The International Food Policy Research Institute (IFPRI) began research activities in Ethiopia in the 1980s to assess the root causes of drought-related food-production shortages and support adoption of appropriate policy responses. IFPRI’s rigorous empirical research contributed to a broader understanding of economic development processes in Ethiopia and built capacity to conduct such research on a national scale. Working with many long-standing partners, IFPRI evaluated strategies for achieving sustainable agricultural growth, investment in agricultural research, the provision of safety nets to strengthen resilience, prioritization of nutrition interventions for women and children, property rights, and management of natural resources, among other goals. Evidence from this and other work informed programs and initiatives to improve food and nutrition security for vulnerable people.

Subsistence production: a sign of market failure. Commercialization cannot be left to the market. Household effects of commercialization. Nutrition effects of commercialization. Policy action needed.

Ethiopia has witnessed significant reductions in child mortality, undernutrition, and communicable diseases, but more substantial and faster progress is still needed. The rise in obesity and in noncommunicable diseases, particularly in urban areas, is alarming and requires urgent policy and programmatic attention. Unhealthy diets drive both undernutrition and obesity and are the underlying cause of significant proportion of both communicable and non-communicable diseases. Maintaining the relatively high breastfeeding practices and increasing the diversity of diets will be critical to improving nutrition in Ethiopia. Implementation of effective nutrition messaging that shapes consumer behavior to adopt healthy dietary patterns, while bridging gaps in both the reach and the quality of such messaging is warranted. The health extension program, which is the cornerstone of the transformation of the health sector, may need to be redesigned in a way that improves its reach and the quality of the services it provides and minimizes the risk of burnout of frontline health workers. Interventions focusing on making healthy diets available, affordable, and accessible are urgently needed.

Ethiopia has witnessed significant reductions in child mortality, undernutrition and communicable diseases, but more substantial and faster progress is still needed. The rise in overweight and obesity and in non-communicable diseases, particularly in urban areas, is alarming and requires urgent policy and programmatic attention. Unhealthy diets are the drivers of both forms of malnutrition and are the underlying cause of significant proportion of communicable and non-communicable diseases. Maintaining the relatively high breastfeeding practices and increasing the diversity of diets will be critical. Implementation of effective nutrition messaging that shapes consumer behavior to adopt healthy dietary patterns, while bridging gaps in reach and quality of nutrition messaging is warranted. The health extension program that is the cornerstone of the health sector transformation may need to be redesigned in a way that improves reach, quality, and minimize the risk of burnout of frontline health workers. Interventions focusing on making healthy diets affordable, accessible and available are urgently needed.

Agriculture's vast potential to improve nutrition is just beginning to be tapped. New ideas, research, and initiatives developed over the past decade have created an opportunity for reimagining and redesigning agricultural and food systems for the benefit of nutrition. To support this transformation, the book reviews the latest findings, results from on-the-ground programs and interventions, and recent policy experiences from countries around the world that are bringing the agriculture and nutrition sectors closer together. Drawing on IFPRI's own work and that of the growing agriculture-nutrition community, this book strengthens the evidence base for, and expands our vision of, how agriculture can contribute to nutrition. Chapters cover an array of issues that link agriculture and nutrition, including food value chains, nutrition-sensitive programs and policies, government policies, and private sector investments. By highlighting both achievements and setbacks, Agriculture for Improved Nutrition seeks to inspire those who want to scale up successes that can transform food systems and improve the nutrition of billions of people.

This study assesses progress in the implementation of the nutrition-sensitive interventions of the fourth phase of Ethiopia’s Productive Safety Net Programme (PSNP-4) and its impact on: (1) the pathways underpinning children’s nutritional status; and (2) the roles it plays in reducing the malign effect of seasonality on the nutritional status of women and pre-school children. The analysis is based on four rounds of household survey data, conducted in March and August 2017 (baseline) and March and August 2019 (endline). These surveys focused on households with a child less than 24 months of age (index child) and his/her mother (index mother). In 2017 and 2019, the survey teams visited more than 2,500 households in 264 kebeles in 88 PSNP woredas in the Amhara, Oromia, SNNP, and Tigray regions.