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Opportunities for
Scaling out Nutrition
Integration in
Agricultural Extension
UIUCAndrea Bohn
It takes concerted action by multiple players to
improve nutrition!
Opportunities for Scaling out NUTRITION
Integration in Agricultural Extension ?
3 Determinants of NUTRITION status
Food
Health
Care
CONSUMPTION of Sufficient (but
not too much!), Diverse & Nutritious
(micronutrients, protein!), & Safe diets
UTILIZATION of food consumed:
Capacity to metabolize food
properly depends on health status
(improve access to health services, reduce
pathogens & contaminants in the environment;
improve water quality, sanitation, air quality)
Care, support and feeding practices,
cognitive stimulation (especially
children, pregnant mothers, elderly, sick)
Availability
Consumption
Supply Access
Support STABLE availability, accessibility, consumption &
utilization of sufficient, diverse, nutritious, and safe foods
Where do farmers get advice? Example of
(private sector) reinforcement of good nutrition
WHAT: Agricultural Inputs Project published
11,000 nutrition posters.
• Nutrition posters are displayed in AIRN accredited
retailers’ shops as well as women grantees’.
• 50% were distributed to USAID/AIN and USAID/AVC
project
• 40% were distributed among AIRN retailers
(2000+accredited members) and during Agro-Tech Fair
• Less than 5% were distributed to governmental upazila
level information centers (AICC), community clinics
(operated by government), and high schools (grade 6-
10)
• 500+ posters still available for new AIRN members,
women grantees, other stakeholders.
During training this poster is widely used as a tool for the
topic of “nutritious crops”.
Where do farmers get advice? Example of
(private sector) reinforcement of good nutrition
Hafiza Khatun, a grantee of AIP sells quality seeds to a
female farmer in Chuadanga. © CNFA, 2016
Saiful Islam, an AIRN member, arranges a meeting with
agriculture officers in his shop to advise farmers in
Kaliganj, Jhinaidah. © CNFA, 2016
SO WHAT?
• Due to attractive colour and clear pictorial message, people
frequently ask question to retailers about the content and
key message of the posters (Mst. Salina, a women grantee,
Barisal)
• According to AIRN retailers it is an easy pictorial reference
tool to help farmer customers understand that nutritious
crops and fishes are available within their door steps and
affordable. (Rupa Khatun, a women grantee, Khulna and 6
others male retailers of Khulna, Jessore)
• AIRN retailers including women grantees who mainly sell
seeds said that this poster has boosted their sales of
vegetables seeds as they referred/ motivated farmers by
drawing their attention to AIP’s nutrition poster (displayed in
their shops). It was a common trend that a farmer who
intended to buy only rice seed, also randomly bought seeds
of water spinach and red amaranth as they were motivated
by reading /observing the poster’s pictorial messages.
• Other retailers who sale pesticide and fertilizer also
frequently use this poster for starting a discussion with
farmer customers before selling inputs.
NOW What?
Objectives of this symposium
• The policy agendas, frameworks,
studies, approaches you will hear
about today and tomorrow are
intended to promote learning and
inspire action
• What should / can other actors in the
system do? 25/10 crowdsourcing
• What can I do? Commitment to 15%
solution - action
+ networking!
Disclaimer and License
This presentation was made possible by the generous support of the American people through
the United States Agency for International Development, USAID. The contents are the
responsibility of the author(s) and do not necessarily reflect the views of USAID or the
United States Government.
All work by INGENAES is licensed under a Creative Commons
Attribution-NonCommercial 3.0 Unported License
Photo:DanQuinn,HorticultureInnovationLab
Integrating
Gender and
Nutrition within
Agricultural
Extension
Services
IN
GE
N
A
E
S
Introducing INGENAES
Why INGENAES? Need to address these issues:
• Many agricultural development efforts
and extension services systematically fail
to target women farmers with services,
or utilize approaches that make it
difficult for women farmers to engage
• Many extension services have a topic
bias towards trainings on staple crop
production and new seed varieties and
practices, not topics that are particularly
relevant for women (top down instead of
needs based)
• Significant capacity constraints (human
& institutional) along with social factors
Young woman preparing potatoes.
© K. Colverson. Nepal, 12/2015.
