Strengthening agriculture-nutrition linkages to improve consumption of nutrient-dense perishable foods in India - existing evidence and way forward

Authors

  • Kiruthika Selvaraj Clinical Division, National Institute of Nutrition (ICMR), Hyderabad, Telangana, India
  • Ankita Mondal Clinical Division, National Institute of Nutrition (ICMR), Hyderabad, Telangana, India
  • Bharati Kulkarni Clinical Division, National Institute of Nutrition (ICMR), Hyderabad, Telangana, India

DOI:

https://doi.org/10.21839/jfna.2021.v4.7201

Keywords:

Nutrition policy, nutritional status, animal source foods, fruits and vegetables, nutrition sensitive agricultural interventions

Abstract

The triple burden of malnutrition in India is largely contributed by poor quality diets lacking adequate intake of nutrient dense perishable foods (NDPFs) - milk, eggs, fruits and vegetables. This is intriguing because India is one of the largest producers of NDPFs. This review examines possible reasons for this disparity. Poor post-harvest infrastructure, price volatility, unorganized supply chains, long-standing government policies favouring cereals and increasing consumer preference of convenience foods are identified as major reasons for the low intake of NDPFs. While nutrition-sensitive agriculture interventions appear promising to improve intakes of NDPF, stronger evidence is needed to scale up these interventions.

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References

Alae-Carew, C., Bird, F.A., Choudhury, S., Harris, F., Aleksandrowicz, L., Milner, J., Joy, E., Agrawal, S., Dangour, A., & Green. R. (2019). Future diets in India: A systematic review of food consumption projection studies. Global Food Security, 23, 182-190. https://doi.org/10.1016/j.gfs.2019.05.006

Ali, J., Kapoor, S., & Moorthy, J. (2010). Buying behaviour of consumers for food products in an emerging economy. British Food Journal, 112(2), 109-124. https://doi.org/10.1108/00070701011018806

Aurino, E., & Morrow, V. (2018). “Food prices were high, and the dal became watery”. Mixed-method evidence on household food insecurity and children’s diets in India. World Development, 111, 211-224. https://doi.org/10.1016/j.worlddev.2018.07.009

Bailey, C., Garg, V., Kapoor, D., Wasser, H., Prabhakaran, D., & Jaacks, L. M. (2018). Food choice drivers in the context of the nutrition transition in Delhi, India. Journal of Nutrition Education and Behavior, 50(7), 675-686. https://doi.org/10.1016/j.jneb.2018.03.013

Berti, P. R., Krasevec, J., & FitzGerald, S. (2004). A review of the effectiveness of agriculture interventions in improving nutrition outcomes. Public Health Nutrition, 7(5), 599-609. https://doi.org/10.1079/PHN2003595

Bhaskar, A. V., Nithya, D., Raju, S., & Bhavani, R. (2017). Establishing integrated agriculture-nutrition programmes to diversify household food and diets in rural India. Food Security, 9(5), 981-999. https://doi.org/10.1007/s12571-017-0721-z

Bird, F. A., Pradhan, A., Bhavani, R., & Dangour, A. D. (2019). Interventions in agriculture for nutrition outcomes: A systematic review focused on South Asia. Food Policy, 82, 39-49. https://doi.org/10.1016/j.foodpol.2018.10.015

Birdi, T. J., & Shah, S. U. (2016). Implementing perennial kitchen garden model to improve diet diversity in Melghat, India. Global Journal of Health Science, 8(4), 10. https://doi.org/10.5539/gjhs.v8n4p10

Chakravarty, I. (2000). Food-based strategies to control vitamin A deficiency. Food and Nutrition Bulletin, 21(2), 135-143. https://doi.org/10.1177/156482650002100205

Chatterjee, S., & Kapur, D. (2017). Six puzzles in indian agriculture. Paper presented at the India Policy Forum 2016.

