The making of public investments: The role of champions,co-ordination,and characteristics of nutrition programmes in Mozambique

This study examines governance and institutional factors that influence how public resources are allocated for nutrition interventions in the context of a developing country—Mozambique—with very high rates of malnutrition. Based on qualitative empirical analysis building on a political economy framework, we explore the importance of two agent-centred and two investment-centred factors that determine how decisions on budget allocation to nutrition are made. The analysis finds that public decisionmakers strongly favour highly visible nutrition investments and those with a short duration between the time that spending is incurred and outcomes or outputs are achieved. Co-ordination has been quite successful among donors, and mainly of a spatial nature. Co-ordination is significantly weaker among government agencies, given the absence of fiscal tools of the co-ordinating agency, and its placement in a sector ministry rather than at a supra-sectoral level. Champions as change agents have had a truly influential role in attracting more funding to nutrition and improving its allocation. But their influence is also fleeting and difficult to sustain.     

Priorities in agricultural research

This article is a personal reflection on priorities in agricultural research, priorities which can only be seriously formulated in relation to an overall strategy for agriculture, food and nutrition. Dr Ulbricht identifies three main areas of agricultural research — that which is universal in application and involves a substantial increase in knowledge, that which is generally universal in application but is defining new technologies and that which is directed to defining new technologies for specific local situations. He emphasises the importance of the latter which has been greatly neglected and is of particular importance in developing countries.     

Human rights in nutrition and nutrition in human rights

Many countries around the world are involved in nutrition planning and nutrition program implementation. This concern and activity with regard to nutrition, however, has failed to give the issue proper and adequate consideration in development plans and programs of action. The author proposes a two-pronged approach to promote nutrition as a human right. One approach is to include nutrition as a human right in educational and training programs in nutrition. Another approach is to include nutrition as a human right in educational and training programs on human rights. These approaches are described using examples from experiences in the Philippines. Families, universities, and other training institutions have roles to play in making sure that individuals and groups receive the nutrition they need. It should be stressed that nutrition is both a right and an input for development.     

National nutrition planning: lessons of experience

National nutrition planning has failed to fulfill its initial promise because of inadequate consideration of political and administrative obstacles to applying the methodology. The political and operational contexts within which multisectoral nutrition planning has occurred are reviewed in order to draw insights and lessons from the experience of the last 10 years. Considered are the political process, macro and micro planning, the multisectoral approach, integration with agricultural and health planning, nutrition interventions, community participation, cost benefit analyses, and information systems evaluation, management and organization. Emphasis on the multisectoral causation of malnutrition has contributed substantially to nutrition programming and remains indispensable for improving nutrition, but requires more thoughtful response to practical implementation problems. Integrating nutrition concerns more effectively into health and agriculture systems offers a more promising approach than efforts to attack malnutrition by encouraging multisectoral nutrition coordinating agencies and national plans.     

European consumer preferences for beef with nutrition and health claims: A multi-country investigation using discrete choice experiments

The European Union (EU) nutrition labelling policy aims to facilitate consumers’ food choice, stimulate innovation and facilitate the circulation of foods bearing claims across countries. However, the beef industry has not fully taken advantage of utilizing nutrition and health claims based on the EU nutrition labelling policy to differentiate beef products in the market. This study investigates consumer preferences for nutrition and health claims on lean beef steak. Two choice experiments were conducted among 2400 beef consumers in four EU countries (Belgium, France, the Netherlands, United and United Kingdom). Multinomial logit and error component models were estimated. Our results generally suggest that consumer valuation of nutritional and health claims varies across countries. In Belgium, the Netherlands and France, nutrition and health claims on saturated fat yielded higher utilities than claims on protein and/or iron, while the opposite was found among consumers in the UK. The results imply that marketing opportunities related to nutrition and health claims on beef are promising, but that different nutritional marketing strategies are necessary within different countries.     

Assessing the impact of migration on food and nutrition security

Migration has become a key component in the livelihood strategies of an increasing number of households across the developing world and remittances have expanded dramatically in the last decade. This has come at a time when an increased emphasis has been placed on reducing malnutrition to achieve Millennium Development Goal (MDG) targets. While this is the case, there has been little attention on the interface between migration and nutrition even though migration can influence nutrition through a number of channels. The objective of this special issue is to present state-of-the-art analyses of the link between migration and nutrition in developing countries. In this paper, an overview of the conceptual and empirical issues in identifying the link between migration and nutrition are considered. Further, the results from seven country case studies are synthesized and policy implications are drawn.     

Does nutrition have a place in agricultural research?

