Agricultural innovations are seen as a key avenue to improve nutrition and health in smallholder farm households. But details of these agriculture-nutrition-health linkages are not yet well understood. While there is a broad literature on the adoption of agricultural technologies, most studies primarily focus on impacts in terms of productivity and income. Nutrition and health impacts have rarely been analyzed. In this article, we argue that future impact studies should include nutrition and health dimensions more explicitly.
Food systems in developing countries are transforming, involving a rapid expansion of supermarkets. This supermarket revolution may affect dietary patterns and nutrition, but empirical evidence is scarce. The few existing studies have analyzed implications for food consumers and producers separately. We discuss a more integrated framework that helps to gain a broader understanding. Reviewing recent evidence from Kenya, we show that buying food in supermarkets instead of traditional outlets contributes to overnutrition among adults, while reducing undernutrition among children.
Iron deficiency is a widespread nutritional problem in developing countries, causing impaired physical activity and cognitive development, as well as maternal mortality. Although food fortification and supplementation programmes have been effective in some countries, their overall success remains limited. Biofortification, that is, breeding crops for higher micronutrient content, is a relatively new approach. We propose a methodology for ex-ante impact assessment of iron biofortification, which builds on disability-adjusted life years (DALYs) and a large household data set.