Nutrition-Sensitive-Agriculture

Lecture Note, Agricultural Economics

Chapter 3: Safe Production and Post-Harvest Handling of Agricultural Products

3.1. Introduction

Food safety is a scientific discipline describing handling, preparation and storage of food in ways
that prevent foodborne illness. This comprises a number of practices that should be followed to
avoid possible health risks. The pathways within this route of thought are safety among food
value chain (production, industry, the market and then between the market and the consumer). In
seeing industry to market practices, food safety concerns contain the origins of food including
the practices relating to food labeling, food hygiene, food additives and pesticide residues, as
well as rules on biotechnology and food and guidelines for the management of governmental
import and export inspection and certification systems for foods. In considering market to
consumer practices, the usual thought is that food must be safe in the market and the concern is
safe delivery and preparation of the food for the consumer.

Postharvest handling is the stage of production immediately following harvest, including

cooling, cleaning, sorting and packing. The instant agricultural produce is removed from the
ground, or separated from its parent plant, it begins to deteriorate. Post-harvest treatment largely
determines final quality, whether a crop is sold for fresh consumption, or used as an ingredient in
a processed food product. The most important goals of post-harvest handling are keeping the
product cool, to avoid moisture loss and slow down undesirable chemical changes, and avoiding
physical damage such as bruising, to delay spoilage. Sanitation is also an important factor, to
reduce the possibility of pathogens that could be carried by fresh produce, for example, as
residue from contaminated washing water.
 3.2. Safety of Agricultural Products

3.2.1. Definition of food safety and related terms

 Food Hygiene: All measures necessary to guarantee the safety of food at all stages of the
food chain.
 Foodborne Illness: Sickness or injury caused by eating food containing a
microbiological, chemical or physical hazard(s).
 Foreign Material: Any substance or object that does not naturally or normally belong in
a food product.
 Good Agricultural Practices (GAP’s): This refers to an integrated management system
and the resulting ‘best-practices’ designed to ensure the efficient production of safe
agricultural products.
 Good Manufacturing Practices (GMP’s): General procedures to reduce food safety
hazards.
 Good Hygienic Practices (GHP): The basic rules for the clean and healthy handling,
storage, processing, distribution and final preparation of all food along the food
production chain.
 Hazard Analysis Critical Control Pont (HACCP): It is a systematic food safety
assurance method to identify, evaluate and control of food hazards.
 Hygiene: Conditions and practices followed to maintain health including sanitation and
personal cleanliness.
 Pesticide: A substance used to prevent, destroy or repel any insect, nematode, rodent,
predatory animal, parasite, bacteria, fungus, weed or other form of plant or animal life.

3.2.2. Food quality versus food safety

Food safety and food quality are two important terms which describe aspects of food products
and the characters of the processors. The terms food quality and food safety are important in any
food manufacturing environment, and often used interchangeably, but there is a distinct
relationship between food quality and food safety.
Food quality
Food quality can be defined as a total of traits and criteria which characterize food as regards its
nutritional value, sensory value, convenience as well as safety for a consumer’s health. Good
quality exists when the product complies with the requirements specified by the client. This
means quality is a term defined by the consumer, buyer, grader, or any other client based on a
number of subjective and objective measurements of the food product.

Food safety
Food safety is a component of quality and an assurance that food will not cause adverse harm to
the consumer when it is prepared and/or consumed according to its intended use to final
consumers. Food safety is not negotiable. All requirements relating to the safety characteristics
of a food must be met; there must be no unacceptable health risk associated with a food. Safety
differs from many other quality attributes since it is a quality attribute that is difficult to observe.
A product can appear to be of high quality, i.e. well colored, appetizing, flavorful, etc. and yet be
unsafe because it is contaminated with undetected pathogenic organisms, toxic chemicals, or
physical hazards. On the other hand, a product that seems to lack many of the visible quality
attributes can be safe.

3.2.3. Food safety hazards

The safety of a food can be related directly to certain harmful substances that are present in the
food; these substances are food safety hazards. Any substance that is reasonably likely to cause
harm, injury or illness, when present above an established acceptable level, is a food safety
hazard. An unacceptable level of a food safety hazard in a food presents a health risk to the
consumer.

There are three recognized categories of food safety hazards: biological hazards, chemical
hazards, and physical hazards. The origin of these hazards in foods can be from naturally
occurring substances or agents in foods, from deterioration or decomposition of foods, or from
contamination of the foods with the hazard at various stages of their production, harvesting,
storing, processing, distribution, preparation, and utilization.
i. Biological hazards
Raw produce can become contaminated with pathogenic and non-pathogenic microorganisms at
a number of different stages, by several means, from production through to consumption.
Biological hazards occur in foods includes bacteria, fungi, virus and parasites. Pathogens can
contaminate at
any point along the food chain, at the farm, packing shed, processing plant, transportation
vehicle, retail store or food service operation, and at home. The foods that are commonly
involved in these food poisoning incidents include meat and poultry and their products, seafood
and seafood products, egg and egg products, milk and dairy products, fruits and vegetables and
their products, cereals, legumes, oilseeds/ low-acid canned foods, and water.
ii. Chemical hazards
Chemical hazards occur when a chemical enters the food and person ingests it. These chemicals
include cleaning agents, sanitizer, pesticides, certain metals, or unapproved food containers and
naturally occurred toxins like oxalate in rhubarb, alkaloids in potatoes, toxins in mushrooms and
in shellfish. Agricultural and industrial inputs are source of chemical hazards. Agricultural
residues are a group of residual chemical or biochemical substances found in foods and are
directly attributable to certain substances that have been approved for use in the production of
crops and livestock for food. They include residues of permitted pesticides, herbicides,
fungicides, drugs, hormones, and antibiotics. Some of these residues are considered as added
harmful substances attributable to human actions and are regulated by governments.

Several harmful chemicals that enter the environment as a result of industrial activity have been
shown to be present in foods. These substances include heavy metals (lead, mercury, arsenic),
organo-chlorinated compounds such as polychlorinated biphenyls (PCBs), and are considered as
industrial or environmental contaminants.
iii. Physical hazards
Physical hazards include organic or inorganic substances, commonly referred to as foreign
objects, foreign matter, or extraneous materials. Hard and sharp physical hazards are of particular
concern. Depending on their size and dimensions, hard and sharp physical hazards can cause
injury to the mouth or teeth, or can cause serious injuries if swallowed. In addition, some
physical hazards, depending on their size, shape, and texture, have the potential to cause choking
if swallowed. Physical hazards in foods can be particularly harmful to infants. Certain hard and
sharp foreign objects that are natural components of food (e.g., prune, date or olive pits; fish
bones nutshells) are not considered physical hazards since it is expected that the consumer will
be aware that these objects are natural components of the foods. However, if the food carries a
label stating that the hard and sharp object has been removed(e.g., pitted prunes), the presence of
the hard and sharp object in the food represents a hazard, since it is not expected by the
consumer. The common
 hazards considered as avoidable physical hazards in foods include broken glass, pieces of hard or
soft plastic materials, stones, pieces of metal, pieces of wood and personal articles. A variety of
personal articles can become foreign objects in foods, resulting from unintentional adulteration
by employees during preparation, handling, processing, and packaging. Personal articles that
have been found in foods include jewelry, pens or pencils or their parts, Band-Aids, and ear
plugs.

3.2.4. Safety and quality management systems

In order to preserve the various quality features in food products, various safety and quality
assurance systems have been developed. Some of the systems are obligatory by law and some
voluntary to be implemented by the food chain members. The distinction between obligatory and
voluntary systems is based on the safety (hazard-free products) being the quality of food required
by law. Thus, obligatory systems have been established to assure food safety, and are
subsequently called “safety assurance systems”. These include Good Hygiene Practices (GHP),
Good Agricultural Practice and Good Manufacturing Practices (GMP) which are generally called
accepted best practices and Hazard Analysis and Critical Control Point (HACCP), which is
preventive methods applied, to different extents, by most enterprises that export food in order to
reduce the risk of microbial, chemical and physical contamination

i. Good agricultural practice (GAP)

GAP focuses on the best practices to be used for producing agricultural products to ensure the
quality and safety of the final product. GAP is guidelines, which ensure that all agricultural
practices, in particular pest and disease control are in accordance with Integrated Crop
Management (ICM) and Integrated Pest Management (IPM) practices. GAP aims at ensuring
sustainable agriculture by minimizing hazards for the workforce, other actors along the food
chain, consumers and the environment while ensuring economically viable production. With the
increasing need for food quality and safety through the chain, the trend goes towards integrating
HACCP and traceability concepts into GAP systems.

ii. Good hygienic practice (GHP)

Guidelines for GHP aim at establishing processing, handling, transport and distribution
procedures that are appropriate to prevent perishing due to micro-organisms, growth of
pathogens on food
 stuff, contamination with chemical residues or contaminants (e.g. mycotoxins). Basic rules are
set out in the ‘Codex General Principles of Food hygiene. They include requirements for the
design of facilities, control of operations (including temperature, raw materials, water supply,
documentation, and recall procedures), maintenance and sanitation, personal hygiene and
training of personnel. Hygienic practices form an integral part of all food safety management
systems, as for example within the HACCP system.

iii. Good manufacturing practices (GMP)

There are many reactions occurring during processing and manufacturing of raw materials that
cause changes in composition, nutritional value, physical structure and sensory properties. The
objectives of GMP are to control these changes so as to develop the desired qualities in the
product, to ensure food safety and to stop or slow down any deterioration in the food. Good
Manufacturing Practices means understanding, analyzing and controlling the manufacturing
process.

iv. Hazard Analysis and Critical Control Point (HACCP)

The hazard analysis critical control points (HACCP) is a common sense approach to identifying,
quantifying and controlling food safety hazards. It sets up a framework allowing the detailed
examination of a process to identify hazards and where the hazards can be controlled. HACCP
system is a food safety management strategy which has been widely tested and established as an
effective means of preventing food-borne diseases were correctly implemented. It is considered a
scientific and systematic system for assuring food safety, which can be applied throughout the
whole food chain. HACCP further strengthen preventive and systematic approaches to assuring
food safety.

