Increasing coffee productivity through improved nutrition A call to action

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Increasing coffee productivity through improved nutrition A call to action Global Alliance for Improved Nutrition (GAIN) Centre for Development Innovation Wageningen University & Research Centre

Increasing coffee productivity through I Introduction - page 2 II Consequences of insufficient nutrition in value chains - page 4 III Mapping of under-nutrition in major coffee production areas - page 6 IV Nutrition status of coffee producing families - page 16 V Improving nutrition in the coffee production system: How to remedy this? - page 18 VI Call to Action - page 22 VII Sources of information - page 24 VIII References - page 26 Colophon - page 28 improved nutrition A call to action Concept Brief Global Alliance for Improved Nutrition (GAIN) Centre for Development Innovation Wageningen University & Research Centre

I Introduction Coffee is grown in more than 50 countries and is the second largest export in the world after oil. 1 Millions of people are involved in the production and 2 3 processing of coffee, and many more rely on it indirectly for their income. The coffee industry plays an important role in the economies of producing countries it provides livelihoods for poor communities in remote rural areas. For these communities coffee is a cash crop that brings incomes to pay for food, schooling, healthcare and leisure. The worldwide production of coffee in the growing year 2011-2012 totaled 8,074,080 tonnes. 2 Although there have been ups and downs over the past decades in total worldwide coffee production, there is a clear upward trend in production. The same is true for exports and consumption. 3 Most coffee is produced in South America, featuring Brazil as the main producing country. Coffee is mainly produced by smallholder farmers. Many smallholder coffee farmers and plantation workers lack access to nutritious food and as a result suffer from severe malnutrition. Stimulating consumption of nutritious food will not only serve social and health interests of smallholder coffee farmers and plantation workers, but it will also serve broader commercial and developmental objectives by having a positive impact on productivity. In turn, increased productivity will keep up with growing worldwide demand for coffee and increase the income of smallholders. Under-nutrition is both a consequence and a cause of poverty. Childhood under-nutrition makes learning more difficult and ill health more likely, which hinders a child s capacity to secure a job as an adult, and the cycle of generational poverty and under-nutrition continues. UNICEF This concept brief analyzes nutritional data in five major coffee producing and exporting countries. These countries have been chosen because they are major coffee producing countries (33% of global production), in which coffee production suffers most severely from the negative consequences of malnutrition among coffee producers. The publication demonstrates these consequences for the coffee-producing sector and maps the dimensions of under-nutrition in coffee producing areas in India, Indonesia, Vietnam, Kenya and Ethiopia. In sections 5 and 6, interventions for combining Good Agricultural Practices with Good Nutritional Practices are outlined. The final call for action shows the enormous potential that strengthening the link between the coffee sector and improved nutrition has in positively affecting the lives of millions of people.

II Consequences of insufficient nutrition in value chains It has been assumed that increased food production, reduced food prices and growth of household incomes would contribute to poverty reduction and improved nutrition. However, in 2007 the World Bank demonstrated that 4 5 simply increasing agricultural production and household income does not zz zz school Decreased productivity Poor school performance Poor health 1 % Reduction in height leads to 1.4 % reduction in productivity. 10 sufficiently reduce under-nutrition. 4 Despite estimates that under-nutrition causes losses in GDP of 2-3% 5, IFPRI reported that improvements to nutrition often lag behind economic development. 6 FAO concluded in 2012 that agricultural growth will not necessarily result in better nutrition and calls for nutrition-sensitive agricultural growth to address under-nutrition and the related losses in GDP. 7 Under-nutrition is not only caused by energy intake shortages (quantity of food), but also because of micronutrient shortages (quality of food). While too few calories (hunger) can be visible in individuals, the effects of micronutrient deficiencies (vitamins and minerals) are often hidden. Described as hidden hunger, this leads to underweight and stunted children. A larger number of people suffer from micronutrient deficiencies due to a monotonous diet, mainly in the form of staples and minimal nutrient-rich foods such as fruits and vegetables and animal-sourced foods. Under-nutrition early in life has a significant effect on an individual s future development. A lack of essential vitamins and minerals before two years of age has harmful consequences for physical and mental performance later in life. These consequences are irreversible. Moreover, under-nutrition is inherited from one generation to the other an undernourished mother has a higher chance to deliver an undernourished child, which grows into an undernourished adult. 8 For the coffee industry in particular, under-nutrition might lead to direct losses in coffee productivity from: 9 1% Reduction in iron status (anemia) leads to 1% reduction in productivity. 11 Adults that were undernourished as children have 15% less cognitive capacity. 12 1. Reduced labor output and physical productivity due to illness, fatigue and other health related problems. 2. Reduced cognitive development and educational performance due to malnutrition early in life. 3. Drainage of household resources to costly health care costs.

