Skip to main content
. 2018 Jun 13;361:k2238. doi: 10.1136/bmj.k2238

Table 2.

Examples of actions to tackle hunger and malnutrition across sectors3 20 47 51

Sectors of intervention Sensitive to nutrition (dealing with underlying causes) Specific for nutrition (dealing with specific symptoms)
Agriculture Promotion and support of smallholder horticulture production; investments in research and extension supporting productivity gains in foods rich in nutrients; promoting food market development to increase smallholder farmer incomes and price accessibility to diets rich in nutrients Enhanced agriculture extension with messaging on optimal diet choices; facilitating access to rural finances for farmers, food processors and traders (particularly focusing on women’s involvement); interventions supporting optimal levels of consumption of foods rich in nutrients (eg, poultry promotion/vaccination, egg marketing, fruit/vegetable cold chain marketing)
Health Establishment of high quality, high coverage health services, including nutrition counselling and reproductive health; effective reduction of the burden of infectious diseases; promotion of evidence based dietary guidelines to the population Promotion and facilitation of exclusive breast feeding and early child development, targeted food supplementation of underweight mothers; cash transfers for populations at risk; micronutrient supplementation; management of diseases (access to impregnated bed nets, reduction of household air pollution through improved stoves and fuel); maternal deworming (which may improve anaemia)
Education Universal enrolment and retention of girls in schools; use of schools to provide instruction on nutrition and health; promotion of awareness of a healthy diet through school gardening; enhanced curricular initiatives on diet, and physical activity Healthy meals/snacks provided in schools (and other institutions), using locally procured foods, as appropriate; deworming and vaccination at school; after-school outreach education programmes for adolescent girls, focusing on antenatal nutrition and health
Water and sanitation National and local programmes that eliminate open defecation; universal provision of clean water; promotion of good sanitation and hygiene practices Promotion of hygiene and sanitation best practices in households; use of improved water sources; facilitating access to improved toilets
Market development Micronutrient fortification of widely accessible foods, including salt iodisation; quality and food safety regulation Development of rural feeder roads and other infrastructure (facilitating sale of produce and access to a diversity of fresh produce at markets)
Resilience building Implementing effective social safety nets that smooth income flows and food consumption among vulnerable groups Preparedness for rapid establishment of targeted management/treatment of acute malnutrition; targeted use of specialised nutritious food products to individuals at risk in emergencies