- 15/05/2025
The Global Alliance for Improved Nutrition (GAIN) and Wellspring Development designed and hosted a series of in-person and online consultations with partners of the Dutch Ministry of Foreign Affairs to examine challenges in improving the quality of diets of population groups living in rural areas of Low and Lower-Middle Income countries. These groups largely consume nutrient-inadequate, even unhealthy, diets and face heavy burdens of malnutrition. This second paper, out of six, looks specifically at the challenges of defining and understanding different groups of rural populations. The aim of the discussions was to explore a range of approaches used in defining segments and implications of chosen segments for programme design to help the organisations involved understand how to incorporate these ideas in future work. The bulk of the discussion reflected in this paper is from an online meeting held on 30 September 2024, with the participation of the Dutch Ministry of Foreign Affairs, Bopinc, CARE Netherlands, East-West Seeds, GIZ, the Netherlands Food Partnership, One Acre Fund, and the Wageningen Centre for Development Innovation.
- 15/05/2025
The Global Alliance for Improved Nutrition (GAIN) and Wellspring Development designed
and hosted a series of in-person and online consultations with partners of the Dutch
Ministry of Foreign Affairs to examine challenges in improving the quality of diets of
population groups living in rural areas of low- and lower-middle-income countries. These
groups largely consume nutrient-inadequate, even unhealthy, diets and face heavy
burdens of malnutrition. This first paper, out of six, looks specifically at the challenges of
setting targets for dietary quality improvement. The aim of the discussions was to gather
examples of successful project interventions at scale, to understand the decision
processes of different organisations, and to identify important points of convergence in
conceptualisation and action.
- 15/05/2025
Improving the quality of diets for rural populations is a key priority for many organisations – such as donors, implementing NGOs, and governments – in the nutrition sector. However, success at scale has been elusive.
GAIN, with the support of the Dutch Ministry of Foreign Affairs, embarked on a project to improve understanding of how to succeed at scale in rural settings. Eight other organisations (see background) also joined in this effort to pool their knowledge and experiences. Wellspring carried out a literature review in April-May 2024 and facilitated an in-person workshop in Utrecht in May 2024. This was followed by six online calls that focused on deeper discussion on six key topics identified based on the learning until then: dietary quality; segmentation; markets; scale; orchestration; and trade-offs.
Each topic has been covered under a separate GAIN convening paper. This overview aims to provide a short summary of each of the six topics.
- 25/04/2025
This brief aims to
1. Describe the micronutrient malnutrition and LSFF programme context in Rwanda;
2. Identify challenges and opportunities to strengthen existing programs;
3. Provide practical, evidence-informed policy and programmatic recommendations; and
4. Catalyse multi-stakeholder collaboration to reduce micronutrient deficiencies.
- 22/04/2025
These fact sheets look at the roles that can be played by different stakeholders seeking to improve food systems and nutrition in Ethiopia.
• Stakeholders from diverse groups have a role to play in transforming Ethiopia’s food system to address complex challenges arising across the supply chain that contribute to food insecurity and malnutrition.
• Each stakeholder group must take steps towards enhancing collaboration, aligning efforts, and working to deliver a more sustainable and resilient food system for the country.
• Key recommendations include strengthening government commitment, mobilising financial and technical resources, building capacity across different groups, setting up accountability mechanisms, boosting inclusivity of decision-making processes, leveraging technology and innovation, and conducting periodic assessments to identify emerging challenges and opportunities.
- 16/01/2025
Micro, small, and medium-sized enterprises (MSMEs) play a pivotal role in addressing Nigeria’s nutrition challenges, given their significant contribution to the local food system and economy. MSMEs are essential drivers of innovation, employment, and food production, helping make nutritious foods more accessible to underserved populations. However, MSMEs face an array of systemic barriers that hinder their growth and ability to scale sustainable nutrition solutions, such as high costs, complex regulations, and restricted access to finance. To bring together policymakers and the private sector to discuss these challenges, a Nutrition Policy Dialogue was convened by GAIN and the Scaling Up Nutrition Business Network (SBN) in Abuja on October 31, 2024. Attendees included the Regional and State Hub leads for SBN in Nigeria as well as representatives from businesses, government departments, academia, civil-society organisations, and other key stakeholders.