• Established infrastructure
• Reach
• Community trust
• Cultural awareness
• Empathy and understanding
• Focus on “Food Based Approaches”
Fanzo (2015). GFRAS Global Good Practice Note # 9
STRENGTHS of Engaging Extension
Food Based Approaches for
Extension to focus on
1. Promote diversification of production and livelihoods for better
nutrient mix and to reduce seasonality of food-insecurity
2. Increase production of nutrient-dense foods, particularly locally-
adapted varieties rich in micronutrients and protein
a. Horticultural crops
b. Animal-source foods
c. Legumes
d. Biofortification
e. Nutritious underutilized and indigenous foods
f. Staple crop and cash crops: be careful
3. Reduce post-harvest losses and improve processing
4. Increase market access and opportunities to improve smallholder
incomes (especially for women)
Food Based Approaches
Derived from: J. Fanzo (2015)
 Promote nutrient-rich crops and their
cultivation at the farm level (diversification,
biofortification, indigenous crops)
 Support livestock production and good animal
husbandry (sanitation!)
 Strengthen linkages of farmers to markets and
value chains to sell and buy nutritious foods at
the farm gate level
Food Based Approaches
 Advise on better utilization of foods available to the
household through home production or purchase
 Engage in nutrition messaging and education geared
towards behaviour change at the individual level
 Advise on how to reduce post harvest losses and
improve storage
 Educate on improve food safety (in consumption,
storage and selling of previously stored or processed
food)
Derived from: J. Fanzo (2015)
Non-Food Based Approaches
 Identify tools, technologies, practices that reduce
especially women’s work and time burden
 Support income generating activities, e.g., through
dairy, livestock, poultry, aquaculture, value added
plant/animal based products, but using sanitary
husbandry practices, assuring food safety,  likely
reduce incidence of environmental enteropathy
 Promote good agricultural practices
 Safe use of chemicals and IPM
 Safe irrigation
Derived from: J. Fanzo (2015)
Examples of Delivery Channels & Methods
 On-farm demonstrations
 Farmer field schools or study groups with
integrated nutrition components
 Homestead gardening
 Support nutrition education in schools, school
gardens
 Collaborate with public health platforms,
WASH programs
WEAKNESSES of Engaging Extension
 Nutrition: yet one more domain for extension! Expected to be “superwomen”
 There is limited understanding of nutrition within EAS. Lack even the basics.
 The agriculture and nutrition sectors speak different ‘languages’. Coming from
different disciplines, agriculturalists, and nutritionists use different language,
priorities, and terms, which constrains integration. (“Dominance of SUN and
ENHA”)
Source: J. Fanzo (2015)
 There needs to be a discussion across sectors to clarify the
role of each sector in addressing nutrition, and to decide
how to mobilize resources and create a budget for nutrition
interventions for EAS specifically.
 There is a lack of joint planning and dialogue at all levels.
Coordination of planning and dialogue among the relevant
agriculture, nutrition and health actors does not happen.
 identify and leverage existing mechanisms and avenues
for collaboration.

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Opportunities for Scaling Out Nutrition Integration in Agricultural Extension

  • 1. Opportunities for Scaling out Nutrition Integration in Agricultural Extension UIUCAndrea Bohn
  • 2. It takes concerted action by multiple players to improve nutrition! Opportunities for Scaling out NUTRITION Integration in Agricultural Extension ?
  • 3. 3 Determinants of NUTRITION status Food Health Care CONSUMPTION of Sufficient (but not too much!), Diverse & Nutritious (micronutrients, protein!), & Safe diets UTILIZATION of food consumed: Capacity to metabolize food properly depends on health status (improve access to health services, reduce pathogens & contaminants in the environment; improve water quality, sanitation, air quality) Care, support and feeding practices, cognitive stimulation (especially children, pregnant mothers, elderly, sick)
  • 4. Availability Consumption Supply Access Support STABLE availability, accessibility, consumption & utilization of sufficient, diverse, nutritious, and safe foods
  • 5. Where do farmers get advice? Example of (private sector) reinforcement of good nutrition WHAT: Agricultural Inputs Project published 11,000 nutrition posters. • Nutrition posters are displayed in AIRN accredited retailers’ shops as well as women grantees’. • 50% were distributed to USAID/AIN and USAID/AVC project • 40% were distributed among AIRN retailers (2000+accredited members) and during Agro-Tech Fair • Less than 5% were distributed to governmental upazila level information centers (AICC), community clinics (operated by government), and high schools (grade 6- 10) • 500+ posters still available for new AIRN members, women grantees, other stakeholders. During training this poster is widely used as a tool for the topic of “nutritious crops”.
