FROM AGRICULTURE TO NUTRITION
(VIA GENDER!)
A4NH Gender-Nutrition Methods Workshop
Nairobi, December 2013
Jody Harris (IFPRI)
Gina Kennedy (Bioversity)
2

Overview
• Why nutrition?
• Why women and children?
• Why agriculture?
• What are the links between agriculture and nutrition?
• Why gender?

• What to measure?
3

Malnutrition
Food security:
consistent access to
diverse, nutritious
diets
(Quantity and quality)

Underlying
causes

Women’s
empowerment:
decision-making
power, income, time
use, and knowledge

Nutrient
intake

Food
security
and
quality

Immediate
causes

Health
status

Care
resources
and
practices

Health
services
and
WASH

Healthy
environments: free
from contaminants
and disease vectors

Institutions
Political and ideological framework

Basic
causes

Economic structure
Resources
Environment, technology, people

Source: Adapted from
UNICEF 1990
4

MALNUTRITION

UNDERNUTRITION

HUNGER
STUNTING
UNDERWEIGHT
WASTING

OVERNUTRITION

OVERWEIGHT
MICRONUTRIENT
MALNUTRITION

OBESITY
NCDs
5

What is stunting?
• Low height-for-age

index
• Globally 34% children

<5y are stunted (195
million)

Two girls, both 12 years old, stand
in front of a wall with a black tape
line indicating the normal height
for a 12-year-old girl
(Source: Badham & Sweet,
Sight & Life Magazine, issue 3/2010)
PREVENT – Focus on 1st 1000 Days
-9 to 24 months
Europe &
Central Asia
LAC
North Africa
Near East

SS Africa
South Asia
Lifecycle approach is important
8

As GDP rises, nutrition profiles shift

Source: WHO “World Health Statistics 2006”
National
economic
growth

National
nutrition
profile

Enabling
environment

Food market environment
Health
environment

Agricultural Production

Household assets and livelihoods

Natural resources
Food
production &
gathering

Processing
& storage

Food
expenditure

Food access

Diet

Health care

Health status

Agricultural
income
Non-food
expenditure

Women’s
empowerment

Household

Child
nutrition
outcomes

Mother’s
nutrition
outcomes

Caring capacity
& practices
Female energy
expenditure

Nutrition and health knowledge

Individual
Source: Herforth and Harris 2013
National
economic
growth

National
nutrition
profile

Enabling
environment

Food market environment
Health
environment

Agricultural Production

Household assets and livelihoods

Natural resources
Food
production &
gathering

Processing
& storage

Food
expenditure

Food access

Diet

Health care

Health status

Agricultural
income
Non-food
expenditure

Women’s
empowerment

Household

Child
nutrition
outcomes

Mother’s
nutrition
outcomes

Caring capacity
& practices
Female energy
expenditure

Nutrition and health knowledge

Individual
Source: Herforth and Harris 2013
11

Share of Energy Source & Food Budget in
Rural Bangladesh
Staple foods
Fish and
Meat

Non-Staple
plants
Energy Source

Food Budget

Slide Source: Howdy Bouis; FNB Mar 2011
Agricultural Production

Household assets and livelihoods

“Potential negative impacts can occur if (1) projects increase
National
National
economic
nutrition
standing water where growth
parasitic disease-carrying vectors can
profile
breed, without also increasing access to health services and
Enabling
education for prevention;marketprojects increase use of a toxic
(2) environment
environment
Food
water source… (3) projects to increase irrigation in the short
Health
environment
term result in longer-term water shortages” Herforth et al 2012
Natural resources
Food
production &
gathering

Processing
& storage

Food
expenditure

Food access

Diet

Health care

Health status

Agricultural
income
Non-food
expenditure

Women’s
empowerment

Household

Child
nutrition
outcomes

Mother’s
nutrition
outcomes

Caring capacity
& practices
Female energy
expenditure

Nutrition and health knowledge

Individual
Source: Herforth and Harris 2013
National
National
“Stunting occurs in setting of ubiquitous Environmental
economic
nutrition
growth
profile
Enteropathy; gut microbiomes of malnourished children are
abnormal, and promote weight loss and malnutrition… Farm
Enabling
environment
Food market environment
practices to control spread of disease are well known – Keeping
animals out of human water supplies” Ghosh etenvironment
al Health
2013

