IFPRI Publications: Journal Articles

Estimating the direct and indirect effects of improved seed adoption on yields: Evidence from DNA-fingerprinting, crop cuts, and self-reporting in Ethiopia

Farmers’ adoption of improved crop varieties could increase yields in low-income countries. However, the presence of measurement error in household surveys poses a challenge to estimating true returns. Using the 2018/19 Ethiopia Socio-economic Survey, we analyze the impacts of how three sources of measurement error: misperceptions of seed varieties, land area, and quantities harvested affect maize yields and input use. These data include DNA-fingerprinting of seed, GPS plot size information, and crop cuts that we compare to farmers’ self-reported estimates of these measures. Results indicate that the measurement error in self-reported seed variety adoption, especially from farmers who did not know they were using improved maize varieties, attenuates their estimated yield gains by 25 percentage points on average. The enhanced genetics of improved seed varieties accounts for a 41-percentage point yield increase over non-improved varieties, and increased input use accounts for a 30-percentage point gain for improved varieties on average. JEL classification: D13, O13, N57, Q12, Q16

Fertilizer policy reforms in the midst of crisis: Evidence from Rwanda

Fertilizer subsidies are a prominent feature of many agricultural development strategies in sub-Saharan Africa, but few countries have the necessary data to make rapid decisions about their management in the face of exogenous shocks. This was the case in Rwanda following the rapid increase in international fertilizer prices in 2021–22. Working within a constrained fiscal space that followed the economic downturn caused by the COVID-19 pandemic, the Government of Rwanda aimed to revise its fertilizer subsidy system to accommodate higher fertilizer import prices without compromising progress against its agricultural growth targets. This paper explores both the economic analysis and policy process that shaped decision-making around Rwanda’s fertilizer subsidy system during the period 2020–23. The paper centers on the design and application of a microsimulation model that estimated—almost in real time—the impact of increased fertilizer prices on crop production during this period. It then explores the policy outcomes that followed, emphasizing the scope for subsidy reductions even in the midst of crisis, the critical importance of strengthening agricultural data systems, and lessons for countries facing similar challenges.

Inclusive and gender-transformative seed systems: Concepts and applications

CONTEXT Seed is vital to the nutrition and livelihoods of millions of women and men small-scale farmers in low- and middle-income countries. Seed systems interventions can significantly enhance food security and nutrition by accelerating the adoption of improved varieties and the use of quality seed, which in turn increase the rate of genetic gain, productivity, and household welfare. These interventions can be particularly effective when advancing gender equality by supporting women’s empowerment and addressing discriminatory gender norms. However, there is relatively little evidence on the ways in which seed systems can be an entry point for advancing gender equality by transforming discriminatory gender norms. OBJECTIVES We develop and illustrate a gender transformative approach applied to seed sector development. Our first objective is to provide a framework to better understand how seed systems interventions can contribute to gender equality by (1) integrating gender-accommodative and gender-transformative approaches; and (2) assessing their gendered impacts. Our second objective is to apply this framework to a particular innovation – gender messaging via information and communications technologies (ICTs) – and explore how seed system interventions can be made more gender-transformative. METHODS We first reviewed the existing literature to develop a framework that defines gender-transformative and accommodative seed system interventions and their impacts. We then synthesized lessons learned from the application of this framework to case studies from Ethiopia, Kenya, Tanzania, and Uganda that used ICTs that contained gendered components. RESULTS AND CONCLUSION We discuss how a gender-accommodative approach aims for gender considerations to improve seed systems, while a gender-transformative approach flips the goal around by aiming at progress toward gender equality through seed systems. We find growing evidence on the potential of gender-transformative seed systems interventions to influence positively the empowerment of women and also men, and to create more conducive gender norms, as shown by three case studies on ICT enablers. These case studies also show that accommodative and transformative approaches are often complementary. SIGNIFICANCE We introduce research questions that research and development practitioners can ask to develop accommodative or transformative approaches in seed system interventions, and show the potential of both approaches to progress toward gender equality. The case studies indicate the feasibility of gender-transformative, ICT-enabled seed system interventions, with clear indications of the potential for low-cost adaptation at scale. However, the transformative potential of these interventions requires careful consideration of messaging content, format, and context, as well as strategic public investment and strong political will.

The full lethal impact of massive cuts to international food aid

Evolution of intimate partner violence impacts from cash transfers, food transfers, and behaviour change communication: Mixed-method experimental evidence from a nine-year post-programme follow-up in Bangladesh

Cash or food transfers can reduce intimate partner violence (IPV), but knowledge gaps remain on how impacts evolve over time, and the role of complementary ‘plus’ activities and contextual factors. We conducted a mixed-method analysis of how the Transfer Modality Research Initiative in Bangladesh affected IPV over time. The programme was implemented from 2012 to 2014, following a randomised controlled trial (RCT) design, across Northern and Southern Bangladesh. Intervention arms included monthly cash or food transfers, with or without complementary nutrition behaviour change communication (BCC). We estimate post-programme impacts on IPV using quantitative data collected in 2014–2015, 2018, and 2022, and combine this with qualitative data collected in 2023 to explore how and why IPV impacts evolved over time and the role of contextual factors. In the North, combining cash with BCC led to sustained IPV reductions in each post-programme round, while cash alone reduced IPV in 2022 but not the previous two rounds; food transfers showed no post-programme impacts. In the South, combining food with BCC led to post-programme IPV reductions in 2014–2015; no intervention sustained IPV reductions thereafter. Sustained IPV reductions are primarily driven by improved household economic security and emotional well-being. Other pathways – family relationships (including in-laws’ roles), women’s empowerment, and social and community support – contributed to changing couples’ relationships during the programme but became less salient after the programme ended. Contextual factors, including demographic changes, climate-related changes, external projects and norms condoning IPV appear to influence the sustainability of impacts. Results suggest that ‘plus’ programming was key to sustaining IPV impacts soon after the interventions, but less so by nine years post-programme, as economic security increasingly drove impacts. More mixed method research is needed from the outset to unpack if and how pathways to IPV reduction can be sustained in different contexts over time.

Adapting the Women’s Empowerment in Nutrition Index: Lessons from Kenya

Women face a disproportionate burden of malnutrition and food insecurity. Research has shown that women’s empowerment can buffer women against nutritional problems. This paper contributes to ongoing efforts to measure women’s empowerment that are both context-sensitive and universal, focusing on the recently developed Women’s Empowerment in Nutrition Index (WENI). Earlier research has shown it is both a valid construct and positively related to dietary and nutritional outcomes of women in South Asia. We establish that WENI is generalizable to agropastoral and pastoral Kenya, an area with substantially different livelihoods, food system, norms, and institutions than South Asia. We find that a locally contextualized WENI is strongly associated with women’s body mass index and dietary diversity as well as household level food insecurity. We also present findings for two shorter variations of WENI: an abbreviated WENI (A-WENI) and a cross context WENI (CC-WENI). A-WENI contains a small subset of WENI indicators identified using machine learning with South Asian data and therefore is context-specific. CC-WENI does not contain indicators specific to the validation context. We find that they perform comparably well with caveats. Thus, as use of WENI expands we recommend adapting WENI for in-depth analyses of women’s nutritional empowerment; using CC-WENI for cross-context comparisons; and using A-WENI for rapid appraisals of community level progress in a given context.

Dataset on the patterns of livelihood diversification in farming systems of the Eastern Gangetic Plains of South Asia

The Eastern Gangetic Plains (EGP) region, characterized by smallholder-dominated farming, is experiencing rapid socio-economic and environmental changes. To enhance resilience, income stability, and food security, smallholders are increasingly diversifying their livelihoods away from traditional agriculture. However, the patterns and drivers of this diversification remain poorly understood. This study, utilizing data from the Rupantar project, aims to elucidate these patterns, identify key drivers, and assess the impacts on productivity, profitability, nutrition, and inclusion. A mixed-methods approach was employed, including a baseline survey of 1,400 households across India, Nepal, and Bangladesh and analysis using the Simpson’s Index of Diversity (SID). Fractional regression models revealed moderate diversification levels across the EGP with significant geographical and contextual variability. Key drivers included access to resources, gender, education, market access, and institutional support, with differences observed across countries and diversification types. Factors such as non-ownership of irrigation pumps, female household headship, and engagement in off-farm activities were significant predictors of higher diversification. The study found that diversification can enhance income security, nutritional outcomes, and environmental sustainability, although impacts vary by diversification type.