It is a management system in which food safety is addressed through the analysis and control of
biological, chemical and physical hazards from raw material production, procurement and
handling to manufacturing, distribution and consumption of the finished product. HACCP, which
is recognized for its science-based approach, consists of a set of seven principles that have been
adopted internationally through the work of Codex Alimentarius Commission. The seven
principles of HACCP are:
1. Assesses the hazard, list the steps in the process where significant hazards can occur
and describe the prevention measures;
 2. Determines critical control points (CCPS) in the process;
3. Establishes critical limits for each CCP;
4. Establishes procedure to monitor each CCP
5. Establish corrective actions to be taken when monitoring indicates a deviation from the
CCP limits;
6. Establish record keeping for the HACCP system; and
7. Establish procedures to verify that the HACCP system is working correctly.

3.2.5. Food safety and nutrition linkage

Access to safe and adequate food is a basic human need. Food safety is the assurance that food
will not cause harm to the end user. Food can be unsafe at different points from farm to plate:
production, distribution, retail/sale, preparation and consumption. Unsafe food is not food
because contaminated food could cause disease, immune suppression and stunting. When
contaminated agricultural produce is withdrawn from the supply chain the quantum of food is
directly impacted and affects access to markets and rural incomes, access to food and economic
well-being.

Foodborne and waterborne diarrheal illnesses murder an estimated 2.2 million people yearly,
mostly children are affected. Diarrheal is the most common foodborne illness caused by
pathogens. The Vicious cycle of disease and malnutrition, particularly affecting most vulnerable
groups affects productivity.

Figure 3.1. Diarrhea malnutrition cycle

Chemical or toxin contamination cause acute poisoning or chronic diseases, cancer. Foods rich in
trans-fats, saturated fats, sugars and salt/sodium - increased risk of non-communicable diseases,
e.g. diabetes and high blood pressure. Food safety, nutrition and food security are inseparably
linked.
Food safety affects food security pillars

Figure 3.2. Food safety and food nutrition security linkage

Foodborne diseases have negative economic consequences for individuals, families,

communities, businesses and countries by imposing substantial burden on health-care systems,
trade and tourism, reduce economic productivity and threaten livelihood. Full spectrum of
burden of foodborne diseases is challenging to quantify because they are underreported. Thus
Policy makers at all levels need science-based, reliable estimates on burden of foodborne disease
to make informed decisions and mobilize resources.

Food safety is not negotiable. All requirements relating to the safety

3.1.PostharvestHandling
characteristics of a food must be met; there must be no unacceptable health

The post-harvest or post-production operations of agricultural and horticultural products include

a wide range of functions between production and consumption. These functions have to be
carried out efficiently by different agencies/ individuals in the post-harvest chain in order to
supply food of good quality to keep transaction costs low and to deliver high quality and safe
raw material for further processing and value addition. Post-harvest operations deserve high
priority since they contribute in several ways to the overall goal of sustainable development in
agriculture and impact
on its profitability. A substantial part of the consumer price for agricultural products, depending
on the commodity, the type of post-harvest operation and the organizational structure, is
attributable to processing, marketing, transport, storage and handling of the raw product.
Therefore, efficient post-harvest handling, storage and marketing can tremendously contribute to
social and economic aspects of rural communities.

3.3. Postharvest Handling

A considerable part of post-production activities is actually or may be potentially fulfilled on-
farm by members of farm households. This adds to the value of the farm product and therefore
the income of the household. Women and weaker sections with little access to resources can find
income opportunities in handling, processing and trading agricultural products. Especially in
rural areas, post-harvest operations contribute to employment, income generation and alleviation
of poverty for these groups. Minimal processing has opened new avenues for handsome returns
in the production catchments.
There is a pressing need to establish efficient, time-cost-energy saving post-harvest technology
systems, which reduce losses and optimize produce suitability and quality for market
requirements. Among the critical areas that urgently require attention are: loss minimization,
handling production surpluses, safe transport, transit or longer time storage, market access and
creating favorable conditions for higher acceptance of high quality and competitively priced
processed food.

3.3.1. Basic principles of post-harvest handling

The post-harvest system should be thought of as encompassing the delivery of agricultural

produce from the time and place of harvest to the time and place of consumption, with minimum
loss, maximum efficiency and maximum return for all involved. The term system" denotes a
dynamic, complex aggregate of logically interconnected functions or operations within a
particular sphere of activity. The term "chain" or "pipeline" highlights the functional succession
of various operations but tends to ignore their complex interaction.

In considering the system or the agro-food chain as a whole, harvesting can be seen as the centre,
or as a point between the pre-harvest slope, corresponding to production activity and the post-
harvest slope, extending from harvesting to consumption. These ideas are illustrated in the
following diagrams, which give Bourne's graphic representation of the food pipeline.
 Figure 3.3. The Food Pipeline(Source: Bourne, 1977)

3.3.2. Postharvest loss

Postharvest loss can be defined as the deprivation in both quantity and quality of a food in the
postharvest system. This scheme includes interrelated activities from the time of harvest through
crop processing, marketing and food preparation, to the final decision by the consumer to eat or
discard the food. Postharvest losses can be categorized as: a) direct losses :caused by waste or
consumption by non-human agents, such as insects, rodents, birds, fungi, bacteria and others; b)
indirect losses: because of worsening in quality or acceptability of the product up to the point of
complete rejection by the consumer, which changes in its appearance, texture, and colour caused
by climate, mishandling, transportation, or infrastructure; and c) economic losses are losses
brought about by changes in market conditions and expressed in economic terms that is losses
due to changes in demand and supply.

Food and Agriculture Organization of U.N. predicts one-third of food produced that is about 1.3
billion tons of food are internationally wasted or lost per year. Minimization of these losses
would increase the quantity of food obtainable for human consumption and improve global food
security the increasing worry with escalating food costs due to growing consumer demand,
increasing demand for biofuel and other industrial uses, and increased weather variability. In
addition, crop production contributes significant proportion of typical incomes in certain regions
of the world (70
percent in Sub-Saharan Africa) and reducing food loss can directly increase the real incomes of
the producers.

Currently, one of the key worldwide challenges is how to ensure food security for a world
growing population at the same time as ensuring long-term sustainable development. According
to the FAO, food production will need to grow by 70% to feed world population which will
reach 9 billion by 2050.One important complementary factor food loss and food waste
(postharvest loss) which has great importance to solve the problem of feeding the projected
population is overlooked but food availability and accessibility can be increased not only by
increasing production, improving distribution but also by reducing post-harvest losses. Thus,
reduction of post-harvest food losses is a critical component of ensuring future global food
security.
The asset needed to minimize post-harvest loss is relatively modest and the return on that
investment rises rapidly as the price of the commodity increases. An important factor in
developed countries is that a large amount of the food produced is not eaten but discarded, for
reasons such as it was left on the plate after a meal or it passed its expiry date. In contrast, failure
to consume available food in Less Developed Countries (LDCs) is not a reported concern;
instead the issue in LDCs is inefficient postharvest agricultural systems that lead to a loss of food
that people would otherwise eat, sell or exchange to improve their livelihoods.

Figure 3.4. Food Loss and Food waste

3.3.3. Causes of postharvest losses

Postharvest losses differ significantly amongst produces and production areas and seasons. As a
product moves in the postharvest chain, post-harvest loss can happen from a number of reasons
that can be categorized as follows: physical or mechanical are losses that can be occurred
because of improper harvest methods, poor packaging, and transportation resulting in cuts,
abrasions,
bruises, breakage or leakage and biological factors and non-biological factors which affect the
quality of agricultural produce.

