Micronutrient deficiencies are common across the developing world and have major effects on the health outcomes of its population. Although this is well understood, many countries find it difficult to bring about policy change in this regard. This paper uses micronutrient policies designed and implemented in Malawi as a case study to shed light on the barriers and gaps faced by developing countries for similar programs and policies. To understand the drivers of policy change, this paper uses the kaleidoscope model to trace the policy processes of three major micronutrients—iodine, vitamin A, and iron. Using a select set of policy process tools, as well as field interviews with key informants who were part of Malawi’s micronutrient policy process, the authors test a set of hypotheses on 16 variables that drive policy change in the micronutrient policy sphere. Results indicate that much of the agenda setting for micronutrient policies and programs was triggered by external events that focused on the elimination of micronutrient deficiencies as part of the global development agenda. These events include the International Conference on Nutrition, the Millennium Development Goals, and, more recently, Scaling up Nutrition. The design of micronutrient policies and program interventions in Malawi was adopted by locally mandated ministries and institutions, in collaboration with development partners who provided both financial and technical support at the design stage. The adoption of micronutrient policies and intervention programs was driven primarily by external funding, particularly through supplementation programs related to vitamin A and iron. Adoption of fortification standards for vitamin A has been going on for more than a decade due to continuous resistance from the private sector, which faces additional costs and needs greater technical expertise. The biofortification method of micronutrient interventions for iron and vitamin A is externally driven and relatively new in Malawi. Although this method is widely accepted by policy makers, no concrete strategy has been developed for its design, adoption, and implementation. Further, supplementation and fortification programs continue to face implementation challenges due to poor physical infrastructure and monitoring systems. However, the national institutional architecture required for agenda setting, design, adoption, implementation, evaluation, and review to address micronutrient deficiencies is in place in Malawi. The system needs continued support from development partners for effective functioning at all levels. The use of various tools for the policy change part of the kaleidoscope model indicate that policy change is a dynamic process; over time, changes in the nature and composition of the members of policy and institutional architecture can result in different policy outcomes. The Malawi case study demonstrates two things. First, local leadership is crucial in keeping micronutrient deficiencies on the policy-making agenda, and second, it matters where coordinating power is placed in the policy hierarchy. This paper finds that, even with policy champions, adopted policies will face implementation challenges unless they are supported with adequate resources and are systematically followed through to final execution and delivery.

This review of the micro-nutrient policy process in Zambia serves as a companion piece to two parallel studies in Malawi and South Africa. All three studies employ the Kaleidoscope Model of policy change to trace the causal forces leading to key micro-nutrient policy decisions in each of the three countries. After outlining the overall micronutrient policy process in Zambia, the study focuses on policy decisions affecting three micro-nutrients – iodine, iron and Vitamin A. Although iodine deficiency has dropped precipitously as a result of Zambia’s salt iodization mandate, progress in combatting iron and Vitamin A deficiencies has proven more difficult. As a result, micro-nutrient policies have changed over time, in an effort to find effective tools for combatting these lingering micro-nutrient deficiencies and the considerable health risks they impose. The analysis in this paper traces the evolution of policies adopted through multiple iterations beginning in 1978 and running through to the present time. To supplement the voluminous published and grey literature on micro-nutrient status and policies in Zambia, the research team conducted semi-structured interviews with several dozen policy stakeholders in Zambia in June and July 2015 using a standardized interview guide

This book offers an essential, comprehensive, yet accessible reference of contemporary food security discourse and guides readers through the steps required for food security analysis. Food insecurity is a major obstacle to development and achievement of the Sustainable Development Goals. It is a complex issue that cuts across traditional sectors in government and disciplines in academia. Understanding how multiple elements cause and influence food security is essential for policymakers, practitioners and scholars. This book demonstrates how evaluation can integrate the four elements of food security (availability, access, nutrition and resilience) and offers practical tools for policy and programme impact assessment to support evidence-based planning. Aimed at researchers, postgraduates and those undertaking professional development in food studies, agricultural economics, rural development, nutrition and public health, the book is key reading for those seeking to understand evidence-based food security analysis.

Agriculture's vast potential to improve nutrition is just beginning to be tapped. New ideas, research, and initiatives developed over the past decade have created an opportunity for reimagining and redesigning agricultural and food systems for the benefit of nutrition. To support this transformation, the book reviews the latest findings, results from on-the-ground programs and interventions, and recent policy experiences from countries around the world that are bringing the agriculture and nutrition sectors closer together. Drawing on IFPRI's own work and that of the growing agriculture-nutrition community, this book strengthens the evidence base for, and expands our vision of, how agriculture can contribute to nutrition. Chapters cover an array of issues that link agriculture and nutrition, including food value chains, nutrition-sensitive programs and policies, government policies, and private sector investments. By highlighting both achievements and setbacks, Agriculture for Improved Nutrition seeks to inspire those who want to scale up successes that can transform food systems and improve the nutrition of billions of people.

When and why do suboptimal agricultural policies persist despite technical evidence highlighting alternatives? And what explains episodes of reform after prolonged periods of policy inertia? This paper addresses these questions by applying the Kaleidoscope Model for agricultural and food security policy change to the specific case of agricultural input policy in Zambia. Since 2002, the Farmer Input Support Program (formerly the Fertilizer Support Program) has been a cornerstone of Zambia’s agricultural policy. Over the years, however, many researchers have highlighted weaknesses in the program and proposed other options. Based on semistructured interviews with key stakeholders and intensive process tracing using media, donor, parliamentary, and research reports, this paper examines how the program initially began in 2002 and during subsequent periods of reform in 2009 and 2015. Based on the findings here, periods of reform for input support programs are most likely when there is a confluence of multiple factors. These include the emergence of a window of opportunity in the form of either a focusing event (for example, a food crisis) or an institutional shift (for example, a new president or new ruling party) that coincides with broad stakeholder support for empirically grounded alternatives, available material resources, and sustained commitment from politically important policy makers.