Adoption or placement in foster care and catch-up in linear growth and development: A meta-analysis of individual participant data

Background The ability of children to recover from linear growth retardation, often referred to as catch-up growth, has intrigued researchers for many decades. Whether adoption from a low-to a high-income setting, which provides a comprehensive improvement in the conditions that cause children to not grow well, leads to catch-up growth is unknown. Objective We estimated the association of adoption (or placement in foster care) with catch-up in linear growth and child development before 5 years of age. Methods We conducted a two-stage meta-analysis using individual participant data for linear growth. We obtained study-specific and subgroup estimates and pooled the estimates using random-effects models. Sensitivity analyses were used to assess the robustness of our findings. A review of child development outcomes was conducted. Results We included 485 children under 5 years of age from 9 adoption studies. At baseline, children had a mean age of 15.8 mo and a length deficit of 3.9 cm. Adoption reduced this gap by 77% or 3.0 cm (95% CI: 1.9-4.1 cm)(mean age 32.3 mo). Catch-up growth was found in both girls (3.6 cm; 95% CI 2.9-4.2 cm) and boys (2.5 cm; 95% CI: 1.9-3.1 cm) and in children adopted after the age of 24 mo (2.2 cm, 95% CI 0.6-3.7 cm). The sensitivity analyses did not change any of the substantive findings. The magnitude of catch-up in child development (mean reduction in deficit of 46%) was smaller than in linear growth. Conclusions Catch-up in linear growth in children under five is biologically possible when the environment is improved profoundly and comprehensively. Partial reversal of the accumulated height deficit was more likely than recovery in developmental outcomes which highlights the need to ensure all children grow and develop in environments that prevent deficits from occurring rather than trying to correct them.

The unmet financial needs of intermediary firms within agri-food value chains in Uganda and Bangladesh

JEL Codes: L14, L81, O13, Q13

Farmers’ pesticide use, disposal behavior, and pre-harvest interval: A case study from Nigeria

In Sub-Saharan Africa, small farmers rely heavily rely on synthetic pesticides, the overuse of which poses significant risks to human health, the environment, and food safety. Yet detailed empirical evidence on knowledge of and the knowledge and drivers of pesticide management practices remains scarce, limiting insights for policymakers and development practitioners. To address this gap, we leveraged on data collected from 1556 tomato producers in Northern Nigeria to investigate the determinants of pesticide use behavior using a sequential-exploratory mixed-method approach. We examined a broader range of pest management-related practices than prior literature, including safety equipment usage, pesticide disposal methods, and adherence to pre-harvest intervals (PHIs)-, which is the intervals between the last pesticide application and the crop harvest. We found substantial noncompliance with the recommended practices: 45% of farmers reuse empty pesticide containers for other purposes, 14% discard them on the farm, 15% burn containers in open fires, and 40% harvest tomatoes within 1–5 days after pesticide application, violating the 7-day PHI guideline. These findings suggest that many tomato farmers adopt unsafe practices, which have adverse implications for their health, the environment, and the safety of food available to consumers. We show that training on pesticide disposal and midstream market channels (e.g., wholesalers and aggregators) are strongly correlated with improved pesticide handling and higher PHI compliance. Overall, our results underscore the need for targeted training programs to enhance farmers’ awareness of safe pesticide application, disposal practices, and PHI adherence. These efforts should be complemented by stronger regulatory frameworks and mechanisms to align farmer pesticide use practices with consumer preferences for safe products, as observed by in the higher PHI adherence among farmers selling to midstream actors.

Imperfect competition and asymmetric welfare effects of global price and productivity shocks: a CGE model analysis for Senegal

This article investigates the asymmetric effects of global price and productivity shocks on welfare in the context of imperfect competition. The primary objective is to understand how market concentration affects the transmission of economic shocks and their impacts on various households. A CGE model, calibrated on a 2014 social accounting matrix for Senegal, is used. The model features a trading sector operating under a Cournot oligopoly with increasing returns to scale. Two scenarios are simulated: a 15% increase in global import prices and a 10% increase in agricultural productivity, each considering different levels of market concentration. The findings reveal that higher global import prices reduce household well-being, a situation exacerbated by low market competition. In contrast, agricultural productivity gains enhance well-being, with these benefits amplified by greater competition. However, the wealthiest households in Dakar benefit from low competition due to their positions in oligopolistic companies. To maximize household well-being, economic policies should focus on strengthening market competition, particularly in the trading sector. Actions such as reducing entry barriers for new businesses and regulating anti-competitive practices can help mitigate the adverse effects of global price increases and amplify the benefits of agricultural productivity gains.

Co-occurrence of stunting and off-track early child development in low- and middle-income countries

Importance: Although children across low- and middle-income countries (LMICs) are increasingly surviving, many are not fully thriving. Both stunting and off-track early child development (ECD) hinder children’s potential to thrive. Objectives: To estimate the global prevalence of the co-occurrence of stunting and off-track ECD and explore its association with nurturing care and sociodemographic factors. Design, Setting, and Participants: This cross-sectional study pooled data from the most recent Demographic and Health Surveys and Multiple Indicator Cluster Surveys (2010-2020) on 173 416 children aged 36-59 months in 41 LMICs. Statistical analysis was conducted from February to December 2024. Exposure: Risk factors pertaining to inadequate nurturing care, low socioeconomic status, and other sociodemographic characteristics. Main Outcomes and Measures: Children were classified into 4 groups with respect to thriving: children who were stunted only (height-for-age z score <−2 SD), off-track ECD only (measured using the Early Childhood Development Index), both stunted and off-track ECD (co-occurrence), or neither. Results: In the pooled sample of 173 416 children, the mean (SD) child age was 47.1 (6.8) months, and 88 242 (50.9%) were boys. Approximately 1 in 6 children (17.0% [95% CI, 16.8%-17.2%]) were both stunted and had off-track ECD, 17.1% (95% CI, 16.9%-17.3%) were stunted only, 27.8% (95% CI, 27.6%-28.0%) had off-track ECD only, and 38.1% (95% CI, 37.9%-38.4%) were neither stunted nor had off-track ECD. Socioeconomic gradients were observed, with more co-occurrence in lower-income countries (18.2% [95% CI, 17.9%-18.6%]), poorer households (22.1% [95% CI, 21.7%-22.5%] for poorest wealth quintile), mothers with lower educational levels (20.8% [95% CI, 20.6%-21.0%] for primary education or less), and rural settings (19.3% [95% CI, 19.1%-19.6%]). Various indicators of inadequate nurturing care along with low socioeconomic status were associated with co-occurrence. The top 5 factors associated with co-occurrence were poorest wealth quintile (adjusted odds ratio [AOR], 2.75; 95% CI, 2.53-2.99), no early childhood education (AOR, 2.22; 95% CI, 2.10-2.34), low maternal educational level (AOR, 1.44; 95% CI, 1.37-1.51), no toys at home (AOR, 1.43; 95% CI, 1.35-1.51), and diarrhea (AOR, 1.38; 95% CI, 1.31-1.45). The associations of poor household wealth, no birth registration, and no early childhood education with co-occurrence were significantly larger than their associations with stunting only or off-track ECD only. Conclusions and Relevance: This cross-sectional study of young children in LMICs suggests that a significant proportion were both stunted and had off-track ECD. These findings underscore the need for multisectoral interventions that holistically target nutrition, health, and ECD risks to ensure that all children globally can thrive, especially those facing the double burden of stunting and off-track ECD.

Quality of routine health and nutrition data in Ethiopia: A systematic review

Background High-quality data are vital for informed decision-making, enhancing population health, and achieving comprehensive insights. However, there is limited understanding of the consistency and reliability of routine Health Management Information System (HMIS) including nutrition data across diverse regions in Ethiopia. This study systematically reviewed the existing literature to address these knowledge gaps. Methods We systematically searched PubMed, HINARI, and Google Scholar for studies published from 2015 onwards to assess HMIS, including nutrition data quality in Ethiopia. The evaluations focused on completeness, consistency, and timeliness metrics defined by the WHO. We included diverse regional studies without indicator restrictions, prioritized data quality metrics as primary outcomes, and explored qualitative reasons for poor data quality as secondary outcomes. Results Of the 1790 papers screened, 25 met the inclusion criteria. The completeness of reporting varied widely among studies (50%–100%), with only 21% (4 out of 19) exceeding 90%. The consistency ranged from 38.9% to 90.5%, with only 6% of studies reporting internal consistency above 90%. Other consistency issues included lack of external consistency, indicator discrepancies, and outliers. Timeliness ranged from 41.9% to 93.7%, with 54% of studies reporting below 80%. In addition to the lack of studies addressing nutrition data, the quality was no better than other components of HMIS. The major factors contributing to poor data quality were human resource shortages, insufficient capacity building, behavioural influences, and infrastructural deficits. Conclusion The HMIS including nutrition data in Ethiopia, exhibited deficiencies in completeness, consistency, and timeliness, which were largely, attributed to capacity and resource constraints. Interventions should prioritize resource allocation, staff training, supervision, and feedback mechanisms to enhance data quality, thereby improving decision-making processes and population health outcomes.