III Mapping of Studies of populations in coffee producing areas show severe undernutrition. The following maps illustrate the overlap of 6 7 under-nutrition under-nutrition in major coffee production areas Children are too short for their age as result of poor diet and poor health circumstances. A score of 25% or higher = serious level of under-nutrition that needs interventions Child mortality Child mortality refers to death of infants and children under the age of five. In 2011, the world average was 5.1%. 16 31 countries reported at least 10% of children under five died. and coffee production areas in India, Vietnam, Indonesia, Kenya and Ethiopia. 13 The most frequently used indicator for measuring under-nutrition is stunting, which is a visible sign of chronic malnutrition. 14 means that children under 5 years old are simply not growing as result of poor diet, and are therefore too short for their age. As a rule, stunting prevalence above 25% signifies severe under-nutrition problems. If under-nutrition is not addressed early, the physical and mental damage is irreversible and leads to adults with limited labor productivity. Seventeen out of twenty-one coffee producing regions in India, Vietnam, Indonesia, Kenya and Ethiopia show stunting levels greater than 30%, which means there is an alarming prevalence of under-nutrition and that interventions are needed to address the problem. Shockingly, in all countries but Vietnam there are coffee producing regions in which stunting levels top 40%. Under-nutrition causes people to be underweight, but it also affects immune and non-immune host defenses to infectious diseases making it an underlying cause of terminal infectious diseases. As much as 53% of child deaths can be attributed to being underweight making child mortality an important indicator in measuring under-nutrition. 15 Child mortality refers to death of infants and children under the age of five. In 2011, the world average was 5.1%, but 31 countries reported at least 10% of children under five died. 16 These rates are particularly high in Africa. In coffee producing regions in Ethiopia, more than 11% of children do not live to reach the age of five. 17

1 Vietnam 2 India Under-nutrition and coffee production Under-nutrition and coffee production 8 9 43/100 35/100 31/100 4/100 87KT 3/100 7/100 37/100 Central Highlands North and South Karnataka 8/100 1285KT Central Coast 6KT 72KT 19/100 21/100 221KT 18KT 24/100 Andhra Pradesh 68KT 1/100 2/100 5/100 Kerala Southeast Kerala Tamil Nadu reduced height of children Child mortality under the age of 5 Coffee production area Amount of production in KiloTonnes reduced height of children Child mortality under the age of 5 Coffee production area Amount of production in KiloTonnes

3 Ethiopia 4 Kenya Under-nutrition and coffee production Under-nutrition and coffee production 10 11 42/100 34/100 36/100 12/100 6/100 5/100 Western Rift Valley Eastern 4KT 231KT 2KT 2KT 10KT 126KT 27KT 44/100 41/100 27/100 29/100 32/100 22/100 12/100 12/100 11/100 5/100 6/100 5/100 Gambela YeDebub (SNNP) Oromiya Addis Ababa Addis Nairobi Ababa Central reduced height of children Child mortality under the age of 5 Coffee production area Amount of production in KiloTonnes reduced height of children Child mortality under the age of 5 Coffee production area Amount of production in KiloTonnes

5 Indonesia Under-nutrition and coffee production 39/100 42/100 39/100 33/100 12 13 5/100 5/100 3/100 4/100 2KT Nanggroe Aceh Darussalam North Sumatera West Sumatera Sulawesi Selatan 2KT 2KT 382KT 2KT 2KT 26KT 32/100 34/100 36/100 23/100 reduced height of children 5/100 3/100 4/100 2/100 Child mortality under the age of 5 Bengkulu Central Java East Java DI Yogyakarta Coffee production area Amount of production in KiloTonnes

