المشاورات

Making agriculture work for nutrition: Prioritizing country-level action, research and support

Dear Members,

There is now considerable interest among international development organizations and practitioners in agriculture programming and policy to improve nutrition.

A recent “Synthesis of Guiding Principles on Agriculture Programming for Nutrition” has highlighted the increasing number of international development institutions formally weighing in on the topic – and found that the key messages are often similar.  The synthesis identifies 20 principles independently voiced by multiple institutions for planning, implementing, and supporting nutrition-sensitive agriculture, as well as a number of gaps that limit action on these principles.

Building on the earlier FSN forum debate “Linking Agriculture, Food Systems, and Nutrition: What’s your perspective?” and the synthesis, the objective of this discussion is to distill and prioritize actions needed at country-level, research gaps, and support needed out of the substantial international dialogue on improving nutrition through food and agriculture.  

What are the main approaches we collectively see as most important?  What are some practical recommendations that can more effectively promote, support, and guarantee the integration of nutrition into agriculture and food security investments?  What research is needed?  

This discussion is timed strategically before several influential meetings involving agriculture-nutrition linkages and your contributions will be made available at and incorporated into upcoming nutrition and agriculture-related meetings, such as the SUN, CFS (Committee on World Food Security), GCARD (Global Conference on Agricultural Research for Development), and CAADP Nutrition Workshop (Comprehensive Africa Agriculture Development Programme).  Participation in this discussion will allow your voice to be heard at these agenda-setting events.

Questions:

Based on your own knowledge and experience in the area of improving nutrition through food and agriculture programmes:

  1. If you were designing an agricultural investment programme, what are the top 5 things you would do to maximize its impact on nutrition?
  2. To support the design and implementation of this programme, where would you like to see more research done, and why?
  3. What can our institutions do to help country governments commit to action around your recommendations, and to help ensure implementation will be effective?

As you answer each of these questions, please share practical insights, evidence, and anecdotes from your personal experience researching, implementing, or advocating.

We thank you in advance for the time and thought you contribute to responding – time well-spent, we believe, for the influence your comments will have.

Facilitators:

Anna Herforth (consultant to World Bank and FAO)

Cristina Lopriore (member of the EU Nutrition Advisory Services, facilitating in her own personal capacity)

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I wish people had more love to the next, that access to good food and quality were more democratized, also, the institutions of my Nation State, would look more to the poor and poverty therefore feel throughout Latin America persists drama of social exclusion and nutritional deficiencies especially the Amazon logo, brief and narrow delta of the Amazon, where it has indece local population with low human development, problems that involve the absence of State

Question 1: What are the top five things you would do to maximise the impact of an agricultural investment programme on nutrition?

There is considerable evidence(I have seven highly reputable studies on my list of references, including the World Bank and WFP) that nutrition education is an essential catalyst for sustained nutrition impact in agricultural, community and health projects, with a pivotal role in food security interventions, and particularly visible effects in projects dealing with homestead gardening. The same documents (and others) make it clear that simply increasing food supply or improving agricultural productivity frequently fails to have an impact on nutritional status,in particular of young children: stunting rates remain high in countries which have notionally achieved MDG1 through increasing food production.

This makes perfect sense: if you are not aware that your diet needs improving, or that your children fall ill because they lack a variety of micronutrient-rich foods, why should you grow, purchase or eat foods which will improve the diet? Why not instead buy a video or a mobile phone? Even if you are aware, you may not be aware enough: as one Indonesian peasant said "You see, television is more important than food".

In the light of the evidence, I was glad to see several references in the discussion to a "social and behaviour change communication strategy" (which I would call nutrition education)recommended in the IYCF guidelines. But in my naive picture there remain several questions about how agriculture translates into better nutrition through education. Here is one of them.

In the case of homestead gardening is easy to see how women who learn to feed their families better find a ready-made strategy for improving diet in their own backyards. But what about the urban population and others who source their food outside the home? Suppose we mount a successful behaviour change program (let's say, to eat more beans) and at the same time persuade farmers to produce more beans in the hope of increased market demand. Can/do these two initiatives march together in sync? How do market mechanisms work between supplier and consumer to make the magic work for better eating habits? Do we have convincing examples of such synergies?