Armed conflict and gendered participation in agrifood systems: Survey evidence from 29 African countries

This paper provides empirical micro-level evidence on the gendered impacts of armed conflict on economic activity in agriculture and other sectors, combining large-N sex-disaggregated survey data with temporally and spatially disaggregated conflict event data from 29 African countries. We find that local conflict exposure is only weakly related to labour-force participation, but strongly reduces the total number of hours worked and increases engagement in the agricultural sector. These net impacts exist for both men and women. However, the reduction in hours worked is significantly greater among men, while the increase in agricultural activity is significantly greater among women. In the longer term, impacts of conflict on employment two years later are stronger when no more conflict ensues than if further conflict occurs, challenging the widespread idea of one-off conflict shocks fading away over time and suggesting that labour markets adapt to and absorb lasting conflict situations. Different types of conflict event have qualitatively similar impacts, which are strongest for explosions, such as from air strikes or landmines. Overall, our findings underline that armed conflict entails structural economic, social and institutional change, which creates complex, gendered impacts on economic activity.

Building Ethiopia’s food security resilience to climate and hydrological change

Historically Ethiopia’s food security has been sensitive to climatic variability, but changes in future weather and climate could lead to overall reductions and increased variability in agricultural production, without further adaptation. We present an integrated modelling assessment framework which combines climate, crop, and hydrological modelling to quantify future risks to Ethiopia’s food security. We explore the impacts of 2°C and higher climate change scenarios on water availability and crop yields and simulate how future climate shocks may impact Ethiopia’s food. We consider three adaptations to agricultural management practices (improved seed varieties, increased use of nitrogen fertilizer and supplementary irrigation) and quantify their effectiveness in enhancing the resilience of Ethiopia’s food system to climate and hydrological change by 2050. Results show that, without policy intervention, climate change creates a risk of declining Meher season crop yields across Ethiopia. Under the worst climate change scenario, teff (−12.0%), barley (−6.7%), and wheat (−4.4%) are projected to have the largest decline in average yields, whilst maize (−0.1%) and sorghum (+0.9%) yields are less impacted thanks to more favourable growing conditions. However, the results also indicate that the adaptation options have a bigger beneficial effect than the climate impact. Of the policies evaluated, improved seeds have a relatively greater effect than increased fertilizer use. Supplementary irrigation could help to mitigate increases in crop water requirements under warmer climate conditions and is most effective in drought prone basins and for drought-vulnerable crops. Overall, the results show that locally relevant agricultural policies are necessary to build Ethiopia’s food system resilience to climate and hydrological change by the mid-century.

Perspective: Can growth monitoring and promotion accurately diagnose or screen for inadequate growth of individual children? A critical review of the epidemiological foundations

Growth monitoring and promotion (GMP), the process of periodic anthropometric measurements to assess the adequacy of individual child growth, is implemented across low- and middle-income countries (LMICs). The epidemiological foundations of GMP (i.e., that GMP can accurately diagnose or screen for inadequate growth) have never been critically reviewed. We first assessed growth patterns of individual healthy children. Using longitudinal data from low-, middle-, and high-income countries, we evaluated whether commonly used GMP criteria can be used for diagnosis and screening; i.e., if they accurately identify current, or predict subsequent, inadequate growth in individual children. The growth of individual healthy children does not track along a specific growth curve which challenges the notion that growth measurements alone can be used to distinguish between healthy and inadequate growth. We demonstrate that GMP criteria do not provide meaningful diagnostic information and that GMP is not a meaningful screening activity: commonly used GMP criteria are inaccurate predictors of (inadequate) growth later in childhood; and collecting individual children’s weight and height does not help to identify who needs support or who will benefit. Our results do not undermine the importance of dedicated programs to diagnose wasting in individual children nor do they challenge the need for well-child care to support parents and to ensure children’s optimal nutrition, health, and development. Our findings, however, highlight the need to carefully reconsider the current design of GMP in LMICs.

A band selection method for consumer-grade camera modification for UAV-based rapeseed growth monitoring

Near-infrared (NIR) modification of low-cost cameras is considered an important method to acquire high-resolution NIR images on an unmanned aerial vehicle (UAV) platform. However, few studies have examined filter selection methods to modify consumer-grade cameras for UAV-based agricultural crop monitoring. This study addresses a key challenge: how to balance imaging quality with spectral sensitivity when selecting filters for the modification of consumer-grade cameras. To this end, the normalized difference spectral index (NDSI) and the ratio spectral index (RSI) formulations were used to calculate the spectral indices (SIs) from all possible combinations of any two center wavelengths in UAV hyperspectral data. The contour maps of the coefficient of determination (R2) between the SIs and ground-measured rapeseed LAI were then computed to automatically generate the broadband combinations with optimized center wavelengths and effective bandwidths for selecting filters on camera modification. Results showed that a consumer-grade camera (Nikon D7000) modified by the selected filters had performance comparable with a multispectral camera (RedEdge Micasense 3), but slightly worse than a research-grade hyperspectral camera (Nano-Hyperspec®) in terms of SIs for LAI estimation. In addition, the high-resolution images from the modified camera were processed to obtain accurate crop plant height information. The SIs coupled with plant height from the modified camera (rRMSE = 18.1 % for field 1 and 14.3 % for field 2) was found to perform similar to, and in some cases even better than, those from the research-grade multispectral (rRMSE = 17.9 % and 16.7 % for the respective fields) and hyperspectral (rRMSE = 18.8 % for field 1) cameras for UAV-based LAI estimation. The findings from this study indicate that the proposed camera modification method is feasible and adaptable to agricultural crop monitoring. Thus, appropriately modified consumer-grade cameras can be a cost-effective replacement for research-grade sensors to rapidly and accurately assess crop growth status.

Employment impacts of agrifood system innovations and policies: A review of the evidence

The agrifood sector (AFS) constitutes about one-sixth of the global economy and is the world’s largest source of employment, supporting the livelihoods of most of the world’s poor and vulnerable people (Corong et al., 2024; Yi et al., 2024). In recent decades, global agricultural productivity has increased due to technological and institutional innovations. This has contributed to poverty reduction and improved food security. Despite these positive contributions, however, poverty remains widespread among rural and agrifood sector producers and workers. The challenge remains to address the constraints these producers and workers face and also enable more inclusive value chain development that would provide decent livelihoods and employment for those currently left behind. To this end, the CGIAR Initiative “Rethinking Food Markets and Value Chains for Inclusion and Sustainability” commissioned a meta study to identify knowledge gaps regarding the impacts of developing countries’ agrifood value chain (AVC) integration and modernization processes on employment and income sharing (Berdegué et al., 2023). This paper summarizes its key findings and draws conclusions for further research.

Understanding pastoralist adaptations to drought via games and choice experiments: Field testing among Borana communities

Transhumant and nomadic pastoralism in arid and semi-arid spaces from West through Central, East, and Southern Africa is regarded as critical to regional system resilience and food security. Although pastoral systems are highly adapted and adaptive to uncertainty and change, recent decades of severe climatic events and increasing resource pressure are pushing pastoral systems to adopt novel norms and practices. Importantly, forage residue conservation and private forage enclosures are becoming important practices among herders and non-herders alike. As one part of considering the relevance of these responses in shaping the future trajectory of transhumant pastoralism, we developed a multi-part intervention for measuring and observing preferences in pastoral systems, including a novel experimental game called GreenReserve, and tested it in Borana communities in northern Kenya. We found that GreenReserve captured dimensions of human-environment dilemmas faced by pastoralists, and shifted preferences around herd size, losses, and the use of time, as measured through a repeated discrete choice experiment. We found game groups with younger players and with more female players to include more exploration of pastoral adaptations such as the use of grass reserves and the harvesting of grass, as well as to have less conflict within the game. We also observed both preferences as well as game strategy to shift along the length of the study: as the region moved further into a drought and failed short rainy season, players were more conscious of large herds, bad rainfall-year losses, and made better use of reserves in game play, though it was beyond the scope of the current study to determine causality. Future research is needed to unpack the mechanisms underlying the variations and possible shift in preferences and subsequently help identify entry points for targeted interventions (including agricultural extension services) to support pastoral communities in climate change adaptation. Further, these first fieldwork findings suggest two key dimensions for expanded work beyond this study to identify whether mixed methods approaches such as this aid experiential learning in agriculture contexts.

