Experts estimate that in low- and middle-income countries, optimal breastfeeding has the potential to prevent more than 800,000 deaths in children under age 5 and 20,000 deaths in women every year. Despite this, breastfeeding remains underexploited globally. While the progress seen is positive, there is still a long way to go to achieve global nutrition targets.
In low-income countries, poor dietary diversity is driven in large part by the low availability and affordability of nutritious foods like fresh fruits and vegetables, dairy products and other animal sourced foods. In a recent assessment, GAIN determined that small-and medium-sized enterprises (SMEs), or small and mighty enterprises as GAIN likes to call them, produce, process or sell up to 70% of nutritious food sold in low-income markets in Africa.
In urban areas in Low- and Middle-Income Countries, rates of overweight, obesity and diet-related non-communicable diseases (NCDs) are increasing. At the same time, undernutrition persists, particularly among those on low incomes. Where people acquire their food and factors such as availability, affordability and convenience all influence what people eat in urban areas (i.e. urban food environments) and are essential to people’s diets, nutrition and health
Consumption of sugar-sweetened beverages (SSBs) is rising rapidly, especially in urban areas in low- and middle-income countries (LMICs). SSB consumption increases the risk for overweight and obesity, which are linked to a variety of non-communicable diseases (NCDs), including diabetes, cardiovascular diseases and certain types of cancer. One policy tool targeted at lessening the consumption of SSBs is a SSB tax, which increases the price of sugary drinks in a given area, which could be a single city, states or a country.
These manuals have been prepared for use by persons and organisations wishing to manufacture and supply complementary foods in different countries. The manuals have been specifically prepared for use in the countries of Ethiopia, Kenya, Mozambique and Rwanda and contain generic information that will be applicable irrespective of the country concerned but also contain specific information relating to the four aforementioned countries.
Vegetables for All (VfA) targets the whole vegetable chain from seed to stomach. In north- eastern Tanzania, the availability of vegetables is intrinsically linked to the dry and wet seasons causing fluctuations in access to nutritious vegetables. This problem is compounded by poor access to high quality seeds and other inputs and high levels of post-harvest loss which prevent vegetables reaching markets in the region.
In 2016, the Global Alliance for Improved Nutrition (GAIN) and its partners spotted a gap in postharvest loss interventions targeted to a) nutritious foods and b) working in the supply chain beyond the farm. The Postharvest Loss Alliance for Nutrition (PLAN) was launched in Nigeria.
Public food procurement refers to how governments purchase and provide food to defined populations. Institutional food procurement refers to food purchasing and provision by organisations like schools, hospitals, care homes, youth clubs, prisons, and workplaces. Local governments often manage public food procurement at these institutions, serving food to students, patients, employees, and their families.
Dietary intake data are required to design, monitor, and evaluate nutrition programmes and policies; however, current dietary assessment methods are complex, time consuming, and costly. Recently, GAIN developed a semi-quantitative food frequency questionnaire (SQ-FFQ) that can be used in coverage surveys to estimate the amount of fortified and biofortified foods consumed and their contributions to nutrient intakes.
In Nigeria, 40–50% of fresh fruits and vegetables are lost during crating, transportation, storage and processing. In the tomato sector, for instance, it is estimated that more than 40% of tomato production does not reach consumers. One of the main reasons for this massive waste is the lack of a temperature-controlled supply chain— known as cold chain which prevents fresh foods from spoiling between farm and market.
