World Food Policy Volume 2, Number 1, Spring 2015 | Page 79

World Food Policy - Volume 2, Number 1 - Spring 2015 The Negative Side of the Agricultural–Nutrition Impact Pathways: A Literature Review Sandrine Dury,A Arlène AlphaB & Anne BichardC Agricultural development interventions and policies have an impact on the nutrition of individuals through changes in food availability, in food diversity, in food prices, and changes in farmers’ income. Less straightforward, they also entail many changes in health environment and in time availability for care activities. They finally have impacts on the balance of power both at the intrahousehold, community, and global levels. The impact pathways are complex and interlinked, and many recent studies have primarily focused on their positive effects. However, some agricultural interventions might have a negative impact on nutrition in certain cases. This article sets out to identify them, through a review of the scientific and institutional literature, along with expert interviews. Six risk categories are proposed, relative to incomes, prices, types of products, women’s social status and workload, the health environment, and inequalities. This review underlines the necessity to have an ex ante analysis of the nutrition impacts of any food or agricultural policy or intervention with “do not harm approach” regarding the nutrition outcomes. It gives clues to identify and mitigate the main negative outcome and advocate for more applied and well-documented research on that topic. Keywords: nutrition, agriculture, pathways, impact, development I - Introduction Lancet in 2008 and in 2013, there has been renewed interest in how agriculture affects here is a quite large and global nutrition. Ruel, Alderman, and Maternal consensus concerning the and Child Nutrition Study Group (2013) necessity to reinforce investments showed that it is necessary to develop so-called “nutrition-sensitive” and interventions in farming and the animal husbandry to achieve food and interventions, as specific interventions nutrition security. Agricultural policies, are insufficient. Recent reviews of the particularly those designed to support literature (such as those of Masset et small farmers, play a fundamental role al. 2012) have endeavored to identify in the fight against undernutrition. the effects of agricultural development Following the 2008 food price crisis and interventions (ADI) on nutrition, and put the series of articles on maternal and forward recommendations to make them child undernutrition published in The nutrition sensitive. T A CIRAD, UMR MOISA, F-34398 Montpellier, France CIR AD, UMR MOISA, F-34398 Montpellier, France C Consultante Indépendante, Ex chef de Mission Action Contre la Faim au Burkina Faso B 78