Risk-appropriate, science-based innovation regulations are important

Protocol: Food environment, food choice, diets, and nutrition outcomes of pastoralists in Africa: Scoping review protocol

This is the protocol for a Campbell scoping review. The objectives are as follows: (i) To define and characterize the food environment of pastoralists in Africa; (ii) To identify the domains of the food environment that have been studied in pastoralist settings in Africa; (iii) To assess the relationship between the food environment and food choice, dietary intake, and nutrition outcomes among pastoralists in Africa; and (iv) To map the study designs, methods, and geographical coverage of the studies.

Maternal balanced energy-protein supplementation reshapes the maternal gut microbiome and enhances carbohydrate metabolism in infants: A randomized controlled trial

Balanced energy-protein (BEP) supplementation during pregnancy and lactation can improve birth outcomes and infant growth, with the gut microbiome as a potential mediator. The MISAME-III randomized controlled trial (ClinicalTrial.gov: NCT03533712) assessed the effect of BEP supplementation, provided during pregnancy and the first six months of lactation, on small-for-gestational age prevalence and length-for-age Z-scores at six months in rural Burkina Faso. Nested within MISAME-III, this sub-study examines the impact of BEP supplementation on maternal and infant gut microbiomes and their mediating role in birth outcomes and infant growth. A total of 152 mother-infant dyads (n = 71 intervention, n = 81 control) were included for metagenomic sequencing, with stool samples collected at the second and third trimesters, and at 1–2 and 5–6 months postpartum. BEP supplementation significantly altered maternal gut microbiome diversity, composition, and function, particularly those with immune-modulatory properties. Pathways linked to lipopolysaccharide biosynthesis were depleted and the species Bacteroides fragilis was enriched in BEP-supplemented mothers. Maternal BEP supplementation also accelerated infant microbiome changes and enhanced carbohydrate metabolism. Causal mediation analyses identified specific taxa mediating the effect of BEP on birth outcomes and infant growth. These findings suggest that maternal supplementation modulates gut microbiome composition and influences early-life development in resource-limited settings.

Seed certification, certified seeds use and yield outcomes in Nigeria: Insights from nationally-representative farm panel data and seed company location data

CONTEXT Despite the importance of enhanced seed quality to agricultural productivity growth, evidence remains scarce regarding the nature and possible drivers of returns to formal sector quality assurance systems, including certified seeds production in countries like Nigeria that focus significantly on the formal-sector seed systems. OBJECTIVE This study narrows this knowledge gap by estimating the effect of the quantity of certified seeds produced and the spatial variations where they are produced on the use of certified seeds and yields. We also assess the yield effects of certified seeds use and their relationship with agroclimatic and socioeconomic conditions. METHODS We combine nationally-representative farm-household survey panel data with spatial data on the headquarters locations of seed companies, the quantity of certified seeds for maize, cowpea, and rice that they produce, and spatially explicit agroecological data. We apply panel fixed effects methods as well as instrumental-variable methods to address potential endogeneity associated with certified seeds use while also controlling for the use of improved varieties to separate their effects from the effects of certified seeds. RESULTS AND CONCLUSIONS Our findings indicate that the availability of certified seeds—captured by indicators of certified seeds produced by seed companies headquartered in the states of survey respondents—is associated with positive but declining marginal effects on certified seeds use and yields. These results are robust when we also consider the potential within-state heterogeneity in the proximity to seed company headquarters, as well as potential spillovers from the nearest adjacent states. The yield effects of certified seeds are heterogeneous and depend on agroclimatic conditions and farmers’ socioeconomic characteristics. The use of certified seeds is somewhat higher in areas with higher yield effects after controlling for certified seeds production. These patterns partly lead to observed non-linearities in certified seeds use because certified seeds may be more likely to be used by farmers with higher expected returns than farmers with lower expected returns. These results underscore the importance of spatially targeted efforts in enhancing certified seeds production capacity, together with the exploration of intermediate quality standards in the short term where costs of seed certification are high relative to returns. SIGNIFICANCE The study provides unique quantitative evidence in a nationally representative framework in an African country that returns to seed certification systems in the current setting significantly vary depending on contexts, including agroclimatic conditions.

Global analysis reveals persistent shortfalls and regional differences in availability of foods needed for health

Sufficient food is available in the world for all people to consume sufficient calories, but not healthy diets. This study traces historical and projected changes in global food systems toward alignment with the new Healthy Diet Basket (HDB) used by UN agencies and the World Bank to monitor the cost and affordability of healthy diets worldwide. Using the HDB as a standard to measure adequacy of national, regional and global supply-demand balances, we find substantial but inconsistent progress toward closer alignment with dietary guidelines, with large global shortfalls in fruits, vegetables, and legumes, nuts, and seeds, and large disparities among regions in use of animal source foods. Projections show that additional investments aimed at reducing chronic hunger would modestly accelerate improvements in adequacy where shortfalls are greatest, revealing the need for complementary investments to increase access to under-consumed food groups especially in low-income countries.

Comparison of gestational age assessment methods in the second and third trimesters: Evaluating alternative approaches against ultrasound in urban Burkina Faso

Background: Accurate determination of gestational age by way of ultrasound is challenging in resource-limited settings like Burkina Faso, leading to the use of alternative methods, though their accuracy and agreement remain poorly established. This practice leads to inadequate risk assessment during pregnancy and failure to identify preterm birth, potentially contributing to high neonatal mortality rates. The purpose of this study was to determine the agreement among alternative methods for gestational age estimation and the Alliance for Maternal and Newborn Health Improvement (AMANHI) method in Burkina Faso. Methods: Data were obtained from a prospective cohort study involving pregnant women in the second or third trimester in Bobo-Dioulasso to evaluate the agreement of last menstrual period (LMP), symphysis-fundal height (SFH), Dubowitz, Hadlock, and AMAHNI methods to estimate gestational age. The degree of agreement was assessed using the Bland–Altman method and intraclass correlation coefficients. The AMANHI method, validated for late pregnancy, was used as the reference standard. Results: A total of 768 pregnant women were included in the analysis. Plots showed a lack of agreement between the AMANHI method and all other methods, with 95% limits of agreement ranging from −7.6 to +9.8 weeks. Additionally, the incidence of preterm birth was consistently higher when assessed using the alternative methods compared with the AMANHI method. Conclusions: The clinical methods (SFH, LMP, Dubowitz) disagree with the ultrasound methods (AMANHI, Hadlock), but the ultrasound methods produce more similar results. The routine application of other methods is likely to result in an overestimation of preterm birth incidence compared with AMANHI. These findings highlight the urgent need to improve access to obstetric ultrasound and to provide comprehensive training in the application of the AMANHI method for accurate late-term gestational age estimation in Burkina Faso.

Trends and associated factors of animal source foods consumption among children aged 6–23 months in Bangladesh: Evidence from four consecutive national surveys

Animal source foods (ASF) are nutrient-dense and essential for the growth and development of children. The Bangladesh Demographic and Health Survey (BDHS) 2022 reported that approximately two-thirds of children aged 6–23 months consumed eggs/flesh foods. However, overall consumption patterns, trends, and factors influencing ASF intake among children in Bangladesh were not well-documented. Therefore, the study aimed to assess the trends and associated factors of ASF consumption among children aged 6–23 months in Bangladesh. A total of 9401 children were extracted from four consecutive BDHS (2011, 2014, 2017/18, and 2022). The Cochran-Armitage test was conducted to assess the trends in ASF consumption, while a two-stage multilevel mixed-effects logistic regression was performed to identify the associated factors. The consumption of ASF significantly increased to 79.1% in 2017/18 from 67% in 2011 but decreased to 73.3% in 2022. ASF consumption was found to be higher among children whose mothers were educated (AOR = 1.60, 95% CI = 1.30–1.98), employed in either agricultural (AOR = 1.27, 95% CI = 1.04–1.54) or non-agricultural (AOR = 1.36, 95% CI = 1.07–1.72) activities, pregnant (AOR = 2.54, 95% CI = 1.66–3.87), had received ANC 1–3 times (AOR = 1.43, 95% CI = 1.20–1.72) or ≥4 times (AOR = 1.59, 95% CI = 1.29–1.95), and was exposed to media (AOR = 1.21, 95% CI = 1.04–1.39). Furthermore, consumption increased with increasing the age of children, and the wealth of their families. However, children who experienced illness were less likely to consume ASF (AOR = 0.76, 95% CI = 0.68–0.86). The recent declines in ASF consumption emphasize the need for targeted interventions to increase ASF consumption among children in Bangladesh.

