy, research, data and methodology                       Governance/capacity building/policy analysis           6
                                                             Development of methodology                             4
                                                             Collection/analysis of datasets                        5
                                                                                                            Total                   15
Other/ not known                                                                                                                    14
Grand total                                                                                                                        151
Gap analysis: conclusions
•   Whole research chain – research that considers the full pathway of change
    from agricultural inputs, practices, value chains, food environment to nutrition
    outcomes; a significant number of projects do not consider the value chain
•   Indirect effect of changes in agriculture on nutrition, through income and
    economic growth and associated changes in health and investments in health
    and education services
•   Effects of agricultural policy on nutrition as mediated through the value chain
•   Governance, policy processes and political economy as it relates to the
    development of agriculture-for-nutrition policies and programmes, the ability
    to implement them (and scale up) and for them to achieve their stated goals
    once implemented.
•   The way research on agriculture and nutrition is conducted, such as the
    development of methodologies and appropriate metrics
•   Consumers as a broader target group, notably rural workers and non-rural
    populations
•   The rural and urban poor at risk from nutrition-related non-communicable
    diseases
•   Cost-effectiveness

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P1.2. Research on Agriculture for Improved Nutrition

  • 1. Research on Agriculture for Improved Nutrition • Background • Potential for agricultural change to improve nutrition and... • Increasing interest in agriculture-nutrition but... • Evidence base poor - 2 systematic reviews (Masset et al, 2011, Girard et al, 2012) reveal little evidence of impact & a need for more & better designed research • Need to determine pattern, design & direction of current research to inform future funding • DFID commission: • Mapping and gap analysis of current and planned research • Leverhulme Centre for Integrative Research on Agriculture and Health (LCIRAH) • Centre for Sustainable International Development (CSID) at University of Aberdeen • Report submitted August 2012
  • 2. Methodology/ Research Process • Conceptual framework linking agriculture, food and nutrition • Template for data collection & inclusion criteria • List of relevant organisations to contact (n=135) • Final list of eligible projects (n=151) • Completion of template – project team &/or researchers • Mapping and gap analysis. • Information collected between April and August 2012. • Overseen by Expert Panel
  • 3. Conceptual Framework Research chain for agriculture and nutrition Developed to Policy & Governance Political & Economic Context, e.g. fragile/ stable state, humanitarian situation define pathways Agricultural Impacts/ outcomes Indirect impacts/ by which interventions/ practices related to nutrition intervening factors agriculture may NUTRITIONAL STATUS Agricultural inputs Health/ education contribute to e.g. crops/ animal/ (anthropometry and biomarkers) status & wellbeing nutrition directly fish breeding, technology, fertilisers, and indirectly irrigation farmers, agricultural workers, (pregnant) Climate & Environment women, children, infants, populations in fragile states/humanitarian crises, urban consumers, other high risk groups Helpful for Agricultural Health care & characterizing practices e.g. cropping/ horticultural/ fish/ animal Food consumption & education e.g. national investment in individual raising practices, input use, intake e.g. household food services, household time allocation expenditure, food research projects consumption & dietary practices diversity; individual food & as well as nutrient intake & dietary diversity; infant & young child identifying gaps in Food value chain feeding practices Economic outcome e.g. storage, the research processing, e.g. household Food environment income, national overall distribution, retailing availability, nutrient quality, growth affordability, acceptability Culture, Gender & Equity
  • 4. Realigning Agriculture for Improved Nutrition (RAIN) Policy & Governance: Yes - aims to produce coordination between agriculture & health sectors & shared goal of nutrition Agricultural Impacts/ outcomes Indirect impacts/ interventions/ practices related to nutrition intervening factors Agricultural inputs NUTRITIONAL STATUS Health/ education status Vegetable seeds & small Target: children < 2, pregnant/lactating & wellbeing Child health animals provided at the women in one district in Zambia. Aims to (health card, vaccination beginning then farmers are reduce prevalence of chronic malnutrition status, de-worming, vitamin A, Political & Economic Context: No supported to generate their among young children & improve nutritional incidence of child illness) & own inputs later on . status of pregnant & lactating women. maternal health, e.g. BMI Climate & Environment: No Measures: Prevalence of stunting <5 yrs (HAZ scores), prevalence of wasting (WAZ, WHZ) Agricultural Health care & practices Establish education Use of health smallholder model farmers Food consumption & services, maternal knowledge (SMFs) - homestead intake Aims to improve of HIV, child feeding, health gardening, small-scale animal seeking and nutrition consumption (diversity & husbandry. quantity) of nutritious foods. Measures: Household Hunger Scale & Household Dietary Food value chain Diversity Score, IYCF in first 2 yrs Economic outcome Linkages to markets & Maternal involvement in potentially to micro- income-earning work, finance services Food environment remuneration for work, use of Aims to improve availability loans for agricultural purposes of and access to sufficient quality foods. Not clear how measured. Culture, Gender & Equity: Yes - aims for improved gender equality awareness & practices
  • 5. Sustainable Production of Underutilized Vegetables to Enhance Rural Food Security Policy & Governance: No Climate & Environment: Yes – looking at the impact of crop diversification on the environment Agricultural Impacts/ outcomes Indirect impacts/ interventions/ practices related to nutrition intervening factors Agricultural inputs NUTRITIONAL STATUS Health/ education status Selecting & evaluating different & wellbeing indigenous /underutilised Not measured No vegetables , including for Political & Economic Context: No nutritional quality Agricultural Health care & practices Conducting on- education farm experiments of different Food consumption & No indigenous /underutilised intake vegetables Not measured Food value chain Economic outcome Detailed value-chain Looking at the economic analyses for promising empowerment of women species, e.g. testing Food environment packaging technologies & Measures: indigenous determining market potential /underutilised vegetables use, distribution & nutritional quality. Culture, Gender & Equity: Yes - project is about economic empowerment of women
  • 6. Mapping: overview of project funding & organisational arrangements • Significant majority (133/ 151) part of larger programme or funding initiative (e.g. CGIAR A4NH) • Multiple funders reported (46 in total), but dominated by 5 (BMGF, CIDA, IDRC, USAID, DFID) • One third (n=57) led by CGIAR centres • Lead organisations international or North America/ Europe • Almost all included LMIC organisation as a partner
  • 7. Mapping: overview of project types & focus • Sub-Saharan Africa focus of 93/151. South Asia next with 36. • Emphasis on women and children (‘1000 days’) & rural poor/ farmers • Very few projects targeted urban populations or men as a specific group
  • 8. Category Theme Number of projects Agricultural production of nutritious* foods Biofortification (crop breeding) 17 Agricultural development/technology 15 Traditional/indigenous/local foods 11 Home gardening/homestead production 11 Aquacultural technology development 7 Other 6 Agrobiodiversity 5 Total 66 Value chains Of nutritious* foods 12 Specific to biofortification 10 Not specified 2 Total 24 Agricultural growth/ development more broadly 21 Multi-sectoral nutrition projects that include agriculture 7 Reducing/ understanding impact of aflatoxin contamination 4 Policy, research, data and methodology Governance/capacity building/policy analysis 6 Development of methodology 4 Collection/analysis of datasets 5 Total 15 Other/ not known 14 Grand total 151
  • 9. Gap analysis: conclusions • Whole research chain – research that considers the full pathway of change from agricultural inputs, practices, value chains, food environment to nutrition outcomes; a significant number of projects do not consider the value chain • Indirect effect of changes in agriculture on nutrition, through income and economic growth and associated changes in health and investments in health and education services • Effects of agricultural policy on nutrition as mediated through the value chain • Governance, policy processes and political economy as it relates to the development of agriculture-for-nutrition policies and programmes, the ability to implement them (and scale up) and for them to achieve their stated goals once implemented. • The way research on agriculture and nutrition is conducted, such as the development of methodologies and appropriate metrics • Consumers as a broader target group, notably rural workers and non-rural populations • The rural and urban poor at risk from nutrition-related non-communicable diseases • Cost-effectiveness