Overview Under-nutrition and coffee production reduced height of children Child mortality under the age of 5 14 Vietnam India Ethiopia Kenya Indonesia 15 31 3 35 4 19 1 37 8 43 7 5 44 41 42 32 34 36 34 36 39 39 42 32 33 24 27 29 21 22 23 2 12 11 12 5 5 5 12 6 6 5 3 4 3 4 5 5 2 over 25: Intervention needed! North and South Central Coast Central Highlands Southeast Andhra Pradesh Karnataka Tamil Nadu Kerala Gambela Oromiya YeDebub (SNNP) Adis Ababa Central Eastern Western Rift Valley Nairobi Bengkulu Jawa Tengah Jawa Timur Nanggroe Aceh Darussalam Sulawesi Selatan Sumatera Barat Sumatera Utara DI Yogyakarta 87 1285 722 46 221 18 68 4 231 126 0 27 10 2 2 0 382 2 26 2 2 2 3 0 Percentage of world production 19 Percentage of world production 19 Percentage of world production 19 Percentage of world production 19 Percentage of world production 19 4% 4% 1% 6% 18% 1443 KT 314 KT 360 KT 41 KT 517 KT 18 18 Production 2011 Production 2011 Production 2011 18 Production 2011 18 Production 2011 18 24 21 20 23 23 22 Smallholder/Estate Smallholder/Estate Smallholder/Estate Smallholder/Estate Smallholder/Estate 95 5 70 30 95 5 56 44 96 4

However, families in the coffee producing provinces in India, Vietnam, Indonesia, Kenya and Ethiopia face high undernutrition leading to poor health, reduced educational potential, and diminished immediate and future income. IV Nutrition status of pr oducing families 16 17 Healthy farming family Coffee farming family facing under-nutrition FEMALE EMPOWERMENT The mother has decision-making power on expenditures GOOD SCHOOL ATTENDANCE Children attend school and are active $ $ GOOD HEALTH POOR SCHOOL PERFORMANCE Children attend school at a higher age, doubling of classes, often dropping out school The family is healthy school and not frequenting depending on medical services GOOD FOOD The family eats a wide variety of food daily (rice/maize, vegetables and animal products) LACK OF FEMALE EMPOWERMENT as women have less labor productivity and time for family care $ zz zz POOR HEALTH Family members are more susceptible to illness and experience higher mortality rates from minor illnesses such as diarrhea MALNOURISHED CHILDREN who are too small for their age, are often tired and inactive INCREASED PRODUCTIVITY Agricultural production is improved due to higher labor productivity DECREASED PRODUCTIVITY Farmer produces less coffee due to reduced labour productivity Looking at a healthy farming household one can see that improved nutrition can increase productivity and reduce poverty through improved physical work capacity, cognitive development, school performance, and health. INTERGENERATIONAL CYCLE Undernourished children grow into undernourished adults

V How to remedy this? Additional productivity gains might be achievable in the coffee sector if it invests in interventions promoting human nutrition security through a certification incentive. The following four interrelated interventions are 18 19 designed to achieve improved nutrition for smallholder farmers in the coffee value chain and their households. 26 27 Together they constitute a smart combination of Good Agricultural Practices and Good Nutritional Practices: 1. Nutrition sensitive value chains for local products: + + + + $ + Building nutrition sensitive value chains by first increasing local production, then preserving and marketing affordable nutrient dense foods (vegetables, fruits, animal based food products) to be sold in local markets. Sustainable improvements in the food basket can best be brought about through commercially viable value chains with push and pull factors. Nutrition sensitive value chains for local products Increased nutritious food consumption through food diversification Strengthening the role of women Nutrition education 2. Increased nutritious food consumption through food diversification: Promoting household food production that includes a diversified basket of nutrient rich crops such as fruits and vegetables, and animal source foods such as eggs, chicken, fish and dairy products. A comprehensive behavioural change campaign will support this intervention. 3. Strengthening the role of women: Ensuring women are empowered to make household decisions, especially to spend resources on improving nutrition for all family members at all stages of the lifecycle. Certification is a procedure whereby an independent third party certification body gives a written assurance that the quality of the coffee and the production process has been assessed, and both confirm to the requirements specified by the standard systems. Being part of a certification program provides many opportunities for the producer. A few examples include training, access to markets, and enhanced efficiency and revenues. Four global certification standards are relevant for the coffee sector, namely: Fairtrade, Organic, Rainforest Alliance and UTZ Certified. Global certification programs are becoming more widespread in the past years. 25 A fifth influential collective standard for coffee is the 4C Association (Common Code for the Coffee Community). 4. Nutrition education: Raising awareness about good nutrition, health and sanitation practices through education programs. These interventions can be integrated in coffee certification training programs. Organized farmer groups are the entry point for a) promoting household production of nutrient-rich crops, b) developing viable local value chains for animal-sources food products, and c) empowering women to make nutritious choices that benefit their families. In addition, coffee farmer groups provide a platform for linking nutrition education to agricultural production.