Digital marketing of unhealthy foods and non-alcoholic beverages to children and adolescents: A narrative review

With growing access to electronic devices and time spent online, the food and beverage industry increasingly uses digital media to market unhealthy foods and non-alcoholic beverages (high in unhealthy fats, sugars, and/or salt and often highly processed) to children and adolescents. We conducted a narrative review of the global evidence on digital marketing of these foods and drinks and studied policies and regulations in Latin American and Caribbean (LAC) countries. Evidence was limited to a few high, upper-middle and lower-middle income countries where children and adolescents were found to be extensively exposed to the digital marketing of unhealthy foods and non-alcoholic beverages and this exposure increased with age. A wide range of purposefully designed marketing techniques were used. Exposure to the digital marketing of unhealthy foods appears to be followed by increased consumption, but the quality of the evidence was limited. Accurate assessment of exposure was a shortcoming in most studies. Stronger evidence will require studies with more rigorous designs that minimize confounding and objectively quantify individual exposure. Mandatory comprehensive policies are needed that limit exposure of children and adolescents to the marketing of unhealthy foods and non-alcoholic beverages irrespective of the medium or platform they use. The experience of LAC countries may provide insights for the development of effective policies in other countries. Novel technologies that can be used by governments to monitor digital marketing regulations are needed.

The long-run and intergenerational impact of early exposure to the Great Chinese Famine of 1959–61 on mental health

We study the effects of early exposure to the Great Chinese Famine on the mental health and subjective well-being of survivors as well as their offspring using data from the 2010 and 2014 waves of the China Family Panel Studies. Our analysis focuses on K6 scores, severe mental illness, and life dissatisfaction. We find that early exposure to the famine has impaired the mental health outcomes of women, but not men (i.e., the first generation). For the second generation, negative effects only show up among the sons of male famine survivors. Some preliminary evidence suggests that the mechanism for such transmission may have to do with the cultural son preference.

The effects of prenatal multiple micronutrient supplementation and small-quantity lipid-based nutrient supplementation on small vulnerable newborn types in low-income and middle-income countries: A meta-analysis of individual participant data

Background Small vulnerable newborn types, defined by combinations of being born too soon or too small, have distinct determinants and health consequences. We aimed to assess the effects of prenatal multiple micronutrient supplementation (MMS) and small-quantity lipid-based nutrient supplementation (SQ-LNS) on small vulnerable newborn types, which are currently unknown. Methods In this meta-analysis, individual participant data from randomised controlled trials of MMS and randomised controlled trials of SQ-LNS in low-income and middle-income countries were used. We systematically searched the literature using PubMed, Embase, and Web of Science to identify randomised controlled trials of prenatal nutritional supplementation using MMS or SQ-LNS among pregnant people published between Jan 1, 2000, and Dec 31, 2021. Studies were excluded if they were conducted exclusively among participants selected by pre-existing health conditions, such as anaemia status, HIV infection, or diabetes. We contacted the corresponding authors of all identified studies to seek data contribution. As individual participant data became available, we mapped relevant variables and harmonised the data across studies. Iron and folic acid supplementation was the control group in most studies. Newborns were classified into ten groups through the combinations of preterm or term birth, small, appropriate, and large for gestational age, and low birthweight (LBW) or non-LBW. Newborns were also analysed using a four-group categorisation of preterm or term and LBW or non-LBW. Log-binomial models were used to estimate study-specific risk ratios (RRs), which were pooled using meta-analyses. Findings 14 randomised controlled trials of MMS (n=42 618; the mean maternal age at study enrolment was 24·3 years [SD 5.6]; 22 086 [51·8%] male neonates and 20 532 [48·2%] female neonates) and four randomised controlled trials of SQ-LNS (n=6246; the mean maternal age at study enrolment was 23·3 years [SD 5·3]; 3137 [50·2%] male neonates and 3109 [49·8%] female neonates) were used. In the ten-group categorisation of small vulnerable newborns, prenatal MMS reduced the risk of preterm–small for gestational age (SGA)–LBW (RR 0·73, 95% CI 0·64–0·84; p=0·0003); preterm–appropriate for gestational age (AGA)–LBW (0·82, 0·74–0·91; p=0·0010); preterm–AGA–non-LBW (0·89, 0·80–0·98; p=0·019); term–SGA–LBW (0·91, 0·85–0·96; p=0·0046); and term–SGA–non-LBW (0·95, 0·90–1·00; p=0·050). In the four-group categorisation, prenatal MMS reduced the risk of preterm–SGA (0·71, 0·62–0·82; p=0·0002) and term–SGA (0·93, 0·89–0·98; p=0·0066). Prenatal SQ-LNS had no significant effects on the risk of giving birth to small vulnerable newborns except for preterm–large for gestational age–non-LBW in the ten-group categorisation (0·78, 0·65–0·94; p=0·023). Interpretation Prenatal MMS and SQ-LNS reduce the risk of giving birth to small vulnerable newborns to varying extents, with the greatest magnitude of effects observed for small vulnerable newborn types that confer the greatest neonatal mortality risk. This study underscores the importance of nutritional supplements in prenatal care.

Association between wasting and inadequate breastfeeding practices among infants under six months in SNNPR and Somali regions of Ethiopia: A multilevel cross-sectional study

Background Wasting is a severe threat to children’s survival and development. Attaining optimal breastfeeding practices for infants under six months of age remains a significant challenge in low-income countries. This study assessed the association between wasting and breastfeeding practices among infants under six months of age in the SNNPR and Somali regions of Ethiopia. Methods The study used data from a large feasibility study conducted in the SNNPR and Somali regions of Ethiopia, from August-September 2021. This study involved 895 infants under six months of age with their mothers. The Poisson regression model with robust variance estimation was used to produce adjusted prevalence ratios (APRs) with 95% confidence intervals (CIs). Results The prevalence of wasting was 16.5% (95% CI: 14.2, 19.2) among infants under six months of age. Non-exclusive breastfeeding (APR = 1.50; 95% CI:1.02, 2.21), delayed initiation of breastfeeding (APR = 1.52; CI:1.00, 2.30), being male infants (APR = 1.50; 95% CI:1.09, 2.07), and mothers who attained primary level (APR = 0.62; 95% CI: 0.40, 0.95) or secondary level education (APR = 0.30; 95% CI: 0.09, 0.99) were independently associated with wasting in the multivariable analysis. Conclusion This study indicates a high prevalence of wasting among infants under six months of age. Non-exclusive breastfeeding and delayed initiation of breastfeeding were the modifiable factors significantly linked to infant wasting. Strengthening breastfeeding promotion and support may help reduce wasting in infants under six months.

How helpful are the “hidden costs of food systems” numbers?

Does rural non-farm employment relieve or exacerbate the agricultural diversification-farm efficiency tradeoff: The case of aquaculture in Bangladesh

This paper studies how rural non-farm employment conditions the relationship between agricultural diversification and fish production efficiency. Competition for scarce productive resources typically implies a compromise between agricultural diversification and efficiency. Yet, the potential for non-farm income to resolve this tradeoff remains understudied. Cash from non-farm sources may support productivity-enhancing input purchase, thereby improving efficiency. On the other hand, by diversifying both on- and off-farm, household resources such as labor may be stretched too thin, lowering fish production efficiency. Using micro-level data on fish farming households in Southern Bangladesh, we show that at higher levels of the non-farm income share, diversification into crops results in significant allocative inefficiencies. Results are inconclusive for the technical efficiency measure.