Agricultural Production

Household assets and livelihoods

Natural resources
Food
production &
gathering

Processing
& storage

Food
expenditure

Food access

Diet

Health care

Health status

Agricultural
income
Non-food
expenditure

Women’s
empowerment

Household

Child
nutrition
outcomes

Mother’s
nutrition
outcomes

Caring capacity
& practices
Female energy
expenditure

Nutrition and health knowledge

Individual
Source: Herforth and Harris 2013
National
economic
growth

National
nutrition
profile

Enabling
environment

Food market environment
Health
environment

Agricultural Production

Household assets and livelihoods

Natural resources
Food
production &
gathering

Processing
& storage

Food
expenditure

Food access

Diet

Health care

Health status

Agricultural
income
Non-food
expenditure

Women’s
empowerment

Household

Child
nutrition
outcomes

Mother’s
nutrition
outcomes

Caring capacity
& practices
Female energy
expenditure

Nutrition and health knowledge

Individual
Source: Herforth and Harris 2013
National
economic
growth

National
nutrition
profile

Agricultural Production

Household assets and livelihoods

“With very few exceptions, home garden programs
increased the consumption of fruit and vegetables;
Enabling
aquaculture and small fisheries interventions increased
environment
Food market environment
the consumption of fish; and dairy development projects
Health
increased the consumption of milk.” Masset et al, 2012
environment
Natural resources
Food
production &
gathering

Processing
& storage

Food
expenditure

Food access

Diet

Health care

Health status

Agricultural
income
Non-food
expenditure

Women’s
empowerment

Household

Child
nutrition
outcomes

Mother’s
nutrition
outcomes

Caring capacity
& practices
Female energy
expenditure

Nutrition and health knowledge

Individual
Source: Herforth and Harris 2013
National
economic
growth

National
nutrition
profile

Agricultural Production

Household assets and livelihoods

Enabling
“Overall, cash-cropping schemes [whether staple crops
environment
Food market environment
or other] did not have a significant impact – negative or
Health
positive resources
– on child nutritional status.” World bank, 2007
environment
Natural
Food
production &
gathering

Processing
& storage

Food
expenditure

Food access

Diet

Health care

Health status

Agricultural
income
Non-food
expenditure

Women’s
empowerment

Household

Child
nutrition
outcomes

Mother’s
nutrition
outcomes

Caring capacity
& practices
Female energy
expenditure

Nutrition and health knowledge

Individual
Source: Herforth and Harris 2013
National
economic
growth

National
nutrition
profile

“Women’s empowerment is linked to over 50% of
reductions in all child stunting from 1970-1995”
Smith and Haddad 2000

Enabling
environment

Food market environment

Agricultural Production

Household assets and livelihoods

Shown in many studies, in many parts of the world:
Health
environment
women’s income has greater impact on child nutrition
Natural resources
and food security than men’s UNICEF 2011; Smith et al 2003
Food
production &
gathering

Processing
& storage

Food
expenditure

Food access

Diet

Health care

Health status

Agricultural
income
Non-food
expenditure

Women’s
empowerment

Household

Child
nutrition
outcomes

Mother’s
nutrition
outcomes

Caring capacity
& practices
Female energy
expenditure

Nutrition and health knowledge

Individual
Source: Herforth and Harris 2013
National
economic
growth

National
nutrition
profile

Enabling
environment

Food market environment
Health
environment

Agricultural Production

Household assets and livelihoods

Natural resources
Food
production &
gathering

Processing
& storage

Food
expenditure

Food access

Diet

Health care

Health status

Agricultural
income
Non-food
expenditure

Women’s
empowerment

Household

Child
nutrition
outcomes

Mother’s
nutrition
outcomes

Caring capacity
& practices
Female energy
expenditure

Nutrition and health knowledge

Individual
Source: Herforth and Harris 2013
19

The zero-sum game
agricultura
l
production

child care

maternal
health
and care

McGuire and Popkin, Food & Nutr Bull, 1989

incomeearning
activities

Slide courtesy Andy Jones
20

The zero-sum game
agricultural
production

child
care

maternal
health
and care

McGuire and Popkin, Food & Nutr Bull, 1989

incomeearning
activities

Slide courtesy Andy Jones
Agricultural activities tend to make up a major share of rural
National
National
economic
nutrition
women’s energy expenditure, often at high levels of effort and in
growth
profile
addition to normal domestic duties.
Enabling
environment

Food market environment
Women are more likely than men to suffer from seasonal energy
Health
deficiency and seasonal weight loss.
environment
Natural resources