Chaturvedi, S., Ramji, S., Arora, N., Rewal, S., Dasgupta, R., & Deshmukh, V. (2016). Time-constrained mother and expanding market: emerging model of under-nutrition in India. BMC Public Health, 16(1), 632. https://doi.org/10.1186/s12889-016-3189-4

Chittora, N., Bisht, V., & Johar, V. (2017). Marketing and production of fruits and vegetables in India. International Journal of Current Microbiology and Applied Sciences, 6, 2896-2907. https://doi.org/10.20546/ijcmas.2017.609.356

Choudhary, S. (2014). Rising market of convenience food in India. ACADEMICIA: An International Multidisciplinary Research Journal, 4(12), 28-33.

Choudhury, S., Shankar, B., Aleksandrowicz, L., Tak, M., Green, R., Harris, F., & Dangour, A. (2018). Global Food Security.

Dangour, A. D., Hawkesworth, S., Shankar, B., Watson, L., Srinivasan, C. S., Morgan, E. H., Haddad, L., & Waage, J. (2013). Can nutrition be promoted through agriculture-led food price policies? A systematic review. BMJ open, 3(6), e002937. https://doi.org/10.1136/bmjopen-2013-002937

Dasi, T., Selvaraj, K., Pullakhandam, R., & Kulkarni, B. (2019). Animal source foods for the alleviation of double burden of malnutrition in countries undergoing nutrition transition. Animal Frontiers, 9(4), 32-38. https://doi.org/10.1093/af/vfz031

Department of Animal Husbandry, D. F. (2017). National Action Plan for Egg & Poultry-2022. Ministry of Agriculture & Farmers Welfare, Government of India.

Devi, S. M., Balachandar, V., Lee, S. I., & Kim, I. H. (2014). An outline of meat consumption in the Indian population-A pilot review. Korean Journal for Food Science of Animal Resources, 34(4), 507. https://doi.org/10.5851/kosfa.2014.34.4.507

Dhir, B., & Singla, N. (2019). Consumption Pattern and Health Implications of Convenience Foods: A Practical Review. Current Journal of Applied Science and Technology, 1-9. https://doi.org/10.9734/cjast/2019/v38i630455

Dubé, L., McRae, C., Wu, Y-H., Ghosh, S., Allen, S., Ross, D., Ray, S., Joshi, P. K., Dermott, J., Jha, S., & Moore, S. (2020). Impact of the eKutir ICT-enabled social enterprise and its distributed micro-entrepreneur strategy on fruit and vegetable consumption: A quasi-experimental study in rural and urban communities in Odisha, India. Food Policy, 90, 101787. https://doi.org/10.1016/j.foodpol.2019.101787

Dubey, J., & Patel, R. P. (2004). Small wonders of the Indian market. Journal of Consumer Behaviour: an International Research Review, 4(2), 145-151. https://doi.org/10.1002/cb.165

Gaiha, R., Kulkarni, V. S., Pandey, M. K., and Imai, K. S. (2012). On hunger and child mortality in India. Journal of Asian and African studies, 47(1), 3-17. https://doi.org/10.1177/0021909611427015

Gardas, B. B., Raut, R. D., & Narkhede, B. (2018). Evaluating critical causal factors for post-harvest losses (PHL) in the fruit and vegetables supply chain in India using the DEMATEL approach. Journal of Cleaner Production, 199, 47-61. https://doi.org/10.1016/j.jclepro.2018.07.153

Gavaravarapu, S. M. (2019). Nutrition communication-Rhetoric & reality. The Indian Journal of Medical Research, 149(3), 333. https://doi.org/10.4103/ijmr.IJMR_1772_18

Gillespie, S., Harris, J., & Kadiyala, S. 2012. The agriculturenutrition disconnect in India: what do we know? IFPRI Discussion Paper 1187. Washington, DC: International Food Policy Research Institute.

Girard, A. W., Self, J. L., McAuliffe, C., & Olude, O. (2012). The effects of household food production strategies on the health and nutrition outcomes of women and young children: a systematic review. Paediatric and Perinatal Epidemiology, 26, 205-222. https://doi.org/10.1111/j.1365-3016.2012.01282.x

Government of Chattisgarh. (2019). Retrieved from https://agriportal.cg.nic.in/agridept/AgriHi/

Gunasekaran, S., & Vikkraman, P. (2016). A Study on Branding of Eggs in Select Areas of Tamilnadu. Asian Journal of Research in Social Sciences and Humanities, 6(7), 1870-1882. https://doi.org/10.5958/2249-7315.2016.00550.5

Gupta, V., Downs, S. M., Ghosh-Jerath, S., Lock, K., & Singh, A. (2016). Unhealthy fat in street and snack foods in low-socioeconomic settings in India: a case study of the food environments of rural villages and an urban slum. Journal of Nutrition Education and Behavior, 48(4), 269-279. e261. https://doi.org/10.1016/j.jneb.2015.11.006

High Level Panel of Experts on Food Security and Nutrition. (2017). Food Systems. A Report by the High Level Panel of Experts on Food Security and Nutrition of the Committee on World Food Security, 152.

