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.

Food systems are changing rapidly in low- and middle-income countries. These countries seek food-based solutions for better nutrition and health of all people while addressing challenges of sustainability, inequity, and malnutrition. The CGIAR Research Program on Agriculture for Nutrition and Health (A4NH) works to develop evidence to support policies and actions for healthier food systems. A4NH is a consortium of seven managing partners, led by the International Food Policy Research Institute (IFPRI). This report summarizes 2019 research results from A4NH, across five research flagships, and highlights the partnerships through which research has led to outcomes in five focus and more than two dozen other partner countries.

In its fourth year, the CGIAR Research Program on Agriculture for Nutrition and Health (A4NH) has many accomplishments to be proud of and much to look forward to. By the end of 2015, biofortified staple foods had reached approximately 15 million people. The aflasafe™ approach for controlling aflatoxins was registered in Kenya, Nigeria, and Senegal, with country investments secured to scale it up. The successful Together for Nutrition initiative expanded from India to Ethiopia, bringing together a range of nutrition stakeholders. The Global Nutrition Report (GNR) 2015 was released alongside the launch of the Sustainable Development Goals, building off the success of GNR 2014 to guide nutrition action. Our research portfolio is expanding to include food systems and we are exploring new collaborations with public health partners. Our country and regional engagement contributes to agricultural programs and policies that can better achieve nutrition and health impacts. We also hear loud and clear from the development community that achieving these outcomes is a priority, and that doing so at scale requires making agriculture and other sectors more nutrition and health-sensitive.

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 economywide model to examine changes in household diet quality under different simulation scenarios. Using Nigeria as case study, hypothetical agricultural productivity growth scenarios reveal that dairy, pulses, fruit, and red meat value chains have the greatest potential to reduce overall diet deprivation in Nigeria per unit of GDP growth generated, while productivity growth in more widely consumed crops such as cereals and root crops do little to improve diet quality. These findings have implications for the prioritization of agricultural development initiatives aimed at improving the quality of diets. More generally, the integration of a diet quality indicator in an economywide model allows for a deeper understanding of the drivers of dietary change.

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 preferences vis-à-vis changes in household income and food prices. The results show that Bangladeshi diets shifted from coarse to refined rice, and consumer preferences for vegetables and pulses were relatively low, contributing to worsening dietary quality. On the other hand, the consumption of nutritious, animal-source foods including fish, poultry, and eggs increased due to high consumer preferences and declining food prices-partly thanks to governmental production support. Regarding the dietary implications of rapid urbanization, the analysis suggests that rural consumers’ diets will largely follow the trajectory of urban consumers in Bangladesh.

"Advancing Gender Equality through Agricultural and Environmental Research: Past, Present, and Future stands to become the new go-to resource on gender in agriculture. Bringing together contributions from more than 60 authors who expertly straddle gender research and agricultural science, it offers important insights for the wider agricultural research and development communities. A comprehensive synthesis of CGIAR gender research to date, it not only illuminates what we know - and what we don't yet know - about the contributions of gender research to development outcomes, but also, and especially, investigates the contribution of agricultural development to gender equality outcomes. The lessons emerging from this synthesis have important implications for work that supports countries to achieve their national development objectives, as well as for our collective approach to meeting global targets such as the Sustainable Development Goals"--

Two years after the onset of the COVID-19 pandemic, the health, economic, and social disruptions caused by this global crisis continue to evolve. The impacts of the pandemic are likely to endure for years to come, with poor, marginalized, and vulnerable groups the most affected. In COVID-19 & Global Food Security: Two Years Later, the editors bring together contributions from new IFPRI research, blogs, and the CGIAR COVID-19 Hub to examine the pandemic’s effects on poverty, food security, nutrition, and health around the world. This volume presents key lessons learned on food security and food system resilience in 2020 and 2021 and assesses the effectiveness of policy responses to the crisis. Looking forward, the authors consider how the pandemic experience can inform both recovery and longer-term efforts to build more resilient food systems.

A growing number of governments, donor agencies, and development organizations are committed to supporting nutrition-sensitive agriculture (NSA) to achieve their development goals. Although consensus exists on pathways through which agriculture may influence nutrition-related outcomes, empirical evidence on agriculture’s contribution to nutrition and how it can be enhanced is still weak. This paper reviews recent empirical evidence (since 2014), including findings from impact evaluations of a variety of NSA programs using experimental designs as well as observational studies that document linkages between agriculture, women’s empowerment, and nutrition. It summarizes existing knowledge regarding not only impacts but also pathways, mechanisms, and contextual factors that affect where and how agriculture may improve nutrition outcomes. The paper concludes with reflections on implications for agricultural programs, policies, and investments, and highlights future research priorities.

The national food system of Bangladesh has made substantial progress since experiencing famine in 1974, soon after independence. After the famine, the government placed a strong emphasis on policies required to attain grain self-sufficiency; since attaining self-sufficiency, the production system, policies related to it, and resulting diets have begun to diversify. Nonetheless, undernutrition remains a problem, and fruit and vegetable consumption are inadequate for most people relative to international recommendations. Moreover, as the food system has begun to transition towards a modern one, challenges related to food safety and perceived food adulteration have begun to rise. Further, increased processed food intakes are potentially associated with existing rising overweight and obesity status. Both government interventions and innovations are needed to help shift the national food system to improve nutrient-dense food availability, particularly among the poor, and to limit the increase in processed food consumption.

Agriculture's vast potential to improve nutrition is just beginning to be tapped. New ideas, research, and initiatives developed over the past decade have created an opportunity for reimagining and redesigning agricultural and food systems for the benefit of nutrition. To support this transformation, the book reviews the latest findings, results from on-the-ground programs and interventions, and recent policy experiences from countries around the world that are bringing the agriculture and nutrition sectors closer together. Drawing on IFPRI's own work and that of the growing agriculture-nutrition community, this book strengthens the evidence base for, and expands our vision of, how agriculture can contribute to nutrition. Chapters cover an array of issues that link agriculture and nutrition, including food value chains, nutrition-sensitive programs and policies, government policies, and private sector investments. By highlighting both achievements and setbacks, Agriculture for Improved Nutrition seeks to inspire those who want to scale up successes that can transform food systems and improve the nutrition of billions of people.