A review of the effectiveness of agriculture interventions in improving nutrition outcomes

Berti, Peter R.; Krasevec, Julia; Fitzgerald, Sian

doi:10.1079/phn2003595

Cited by 320 publications

(291 citation statements)

References 25 publications

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“…However, the evidence of the effectiveness of agricultural interventions on nutrition outcomes remains sparse (49)(50)(51) . Limited attention to seasonality in this research programme may well be one reason for this.…”

Section: Discussionmentioning

confidence: 99%

Seasonality and household diets in Ethiopia

Hirvonen¹,

Taffesse²,

Hassen³

2015

Public Health Nutr.

121

101

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Objective: To revisit seasonality by assessing how household diets vary across agricultural seasons in rural and urban Ethiopia. The role of seasonality on the sources and intake of energy (per capita) and household dietary diversity score (HDDS) was analysed. Design: The use of nationally representative household-level data collected each month over one year to study the seasonal changes in the sources and intake of energy and HDDS. Setting: Eleven regions of Ethiopia, including rural and urban settings.

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Section: Discussionmentioning

confidence: 99%

Seasonality and household diets in Ethiopia

Hirvonen¹,

Taffesse²,

Hassen³

2015

Public Health Nutr.

121

101

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“…While a number of interventions have focused on home gardening to improve household food security (32,33) , no studies have explored the potential of pressure cookers.…”

Section: Discussionmentioning

confidence: 99%

Pressure cooker ownership and food security in Aurangabad, India

Elsland

Hoeven

Joshi

et al. 2011

Public Health Nutr.

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Objective: To explore associations between household food security and home gardening, use of soya and pressure cooker ownership in low-income households affected by HIV/AIDS in Aurangabad, India. Design: Cross-sectional pilot study which assessed household food security using the validated US Department of Agriculture's food security core-module questionnaire. Questions were added to explore household environment, education, occupation, home gardening, use of soya and pressure cooker ownership. Households with very low v. low food security were compared using logistic regression analysis, controlling for confounding by socio-economic status. Setting: Aurangabad is an urban setting situated in a primarily agricultural dependent area. The study was carried out in 2008, at the peak of the global food crisis. Subjects: Adult caregivers of children affiliated with the Network of People Living with HIV/AIDS in Aurangabad. Results: All except for one of 133 households were identified as food insecure (99?2 %). Of these households, 35?6 % had to cut size or skip a meal in the past 30 d. Households that cut meal size due to cooking fuel shortages were more likely to have very low food security (OR 5 4?67; 95 % CI 1?62, 13?44) compared with households having no cooking fuel shortages. Owning a pressure cooker was shown to be protective against very low food security after controlling for confounding by socio-economic status (OR 5 0?27; 95 % CI

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“…There is consensus about the need for more and better evidence of the impact of different types of agricultural investments on diets and other nutrition outcomes (Berti et al 2004;Girard et al 2012;Leroy and Frongillo 2007;Masset et al 2012;Randolph et al 2007). One important source of this evidence will be evaluations of agricultural development programs.…”

Section: Monitoring Evaluating and Learning From Nutrition-sensitivementioning

confidence: 99%

Agricultural research for nutrition outcomes – rethinking the agenda

et al. 2015

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Agriculture and food are assumed to be critical determinants of stunting and micronutrient deficiency. However, agriculture research for development has not translated as expected into better nutrition outcomes. We argue that to do so, agriculture research needs to be fundamentally changed, from the current emphasis on supply-side production and productivity goals to understanding consumption and addressing factors that can improve diet quality. Some of the research will be to improve the efficiency of supply for more nutritious foods. Other research will need to focus on factors that promote diet quality rather than focus on food security goals through stocks of staple cereals. Because of its importance in low-income, high-burden countries, agriculture can also contribute more effectively to multisectoral nutrition-sensitive development strategies and programs. Critical roles for agricultural research in multisectoral actions will be better metrics, indicators and research studies for diet quality and better evaluation methodsboth randomized trials for specific interventions and contribution analysis through theories of change for more complex multisectoral system interventions to prevent stunting and micronutrient deficiencies. To achieve improvements in nutrition outcomes at scale, researchers must engage in new partnerships. In food systems, these partnerships must include more disciplines from agriculture and food science through economics and social science to business and delivery science. Food system researchers will also need to engage more with value chain actors and policy makers. Current efforts to improve nutrition outcomes at scale are severely hampered by data and evidence gaps that prevent better decisions and faster learning.

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A review of the effectiveness of agriculture interventions in improving nutrition outcomes

Cited by 320 publications

References 25 publications

Seasonality and household diets in Ethiopia

Seasonality and household diets in Ethiopia

Pressure cooker ownership and food security in Aurangabad, India

Agricultural research for nutrition outcomes – rethinking the agenda

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