Indian Council of Agriculture Research-Indian Agricultural Research Institute. (2017). Krishikosh a Digital Repository of NARES. National Agricultural Innovation Project (NAIP). Retrieved from https://krishikosh.egranth.ac.in/

International Institute of Population Sciences. (2017). National Family Health Survey (NFHS-4), 2015–16.

Jha, S. K., Pinsonneault, A., & Dubé, L. (2016). The evolution of an ICT platform-enabled ecosystem for poverty alleviation: The case of eKutir. MIS Quarterly, 40(2), 431-445.

Kadiyala, S., Harris, J., Headey, D., Yosef, S., and Gillespie, S. (2014). Agriculture and nutrition in India: mapping evidence to pathways. Annals of the New York Academy of Sciences, 1331(1), 43-56. https://doi.org/10.1111/nyas.12477

Kehoe, S. H., Dhurde, V., Bhaise, S., Kale, R., Kumaran, K., Gelli, A., Rengalakshmi, R., Lawrence, W., Bloom, I., Sahariah, S. A., Potdar, R. D., & Fall, C. H. D. (2019). Barriers and facilitators to fruit and vegetable consumption among rural Indian women of reproductive age. Food and Nutrition Bulletin, 40(1), 87-98. https://doi.org/10.1177/0379572118816459

Kesavan, P., & Swaminathan, M. S. (2012). Evergreen Revolution in Agriculture: Pathway to a Green Economy: Westville Publishing House.

Khandelwal, S., Verma, G., Shaikh, N. I., Siegel, K. R., Soni, D., Soni, D., & Thow, A.-M. (2019). Mapping of policies related to fruits and vegetables accessibility in India. Journal of Hunger & Environmental Nutrition, 1-17. https://doi.org/10.1080/19320248.2019.1595254

Krishna, D., Kumbhare, N., Prabhakar, I., Swetha, B., & Ashoka, N. (2019). Innovations in Market-Led Extension. International Journal of Current Microbiology and Applied Sciences, 8(2), 3256-3263. https://doi.org/10.20546/ijcmas.2019.802.380

Krishna, V. V., & Qaim, M. (2008). Consumer attitudes toward GM food and pesticide residues in India. Review of Agricultural Economics, 30(2), 233-251.

Larson, D. W., Jones, E., Pannu, R., & Sheokand, R. (2004). Instability in Indian agriculture—a challenge to the green revolution technology. Food Policy, 29(3), 257-273. https://doi.org/10.1016/j.foodpol.2004.05.001

Leroy, J. L., Olney, D. K., & Ruel, M. (2016). Evaluating nutrition-sensitive programs: challenges, methods, and opportunities. Achieving a nutrition revolution for Africa: the road to healthier diets and optimal nutrition. Washington (DC): International Food Policy Research Institute, 130-146. http://doi.org/10.2499/9780896295933_1

Maheshwar, C., & Chanakwa, T. (2006). Postharvest losses due to gaps in cold chain in India-a solution. Paper presented at the IV International Conference on Managing Quality in Chains-The Integrated View on Fruits and Vegetables Quality 712.

