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Research Detail

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Sivan Yosef, MA
International Food Policy Research Institute, Washington, DC, USA

Andrew D. Jones, PhD
School of Public Health, University of Michigan, Ann Arbor, MI, USA

Barnali Chakraborty, MSc, MPH
BRAC, Dhaka, Bangladesh

Stuart Gillespie, PhD
International Food Policy Research Institute, Washington, DC, USA

Background: Although much work has been done on the theoretical links between agriculture and nutrition, there is limited understanding of the evidence from observational and experimental research studies on the impacts of agriculture programs on nutrition outcomes. Objective: To assess the emphasis of the literature on different agriculture–nutrition pathways in Bangladesh. Methods: Twenty databases and Web sites were searched, yielding more than 2400 resources that were pared down through an iterative, eliminative process to 60 articles. These articles were then rated for quality and mapped to 1 of the 6 agriculture–nutrition pathways. Results: The body of evidence reveals gaps in knowledge in all of the pathways, but especially in the areas of agriculture as a source of livelihoods, and women’s role as intermediaries between agriculture and good nutrition and health within their household. Conclusion: More research is needed on the links between agriculture and nutrition in country-specific settings, particularly as regards the role of women. Nutrition-related outcomes, such as dietary diversity and women’s empowerment, need to be measured more explicitly when evaluating the impact of agricultural production systems and development initiatives.

  Agriculture and Nutrition, Bangladesh, Mapping Evidence to Pathways
  
  00-11-2013
  00-03-2014
  Socio-economic and Policy
  Up scalling

Objective of this study was to assess the emphasis of the literature on different agriculture–nutrition pathways in Bangladesh.

It carried out a review of the empirical literature examining the nutrition implications of agriculture in Bangladesh. Aimed of this paper was to determine the extent of the published literature from Bangladesh against specific pathways from agriculture to nutrition as well as what the evidence says about the nutrition-relevant impacts of agriculture. Search Criteria and Protocols: In this paper,  searched 10 databases (eg, WorldCat, PubMed, EMBASE, and Google Scholar) between November 2013 and March 2014 using search terms pertaining to agriculture, nutrition, and food. The search terms included different combinations of the key words Bangladesh, nutrition, food security, agriculture, farm, and smallholder. It further searched 10 different Web sites associated with the Government of Bangladesh and international research and development organizations, such as CGIAR, World Bank, United Nations Standing Committee on Nutrition, and the Food and Agriculture Organization and searched the bibliographies of relevant studies for additional, nonduplicate references. This initial search yielded 2400 articles. that included full-text publications in indexed journal articles, books, grey, or unpublished sources linking nutrition outcomes to elements of agriculture in Bangladesh, published or released between January 1994 and March 2014. Examples of nutrition-relevant outcomes included the intake of calories, macronutrients, micronutrients, or specific foods; changes in anthropometry; dietary diversity; food- and nonfood expenditures; and women’s status and empowerment as linked to nutrition outcomes. The dietary intake of environmental contaminants, most notably arsenic, was included due to its direct impact on health status and in many cases related nutritional outcomes. This time period was chosen because the large majority of studies published earlier did not include any type of impact evaluations. All sources were entered into RefWorks, and duplicate, irrelevant, and inaccessible studies were removed.  Analytic Approach: The final included studies were mapped to one or more of 6 agriculture–nutrition pathways and the relevant nutrition-relevant outcomes they measured. Each study was rated separately by 2 independent reviewers according to research quality using an adapted version of quality review protocols developed by the UK’s Department for International Development. The protocols were adapted by assigning more weight to internal validity and assigning actual point values to the criteria. The research quality rating system comprised 15 tests on conceptual framing, transparency, appropriateness and rigor, internal and external validity, reliability, and clarity. Fourteen indicators received 1 point each, with the final indicator, internal validity, receiving more weight with 4 points. Internal validity scores were assigned based on the study design used: randomized controlled trials (RCTs) received 4 points; quasi-experimental studies received 3 points; longitudinal studies received 2 points; and descriptive and cross-sectional studies received 1 point. Based on their cumulative performance on this 18-point system, the studies were then graded as high quality (13 to 18 points), moderate quality (9 to 12 points), or low quality (0 to 8 points).

  Food Nutr Bull December 2015 vol. 36 no. 4 387-404
  http://fnb.sagepub.com/content/36/4/387.full
Funding Source:
1.   Budget:  
  

More research is needed on the links between agriculture and nutrition in country-specific settings, particularly as regards the role of women. Nutrition-related outcomes, such as dietary diversity and women’s empowerment, need to be measured more explicitly when evaluating the impact of agricultural production systems and development initiatives.

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