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      Biofortification, Crop Adoption and Health Information: Impact Pathways in Mozambique and Uganda

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          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.

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          Training, Wages, and Sample Selection: Estimating Sharp Bounds on Treatment Effects

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            Microeconomics of Technology Adoption

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              Extent of vitamin A deficiency among preschool children and women of reproductive age.

              Knowledge of the extent of vitamin A (VA) deficiency (D) is critical for identifying high-risk populations and mobilizing resources for prevention. Yet, all estimates are necessarily imperfect, often based on assumptions in the absence of data. In 1995, the World Health Organization estimated 254 million children to be VA-deficient and 2.8 million to have xerophthalmia. Subsequently, estimates were changed to 75-140 million and 3.3 million, respectively. Although both sets are consistent with a problem of enormous magnitude, the discrepancies also created uncertainty. The present analysis indicates there are approximately 127 million and 4.4 million preschool children with VAD (serum retinol 6 million women develop night blindness (XN) during pregnancy annually. Roughly 45% of VA-deficient and xerophthalmic children and pregnant women with low-to-deficient VA status live in South and Southeast Asia. These regions harbor >60% of all cases of maternal XN, three fourths of whom seem to live in India. Africa accounts for 25-35% of the global cases of child and maternal VAD; about 10% of all deficient persons live in the eastern Mediterranean region, 5-15% live in the Western Pacific and approximately 5% live in the Region of the Americas. VA prophylaxis seems to be preventing the number of deficient preschool children from increasing while probably reducing rates of blindness and mortality. Greater effort is needed to assess and prevent VAD and its disorders, particularly among pregnant and lactating women.
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                Author and article information

                Journal
                Am J Agric Econ
                Am J Agric Econ
                AJAE
                American Journal of Agricultural Economics
                Oxford University Press
                0002-9092
                15 March 2018
                2018
                15 March 2018
                : 100
                : 3
                : 906-930
                Author notes
                Please direct correspondence to: a.debrauw@ 123456cgiar.org .

                Alan de Brauw is senior research fellow at the International Food Policy Research Institute (IFPRI). Patrick Eozenou is an economist at the World Bank. Daniel Gilligan is the Deputy Division Director at IFPRI. Christine Hotz is an independent consultant. Neha Kumar is a senior research fellow at IFPRI. J.V. Meenakshi is a professor of economics at the Delhi School of Economics. The authors thank Mary Arimond, Howarth Bouis, Alicia Carriquiry, Ricardo Labarta, Cornelia Loechl, Jan Low, and Mourad Moursi for contributions to the fieldwork and variable construction essential to this manuscript, and seminar participants at the World Bank, in the 3ie-IFPRI seminar series, Michigan State University, the Bush School of Public Policy at Texas A& M, the Midwest International Economic Development Conference, and the 3rd Annual Leverhulme Center for Integrated Research on Agriculture and Health, as well as Anna Marie Ball, Ekin Birol, Andrew Dillon, Scott McNiven, and Yurie Tanimichi for comments that have improved this article. The research was supported by a grant from the Bill and Melinda Gates Foundation for the Reaching End Users Orange-Fleshed Sweet Potato Project. HarvestPlus core funding was also used to support this work, which includes support from the Danish International Development Agency (DANIDA), Swedish International Development Cooperation Agency (SIDA), the Syngenta Foundation, the Department for International Development (DFID; United Kingdom), the United States Agency for International Development (USAID), and the World Bank. All remaining errors are the authors’.

                Article
                AJAE-2018-AJAE-AAY005
                10.1093/ajae/aay005
                7053385
                32139914
                dac39202-b188-45fd-8205-aa9dd97f4c75
                © The Author(s) 2018

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

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                biofortification,technology adoption,mozambique,uganda,casual mediation analysis,randomized control trial

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