Market access has been identified as one of the foremost factors influencing the performance of small-scale producers in developing countries, and in particular least-developed countries. Smallholder access to markets for higher-value or differentiated agricultural and food products (hereafter HVAF) is recognized as a vital opportunity to enhance and diversify the livelihoods of lower-income farm households and reduce rural poverty more generally (World Bank 2007a).

In this paper, the authors apply an innovative multisectoral diagnostic to examine the entry points for potential interventions in food systems to improve the diets in a rural population in Malawi. The paper is structured as follows: The authors begin by describing the country context and the methods necessary to diagnose and contextualize dietary problems in target populations, prioritizing nutritious foods based on their relative and potential contribution to diets.