The four given interventions particularly fit the context in which smallholder farmers operate and live. As plantations supply a significant amount of coffee in the world, 29 addressing these problems and at the same time increasing plantation workers However, under-nutrition is a serious problem among productivity will have a significant impact in raising worldwide production to plantation workers as well. 28 As a leading underlying meet growing demand. Four interrelated interventions proposed are: cause for disease, there is a clear link between undernutrition and the relatively high prevalence of plantation workers who stay home because they are sick. 20 1. Encouraging backyard farming: 21 Plantation workers may not have as much land of their own as smallholder When plantation workers do come to work, it is often farmers do, but they do have small plots surrounding their own houses in a weak physical condition due to a lack of consumption of healthy food. This could be overcome, where it is possible to grow vegetables and fruits or keep small animals. Encouraging plantation workers to produce the five most nutritious for example, by providing affordable nutritious meals vegetables as well as raising chicken in their backyard for their own on the plantation site. consumption can make a difference in improving diets for their households. 2. Strengthening the link with public health services for access to micronutrient supplementation: Promoting programs in which plantation workers are provided with A + $ + micronutrient supplements (Vitamin A, iron, zinc and iodine) have already sparked positive results at the plantation level for both worker health and productivity. 30 Plantation owners/management will have to cooperate with public health institutions. In some cases, like in India, programs for supplementation already exist and it is a matter of awareness and Encouraging backyard farming Increased access to nutrient supplements by linking with public health services Strengthening the role of women Nutrition education coordination of programs. 31 3. Strengthening the role of women: Ensuring women are empowered to make household decisions, especially to spend resources on improving nutrition for all family members at all stages of the lifecycle. 4. Nutrition education: Raising awareness about good nutrition, health and sanitation practices through education programs. By addressing the interventions described in combination with Good Agricultural Practices, local diets will be diversified and become more nutritious resulting in healthier and more productive coffee farmers and plantation workers. Ultimately, the industry benefits from a more productive future generation of coffee farmers and plantation workers and, consequently, a more sustainable coffee value chain.

VI Call to action Today, critical social and economic issues that have an influence at smallholder producer level include food insecurity and low productivity. 22 23 These issues in combination with increased production costs lead to a drastic reduction of the producer s income, while the worldwide demand for coffee grows steadily. 32 Under-nutrition plagues the majority of producers in the major producing countries such as Indonesia, India, Kenya, Vietnam and Ethiopia. Unremitting under-nutrition leads to a vicious cycle of undernourished coffee families over generations. As a consequence, under-nutrition contributes to continuing productivity losses in the coffee sector. The NESCAFÉ Plan: Responsibility goes beyond the cup! Looking at trends in the coffee sector, around 16% 33 of the global coffee production is currently certified. Due to the extensive commitments from major coffee companies, like Nestlé, Mondelez, DE Master Blenders, Tchibo and Starbucks, this share is estimated to reach over 25% by 2015. 34 Ideally certification standards will integrate training tools on nutrition security as a mandatory element in their curriculum in areas of high malnutrition and coffee production for smallholders and plantation workers. Addressing nutrition security can be achieved by combining Good Agricultural Practices with Good Nutritional Practices, developing nutrition sensitive value chains for local products, increasing household production of nutritious foods, strengthening the role of women and educating people about the importance of nutrition. Investments in better nutrition have an exceptionally high benefits to cost ratio. 35 We encourage the coffee industry to invest in nutrition sensitive coffee chains in areas experiencing high rates of malnutrition to prevent future generations of undernourished coffee producers and plantation workers with decreased productivity.

