A4NH and Gender Task Force seminar on Gender, Agriculture, and Health: Tracing the Links Screencast recording: https://www.dropbox.com/s/zer79kc0vnsrsgy/2015-10-20%2009.31%2010_20%20A4NH_IFPRI%20Gender%20Task%20Force%20Seminar_%20Gender%2C%20agriculture%2C%20and%20health.mp4?dl=0 How can we take into account health in our agriculture, nutrition, and gender research? Health and nutrition are closely interrelated: health status influences nutritional outcomes, by mediating a person’s ability to utilize nutrients and lead a healthy life, and nutritional status influences health, by mediating a person’s vulnerability to various illnesses. Both health and nutrition are directly and indirectly affected by rural livelihood decisions related to agriculture, livestock, and water management. Livelihood decisions and duties are gendered, in that social identity influences an individual’s options and choices. Men and women’s exposure to health risks, capacity to provide health care, and access to health services often vary due to these differing roles and rights. This seminar provides three case studies in how gender dynamics in rural livelihoods influence health, and in turn, nutrition. Intended as an introduction to topics in gender, health, and agriculture, the seminar will help researchers familiar with the agriculture-to-nutrition pathways begin to think about how health has bearings on this framework. In the seminar, Kelly Jones will present on recent research that traces how livelihood shocks may increase HIV transmission through higher-risk sex, especially for women. Elizabeth Bryan will share early-stage research on the links between small-scale irrigation adoption, gender, and health and nutrition outcomes. Delia Grace will introduce a gender-sensitive participatory risk assessment framework for addressing food safety.

1. gender-sensitive participatory
risk assessment for food safety
A4NH/IFPRI Gender Seminar: Gender, Agriculture, and Health: Tracing the Links
IFPRI, Washington, D.C., October 20, 2015

2. 2
Food safety
 Every year, at least 2 billion cases of diarrhea occur and 1.5
million children under 5 yrs die worldwide
 80% of child deaths due to diarrhea occur in South Asia and
Africa
 Animal source foods are single most important source of food
borne disease (FBD)
 In Africa and Asia, large proportion of animal source foods are
sold through informal markets

3. Risk analysis components
3

4. 4
Codex Alimentarius Commission framework
for food safety risk assessment
Hazard identification
Hazard characterization Exposure assessment
Risk characterization
Risk communication
What harm does it cause?
How does harm depend
on dose?
Can it be present in food?
Can it cause harm?
How and to what extent does it
get from source to victim?
What is the harm?
What is its likelihood?
Participatory methods
fit well

5. 5
Main tools
Mapping: geography, movement, institutions…
Drawing: calendars, time-tables, diseases symptoms
Categorising: Brainstorming, Matrices
Ranking & rating: pair-wise comparisons
Proportional piling: estimating proportions
Direct observation: transect, village walk
Discussion: group, sub-group, key informant inteview

6. Risk assessment & management with a
gender perspective
 How do the differing roles of women and men affect their
exposure to hazards?
 How does the biology of women and men, young and old,
healthy and sick affect their vulnerability to different
diseases?
 As food systems undergo change and evolution, how might
this advantage or disadvantage women and men?
 How do women and men differ in their capacity to manage
risk and how can we best enhance risk management?6

7. Availability: seasonal
School fees Festivals Rains

8. Butchery wa Anthony:
•Clean meat and clean butcher
man
•Organized place
•Not a pork joint
•Fair price (6,000 UGX per kg)
Butchery Mukono:
•Along the main way
•Clean meat and butcher man
•Organized
•Not a pork joint
•Fair price (6,000 kg UGX per kg)
Butchery/ pork joint Nasuti:
•Relative clean
•Good price
•near
Butchery/ pork joint Nakabago:
•Relative clean
•Good price
•near
Butchery/ pork joint
industrial area:
•Relative clean
•Good price
•near
Butchery Mukilangila:
•Dirty meat, dirty butcher man
•Drunkards that maintain obscene
words
Kitete, Mukono TC
Availability pork: rural consumers in Uganda

