Abstract

Biofortification is a promising strategy to combat micronutrient malnutrition by promoting the adoption of staple food crops bred to be dense sources of specific micronutrients. Research on biofortified orange-fleshed sweet potato (OFSP) has shown that the crop improves the vitamin A status of children who consume as little as 100 grams per day, and intensive promotion strategies improve dietary intakes of vitamin A in field experiments. However, little is known about OFSP adoption behavior, or about the role that nutrition information plays in promoting adoption and changing diet. We report evidence from similar randomized field experiments conducted in Mozambique and Uganda to promote OFSP. We further use causal mediation analysis to study impact pathways for adoption and dietary intakes. Despite different agronomic conditions and sweet potato cropping patterns across the two countries, the project had similar impacts, leading to adoption by 61% to 68% of farmers exposed to the project, and doubling vitamin A intakes in children. In both countries, two intervention models that differed in training intensity and cost had comparable impacts relative to the control group. The project increased the knowledge of key nutrition messages; however, added knowledge of nutrition messages appears to have minimally affected adoption, conditional on assumptions required for causal mediation analysis. Increased vitamin A intakes were largely explained by adoption and not by nutrition knowledge gained, though in Uganda a large share of impacts on vitamin A intakes cannot be explained by mediating variables. Similar impacts could likely have been achieved by reducing the scope of nutrition trainings.JEL codes: I15, O12, O13, Q12.

Highlights

  • Micronutrient malnutrition continues to be a major health problem affecting developing countries, and in Sub-Saharan Africa (SSA) in particular

  • We use causal mediation analysis to ascertain how much of the adoption behavior can be explained through the knowledge of messages regarding the health benefits of vitamin A, and what role both adoption and nutrition knowledge play in explaining improved vitamin A intakes

  • We quantify the impacts of an integrated biofortification program that delivers two models varying in intensity using a randomized control trial conducted in both Mozambique and Uganda

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Summary

Introduction

Micronutrient malnutrition continues to be a major health problem affecting developing countries, and in Sub-Saharan Africa (SSA) in particular. We measure adoption (Ai) in three ways: first, as an indicator variable, defined as whether farmers kept vines for the following season (Mozambique), or if farmers were growing OFSP at the time of the final survey (Uganda).9 Second, we measured the intensity of adoption by the share of OFSP in the total sweet potato area farmed by the household.

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