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Simple solutions for complex problems? What is missing in agriculture for nutrition interventions

Author

Listed:
  • Caroline Hambloch

    (Humboldt-Universität zu Berlin)

  • Kai Mausch

    (Center for International Forestry Research (CIFOR)-World Agroforestry (ICRAF))

  • Costanza Conti

    (University of Reading)

  • Andy Hall

    (Commonwealth Scientific and Industrial Research Organisation (CSIRO))

Abstract

Within the nutritionism paradigm, in this article we critically review the marketization and medicalization logics which aim to address the pressing issue of malnutrition in low- and middle-income countries. Drawing from political economy and food system transformation discourses, we are using the popular intervention types of nutrition-sensitive value chains (marketization logic) and biofortification exemplified through orange-fleshed sweet potato (medicalization logic) to assess their outcomes and underlying logics. We demonstrate that there is insufficient evidence of the positive impact of these interventions on nutritional outcomes, and that their underlying theories of change and impact logics do not deal with the inherent complexity of nutritional challenges. We show that nutrition-sensitive value chain approaches are unable to leverage or enhance the functioning of value chains to improve nutritional outcomes, especially in light of the disproportionate power of some food companies. We further demonstrate that orange-fleshed sweet potato interventions and biofortification more broadly adopt a narrow approach to malnutrition, disregarding the interactions between food components and broader value chain and food system dynamics. We argue that both intervention types focus solely on increasing the intake of specific nutrients without incorporating their embeddedness in the wider food systems and the relevant political-economic and social relations that influence the production and consumption of food. We conclude that the systemic nature of malnutrition requires to be understood and addressed as part of the food system transformation challenge in order to move towards solving it. To do so, new evaluation frameworks along with new approaches to solutions are necessary that support multiple and diverse development pathways, which are able to acknowledge the social, political-economic, and environmental factors and drivers of malnutrition and poverty.

Suggested Citation

  • Caroline Hambloch & Kai Mausch & Costanza Conti & Andy Hall, 2023. "Simple solutions for complex problems? What is missing in agriculture for nutrition interventions," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 15(2), pages 363-379, April.
    • Handle: RePEc:spr:ssefpa:v:15:y:2023:i:2:d:10.1007_s12571-022-01324-6
    DOI: 10.1007/s12571-022-01324-6
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    1. Gómez, Miguel I. & Barrett, Christopher B. & Raney, Terri & Pinstrup-Andersen, Per & Meerman, Janice & Croppenstedt, André & Carisma, Brian & Thompson, Brian, 2013. "Post-green revolution food systems and the triple burden of malnutrition," Food Policy, Elsevier, vol. 42(C), pages 129-138.
    2. Olivier De Schutter, 2017. "The political economy of food systems reform," European Review of Agricultural Economics, Oxford University Press and the European Agricultural and Applied Economics Publications Foundation, vol. 44(4), pages 705-731.
    3. Jennifer Clapp, 2018. "Mega-Mergers on the Menu: Corporate Concentration and the Politics of Sustainability in the Global Food System," Global Environmental Politics, MIT Press, vol. 18(2), pages 12-33, May.
    4. Low, Jan W. & Thiele, Graham, 2020. "Understanding innovation: The development and scaling of orange-fleshed sweetpotato in major African food systems," Agricultural Systems, Elsevier, vol. 179(C).
    5. Leach, Melissa & Nisbett, Nicholas & Cabral, Lídia & Harris, Jody & Hossain, Naomi & Thompson, John, 2020. "Food politics and development," World Development, Elsevier, vol. 134(C).
    6. Nisbett, Nicholas & Gillespie, Stuart & Haddad, Lawrence & Harris, Jody, 2014. "Why Worry About the Politics of Childhood Undernutrition?," World Development, Elsevier, vol. 64(C), pages 420-433.
    7. de la Peña, I. & Garrett, J. & Gelli, A., 2018. "IFAD RESEARCH SERIES 30 - Nutrition-sensitive value chains from a smallholder perspective: a framework for project design," IFAD Research Series 280079, International Fund for Agricultural Development (IFAD).
    8. Rajeev C Patel, 2012. "Food Sovereignty: Power, Gender, and the Right to Food," PLOS Medicine, Public Library of Science, vol. 9(6), pages 1-4, June.
    9. repec:oup:erevae:v:44:y:2017:i:4:p:540-566. is not listed on IDEAS
    10. Rutherford, Diana Duff & Burke, Holly M. & Cheung, Kelly K. & Field, Samuel H., 2016. "Impact of an Agricultural Value Chain Project on Smallholder Farmers, Households, and Children in Liberia," World Development, Elsevier, vol. 83(C), pages 70-83.
    11. Cees Leeuwis & Birgit K. Boogaard & Kwesi Atta-Krah, 2021. "How food systems change (or not): governance implications for system transformation processes," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(4), pages 761-780, August.
    12. Gómez, Miguel I. & Ricketts, Katie D., 2013. "Food value chain transformations in developing countries - Selected hypotheses on nutritional implications," ESA Working Papers 288987, Food and Agriculture Organization of the United Nations, Agricultural Development Economics Division (ESA).
    13. Glenn Davis Stone & Dominic Glover, 2017. "Disembedding grain: Golden Rice, the Green Revolution, and heirloom seeds in the Philippines," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 34(1), pages 87-102, March.
    14. Giel Ton & Sam Desiere & Wytse Vellema & Sophia Weituschat & Marijke D'Haese, 2017. "The effectiveness of contract farming for raising income of smallholder farmers in low‐ and middle‐income countries: a systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 13(1), pages 1-131.
    15. Alan de Brauw & Patrick Eozenou & Daniel O Gilligan & Christine Hotz & Neha Kumar & J V Meenakshi, 2018. "Biofortification, Crop Adoption and Health Information: Impact Pathways in Mozambique and Uganda," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 100(3), pages 906-930.
    16. Mkandawire, Thandika, 2001. "Thinking about Developmental States in Africa," Cambridge Journal of Economics, Cambridge Political Economy Society, vol. 25(3), pages 289-313, May.
    17. Maestre, Mar & Poole, Nigel & Henson, Spencer, 2017. "Assessing food value chain pathways, linkages and impacts for better nutrition of vulnerable groups," Food Policy, Elsevier, vol. 68(C), pages 31-39.
    18. Ely, Adrian & Van Zwanenberg, Patrick & Stirling, Andrew, 2014. "Broadening out and opening up technology assessment: Approaches to enhance international development, co-ordination and democratisation," Research Policy, Elsevier, vol. 43(3), pages 505-518.
    19. Gómez, Miguel I. & Ricketts, Katie D., 2013. "Food value chain transformations in developing countries: Selected hypotheses on nutritional implications," Food Policy, Elsevier, vol. 42(C), pages 139-150.
    20. Alan de Brauw & Patrick Eozenou & Mourad Moursi, 2015. "Programme Participation Intensity and Children's Nutritional Status: Evidence from a Randomised Control Trial in Mozambique," Journal of Development Studies, Taylor & Francis Journals, vol. 51(8), pages 996-1015, August.
    21. Jessica Duncan & Priscilla Claeys, 2018. "Politicizing food security governance through participation: opportunities and opposition," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 10(6), pages 1411-1424, December.
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