Agricultural Production

Household assets and livelihoods

Negative impacts on children of pregnancy during hunger season
Food
Processing
production &
& storage
(or famine).
gathering
Food
Occupational health hazards in agriculture can have an impact on
Diet
Food access
Child
expenditure
nutrition
women, and on their children in-utero.
Agricultural
outcomes
income

Harris, forthcoming

Women’s
empowerment

Household

Non-food
expenditure

Health care

Health status
Mother’s
nutrition
outcomes

Caring capacity
& practices
Female energy
expenditure

Nutrition and health knowledge

Individual
Source: Herforth and Harris 2013
22

Overall Messages: Pathways to Nutrition
OLD: Assumptions about
nutrition impact have been
challenged
• Increasing production of

calories
• Increasing overall household

incomes as a singular priority
• Agriculture as an engine of

overall economic growth;
trickle-down effect on nutrition
minimal

NEW: These need more
attention if we are going to reach
nutrition
• Increasing production of - and

access to - diverse, nutrientdense foods
• Increasing women’s control of

income…

• …and avoiding harm due to

additional time demands or
energy expenditure of women
• Incorporating nutrition

education for enhanced
nutrition impact from food
production and income
National
economic
growth

National
nutrition
profile
Environmental
contaminants
or vectors

Food market environment

Agricultural Production

Household assets and livelihoods

Food
production &
gathering

Health
environment
Individual diet

Food prices
and
availability

Natural resources
Production
diversity

diversity
Target nutrient
consumption

Processing
& storage

Target food
consumption

Food Household
Food access
expenditure security
food
Agricultural Consumption
income / Expenditure
Health care
Non-food
expenditure
Women’s
Women’s Empowerment
empowerment in Ag Index

Household

Enabling
environment

Caring capacity
& practices

Diet

Health status
Infant and
young child
feeding

Time use

Female energy
expenditure

Nutrition and health knowledge

Child
nutrition
outcomes
Anthropometry /
biomarkers
Mother’s
nutrition
outcomes
Energy
expenditure

Individual
Knowledge /
attitudes
24

THANK YOU!
HH Food
security

CRP / Indicator

1.1 Dryland Systems
*
*
*
*

1.2 Humidtropics
*
*
*
*

3.4 RTB

3.7 L&F

4 A4NH 

*

1.3 AAS
*

3.2 Maize

3.5 Grain Legumes
*

3.6 Dryland Cereals
*

*

*

*

*

*

Other

‘Do no harm’

Anthropometry /
biomarkers

Target nutrient
consumption

IDDS

Target food
consumption

Knowledge /
attitudes

Women’s
empowerment

Production
diversity

25

*

*

3.3 GRiSP

*
26

How to choose indicators…?
• Which pathway(s) is your program trying to address?
• Which of the boxes along that pathway (or any

intermediate steps not adequately captured there) can
you feasibly measure?(As many as possible!)
• What (preferably validated) tools and metrics exist to

measure each of these?
• In what way will each of these need to be adapted to your

particular context (without losing the validity of the tool)?
• How does the totality of your indicators build a picture of

how your agriculture program is affecting nutrition?