24 VII Footnotes 13 See References. 14 WHO reference median: Percentage of children stunted is the percentage 25 of children under five years who have a height-for-age below minus two standard deviations of the National Center for Health Statistic 1 British Coffee Association (2013): The History of Coffee: Facts. http://www. britishcoffeeassociation.org/the-history-of-coffee/facts 2 International Coffee Organization (2012): Total Coffee Production by Exporting Country. http://www.ico.org/historical/2010-19/pdf/totpro- DUCTION.pdf 3 International Coffee Organization (2012): Historical Data. http://www.ico. org/new_historical.asp?section=statistics 4 World Bank (2007): From agriculture to nutrition: Pathways, Synergies and Outcomes, Report No. 40196-GLB 5 Copenhagen Consensus (2012): http://www.copenhagenconsensus.com/ Projects/CC12.aspx 6 IFPRI (2011): Global Hunger Index 7 FAO (2012) State of Food Insecurity in the World 2012 8 This inter-generational cycle can be broken by good nutrition to mother and child. This window of opportunity to address under-nutrition is known as the first 1000 days, from conception until 2 years of age. 9 Copenhagen Consensus (2012): http://www.copenhagenconsensus.com/ Projects/CC12.aspx 10 Behrman and Rozenzweig (2001) / Hunt (2005) The strongest and best documented productivity-nutrition relationships are those related to human capital development in early life. Height has unequivocally been shown to be related to productivity, and final height is determined in large part by nutrition from conception to age two. A 1% loss in adult height as a result of childhood stunting is associated with a 1.4 percent loss in productivity. 11 Behrman and Rozenzweig (2001) / Hunt (2005) 12 Grantham-McGregor, S., Fernald, L. and Sethurahman, K. (1999), Effects of Health and Nutrition on Cognitive and Behavioral Development in Children in the First Three Years of Life. Malnutrition leads to indirect losses in productivity from poor cognitive development and schooling. Low birth weight may reduce a person s IQ by 5 percentage points, stunting may reduce it by 5 to 11 points, and iodine deficiency by as much as 10 to 15 points 15 Black, R.E., Morris, S.S. and Bryce, J. (2003) Where and why are 10 million children dying every year? 16 United Nations (2012), Levels & Trends in Child Mortality Report 2012. (Accessed March 13, 2013) http://en.wikipedia.org/wiki/child_mortality 17 DHS (2008/2009): Ethiopia: Demographic and Health Survey 2011. 18 International Coffee Organization (2012): Country Data Sheets. 19 International Coffee Organization (2012): Country Data Sheets. 20 Nordic Approach (2012): Ethiopian Coffee. http://nordicapproach.wordpress.com/2012/01/10/ethiopia/ 21 Coffee Board of India (2012): Production of Coffee in Major States/Districts. http://www.indiacoffee.org/indiacoffee.php?page=coffeedata#area 22 Indonesian Coffee and Cocoa Reasearch Institute (2012): Challenges of Sustainable Coffee Certification in Indonesia, p. 6. http://www.ico.org/ event_pdfs/seminar-certification/certification-iccri-paper.pdf 23 USAID & Compete Africa (2010): Kenya Coffee Industry Value Chain Analysis. http://www.competeafrica.org/files/kenya_coffee_industry_value_ Chain_Analysis_2010.pdf 24 FAO (2007): Diversification by smallholder farmers: Vietnam Robusta Coffee, p12. http://www.fao.org/docrep/016/ap301e/ap301e.pdf 25 Panhuysen, S., Van Reenen, M (2012) Coffee Barometer 2012, Tropical Commodity Coalition 26 Wiegers, E., Van Dorp, M., Torgerson, S. (2011), Improving nutrition through Agriculture. 27 Van Dorp, M., Oenema, S., Verdonk, I. (2011), Agriculture Nutrition Linkages. 28 Rani, V.E. and Paulraj, S. (2013), Impact of dietary intervention with a functional food supplement to combat anemia - the blood iron metabolic disorder among the coffee plantation laborers. 29 Panhuysen, S., Van Reenen, M (2012) Coffee Barometer 2012, Tropical Commodity Coalition

