Nutrition Sensitive Agriculture

A growing number of governments, donor agencies, and development organizations are committed to supporting nutrition-sensitive agriculture (NSA) to achieve their development goals. Although consensus exists on pathways through which agriculture may influence nutrition-related outcomes, empirical evidence on agriculture’s contribution to nutrition and how it can be enhanced is still weak. This paper reviews recent empirical evidence (since 2014), including findings from impact evaluations of a variety of NSA programs using experimental designs as well as observational studies that document linkages between agriculture, women’s empowerment, and nutrition. It summarizes existing knowledge regarding not only impacts but also pathways, mechanisms, and contextual factors that affect where and how agriculture may improve nutrition outcomes. The paper concludes with reflections on implications for agricultural programs, policies, and investments, and highlights future research priorities.

Agriculture's vast potential to improve nutrition is just beginning to be tapped. New ideas, research, and initiatives developed over the past decade have created an opportunity for reimagining and redesigning agricultural and food systems for the benefit of nutrition. To support this transformation, the book reviews the latest findings, results from on-the-ground programs and interventions, and recent policy experiences from countries around the world that are bringing the agriculture and nutrition sectors closer together. Drawing on IFPRI's own work and that of the growing agriculture-nutrition community, this book strengthens the evidence base for, and expands our vision of, how agriculture can contribute to nutrition. Chapters cover an array of issues that link agriculture and nutrition, including food value chains, nutrition-sensitive programs and policies, government policies, and private sector investments. By highlighting both achievements and setbacks, Agriculture for Improved Nutrition seeks to inspire those who want to scale up successes that can transform food systems and improve the nutrition of billions of people.

This publication provides a list of food system-based intervention options to improve nutrition and a set concrete entry points for maximizing the impact of each intervention. Developed through leveraging different expertise in FAO, it is a key resource to assist professionals involved in different areas - from breeding to production; from food transformation and packaging to transportation and trade; from marketing and value chain to food safety; from food labelling to consumer education - to u nderstand the linkages with nutrition, and to increase their contribution for a world free from malnutrition in all its forms.

We use a randomized controlled trial in rural Bangladesh to compare two models of delivering nutrition content jointly to husbands and wives: deploying female nutrition workers versus mostly male agriculture extension workers. Both approaches increased nutrition knowledge of men and women, household and individual diet quality, and women’s empowerment. Intervention effects on agriculture and nutrition knowledge, agricultural production diversity, dietary diversity, women’s empowerment, and gender parity do not significantly differ between models where nutrition workers versus agriculture extension workers provide the training. The exception is in an attitudes score, where results indicate same-sex agents may affect scores differently than opposite-sex agents. Our results suggest opposite-sex agents may not necessarily be less effective in providing training. In South Asia, where agricultural extension systems and the pipeline to those systems are male-dominated, training men to deliver nutrition messages may offer a temporary solution to the shortage of female extension workers and offer opportunities to scale promote nutrition-sensitive agriculture.

Nutrition-sensitive agricultural diversification continues to receive interest among developing country stakeholders as a viable option for achieving dual goals of poverty reduction and food/nutrition security improvements. Assessing the effectiveness of this strategy is also essential in countries like Tajikistan. We attempt to enrich the evidence base in this regard. We assess the linkages between household-level agricultural diversification and dietary diversity (both household- and individual-levels) using unique panel samples of households and individual women of reproductive ages in the Khatlon province. Using difference-in-difference propensity-score methods and panel fixed-effects instrumental variable regressions, we show that higher agricultural diversification together with greater overall production per worker and land at the household level leads to higher dietary diversity, particularly in areas with poor food market access. Typology analyses and crop-specific analyses suggest that vegetables, fruits, legumes/nuts/seeds, dairy products and eggs are particularly important commodities for which a farmer’s own production contributes to dietary diversity improvement. Furthermore, decomposition exercises within the subsistence farming framework suggest that nutritional returns and costs of agricultural diversification vary across households, and expected nutritional returns may be partly driving the adoption of agricultural diversification. In other words, households’ decisions to diversify agriculture may be partly driven by potential nutritional benefits associated with enhanced direct on-farm access to diverse food items rather than farm income growth alone. Our findings underscore the importance of supporting household farm diversification in Tajikistan to support improved nutrition intake, especially among those living in remote areas. In a low-income setting with limited local employment opportunities that is vulnerable to a wide range of external shocks, this will likely continue to be one of the most straightforward and realistic paths to improving household’s nutrition resilience.

Ending malnutrition in all forms is a global development priority. Investment in nutrition can yield high returns in terms of reduced health costs, increased productivity and improved human resources capacity and economic growth (Covic & and Hendriks 2016; Shekar et al. 2017). Nutrition policy-making and program interventions in developing countries fail to bring together several sectors that contribute to nutrition improvement. Since food systems influence the type of food produced, understanding relevant drivers of a country’s food system with an emphasis on nutrition can help to end malnutrition (Per Pinstrup-Andersen 2012a; HLPE 2017; Babu and Kataki 2003). In this paper, we adopt a food systems perspective to review Myanmar’s current food system. With the help of a review of the literature and two national consultative stakeholder workshops, we examine Myanmar’s current food system. This is a crucial step since it identifies gaps existing in the current policies/ strategies being implemented. After the review, we developed an AIT (analyze gaps, identify priority investment areas, and track progress) operational framework that can be used to increase the nutrition-sensitivity of a food system. Applying this framework to Agriculture Development Strategy (ADS), this paper presents an analysis of the gaps that need to be addressed to make ADS nutrition-sensitive, provide priority investment areas, and a tracking system which monitors the progress of these investments.

Over the past decade, interest in gender equality and women’s empowerment has grown rapidly, creating a unique opportunity to institutionalize gender research within agricultural research for development. This book, edited by researchers from the CGIAR Gender Platform, reviews and reflects on the growing body of evidence from gender research. It marks a shift a way from a traditional focus on how gender analysis can contribute to improved productivity, flipping the question to ask, How does agricultural and environmental research and development contribute to gender equality and women’s empowerment? Chapters synthesize the wide range of CGIAR and other research in this area, covering breeding research and seed systems, value chain participation, nutrition-sensitive agriculture, natural resources, climate adaptation and mitigation, the “feminization” of agriculture, women’s role in agricultural research, and emerging gender transformative approaches.