Day 1 Session 3 Harris and Kennedy_ Ag nutrition pathways

  • 1.
    FROM AGRICULTURE TONUTRITION (VIA GENDER!) A4NH Gender-Nutrition Methods Workshop Nairobi, December 2013 Jody Harris (IFPRI) Gina Kennedy (Bioversity)
  • 2.
    2 Overview • Why nutrition? •Why women and children? • Why agriculture? • What are the links between agriculture and nutrition? • Why gender? • What to measure?
  • 3.
    3 Malnutrition Food security: consistent accessto diverse, nutritious diets (Quantity and quality) Underlying causes Women’s empowerment: decision-making power, income, time use, and knowledge Nutrient intake Food security and quality Immediate causes Health status Care resources and practices Health services and WASH Healthy environments: free from contaminants and disease vectors Institutions Political and ideological framework Basic causes Economic structure Resources Environment, technology, people Source: Adapted from UNICEF 1990
  • 4.
  • 5.
    5 What is stunting? •Low height-for-age index • Globally 34% children <5y are stunted (195 million) Two girls, both 12 years old, stand in front of a wall with a black tape line indicating the normal height for a 12-year-old girl (Source: Badham & Sweet, Sight & Life Magazine, issue 3/2010)
  • 6.
    PREVENT – Focuson 1st 1000 Days -9 to 24 months Europe & Central Asia LAC North Africa Near East SS Africa South Asia
  • 7.
  • 8.
    8 As GDP rises,nutrition profiles shift Source: WHO “World Health Statistics 2006”
  • 9.
    National economic growth National nutrition profile Enabling environment Food market environment Health environment AgriculturalProduction Household assets and livelihoods Natural resources Food production & gathering Processing & storage Food expenditure Food access Diet Health care Health status Agricultural income Non-food expenditure Women’s empowerment Household Child nutrition outcomes Mother’s nutrition outcomes Caring capacity & practices Female energy expenditure Nutrition and health knowledge Individual Source: Herforth and Harris 2013
  • 10.
    National economic growth National nutrition profile Enabling environment Food market environment Health environment AgriculturalProduction Household assets and livelihoods Natural resources Food production & gathering Processing & storage Food expenditure Food access Diet Health care Health status Agricultural income Non-food expenditure Women’s empowerment Household Child nutrition outcomes Mother’s nutrition outcomes Caring capacity & practices Female energy expenditure Nutrition and health knowledge Individual Source: Herforth and Harris 2013
  • 11.
    11 Share of EnergySource & Food Budget in Rural Bangladesh Staple foods Fish and Meat Non-Staple plants Energy Source Food Budget Slide Source: Howdy Bouis; FNB Mar 2011
  • 12.
    Agricultural Production Household assetsand livelihoods “Potential negative impacts can occur if (1) projects increase National National economic nutrition standing water where growth parasitic disease-carrying vectors can profile breed, without also increasing access to health services and Enabling education for prevention;marketprojects increase use of a toxic (2) environment environment Food water source… (3) projects to increase irrigation in the short Health environment term result in longer-term water shortages” Herforth et al 2012 Natural resources Food production & gathering Processing & storage Food expenditure Food access Diet Health care Health status Agricultural income Non-food expenditure Women’s empowerment Household Child nutrition outcomes Mother’s nutrition outcomes Caring capacity & practices Female energy expenditure Nutrition and health knowledge Individual Source: Herforth and Harris 2013
  • 13.
    National National “Stunting occurs insetting of ubiquitous Environmental economic nutrition growth profile Enteropathy; gut microbiomes of malnourished children are abnormal, and promote weight loss and malnutrition… Farm Enabling environment Food market environment practices to control spread of disease are well known – Keeping animals out of human water supplies” Ghosh etenvironment al Health 2013 Agricultural Production Household assets and livelihoods Natural resources Food production & gathering Processing & storage Food expenditure Food access Diet Health care Health status Agricultural income Non-food expenditure Women’s empowerment Household Child nutrition outcomes Mother’s nutrition outcomes Caring capacity & practices Female energy expenditure Nutrition and health knowledge Individual Source: Herforth and Harris 2013
  • 14.
    National economic growth National nutrition profile Enabling environment Food market environment Health environment AgriculturalProduction Household assets and livelihoods Natural resources Food production & gathering Processing & storage Food expenditure Food access Diet Health care Health status Agricultural income Non-food expenditure Women’s empowerment Household Child nutrition outcomes Mother’s nutrition outcomes Caring capacity & practices Female energy expenditure Nutrition and health knowledge Individual Source: Herforth and Harris 2013
  • 15.
    National economic growth National nutrition profile Agricultural Production Household assetsand livelihoods “With very few exceptions, home garden programs increased the consumption of fruit and vegetables; Enabling aquaculture and small fisheries interventions increased environment Food market environment the consumption of fish; and dairy development projects Health increased the consumption of milk.” Masset et al, 2012 environment Natural resources Food production & gathering Processing & storage Food expenditure Food access Diet Health care Health status Agricultural income Non-food expenditure Women’s empowerment Household Child nutrition outcomes Mother’s nutrition outcomes Caring capacity & practices Female energy expenditure Nutrition and health knowledge Individual Source: Herforth and Harris 2013
  • 16.