9. Acceptability: nutritious vs delicious pig parts
More delicious Less delicious
More
nutritious
loin, ham, hock,
spare ribs, heart
Brain
Less
nutritious
belly slice, rib
toast, stomach,
Bones, intestines,
liver, skull, tail
How often do you buy these?
•Two days out of three
•One day out of three
•One day a month
•Less than one day a month

10. Religion:
•Muslims; SDA; Borne Again (Masaka):
“pigs are for demons”
•Abaswezi don’t eat eggplant, fish and
pork
•Abaana don’t eat pork
•Bamasiya don’t eat anything that
produces blood
Beliefs:
•Pregnant women must not eat pork or
“the child might have a mouth like a
pig”
•If children eat meat “they might delay
speaking”
•If children eat offal “they might
become dumb”
Pregnant women avoid R U
Intestines √ √
Head meat √ √
Spicy food √ ○
Fishy food ○ √
Dog meat √ ○
“Nem chua”-fermented pork ○ √
Boiled pork with fresh fig
leaves
√ ○
Acceptability: reasons to avoid pork in Uganda & Vietnam

11. When disease targets women
 High rates of abortion among women in some areas
 Listeria never reported in food
 Listeria reported in sheep
 First study to assess risk of Listeria in Ghana
11
Hazard: Listeria in milk Hazard: Listeria in fish
Moderate riskLow risk
RISK
ASSESSEMENT
RISK
ASSESSEMENT

12. 12
Milk (cow)
Production: men (x Nairobi)
Processing: women
Marketing: women (x
Abidjan)
Consumed: both
Milk (cow)
Production: men (x Nairobi)
Processing: women
Marketing: women (x
Abidjan)
Consumed: both
Poultry
Production: women
Processing: women
Marketing: women
Consumed: both
Poultry
Production: women
Processing: women
Marketing: women
Consumed: both
Milk (goat)
Production: men (w milk)
Processing: women
Marketing: women
Consumed: both
Milk (goat)
Production: men (w milk)
Processing: women
Marketing: women
Consumed: both
Beef
Production: men
Processing: men
Marketing: men
Consumed: both
Beef
Production: men
Processing: men
Marketing: men
Consumed: both
Pigs
Production: women
Processing: men
Marketing: men
Consumed: both
Pigs
Production: women
Processing: men
Marketing: men
Consumed: both
Fish, crabs
Fishing: men
Processing: women
Marketing: women)
Consumed: both
Fish, crabs
Fishing: men
Processing: women
Marketing: women)
Consumed: both
Women dominate certain sectors

13. New markets change opportunity and risk
13
Traditionally women control sale & processing pf milk
Abijan: new urban markets
Markets self-organising
Producers immigrants: mainly
men & unmarried
Men dominate milk value chain
Mali: new co-operative expands
markets
Co-operative trains women
Women remain in market
Cooperative introduces quality tests
Some milk fails tests
Women take it home and consume
Family health at risk
Women have markets for milk
Less milk goes to herder
Nutrition status at risk

14. Women are fewer but better butchers
14
Women have a more important role in self-organised groups than officially-
organised groups.
Women better meat handling practice and
better quality meat (p=0.001).
Men eat more muscle meat (steak) and
women more offal (p=0.004).
Peer to peer training resulted in:
•a 20% reduction in unacceptable meat
•$9 per butcher and saved $780 saved in diarrhoea treatment costs

15. Risk assessment & management with a
gender perspective
 Differing roles of women and men significantly affect their
exposure to hazards.
 Biology of women and men, young and old, healthy and sick
affects their vulnerability but gender > biology.
 As food systems undergo change and evolution they tned to
disadvantage women unless action taken.
 Women may be better at managing food safety risks than
men.
15

16. gender-sensitive participatory
risk assessment for food safety
A4NH/IFPRI Gender Seminar: Gender, Agriculture, and Health: Tracing the Links
IFPRI, Washington, D.C., October 20, 2015