Research Gaps in Food and Nutrition
Security Across Africa
Richmond Aryeetey
University of Ghana School of Public Health
3
Billion
Poor Quality Diets
3-16%
GDP
loss
Undernutrition: Africa & Asia
3 – 6
million
cases
Nigeria (2011-2030)
Key challenges of Food & Nutrition Security
(IFPRI, 2016; Global Panel, 2016)
Generate new
evidence
Manage and
Use existing
evidence
Assumptions about research
Research
Evidence
Better decisions
Broader evidence landscape
Case studies in Ghanaian context
Evidence
Synthesis
Evidence landscape
Utilization for
Decision
making
New
Research
(applied)
New
research
(basic)
Strengthen quality
Formalize evidence
use
Share evidence
Promote use of
evidence
Demand
Existing research Data
& findings
generate manage translate use
“Level of evidence” pyramid
GOLDEN STANDARD
GAPS in EVIDENCE Landscape
–Substantial duplication of research effort
–Research not adequately linked with local
priorities
–Research was driven by external parties
–Research and policy community not linked
Lachat et al 2014, Holdsworth et al, 2014)
Identifying nutrition problems,
agenda-setting, commitment-building,
and priority-setting at all levels
Coordination, alignment and
collaboration in assessments,
analytics, planning,
implementation and evaluation
Accessing information on
potential nutrition-specific
interventions, nutrition
sensitive actions, programs,
policies, and implementation
innovations
Adopting, adapting and
designing actions and
innovations
Detailed implementation planning,
guidelines, commodities, training
Mobilizing human,
financial and
organizational
resources
Initiating, managing
and expanding
implementation
Monitoring, evaluating,
learning, adapting,
sustaining and/or
terminating
Implementation
Capacities
Procedures,
Practices,
Policies
Implementation
Knowledge
Portfolio
Evidence,
Information,
Guidelines,
Experience
The Roles of Implementation Knowledge and Capacities
(in the Implementation Spectrum)
Credit: David Pelletier
Food and Nutrition Research landscape in Ghana
• Micronutrient deficiencies
• Epidemiology of undernutrition focused on children
• Limited attention to nutrition of women and adolescents
Focus on
undernutrition
• Focused on epidemiology of overweight/obesity
• Limited evidence on diets, food environment & behaviors
• Experiments testing interventions are rare
Emerging attention
on over-nutrition
• Focused on social safety nets and nutrition-sensitive food
security
• Limited evidence on harnessing poverty alleviation programs
to address nutrition
Emerging attention
to nutrition sensitive
research
NUTRITIONLINKS
1. Gaps identified in Nutrition Links Project
• How can effective
strategies in nutrition
sensitive agriculture
work in one setting but
not in another?
Replicating
success
• What strategies are
needed to promote
inter-institutional
planning and
programming between
health and agriculture?
Delivery
mechanisms
• Integration of data
systems across
Agriculture, health,
nutrition, livelihoods?
• Quality of routine data
• Strenthening use
District Data
systems
2. Priority research gaps in Nutrition in Ghana
Behavioural issues
• Understanding traditional diets
• Socio-cultural influences on
diet and nutrition
• Social and behaviour change
• Dynamics of complementary
feeding
Implementation issues
• Local context evidence for
recommended actions
• Implementation gaps
• How social norms influence
intervention uptake
Anemia (women and children), Stunting, iodine deficiency
disorders, zinc deficiency and diarria
3. Research Gaps relating to healthy diets in Ghana
Weak contextual evidence for developing food-
based dietary guidelines
Food consumption behaviour
• Portion sizes
• Eating habits
Understanding of the food environment
• Food access
• Food composition
Drivers of food choice
4. SUN Movement Nutrition Research Gaps
Nutrition capacity
• Mapping capacity in
nutrition
• Building nutrition
capacity in non-health
sectors
• Deploying nutrition
training through
community
institutions eg banks
Nutrition sensitive
interventions
• How to make social
protection programs
work for nutrition
• Promoting uptake and
scale up of nutrition-
sensitive solutions eg
OFSP, ODF
Working together
• Understanding best
mechanisms for
working together
across sectors
• How to build and
sustain
transformational
leadership in multi-
sectoral teams
Food and nutrition data systems to monitor progress
Conclusions
• There is need for attention to broader evidence pipeline
• Leadership is needed at country level to manage food and
nutrition security research across sectors
• Need to recognize the contextual differences within countries
and to focus attention on understanding subnational gaps in
evidence