  • 6. Where do farmers get advice? Example of (private sector) reinforcement of good nutrition Hafiza Khatun, a grantee of AIP sells quality seeds to a female farmer in Chuadanga. © CNFA, 2016 Saiful Islam, an AIRN member, arranges a meeting with agriculture officers in his shop to advise farmers in Kaliganj, Jhinaidah. © CNFA, 2016 SO WHAT? • Due to attractive colour and clear pictorial message, people frequently ask question to retailers about the content and key message of the posters (Mst. Salina, a women grantee, Barisal) • According to AIRN retailers it is an easy pictorial reference tool to help farmer customers understand that nutritious crops and fishes are available within their door steps and affordable. (Rupa Khatun, a women grantee, Khulna and 6 others male retailers of Khulna, Jessore) • AIRN retailers including women grantees who mainly sell seeds said that this poster has boosted their sales of vegetables seeds as they referred/ motivated farmers by drawing their attention to AIP’s nutrition poster (displayed in their shops). It was a common trend that a farmer who intended to buy only rice seed, also randomly bought seeds of water spinach and red amaranth as they were motivated by reading /observing the poster’s pictorial messages. • Other retailers who sale pesticide and fertilizer also frequently use this poster for starting a discussion with farmer customers before selling inputs.
  • 7. NOW What? Objectives of this symposium • The policy agendas, frameworks, studies, approaches you will hear about today and tomorrow are intended to promote learning and inspire action • What should / can other actors in the system do? 25/10 crowdsourcing • What can I do? Commitment to 15% solution - action + networking!
  • 8. Disclaimer and License This presentation was made possible by the generous support of the American people through the United States Agency for International Development, USAID. The contents are the responsibility of the author(s) and do not necessarily reflect the views of USAID or the United States Government. All work by INGENAES is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License
  • 10. Why INGENAES? Need to address these issues: • Many agricultural development efforts and extension services systematically fail to target women farmers with services, or utilize approaches that make it difficult for women farmers to engage • Many extension services have a topic bias towards trainings on staple crop production and new seed varieties and practices, not topics that are particularly relevant for women (top down instead of needs based) • Significant capacity constraints (human & institutional) along with social factors Young woman preparing potatoes. © K. Colverson. Nepal, 12/2015.
  • 11. • Established infrastructure • Reach • Community trust • Cultural awareness • Empathy and understanding • Focus on “Food Based Approaches” Fanzo (2015). GFRAS Global Good Practice Note # 9 STRENGTHS of Engaging Extension
  • 12. Food Based Approaches for Extension to focus on 1. Promote diversification of production and livelihoods for better nutrient mix and to reduce seasonality of food-insecurity 2. Increase production of nutrient-dense foods, particularly locally- adapted varieties rich in micronutrients and protein a. Horticultural crops b. Animal-source foods c. Legumes d. Biofortification e. Nutritious underutilized and indigenous foods f. Staple crop and cash crops: be careful 3. Reduce post-harvest losses and improve processing 4. Increase market access and opportunities to improve smallholder incomes (especially for women)
  • 13. Food Based Approaches Derived from: J. Fanzo (2015)  Promote nutrient-rich crops and their cultivation at the farm level (diversification, biofortification, indigenous crops)  Support livestock production and good animal husbandry (sanitation!)  Strengthen linkages of farmers to markets and value chains to sell and buy nutritious foods at the farm gate level
  • 14. Food Based Approaches  Advise on better utilization of foods available to the household through home production or purchase  Engage in nutrition messaging and education geared towards behaviour change at the individual level  Advise on how to reduce post harvest losses and improve storage  Educate on improve food safety (in consumption, storage and selling of previously stored or processed food) Derived from: J. Fanzo (2015)
  • 15. Non-Food Based Approaches  Identify tools, technologies, practices that reduce especially women’s work and time burden  Support income generating activities, e.g., through dairy, livestock, poultry, aquaculture, value added plant/animal based products, but using sanitary husbandry practices, assuring food safety,  likely reduce incidence of environmental enteropathy  Promote good agricultural practices  Safe use of chemicals and IPM  Safe irrigation Derived from: J. Fanzo (2015)
  • 16. Examples of Delivery Channels & Methods  On-farm demonstrations  Farmer field schools or study groups with integrated nutrition components  Homestead gardening  Support nutrition education in schools, school gardens  Collaborate with public health platforms, WASH programs
  • 17. WEAKNESSES of Engaging Extension  Nutrition: yet one more domain for extension! Expected to be “superwomen”  There is limited understanding of nutrition within EAS. Lack even the basics.  The agriculture and nutrition sectors speak different ‘languages’. Coming from different disciplines, agriculturalists, and nutritionists use different language, priorities, and terms, which constrains integration. (“Dominance of SUN and ENHA”) Source: J. Fanzo (2015)  There needs to be a discussion across sectors to clarify the role of each sector in addressing nutrition, and to decide how to mobilize resources and create a budget for nutrition interventions for EAS specifically.  There is a lack of joint planning and dialogue at all levels. Coordination of planning and dialogue among the relevant agriculture, nutrition and health actors does not happen.  identify and leverage existing mechanisms and avenues for collaboration.

