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The African Food Environments
In many respects, the continent of Africa is in transition. Prominent among them – currently – is the nutrition transition. One consequence of the nutrition transition is the increase in prevalence of nutrition-related non-communicable diseases (NCDs) such as obesity, type 2 diabetes, cardiovascular diseases, and certain cancers. Although NCDs are a global public health problem, the rate of increase in NCDs morbidity and mortality in some African countries is staggering. This surge has been linked to modifiable environmental factors – factors that facilitate the consumption of obesogenic (energy-dense nutrient-poor foods), rather than unrefined cereals, fruits, and vegetables. It has long been recognized that the physical and social environments - in which people live, work, and eat are critical determinants of their health. More recently, there has been a greater focus on the food environment as a key determinant of health. Available evidence shows that unhealthy food environments drive unhealthy diets; and unhealthy diet is one of four main risk factors for NCDs.
Irrigation and Women’s Diet in Ethiopia A Longitudinal Study
Some agricultural practices, such as irrigation, have the potential to buffer seasonal dietary gaps and thus improve diets, particularly for subsistence farmers but also for rural and urban households that purchase irrigated produce from local markets. While the seasonality of households and children’s diets is well documented, little is known about the seasonality of women’s diets and the influence of irrigation. Using longitudinal data from Ethiopia, this study characterized women’s diet over time and evaluated the potential implications of seasonality and irrigation on women’s diet. Women’s dietary diversity was low (3-4 out of 10 food groups) and exhibited high seasonal variabi...
Thicker Than Water
A powerful and critical investigation of iron deficiency in women throughout evolutionary history and in our current society Women of the world are beset by a hidden hunger: iron deficiency. Up to 40% of reproductive-aged women across the globe have iron deficiency anemia, and it contributes to 20% of maternal deaths. Despite these dire statistics, women are not routinely screened for iron deficiency. Iron deficiency has been used as a tool to control, categorize, and even ignore women and their suffering. Biomedical remedies - mostly iron supplementation - are unequally and indifferently applied to global populations of women. Thicker Than Water explores the reasons women are especially vul...
Science and Innovations for Food Systems Transformation
This Open Access book compiles the findings of the Scientific Group of the United Nations Food Systems Summit 2021 and its research partners. The Scientific Group was an independent group of 28 food systems scientists from all over the world with a mandate from the Deputy Secretary-General of the United Nations. The chapters provide science- and research-based, state-of-the-art, solution-oriented knowledge and evidence to inform the transformation of contemporary food systems in order to achieve more sustainable, equitable and resilient systems.
Indicators for assessing infant and young child feeding practices
This document presents a set of new and updated indicators to assess infant and young child feeding (IYCF) practices at household level. It is a follow-up to the 2008 document “Indicators for assessing infant and young child feeding practices – Part I & II”. In total, there are 17 recommended IYCF indicators in the 2021 edition. Seven are new, and four of the 2008 indicators have been excluded from the 2021 list of IYCF indicators. In addition, three indicators of unhealthy food and beverage consumption are included. Unlike in 2008, no distinction is made between core and optional indicators in this set of recommendations. It is important to assess data using the full set of indicators...
WHO Guideline for complementary feeding of infants and young children 6-23 months of age
Complementary feeding, defined as the process of providing foods in addition to milk when breast milk or milk formula alone are no longer adequate to meet nutritional requirements, generally starts at age 6 months and continues until 23 months of age. This is a developmental period when it is critical for children to learn to accept healthy foods and beverages and establish long-term dietary patterns. It also coincides with the peak period for risk of growth faltering and nutrient deficiencies. This guideline provides global, normative evidence-based recommendations on complementary feeding of infants and young children 6–23 months of age living in low, middle- and high-income countries. I...
Including scalable nutrition interventions in a graduation model program: Experimental evidence from Ethiopia
We explore the impact of different models of scalable nutrition services embedded within a light-touch graduation program, implemented at scale in Ethiopia. The graduation program provided poor households enrolled in Ethiopia’s national safety net, the Protective Safety Net Program (PSNP), with additional livelihood programming including savings groups, business skills training and linkages to financial services. In addition, extremely poor households received a one-time livelihood grant on an experimental basis, as cash transfers or in-kind poultry grants, at a value much smaller than lump sum transfers in other graduation model programs in recent literature. The experiment compared a cor...
Evaluation study of the IFPRI/A4NH research program on diet quality and health of the poor
IFPRI’s Poverty, Health, and Nutrition Division (PHND) and the CGIAR Research Program on Agriculture for Nutrition and Health (A4NH) have conducted research since 2003 on the critical links between nutrition, health, and agriculture. This evaluation considers the impact of the work carried out through 2016, looking at the research strategy, engagement, capacity building, and impact on programs and policies and global dialogue. Findings suggest that the Diet Quality and Health of the Poor program has been successful in developing and sharing valuable research, knowledge, and data, and has brought new issues and approaches to partners and stakeholders. Through a range of projects, the program has effectively engaged with stakeholders, partners, and governments to support capacity enhancement and to help shape national interventions to improve nutrition.
The economics of teff: Exploring Ethiopia’s biggest cash crop
Considerable poverty and food insecurity in Ethiopia, combined with the overwhelming majority of Ethiopians who depend on agriculture for their livelihoods, make agricultural transformation a crucial development goal for the country. One promising improvement is to increase production of teff, the calorie- and nutrient-rich but low-yielding staple. The Economics of Teff: Exploring Ethiopia’s Biggest Cash Crop examines key aspects of teff production, marketing, and consumption, with a focus on opportunities for and challenges to further growth. The authors identify ways to realize teff’s potential, including improving productivity and resilience, selecting and scaling up new technologies, establishing distribution systems adapted to different areas’ needs, managing labor demand and postharvest operations, and increasing access to larger and more diverse markets. The book’s analysis and policy conclusions should be useful to policy makers, researchers, and others concerned with Ethiopia’s economic development.
Harmonizing and mainstreaming the measurement of healthy diets
With rapidly changing diets, the burden of disease due to the consumption of unhealthy diets is a worldwide concern. Assessment and monitoring of diets across countries and population groups is critical. However, there are no harmonized metrics for tracking how the healthfulness of diets around the world is evolving. Recognizing the need for consensus and action, and to chart a way forward, FAO, UNICEF, and WHO established the Healthy Diets Monitoring Initiative (HDMI) in 2022. The joint mission of this Initiative was articulated through discussions at a technical expert meeting in Bellagio, Italy, in late 2022. This meeting report includes the discussions and conclusions made on the suitability of existing metrics for assessment and monitoring of healthy diets nationally and globally. It also includes a workplan roadmap for the HDMI for the next two years towards the development of a global guidance on healthy diets metrics.
