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DRAFT

   Breakout Session P1.2 Household Nutrition Security: Briefing Paper

   Lynn Brown (WFP)

                                         Context – the problems being addressed
   One billion people in the world do not have enough food to eat, even as vitamin and mineral
   deficiencies are compromising the health and nutrition of even more. As well as the
   unbearable human cost - undernutrition irreversibly damages cognitive and physical
   development – it is estimated that undernutrition contributes to the loss of an average of 2-3
   percent of developing countries’ GDP. The international development community is now
   considering how agriculture could better contribute to improving human health and nutrition
   and how health and nutrition could contribute to a more productive and sustainable
   agricultural system?1 Paramount to reaching these answers is the need for greater
   collaboration between the agriculture and health communities and the bringing together of
   two sectors that in the past have often acted in silos.

   Global agriculture is facing a myriad of challenges such as how to overcome shortfalls in food
   production, how to reduce food loss and waste, how to diversify agro-ecosystems, how to
   improve resilience of crops and more. These challenges are aggravated by issues of land and
   other natural resource availability, population growth, urbanization, price volatility and
   climate change. Policymakers must consider all of these challenges in agriculture as well as
   refine the traditional focus from ‘how to increase food production’ to ‘how agriculture can
   improve nutrition and health’. Examples of such a shift include a focus on greater diversity of
   crops, breeding of new varieties of crops with improved nutritional content (bio-fortification)
   and schemes to increase household production and consumption of micronutrient-rich
   vegetables, fruits and animal-source foods and the advancement of sustainable diets among
   other initiatives. Nutrition programmes equally need to consider how they can support local
   agro-systems.

15. There are major opportunities to incorporate small adjustments to investments across sectors
   such as agriculture to make them more nutrition sensitive with a potentially impressive impact
   on nutrition outcomes. Based on experience to-date, five steps are necessary for transforming
   new operations to be more nutrition sensitive:
      a. Explicitly incorporate nutritional considerations into initial design of projects/policies;
      b. Integrate nutritional considerations as elements of investments, not necessarily as the
          primary objective;
      c. Modify the design/consider alternatives to minimize unintended negative
          consequences and maximize positive impacts;
      d. Support nutritional objectives with technical capacity within countries;
      e. Monitor and evaluate nutrition impacts with appropriate indicators.

   While the research agenda is growing, there remains limited concrete evidence on how

   1
       IFPRI Global Food Policy Report 2011

                                                                                                  1
agriculture–nutrition linkages work. A mapping exercise has been completed by
DFID/LCIRAH outlining the research gaps. However, more nutrition-relevant data from
agricultural interventions needs to be generated, collected and shared, and nutritional
indicators need to be included in evaluations. LCIRAH identify the need for greater
understanding of the pathways from agricultural inputs and practices through value chains to
effects on food environment, consumption and nutrition. Innovation and engagement with the
private sector is also key to linking the two silos and improving household nutrition security.

                 Current activities presented and discussed in the session

Chair: Barbara Burlingame (FAO); Facilitator: Lynn Brown (WFP)
   The Chair and Facilitator will open the Session by introducing the topic and identifying
     constraints and opportunities in incorporating nutrition into AR4D agendas, systems and
     processes and achieving greater household nutritional security;
   A panel of practitioners with field experience will outline diverse approaches, activities,
     challenges and visions for meeting nutrition needs;
   This will be followed by a Session on global platforms, dialogue, policies and
     initiatives;
   Following a plenary discussion on the above two sessions, a panel of donors,
     foundations, representatives from the private sector and research institutes will map out
     the road ahead and the relevant priorities and actions for working together to take the
     agenda forward as well as the critical role of funding.

Practitioner panel on meeting nutrition needs through diverse approaches.
Action contre la Faim (ACF) will present case studies on low input gardens in Zimbabwe,
health gardens in Mali, SUSTAIN in Myanmar and bio-fortification in South and Central
America.

Helen Keller International (HKI) will consider how to take forward and strengthen
partnerships, the need for balancing consumption and income needs (moving away from
consumption-only goals), the importance of intra-household and equity issues, challenges of
scale and targeting and the issue of data deficits in measuring nutrition and other outcomes.

Diversity for Development (D4D) will focus on the need for greater diversity within
agricultural systems and the need to coordinate advocacy through the D4D Alliance.

Global Initiatives and Platforms
CRP4 will present the role of the CGIAR research programme on agriculture for nutrition and
health (A4NH) and its three pathways through which agriculture can enhance human nutrition
and health: through agriculture and food value chains, by improving the desired nutrition and
health impacts of large-scale programmes and by supporting better policymaking and
investment in agriculture, nutrition and health.

