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Improving Food Security, Nutrition and Health of Vulnerable Women and Children in The Gambia - GCP/GAM/038/EC








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    Book (series)
    Evaluation of the project “Improving Food Security and Nutrition in the Gambia through Food Fortification”
    Project code: GCP/GAM/038/EC
    2023
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    This European Union-funded project aimed to improve the nutritional and health status of vulnerable populations suffering from micronutrient deficiencies, particularly women, girls and children, in the Central River Region and the North Bank Region of the Gambia. The evaluation found that the project was relevant as it addressed undernutrition through industrial and biofortification of foods, a globally accepted approach and a cost-effective way to help improve vitamin mineral status. Further, the project helped to strengthen national capacities of key national institutions. The project was also instrumental in influencing policy formulation on industrial and biofortification and establishing intersectoral coordination. The evaluation makes a number of recommendations, which include continuation of strengthening operational and technical capacity in the Gambia on industrial and biofortification, and increased investment in food fortification programming, given its high relevance as a tool to combat challenges of malnutrition in the Gambia.
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    Book (series)
    Food system strategies for preventing micronutrient malnutrition
    ESA Working Paper 13-06
    2013
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    Micronutrients are defined as substances in foods that are essential for human health and are required in small amounts. They include all of the known vitamins and essential trace minerals. Micronutrient malnutrition affects a third to a half of the global population. It causes untold human suffering and levies huge costs on society in terms of unrealized human potential and lost economic productivity. The goal of this paper is to identify deficiencies in the food system that lead to micronutrient malnutrition and explore and evaluate strategies for its prevention. We examine the impact of agricultural practices on micronutrients in the food supply, including cropping systems, soil fertility and animal agriculture. We then discuss the potential of biofortification –i.e. increasing the concentration of micronutrients in staple food crops through conventional plant breeding or genetic engineering– as a means to reduce micronutrient deficiency. In addition, we discuss the impact of food losses and food waste on micronutrients in the food supply, and we explore successful strategies to preserve micronutrients from farm to plate, including food fortification. Our review of the literature sheds light on the advantages and limitations of alternative interventions to reduce micronutrient deficiencies along the supply chain. We end with recommendations for actions that will reduce the prevalence of micronutrient malnutrition.
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    Document
    Biofortification: Evidence and lessons learned linking agriculture and nutrition 2013
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    Biofortification, the process of breeding nutrients into food crops, provides a comparatively cost-effective, sustainable, and long-term means of delivering more micronutrients. The biofortification strategy seeks to put the micronutrient-dense trait in those varieties that already have preferred agronomic and consumption traits, such as high yield and disease resistance. Marketed surpluses of these crops may make their way into retail outlets, reaching consumers first in rural and then urban ar eas. Progress to date in breeding and delivering biofortified crops is discussed. The nutrition evidence on bioavailability and efficacy is growing. Completed nutrition studies for each crop are briefly discussed. Human studies have included a variety of technologies, including stable isotope methods, which are among the most powerful to measure bioavailability and efficacy. Efficacy and effectiveness studies are available for orange-fleshed sweetpotato (OFSP); full evidence is not yet available for biofortified maize, cassava, or golden rice, but initial bioavailability and efficacy results are promising. Efficacy trials have been completed for iron crops (beans and pearl millet) and evidence for zinc biofortification is still developing. Food-based approaches to improve nutrition face challenges in providing rigorous evidence that they can deliver nutrition improvements in a cost-effective and timely manner. The experience of delivering OFSP is reviewed and discussed, including the c hallenges of marketing a visible trait and changing perceptions of OFSP as merely a food security crop. Whether implementing or integrating OFSP programs, strong and effective partnering practices are required; strategies for successful implementation of cross-sectoral nutrition sensitive programming are discussed. Biofortification is yet to be fully scaled-up in a single country, but much evidence and experience has been assembled to support its eventual effectiveness. Policies to support cross sectoral implementation at all levels, as well as increasing the evidence base, will contribute to making biofortification a cost-effective investment in a more nourishing future.

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