Masset, E., Haddad, L., Cornelius, A., & Isaza-Castro, J. (2012). Effectiveness of agricultural interventions that aim to improve nutritional status of children: systematic review. British Medical Journal, 344, d8222. https://doi.org/10.1136/bmj.d8222

Meenakshi, J. (2016). Trends and patterns in the triple burden of malnutrition in India. Agricultural Economics, 47(S1), 115-134. https://doi.org/10.1111/agec.12304

Miller, V., Yusuf, S., Chow, C. K., Dehghan, M., Corsi, D. J., Lock, K., Popkin, B., Rangarajan, S., Khatib, R., Lear, S. A., Mony, P., Kaur, M., Mohan, V., Vijayakumar, K., Gupta, R., Kruger, A., Tsolekile, L., Mohammadifard, N., Rahman, O., Rosengren, A., Avezum, A., Orlandini, A., Ismail, N., Lopez-Jaramillo, P., Yusufali, A., Karsidag, K., Iqbal, R., Chifamba, J., Oakley, S.M., Ariffin, F., Zatonska, K., Poirier, P., Wei, L., Jian, B., Hui, C., Xu, L., Xiulin, B., Teo, K., & Mente, A. (2016). Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels: findings from the Prospective Urban Rural Epidemiology (PURE) study. The Lancet Global Health, 4(10), e695–e703. https://doi.org/10.1016/S2214-109X(16)30186-3

Ministry of Agriculture & Farmers’ Welfare. (2018). Horticulture Statistics at a Glance-2018. Department of Agriculture, Cooperation & Farmers’ Welfare, Horticulture Statistics Division, Government of India.

Ministry of Health and Family Welfare( MoHFW) (2019). Comprehensive National Nutrition Survey (CNNS) National Report. , G. o. I., UNICEF and Population Council. New Delhi.

Minocha, S., Makkar, S., Swaminathan, S., Thomas, T., Webb, P., & Kurpad, A. V. (2019). Supply and demand of high quality protein foods in India: Trends and opportunities. Global Food Security, 23, 139-148. https://doi.org/10.1016/j.gfs.2019.05.004

Morris, S. S., Beesabathuni, K., & Headey, D. (2018). An egg for everyone: Pathways to universal access to one of nature's most nutritious foods. Maternal & Child Nutrition, 14, e12679. https://doi.org/10.1111/mcn.12679

Murthy, D. S., Gajanana, T., Sudha, M., & Dakshinamoorthy, V. (2009). Marketing and post-harvest losses in fruits: its implications on availability and economy. Indian Journal of Agricultural Economics, 64(902-2016-67302). https://doi.org/10.22004/ag.econ.204629

Murty, P., Rao, M. V., & Bamji, M. S. (2016). Impact of enriching the diet of women and children through health and nutrition education, introduction of homestead gardens and backyard poultry in rural India. Agricultural Research, 5(2), 210-217. https://doi.org/10.1007/s40003-016-0206-x

Murty P. V. V. S., Vishnuvardhan Ra, M. S. B., & Prasad V. L. K. (2013). Promotion of Backyard Poultry for Augmenting Egg Consumption in Rural Households. Indian Journal of Nutrition and Dietetics, 50, 150-155.

Nandakumar, T., Gulati, A., Sharma, P., & Ganguly, K., (2010). Food and nutrition security status in India: opportunities for investment partnerships. Report to ADB-FAOIFAD, Manila.

Narayanan, S. (2019). Food Security From Free Collection of Foods Evidence From India. Available at SSRN 3489102.

National Dairy Development Board. (2017). Per capita availability of Milk by States. Retrieved from https://www.nddb.coop/

National Dairy Development Board. (2019). Compendium of Documents on Dairy Development and Animal Husbandry Schemes being implemented by different departments of Government of India.

National Horticulture Board. (2012). Annual Report. Ministry of Agriculture & Farmers Welfare, Government of India. Retrieved from http://nhb.gov.in/PDFViwer.aspx?enc=3ZOO8K5CzcdC/Yq6HcdIxMvJ0RY/w0FTznMeREnr5ok=

National Institute of Nutrition. (2010). Dietary Guidelines for Indians.

National Nutrition Monitoring Bureau. (2012). Third Repeat Rural Survey,. Technical Report, 26.

Negi, S., and Anand, N. (2015). Cold chain: a weak link in the fruits and vegetables supply chain in India. IUP Journal of Supply Chain Management, 12(1), 48.

Negi, S., & Anand, N. (2016a). Factors leading to losses and wastage in the supply chain of fruits and vegetables sector in India. Paper presented at the Energy Infrastructure and Transportation Challenges and Way Forward-Conference Proceedings International Conference on Management of Infrastructure (pp. I 89–I 105). UPES, Dehradun.