Table 3.1. Generic food supply chain and examples of food waste (Parfitt et al., 2010)
Stage Example of waste

1. Harvesting, handling at harvesting Edible crops

left in field, ploughed into soil, eaten by pests; timing of

harvest not optimal; crop damaged during harvesting

2. Threshing Loss due to poor technique

3. Drying, transportation and distribution Quality and quantity loss during drying, poor transport
infrastructure; loss owning to spoiling/bruising

4. Storage Pests and disease attacks, spillage, contamination

5. Primary processing, cleaning, Process losses; contamination in process causing loss of

classification, hulling, pounding, quality.
grinding, packaging, soaking,
winnowing, drying, sieving, milling

6. Secondary processing, mixing, Process losses; contamination in process causing loss of

cooking, frying, molding, cutting, quality
extrusion

7. Product evaluation and quality control Product disregarded /out-grades in supply chain

8. Packaging Inappropriate packaging damages produces; grain spillage

from sacks; attack by pests

9. Marketing, selling, distribution Damage during transport; spoilage; poor handling; losses
caused by poor storage

10. Post-consumer Poor storage/stock management; discarded before serving;

poor food preparation; expiration

11. End of life disposal of food Food waste discarded may be separately treated, fed to
waste/loss at different stages in supply animals, mixed with other wastes/landfilled
chain.

Smallholder farmers manage approximately 500 million small farms and provide over 80 % of
the total food consumed in sub-Saharan Africa. The peak area of food losses reported are pre-
farm gate where poor harvesting, drying, processing and storage of crops occur. There is
confirmation
from other developing regions where enhanced farm management practices and storage
technologies have resulted in intense food loss reductions which helped farmers to stop the
repeated cycle of poverty, created by pressure to sell crops quickly when prices are low to avoid
losses, only to buy grain later in the season at higher prices to meet their family’s consumption
requirements.

Food is lost because of many reasons, which range from natural shrinkage (e.g. moisture loss),
mold, pests, inadequate climate control and food waste. Food loss can be qualitative or
quantitative. Qualitative losses are reduction of nutrient value and undesirable changes to taste,
texture, or color while quantitative loss is measured by decreased weight or volume.

Quantit
ative Food Loss
Qualitativ e Food Loss

Postharvest Food Loss

Food
Wate

Figure 3.5. Postharvest Loss food components

Postharvest Loss of Animal Source Foods (ASF)

Post-harvest loses of ASF occur during animal and product handling, food processing,
distribution and consumption; and it varies with the type of animal. Handling loses for bovine,
pork and poultry meat refer to death during transport to slaughter and condemnation at
slaughterhouse. For fish, it refers to spillage and degradation during icing, packaging, storage
and transportation after landing. For milk, handling losses is related to spillage and degradation
during transportation between farm and distribution.
Processing loses for bovine, pork and poultry meat, refer to trimming spillage during
slaughtering and additional industrial processing, e.g. sausage production. For fish, it refers to
industrial processing such as canning or smoking. For milk, losses are related to spillage during
industrial milk treatment (e.g. pasteurization) and milk processing to, e.g., cheese and yoghurt.

Distribution loses includes losses and waste in the market system, at e.g. wholesale markets,
supermarkets, retailers and wet markets. Consumption loses includes losses and waste at the
household level. Hence, different ASF require different postharvest handling and storage
practices corresponding the type of losses associated with the type of product.

Table 3.2. Weight percentage of food loses and waste (in percentage of what enters each steps)

3.3.4. Impacts of postharvest loss on food and nutrition security

World Food Program special operation SO 200671 summary report notes that post-harvest food
loss (PHFL) is one of the major underlying factors to food insecurity in Africa, directly
influencing the lives of millions of smallholder farming families every year.

Worldwide food production, supply and consumption schemes are not working to optimal
productivity, with food losses in sub-Saharan Africa alone exceeding 30 % of total crop
production and representing more than US$4 billion in value every year. These annual food
losses far exceed
the total amount of international food aid provided to sub-Saharan African countries each year.
In addition, such losses are projected to be equivalent to the annual caloric requirement of 48
million people.

3.3.5. Pre and post-harvest food safety problems and associated health risks

Controlling the food safety hazards during production, harvesting, slaughtering and postharvest
handling (trimming, grading, packing, transport, processing, marketing etc.) of fresh produce is
important to protect consumers’ health and to gain access to markets. From the perspective of
growers many agricultural inputs require careful thought about their use, and careful
management and control of their use, because they are potentially hazardous when applied
purposely to agriculturally produced food products. A case in point is found in the use of
pesticides, herbicides, insecticides and fungicides, animal drugs, hormones and antibiotics.
Pesticides are toxic compounds used in the growing of fruits and vegetables (as well as cereals
and flowers) to reduce or eliminate target organisms, thereby increasing crop yield and quality.
Public health authorities express concern about the ability of some pesticides to act as endocrine
disruptors, causing, for instance, the impairment of brain and other bodily functions, disruption
in the development of the brain and reproductive system, weakening of the immune system and
the development of behavior disorders. Also of concern is the degree to which pesticides are
absorbed by the body and deposited in fatty tissues and the liver, as was demonstrated by the
organochlorine compound, DDT, amongst others. Apart from concerns about the toxicity of
some active agents in pesticides and their effects on human health, there may also be reason to be
concerned about other compounds present in pesticides for technical purposes. Some pesticides
contain polyacrylamide to aid the adhesion of the active agents to plant leaves. Polyacrylamide is
converted to acrylamide at high temperatures such as those used in food processing and cooking.
Recently the presence of acrylamide in fried and baked foods has caused concern because of its
carcinogenic potential.

Plenty of food is lost in our system during postharvest handling of agricultural products because
the quality deteriorates beyond what is acceptable for human consumption. But sometimes
spoilage or contamination is not perceptible to the human senses and goes undetected, leading to
adverse health effects when food is consumed. Several well-publicized outbreaks of acute
aflatoxicosis in Sub-Saharan Africa, including the death of 125 Kenyans in 2004, suggest
undetected food spoilage with very severe human health implications. Mycotoxins, in the forms
of fumonisin and aflatoxins, can lead to slow-developing esophageal and liver cancers
(respectively) and are growth-retarding and immune suppressive even in doses well-short of the
more sensational, and often deadly, acute aflatoxicosis. These food safety concerns, arising from
fungal or pest infestations, have major disease and global health implications. The mycotoxin in
the food is occurred during the storage, in which the fungi produce an aflatoxin, and also in other
livestock products if their feeds are contaminated with aflatoxin.
i. Handling and Safety of animal food items
Food items if unsafe can be source of various food borne illnesses. For the safety of animal food
items, it is imperative that good animal husbandry (GAH) or good veterinary practices (GVP) be
practiced to assure consumers that foods derived from animals meet acceptable levels of quality
and safety. Along with this safe animal feed, that is, free from any threats should be provided to
all animals. Improved nutritional content of livestock feed may lead to direct health benefit for
animals, improving their welfare, and also indirectly benefit consumers. Animal welfare and
health also plays a vital role in the overall quality of food.

Well-fed and rested animal or poultry is essential requirement for getting safe and good-quality
foods of animal origin. Up to six middlemen are involved in procurement and transportation of
meat animals for slaughter, which exerts stress and adversely affects safety and quality of meat.
Veterinary inspection of meat animals and meat from farm to plate is essential to prevent most
foodborne illness and diseases, which is not being done adequately in India. Consumers should
follow WHO’s five keys to keep food safer at domestic level.

Safety issues of foods of animal origin, similar to other foods, begin at the primary production
stage and continue till consumption. The application of Good Agricultural Practices can reduce
microbial and chemical hazards, which requires written operating and monitoring procedures to
ensure production of wholesome foods of animal origin. All processes and operations should be
carried out as per operating procedures to maintain safety and quality of such foods. Cooking
temperature affects both taste and safety of food. Hotter temperatures at the core of the meat
make it safer. Safe cooking temperatures at the core of meats must be attained. Hot foods should
be kept above 60°C and cold foods, below 4°C, always. The understanding and adoption of safe
handling,
storage, and cooking practices for foods of animal origin in home kitchens are essential for
achieving adequate safety of food before consumption.

Gaps between production, consumption, and inability of regulatory authorities to check

adulteration are big temptation for fraudsters to make easy money through food adulteration, at
the cost of nutrition and health of consumers. Milk adulterants include water, skim milk powder,
cane sugar (sucrose), starch, fat, ammonium sulfate, etc.
In Ethiopia, there are information published on the presence of mycotoxin specially aflatoxin in
different agricultural food commodities including grains, and milk and products. This aflatoxin
was occurred in store grain, fresh milk and milk products collected from the sources.

Chapter 4. Gender and Nutrition

4.1.Introduction

A gender lens encourages a holistic understanding of the different roles of women and men and
their ability to negotiate on production, distribution and consumption of food. In Ethiopia, the
role of women in food production and consumption is under estimated and it required
empowerment mechanisms. This chapter therefore introduces the concepts of gender in relation
with production and consumption for family nutritional security. The basic concepts of gender,
gender role for production and consumption of foods, gender equality and equity for nutrition,
empowering women for household nutrition, labor, time and energy saving technologies for
women and involvement of the male in feeding and caring practices are addressed.