Perhaps some participants have the experience to answer my question.

Jane Sherman

Nutrition education consultant

1. If you were designing an agricultural investment programme, what are the top 5 things you would do to maximize its impact on nutrition?

I also like the ICYN guidelines:

- assess the situation and needs of the targeted population

- harmonize with existing programming, leveraging LCSO activities and utilizing current best practices

- design an effective social and behavior change communication strategy with a focus on individual, household and community behaviors

- train and build local capacity to take over and sustain the program,and

- develop measurable targets, monitoring progress to the outcome; adjust targets or program direction at mid-point or earlier if necessary

2. To support the design and implementation of this programme, where would you like to see more research done, and why?

We need to develop definitions and measures for nutrition-sensitive activities taking place in the context of larger, non-nutrition activities (like livelihoods, value chain development, education etc.). We understand the pathway to improved nutrition (processes, activities, actions), but not so much the output and outcome indicators. Also, research needs to be done on developing secondary 'nutrition-specific' objectives for 'nutrition-sensitive' activities. What is the cost and value-added of nutrition-sensitive in complementary development sectors?

3. What can our institutions do to help country governments commit to action around your recommendations, and to help ensure implementation will be effective?

Help them understand nutrition across sectors, and assist them in developing a corps of nutrition-minded professionals in agriculture, health and education. Enable to see that their investments in nutrition are smart, high-return actions that will be leveraged by donors and institutions.

Governments should invest in agricultural extension services for nutrition by incorporating behaviour change and communication approaches. In some cases there is already a lot of good skills and knowledge, and technologies with agricultural extension and community nutrition front line workers but there are still challenges to influence positive behaviour and nutrition practices in the target communities. In most cases there has been good transfer of knowledge and skills to the target communities but behaviour change communication skills and capacity need to be strengthened where already available and be incorporated where missing.

Oz

Greetings –

This discussion is on “Making agriculture work for nutrition: Prioritizing country-level action, research and support.” It is guided by positions taken by various international development institutions. Thus we have recognition of the national and global levels, but there is little articulation of the role of the local level in this framework. The local level is supposed to benefit from national and global action, but whether it has any role beyond that is not so clear. Sometimes it seems that the local level is simply expected to wait for instructions and benefits from above.

The concept of food sovereignty can be understood as referring to the localization of control in communities, based on increasing local self-reliance. In this perspective, the center of decision-making should be local. The higher levels should facilitate and support local decision makers in doing what they want to do, based in their own understandings of their interests. Under the principle of subsidiarity, the higher levels should serve the lower levels, and not the reverse.

There is room for debate about the wisdom of that food sovereignty approach. It could introduce what many would regard as inefficiencies in the system. However, the more critical questions are about who benefits, and who is harmed. Viewed globally, food is abundant, yet there are around a billion people who are food insecure, hungry. That certainly is a type of inefficiency.

We are asked, “What are the main approaches we collectively see as most important? What are some practical recommendations that can more effectively promote, support, and guarantee the integration of nutrition into agriculture and food security investments? What research is needed?”

People at ground level might ask how to establish stronger links between nutrition and agriculture, but they are not going to ask about it in terms of investments or research. Investments and research are likely to be under someone else’s control, and serve interests that are not the interests of the people at the ground. Why should the question be framed in terms of research and investments from above?

Maybe the linkage between nutrition and agriculture is something that should be built at ground level, not at the national and global levels.

Thinking about how these issues might look at ground level should lead us to reflect on how nutrition and agriculture got separated. After all, in pre-modern times, before the dominance of markets and before wealth accumulation became so important to so many, agriculture was undertaken to produce food, not wealth.

The separation can be illustrated by the shift from taro to rice production in Hawai'i in the 1860s. Taro and other foods were produced to meet people’s needs. One can eat just so much taro. Then settlers came along, and decided to produce rice for profit. Rice exports, mainly to California, reached more than 13 million tons in 1887. Long before that level was reached, the rapid displacement of taro by rice led the local newspaper to ask, “where is our taro to come from?” The disconnect between farming for food and farming for money became clear. The people whose taro supply was threatened were not the people who profited from rice exports.