Polycentric governance of commons through multi-stakeholder platforms: Insights from two case studies in India

This paper examines the complexities of commons governance, focusing on the role of multistakeholder platforms (MSPs) in addressing tensions among diverse decision-making centers. Drawing on the experiences of the Indian NGO Foundation for Ecological Security (FES) in Gujarat and Odisha, the study analyzes two MSPs operating at the block level, engaging communities, government, and private sector actors. Through surveys, interviews, and analysis of institutional reports, the research identifies key benefits of MSPs, including enhanced multi-stakeholder engagement, scale, and enabling conditions. It argues that MSPs can effectively support polycentric governance by facilitating inter-community collaboration, strengthening local voices, and building trust over time. The study also underscores the importance of external actors like NGOs in supporting community agency and fostering collaboration across different governance levels.

Levelling the field: A review of the ICT revolution and agricultural extension in the Global South

Information and communications technology has evolved significantly over the last seven decades, beginning with radio and video vans and culminating in the rise of smartphones and mobile internet in remote areas of the Global South. While ICT is an integral part of agricultural extension, little is known about how these changes have influenced agricultural extension practices. After a systematic review of 131 papers, we find that changes in ICT have shaped agricultural extension, enabling a shift from linear dissemination and “one-way communication” to co-innovation and farmer-to-farmer learning. The results indicate the potential for smartphones and mobile internet to democratize agricultural extension.

Biofortification as a food-based strategy to improve nutrition in high-income countries: A scoping review

Biofortification (increasing the micronutrient content of food before harvest) has been successfully used to nutritionally improve staple foods in low- and middle-income countries. This approach could also help address micronutrient shortfalls in at-risk populations in high-income countries (HICs), however, the potential of biofortification interventions in this context is not well understood. The aim of this scoping review is to assess the nature and extent of available research evidence on biofortified foods in relation to human consumption in HICs. Literature searches were conducted in MEDLINE, WoS, ProQuest, CINAHL, AGRIS and Epistemonikos. Forty-six peer-reviewed articles were included. Most research was conducted in the USA (n = 15) and Italy (n = 11), on cereal crops (n = 14) and vegetables (n = 11), and on selenium (n = 12) and provitamin A (n = 11). Seven research domains were identified in the literature: bioavailability (n = 17); nutrient stability (n = 11); opinions and attitudes (n = 9); functionality (n = 9); sensory properties (n = 2); safety (n = 1); and modeling (n = 1). Evidence from HICs in each domain is limited. There is a need for more research particularly in areas sensitive to the cultural and socio-economic context.

Designing and implementing experiments within local bureaucratic systems: A cautionary tale from an educator incentive program

Collaborating with governments to co-develop pilot programs and integrate them into local administrative systems is increasingly regarded as a key strategy for achieving scalability and sustainability. This study examines a pilot initiative designed in partnership with the Elementary and Secondary Education (E&SE) Department in Pakistan’s Khyber Pakhtunkhwa province, offering important lessons for such collaborations. While the intent to operate within existing bureaucratic frameworks was commendable, it also limited the design and execution of a randomized controlled trial (RCT). This paper explores institutional factors that hindered the RCT’s implementation, resulting in missed opportunities to evaluate critical design elements. The pilot centered on promotion-based incentives for educators and had null effects on a variety of educator and student outcomes. However, using unique video-based evidence, it objectively identifies the implementation challenges and describes the insights gained for more effective co-design and integration of future pilot programs within governmental systems.

Neonatal mortality risk of vulnerable newborns by fine stratum of gestational age and birthweight for 230 679 live births in nine low- and middle-income countries, 2000-2017.

Objective We aimed to understand the mortality risks of vulnerable newborns (defined as preterm and/or born weighing smaller or larger compared to a standard population), in low- and middle-income countries (LMICs). Design Descriptive multi-country, secondary analysis of individual-level study data of babies born since 2000. Setting Sixteen subnational, population-based studies from nine LMICs in sub-Saharan Africa, Southern and Eastern Asia, and Latin America. Population Live birth neonates. Methods We categorically defined five vulnerable newborn types based on size (large- or appropriate- or small-for-gestational age [LGA, AGA, SGA]), and term (T) and preterm (PT): T + LGA, T + SGA, PT + LGA, PT + AGA, and PT + SGA, with T + AGA (reference). A 10-type definition included low birthweight (LBW) and non-LBW, and a four-type definition collapsed AGA/LGA into one category. We performed imputation for missing birthweights in 13 of the studies. Main Outcome Measures Median and interquartile ranges by study for the prevalence, mortality rates and relative mortality risks for the four, six and ten type classification. Results There were 238 143 live births with known neonatal status. Four of the six types had higher mortality risk: T + SGA (median relative risk [RR] 2.8, interquartile range [IQR] 2.0–3.2), PT + LGA (median RR 7.3, IQR 2.3–10.4), PT + AGA (median RR 6.0, IQR 4.4–13.2) and PT + SGA (median RR 10.4, IQR 8.6–13.9). T + SGA, PT + LGA and PT + AGA babies who were LBW, had higher risk compared with non-LBW babies. Conclusions Small and/or preterm babies in LIMCs have a considerably increased mortality risk compared with babies born at term and larger. This classification system may advance the understanding of the social determinants and biomedical risk factors along with improved treatment that is critical for newborn health.

Using a list experiment to measure intimate partner violence: Cautionary evidence from Ethiopia

While indirect response methods are increasingly used in surveys to measure sensitive behaviours such as intimate partner violence, important questions persist around how respondents understand and react to these methods. This article presents evidence from a list experiment measuring multiple forms of intimate partner violence in rural Ethiopia. We find that the list experiment does not generate estimates of intimate partner violence that are higher than direct response questions; rather, prevalence estimates using the list experiment are lower vis-à-vis prevalence estimates using the direct reports, and are sometimes even negative. We provide suggestive evidence that this pattern may reflect ‘fleeing’ behaviour by respondents who do not wish to be associated with statements indicating their exposure to intimate partner violence.

Prospects of crop insurance for sustenance of farmers’ livelihood during GM cotton crop failure in Indian Punjab

Despite the susceptibility of cotton crops to pest attacks in the Malwa Region of Indian Punjab, no crop insurance policy has been implemented there– not even the Pradhan Mantri Fasal Bima Yojana (PMFBY), which is a central scheme. Therefore, this paper attempts to gauge the likely impact of the PMFBY on Punjab cotton farmers and assess the changes needed for greater uptake and effectiveness of PMFBY.The authors have conducted a primary survey to conduct this study. Initially, the authors compared the costs of cotton production with the returns in two scenarios (with and without insurance). Additionally, the authors have applied a logistic regression framework to examine the determinants of the willingness of farmers to participate in the crop insurance market.The study finds that net returns of cotton crops are conventionally small and insufficient to cope with damages from crop failure. Yet, PMFBY will require some modifications in the premium rate and the level of indemnity for its greater uptake among Punjab cotton farmers. Additionally, using the logistic regression framework, the authors find that an increase in awareness about crop insurance and farmers’ perceptions about their crop failure in the near future reduces the willingness of the farmers to participate in the crop insurance markets.The present study looks for the viability of PMFBY in Indian Punjab for the cotton crop, which can also be extended to other crops.Punjab could also use crop insurance to encourage diversification in agriculture. There is a need for special packages for diversified crops under any crop insurance policy. Crops susceptible to volatility due to climate-related factors should be identified and provided with a special insurance package.There exist very scant studies that have discussed the viability of a central crop insurance scheme in the agricultural-rich state of India, i.e. Punjab. Moreover, they do not also focus on crop losses accruing due to pest and insect attacks.

The role of industrial clustering: From layoff to self-employment after the Chinese state-owned enterprise reform

Does aid induce foreign direct investment: Updated evidence from a quasi-experiment

While the catalytic effect of aid on foreign direct investment (FDI) has long been an implicit consensus among many policymakers and practitioners, assessments of this causal relationship remain limited and are not always reliable. To mitigate this evidence gap, this study applies an instrumental variable approach that leverages the graduation of the International Development Association (IDA) income threshold as a quasi-experiment to identify the causal linkage between foreign aid and FDI. The analysis reveals that a 1 percent drop in the ratio of aid to gross national income leads to a decline in FDI relative to gross domestic product by 0.9 percent in 42 developing countries from 1987 to 2019. In face of the aid shock induced by IDA graduation, governments in recipient countries restrict their financial policy openness, through which aid could significantly impact subsequent foreign private investment. Results emphasize the necessity of concerted policy interventions to mitigate this negative aid shock.

