A review of the effectiveness of agriculture interventions in improving nutrition outcomes.
OBJECTIVE
To review the impact of agriculture interventions on nutritional status in participating households, and to analyse the characteristics of interventions that improved nutrition outcomes.


METHODS
We identified and reviewed reports describing 30 agriculture interventions that measured impact on nutritional status. The interventions reviewed included home gardening, livestock, mixed garden and livestock, cash cropping, and irrigation. We examined the reports for the scientific quality of the research design and treatment of the data. We also assessed whether the projects invested in five types of 'capital' (physical, natural, financial, human and social) as defined in the Sustainable Livelihoods Framework, a conceptual map of major factors that affect people's livelihoods.


RESULTS
Most agriculture interventions increased food production, but did not necessarily improve nutrition or health within participating households. Nutrition was improved in 11 of 13 home gardening interventions, and in 11 of 17 other types of intervention. Of the 19 interventions that had a positive effect on nutrition, 14 of them invested in four or five types of capital in addition to the agriculture intervention. Of the nine interventions that had a negative or no effect on nutrition, only one invested in four or five types of capital.


CONCLUSIONS
Those agriculture interventions that invested broadly in different types of capital were more likely to improve nutrition outcomes. Those projects which invested in human capital (especially nutrition education and consideration of gender issues), and other types of capital, had a greater likelihood of effecting positive nutritional change, but such investment is neither sufficient nor always necessary to effect change.
Berti
Peter R
PR
PATH Canada, 1 Nicholas Street, Suite 1105, Ottawa, Ontario, Canada, K1N 7B7. pberti@pathcanada.org
Krasevec
Julia
J
FitzGerald
Sian
S
D000383:Agriculture / Q000191:economics / Q000706:statistics & numerical data / Q000639:trends; D000818:Animals; D000829:Animals, Domestic; D000886:Anthropometry / Q000379:methods; D015415:Biomarkers; D004032:Diet / Q000706:statistics & numerical data; D006801:Humans; D052756:Nutritional Sciences / Q000193:education / Q000502:physiology*; D009752:Nutritional Status / Q000502:physiology; D012737:Sex Factors; D014675:Vegetables
D015415:Biomarkers