Editor's Notes

  1. And what is extension? I am not just referring to government extension. Also NGOs, input supply dealers, outgrower schemes/contract farming, While most nutrition interventions are delivered through the health sector, non-health interventions can also be critical. Actions should target the different causes to reach sustainable change, which requires a multisectoral approach. The essential nutrition actions (ENA) are a package of interventions that could reduce infant and child mortality, improve physical and mental growth and development, and improve productivity. http://www.who.int/nutrition/ publications/infantfeeding/essential_nutrition_actions/en/ Source of the image: https://sweffling.wordpress.com/2010/03/04/
  2. What is extension doing to minimize pathogens, contaminants, air pollution (from animals, but especially fuels). What fuels are produced/used and what can be improved? CARE: Is extension mindful of intergenerational dynamics in the household. Who does what and are our recommendations unrealistic in light of time burden, agency. What is an extension worker supposed to do when encountering Gender Based violence?
  3. Unless somebody (men and women farmers) produces the plants and animals and fish that we consume, there will not be any supply. But that mean that everybody has access to the food that is produced. Availability, Access, and Utilization need to be STABLE ACCESS: Physical, economic, social: roads, markets, mobility, income, cash flow, empowerment. EXTENSION needs to be market oriented advisory services, farm management tools, profitability calculator/price and risk modeling Extensionists: Linkers, facilitators, negotiators Link farmers to markets or bring traders to farmers. If supply chains are weak, the non-producers (e.g., urban dwellers) will not have access. And the role of extension doesn’t necessarily mean that you have to do all of that (Superwoman, superman). Extension can and should have the function of linking actors in an innovation system. Extension agents are intelligence agents that should now what is going on where and how to link resources.
  4. Have any of you seen this poster? Something similar? Now I am going to contradict myself a little. I want to share an example with you of a simple way that good nutrition practice can be reinforced and it has an effect.
  5. During a latest communications survey done by USAID/AIN project, the highest number of farmers recalled the messages picked from AIP’s nutrition poster and other communications tools of AIN (i.e., small fish (20.52%), nutritious vegetables (12.21%)  and nutritious diets for children (4.42%)).
  6. Before we go any further: What is extension?
  7. Is this true in Bangladesh? Can you give examples of each?
  8. Fanzo, Global Good Practice Note • Established infrastructure. In some countries, the EAS delivery system is already in place and it is just a matter of ‘topping-up’ their portfolio with simple nutrition activities and messages. • Reach. Existing networks of extension agents already reach many people, and thus there is no need to tap into or seek new clientele. Extension agents have direct and sometimes extensive links to farming communities in rural and remote areas. These links are founded upon well-established structures and systems that cover most farming households. • Community trust. Extension agents maintain regular contact and have established relationships with the people and the communities in which they work. It is much easier to introduce nutrition issues into communities with preexisting relationships built on trust. • Cultural awareness. Extension agents are often aware of the local social norms, cultures, and belief systems that accompany and contextualise food. Agents frequently hail from the region where they work and therefore have intimate knowledge and understanding of the local context. • Empathy and understanding. Because of their familiarity with the conditions and context under which the farmers work and associated limitations and opportunities, extension agents are more able to demonstrate empathy with the farmers. This is particularly true with regard to questions of food production and access. Equipped with knowledge of the local food production system, access to markets, and the nutrition status of households, extension agents have a clearer understanding of how to mitigate the constraints faced by farmers. • More knowledge. We now know more on what to do and the eight principles for integrating nutrition into agriculture and rural development serve as a guide for ensuring EAS have a strong footing in the integration of nutrition into their own services. See http://www.fao.org/docrep/017/aq194e/aq194e.pdf 2013) SYNTHESIS OF GUIDING PRINCIPLES ON AGRICULTURE PROGRAMMING FOR NUTRITION. FAO Beyond just producing or having access to nutritious foods, we also know there are three main pathways that potentially improve nutrition: agricultural production, agriculture-derived income, and women’s empowerment.