4.2. Basic Gender related terminologies

Gender refers to the socially constructed roles and responsibilities assigned to men and women
in a given culture or location. These roles are learned, they vary between cultures and they
change over time. Gender is learned through a process of socialization and through the culture of
the particular society. In most instances, gender is equated with women. However, paying
attention to gender does not mean focusing on women as beneficiaries, but focusing on
incorporating the needs of girls, boys, men and women at all levels of interventions
Sex refers to biological attributes that identify a person as a male or female. These attributes are
generally permanent, universal and cannot be changed over time
Table 4.1. Basic difference between gender and sex

SEX GENDER

1. Is a natural attribute that we use to 1. Social attribute that prescribes different roles,
identify men and women? responsibilities, expectations, norms and modes
2. Universal in nature of behavior to male and female
3. Difficult to change 2. Depends on the culture, level of development,
education etc.
3. Dynamic in nature

Gender roles: Gender roles are the roles both women and men are expected to fulfill in the
society as defined by the virtue of being female or male. Men and women get messages about
their role and division of labor from family, schools, media and society at large. Gender roles
show society’s rule for how men and women are supposed to behave. These rules are sometimes
called gender norms. They dictate what is “normal” for men and women to think, feel and act.
Many of these differences are created by society and are not part of our nature or biological
make-up and many of these expectations help us enjoy our identities as either men or women.

Both men and women play multiple roles in the society. These roles can be broadly categorized
into:
 Productive role: Tasks which contribute to the economic welfare of the household through
production of goods. Women’s role as producers is usually undermined and undervalued.
 Reproductive role: Activities performed for reproduction and caring for the household,
water and fuel/wood collection, child care, health care, washing, cleaning, etc.
 Community management or socio-cultural activities: Activities primarily carried out by
men and women to ensure the co-existence of themselves as well as their family in their
social environment. Examples of such activities include Idir, mutual help among
neighbours/relatives, community groups, etc. which boosts their social capital.
Gender equality:
 Gender equality means that women, men, boys and girls have equal opportunities,
resources, rights and access to goods and services.
  Gender equality also means equal opportunities and equal responsibilities in sharing
workloads and energy expended within individual capability in caring for families and
communities.

Gender equity:

 Gender equity refers to fairness of treatment by gender, which may be equal treatment or
treatment which is different but which is considered equivalent in terms of rights,
benefits, obligations and opportunities

Access to resources means having the opportunity to use resources without having the authority
to decide on the output and the exploitation methods.
Control over resources or benefits means having full rights to use and authority to decide what
the outputs should be and how they should be used.
Gender disparity or gap: a specific difference or inequality between girls and boys, or men and
women in relation to their conditions, or how they access or benefits from resource. In other
words, it is a measure of gender inequality on any socio-economic indicator (e.g. men’s and
women’s access to health service, school drop-out rate girls and boys).
Gender Sensitive: properly aware of the different needs, roles and responsibilities of men and
women. Understand that these differences can result in difference for women and men in: access
to control over resources; and level of participation in and benefit from resources and
development.

4.3. Gender role in food production and consumption

A gender lens encourages a holistic understanding of the different roles of women and men and
their ability to negotiate on production, distribution and consumption of food. The gender
analysis concepts in food production and consumption can be seen in terms of division of labour;
access and control over resources; decision-making; and norms and values. For example, it is not
possible to only look at the division of roles between men and women without looking at how
that influences access and decision-making, and vice versa. Also, gender is considered in a
relational way, which means that each of the concepts, are looked at from both men and
women’s perspective.

Gender relations influence what women and men do what they have access to and what decisions
they can make concerning food production and consumption. This influences their food and
nutrition security situation. These gender relations are dynamic and change all the time due to
planned interventions, policy changes, changing behaviors or other influences. As a result, a food
and nutrition security situation may be affected by changing gender relations, but food and
nutrition security interventions likely affect and change gender relations as well.

Gender relations are produced and reproduced through norms and values in different institutional
spaces at different levels (household, community, national, global and everything in between).
Spaces where norms and values are being reproduced are for example, community meetings,
religious communities, health clinics, schools, but also government and policies. A gender lens
helps us to consider at community and household levels:
1. The roles men and women play in agricultural production and consumption
2. Access and control over resources men and women have (in relation to commercial
and subsistence production), access to health services, clean water and hygienic toilets);
3. Intra-household decision-making around production and consumption (including
care practices for children);
 4. Norms and values and how these shape what people are supposed to do (role
performance), their access to resources and how decisions are made in relation to food
production and consumption.

4.4. Gender equality and equity for nutrition

Promoting gender equality and equity in nutrition sensitive agriculture requires taking into
consideration the social, economic and biological roles, needs and differences between men and
women and addressing the inequalities which are barriers to good nutrition. Inequities in access
to and control of assets have severe consequences for women’s ability to provide food, care, and
health and sanitation services to themselves, their family members. Women with less influence
or power within the household and community will be unable to guarantee fair food distribution
within the household.

Gender equality can make a substantial contribution to a country’s economic growth, and it is the single m

Any reduction in gender inequality benefits the entire family. Substantial evidence demonstrates
that more equal access to and control over assets raises agricultural output, increases investment
in child education, improves visits to health facilities for infants, raises household food security,
and accelerates child growth and development. It also offers important economic payoffs for the
entire society. Women’s contribution to food production, food preparation, and child care are
critical underpinnings for the social and economic development of communities, yet efforts in
this direction are hampered by malnutrition.

4.5. Empowering women in food production and consumption

Women’s empowerment refers to improving the social, economic, political and legal strength of
women so that they gain power and control over their own lives. The pathway from women’s
empowerment to improved nutrition consists of three interrelated components: women’s use of
income for food and non-food expenditures; women’s ability to care for themselves and their
families; and women’s energy expenditure.
Empowering women farmers can improve food security and nutrition both through increased
food production as well through better use of food and income. Larger disparities in food
production often exist between men and women farmers in access to land, security of tenure,
education, credit, extension and other services. This makes it harder for women farmers to
achieve the same yields and levels of production as men can, since they cannot get the inputs or
technical knowledge needed to match their labour. A particular concern is that women often have
less control over household resources, such as labour and manure, than men do.

Women empowerment also includes enhancing women’s socio-economic status such as

education, nutrition awareness and knowledge, health-related practices, decision-making power,
income, and access to and use of productive assets. Empowering women in food production and
consumption requires increasing women’s access to and control over assets (agricultural income)
would change the allocation of household expenditures to improve household nutritional
outcomes.

Focusing on food crops grown by women and improving women’s access to extension, rural
advisory and financial services as well as to information and markets are some examples of how
women can be supported to access and gain control over productive resources and increased
income. Targeting women for income-generating opportunities and ensuring equitable access to
decent employment and control over earned income are equally important.

2016 National Nutrition Sensitive Agriculture Strategy of Ethiopia recommends two mechanisms
of women empowerment: women’s access and control over assets and promotion of labour, time
and energy saving technologies for women, discussed below.

4.5.1. Women’s access and control over assets

Ensuring asset transfers or asset building interventions which properly target women can
empower women for better nutritional outcomes. Empirical evidence shows that increasing
women’s control over land, physical assets, and financial assets serves to raise agricultural
productivity, improve child health and nutrition, and increase expenditures on education and
hence contributing to overall poverty reduction. It includes women’s access to land and other
productive assets, women’s control over cash from agricultural activities (e.g. intra-household
allocation of income between men and women, or the extent of women’s ability to make
decisions about purchases)
The main policy recommendation by FAO includes:

 Focus on food crops grown by women

 Securing land rights for women
 Policies to increase access to water
 Legal and policy support for the poor to access employment opportunities
 Policies to increase extension services, financing, access to inputs and appropriate
technologies for smallholders adapted to reach women and ethnic minorities
 Investment in agricultural research that reflects the interests of smallholders, particularly
women
 Credit and financial services, including insurance
 Increasing smallholders’ (and women’s in particular) access to markets
 Increasing access to productive assets such as livestock, seeds and storage facilities
 Social protection measures such as cash, food transfers and child care services

4.5.2. Labor, time and energy saving technologies for women

Women perform productive as well as reproductive roles. Therefore, the trade-offs between child
care and agricultural production should be carefully assessed. Time and labour demands should
be evaluated to avoid negative impacts on care, health and nutritional status that might result
from women’s increased workloads.
 Moreover, promoting the adoption of labour-saving technologies and practices can
reduce women’s workloads and free up valuable time for child care, food preparation and
women’s health and leisure. For example: Higher-yielding and pest-resistant crops, use of
draft animals, conservation agriculture and no-tillage methods, and transport facilities to
and from fields can all decrease labour needs for agriculture production.
 Women are usually in charge of primary processing; therefore, women’s work can be
facilitated by the introduction of appropriate post-harvest technology, such as small
pounding and dehusking machines.
 Women in rural communities also spend significant time on tasks such as collecting water
and firewood; water-source construction and rehabilitation is thus a labour-saving
 investment, as are programmes to widen the use of fuel-saving technologies and fuel-
efficient stoves for food preparation.

