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Understanding the demand for “protective foods” in East Africa: An economic analysis with policy recommendations
Suboptimal diets are a major risk factor for avoidable death and disease in low- and middle-income countries. Evidence shows that some foods or food components (e.g., processed red meat, saturated fat, salt, sugar) significantly elevate the risk of noncommunicable diseases and mortality, while others protect health (e.g., vegetables, fruits, pulses, nuts/seeds, fish, whole grains—referred to in this document as “protective foods”). We used household surveys to compare dietary patterns in Ethiopia, Kenya, Tanzania, and Uganda to the EAT-Lancet healthy reference diet and to quantify and explain consumption gaps for nutritious foods. Compared to the EAT-Lancet healthy reference diet, cons...
Regulation of agricultural markets in Malawi
Agriculture holds special significance in Malawi, because most Malawian households depend primarily on this sector for income and food security. Therefore, legislation surrounding the agricultural sector, and the foundation it lays for the sector’s governance, are fundamental to the development prospects of the country. At their best, agricultural laws encourage farmers, traders (both domestic and international), and processors of agricultural commodities to fully engage and further invest in the agricultural sector. At their worst, they undermine confidence to do so
Costing healthy diets and measuring deprivation: New indicators and modeling approaches
One of the greatest global challenges today is ensuring widespread availability and equitable access to affordable, nutritious foods produced in an environmentally sustainable manner. A rich literature exists around the definition of a healthy diet and the drivers of dietary change. We contribute to this literature by proposing a new quantifiable diet deprivation measure estimated from standard household consumption and expenditure surveys. The Reference Diet Deprivation (ReDD) index measures the incidence, breadth, and depth of diet deprivation across multiple, essential food groups in a single indicator. Although useful as a standalone measure, we show how ReDD can be integrated into an ec...
Mitigating poverty and undernutrition through social protection: A simulation analysis of the COVID-19 pandemic in Bangladesh and Myanmar
The COVID-19 pandemic resulted in severe income losses, but little is known about its impacts on diets and nutritional adequacy, or the effectiveness of social protection interventions in mitigating dietary and nutritional impacts. We first assess the likely impacts of COVID-19 shocks in Bangladesh and Myanmar on poverty and food and nutrient consumption gaps. We then analyze the estimated mitigating effects of five hypothetical social protection interventions of a typical monetary value: (1) cash transfers; (2) in-kind transfers of common rice; (3) in-kind transfers of fortified rice enriched with multiple essential micronutrients; (4) vouchers for a diversified basket of rice and non-staple foods; and (5) food vouchers with fortified rice instead of common rice. The simulation results suggest modest effectiveness of the cash transfers for mitigating poverty increases and little effectiveness of all five transfers for preventing increasing food and nutrient consumption gaps among the poorest 40%. Rice fortification is, however, effective at closing key micronutrient consumption gaps and could be a suitable policy instrument for averting ‘hidden hunger’ during economic crises.
Mitigating poverty and undernutrition through social protection: A simulation analysis of the COVID-19 pandemic in Bangladesh, Myanmar, and Indonesia
This study addresses the policy-relevant question of how, in the face of major economic shocks, social protection interventions can more effectively mitigate undernutrition. In particular, it considers the scope of scaled-up fortification of staples to avert the “hidden hunger” of micronutrient deficiencies. As a re-cent and still relevant example, it focuses on the kinds of economic shocks brought about by the COVID-19 pandemic which, especially during the first lockdowns of April 2020, resulted in severe job and income losses for the poor and thus reduction and changes in spending, with urban and rural non-farm households typically affected more severely than farm households. However, ...
Dietary change and food demand in urbanizing Bangladesh
Poor-quality diets are one of the leading causes of malnutrition and common non-communicable disease. In this study, we use nationally representative household survey data and food demand system estimations to analyze dietary change and changing consumer preferences for different foods in the context of urbanization in low- and middle-income countries. We estimate and compare income and price elasticities of total food demand and the demand for 15 food groups in rural, urban, and city areas of Bangladesh for 2010 and 2016. We then use Oaxaca-Blinder decomposition regressions to explore how much of the observed food consumption changes can be explained by changes in revealed consumer preferen...
A healthy diet is costly, but even with limited income Kenyans can eat better
Four important implications for policy to promote and guide a transformation toward healthy diets for all Kenyans can be drawn from this research: First, Kenya’s diet problem — the underconsumption of nutritious foods and increasingly high consumption of calorie-rich but micronutrient-sparse foods — is primarily a poverty problem. Most Kenyans simply cannot afford a healthy diet. Accelerated poverty reduction will have important nutritional benefits. Second, there are large differences between the costs of meeting dietary guidelines for highly nutritious foods and the costs of obtaining adequate amounts of calorie-dense staple foods. These cost gaps have a strong effect on household di...