If we are interested in restoring the linkage between agriculture and food, national and global agencies certainly should have a role, but maybe the main action should be at the local level, in the communities. The reconnection might come not from market forces but from the fact that people care about each other’s well being. If the purpose of communities’ food systems was to ensure that all their people were well nourished, we would have a world without hunger. There are now many people working to envision what constitutes a healthy food system, beginning at the local level.

If that makes sense, then the main role of agencies at national and global levels should be to do what they can to strengthen local communities, and ensure that people in those communities have the capacity and the motivation to take care of one another. This might look like a step backward toward pre-modern times, but maybe it is the right way to get beyond our flawed present to better post-modern times.

Aloha, George Kent

Dear FSN Forum members,

Many thanks to those who have already contributed to this discussion – it is already very rich, with a variety of different perspectives.

Several themes have already emerged suggesting priority actions at country level.  For example, starting with situation analysis (to determine what the nutritional problems are and possible solutions); measuring progress on nutrition objectives with appropriate M&E; focusing on food quality (including nutritional quality and food safety) rather than just food quantity; actions to empower women and put them at the center of investments; and collaboration across sectors.

What do you feel are the priorities?  We encourage you to focus on what you would say if you were to advise a director of planning for agriculture; at that level, what are the most important things he or she should bear in mind, in order to make the investments work for nutrition?

Some research gaps have also already been mentioned; including the overall need for documenting results attributable to particular project activities.  What other gaps do you see?  How can research enable better investments in agriculture for nutrition?

And, what can our/your institutions do specifically to support the actions?  Capacity building has been mentioned in a few contributions.  Where do you feel capacity building is needed and how can it be done?  Also coming from the contributions so far, how can multisectoral and multi-partner collaboration be done effectively and how can it be supported by all of our/your institutions?

To all who have given even any amount of thought to this topic, your contributions will further enrich this discussion.  Thanks again to those who have taken the time to respond!

Best,

Anna and Cristina

 

Dear moderators,

nutrition in a global perspective affects both the producer and the consumer, the rich and the poor, either in the form of over nutrition or under nutrition. Agriculture is for sure our number one concern with respect to nutrition, but the whole supply chain from farms to consumers is very complex.

If improving economy of the society is considered the backbone of Agriculture, then government and organizations at regional and country levels should make policies, not just for agricultural high yields but also to protect the nutritional content and value of the produce.

The high yields (quantity) of produce should not be at the expense of nutritional quality. Many farmers backup their yield with application of chemical fertilizers, which does not only affect human health but also our environment. Studies and research centers should be set up to analyze and monitor the application of chemical fertilizers with respect to nutritional content and safety.

At this time where food borne illness is rapidly increasing, the whole food chain should be covered using a traceability system monitored by well trained experts, to track the movement of produce and food product from farm to consumer´s hand.

Therefore, intervention programmes which support and include both the producers and consumers should be setup from production, transportation and storage, to cover both urban and rural regions.

Best regards

Elvis NJABE

 

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1.    If you were designing an agricultural investment programme, what are the top 5 things you would do to maximize its impact on nutrition?

1.    Gender disaggregated data: Lack of formal identity of women as the household head or as the primary level farmer, often marginalize their involvement in the project cycle. There is a prime need to establish them as the primary level stakeholders. Conduct Gender Analysis at community level to demonstrate women’s involvement in activity level and the gaps in their access to resources and the constraints they face due to unequal relationship in decision making power. The analysis will also document what indigenous knowledge the women already have and their use of local, nature based food items, such as seasonally available wild vegetables, herbs, fruits, birds, insects, etc. to improve nutrition. In the advent of modern food items, some rural communities residing near to road heads have been diverted from practicing their traditional knowledge, which is not helpful for both conservation of biodiversity of wild edibles and also for locally available organic nutritional knowledge systems.

