Improving fruit and vegetable intake and production in Sri Lanka: An evaluation of the FRESH end-to-end approach

Inadequate diets are a major contributor to malnutrition and the leading risk factor for morbidity and mortality worldwide. Low fruit and vegetable (F&V) intake contributes significantly to these burdens. F&Vs are essential sources of micronutrients, and their production has a lower environmental footprint compared to other nutrient-dense foods, making them critical for both health and sustainability. Despite these well-documented benefits, global F&V intake remains below the recommended 400 grams (about 5 servings) per person per day. This is particularly true in low- and middle-income countries (LMICs), where less than 20% of adults meet this target. This is likely due to a complex interplay of factors including availability, affordability, accessibility, and other context-specific barriers. Narrowing F&V intake gaps requires a nuanced understanding of the interconnected factors influencing their consumption. The approach must be comprehensive and encompass addressing factors across the food system. Generating high-quality, context-specific evidence on these factors is essential to designing effective strategies that enhance F&V desirability, affordability, accessibility, and availability, ultimately supporting healthier, more sustainable diets.