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Research Gaps in Food and Nutrition Security Across Africa

  • 1. Research Gaps in Food and Nutrition Security Across Africa Richmond Aryeetey University of Ghana School of Public Health
  • 2. 3 Billion Poor Quality Diets 3-16% GDP loss Undernutrition: Africa & Asia 3 – 6 million cases Nigeria (2011-2030) Key challenges of Food & Nutrition Security (IFPRI, 2016; Global Panel, 2016) Generate new evidence Manage and Use existing evidence
  • 4. Broader evidence landscape Case studies in Ghanaian context
  • 5. Evidence Synthesis Evidence landscape Utilization for Decision making New Research (applied) New research (basic) Strengthen quality Formalize evidence use Share evidence Promote use of evidence Demand Existing research Data & findings generate manage translate use
  • 6. “Level of evidence” pyramid GOLDEN STANDARD
  • 7. GAPS in EVIDENCE Landscape –Substantial duplication of research effort –Research not adequately linked with local priorities –Research was driven by external parties –Research and policy community not linked Lachat et al 2014, Holdsworth et al, 2014)
  • 8. Identifying nutrition problems, agenda-setting, commitment-building, and priority-setting at all levels Coordination, alignment and collaboration in assessments, analytics, planning, implementation and evaluation Accessing information on potential nutrition-specific interventions, nutrition sensitive actions, programs, policies, and implementation innovations Adopting, adapting and designing actions and innovations Detailed implementation planning, guidelines, commodities, training Mobilizing human, financial and organizational resources Initiating, managing and expanding implementation Monitoring, evaluating, learning, adapting, sustaining and/or terminating Implementation Capacities Procedures, Practices, Policies Implementation Knowledge Portfolio Evidence, Information, Guidelines, Experience The Roles of Implementation Knowledge and Capacities (in the Implementation Spectrum) Credit: David Pelletier
  • 9. Food and Nutrition Research landscape in Ghana • Micronutrient deficiencies • Epidemiology of undernutrition focused on children • Limited attention to nutrition of women and adolescents Focus on undernutrition • Focused on epidemiology of overweight/obesity • Limited evidence on diets, food environment & behaviors • Experiments testing interventions are rare Emerging attention on over-nutrition • Focused on social safety nets and nutrition-sensitive food security • Limited evidence on harnessing poverty alleviation programs to address nutrition Emerging attention to nutrition sensitive research
  • 10. NUTRITIONLINKS 1. Gaps identified in Nutrition Links Project • How can effective strategies in nutrition sensitive agriculture work in one setting but not in another? Replicating success • What strategies are needed to promote inter-institutional planning and programming between health and agriculture? Delivery mechanisms • Integration of data systems across Agriculture, health, nutrition, livelihoods? • Quality of routine data • Strenthening use District Data systems
  • 11. 2. Priority research gaps in Nutrition in Ghana Behavioural issues • Understanding traditional diets • Socio-cultural influences on diet and nutrition • Social and behaviour change • Dynamics of complementary feeding Implementation issues • Local context evidence for recommended actions • Implementation gaps • How social norms influence intervention uptake Anemia (women and children), Stunting, iodine deficiency disorders, zinc deficiency and diarria
  • 12. 3. Research Gaps relating to healthy diets in Ghana Weak contextual evidence for developing food- based dietary guidelines Food consumption behaviour • Portion sizes • Eating habits Understanding of the food environment • Food access • Food composition Drivers of food choice
  • 13. 4. SUN Movement Nutrition Research Gaps Nutrition capacity • Mapping capacity in nutrition • Building nutrition capacity in non-health sectors • Deploying nutrition training through community institutions eg banks Nutrition sensitive interventions • How to make social protection programs work for nutrition • Promoting uptake and scale up of nutrition- sensitive solutions eg OFSP, ODF Working together • Understanding best mechanisms for working together across sectors • How to build and sustain transformational leadership in multi- sectoral teams Food and nutrition data systems to monitor progress
  • 14. Conclusions • There is need for attention to broader evidence pipeline • Leadership is needed at country level to manage food and nutrition security research across sectors • Need to recognize the contextual differences within countries and to focus attention on understanding subnational gaps in evidence

Editor's Notes

  • #7: For example P: I:e.g. drug or a therapy, a screening questionnaire or a health improvement program, or an exposure. C: O: For example, you may be interested in knowing whether an intervention has a health benefit or a service quality improvement, or whether an exposure results in mortality.
  • #8: Sustainable Nutrition Research for Africa in the Years to come (SUNRAY)