SecureNutrition, focused on taking a multi-sectoral approach to improved nutrition outcomes
through investments in the agriculture and rural development sector, will present its active
community of practice - both virtual and physical - where information and operational
knowledge on how to increase the nutritional impact of agriculture and food security
investments and interventions is being shared.

FAO will present on sustainable production and diets. diets focusing on nutrients, foods and
diets as ecosystem services, developing sustainable production intensification strategies

                                                                                             2
within environmental limits, characterization of agro-ecological zones for sustainable diets,
measuring nutrients and bioactive non-nutrients in food biodiversity, documenting traditional
food systems of indigenous peoples, development of indicators for sustainable diets,
calculating environmental footprints for achieving dietary adequacy and addressing nutrient
losses and waste.

DFID/LCIRAH will discuss their mapping and gap analysis of current and planned research
on agriculture for improved nutrition and resulting conceptual framework defining pathways
by which agriculture may contribute to nutrition, either directly or indirectly.

WFP will outline the different platforms, policy issues and focus including the Global Donor
Platform for Rural Development (GDPRD), Scaling-Up Nutrition (SUN) and the Gender in
Agriculture Partnership (GAP).

                                        Intended outcomes

       Identify what activities can be started immediately to bring the agriculture and nutrition
        agendas closer together;
       Identify the opportunities and bottlenecks to achieving this;
       Develop a roadmap outlining how to reach the identified goals.

     Commitments to collective actions in 2012-2014 (national, regional or international)
                                  i. With existing resources

       Establish a framework for examining agricultural interventions in support of nutritional
        outcomes, in order to establish where gaps in research exist (LCIRAH);
       More task team leaders in the agriculture sector to integrate nutrition into their programs
        (WB);
       Research institutes working in partnership to provide relevant and timely knowledge,
        technology and evidence for decision-making and implementations (CRP4);
       A seminal scientific paper determining the merits of crop diversification to be published
        in a scientific journal and used by the D4D alliance in multiple global fora (D4D);
       Roll out integrated gender-nutrition-communication manual and mainstream nutrition
        orientations to agriculture extension services and NGOs (HKI);
       Disseminate lessons learned of the added nutrition impact of gender-transformative
        community actions, and of food-based approaches (HKI);
       Link smallholder agriculture production under “Purchase for Progress” to bio-fortified
        crops where available (WFP);
       Identification of a common research agenda and priorities that links agriculture,
        nutrition and the environment, with sustainable diets as the aim. (FAO);
       Develop a research agenda that is a direct response to the UN Secretary General’s ‘Zero
        Hunger Challenge’ on access to food for all all year round, ending stunting among
        children under two, ensuring food systems are sustainable, doubling smallholder
        productivity and income and a reducing food waste (FAO).

                                    ii. With additional support

       Extend the network of researchers who are undertaking and evaluating agricultural
        interventions for nutritional outcomes so as to engage a larger research community and
        include training in evaluation methods (LCIRAH);

                                                                                                 3
   Continue to seek interest and resources to scale up nutrition sensitive agriculture,
    particularly in high undernutrition burden countries (WB);
   Expand market-based approaches to promoting the nutritional value of varieties;
    cultivate research and development investment in nutrient-rich processed and packaged
    foods (HKI);
   Continue to explore the sustainability and nutritional impact of individual-based and
    network-based approaches to smallholder farmers (HKI);
   Empower farmers with communication and marketing skills, and support smallholder
    farmers as local government resource persons on nutrition and food security (HKI);
   Integrate rigorous evaluation of BCC strategies and cost-benefit analysis of intensive
    and “light” nutrition actions (HKI);
   Promote development of ready to use supplemental foods using locally sourced crops
    (WFP).

                   iii. With specific large scale programme investment

   Link research across programmes so researchers in one programme will benefit from
    what other researchers are doing in other programmes (LCIRAH);
   Continued engagement with the Comprehensive Africa Agriculture Development
    Programme (CAADP) process through the Africa region. Specifically, both agriculture
    and nutrition teams from the World Bank are collaborating and engaging on Pillar 3 of
    the CAADP, which is focused on increasing the food supply and reducing hunger across
    the region by raising smallholder productivity and improved responses in emergency
    situations (WB);
   Advocate for integrating nutrition into the agriculture extension curriculum and taking
    affirmative actions to increase representation of women in agriculture departments at all
    levels (HKI);
   Establish liaisons connecting female farmers nationally or throughout the region (HKI);
   Invest in media campaigns to address nutrition behaviour (HKI);
   Increasingly incorporate locally produced supplemental foods in programming to
    prevent stunting in children under two years (WFP).




