GAIN Cash Crop Value

Chain Nutrition program

Herbert SmorenburgStockholm 6 April 2016

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Our approachOur insightsSmallholder farmers and workers contributing to global cash crop value chains remain nutritionally vulnerable. Profitable value chain sectors do not currently ensure that employment of their suppliers and workers supports adequate conditions for good health and nutrition, and ultimately high productivity.

Our aspirationTo develop a global nutrition program for cash crop value chains that is cost-effective, adaptable, replicable, scalable and sustainable.

Objective of the programImprove the nutritional status of cash crop farmer families, both smallholders and estate workers, by improving dietary diversity, supplemental food sources and handwashing.

Our approachThis is done by use of:• The behaviour change approach developed by Unilever. This is based on the four

levers of change: awareness, commitment, reinforcement and reward.• The existing supply chain infrastructure. Farmer families can be reached through

existing infrastructures and have trainers they supposedly already trust. Furthermore, it might be easier for supply chain actors to adopt the program after the implementation fase.

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Our partners

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Overview of current and potential projects

GAIN projects that aim to improve nutrition in value chains

IndonesiaJava

Malawi India KenyaKericho

Tea TeaTea

Karnataka

Gherkins

Tamil Nadu

Gherkins Tea

Northern Bengal

Tea

Assam

Tea

Pilot Scaling upCurrent projects

Project opportunities

Ghana Ivory Coast

Cocoa Cocoa

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Increased dietary diversity and intake of more nutrient dense foods

Increased purchase / acquisition of diverse nutritious foods

Improved dietary quality and nutrient intake adequacy sustained among farming households.

Increased awareness and knowledge of nutrition and dietary diversity

Trial and use of BCC materials

Participate in BCC on dietary diversity (education and materials)

Receive materials to support and reinforce BCC for dietary diversity

Increased home production of diverse, nutrient-dense foods (e.g. fruits and vegetables)

Increased awareness and knowledge of nutrition and dietary diversity

Motivation to grow own fruits and vegetables

Participate in BCC on home gardening

Receive tracking materials and seeds for vegetables or fruit

Increased utilization fortified foods

Increased knowledge of importance of key nutrients

Motivation to utilize fortified foods

Participate in BCC for use of fortified foods

Receive or have access to adequate amounts fortified foods

Increase intake of key nutrients from fortified sources

Increased frequency of handwashing

Increased awareness and knowledge of handwashing

Participate in BCC on handwashing

Improved hygiene and decreased cross-contamination.

Decreased morbidity

Dietary diversityPurchase nutritious foods

Dietary diversityCultivate nutritious foods Supplemental sources Handwashin

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Out

puts

Imm

edia

te

outc

omes

Increased worker satisfaction

Improved nutritional status and reduction of health costs

Decreased absenteeism and increased productivity

Inte

rmed

iate

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tcom

esIm

pact

Production or procurement of fortified food to specifications

Outreach trainers trained and knowledgeable of BCC

Acti

viti

es Development of locally appropriate BCC materials (based on Lifebuoy)

Design and implement BCC campaign activities

Promote home gardening (access to seeds, BCC)

Promote purchase of a diverse diet (shopping list)

Establish fortification process with estate-owned mills

Identify suppliers and facilitate procurement process for fortified staples

Design and implement BCC campaign activities

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Nutrition tea program in Indonesia

The following data was collected at baseline (May 2014) and endline (May 2015) with 252 female respondents:• Perception

• Respondent’s opinion about the current food consumption of her family and challenges she faces in providing nutritious food

• Production• Food production at home (home garden and animal husbandry)

• Consumption• 24 hour individual dietary recall

Partners: PT Sariwangi AEA, Business Watch Indonesia, GAIN Time period: 2013 – 2015Reach: 40,000 women (female tea farmers or the wife of the farmer) and 200,000 beneficiariesFunded by: The Dutch Embassy in Indonesia

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Behaviour change was combined with a home garden approachBehaviour change• Training on good nutrition practices and food

processing.• Behaviour change communication tools for farming

families.

Home garden and animal husbandry• Training on setting up poultry breeding and home

gardens.• 32 demonstration plots with nurseries.

Collaboration with the governmental nutrition agents at district level

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Increased frequency of consumption of vitamin A rich fruits and vegetables

Vitamin A rich fruits and vegetables are more often consumed daily (instead of weekly) and weekly (instead of monthly).

Baseline May 2014 Endline May 20150

20

40

60

Vitamin A rich vegetables and tubers

Monthly Weekly Daily

Baseline May 2014 Endline May 20150

10203040506070

Dark green leafy vegetablesMonthly Weekly Daily

Baseline May 2014 Endline May 20150

10203040506070

Vitamin A rich fruitsMonthly Weekly Daily

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Consumption of animal protein sources

Baseline May 2014 Endline May 20150

1020304050

Organ meatMonthly Weekly Daily

Baseline May 2014 Endline May 20150

1020304050

Flesh meatMonthly Weekly Daily

Baseline May 2014 Endline May 20150

102030405060

EggsMonthly Weekly Daily

Baseline May 2014 Endline May 20150

10

20

30

FishMonthly Weekly Daily

Eggs and fish are eaten more often after the intervention. Small increase in weekly consumption of flesh meat.

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Cultivation of vegetables in the home gardenCultivation of vegetables increased and diversified in both West and Central Java

Percentage of respondents cultivating this vegetable

Dark green leafy vegetablesBeans and legumes Other vegetables

Baseline Endline Baseline EndlineWest Java Central Java

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10.000

20.000

30.000

40.000

50.000

60.000

70.000

80.000

Spinach Kankung Green mustard leaf Longbeans Chilli Eggplant Chayote Tomato Onion

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Dietary diversity increased significantly

1 2 3 4 5 6 7 8 9 10 -

5.000

10.000

15.000

20.000

25.000

30.000

35.000

40.000

45.000

Baseline May 2014Endline May 2015

Minimum Dietary Diversity for Women (MDD-W) score10 food groups

Percentage of respondents

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Visit of the minister of Social Affairs

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Indonesian government committed to scaling up in 30,000 villages

• The minister of Social Affairs, Khofifah Indar Parawansa, visited the nutrition program in Central Java in June 2015.

• Indonesian government has committed to rolling out the nutrition program to 30,000 villages in the Nusa Tenggara Timur region.

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THANK YOU