Through a keynote address, a panel discussion, and two breakout groups, the meeting highlighted key challenges, including regulatory overlaps, limited financial access, and policy inconsistencies affecting MSMEs. It also proposed actionable recommendations such as harmonising regulatory frameworks, developing cluster-based financing models, and enhancing financial literacy. Finally, it served to foster stakeholder commitments to training programs, advocacy efforts, and implementation of innovative financing solutions.
- 09/01/2025
Traditional food markets are essential in urban food environments in Kenya and other low- and middle-income countries (LMICs). They provide affordable fresh food, particularly for low-income urban communities, and are vital places of livelihoods and local economic activities. Despite their importance, associations between market-related factors and diet quality for vendors and consumers are underexplored. This study explores these relationships to inform policies aimed at improving diets and nutrition in LMICs. Methods: Survey data were collected from 1042 vendors and 876 consumers in five urban markets in Kenya.
- 09/01/2025
Personal sustainability is a relative concept of time, place, and identity. It shapes how “alternative” or “sustainable” are perceived. It is controversial in terms of agency, scale, and impact. Personal sustainability is transdisciplinary, encompassing food security, nutrition, livelihoods, health, culture, and environment. Food systems are systems upon systems where personal choices, practices, and habits around availability and access, consumption and waste to and of diverse (or less diverse), safe (or unsafe), healthy (or unhealthy) diets influence and are influenced by sustainability drivers like the socio-economic factors, climate change, institutions from government to small and big business, urbanization and culture. In turn, this impacts the wellbeing of people and the planet. Such dynamic within food systems is evident at the individual and household level, extending to small and medium-sized entities within developed and developing countries and formal and informal systems.
- 09/01/2025
Malnutrition is a major global challenge. Multiple forms, from underweight to obesity, exist, and several forms coexist within communities and households. Traditional food markets, also known as wet, local, or informal markets, are widespread in sub-Saharan Africa (SSA) and are a key place where people buy and sell food and socially interact, especially those vulnerable to malnutrition. As such they are vital to food and nutrition security. While it is recognized that gender is an important consideration in food and nutrition security, very little has been published in peer reviewed journals, with respect to gender and traditional food markets in SSA. This mini review aims to explore the nexus role of traditional food markets and gender in food and nutrition security. This study presents a narrative literature review, informed by literature identified in a systematic manner. Four databases were searched for key terms, including nutrition, different forms of malnutrition, gender, traditional food markets, and vendors. The papers provided insight into two main topics pertaining to the role of traditional food market practices, gender, and food and nutrition security. While few papers were identified in this mini review, they illustrated insightful nuances into traditional food markets, gender, and food and nutrition security. There is a need for explicitly framed gender studies that can better inform the limited existing knowledge of the experiences of gender and nutritional security of women and men in traditional food markets in SSA.
- 09/01/2025
Hunger and malnutrition in all forms continues to rise in Africa and Asia. Urban and rural communities’ diets in Southeast Asia (SEA) are increasingly unhealthy, with consumption influenced by affordability and convenience. The cost of a healthy diet is a major barrier to accessing healthy foods in SEA. Wet markets are key places in food environments where people buy and sell a variety of foods. They are especially important for food and nutrition insecure communities. This mini narrative review explores the role that wet markets, in SEA food environments, play in providing local communities with access to healthy foods. Fourteen peer-review papers, published in English between 2017 and 2022, were identified during screening and analysed according to six food environment domains. Findings highlight that convenient access to wet markets facilitates access to fruits and vegetables in peri urban and urban areas. Fresh foods, most notably fruits, were viewed as being more expensive than processed foods which in turn influenced purchasing behavior. Divergent findings were presented in the identified papers regarding affordability of food in wet markets. Concerns about food quality and the use of chemicals and pesticides were raised. This review was constrained by several factors including the lack of consistent and meaningful definitions and typologies of the varied forms of wet markets. Looking ahead, better defined interpretations of wet markets can enhance the development and refinement of appropriate policies and actions and comparison of wet markets, in respect of access to diverse, healthy foods, vendor practices and consumer food choices.
