A review of the effectiveness of agriculture interventions in improving nutrition outcomes.

Abstract:

OBJECTIVES:To review the impact of agriculture interventions on nutritional status in participating households, and to analyse the characteristics of interventions that improved nutrition outcomes. DESIGN:We identified and reviewed reports describing 30 agriculture interventions that measured impact on nutritional status. The interventions reviewed included home gardening, livestock, mixed garden and livestock, cash cropping, and irrigation. We examined the reports for the scientific quality of the research design and treatment of the data. We also assessed whether the projects invested in five types of 'capital' (physical, natural, financial, human and social) as defined in the Sustainable Livelihoods Framework, a conceptual map of major factors that affect people's livelihoods. RESULTS:Most agriculture interventions increased food production, but did not necessarily improve nutrition or health within participating households. Nutrition was improved in 11 of 13 home gardening interventions, and in 11 of 17 other types of intervention. Of the 19 interventions that had a positive effect on nutrition, 14 of them invested in four or five types of capital in addition to the agriculture intervention. Of the nine interventions that had a negative or no effect on nutrition, only one invested in four or five types of capital. CONCLUSIONS:Those agriculture interventions that invested broadly in different types of capital were more likely to improve nutrition outcomes. Those projects which invested in human capital (especially nutrition education and consideration of gender issues), and other types of capital, had a greater likelihood of effecting positive nutritional change, but such investment is neither sufficient nor always necessary to effect change.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Berti PR,Krasevec J,FitzGerald S

doi

10.1079/PHN2003595

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

599-609

issue

5

eissn

1368-9800

issn

1475-2727

pii

S1368980004000722

journal_volume

7

pub_type

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