26 30 Scholz B.D. et al., Anaemia is associated with reduced productivity of women workers even in less-physically-strenuous tasks, The British journal of nutrition 1997;77:47-57. DHS (2008/2009): Ethiopia: Demographic and Health Survey 2011. WFP (2008): Report on the State of Food Insecurity in Rural India. 27 Riskesdas Indionesia (2010): Riset Kesehatan Dasar: Badan Penelitian Dan Pengembangan Kesehatan Kementerian Kesehatan Ri Tahun 2010. 31 Biswas, S. et al. (2005), Nutritional Survey of Tea Workers on Closed, Re- Opened, and Open Tea Plantations of the Dooars Region, West Bengal, DHS (2008/2009): Kenya: Demographic and Health Survey 2008 & 2009. India, p. 11. UNICEF (2010): Viet Nam General Nutrition Survey 2009 2010 32 Panhuysen, S., Van Reenen, M (2012) Coffee Barometer 2012, Tropical Commodity Coalition UNICEF (2013): Key Facts and Figures on Nutrition. 33 Panhuysen, S., Van Reenen, M (2012) Coffee Barometer 2012, Tropical Commodity Coalition 34 Panhuysen, S., Van Reenen, M (2012) Coffee Barometer 2012, Tropical Commodity Coalition 35 Copenhagen Consensus (2004): http://www.copenhagenconsensus.com/ Projects/Copenhagen%20Consensus%202004/Outcome.aspx VIII References Data are collected from the following sources: Malnutrition Data Child Mortality DHS (2008/2009): Ethiopia: Demographic and Health Survey 2011. UNICEF (2011): The Situation of Children in India: A Profile. DHS (2007): Indonesia: Demographic and Health Survey 2007. DHS (2008/2009): Kenya: Demographic and Health Survey 2008 & 2009. Vietnamese Ministry of Planning and Investment (2011): Population Survey; Family and planning Coffee Production Data Coffee Board of India (2012): Production of Coffee in Major States/Districts. http:// www.indiacoffee.org/indiacoffee.php?page=coffeedata#area Ethiopian Ministry of Trade (2012): Coffee Opportunities in Ethiopia. http://www.eafca.org/wwc/downloads/afcce09/presentations/coffee%20opportunities%20in%20ethiopia%20-%20%20ministry%20of%20trade.pdf *(Disclaimer) Ethiopian regional coffee production data was calculated by applying regional percentages from the Ethiopian Ministry of Trade report to the national production figure. These figures should therefore be seen as estimations. Global Agricultural Information Network (2012): Vietnam Coffee Annual 2012. http://gain.fas.usda.gov/recent%20gain%20publications/coffee%20annual_hanoi_vietnam_5-24-2012.pdf *(Disclaimer) Vietnamese regional coffee production data was calculated by applying regional percentages from the Global Agricultural Information Network report to the national production figure. These figures should therefore be seen as estimations. Indonesian Ministry of Agriculture (2012): Luas Areal dan Produksi Perkebunan Report. http://ditjenbun.deptan.go.id/statistikbun/luas_areal_dan_produksi_perkebunan_report.php?a=integrated&ctlsearchfor=&simplesrchfieldscomboopt=&simples rchtypecombonot=&simplesrchtypecomboopt=&criteria=and&type1=&value11=20 11&field1=STABUN_TAHUN&option1=Equals&not1=&type2=&value21=11&field2=T_KO- MODITAS_ID&option2=Equals&not2 Kenya Coffee Traders Association (2008): Crop Report 2008. 2008-2009 http://www.kenyacoffee.or.ke/coffeebar/crop%20report.pdf

28 Colophon 2013, Increasing coffee productivity through improved nutrition A call to action, Concept Brief Global Alliance for Improved Nutrition (GAIN) Centre for Development Innovation- Wageningen University and Research Centre Citation De Vries, K.; McClafferty, B., Van Dorp, M., Weiligmann, B. (2013): Increasing coffee productivity through improved nutrition A call to action, Concept Brief Text input: André McDonald and Mieke van Reenen from Global Alliance for Improved Nutrition (GAIN). Design and graphs www.tegenwind.eu Print drukkerij Mostert & van Onderen! For further information see: www.gainhealth.org www.wur.nl

Innovation for sustainable and equitable development CDI Global Alliance for Improved Nutrition GAIN At the Centre for Devlopment Innovation (CDI) we focus on the global challenges of food & nutrition security, sustainable markets, adaptive agriculture, ecosystem governance and conflict, disaster & reconstruction. CDI has forty scientific staff members that are active within these particular themes and are supported by 20 project support staff members. We link cutting-edge processes of innovation and learning with Wageningen UR s world-leading scientific and technical expertise. Our work fosters collaboration between citizens, governments, businesses, NGOs and the scientific community. Our worldwide network of partners and clients links with us to help facilitate innovation, create capacities for change and broker knowledge. Driven by a vision of a world without malnutrition, GAIN was created in 2002 at a Special Session of the U.N. General Assembly on Children. GAIN supports public-private partnerships to increase access to the missing nutrients in diets necessary for people, communities and economies to be stronger and healthier. With a current daily reach of over 667 million people in more than 30 countries, GAIN s goal is to improve the lives of one billion people by 2015 within the most vulnerable populations around the world through access to sustainable nutrition solutions. Please visit us at www.gainhealth.org, follow us on Twitter @GAINalliance and like us on Facebook at www.facebook.com/gainalliance. Centre for Development Innovation