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GCARD2: Briefing paper Household Nutrition Security (WFP)

  • 1. DRAFT Breakout Session P1.2 Household Nutrition Security: Briefing Paper Lynn Brown (WFP) Context – the problems being addressed One billion people in the world do not have enough food to eat, even as vitamin and mineral deficiencies are compromising the health and nutrition of even more. As well as the unbearable human cost - undernutrition irreversibly damages cognitive and physical development – it is estimated that undernutrition contributes to the loss of an average of 2-3 percent of developing countries’ GDP. The international development community is now considering how agriculture could better contribute to improving human health and nutrition and how health and nutrition could contribute to a more productive and sustainable agricultural system?1 Paramount to reaching these answers is the need for greater collaboration between the agriculture and health communities and the bringing together of two sectors that in the past have often acted in silos. Global agriculture is facing a myriad of challenges such as how to overcome shortfalls in food production, how to reduce food loss and waste, how to diversify agro-ecosystems, how to improve resilience of crops and more. These challenges are aggravated by issues of land and other natural resource availability, population growth, urbanization, price volatility and climate change. Policymakers must consider all of these challenges in agriculture as well as refine the traditional focus from ‘how to increase food production’ to ‘how agriculture can improve nutrition and health’. Examples of such a shift include a focus on greater diversity of crops, breeding of new varieties of crops with improved nutritional content (bio-fortification) and schemes to increase household production and consumption of micronutrient-rich vegetables, fruits and animal-source foods and the advancement of sustainable diets among other initiatives. Nutrition programmes equally need to consider how they can support local agro-systems. 15. There are major opportunities to incorporate small adjustments to investments across sectors such as agriculture to make them more nutrition sensitive with a potentially impressive impact on nutrition outcomes. Based on experience to-date, five steps are necessary for transforming new operations to be more nutrition sensitive: a. Explicitly incorporate nutritional considerations into initial design of projects/policies; b. Integrate nutritional considerations as elements of investments, not necessarily as the primary objective; c. Modify the design/consider alternatives to minimize unintended negative consequences and maximize positive impacts; d. Support nutritional objectives with technical capacity within countries; e. Monitor and evaluate nutrition impacts with appropriate indicators. While the research agenda is growing, there remains limited concrete evidence on how 1 IFPRI Global Food Policy Report 2011 1
  • 2. agriculture–nutrition linkages work. A mapping exercise has been completed by DFID/LCIRAH outlining the research gaps. However, more nutrition-relevant data from agricultural interventions needs to be generated, collected and shared, and nutritional indicators need to be included in evaluations. LCIRAH identify the need for greater understanding of the pathways from agricultural inputs and practices through value chains to effects on food environment, consumption and nutrition. Innovation and engagement with the private sector is also key to linking the two silos and improving household nutrition security. Current activities presented and discussed in the session Chair: Barbara Burlingame (FAO); Facilitator: Lynn Brown (WFP)  The Chair and Facilitator will open the Session by introducing the topic and identifying constraints and opportunities in incorporating nutrition into AR4D agendas, systems and processes and achieving greater household nutritional security;  A panel of practitioners with field experience will outline diverse approaches, activities, challenges and visions for meeting nutrition needs;  This will be followed by a Session on global platforms, dialogue, policies and initiatives;  Following a plenary discussion on the above two sessions, a panel of donors, foundations, representatives from the private sector and research institutes will map out the road ahead and the relevant priorities and actions for working together to take the agenda forward as well as the critical role of funding. Practitioner panel on meeting nutrition needs through diverse approaches. Action contre la Faim (ACF) will present case studies on low input gardens in Zimbabwe, health gardens in Mali, SUSTAIN in Myanmar and bio-fortification in South and Central America. Helen Keller International (HKI) will consider how to take forward and strengthen partnerships, the need for balancing consumption and income needs (moving away from consumption-only goals), the importance of intra-household and equity issues, challenges of scale and targeting and the issue of data deficits in measuring nutrition and other outcomes. Diversity for Development (D4D) will focus on the need for greater diversity within agricultural systems and the need to coordinate advocacy through the D4D Alliance. Global Initiatives and Platforms CRP4 will present the role of the CGIAR research programme on agriculture for nutrition and health (A4NH) and its three pathways through which agriculture can enhance human nutrition and health: through agriculture and food value chains, by improving the desired nutrition and health impacts of large-scale programmes and by supporting better policymaking and investment in agriculture, nutrition and health. SecureNutrition, focused on taking a multi-sectoral approach to improved nutrition outcomes through investments in the agriculture and rural development sector, will present its active community of practice - both virtual and physical - where information and operational knowledge on how to increase the nutritional impact of agriculture and food security investments and interventions is being shared. FAO will present on sustainable production and diets. diets focusing on nutrients, foods and diets as ecosystem services, developing sustainable production intensification strategies 2