There are very few examples where nutritional objectives have made an effective contribution to planning agricultural research for developing countries. The complex nature of nutrition and the limitations of formal planning procedures help explain the failure. But most commentators ignore the personal, political and ideological factors that seriously limit the effectiveness of nutrition as a parameter for research planning. Three cases are discussed where nutrition has played a role in setting agricultural research directions, without evident nutritional impact. Conclusions are proposed for making agricultural research planning more relevant to nutritional concerns.     

Promoting child health and nutrition in India

This article discusses the reasons for poor child nutrition in India. Inadequate advice to mothers in poor rural communities about breast milk supplements could allow progressive erosion of breast feeding practices in the face of aggressive promotion from baby food manufacturers. Health workers need better information about possible supplements produced from locally available foods if nutrition education programs are to succeed. The author warns of the detrimental effect on nutritonal status of the deemphasis of school health nutrition programs in India, and points to the need for a nutrition component as an integral part of rural employment/development programs.     

Nutritional considerations in project planning

This paper discusses procedures for "ex ante" assessment of likely nutritional effects of development projects. Reported are results of 1 field trial in the Philippines of the "ex ante" assessment procedure in terms of: its feasibility and timeliness and the recommendations for project design that can be made and their influence. In the procedure described, emphasis is placed on assessing likely direct effects--through income, environmental changes and access to services. Indirect effects through food output and prices are assessed qualitatievly. 2 primary questions are addressed in the "ex ante" assessment: 1) who is to benefit directly from the project, in relation to their need (measured in terms of nutrition) and 2) is there reason to suppose that these benefits will not improve their nutrition? The procedure began with an initial assessment to identify the main issues based on reviewing existing data and a short field visit; since there was insufficient information, a rapid nutrition survey was conducted and analyzed; recommendations for project design were made within the necessary time for inclusion. The assessment of the large-scale development project in the Philippines indicates priority to remote areas, small farmers and subsistence fishermen. It is concluded that production-oriented components (e.g., agricultural and infrastructure development) of the project appear likely to improve nutrition insofar as they reach the priority groups defiend above. There is little reason to believe that increased income will not improve nutrition. Finally, there is evidence that an intervention to improve water supply is likely to be effective. Limitations of the procedure are that the assessment is limitied to direct, microlevel effects; long-term influences on nutrition, through changes in the overall economy of the area, are not assessed. Also, the data used cannot easily quantify expected effects on nutrition of project participants. Future application of such procedures are seen to be important if they can be fully integrated with the overall project planning.     

Survey on attitudes to nutrition planning

The results of a worldwide survey of nutrition planning professionals' attitudes towards nutrition policy are presented. The objective of the survey was to determine what those involved in nutrition planning perceive to be the causes of hunger and malnutrition, and their views on the effectiveness of the programs implemented to overcome these problems. In mid-1979, a questionnaire was compiled comprising 48 questions related to attitudes towards nutrition policy, voluntary questions about social class, political classification and professional behavior and a question on perceived major impediments to solving malnutrition in the world. The questionnaire was sent to 728 professionals 87 countries; 250 replies from 55 countries; 250 replies from 55 countries were received. 44% of respondents resided in the US, 16% in Latin America and the Caribbean, 14% in the Far East, 12% in Africa and the Middle East and 13% in Europe, Canada and Australasia. Self-classification of political beliefs is the most clear cut correlate in predicting attitudes towards food and nutrition policy. There appear to be 2 clear schools of scientific/political behavior in the sample: one holds a more moderate, but generally liberal, set of views regarding the failure of modern technology in resolving world hunger and nutrition problems; a 2nd more liberal group believes political causes to be at the root of hunger. There is no single profession that can be typified as a breeding ground for nutrition planners. While the European trained and/or native group tends to be more to the left in their attitudes than their counterparts in the US, both groups are decidedly liberal and believe that social structural changes are needed to solve the problems of hunger and malnutrition in the world.     

Towards a food and nutrition policy in Tanzania

Fragments of a nutrition policy are seen throughout the different phases of Tanzania's modern history. Efforts of the pre-Independence period culminated in formation of a committee on nutrition which advocated improving food storage, food legislation and standardization, and nutrition education. After independence, an initial period of concentration on cash crops was followed by increased cooperation with the Ministry of Agriculture, and some nutritional surveys were undertaken. After the Arusha Declaration in 1967 a basic needs strategy giving greater stress to food production and adequate nutrition received emphasis, and a Food and Nutrition Centre was established with 4 departments: food science and technology; manpower development; medical nutrition; and planning and coordination. Emphasis on production is reflected in a target of reducing malnutrition by 30 to 50% in every region by 1981, and an interdisciplinary approach is being used to achieve this goal. The basic similarity in proposed activities during the various phases of Tanzania's history indicates that political will is necessary for carrying out the policies.     