( We can learn lessons from IPM, farmers field schools kinds of activities of FAO in field, where women have been used maximum limit to make project successful , however their indigenous knowledge have not been counted in nutritional aspects while making plans. In FAO’s inter regional project “Empowerment of women in irrigation and water resource management for improved household food security, nutrition and health” (WIN), an approach was managed keeping women at the central, where women were involved at every stage of the project, from planning to evaluation and their knowledge about wild vegetables, herbs, roots and fruits as food supplement was documented and used for knowledge management on nutritional food preparation. The approach was effective also through collaboration under the coordination of Ministry of Agriculture among Ministries of Health, Women and Water resources, as well as FAO , WFP and WHO. However despite much appreciation, the Government institutions could not further the process.)    

2.    Gender responsiveness of service providers: Conduct assessment of the responsible service providers (public agencies, NGOs) in order to identify the areas of support to be provided for sensitization, enabling organizational restructuring, reorientation through developing a Gender Action Plan along with an Operational Strategy including setting rules (policies, systems, mechanisms) for accountability towards nutritional impact of agriculture. Without this kind of interventions, the efforts made at small holder farmers’ level might remain to be a “temporary project approach” only and do not get mainstreamed in the strategic institutions.  ( Through “Women Organising for Change in agriculture and NRM”(WOCAN), I had facilitated a gender assessment within the Department of Agriculture in Nepal, where the then Director General (DG) Deep Bahadur Swnar remained highly supportive to bring in the senior level officials into the process. One Gender task force was formed and after developing ToRs for the task force collectively, the organization was assessed on gender mainstreaming in four pillars, e.g., political commitments, technical gender expertise, accountability and institutional culture. The strengths and gaps were analyzed and shared in the concerned groups. Later one Gender Action Plan was developed with indicators, of which some influence remained as of increase in number of women farmers in training (from 30% to 40%) and enhancing the already existing gender desk and gender working group, etc. However once the DG was transferred to another position, activities, focus remained weak in follow up and innovations. High budget cut in the government programs also caused certain constraints.  

(Case of leadership):  Another case of my work in Timor Leste inspired me which was some what different from Nepal. I used to work through UNIFEM as Gender advisor to Timor Leste Ministry of Agriculture and Fisheries between 2007 to 2009. I facilitated an organizational assessment to identify areas for gender mainstreaming, through a gender taskforce group formed for gender mainstreaming. My counterpart was Maria Fransisca de belo Asis and my location was in the planning unit of the ministry.  I was fortunate enough to get two organizational leaders , one planning Chief, Mr Octavio de Almeida and another Fransisca to take leadership on gender mainstreaming from within the institution. The ministry used the findings of the assessment and developed a Gender Action Plan , besides mainstreaming gender activities and budgets along with monitoring indicators  as a system in the annual work plans. Most significant and shocking experience was that the honorable Minister made an unforgettable innovation by taking drastic action to appoint seven senior women officials in positions of departmental heads out of twelve, while the former ones were given status of consultants. One National Ministry taking such initiative is extremely important to give women’s portfolio high importance and thus, the Timor Agricultural Planning Chief was also included in the National CEDAW reporting team 2008 in the DAW CEDAW reporting meeting at the UN, NY. My point is that until and unless there is organizational commitment at the level of leadership on gender mainstreaming, all the ad-hoc project efforts remain temporary and unsustainable. In case of counting on nutritional improvement in agricultural projects, women involvement is crucial at all levels, from grassroots to the top policy making level, besides sensitizing both women and men on the values in an organization)  