To feed a growing population, agricultural productivity needs to increase dramatically. Agricultural extension information, with its public, non-rival nature, is generally undersupplied, and public provision remains challenging. In this research, we explore the effectiveness of alternative modes of agricultural extension information delivery. We test whether simple agricultural extension video messages delivered through Android tablets increase knowledge of recommended practices in seed selection, storage, and handling among a sample of potato farmers in southwestern Uganda. Using a field experiment with ex ante matching in a factorial design, we find that showing agricultural extension videos significantly affects farmers’ knowledge. However, our results suggest impact pathways that go beyond simply replicating what was shown in the video. Video messages may also trigger a process of abstraction, whereby farmers apply insights gained in one context to a different context. Alternatively, video messages may activate knowledge farmers already posses but, for some reason, do not use.

Household consumption and expenditure surveys (HCES) are multipurpose surveys that are routinely conducted to collect data on household food consumption and availability in more than 120 countries. HCES are increasingly being used to calculate proxy estimates of food consumption, nutrient intakes, and nutrition status, often at the individual level. Rarely, however, do they collect information on meal participation, despite growing evidence that it is an increasingly important and variable component of the quantity of food consumed or available in a household. This paper explores the significance of adjusting for meal participation in making inferences about apparent food consumption and nutrient intakes. It focuses on two distinct sets of additional information requirements for enhancing the reliability and precision of measures of food consumption: (1) individual household members’ and household guests’ meal-eating behaviors, and (2) the number and apparent nutritional significance of meals. While the most comprehensive and precise accounting of intakes of individual food consumption and nutrients requires both types of information, the magnitude of the changes required in HCES questionnaires to capture them is likely to be prohibitive. Consequently, for many HCES, a “second best” approach may be the most effective method, at least in the short term. The paper empirically explores some of the relatively few HCES that currently attempt to capture some of these information requirements. In addition, it assesses their value-added to prioritize the global agenda for strengthening HCES measurement of food consumption in support of more evidence-based nutrition policy making.

What are the political and institutional prerequisites for pursuing policies that contribute to structural transformation? This paper addresses this question by focusing on Ghana, which has achieved sustained economic growth in recent decades and is broadly lauded for its environment of political pluralism, respect for human rights, free and fair elections, and vocal civil society. Yet, despite these virtues, Ghana remains unable to achieve substantial structural transformation as identified as changes in economic productivity driven by value-added within sectors and shifts in the allocation of labor between sectors. This paper argues that Ghana is strongly democratic but plagued by weak state capacity, and these politico-institutional characteristics have shaped the economic policies pursued, including in the agricultural sector, and the resultant development trajectory. Specifically, three political economy factors have undermined Ghana’s ability to achieve substantive structural transformation since then. First, democracy has enabled a broader range of interest groups to permeate policymaking decisions, often resulting in policy backtracking and volatility as well as fiscal deficits around elections that, among other things, stifle credit access for domestic business through high interest rates. Secondly, public sector reforms were not pursued with the same vigor as macroeconomic reforms, meaning that the state has lacked the capacity typically necessary to identify winning industries or to actively facilitate the transition to higher value-added sectors. Thirdly, successive governments, regardless of party, have failed to actively invest in building strong, productive relationships with the private sector, which is a historical legacy of the strong distrust and alienation of the private sector that characterized previous government administrations.

Contract farming (CF) is attractive as a possible private-sector-led strategy for improving smallholder farmers’ welfare. Yet many CF schemes suffer from high turnover of participating farmers and struggle to survive. So far, the dynamics of CF participation have remained largely unexplored. We employ duration analysis to examine factors affecting entry into and exit from different maize CF schemes in northern Ghana, focusing specifically on the impact of development projects on CF entry and exit. We find that agricultural development projects reduce the likelihood of scheme entry and increase the likelihood of exit. Our findings confirm concerns that, if interventions are not planned in accordance with relevant private-sector actors, private-sector initiatives can be hindered by competing development projects.

With 7 million borrowers and US$5.4 billion in outstanding loans in 2012, the Viet Nam Bank for Social Policies (VBSP) is the largest single microcredit lender in the world. We measure the impact of VBSP lending and seek to answer the question of whether continued subsidies to the bank, which amount to about 2 percent of the value of its loans, are justified. VBSP grew particularly rapidly between 2004 and 2008, when its share of total loans in Viet Nam rose from 10 to 27 percent, and by 2008 an estimated two-fifths of its loans were ostensibly used for directly productive purposes. Using data from a panel of 1,846 rural households interviewed in 2004, 2006, and 2008 as part of the Viet Nam Household Living Standards Survey, we estimated the impact of VBSP lending on consumption and income per capita, as well as self-employment earnings. Both an intention-to-treat model with fixed effects, and a quantity-of-credit model with fixed effects and using instrumental variables, show significant or close to significant impacts of VBSP microloans on consumption and income, but our data do not have enough power to determine whether this mainly works via agricultural or nonagricultural self-employment income. Without VBSP, the rural poverty rate would have been 0.7 percentage points higher in 2008 than it actually was. The subsidy is likely justified, given the evidence and scale of the positive impact of VBSP loans on consumption spending and the concentration of benefits among poorer households in Viet Nam.