Eye tracking and nutrition label use: A review of the literature and recommendations for label enhancement

Nutrition labels on food packages are among the most prominent and far-reaching policy measures related to diet and have the capacity to promote healthy eating. Unfortunately, certain nutrition label characteristics may impede consumer detection and comprehension of labels. Research using precise cameras monitoring consumer visual attention (i.e., eye tracking) has begun to identify ways in which label design could be modified to improve consumers’ ability to locate and effectively utilize nutrition information. The present paper reviews all published studies of nutrition label use that have utilized eye tracking methodology, identifies directions for further research in this growing field, and makes research-based recommendations for ways in which labels could be modified to improve consumers’ ability to use nutrition labels to select healthful foods.     

Food policy, nutrition planning and survival : The cases of Kerala and Sri Lanka

Sri Lanka and Kerala enjoy mortality conditions that are unusually favourable in light of their limited per capita income. To what extent can food policies and nutrition planning efforts account for this? An examination of the available evidence suggests that food and nutrition policies taken by themselves can probably explain a part, but only a part, of the favourable health status achieved. Much more important is the way in which food and nutrition efforts have served as central integrating themes for a wide range of development activities directed toward the alleviation of poverty.     

Nutrition work in socioeconomic development agencies

Since the early 1980s nutritional levels have deteriorated in Latin America. A growing number of multinational and bilateral assistance agencies have intensified ongoing efforts at incorporating nutrition components into the formulation of agricultural, fisheries and development projects. The main focus is on measures that would reduce additional deterioration of nutritional status. This paper reviews the response of bilateral and multilateral development agencies to the situation and outlines some practical options of systematically incorporating nutrition considerations in the formulation of agricultural, rural, urban, educational, housing, health and industrial projects. The Sub-Committee on Nutrition (SCN) of the UN Administrative Committee on Coordination has served as a clearinghouse for information on the subject. In spite of the SCN efforts to work closely with nutrition authorities of bilateral and multinational development aid agencies, nutrition has not yet become an integral component of rural or urban development projects. A number of workshops have been sponsored by the SCN and by other agencies such as the International Development Bureau (IDB); their goals and aims are reviewed and it is concluded that to incorporate nutritional considerations into development projects requires overcoming image barriers to the effect that nutrition activities are complex, costly, difficult to administer and economically not readily justifiable.     

Food and nutrition policy formulation: A Delphi approach to establishing basic principles

The authors describe the results of a multidisciplinary, international Delphi inquiry carried out to establish basic principles for food and nutrition policy formulation. A working vocabulary is established, preliminary assumptions are set up, and controversial topics are defined. The inquiry resulted in a consensus on several policy statements which can serve as guidelines in the development of flexible food and nutrition programmes.     

Rejoinder: nutrition planning is alive and well,thank you

This article is a rejoinder to an article by John Osgood Field which discussed the failure of multisectoral nutrition planning. The author argues that, although nutrition planners may have been overly optimistic in their hopes that political political systems could be made responsive to the problems, significant advances have been achieved. Many of the successes of nutrition planning and theimportance of multisectoral work are outlined. Malnutrition is a problem that escapes all the standard programs, and cannot be tackled through the health and agriculture sectors alone. There has been much critical thinking by many concerned people various countries. To suggest that nutrition planners moved blindly is to ignore much of the literature. A number of cautions--some of them very early--make it clear that practitioners were not oblivious to the bureaucratic constraints and political realities Professor Field now identifies. It would be cruelly wrong to suggest that no progress has been made. Nutrition planning may have borne fruit of a different sort than some of its early advocates envisioned, but there is no question that it bore fruit. The issue is whether nutrition planning has influenced the way people think about nutrition and the way they analyze problems. And about this there can be no doubt.     

Standing out in the crowd: The effect of information clutter on consumer attention for front-of-pack nutrition labels

Whether and how information density on front-of-pack design affects consumers’ attention for nutrition labels is explored. The main manipulation concerned the number and type of nutrition labels (directive-, semi-, and non-directive), chromaticity (monochrome vs. traffic light color-coded scheme); number and type of additional design elements; and the distance between the label and additional design elements. Attention was measured by performance in visual search task. Performance was slower with increasing number of additional design elements, and when the label appeared in a dense rather than non-dense area. These effects were modulated by label type and chromaticity. The results show that information density is a key factor for consumer attention to (nutrition) information. Implications for policy makers and food producers who want to optimize package design layout and thus help consumers easily to find nutrition information displayed front of the pack are discussed.     