  • 3. within environmental limits, characterization of agro-ecological zones for sustainable diets, measuring nutrients and bioactive non-nutrients in food biodiversity, documenting traditional food systems of indigenous peoples, development of indicators for sustainable diets, calculating environmental footprints for achieving dietary adequacy and addressing nutrient losses and waste. DFID/LCIRAH will discuss their mapping and gap analysis of current and planned research on agriculture for improved nutrition and resulting conceptual framework defining pathways by which agriculture may contribute to nutrition, either directly or indirectly. WFP will outline the different platforms, policy issues and focus including the Global Donor Platform for Rural Development (GDPRD), Scaling-Up Nutrition (SUN) and the Gender in Agriculture Partnership (GAP). Intended outcomes  Identify what activities can be started immediately to bring the agriculture and nutrition agendas closer together;  Identify the opportunities and bottlenecks to achieving this;  Develop a roadmap outlining how to reach the identified goals. Commitments to collective actions in 2012-2014 (national, regional or international) i. With existing resources  Establish a framework for examining agricultural interventions in support of nutritional outcomes, in order to establish where gaps in research exist (LCIRAH);  More task team leaders in the agriculture sector to integrate nutrition into their programs (WB);  Research institutes working in partnership to provide relevant and timely knowledge, technology and evidence for decision-making and implementations (CRP4);  A seminal scientific paper determining the merits of crop diversification to be published in a scientific journal and used by the D4D alliance in multiple global fora (D4D);  Roll out integrated gender-nutrition-communication manual and mainstream nutrition orientations to agriculture extension services and NGOs (HKI);  Disseminate lessons learned of the added nutrition impact of gender-transformative community actions, and of food-based approaches (HKI);  Link smallholder agriculture production under “Purchase for Progress” to bio-fortified crops where available (WFP);  Identification of a common research agenda and priorities that links agriculture, nutrition and the environment, with sustainable diets as the aim. (FAO);  Develop a research agenda that is a direct response to the UN Secretary General’s ‘Zero Hunger Challenge’ on access to food for all all year round, ending stunting among children under two, ensuring food systems are sustainable, doubling smallholder productivity and income and a reducing food waste (FAO). ii. With additional support  Extend the network of researchers who are undertaking and evaluating agricultural interventions for nutritional outcomes so as to engage a larger research community and include training in evaluation methods (LCIRAH); 3
  • 4. Continue to seek interest and resources to scale up nutrition sensitive agriculture, particularly in high undernutrition burden countries (WB);  Expand market-based approaches to promoting the nutritional value of varieties; cultivate research and development investment in nutrient-rich processed and packaged foods (HKI);  Continue to explore the sustainability and nutritional impact of individual-based and network-based approaches to smallholder farmers (HKI);  Empower farmers with communication and marketing skills, and support smallholder farmers as local government resource persons on nutrition and food security (HKI);  Integrate rigorous evaluation of BCC strategies and cost-benefit analysis of intensive and “light” nutrition actions (HKI);  Promote development of ready to use supplemental foods using locally sourced crops (WFP). iii. With specific large scale programme investment  Link research across programmes so researchers in one programme will benefit from what other researchers are doing in other programmes (LCIRAH);  Continued engagement with the Comprehensive Africa Agriculture Development Programme (CAADP) process through the Africa region. Specifically, both agriculture and nutrition teams from the World Bank are collaborating and engaging on Pillar 3 of the CAADP, which is focused on increasing the food supply and reducing hunger across the region by raising smallholder productivity and improved responses in emergency situations (WB);  Advocate for integrating nutrition into the agriculture extension curriculum and taking affirmative actions to increase representation of women in agriculture departments at all levels (HKI);  Establish liaisons connecting female farmers nationally or throughout the region (HKI);  Invest in media campaigns to address nutrition behaviour (HKI);  Increasingly incorporate locally produced supplemental foods in programming to prevent stunting in children under two years (WFP). 4