Caste, religion and the labor force participation of women: Evidence from India

The minimum dietary diversity for women indicator can be extended to children and adolescents aged 4-15 years as a proxy population indicator for good micronutrient adequacy of diets in low- and middle-income countries

Background The response to the global call for more data on children’s and adolescents’ diets and nutrition is limited by the lack of straightforward practical indicators to track their diet quality. On the basis of a food group score compiled from 10 food groups (FGS-10), the minimum dietary diversity for women, calculated as FGS-10 ≥ 5, is a validated proxy population indicator for better micronutrient intake adequacy for adult women in low- and middle-income countries (LMICs). Objectives This study aims to validate FGS-10 and its related cutoffs against micronutrient intake adequacy in 4–15-y-old children/adolescents in LMICs. Methods We conducted a secondary data analysis of 9 datasets of repeated 24-h recalls or weighed records including 11,524 children/adolescents aged 4–15 y, collected in 7 countries (Burkina Faso, Ghana, Ecuador, India, Malawi, Uganda, and Zambia) between 2007 and 2022. For each dataset and the pooled sample (meta-analysis), we assessed the association between FGS-10 and the mean probability of adequacy (MPA) of intake over 8 micronutrients (MPA-8), and the performance of several FGS-10 cutoffs in predicting acceptable (≥0.60) and good (≥0.80) levels of MPA-8. Robustness analyses used the 7 datasets with data on 11 micronutrients (MPA-11). Results FGS-10 ranged from 3.0 to 4.8 across datasets, and the proportion of children/adolescents with acceptable MPA-8 ranged from 8.4% to 74%. Positive and significant associations between FGS-10 and MPA-8 were found in all datasets and the pooled sample. The optimal cutoff varied across datasets from FGS-10 ≥ 4 to FGS-10 ≥ 6. In the pooled sample, FGS-10 ≥ 5 had the highest performances in predicting acceptable and good levels of MPA-8. FGS-10 ≥ 5 was also the best proxy indicator for MPA-11 ≥ 0.80. Conclusions The continuous FGS-10 and dichotomous FGS-10 ≥ 5 may be extended to 4–15-y-old children/adolescents in LMICs. In this population, FGS-10 ≥ 5 can be used as a proxy population indicator for good micronutrient adequacy of diets.

Sustainable poverty reduction through social assistance: Modality, context, and complementary programming in Bangladesh

Social assistance programs can increase consumption and reduce poverty, but less is known about whether these impacts are sustained after programs end, or how design and context influence sustainability. Using data collected in two regions of Bangladesh four years after a randomized intervention ended, we find that combining cash transfers with complementary programming led to sustained increases in consumption and reductions in poverty. Combining food transfers with complementary programming showed similar patterns, to a lesser extent. Cash alone had context-specific sustained effects; food alone had no sustained impacts. Results suggest that context, modality, and complementary programming matter for sustained impacts.

Resilience in technical efficiency and enabling factors: Insights from panel farm enterprise surveys in Kazakhstan and Uzbekistan

Information framing effects on diet choices among Chinese urban residents

What do urban consumers want? Findings from a discrete choice experiment on the preference for locally produced staple food in Central Africa: Evidence from the Democratic Republic of Congo (DRC)

The effect of prenatal balanced energy and protein supplementation on gestational weight gain: An individual participant data meta-analysis in low- and middle-income countries

Background Understanding the effects of balanced energy and protein (BEP) supplements on gestational weight gain (GWG) and how the effects differ depending on maternal characteristics and the nutritional composition of the supplements will inform the implementation of prenatal BEP interventions. Methods and findings Individual participant data from 11 randomized controlled trials of prenatal BEP supplements (N = 12,549, with 5,693 in the BEP arm and 6,856 in the comparison arm) in low- and middle-income countries were used. The primary outcomes included GWG adequacy (%) and the estimated total GWG at delivery as continuous outcomes, and severely inadequate (<70% adequacy), inadequate GWG (<90% adequacy), and excessive GWG (>125% adequacy) as binary outcomes; all variables were calculated based on the Institute of Medicine recommendations. Linear and log-binomial models were used to estimate study-specific mean differences or risk ratios (RRs), respectively, with 95% confidence intervals (CIs) of the effects of prenatal BEP on the GWG outcomes. The study-specific estimates were pooled using meta-analyses. Subgroup analyses were conducted by individual characteristics. Subgroup analyses and meta-regression were conducted for study-level characteristics. Compared to the comparison group, prenatal BEP led to a 6% greater GWG percent adequacy (95% CI: 2.18, 9.56; p = 0.002), a 0.59 kg greater estimated total GWG at delivery (95% CI, 0.12, 1.05; p = 0.014), a 10% lower risk of severely inadequate GWG (RR: 0.90; 95% CI: 0.83, 0.99; p = 0.025), and a 7% lower risk of inadequate GWG (RR: 0.93; 95% CI: 0.89, 0.97; p = 0.001). The effects of prenatal BEP on GWG outcomes were stronger in studies with a targeted approach, where BEP supplements were provided to participants in the intervention arm under specific criteria such as low body mass index or low GWG, compared to studies with an untargeted approach, where BEP supplements were provided to all participants allocated to the intervention arm. Conclusions Prenatal BEP supplements are effective in increasing GWG and reducing the risk of inadequate weight gain during pregnancy. BEP supplementation targeted toward pregnant women with undernutrition may be a promising approach to delivering the supplements.

In good times and in bad, in sickness and in health: The continuous rise in adoption of labour-saving agricultural technologies in Myanmar

Rural underemployment and urbanisation: Insights from a 9-year panel from Malawi

Rural labour markets in Africa are frequently characterised by underemployment, with farmers unable to fully deploy throughout the year one of their most important assets—their labour. Using a nine-year panel data set on 1,407 working-age adults from rural Malawi, we document changes in rural underemployment over this period and how they are associated with urbanisation. Nearby urban growth is linked to increased hours worked in casual labour (ganyu) and in non-agricultural sectors, at the expense of work on the household farm. Improved urban access is also associated with a small increase in wage labour and, at the intensive margin, with hours supplied in household enterprises. We draw lessons from these results for policies, investments and interventions to leverage urban growth for rural development.

Methods for estimating beneficiary populations targeted by health and nutrition interventions for women, pregnant women, infants, and young children

Utilization of maternal and child interventions is typically tracked in low- and middle-income countries (LMICs) using coverage estimates from population representative surveys. These estimates cannot be directly applied to assess resource gaps in intervention delivery for which data on the population eligible is required. Moreover, coverage improvements may not necessarily reflect an expansion in utilization because of a decline in the population eligible. We develop a method to estimate the populations eligible for interventions across the continuum of care. The method uses data from the World Population Prospects and the Demographic Health Survey, data sources which are available for most LMICs. Additionally, we develop a method to estimate the eligible population covered by each intervention. Using the illustration of India, we estimate populations eligible for, and covered by interventions during preconception, pregnancy, delivery, lactation, and childhood. We find that between 2015 and 2020, the eligible population declined for all beneficiary groups. Additionally, coverage expansion was not entirely driven by an increase in the population accessing an intervention, but rather also by a decline in the eligible population. Our illustration highlights the importance of including population estimates alongside coverage for interventions, particularly in LMIC contexts due to changing fertility dynamics.

Men can cook: Effectiveness of a men’s engagement intervention to change attitudes and behaviors in rural Ethiopia

Graduation model interventions seek to address multiple barriers constraining households’ exit from poverty, however, few explicitly target restrictive gender norms. Using a randomized controlled trial design, combined with three rounds of data, we investigate the impacts on gender equitable attitudes and behaviors of a graduation program that seeks to address multiple constraints for those in poverty and improve restrictive gender norms in Ethiopia. We find that at 1-year follow-up all treatment arms lead to improvements in men’s gender equitable attitudes and their engagement in household domestic tasks as reported by both men and women; but at 3-year follow-up, impacts are only sustained in the treatment arms that introduced men’s engagement groups after the 1-year follow-up survey to further promote improvements in equitable gender norms.

