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Nutrition transition in Zambia: Changing food supply, food prices, household consumption, diet and nutrition outcomes

Author

Listed:
  • Jody Harris

    (Sussex University)

  • Brian Chisanga

    (Indaba Food Policy Research Institute)

  • Scott Drimie

    (Stellenbosch University)

  • Gina Kennedy

    (Bioversity International)

Abstract

The nutrition transition literature has generally drawn on epidemiologic and demographic changes to make its argument, because in many cases broader data are not available on the drivers of nutrition change. Going further, this paper draws on wider food systems literature, and includes food price and expenditure data, to join the dots from macroeconomic and food system change to food sources, production, and price; to household-level expenditures; to changing diets and nutrition and health outcomes, illustrated through the case of Zambia. Many of the economic and demographic drivers of the nutrition transition are present in Zambia, including rising GDP, high urbanization and increasing supermarket penetration. Food supply data show a reduction in calories available per capita over several decades, and low levels of nutrient-rich plant and animal source foods which make up a diverse, nutritious diet. National food price data show that while the cost of food has reduced overall, nutrient-rich foods are more expensive relative to staple foods over time. Expenditure on staple foods has reduced in the past two decades while spending on fruits and vegetables, animal source foods, fats and sugars, and processed foods has increased, with these change greater in rural areas in recent years, but already more advanced in urban areas. Finally, while undernutrition is reducing slowly from very high levels and hunger persists, overweight and obesity and non-communicable chronic diseases are increasing; and data are strikingly lacking on modern Zambian diets. The Zambia case study is placed within regional and global trends to illustrate nutrition transition changes that are now happening in rapidly changing lower-middle income countries. Policy responses include promoting the availability of diverse nutrient-dense foods, and concurrent attention to preventing under- and over-nutrition in surveillance and policy. This paper also sheds light on the gaps in information that would greatly improve our understanding of the food system drivers of the nutrition transition, and hence our ability to create relevant policy.

Suggested Citation

  • Jody Harris & Brian Chisanga & Scott Drimie & Gina Kennedy, 2019. "Nutrition transition in Zambia: Changing food supply, food prices, household consumption, diet and nutrition outcomes," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 11(2), pages 371-387, April.
    • Handle: RePEc:spr:ssefpa:v:11:y:2019:i:2:d:10.1007_s12571-019-00903-4
    DOI: 10.1007/s12571-019-00903-4
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    1. Ibrahim Hassen Worku & Mekdim Dereje & Bart Minten & Kalle Hirvonen, 2017. "Diet transformation in Africa: the case of Ethiopia," Agricultural Economics, International Association of Agricultural Economists, vol. 48(S1), pages 73-86, November.
    2. Pingali, Prabhu, 2007. "Westernization of Asian diets and the transformation of food systems: Implications for research and policy," Food Policy, Elsevier, vol. 32(3), pages 281-298, June.
    3. Rischke, Ramona & Kimenju, Simon C. & Klasen, Stephan & Qaim, Matin, 2015. "Supermarkets and food consumption patterns: The case of small towns in Kenya," Food Policy, Elsevier, vol. 52(C), pages 9-21.
    4. Chapoto, Antony & Zulu-Mbata, Olipa & Hoffman, Barak D. & Kabaghe, Chance & Sitko, Nicholas & Kuteya, Auckland & Zulu, Ballard, 2015. "The Politics of Maize in Zambia: Who holds the Keys to Change the Status Quo?," Food Security Collaborative Working Papers 212905, Michigan State University, Department of Agricultural, Food, and Resource Economics.
    5. Thomas Reardon & C. Peter Timmer & Christopher B. Barrett & Julio Berdegué, 2003. "The Rise of Supermarkets in Africa, Asia, and Latin America," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 85(5), pages 1140-1146.
    6. David Tschirley & Thomas Reardon & Michael Dolislager & Jason Snyder, 2015. "The Rise of a Middle Class in East and Southern Africa: Implications for Food System Transformation," Journal of International Development, John Wiley & Sons, Ltd., vol. 27(5), pages 628-646, July.
    7. Haddad, Lawrence James & Peña, Christine & Nishida, Chizuru & Quisumbing, Agnes R. & Slack, Alison T., 1996. "Food security and nutrition implications of intrahousehold bias," FCND discussion papers 19, International Food Policy Research Institute (IFPRI).
    8. repec:bla:devpol:v:26:y:2008:i:6:p:657-692 is not listed on IDEAS
    9. Brian Chisanga & Olipa Zulu-Mbata, 2018. "The changing food expenditure patterns and trends in Zambia: implications for agricultural policies," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 10(3), pages 721-740, June.
    10. repec:bla:devpol:v:21:y:2003:i::p:333-355 is not listed on IDEAS
    11. Chapoto, Antony & Haggblade, Steven & Hichaambwa, Munguzwe & Kabwe, Stephen & Longabaugh, Steven & Sitko, Nicholas J. & Tschirley, David L., 2012. "Agricultural Transformation in Zambia: Alternative Institutional Models for Accelerating Agricultural Productivity Growth, and Commercialization," Food Security Collaborative Working Papers 132339, Michigan State University, Department of Agricultural, Food, and Resource Economics.
    12. William A. Masters & Nathaniel Z. Rosenblum & Robel G. Alemu, 2018. "Agricultural Transformation, Nutrition Transition and Food Policy in Africa: Preston Curves Reveal New Stylised Facts," Journal of Development Studies, Taylor & Francis Journals, vol. 54(5), pages 788-802, May.
    13. David Stuckler & Martin McKee & Shah Ebrahim & Sanjay Basu, 2012. "Manufacturing Epidemics: The Role of Global Producers in Increased Consumption of Unhealthy Commodities Including Processed Foods, Alcohol, and Tobacco," PLOS Medicine, Public Library of Science, vol. 9(6), pages 1-8, June.
    14. Pingali, Prabhu, 2004. "Westernization of Asian diets and the transformation of food systems: Implications for research and policy," ESA Working Papers 23795, Food and Agriculture Organization of the United Nations, Agricultural Development Economics Division (ESA).
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    2. Jody Harris & Phuong Hong Nguyen & Lan Mai Tran & Phuong Nam Huynh, 2020. "Nutrition transition in Vietnam: changing food supply, food prices, household expenditure, diet and nutrition outcomes," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 12(5), pages 1141-1155, October.
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    6. Makaiko G. Khonje & Matin Qaim, 2019. "Modernization of African Food Retailing and (Un)healthy Food Consumption," Sustainability, MDPI, vol. 11(16), pages 1-18, August.
    7. Mulenga Mary Mukanu & Anne Marie Thow & Peter Delobelle & Zandile June-Rose Mchiza, 2022. "School Food Environment in Urban Zambia: A Qualitative Analysis of Drivers of Adolescent Food Choices and Their Policy Implications," IJERPH, MDPI, vol. 19(12), pages 1-18, June.
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