3.    Targeting women as the main stakeholders in agricultural program is the most important strategy for attaining nutritional objectives. The women are the ones who manage daily meals, at least for two to three times a day in developing countries. They are knowledgeable but need to be empowered on their self confidence for making decisions to plant green vegetables, use seasonally available locally grown nutritious food items for preparing food, specifically for the pregnant women and children and for themselves. With increasing trend of commercialized agriculture interventions made by development programs, certain challenges are being faced by the rural women farmers, such as,-(a) tempted to produce larger amount by using chemical fertilizer, (b) sale the best products and reduce consumption at household level, (c) spending maximum time and labor to produce double (more by women) and face health hazard, (d) the discriminatory social norms and values positioning women producers as the secondary party in making decisions, in accessing services, accessing technologies, accessing market and above all, deciding on preparation of household food that could be nutritious rather than tasty only. (Recently I worked in a USAID funded and Chemonics International implemented project titled as Nepal Economic, Agriculture and Trade Activity project (NEATACTIVITY) in Nepal (2011 onwards) . The project rigorously adopted certain practical strategy to target women, particularly from the socially excluded groups, defined by the National Development Plan of Nepal. The project achieved more than 39% women staff, around 80% farmer group level and more than 60% as women farmer leaders and some as demonstration farmers. All project training ensured more than 50% women participation. However the strategic reasons for including women remained limited only to their role as actors, less as innovators and change agents related to household nutrition. The project aims at double production, thereby interaction by agriculturist technocrats with women farmers takes the trend of asking about their potentialities to join (and compete..!!!) men in producing more than before, in crops and cash. Gender roles and gender needs practical and strategic requirements made less importance. The issue of the increased food for household nutrition was not a focus in the project. Although the project contained defined indicators on nutrition, it was not given much priority, because technocrats had to remain too busy in managing technical performance of the project, besides managing the issues of lack of public responsibilities for supplying chemical fertilizer in time and required quantity. Moreover, gender specialist was never included in management related discussion rather treated as a specialist for the field technicians only. Furthermore, there was not any budget separated for gender actions under the PIRs. I had very little scope to work except requesting the component managers to consider gender integration in their programmes, but in absence of indicators defined under each PIR, there was very poor scope for me to proceed. Thus despite having a very good intention, sometime technically structured agricultural projects having too high ambition on double food production, leave behind the human aspects of development, provided human development indicators do not form a part of monitoring.

In fact when any agriculture development project targets women, the project could be more meaningful if it related to the knowledge and skills and constraints of women at every step, benefiting project management as well as the household nutrition and health of the poor communities which is a big problem in developing countries. In Nepal more than 50% children below five years were found stunting -2011 National Survey of Health Status)

4.    Creating access to land, women friendly irrigation and credit: The poor women farmers face a situation of landlessness, lack of irrigation and lack of access to capital and credit. Organize alternative provisions for land use and credit for women. There are examples of collective firming by poor women groups and managing food for household nutrition and livelihood objectives in Nepal demonstrated by NGOs. Without making provisions for land and capital, credit, and micro irrigation, agriculture development cannot expect the poor women farmers in participation and benefit sharing.

(Case of WIN project: In the above mentioned WIN project,  pro-poor women from excluded groups were organized through inter governmental government line agencies integrated  planning approach to practice collective firming of vegetables to earn cash, increase purchasing power and to improve nutritional condition at household level.  The land was obtained from village development committees, and in some areas, from landlords who had run away to cities in the fear of Maoist attack, in some places women took land on lease for collective firming. The FAO/GoN (government of Nepal) project

Invited partnership with IDE (International Development Enterprise), WFP and GTZ for assisting irrigation services for these women groups. The approach went very effective and project could help the landless women to produce vegetables to consume and sale. What we learned was that..there are resources within out approach, but we need to collaborate and coordinate for utilization by the real pro poor target women farmers at the end , for production and nutrition as well as improving livelihood.  Land and irrigation are highly important for farmers)

5.    Strengthen women ‘s leadership capacity/networking: The poor women farmers are hesitated to voice their needs , both practical and strategic and take lead in claiming services. Despite some existing service provisions within various programs in Government, NGOs, they seldom get information and sensitization about what and how to capture such funds and assistance. Even if they are informed, weak public level leadership discourage them from taking interest in these provisions. Agricultural programs should include social mobilization, gender sensitization and women leadership building activities with appropriate budget allocation.  (investment on women’s leadership in various agricultural projects in Nepal turned out to be very fruitful. Specifically for two reasons, (a) women  farmers contributing more than 70% work in agriculture and (b) agriculture being feminized as a result of increased male migration for employment, women have been facing a situation where agriculture related activities have become their world. However due to socio-cultural discriminatory values and norms , due to traditionally established institutional barriers for women’s inclusion in service provider institutions , women face maximum constraints to access information, resources , services, technologies and markets related to agricultural production. Due to absence of males in the villages, the rural women farmers often face problems to manage cultivation in their land, often leaving land fallow. However there has been insignificant efforts for empowering women in the sectoral development agendas, such as agriculture , irrigation, trade , etc. without which no any agricultural projects can achieve sustainable results, at least in countries like Nepal, where women are displaced from important managerial discussion processes despite being recorded as more than half of the contributors in agriculture.)   

