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Pathways to Improving Nutrition among Upland Farmers through Nutrition-Sensitive Agriculture Interventions: A Case from Northern Laos

Author

Listed:
  • Indu K. Sharma

    (Athena Institute, Faculty of Science, Vrije Universiteit of Amsterdam, 1081 HV Amsterdam, The Netherlands
    Barcelona Institute for Global Health (ISGlobal), University of Barcelona, 08007 Barcelona, Spain)

  • Dirk Essink

    (Athena Institute, Faculty of Science, Vrije Universiteit of Amsterdam, 1081 HV Amsterdam, The Netherlands)

  • Victoria Fumado

    (Barcelona Institute for Global Health (ISGlobal), University of Barcelona, 08007 Barcelona, Spain
    Barcelona Saint John of God University Hospital, University of Barcelona, 08950 Barcelona, Spain)

  • Ranjan Shrestha

    (SNV Country Office, Vientiane P.O. Box 9781, Laos)

  • Zefanya D. Susanto

    (Athena Institute, Faculty of Science, Vrije Universiteit of Amsterdam, 1081 HV Amsterdam, The Netherlands)

  • Jacqueline E. W. Broerse

    (Athena Institute, Faculty of Science, Vrije Universiteit of Amsterdam, 1081 HV Amsterdam, The Netherlands)

Abstract

While there is an increased awareness of the role of nutrition-sensitive agriculture (NSA) interventions on nutrition, the studies that investigate holistic pathways from interventions to nutrition outcomes are inadequate. We aimed to understand these pathways to improved nutrition from the Enhancing Nutrition of Upland Farming Families (ENUFF) Project implemented in northern Laos. We applied an embedded case study design by recruiting 101 participants representing implementers, school and private sector representatives, and beneficiaries, of which 34 participated in interviews and 68 participated in 11 FGDs. This was supplemented by a desk review of project documents. We analyzed the data using a directed content analysis across five pathways using a published framework on impact pathways from NSA interventions to nutrition outcomes. The project contributed to nutrition mainly through three core pathways-food production, nutrition and WASH-related knowledge, and agricultural income, supported by strengthening local institutions within the project’s scope. While it is evident that the project contributed to empowering women by saving their time and increasing income, further study is needed to investigate the translation of these aspects to nutrition-related practices. We also suggest the need to sustain the capacity of local institutions and their engagement beyond the project cycle. To enhance the effectiveness of NSA interventions on nutrition, there is a need to design and implement intervention package with multiple pathways and tailored strategies based on nutrition outcomes, the envisaged pathways, geographical context, and factors affecting these.

Suggested Citation

  • Indu K. Sharma & Dirk Essink & Victoria Fumado & Ranjan Shrestha & Zefanya D. Susanto & Jacqueline E. W. Broerse, 2021. "Pathways to Improving Nutrition among Upland Farmers through Nutrition-Sensitive Agriculture Interventions: A Case from Northern Laos," Sustainability, MDPI, vol. 13(23), pages 1-20, December.
    • Handle: RePEc:gam:jsusta:v:13:y:2021:i:23:p:13414-:d:694539
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    References listed on IDEAS

    as
    1. Indu K. Sharma & Dirk Essink & Victoria Fumado & Malay Kanti Mridha & Lalita Bhattacharjee & Jacqueline E. W. Broerse, 2021. "What Influences the Implementation and Sustainability of Nutrition-Sensitive Agriculture Interventions? A Case Study from Southern Bangladesh," Sustainability, MDPI, vol. 13(21), pages 1-20, October.
    2. Delgado, Luciana & Schuster, Monica & Torero, Maximo, 2021. "Quantity and quality food losses across the value Chain: A Comparative analysis," Food Policy, Elsevier, vol. 98(C).
    3. Neha Kumar & Phuong Hong Nguyen & Jody Harris & Danny Harvey & Rahul Rawat & Marie T Ruel, 2018. "What it takes: evidence from a nutrition- and gender-sensitive agriculture intervention in rural Zambia," Journal of Development Effectiveness, Taylor & Francis Journals, vol. 10(3), pages 341-372, July.
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