Types of Research
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This brief summarizes the literature on caloric and lipid deficiencies and their contribution to nutritional outcomes, and identifies key studies and pieces of literature related to this topic.
Water supply and sanitation is the responsibility of sub-national state governments under the Indian Constitution. At present, the national government sets water supply and sanitation policy while states plan, design, and execute water supply schemes accordingly. Furthermore, while state governments are in charge of operation and maintenance, they may pass the responsibility to village or district levels. Given the highly decentralized provision of water and sanitation services, there is no autonomous regulatory agency for the water supply and sanitation sector in India at the state or national level. This report reviews literature on India’s urban sanitation policy. The methodology includes Google, Lexis-Nexis, and University of Washington Library searches, searches of two major Indian newspapers, and searches of websites and blogs sponsored by non-governmental organizations. Sources also include the India Sanitation Portal, a forum on sanitation in India used by governmental and nongovernmental organizations, and WASH Sanitation Updates, a sanitation news feed with considerable material on India. We find that urban sanitation policy, as embodied in the National Urban Sanitation Plan of 2008, remains focused on decentralized approaches. Our research reveals no evidence of a change in official policy, nor evidence suggesting that government sanitation programs conflict with official policy.
Limited sanitation infrastructure, poor hygienic practices, and unsafe drinking water negatively affect the health of millions of people in the developing world. Using sanitation interventions to interrupt disease pathways can significantly improve public health. Sanitation interventions primarily benefit public health by reducing the prevalence of enteric pathogenic illnesses, which cause diarrhea. Health benefits are realized and accrue to the direct recipients of sanitation interventions and also to their neighbors and others in their communities. In a report to the United Nations Development Programme (UNDP), Hutton et al. (2006) estimate that the cost-benefit ratio of sanitation interventions in all developing countries worldwide is 11.2. This literature review summarizes the risks of inadequate sanitation to public health and presents the empirical evidence on the public health benefits of complete, intermediate and multiple factor sanitation interventions. We find that complete or improved sanitary systems can offer concrete public health benefits by reducing exposure pathways to a variety of infectious diseases contained in human feces and wastewater. Substantial complementary economic gains are also predicted to accrue as a result of providing increased sanitation. In addition, community-wide sanitation interventions seem to offer the greatest promise for reducing pathogenic health risks from feces.
Without availability and access to a variety of foods, populations in the developing world are suffering from deficiencies in iron, zinc, iodine, vitamin A, and other micronutrients in addition to deficiencies in energy and protein. Supplementation and fortification programs have demonstrated effectiveness, but there is an increasing interest in potentially more sustainable solutions via agricultural interventions. The review examines the literature regarding agricultural interventions and pathways to diet diversification and whether desired nutritional outcomes are achieved. We find a strong sentiment that agricultural interventions can improve dietary diversity, and that dietary diversity can improve nutrition and related health outcomes. The programs with demonstrated ability to improve nutrition outcomes are most often cross-cutting interventions, borrowing from the agriculture, nutrition, and public health traditions. While these multi-platform programs can be costly to evaluate and difficult to implement, the evidence supports their potential to create sustainable quality-of-life improvements in target regions. The pathways by which agricultural interventions achieve impact are not fully clear, however. The greatest knowledge gaps are directly related to the lack of integration between program design and evaluation. Many evaluations are based on small sample sizes, lack control groups or baseline data, are subject to selection bias, or face other challenges to rigorous statistical analysis.
Market-oriented agricultural production can be a mechanism to increase smallholder farmer welfare, rural market performance, and contribute to overall economic growth. Cash crop production can allow households to increase their income by producing output with higher returns to land and labor and using the income generated from sales to purchase goods for consumption. However, in the face of missing and underperforming markets, African smallholder households are often unable to produce efficiently or obtain staple foods reliably and cheaply. This literature review summarizes the available literature on the impact of smallholder participation in cash crop and export markets on household welfare and rural markets. The review focuses exclusively on evidence from Sub-Saharan Africa regarding top and emerging export crops, with the addition of tobacco and horticulture due to the volume of research relevant to smallholder welfare gains from the production of these crops. It includes theoretical frameworks, case studies, empirical evidence, and historical analysis from 42 primary empirical studies and 112 resources overall.
Contract farming (CF) is an arrangement between farmers and a processing or marketing firm for the production and supply of agricultural products, often at predetermined prices. This literature review builds on EPAR's review of smallholder contract farming in Sub-Saharan Africa (SSA) and South Asia (EPAR Technical Report #60) by specifically examining the evidence on impacts and potential benefits of contract farming for women in SSA. Key takeaways suggest women’s direct participation in contract farming is limited, with limited access to land and control over the allocation of labor and cash resources key constraints hindering women’s ability to benefit from CF. Further, we find that the impact of contract farming on women is often mediated by their relative bargaining power within the household.