4.5.3. Involvement of male in feeding and caring practices

Childcare and feeding has been regarded as female’s domestic role on health and nutritional
outcome of children. The role of the father, though acknowledged, is the most neglected part in
child health care. A child health care is ‘mother centric’, and less effective in participating father.

Men’s greatest motivator for improved infant and child nutrition is their strong sense of
responsibility as the heads of their households. While the economics of their households may
dictate the quality and variety of food they can provide, fathers generally hold themselves
accountable for providing food for their families. As part of the provision of nutritious food,
some husbands monitor their wives’ and children’s diets to make sure they are eating right.

Chapter 5: Social Behavioral Change Communication (SBCC) for Nutrition

5.1. The culture of food consumption in Ethiopia

Ethiopians, particularly rural households, use cereals as staple diets which are usually low in
micronutrients and also do not contribute to dietary diversity. Though animal foods are dense in
nutrient content, they are not widely used by the society because of accessibility and affordability
and associated culture of the community.

Culture, religion and traditional knowledge affect food and nutrition security by shaping a
community’s diet, food preferences, intra-household food distribution patterns, child feeding
practices, food processing and preparation techniques, health and sanitation practices, traditional
medicine and the accessibility and use of biomedical public health services. The food and
nutrition security impact of culture, religion and traditional knowledge is inherently localized.
Certain beliefs and practices may be harmful for one community and beneficial for another,
depending on the specific diet and the social, economic and ecological environment (e.g. labour
division, local
food availability). Nevertheless, some general trends can be distinguished. Significant life events
such as pregnancy and childbirth are generally characterized by numerous cultural or religious
beliefs and practices regarding food and health. These beliefs and practices substantially affect
health seeking behavior and traditional medicine.

Diets and eating behaviours are influenced by many factors at individual, family, community and
national levels. The following table shows cultural and socio-economic factors affecting the
distribution and consumption of foods.

Table 5.1. Factors that affect eating behaviour.

Individual family /group community / National

institutional

 Food preferences  Cultural &  Rules, informal  Health care system

& enjoyment social practices structures,  Food assistance
 Beliefs,  Social support  Child care organizations  programs
 attitudes,  Networks  Workplaces, schools  Food industry
 values,  Peer influence  Neighborhoods,  Food & agricultural
 perceptions  shops,  systems
 Knowledge,  restaurants  Policy
 Skills  Community  Political & social
 organizations  structures
 Information available  Media
 Recreational facilities,  Social & cultural
 parks norms
Source: FAO (nd) Infographic on the role of food and nutrition education
http://www.fao.org/nutrition/education/en/

5.2.1. Food preferences and nutrition

Individual, family and community have different food preferences. Food preference could be the
result of many factors including socio-economy, culture, growth stage, physiological need and
exposure experience for different food types. Food preference in most case is individual attribute
on which people do have their own choices of available foods, which will have direct impact on
nutritional status. Food preference is common in pregnant women and children, which in most
cases is driven by their physiological needs. The peer influence, availability, familiarity and
palatability could also be the factor for food preference of children.
Group Activity:
 Be in groups have 5-7 members
 Identify preferred food types in your locality and discuss the reasons behind
 Report to the larger group
 You have 15 minute (10 minutes for preparation or discussion and 5 minutes for presentation)

5.2.2. Food taboos and nutrition

Food taboos refer to the restriction of specific foods as a result of social or religious customs. In
many traditional societies, cultural norms and customs govern behaviors including during
different life stages like pregnancy. Pregnancy is a particular period when physiological nutrient
demands are substantially increased. To meet this increased nutrient requirement for both the
woman and the fetus, a pregnant woman is supposed to increase the amount and quality of foods
she consumes. Nevertheless, when misconceptions or food taboos exist, the pregnant women and
children ability to meet such increased demands can even be more compromised, hence putting
them at a greater risk of adverse pregnancy outcomes.

Various forms of taboos, misconceptions, and cultural beliefs towards certain foods exist in
various countries.

Food sharing varies from one community to the other depending on specific culture. In many
part of rural Ethiopia, food sharing is prevalent during holiday ceremonies and other social
events. Food sharing at the household level is very important to achieve nutritional outcome
among the members. Depending on culture, specific event, availability and types of food
prepared at the household, there is disparity of food sharing among family and family members.

In the case of some specific food types like “Dero Wot” and other foods with high nutritional
values, the sharing among the family members not equal. The father or male along with guest if
any are the first to be served whereas the female and children come to be served at the last. The
nutrition extension intervention by the rural extension workers should give due attention to
change the practice of food sharing among the family member on the basis of equity. Priority
should be given for member like pregnant women, lactating mothers, children and disabled
persons.

5.2. Nutrition education, counseling and communication

Nutrition education: is any combination of educational strategies, accompanied by

environmental supports, designed to facilitate voluntary adoption of food choices and other food-
and nutrition-related behaviors conducive to health and well-being. Nutrition education is
delivered through multiple venues and involves activities at the individual, community, and
policy levels.
Effective education is a key factor in improving nutrition and health, yet nutrition education
continues to be overlooked in health and food security interventions, and is often weak or absent
in professional training. It also enhances the impact of nutrition and food security interventions
and is often critical to their success. Long-term nutrition education develops popular capacity to
make good dietary choices and builds self-reliance. Nutrition education’s main goal is to make
people aware of what constitutes a healthy diet and ways to improve their diets and their
lifestyles. It helps individuals, families, and communities make informed choices about food and
lifestyles that support their physiological health, economic, and social well-being.

Nutrition counseling: is a two-way interaction through which a client and a trained counselor
interpret the results of nutrition assessment, identify individual nutrition needs and goals, discuss
ways to meet those goals, and agree on next steps. Nutrition counseling aims to help clients
Understand important information about their health and focuses on practical actions to address
nutrition needs, as well as the benefits of behavior change. Nutrition counselors may be nurses or
other facility-based providers or community health workers or volunteers.
Nutrition communication: Nutrition communication is recognized as a primary form of
intervention in national food and nutrition programs. The ultimate goal of nutrition
communication is to produce nutritionally literate decision makers who are motivated,
knowledgeable, skilled and willing to choose proper nutrition alternatives. Nutrition
communication is a two-way process, where participants can freely exchange knowledge, values
and practices on nutrition, food, and related areas. It ensures the active involvement of those who
could and should take part in decision- making, and in motivating and providing users with easy
access to nutrition related information, resources, and services. Rural Extension workers and
agriculture cadres are responsible for coordinating and supporting all nutrition communication
activities at individual, household and community levels.

5.3. Nutrition Social behavioral change communication (NSBCC)

NSBCC is a set of interventions that systematically combines elements of interpersonal

communication, social change and community mobilization activities, mass media, and advocacy
to support individuals, families, communities, institutions, and countries in adopting and
maintaining high impact nutrition-specific and nutrition sensitive behaviors or practices.
Effective nutrition SBCC leverages enablers of behaviors and reduces barriers to adopting and
maintaining behaviors over time.

Human behavior is complex and profoundly influenced by social norms, access to resources,
self- efficacy, structural constraints and opportunities, and habits. Systematically addressing the
range of behaviors that have a direct or indirect impact on nutrition as well as the social and
environmental factors that influence the adoption and maintenance of these behaviors is critical
to the implementation of the Multi-Sectoral Nutrition Strategy

Why do behaviors matter for nutrition?

Virtually all the immediate and underlying causes of malnutrition are behavioral – influenced by
the behaviors of individuals and their household members. Nutrition is also influenced, however,
by the behaviors of many other actors. These actors range from healthcare providers and school
teachers to farmers and other agricultural agents, from religious and community leaders to
private sector companies and policymakers, who collectively directly or indirectly influence care
and feeding practices, household food security, the household environment, and healthcare
services

How do behaviours change?

The Socio-Ecological Model
Over the years, there has been a shift in thinking about human behavior. For example, 20 years
ago, health communication practitioners largely believed that behavior change would result
directly from giving correct information about prevention. While providing correct information
is an important part of behavior change, information alone has proved to be insufficient. Four
key facts about human behavior are now widely acknowledged:

1. People make meaning of information based on the context in which they live.

2. Culture and networks influence people’s behavior.

3. People cannot always control the issues that determine their behavior.

4. People are not always rational in deciding what is best for their health and well-being. While
several models exist, the Socio-Ecological Model, illustrated in Figure 5.1 demonstrates the
evolution of thinking from approaches focused on the individual alone to those considering
social condition. The Socio-Ecological Model views individual behavior as a product of multiple
overlapping individual, social, and environmental influences, and combines individual change
with the aim to influence the social context in which the individual operates.
Figure 5.1. The socio-ecological model for change

In this model, levels of analysis are represented by the rings, which show domains of influence
as well as the people representing them at each level. The “self” ring represents those most
affected by the issue. The next two rings represent those that have direct contact with those most
affected and influence their attitudes, beliefs, and actions. They may shape community and
gender norms and/or access to and demand for community resources and existing services. The
outermost ring includes those that indirectly influence those most affected by the issue and
represent the enabling environment. Components of this ring may facilitate or hinder change and
include government policies and regulations, political forces, prevailing economic conditions,
the private sector, religion, technology, and the natural environment.