Nutrition policies and programmes: a decade of redirection

This article assesses the effectiveness of nutrition programs and policies since the World Food Conference, 10 years ago. The authors perceive several distinct approaches. Just before the World Food Conference, nutrition programs had passed through an era of enchantment with technological solutions (single-cell protein, oilseed protein isolates). Supply was regarded as the problem; protein inadequacy as the crisis. None of the technological fixes had much of an impact on the malnutrition problem. This contributed to a willingness to entertain a much broader approach to nutrition. The new paradigm manifested itself 1st as a movement toward integrated nutrition planning. The national planning process was assumed to be the appropriate vehicle for applying this methodology. However, integrated nutrition planning threatened, conflicted with or at least brought pressure for change in the administrative and political reality of governmental organizations. Moreover, the nutrition community's capacity to respond to the demands flowing from the new paradigm was limited. The difficulties encountered in trying to achieve full integration led to a reexamination of working within traditional sectors but addressing the problem in several key sectors simultaneously, such as health and agriculture. The past decade also saw a move toward analyzing and improving the design and implementation of various kinds of nutrition interventions. The emphasis was on understanding and dealing with the administrative, economic and political realities of such efforts. Incorporation of consumption and nutrition considerations in the analysis and formulation of food policies in some countries is 1 of the important achievements of the past decade. This overwhelmingly economic approach focuses on pricing policies and market effects, recognizing that poverty and purchasing power are central to the malnutrition problem. Analysis of macrofood policy has filled an important void, giving a more concrete and inclusive view of food security. Nutrition progress during the next decade will require the development community to confront a changed environment and several key challenges, namely the surge of conservative politics in the early 1980s, and the severe economic problems most countries face. There is a need to be realistic about the tenacity of the problem and the multiple barriers to implementation of nutrition policies. The challenges face both national governments and development agencies. There is agreement that, during the decade since the World Food Conference, the field of nutrition has gone through a metamorphosis and that there has been progress. However, the development community still faces an unfinished nutrition agenda.     

Socioeconomic impacts of school feeding programmes: empirical evidence from a South Indian village

Tamil Nadu a poverty-stricken rural community in South India, funds a school feeding program with about 10% of the state budget. Comparisons of nutrition and literacy show that they are significantly related. No studies have yet been performed to analyse the effect of the feeding programs on aspects of a household's economic and social welfare. The feeding program in Tamil Nadu extends throughout the year, 7 days a week. It provides not only a reason for children to attend school, but also employment opportunities for those who wish to cook. 455 households were surveyed from 1 village using. A Gini coefficient of inequality to determine inequality levels of nutrition, food, and consumption expenditure. Sen's index of poverty was used to calculate the reduction in poverty levels. 3 household groups were defined: the agricultural labor, the silk weaver, and the cultivator. Linear program modelling utilized these 3 groups to study the total effect of nutrition on education. Linear regression was then used to determine the effect of the feeding program on participation in school. At the village level, a reduction of inequality in consumption and intake, an increase in energy intake, and a decrease in poverty level were found. In agricultural labor and silk weaver households, most of the money was spent on cereal food grains and children were mostly uneducated. If modelled to assume that children must be educated and are educated in schools providing food, results suggest that the increase in nutrition helps retain the children in the schools. Cultivator household response to the food programs was poor, since they usually have enough money to meet nutritional needs. Household income and school nutrition, but not adult literacy affect school participation. In general, nutrition offered in school caused a subsequent increase in household purchases of non-cereal items in the first 2 household types.     

What nutrition label to use in a catering environment? A discrete choice experiment

Worksite and university canteens are increasingly used for daily main meal consumption. Following the use of front-of-pack nutrition labels on pre-packed foods, the provision of easily accessible nutrition information on foods prepared and consumed out of home is a highly topical policy issue with the potential to help consumers making better informed and more healthy food choices when eating out. Information that is presented in a format preferred by the target group is more likely to be used. A sample of 1725 university canteen users participated in a web-based choice experiment designed to identify and understand individual preferences for alternative nutrition labels on canteen meals. Participants valued the presence of nutrition labels on canteen meals and showed a preference for more detailed formats. Ability and motivation to process information as well as socio-demographics explained differences in label preferences. Observed decreasing marginal utility from combinations of two simple label formats as well as from combinations of two detailed formats, signalled information insufficiency versus information overload, respectively. In order to satisfy most canteen users’ information needs, a nutrition label that contains basic Guideline Daily Amount (GDA)-type of numerical information in combination with familiar visual aids like stars and colour codes is proposed to be used in university canteens.