Notas do Editor

  1. Shows the different pathways which link agricultural practices or interventions (in green) with nutrition-related outcomes (in yellow) either directly or indirectly via agricultural impacts on household and national economic outcomes (in orange). Capturing data along a particular pathway can provide evidence of these linkages. Measurements of ‘nutritional status’ using anthropometry or biomarkers can be seen as the end point of a pathway of research, providing the strongest evidence that agriculture affects nutritional outcomes. Less strong evidence is provided by measurements of ‘food consumption and intake’, e.g. dietary diversity, individual food and nutrient intake and infant and young feeding practices. Finally, changes in the ‘food environment’, e.g. the availability, affordability, acceptability and nutritional quality of food locally, can be used as evidence of potential nutritional impact on the basis that food access is a determinant of consumption. The food environment is conceptualized as a critical direct link between changes in agriculture and changes in consumption which affect nutrition.If nutritional impacts can be considered the end point of this ‘research chain’, agricultural practices or interventions constitute the start. These may relate to changes in ‘agricultural inputs’, e.g. new crop varieties such as biofortified crops, ‘agricultural practices’ such as home gardening or the ‘food value chain’ meaning the mechanisms by which agricultural outputs reach the consumer in the form of nutritious food products via storage, processing, distribution and retail systems.The orange boxes capture the indirect impacts or intervening factors  affecting both agriculture and nutrition in a given local context. For example, changes in both agricultural practices and the food environment can increase farm incomes, allowing farming household to buy more, and more healthy foods, while increased production generally will reduce prices making healthy foods more affordable to consumers. Agriculture can also contribute to national economic growth which might improve access to health care and education and ultimately health and education status and wellbeing. Health status also links back to nutritional status through, for example, the effects of infectious disease such as diarrhoea or HIV on nutrition.Finally, around the borders of the conceptual framework, broader or ‘macro-level’ factors which can influence agricultural practices and nutritional outcomes are presented. These include; policy and governance; culture, gender and equity; climate and environment; and the political and economic context.
  2. Conceptual framework can be ‘run’ for different projects to illustrate the extent to which a piece of research considers the different pathways and links between agriculture and nutrition.Boxes shaded in blue indicate where elements of pathway not considered by the projectRAIN (IFPRI project http://www.ifpri.org/book-741/node/8349) includes research and measurement on almost all elements of the conceptual framework
  3. IDRC Ni-Can-Veg project focuses research and measurement on the agricultural components of the framework and the food environment.Not a judgement of a project but a description. Can see what other information might be required to complete research chain by other research.
  4. Main research categories &amp; themes