6.    Monitoring, coordination and collaboration and networking through and with gender experts and organizations are essential activities that any agricultural programmes must adhere to.

2.    To support the design and implementation of this programme, where would you like to see more research done, and why?

During appraisal level participatory research on “gender analysis in agriculture” (Harvard/FAO analytical framework) and analysis of gender differential impacts (Rani parker’s tool) , analysis of practical needs and strategic interests of women (Moser’s framework) are very important to form a part of research in the program appraisal-design, planning, implementation and monitoring stages. During the appraisal phase, a complete gender analytical research needs to be commissioned on basis of which the project design includes a gender action plan for integration.

As I mentioned above, the institutional assessment is equally important to facilitate an enabling environment for women farmers and policy makers to act through a joint approach.

During design phase, a rapid assessment of institutional status on gender mainstreaming is important to identify the necessary activities to plan for capacity building of the implementers. (case from leasehold forestry project is relevant here. IN 1999-2001, I worked as a FAO technical expert for a IFAD funded national program titles as Leasehold Forestry  and Fodder development project” (HLFFDP), where it was possible to identify need areas for building capacity of the government staff, including farmers. The Leadership given by the National project coordinator and the FAO’s CTA remained crucial for success on actions related to gender mainstreaming. The government staff involved in the project received an ad-hoc but government circulated job description to implement project level gender promotional activities. The research team on appropriate technology also adopted certain gender norms which remained very helpful to produce women friendly technologies in the field.)

3.    What can our institutions do to help country governments commit to action around your recommendations, and to help ensure implementation will be effective?

At the moment, FAO and such other multilateral agencies can help Nepal and other developing countries in the following areas:

•    Assist facilitation of implementation of the National Gender Action Plans through Sectors

•    Assist in research about women indigenous knowledge  about locally available species from forest, river, rocks and land, such as, roots, herbs, vegetables, fruits, etc. and establish list of their nutritional value

•    Support debates among activists, professionals to establish a definition on marginalization of women  from access to opportunities, services and benefits as the “Sectoral Violence against Women (SVW)”, which is not limited only to domestic boundaries but is severely faced by women within institutions governing agriculture and others

•    Review agriculture, trade and Irrigation policies and make them sensitive to women’s practical and strategic needs including values for indigenous knowledge on local food items

•    Conduct research on impacts of climate change (also bio diversity) on the poor women and children, specifically on maternal health and nutrition, make strategies to address the  identified issues/problems

•    Support exchange visits among women farmer leaders to develop confidence and power through regional networks

•    Assist research on women friendly technologies in the region so that Nepal can learn from others on improved technologies for women farmers saving time and labor and meeting market demands for quality.

 

Posted on behalf of James Levinson

Wonderful idea, Friends,

And thanks to Anna and Cristina for organizing.

A few thoughts below

Best,

Jim

1. If you were designing an agricultural investment programme, what are the top 5 things you would do to maximize its impact on nutrition?

Nicely spelled out in the IYCN guidelines. I'd simply follow these - and also be prepared to do mitigation where early monitoring sees negative nutrition results

2. To support the design and implementation of this programme, where would you like to see more research done, and why?

Carefully following actual efforts to incorporate nutrition in ag projects and documenting results - including the attribution of particular results to particular project activities.

3. What can our institutions do to help country governments commit to action around your recommendations, and to help ensure implementation will be effective?

Insist that new agriculture projects have food security/nutrition objectives (which then will be evaluated) or, at a minimum, nutrition impact statements (the latter permitting input on the project from groups such as ours.)