1. Lawrence Haddad Global Alliance for Improved Nutrition
Healthy Diets: The role of Business in making them desirable, affordable and eaten
Lawrence Haddad
Global Alliance for Improved Nutrition

2. Outline
Diet quality is central to the prevalence of all forms of malnutrition
Diets are poor for 1 in 3 of world’s people
People get most of their food through market purchases
Urbanization and income growth driving these food choice trends forward -- and they negative and positive
The nutritional quality of food supply and demand in markets is shaped by businesses within the food system
Some ways forward for businesses to have a higher impact on diet quality for low income citizens

3. Six of the top 11 risk factors driving the global burden of disease are related to diet

4. Even in low income countries, most people get food from the market
Percentage of household value of food consumed by source of acquisition

5. Urbanization is driving the consumption of highly processed foods

6. Food systems shape diet choices & are populated by Businesses

7. Where are we right now with business and nutrition?
How do you see the world?
Business can do no wrong
Silent majority trying to figure out when and how to engage with businesses to advance nutrition
Business has no business in nutrition

8. We need to understand how to navigate the maze
Business can do positive and negative things for nutrition
How do we expand the former and minimize the latter?

9. So what is holding us back?
Significant reputational risk
World views
Weak accountability
Fear of dialogue
Weakly governed space
Missed
opportunities
We are
missing opportunities to advance nutrition
Weak evidence
Distrust
High risk of doing harm
Power imbalances

10. Businesses also do negative things for nutrition
Compliance with Code on marketing of breastmilk substitutes
Nestlé 36% | Danone 31% | FrieslandCampina 24%
Heinz 17% | Abbot 7% | Mead Johnson 5%
(100% = full compliance)
Access to Nutrition Index Report 2016

11. Some Ways Forward

12. 1. Create the Demand for Nutritious Food

13. Can we do better in creating demand for healthy diets?

14. 2. Strengthen Ability of Business to Deliver Healthier Diets

15. Increase Large Scale Fortification Rates
Fortification routinely shows benefit-cost ratios of 6-9 (& much higher for salt iodization)
Hoddinott, Torero and Rosegrant 2012 Copenhagen Consensus paper
Only about a quarter of fortifiable food is actually fortified. Reasons?
Capacity to Legislate, Capacity to Fortify, Capacity to Monitor and Capacity to Enforce
Arusha Summit 2015 Statement

16. Marketplace for Nutritious Foods to
Accelerate nutritious food to market by helping SME’s to break the barriers to market entry
Millions of additional chicken serving sales generated by a one time $100,000 public investment.
Chicken Choice, Kenya
Note: blank columns are hypothetical sales
Servings/$ 25
105
245
445

17. 3. Strengthen the Enabling Environment for public and private actors to work together
Strengthen Accountability Infrastructure
Develop new Blended Financing Mechanisms
Evaluate and Share

18. Business Resources Can Be Leveraged by Public Funds
Power of Nutrition (DFID & CIFF)
Amsterdam Initiative Against Malnutrition (Government of Netherlands)
Global Development Alliances (USAID)
Business Platform for Nutrition Research (Government of Canada)

19. Businesses have incentives to invest in nutrition: need to align with public priorities
Smart thing to do: productivity, absenteeism, turnover
Sustainable thing to do:
The World Business Council for Sustainable Development 2017 Report
Top 3 business opportunities in food sector (worth $1 trillion)
Building food markets for low income consumers
Product reformulation
Reducing food loss

20. Thank You