Negi, S., & Anand, N. (2016b). An overview of fruits and vegetables' retail supply chain models in India. In Handbook of research on strategic supply chain management in the retail industry (pp. 170-187): IGI Global.

Nithya, D., & Bhavani, R. (2018). Dietary diversity and its relationship with nutritional status among adolescents and adults in rural India. Journal of Biosocial Science, 50(3), 397-413. https://doi.org/10.1017/S0021932017000463

NITI Aayog. (2016). Evaluation study on role of public distribution system in shaping household and nutritional security India. Policy, 72, 80.

NITI Aayog. (2019). Transforming Nutrition in India:Poshan Abhiyaan, a progress report. Retrieved from https://niti.gov.in/sites/default/files/2020-02/ Poshan_ Abhiyaan _2nd_Report.pdf

Ohlan, R. (2016). Dairy economy of India: Structural changes in consumption and production. South Asia Research, 36(2), 241-260. https://doi.org/10.1177/0262728016638731

Panda, A., & Samal, P. (2016). Poultry production in India: opportunities and challenges ahead. Empowering farm women through livestock and poultry intervention, 50.

Pandey, V. L., Dev, S. M., & Jayachandran, U. (2016). Impact of agricultural interventions on the nutritional status in South Asia: A review. Food Policy, 62, 28-40. https://doi.org/10.1016/j.foodpol.2016.05.002

Parasar, R., & Bhavani, R. (2016). Review of Agri-Food Value Chain Interventions Aimed at Enhancing Consumption of Nutritious Food by the Poor: India.

Pendse, M., & Patil, G. (2016). A study on emerging opportunities in Indian convenience food markets. KHOJ: Journal of Indian Management Research and Practices, 220-223.

Pingali, P., Khwaja, Y., & Meijer, M. (2005). Commercializing small farms: Reducing transaction cost. Agricultural and Development Economics Division of the Food and Agriculture Organization of the United Nations (FAO - ESA).

Pingali, P., & Sunder, N. (2017). Transitioning toward nutrition-sensitive food systems in developing countries. Annual Review of Resource Economics, 9, 439-459. https://doi.org/10.1146/annurev-resource-100516-053552

Poonam, A., Saha, S., Nayak, P. K., Sathpaty, B. S., Shahid, M., Nayak, A. K., Tripathy, R., Jambhulkar, N.N., Kumar, G. A. K., Mondal, B., Sahu, P.K., Giri, S. C., Nedunchezhian, M., Kumar, U., & Lenka, S. K. (2018). Integrated Rice-based Farming Systems for Enhancing Climate Resilience and Profitability in Eastern India. In Rice Research for Enhancing Productivity, Profitability and Climate Resilience. Odisha, India. ICAR-National Rice Research Institute.

Pradhan, A., Sathanandhan, R., Panda, A. K., & Wagh, R. (2018). Improving household diet diversity through promotion of nutrition gardens in India. American Journal of Food Science and Nutrition, 5, 43-51.

Pries, A. M., Filteau, S., & Ferguson, E. L. (2019). Snack food and beverage consumption and young child nutrition in low‐and middle‐income countries: A systematic review. Maternal & Child Nutrition, 15, e12729. https://doi.org/10.1111/mcn.12729

Raghunathan, K., Headey, D., & Herforth, A. Affordability of nutritious diets in rural India. IFPRI Discussion Paper 1912. Washington, DC: International Food Policy Research Institute (IFPRI). 2020.

Rais, M., Kaul, A., & Jain, A. (2019). Evaluation of Public Private Partnerships in Perishable Food Supply Chain in India. Journal of Supply Chain Management Systems, 8(2).