In the decades following independence in 1960, Côte d’Ivoire stood out as a shining example of economic growth in Sub-Saharan Africa. GDP increased at an annual average of 8.1 percent from 1960 to 1979, led largely by cocoa and coffee exports. Low export earnings from a fall in world cocoa prices and a heavy public debt burden halted this growth in the 1980s, followed by civil conflict beginning in 1999. Three decades of focus on export crops rather than food crops also left Côte d’Ivoire with a growing food deficit. This literature review examines the state of agriculture in Côte d’Ivoire and the history of government involvement in the agricultural sector. We find that while the country is poised to reemerge from a decade of economic stagnation and civil war after signing the Ouagadougou Political Accord in 2007, the political economy of Côte d’Ivoire is still heavily dependent upon and influenced by the production of cocoa. Cocoa is the top export, and cocoa export taxes provide one of the largest sources of revenue for the Government of Côte d’Ivoire (GoCI). Cocoa is not heavily dependent on fertilizer inputs and growers have increased production by expanding cropland. The small contribution of fertilizer to the production of this essential crop may help explain the GoCI’s low priority on expanding fertilizer production and use. Given that a large part of government revenue comes from the export of cocoa and coffee, the government has chosen to focus resources on crops that increase revenue. Even with the food riots in 2008, the GoCI has not made increasing domestic food production an important focus of agricultural policy.
In Mozambique, the legacies of colonial rule, socialism and civil war continue to constrain economic growth and agricultural production. Eighty percent of Mozambique’s labor force derives its livelihood from agriculture, but the nation remains a net food importer. The majority of all farmland is cultivated by smallholders whose fertilizer usage and crop yields are among the lowest in Africa. While Mozambique has experienced reasonable economic growth since the end of its civil war in 1992, it remains poor by almost any measure. In this literature review, we examine the state of agriculture in Mozambique, the country’s political history and post-war recovery, and the current fertilizer market. We find evidence that smallholder access to fertilizer in Mozambique is limited by lack of information, affordability, access to credit, a poor business environment, and limited infrastructure. The data demonstrate that increased investment in infrastructure is an important step to improve input and output market access for smallholders. The main government intervention currently impacting smallholder fertilizer use is the Agricultural Sector Public Expenditure Program (PROAGRI) initiative, however, more data is necessary to assess the impact of its policies and programs.
Agriculture is the most important sector in the Ghanaian economy. In 2008, it accounted for over 32 percent of GDP and employed over half of the labor force. Economic development in Ghana has historically been dependent on the success of agriculture, particularly the main export crop, cocoa. Despite the sector’s importance, Ghanaian farmers have one of the lowest fertilizer application rates in Sub-Saharan Africa. The combination of a dominant agricultural sector, nutrient-poor soils, low fertilizer use among smallholder farmers, and the absence of locally produced inorganic fertilizers has prompted the government of Ghana (GoG) to intervene in the fertilizer market. This literature review examines the state of agriculture in Ghana, the history of the fertilizer market, and the current market structure. We find that the GoG has been a major actor in the inorganic fertilizer market over the past 50 years, from exercising total control of the domestic supply chain in the 1960s and 1970s to more indirect interventions in later years. In recent years, agricultural growth has averaged 5.5 percent as compared to 5.2 percent growth in the rest of the economy. However, most of this growth has been due to land expansion and favorable weather conditions rather than increased productivity. Increased fertilizer use among smallholder farmers has the potential to contribute to future agricultural growth and continued economic success.
Governments in Sub-Saharan Africa have often intervened in the fertilizer sector to promote more optimal levels of fertilizer use. Many West African nations, in particular, have inherited a legacy of government involvement, stemming from French colonial policies that encouraged state participation in the agricultural sector. Senegal's colonial past has influenced much of its present economy, from its principal export crop (peanuts) to its major food import (rice). The colonial legacy includes a relatively high degree of urbanization; limited domestic industrial capacity; institutions, policies, and agricultural networks focused on supporting a single export crop; and a history of state intervention into markets. After government intervention in the 1960s and 1970s, followed by a period of liberalization in the 1980s and 1990s, Senegal is again defining its agricultural policy. This literature review examines the state of agriculture in Senegal and the history of Senegalese agricultural policy in order to understand past and current trends in fertilizer usage. We find that Senegal continues to experience a high level of food price fluctuations as it imports increasing amounts of rice to cover its food deficit. Increased use of fertilizer, along with irrigation technology may help improve rice production and increase food security. To achieve this goal, the Government of Senegal (GoS) has embarked on several initiatives, notably the Agro-Silvo-Pastoral Law (LOASP) and the Grande Offensive Agricole pour la Nourriture et l’Abondance (GOANA), employing subsidies to increase fertilizer demand and making food sovereignty a national priority. In the coming years, GoS will need to determine what role the government should play in the agricultural sector, and what level of intervention can be sustained in the long-term.