Making Food Systems Deliver More Nutrition: The Role of the Private-Sector

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Making Food Systems Deliver More Nutrition: The Role of the Private-Sector Lawrence Haddad European Commission 27 September 2017

Nearly 1 in 2 people are malnourished in some way Overweight or Obese Deficient in vitamins or minerals Chronic Hunger 2 billion 1.9 billion 800 million

6 of the top 10 Risk Factors for the Global Burden of Disease are Diet related Abajobir, Amanuel Alemu et al. The Lancet, Volume 390, Issue 10100, 1345 1422. 2017.

Malnutrition is Driven by 3 Big Problems in Food Systems The weak way we create Demand for healthy diets The low Affordability of healthy diets Environments that undermine healthy diets

We need to help businesses do good things for nutrition (& less bad): that means engaging How do you see the world? Business can do no wrong Silent majority trying to figure out when and how to engage with businesses to advance nutrition Business has no business in nutrition

We need tp revolutionize the way we create the demand for nutritious food

Behavior Change Programs Consumer Advertising Campaigns We need hybrid approaches to create demand for healthy food

Like a Healthy Gossip Campaign in Indonesia

Creative behavior change programs can have a large impact 47% 45% 50% Intervention Comparison % of children consuming diets that meet nutrient adequacy, 6-24 months of age The BADUTA Program in Indonesia (including Healthy Gossip) Baseline 36% Endline Difference at endline significant <1%

We need to drive down the cost of a healthy healthy diet

Healthy foods like fresh fruits & vegetables are unaffordable for large parts of the world Share of per capita household income to buy 5 fruits and vegetables /day/person 52% Bangladesh India Pakistan Zimbabwe Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels: findings from the Prospective Urban Rural Epidemiology (PURE) study. Miller, Victoria et al. The Lancet Global Health, Volume 4, Issue 10, e695 - e703

Our Support to SME s is producing results Automated Milk Dispensers. Tarakwo, Kenya Availability Affordability Desirability Cage Farming of Tilapia. Pioneer, Kenya Availability Affordability Desirability Improved distribution systems for vegetables. Vegman, Mozambique Availability Affordability Desirability Improved sanitary environment, meat products. Alves, Mozambique Availability Affordability Desirability Source: Altai Consulting Green means improvement in attribute, Yellow means challenges need to be overcome

Building a more enabling environment for demand creation and the capacity to supply nutritious food Incentives Accountability Enforcement Legislation Fiscal Policy Innovation Standards Finance Capacity Infrastructure Leadership

Helping Business Fortify Foods with Nutrients It is proposed to provide for exemption from sales tax on premixes to fight growth stunting. p. 14. Government of Pakistan 2017 Budget.

What does this have to do with the EU s External Investment Plan? Goal of the EIP: to support inclusive and sustainable growth, creating jobs and contributing to address the root causes of migration. Nutrition is an investment in human infrastructure: today and tomorrow Short Run 10% increase in adult wages Medium Run 11% increase in GDP Long Run Benefit Cost Ratios of 16:1 Long Run Inclusive growth & demographic dividend

The External Investment Plan: For Improved Nutrition Mobilising Investments Examples from GAIN work Creating demand for nutritious foods through blends of private and public approaches Developing Deal Flows for investment bankers and venture capitalists in the production, distribution, processing and retailing of nutritious foods Leveraging private sector resources Stepping Up TA Examples from GAIN work Supporting development of business plans for nutritious foods that expand market share and lower price Supporting development of government nutrition plans that identify roles for the private sector Improving the Business Environment Examples from GAIN work Reducing import duties taxes on fortificants in Pakistan Reducing sales tax on processed milk in Ethiopia Promote diagnostics for where food systems are broken for healthy food www.gainhealth.org

How much food is needed to feed the world in 2030? What needs to happen to nourish the world now to reduce stunting? New ways to create demand for healthy diets New ways to support businesses to meet that demand New ways for governments to create the environment to enable it