Each level is influenced by four main cross-cutting factors that SBCC interventions may be able
to modify to generate change. These factors may act in isolation or in combination and are
discussed below. Information: People need information that is timely, accessible, and relevant.
With such information, some individuals, groups, or communities may be empowered to act. For
most people, however, information is not enough to ignite change.

Motivation: Motivation, represented by attitudes and beliefs about the issues, is needed.
Motivation can be affected by SBCC through effective counseling, peer education, or radio
programs, for example. If done well, such communication can foster individual attitudinal and
behavioral change, as well as social norm change. However, even motivation may not be enough.
Ability to Act: In particular circumstances, especially those that may pose a threat or that
involve strong gender or social norms against the behavior, people need the ability to act. Skills
needed for the ability to act include problem solving, decision making, negotiation, critical and
creative thinking, and interpersonal communication (IPC), for example. Efficacy, the confidence
of individuals and groups in their own skills to affect change, access to services and
transportation, and the ability to buy a diversity of foods, for example, are important elements in
the ability to act.

Norms: Finally, norms, as expressed in perceived, socio-cultural, and gender norms, have
considerable influence. Norms reflect the values of the group and specify those actions that are
expected of the individual by its surrounding society. Perceived norms are those that an
individual believes others are holding and therefore are expected of him or herself. Socio-
cultural norms are
 those that the community as a whole is following because of social status or cultural conventions.
Gender norms shape the society’s view on what is expected of males and females.

In order to change their behavior, people go through stages in adopting a new behavior. The
chart below shows the stages of behavior.

Figure 5.2. Stages of behavior change

The arrows indicate communication supports that Agricultural/rural extension workers should
give according to the stage of the individual/family whose behavior they are trying to change.
Stages of behavior change and communicative interventions to encourage the target audience to
try a new behaviour/practice are given in the table below.

Table 5.2. Stages of behaviour change

Steps Appropriate Specific Tools
interventions

1 Pre-contemplation Build  Drama, fairs

awareness/provide  Community groups
Never heard about the information  Radio
behaviour  Individual counselling
 Mother-to-mother support groups
2 Contemplation Encourage/discuss  Group discussions or talks
benefits  Oral and printed word
 Heard about the new  Counselling cards
behaviour or knowing  Breastfeeding and Young Child Feeding
what it is Support Groups

3 Intention Negotiate and help  Home visits, use of visuals

to overcome  Group of activities for family and the
(Preparation phase) obstacles community
 Negotiate with the husband and mother-in-law
Thinking about new
(or other influential family members) to
behaviour to take action
support the mother

4 Action Praise/reinforce the  Congratulate mother and other family members

benefits as appropriate
Trying new behaviour  Suggest support groups to visit or join to
provide encouragement
 Encourage community members to provide
support (radio programmes)
5 Maintenance Provide support at  Reinforce the benefits
all levels  Praise
Continuing to do new  Tell others
behaviour or
maintaining it

To facilitate the progress of a person through each stage of behavior change use the different
actions and communication strategies provided as examples in the table. These are just possible
examples and are by no means an exhaustive list of all the possible strategies.

5.4. Tools for nutritional behavioral change communication

Behavior change communication (BCC): is any communication (e.g., interpersonal, group

talks, mass media, support groups, visuals and print materials, videos) that helps foster a change
in behaviour in individuals, families, or communities. It is a multi-level tool for promoting and
sustaining risk-reducing behaviour change in individuals and communities by distributing
tailored nutrition messages in a variety of communication channels. It includes careful and
focused listening, understanding, and then negotiating with individuals and communities for
long-term positive nutrition behaviours.

BCC can be used as strategic use of communication to promote positive nutrition outcomes,
based on proven theories and models of behaviour change. In using BCC for nutrition, it can be
started
by a systematic process with formative research and behavior analysis, followed by
communication planning, implementation, and monitoring and evaluation. Audiences are
carefully segmented, messages and materials are pre-tested, and both mass media and
interpersonal channels are used to achieve defined behavioral objectives.

The BCC process includes identifying, understanding, and segmenting audiences and providing
them with relevant communication through well-defined strategies using appropriate mix of
inter- personal, group, and media channels including interactive methods.

Social and behavior change communication (SBCC): Social and behavior change includes not
only communication, but also actions to create an enabling environment for sustained behavior
change. The actions may be formulation of policy, provision of needed systems, services, or
infrastructure, social support, or measures to sway social norms. Social change is understood as a
process of transformation in the way society is organized within institutions, and in the
distribution of power within various social and political institutions. For behaviors to change on
a large scale, certain harmful cultural practices, societal norms and structural inequalities have to
be taken into consideration. Social change approaches, thus, tend to focus on the community as
the unit of change.

Nutrition Behavior Change Communication (NBCC): is used to change nutrition related

behaviors in a community. It involves not only health related messages but also educating the
community about a wide range of Nutrition sensitive activities and multi-sectoral collaborations.

5.5. Nutrition extension through SBCC/NBCC

Nutrition extension through behavior change communication (BCC) improves household

nutrition. It influences caregivers’ preferences towards more nutrient-rich foods, intra-household
allocation of food to benefit pregnant and lactating women and children, and other practices
related to child feeding, care giving, sanitation and hygiene, and use of health services.
Chapter 6: Multi-Sectoral Coordination for Nutrition

6.1. Multi-sectoral nature of nutrition

Nutrition has a multi-dimension and multi-sectoral nature in terms of both effect and outcome.
The multi-sectoral nature of nutrition requires individual, institutional and system-level
capacities to operationalize effective interventions through collaborative engagement across
sectors and stakeholders. Effective implementation further requires coherence both vertically
(within sectors and stakeholder institutions) and horizontally (across sectors and stakeholders). In
order to ensure effective multi-sectoral coordination among different stakeholders, a common
structure was already established by the government in the National Nutrition Programme II
(NNP II)

.
6.2. The Ethiopian National Nutrition Program

The National Nutrition Program (NNP) is a national multi-sectorial program with strategic
objectives to improve the nutrition condition of the country. The NNP I has been implemented
during the first Growth and Transformation Plan (GTP I) and a follow on NNP II is launched
in December 2016 to be implemented during GTP 2 and will be in place up to 2020. The
health sector is assumed the coordination while agriculture and livestock, education, women
and child, water, irrigation and electricity sectors are main sectors working to achieve the
program through both mainstreaming and direct implementation of the program in their
respective areas.

Strategic objectives of the NNP II are:

1. Improve the nutritional status of women (15–49years) and adolescents (10–19 years),
2. Improve the nutritional status of infants, young children and children under 5 years,
3. Improve nutrition service delivery for communicable, lifestyle related or non-
communicable diseases affecting all age groups,
4. Strengthen implementation of nutrition sensitive interventions in various sectors,
5. Improve multi-sectoral coordination and capacity to ensure implementation of the NNP.

6.3. Roles and responsibilities of various sectors

The National Nutrition Coordination body remains the main mechanism for leadership, policy
decisions and coordination of the NNP. Similar multi-sectoral nutrition coordination framework
and program implementation arrangements are provided at regional, Woreda and Kebele levels.
The terms of reference, membership, frequency of meetings and the roles and responsibilities of
NNP implementing sectors have been detailed in the Guideline for Multi-sectoral Nutrition
Coordination.

Each sector has a role to play in NNP II and its implementation according to their mandates
(6.1). In order to have effective coordination, each sector needs to properly understand the
importance of nutrition and what is expected of them. Assigning a responsible body is a second
step towards implementation of the strategy. The agriculture sector serves as co-chair of the NNP
II and primarily takes the lead in the provision of food for the household and community. It also
plays a pivotal role in reaching the rural population through strong extension system. The
development committee of Kebeles’ through the technical support of DAs and HEWs, plan and
execute Kebele level nutrition intervention through mobilizing the development army.