  9. See http://www.fao.org/docrep/017/aq194e/aq194e.pdf 2013) SYNTHESIS OF GUIDING PRINCIPLES ON AGRICULTURE PROGRAMMING FOR NUTRITION. FAO 1.Diversify production and livelihoods for improved food access and dietary diversification, natural resource management, risk reduction, improved income and other purposes. 2.Increase production of nutrient-dense foods, particularly locally-adapted varieties rich in micronutrients and protein, chosen based on local nutrition issues and available solutions. a. Horticultural crops are highly recommended, particularly when combined with nutrition education, to improve year-round micronutrient intake and healthy diet patterns, and to increase income and women’s income control. Homestead and marketoriented production are both likely to be positive, in view of nutrition improvement for both producers and consumers. b. Produce animal-source foods on a small scale, including fish and livestock, to improve intake of micronutrients, protein and fat; keep production small-scale to avoid harm to the natural resource base. c. Harness the potential of nutritious underutilized foods (such as indigenous or traditional crops) which often have high nutrient content and resource-use efficiency, and potential for income-generation. d. Increase legume production for their nutritional value (rich in energy, protein and iron) and for their ability to fix nitrogen in the soil, which can improve soil fertility and yield, and reduce inputs. e.Invest in biofortification as a complement to other approaches. f. Staple crop production may be necessary but insufficient for addressing undernutrition because of its limited ability to improve dietary diversity. g. Cash crops are viewed as unlikely to improve nutrition on their own, based on the risk of unintended consequences for smallholders, such as a potential reduction in dietary quality for a variety of reasons. Complementary strategies (e.g. diversification) are recommended to go along with cash crop production. 2 Reduce post-harvest losses and improve processing to increase and prolong access to and consumption of diverse foods among both producers and consumers, to preserve or increase nutrient content of food, to increase income and profit margins and to improve food safety. Solar drying and fortification are highly recommended processing techniques. 3.Increase market access and opportunities to improve smallholder incomes (especially for women) and consumer diets. Tools include farmer associations, improved infrastructure, and social marketing and demand creation for nutritious foods that smallholders may have a comparative advantage in producing. 4.Reduce seasonality of food-insecurity through diversification
  10. Food-based approaches would provide the best use of the skill sets of extension agents that are appropriate and more easily transferrable actions. Source: GFRAS (2015) Global Good Practice NOTE 9: Integrating Nutrition into Rural Advisory Services and Extension www.g-fras.org/en/ggp-notes/integrating-nutrition-into-ras.html Diversification: it’s not just about nutrition Benefits of Agrobiodiversity: Values and Benefits of Agrobiodiversity from a Gender Perspective. http://www.fao.org/docrep/007/y5634e/y5634e01.htm GFRA: Realising the benefits of enhanced agrobiodiversity. http://www.new-ag.info/en/research/innovationItem.php?a=2357
  11. Food-based approaches would provide the best use of the skill sets of extension agents that are appropriate and more easily transferrable actions. These approaches can focus on: GFRAS (2015) Global Good Practice NOTE 9: Integrating Nutrition into Rural Advisory Services and Extension www.g-fras.org/en/ggp-notes/integrating-nutrition-into-ras.html
  12. GFRAS (2015) Global Good Practice NOTE 9: Integrating Nutrition into Rural Advisory Services and Extension www.g-fras.org/en/ggp-notes/integrating-nutrition-into-ras.html
  13. GFRAS (2015) Global Good Practice NOTE 9: Integrating Nutrition into Rural Advisory Services and Extension www.g-fras.org/en/ggp-notes/integrating-nutrition-into-ras.html