Diet quality and micronutrient intakes in nutritional value chains: A synthesis and suggestions for further research

This paper provides an overview of a virtual collection of papers analyzing drivers of diet quality and micronutrient intakes, and what has been learnt from various interventions to address micronutrient malnutrition, the contexts in which they succeed, and factors that affect their impact. We frame this using a micronutrient value chain, to highlight the important linkages from farm to plate. Our focus is on representative studies along this value chain in low and middle income countries where micronutrient malnutrition is most prevalent. The papers reviewed suggest that (a) both production diversity and market access work hand-in-hand to improve dietary quality. (b) However, the evidence on whether commercialization improves or reduces diet quality is context-specific and depends on whether markets exist for goods to be sold and micronutrient-rich foods purchased. (c) Not surprisingly, incomes and prices emerge as key factors affecting consumption decisions, with the cost of a healthy diet remaining unaffordable for many. Furthermore, the poor are most sensitive to changes in the relative prices of micronutrient-rich foods. (d) Also important is how food is consumed within the household: the review suggests that social context matters greatly in assessing relationships between women’s empowerment and diet quality. We then review several supply and demand side interventions, and note that while many are successful, not all are easily transferable, and thus may need adaptation to local contexts. We conclude with a set of ten areas that remain open for further research.

Using best-worst scaling to inform agroecological interventions in Western Kenya

Both the demand for food and the environmental impacts of food production are estimated to significantly increase by 2050. Agroecological interventions have proven effective in facilitating the transition from current food production systems to more sustainable ones. These interventions can not only ensure more equitable food and nutritional security but also address poverty and reduce environmental impacts. As such, agroecological interventions can generate both private and public ecosystem services. Farmers play a key role in how food is produced, as the practices they use are linked with their preferences and expertise, as well as the constraints they face. Understanding farmers’ preferences for the adoption of different agroecological practices and their perceptions of the associated costs and benefits is critical to informing policies that can effectively support farmers in transitioning to more sustainable practices, including those that contribute to the generation of ecosystem services highly valued by broader society. To assess such preferences, we conducted a survey among farmers in Western Kenya which included a best-worst scaling experiment augmented by qualitative questions about the reasons for farmers’ views about the importance of the benefits arising from agroecological practices. Results show that farmers have strong preferences for adopting agroecological practices that generate private goods and are directly related to increasing productivity and food security, including improving health of household members. These may also include practices that have some public good elements as well, such as increasing agrobiodiversity. However, practices that generate broader public good benefits, including improved forest quality/coverage, reduced off-farm environmental impacts, greater community-level resilience to shocks, and improved landscape and wildlife management, were less important to farmers. Such findings can be used to inform policies that support farmer adoption of agroecological interventions best suited to different farming communities, as well as indicating the need for additional types of market-based incentives, such as through Payments for Ecosystem Service mechanisms.

Download

Technology intensification and farmers’ welfare: A case study from Karnataka, a semi-arid state of India

JEL Codes: Q16, Q54, Q55, C13

A missing link: The interdependence between sugar-sweetened beverage and cigarette consumption from China

Sugar-sweetened beverages (SSBs) and cigarettes are addictive substances and addictive substances are often related in consumption with each other. However, the potential interdependence between SSB and cigarette consumption has not been explored in the literature. As SSB and cigarette consumption have posed a great threat to individual health, the knowledge of such interdependence is critical for policymakers to design and coordinate government interventions. We thus employed Heckman sample selection model and simultaneous equation model to identify and validate the interdependence between SSB and cigarette consumption across subgroups exhibiting different smoking behaviors with individual-level data from the China Health and Nutrition Survey (CHNS) during the period from 2004 to 2011. We find that SSBs and cigarettes are complements in that individuals who ever smoked are more likely to consume SSBs frequently with higher level of SSB intake eventually and SSB intake of current smokers increases along with the amount of cigarettes smoked. SSBs and cigarettes are also substitutes in that former smokers are more likely to consume SSBs compared with current smokers. The complementary relation observed among current smokers implies that government interventions targeting one of the two goods may yield a double dividend effect on health whereas the substitutable relation displayed by former smokers suggests that the health effect of interventions designed to reduce the consumption of one good may be tempered by an elevated demand for the other.

Households with special dietary needs experienced higher food access challenges and worries during COVID-19

Identification, characterization, and determinants of dietary patterns of low-income urban adults in Vietnam and Nigeria

Understanding dietary patterns and their determinants can steer efforts to food systems transformations required to provide sustainable healthy diets. Based on 24-h recall data and using latent class analysis, we characterized dietary patterns of adults from low-income neighborhoods in Hanoi, Vietnam and Ibadan, Nigeria (n = 385 and 344, age 18–49 years). We examined sociodemographic determinants and diet quality (diversity, non-communicable disease risk, and micronutrient adequacy) of these patterns. Three dietary patterns were identified in each country. Vietnamese patterns differed in sociodemographic characteristics and diet quality. Nigerian patterns differed in diet quality but not in sociodemographics. Understanding different consumer groups and the drivers of consumption helps to identify tailored interventions to diversify diets and improve diet quality.

Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps

Background Adequate fruit and vegetable (F&V) intake is important for health, yet populations globally are failing to meet recommendations. Objective A scoping review to summarize available evidence of evaluations of interventions to increase F&V intake globally, focusing on target populations, intervention strategies, research methods, and summarizing their evaluated impacts. Methods We searched PubMed and Web of Science in February 2023 for intervention studies in which dietary intake of fruit and/or vegetables were documented. Eligible studies included all age groups, excluding those targeting populations with specific disease-related conditions, such as cancer patients/survivors. Only articles published in English since 2012 were included in the review. Results We identified 6338 articles, with 226 meeting inclusion criteria, comprising 223 unique studies and 284 intervention comparisons. Most comparisons occurred in high-income countries (n = 192) compared to low- and middle-income countries (n = 92). Randomized controlled trials (RCTs; 37.3%) and cluster RCTs (52.5%) were predominant. Interventions primarily targeted adults (31.7%), school-aged children (18.0%), children under-five (14.4%), and adolescents (13.7%), lasting an average of 24 weeks (range: 2 weeks to 20 years). Food-frequency questionnaires (59.2%) and 24-h recalls (26.8%) were the most used dietary assessment method. Health and nutrition education (75.9%) was the most common intervention, utilizing interpersonal communication, mass media, and information-communication technology, often in combinations. Positive impacts on fruit (43.9%), vegetable (40.2%), and combined F&V intake (53.0%) were observed in nearly half the intervention comparisons. Conclusions These findings highlight the predominance of health and nutrition education interventions, predominantly in high-income countries, showing mixed success in improving F&V intake, emphasizing the need for context-specific strategies and standardized methodologies to design sustainable, cost-effective interventions for better diet quality and health outcomes.

Trends and inequities in adequacy of micronutrient intakes in rural Bangladesh

Background Micronutrient deficiencies pose a significant public health challenge, yet limited evidence exists on micronutrient intakes over time in Bangladesh. Objective We assessed trends and adequacies in micronutrient intakes and examined the changes in inequities by age group, sex, and expenditure quintile. Methods We used panel data from the 2011 and 2018 Bangladesh Integrated Household Survey (n =21,475 and 21,589 household members aged ≥2y, respectively). Food consumption data were collected using a household dietary recall. Changes in micronutrient intakes were assessed using non-parametric Mann-Whitney-Wilcoxon rank sum test. Inequities in outcomes were examined using the Slope Index of Inequality and Concentration Index. Results Micronutrient intakes remained suboptimal across 2011 and 2018, with low adequacy (<0.50) for all nutrients except niacin. While vitamin A intake increased across various demographics, trends for other micronutrient intakes differed by age. Intakes improved for 10 micronutrients among children aged 2-<5y, but increased for only half of examined micronutrients among children aged 5-9y. For adolescents and adults, most micronutrient intakes slightly declined, with greater inadequacies observed among females versus males. Pregnant women experienced sharper declines in adequacy of micronutrient intakes than lactating women. The mean probability of adequacy (MPA) was low (around one-third) for all age groups with lower MPA among poorer compared to richer households across age, sex and survey years. Inequity gaps in MPA mostly declined, except for females ≥50y and pregnant women. Conclusions Micronutrient intakes and adequacies remain suboptimal and have decreased marginally over time for many nutrients and MPA across most age groups. Inequities in micronutrient intakes persist by age, sex, and income levels, disproportionately affecting the poor, adults, and women. Our study calls for evidence-based policies and programs that incorporate a range of proven approaches and tailored solutions to effectively tackle persisting inequities and ensure access to healthy diets for all.

The influence of environmental cues on behavioral response: An assessment of the Protective Action Decision Model in the context of COVID-19

To defer or to differ: Experimental evidence on the role of cash transfers in Nigerian couples’ decision–making

Short-term and long-term effects of cash for work: Evidence from a randomized controlled trial in Tunisia

JEL Classification: O12, O15