Rampal, P. (2018). An analysis of protein consumption in India through plant and animal sources. Food and Nutrition Bulletin, 39(4), 564-580. https://doi.org/10.1177/0379572118810104

Rani, V., Arends, D. E., & Brouwer, I. D. (2010). Dietary diversity as an indicator of micronutrient adequacy of the diet of five to eight year old Indian rural children. Nutrition and Food Science, 40(5), 466-476. https://doi.org/10.1108/00346651011076974

Ruel, M. T., Quisumbing, A. R., & Balagamwala, M. (2018). Nutrition-sensitive agriculture: What have we learned so far?. Global Food Security, 17, 128-153. https://doi.org/10.1016/j.gfs.2018.01.002

Rukmani, R., Gopinath, R., Anuradha, G., Sanjeev, R., & Yadav, V. K. (2019). Women as Drivers of Change for Nutrition-Sensitive Agriculture: Case Study of a Novel Extension Approach in Wardha, India. Agricultural Research, 8(4), 523-530. https://doi.org/10.1007/s40003-018-0383-x

Sachdeva, S., Sachdev, T. R., & Sachdeva, R. (2013). Increasing fruit and vegetable consumption: challenges and opportunities. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine, 38(4), 192. https://doi.org/10.4103/0970-0218.120146

Saran, S., Sasidhar, P., Singh, R., & Sastry, K. (2005). Indian poultry industry: current scenario and future prospects: a review. Indian Journal of Animal Sciences (India).

Sekhar, C.S., Roy, D., & Bhatt, Y. Food Inflation and Food Price Volatility in India: Trends and Determinants. New Delhi: 2017.

Shankar, B., Poole, N., & Bird, F. A. (2019). Agricultural inputs and nutrition in South Asia. Food Policy, 82, 28-38. https://doi.org/10.1016/j.foodpol.2018.10.011

Shetty, P. S. (2002). Nutrition transition in India. Public Health Nutrition, 5(1a), 175-182. https://doi.org/10.1079/PHN2001291

Srivastava, S., Balaji, S., & Kolady, D. (2016). Is there a Convergence in Dietary Energy Intake among Expenditure-Classes in India? Agricultural Economics Research Review, 29, 119-128. https://doi.org/10.22004/ag.econ.253172

Surendran, S., Selvaraj, K., Turner, C., Addanki, S., Kannuri, N. K., Debbarma, A., Kadiyala, S., Kinra, S., & Walls, H. (2020). Characterising the fruit and vegetable environment of peri-urban Hyderabad, India. Global Food Security, 24, 100343. https://doi.org/10.1016/j.gfs.2019.100343

Tak, M., Shankar, B., & Kadiyala, S. (2019). Dietary Transition in India: Temporal and Regional Trends, 1993 to 2012. Food and Nutrition Bulletin, 40(2), 254-270. https://doi.org/10.1177/0379572119833856

Thow, A. M., Kadiyala, S., Khandelwal, S., Menon, P., Downs, S., & Reddy, K. S. (2016). Toward food policy for the dual burden of malnutrition: an exploratory policy space analysis in India. Food and Nutrition Bulletin, 37(3), 261-274. https://doi.org/10.1177/0379572116653863

Umali‐Deininger, D., & Sur, M. (2007). Food safety in a globalizing world: opportunities and challenges for India. Agricultural Economics, 37, 135-147. https://doi.org/10.22004/ag.econ.25746

Sangeetha, V., Satyapriya, P. S., Lenin, V. Paul, S., Barua, S., Muralikrishnan, L., & Sitaram. (2018). An Agri-Nutri (A2N) Smart Village Model for Food and Nutrition Security. Division of Agricultural Extension, ICAR-Indian Agricultural Research Institute, New Delhi- 110 012. Retrieved from https://www.iari.res.in/files/AgriNutriSmart_23032018.pdf

van den Bold, M., Kohli, N., Gillespie, S., Zuberi, S., Rajeesh, S., & Chakraborty, B. (2015). Is there an enabling environment for nutrition-sensitive agriculture in South Asia? Stakeholder perspectives from India, Bangladesh, and Pakistan. Food and Nutrition Bulletin, 36(2), 231-247. http://doi.org/10.1177/0379572115587494

Vijayaraghavan, K., Nayak, M. U., Bamji, M. S., Ramana, G., & Reddy, V. (1997). Home gardening for combating vitamin A deficiency in rural India. Food and Nutrition Bulletin, 18(4), 1-7. https://doi.org/10.1177/156482659701800403

WHO. (2017). WHO. Double-duty actions. Policy brief. Geneva.

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09-07-2021

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