Table 6.1. Major roles and responsibilities of nutrition signatory sectors

Sectors Major Roles and Responsibilities

Health  Strengthen the community level linkage and capacity of women based
structures & associations at all levels to promote optimal adolescent,
maternal, infant and young child nutrition (AMIYCN) and caring
Practices
Agriculture &  Increase year-round availability, and access to and consumption of fruits
Natural resource and vegetables, nutrient-dense cereals and pulses.
 Promote technologies for post-harvest food processing, handling,
preservation and preparation to help ensure that food is both nutritious
and diverse.
 Improve nutrition-sensitive agriculture (NSA) knowledge and practice
among farmers.
 Promote production and consumption of bio-fortified crops.
 Government  Create public awareness on healthy dietary practices, healthy lifestyles,
Communication and lifestyle related non-communicable diseases.
 Utilize available media outlets to promote optimal nutrition behavior
Education  Promote and scale up school feeding programs.
 Promote school health and nutrition (SHN) interventions through
collaboration with other sectors.

6.4. Role of agriculture and livestock sector in the NNP II

Agriculture in general and more specifically agriculture and natural resource and livestock and
fishery sectors are responsible to provide food for the society and generate income for the rural
population engaged in agriculture. Therefore, the core responsibility of the sector in terms of
nutrition security is making nutritious food available and accessible. Due to agro-ecological
diversity and difference in suitability, each area can only produce selected type of commodities.
This naturally limits availability of various foods among localities leading to commodity
specialization. On the other hand, some communities rely on narrow range of foods while others
can have diverse. Culture and religion also influence preferences which type of food can and
cannot be consumed.

There are two ways to diversify availability of food. The first is through developing the
marketing systems in the local market where the farmers can sell their produce and buy what
they do not have from others. This will eventually expand the local market and encourage
farmers to specialize in certain commodities that they found to be more productive and fetch
good prices. As the market expands it attracts traders to bring different products not grown in the
area creating more opportunities. This will enhance farmers’ specialization and thereby create
further opportunities in expanding non-agricultural jobs and eventually some level of value
addition. The second way is through production of diverse types of food by the household
through homestead gardening and engaging in various types of agricultural and livestock
production depending on the suitability of the agro-ecology and resource endowment of the
family.

Various programs and projects are formulated and being implemented in the agriculture sector.
Most of these projects have nutrition either as an objective or a component to address. The most
important ones are Agriculture Growth Program (AGP) and Productive Safety Net Program
(PSNP) being implemented in agricultural potential and food insecure areas, respectively.
Generally, nutrition security is captured as an important strategic focus area in the GTP 2
enabling all programs to mainstream and ensure program implementation addresses nutrition
security.

6.5. Strengthening multi sectoral coordination

Advancing nutrition in countries requires capable human resources, effective institutions, and
functional systems to plan, manage, and evaluate programs. Strong country commitment and
government leadership along with the active engagement of communities, the private sector, and
civil society are essential for achieving and sustaining nutrition outcomes. The commitment of
country leadership to nutrition at all levels, including larger and sustained resource allocations
for nutrition, is essential to creating and sustaining momentum and for conversion of that
momentum into results on the ground.

Building national, multi-stakeholder commitment to nutrition will foster coordination across

government ministries, promote public-private partnerships, build country capacity, set strong
policy foundations, and increase the ease and likelihood of being able to expand availability and
utilization of nutrition services. Effective multi-sectoral coordination along with collaborative
planning and programming across sectors at national, regional, and local levels are necessary to
accelerate and sustain nutrition improvements. Programming nutrition-specific and nutrition-
sensitive interventions in the same geographic areas can also be effective to improve nutrition
outcomes. Given that the nutrition, their risk factors and social determinants have roots and
implications for sectors beyond health, a multi-sectoral response is critical to tackle them in a
comprehensive manner. The experiences of similar public health concerns suggest that multi-
sectoral coordination mechanisms can go a long way in providing a synergistic response to
nutrition in countries.

In order to realize food and nutrition security at national and household levels and to accelerate
the reduction of malnutrition, the Government of Ethiopia opted for an approach that would see
nutrition integrated into various sectors through a well strengthened and integrated multi-sectoral
approach. Several reviews have shown that in order for a multi-sectoral coordination mechanism
to succeed, it should have a strong institutional arrangement within the NNP implementing
sectors. To execute its mandate of coordinating the sectors and fulfilling the aims of NNP II and
the Seqota Declaration, the National Nutrition Coordinating Body (NNCB) needs to be well
strengthened and functional up to the kebele levels, along with the necessary resources and
accountability. Sectoral
members would therefore be held accountable, both institutionally and collectively, for the
achievement of the nutrition goals and targets set by the National Nutrition Program.

The following are proved measures to strengthen multi sectoral coordination at different levels:
 Increased political will and resources for nutrition programs
 Support joint assessments, gap analyses, and program reviews between inter-office teams
 Improved systems to plan, manage, monitor, and evaluate nutrition programs
 Increased professional and institutional capacity
 Strengthen planning and coordination for effective convergence of interventions in
geographical areas, as appropriate, for increasing nutrition outcomes
 Increased stakeholder engagement around national nutrition goals
 Establish joint planning mechanisms between development and humanitarian
assistance agencies at the country and/or regional levels
 Intensify coordination and strategic planning of both humanitarian and development
assistance programs to target high risk communities, reduce vulnerabilities, and increase
development opportunities
 Document best practices in transitioning emergency response to
development opportunities
 Reinforce advocacy efforts for government and donor support of multi-sectoral nutrition
planning, programming, and dissemination of results
 Strengthen and expand project and program learning associated with multi-sectoral
activities
 Strengthened engagement with the private sector to improve nutrition
 Work with the private sector to develop stronger communications and marketing
approaches in support of improved nutrition for mothers and children and
increase demand for safe and nutritious foods

Chapter 7: Planning, Monitoring and Evaluation of Nutrition Sensitive Agriculture

Interventions

7.1. Basic principles of planning for NSA interventions

The basic principle of planning to make agriculture system nutrition sensitive can be classified as
program principles and policy principles. The components of each principle are presented as
 follows:

7.2.1. Program principles

At program level, agricultural programs and investments can strengthen impact on nutrition if
they are designed considering the following:

1. Incorporate explicit nutrition objectives and indicators into their design, and track and
mitigate potential harms
Nutrition-sensitive agricultural investment programs should not only seek to improve nutritional
outcomes, they should, at least, ensure that they do no harm to the nutritional status of the project
stakeholders, including producers and consumers.
Types of harm that may arise from agricultural interventions:
 Employment levels have remained static or deteriorated;
 Small producers have been excluded;
 Women are not able to participate;
 Household food insecurity has deteriorated (overall or seasonally);
 Intra-household equity of income has declined;
 The labor burden of women has increased;
 The debt burden of vulnerable households has increased
 In irrigation/water use projects, changes in water-borne diseases;
 In livestock projects, changes in zoonotic disease;
 When agrochemical inputs are used, possible risks to health (e.g. using empty
containers for drinking water).

2. Assess the context at the local level to design appropriate activities to address the
types and causes of malnutrition
During designing a nutrition-sensitive intervention, a thorough analysis of the context, in
particular of the nutritional problems that affect different parts of the population, their multiple
causes, and the social and institutional contexts that shape the food and nutrition security
situation is paramount important.

3. Target the vulnerable and improve equity

 4. Collaborate and coordinate with other sectors
Impact on nutritional status cannot necessarily be achieved by food and agriculture programs
alone. Access to health, water and sanitation, education and social protection programs are
usually required. It is therefore important to seek synergies with operations from other sectors
like health, environment, social protection, water and sanitation, education, and other
development partners through joint strategies with common goals, to address the multiple
underlying causes of malnutrition. As an agricultural planner, we should consider the following
questions during planning to collaborate with other sectors.

• Are existing or proposed mechanisms for facilitating coordination and communication

among stakeholders available? At what level do they operate? Who is involved in this
process?
• Could agricultural investment take place in the same geographic area as other
health, water and sanitation, and social protection programs which are also
important for reducing malnutrition?
• Could the project include alternative income-generating activities or link with social
safety nets for hungry seasons?

5. Maintain or improve the natural resource base

During planning, our activities should consider to use the natural resources in a sustainable way,
contribute to climate change adaptation, and take measures to ensure that wild biodiversity is
maintained and neither crops nor agricultural practices degrade the natural resource base.
Water,soil, air, climate and biodiversity are critical to the livelihoods and resilience of vulnerable
farmers and to sustainable food and nutrition security for all. We should also take into
consideration the following question during planning

 Does our agricultural intervention include measures to protect or improve soil quality
and biodiversity?
 Is our agriculture intervention likely to affect the quantity and quality of water
available to households with malnourished individuals?
 How will the agriculture activities affect women’s workloads related to
water procurement and use?
 6. Empower women
Women’s income and decision-making power is linked to improved nutrition for household
members because of the role women play across cultures as providers and gatekeepers of
household nutrition, child care, and health. Furthermore, gender equity takes into account
women’s central role in translating agricultural inputs and outputs into nutrition impacts. Our
planning should answer following questions:

7. Facilitate production diversification, and increase production of nutrient-dense

crops and small-scale livestock

Diversified production systems is important for small holder farmers to ensure resilience to
climate and price shocks, more diverse food consumption, reduction of seasonal food and
income fluctuations, and greater and more gender-equitable income-generations. Therefore,
during planning, we have to consider the following questions:

 Do farmers reside close enough to their fields that diversifying production is likely to
influence own-consumption?
 Do farmers have access to markets where they would be able to sell perishable foods?
 Are there specific micronutrient-rich foods that are unavailable or too expensive?
 What local resources or underutilized foods could be grown to improve diets and nutrient
intake?
 How can market access to nutritious food be increased for both local rural and urban
populations?

