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Repurposing food and agricultural policies to deliver affordable healthy diets, sustainably and inclusively: what is at stake?

Background paper for The State of Food Security and Nutrition in the World 2022












Glauber, J. & Laborde, D. 2023. Repurposing food and agricultural policies to deliver affordable healthy diets, sustainably and inclusively: what is at stake? Background paper for The State of Food Security and Nutrition in the World 2022. FAO Agricultural Development Economics Working Papers, No. 22-05. Rome, FAO.




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    Agricultural transformation has been ongoing for decades in Ethiopia where the agenda to improve nutrition has also gained momentum. This paper assesses ways in which the government could coherently pursue the objectives of reducing the cost of the least cost healthy diet for Ethiopians and achieving faster inclusive agricultural transformation (IAT), for example by increasing agrifood output, creating rural off-farm employment and reducing rural poverty. The main finding is that pursuing IAT objectives also allows reducing the cost of the least-cost healthy diet. Ethiopian policymakers may consider repurposing the budget for agriculture to pursue IAT objectives as suggested in this paper in order to increase value for public money, not only in terms of agrifood output growth, job creation and poverty reduction, but also in terms of increasing the affordability of healthy diets.
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    FAO is focusing its attention on the pursuit of healthy diets and transformations of agrifood systems to ensure healthy diets are affordable for all. Measuring and systematically monitoring the cost and affordability of healthy diets and making progress towards ensuring the affordability of healthy diets is of upmost importance and is urgently needed. To this end, FAO is committed to institutionalize the computation of the least-cost healthy diet, and the corresponding affordability indicator, and to publish updated estimates in the annual The State of Food Security and Nutrition in the World report, as well as provide the full data series on FAOSTAT. This background paper to The State of Food Security and Nutrition in the World 2022 report presents the new methodological refinements applied in the estimation of the average cost of a healthy diet. This is an important methodological update as it results in a more robust indicator that provides greater transparency and supports long-term systematic monitoring utilizing annually updated price data. The paper then explores potential mechanisms and data sources for monitoring globally the cost of a healthy diet.
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    Europe and Central Asia – Regional Overview of Food Security and Nutrition 2022
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    This report presents the latest updates related to food security and nutrition in Europe and Central Asia, including estimates on the cost and affordability of healthy diets. It also explores how governments are supporting the food and agriculture sector and how to repurpose policies and incentives to make healthy diets more affordable and agrifood systems more environmentally sustainable.The new estimates confirm that the prevalence of hunger at chronic or severe levels is relatively low in the ECA region, through the prevalence of food insecurity at moderate or severe levels can be quite high. The region is seeing alarmingly high – and rising – rates of overweight and obesity. The COVID-19 pandemic has added 25.5 million people in the region to the ranks of the moderately or severely food insecure, leaving them without access to safe, nutritious and adequate food. The war in Ukraine has made the situation worse. Almost all ECA subregions are experiencing increased costs and reduced affordability of healthy diets because of higher food prices and lower incomes.This report contains an in-depth analysis of the repurposing of food and agricultural policies to ensure the food systems transformation is better suited to addressing the “triple challenge” of achieving food security and good nutrition for better health, providing livelihoods to farmers and others connected to the sector, and reducing the nature and climate footprint of the sector. This report also reviews complementing policies within and outside of agrifood systems to assess whether repurposing efforts are impactful in the ECA region.

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