    National economic growth National nutrition profile Agricultural Production Household assetsand livelihoods Enabling “Overall, cash-cropping schemes [whether staple crops environment Food market environment or other] did not have a significant impact – negative or Health positive resources – on child nutritional status.” World bank, 2007 environment Natural Food production & gathering Processing & storage Food expenditure Food access Diet Health care Health status Agricultural income Non-food expenditure Women’s empowerment Household Child nutrition outcomes Mother’s nutrition outcomes Caring capacity & practices Female energy expenditure Nutrition and health knowledge Individual Source: Herforth and Harris 2013
  • 17.
    National economic growth National nutrition profile “Women’s empowerment islinked to over 50% of reductions in all child stunting from 1970-1995” Smith and Haddad 2000 Enabling environment Food market environment Agricultural Production Household assets and livelihoods Shown in many studies, in many parts of the world: Health environment women’s income has greater impact on child nutrition Natural resources and food security than men’s UNICEF 2011; Smith et al 2003 Food production & gathering Processing & storage Food expenditure Food access Diet Health care Health status Agricultural income Non-food expenditure Women’s empowerment Household Child nutrition outcomes Mother’s nutrition outcomes Caring capacity & practices Female energy expenditure Nutrition and health knowledge Individual Source: Herforth and Harris 2013
  • 18.
    National economic growth National nutrition profile Enabling environment Food market environment Health environment AgriculturalProduction Household assets and livelihoods Natural resources Food production & gathering Processing & storage Food expenditure Food access Diet Health care Health status Agricultural income Non-food expenditure Women’s empowerment Household Child nutrition outcomes Mother’s nutrition outcomes Caring capacity & practices Female energy expenditure Nutrition and health knowledge Individual Source: Herforth and Harris 2013
  • 19.
    19 The zero-sum game agricultura l production childcare maternal health and care McGuire and Popkin, Food & Nutr Bull, 1989 incomeearning activities Slide courtesy Andy Jones
  • 20.
    20 The zero-sum game agricultural production child care maternal health andcare McGuire and Popkin, Food & Nutr Bull, 1989 incomeearning activities Slide courtesy Andy Jones
  • 21.
    Agricultural activities tendto make up a major share of rural National National economic nutrition women’s energy expenditure, often at high levels of effort and in growth profile addition to normal domestic duties. Enabling environment Food market environment Women are more likely than men to suffer from seasonal energy Health deficiency and seasonal weight loss. environment Natural resources Agricultural Production Household assets and livelihoods Negative impacts on children of pregnancy during hunger season Food Processing production & & storage (or famine). gathering Food Occupational health hazards in agriculture can have an impact on Diet Food access Child expenditure nutrition women, and on their children in-utero. Agricultural outcomes income Harris, forthcoming Women’s empowerment Household Non-food expenditure Health care Health status Mother’s nutrition outcomes Caring capacity & practices Female energy expenditure Nutrition and health knowledge Individual Source: Herforth and Harris 2013
  • 22.
    22 Overall Messages: Pathwaysto Nutrition OLD: Assumptions about nutrition impact have been challenged • Increasing production of calories • Increasing overall household incomes as a singular priority • Agriculture as an engine of overall economic growth; trickle-down effect on nutrition minimal NEW: These need more attention if we are going to reach nutrition • Increasing production of - and access to - diverse, nutrientdense foods • Increasing women’s control of income… • …and avoiding harm due to additional time demands or energy expenditure of women • Incorporating nutrition education for enhanced nutrition impact from food production and income
  • 23.
    National economic growth National nutrition profile Environmental contaminants or vectors Food marketenvironment Agricultural Production Household assets and livelihoods Food production & gathering Health environment Individual diet Food prices and availability Natural resources Production diversity diversity Target nutrient consumption Processing & storage Target food consumption Food Household Food access expenditure security food Agricultural Consumption income / Expenditure Health care Non-food expenditure Women’s Women’s Empowerment empowerment in Ag Index Household Enabling environment Caring capacity & practices Diet Health status Infant and young child feeding Time use Female energy expenditure Nutrition and health knowledge Child nutrition outcomes Anthropometry / biomarkers Mother’s nutrition outcomes Energy expenditure Individual Knowledge / attitudes
  • 24.
  • 25.
    HH Food security CRP /Indicator 1.1 Dryland Systems * * * * 1.2 Humidtropics * * * * 3.4 RTB 3.7 L&F 4 A4NH * 1.3 AAS * 3.2 Maize 3.5 Grain Legumes * 3.6 Dryland Cereals * * * * * * Other ‘Do no harm’ Anthropometry / biomarkers Target nutrient consumption IDDS Target food consumption Knowledge / attitudes Women’s empowerment Production diversity 25 * * 3.3 GRiSP *
  • 26.
    26 How to chooseindicators…? • Which pathway(s) is your program trying to address? • Which of the boxes along that pathway (or any intermediate steps not adequately captured there) can you feasibly measure?(As many as possible!) • What (preferably validated) tools and metrics exist to measure each of these? • In what way will each of these need to be adapted to your particular context (without losing the validity of the tool)? • How does the totality of your indicators build a picture of how your agriculture program is affecting nutrition?