8. Improve processing, storage and preservation

Appropriate processing, storage and preservation are essential to reduce post-harvest losses and
improve or prolong access to and consumption of micronutrient-rich foods. Processing and
storage techniques can preserve the nutrient content of food, and certain processing techniques
can even increase it, e.g. roasting, germination and fermentation. Therefore, we have to answer
the following questions during planning for agriculture interventions:

9. Expand markets and market access for vulnerable groups, particularly for
marketing nutritious foods.
Market opportunities may be an incentive for farmers to produce and potentially consume
nutritious foods they otherwise would not. An important contribution that investments in
agricultural value chains can make to nutrition is by improving market access:
 • For producers, processors and retailers, to help them sell their products and generate
income which can be invested in better health, care and food consumption; and

• For consumers, to improve availability and affordability of nutrient-dense foods.

10. Incorporate nutrition promotion and education
It is important to include measures in program design to build on existing local knowledge,
attitudes and practices of the community on nutrition. Nutrition knowledge can enhance the
impact of production and income in rural households, especially important for women and young
children, and can increase demand for nutritious foods in the general population.

7.2.2. Policy principles

Agriculture programs and investments need to be supported by an enabling policy environment if

they are to contribute to improving nutrition. Food and agriculture policies can have a better
impact on nutrition if they:
1. Increase incentives (and decrease disincentives) for availability, access, and
consumption of diverse, nutritious and safe foods through environmentally
sustainable production, trade, and distribution:
The focus needs to be on horticulture, legumes, and small-scale livestock and fish – foods
which are relatively unavailable and expensive, but nutrient-rich – and vastly
underutilized as sources of both food and income (refer MoANR NSA strategy
document)
2. Monitor dietary consumption and access to safe, diverse, and nutritious foods. The
data could include food prices of diverse foods, and dietary consumption indicators for
vulnerable groups.

3. Include measures that protect and empower the poor and women: Safety nets that
allow people to access nutritious food during shocks or seasonal times when income is
low; land tenure rights; equitable access to productive resources; market access for
vulnerable producers (including information and infrastructure). Recognizing that a
majority of the poor are women, ensure equitable access to all of the above for women.
(refer to Ethiopian PSNP 4 document)
4. Develop capacity: Capacitate human resources and institutions to improve nutrition
through the food and agriculture sector, supported with adequate financing.
 5. Support multi-sectoral strategies to improve nutrition: within national, regional, and
local government (Refer NNP2 document)

7.2. Monitoring and evaluation indicators for NSA activities

The idea of nutrition-sensitive agriculture has not yet been internalized by agriculture project
planners and managers. So, proper monitoring and evaluation of agricultural projects for their
impact on household food security and nutrition is important. The monitoring data that should be
collected for NSA interventions are;

• Basic socio-demographic information

• Information indicating participation and the extent to which
households have been reached/affected by the agriculture project
• Data on household food insecurity levels and on the dietary quality
• Data on child and maternal nutritional status
• Income level of the household
• Information on women’s empowerment (qualitative and quantitative)
• Information on any harmful effects of the project on food security
or nutrition.
• On-farm availability, diversity, and safety of foods
• Data on natural resource management practices
 foods in local markets Nutrient-rich foods are available in the rapid market survey
market

Income Income, disaggregated by gender, to Resource equity Household survey and/or

reflect intra-household income control enterprise records kept by
project

Women’s empowerment Women’s access and control over Women’s empowerment Household survey and/or
resources (e.g. land/property ownership) qualitative process

Women’s participation in economic Women’s empowerment

activities (e.g. gender gap in
crop/livestock sales)

Women’s access to and control over Women’s empowerment

benefits(e.g. agricultural income earned
and controlled by women)

Natural resource Access to improved drinking water source Natural management practices Farm survey
management

Practices

Source: FAO (2016) Compendium of nutrition sensitive agriculture

Summary

 The basic principle of planning to make agriculture system nutrition sensitive can be
classified as program principles and policy principles
 Agricultural programs and investments can strengthen impact on nutrition if they
are designed with nutrition lenses
 Agriculture programs and investments need to be supported by an enabling policy
environment if they are to contribute to improving nutrition
 The monitoring and evaluation of agricultural projects for their impact on household
food insecurity and nutrition is important
Self-assessment questions
1. What are the main gaps identified in Ethiopian agriculture sector to improve
nutritional status of the community?
2. Mention at least five program principles that should be considered during designing
of agriculture investment which has positive impact on nutrition?
3. Write at least key indicators for nutrition sensitive agriculture intervention
4. Discus the basic principles of planning for nutrition sensitive agriculture interventions

Learning Activities

1. Group assignment/Homework (sub topic 7.1.)

Case Study
Objective: The student will be able to analyze the case and propose possible solution to
make the agriculture system nutrition sensitive.
Instruction: After analyzing the case scenario students are expected to submit the report to
the instructor to the next class
Case Scenario
During the Growth and Transformation Plan (GTP I) implementation period; the agriculture
sector of Ethiopia has registered an average real agricultural GDP growth rate of 6.6% per
annum. The average productivity of major crops by smallholder farmers for the main season
has increased from 15.7 quintal per hectare to 21.5. Regarding the livestock sector, between
2009/10 and 2014/15 the proportion of hybrid/improved cattle increased from 10.37% to
14.53%, The accomplishments with regards to natural resources conservation and
development activities are identified as one of the success stories in agriculture and
environment sector of
the country. Despite all the tremendous achievements in the sector, the problem of food and
nutrition security of the country remains the main health and development issue. Assuming
that you are assigned at Ministry of Agriculture and Natural Resource, extension directorate
as nutrition sensitive agriculture senior expert. The extension directorate is planning to make
the agriculture interventions nutrition sensitive so as to improve food and nutrition security
of the community. You are the only responsible person to design and make the agriculture
intervention nutrition sensitive.

1. What do you think the reason that the problem of food and nutrition security remain
health and development issue?
2. What will be your measure to alleviate the problem?
3. Set appropriate monitoring and Evaluation mechanisms to alleviate the problem

2. Project Work: Design planning, monitoring and evaluation principles for the
current agricultural production system and dietary consumption pattern
Objectives of the Project work: The student will be able to:
 Identify the current agricultural production system and dietary consumption pattern
 Design appropriate agricultural planning techniques and
 Set monitoring and evaluation mechanisms for proposed NSA interventions.
Instruction: Students will be formed in a small groups; each group will choose one nearby
kebele and identify the current agricultural production system and dietary consumption
pattern. After that, the group will design appropriate agricultural planning techniques and
set monitoring and evaluation mechanisms for NSA interventions. Students should submit
the project report to the instructor within a week.
References
1. Ministry of Agriculture and Natural Resources, (2017). Nutrition sensitive
agriculture strategy document
2. FAO (2016). Compendium of indicators for nutrition-sensitive agriculture. Rome
3. FAO, (2015). Designing nutrition-sensitive agriculture investments, Checklist and
guidance for program formulation. Rome
 Module Development Team Member

No Name of participant University/institution Department Telephone e-mail

1 Akalu Dafisa Jimma University (JU) RDAE 0917808367 [email protected]

2 Genanew Agitew University of Gondar RDAE 0910060293 [email protected]

(UoG)

3 Birhanu Melesse University of Gondar RDAE [email protected]

0909863447
4 Sintayehu Musie Debre Markos University Horticulture 091183881 [email protected]

5 Haftom Teka Mekelle University Horticulture 0914722920 [email protected]

6 Dr. B e za l e m S i n o t e Hawassa University Animal Science [email protected]

0911738767
7 Mesganaw Addis Debre Markos University Animal science 0912724764 [email protected]

8 Dagne Muluneh MOLF Animal Science [email protected]

0921127745
9 Solomon Ali Debre Markos University Plant science 0914662007 [email protected]

10 Dereje Bekele Jimma University NRM 0911803756 [email protected]

11 Gidey Kidu Mekele University NRM 0914127853 [email protected]

12 Kumela Dibaba Jimma University Food science 0913861123 [email protected]

13 Tekeleberhan Wolday Mekele University Food science 0913765003 [email protected]

14 Hailu Hailemariam Hawassa University Nutrition [email protected]

0938978036
15 Tamene Taye GTZ/MoANR Nutrition/Agri 0916411172 [email protected]
16 Mebit Kebede Jhpiego Training and 0918765046 [email protected]
Education Advisor
for nutrition

17 Endris Mekonnen Jhpiego Senior Training and 0911480080 [email protected]

Education advisor