Micronutrient-sensitive food value chains: A systematic review of intervention strategies and impact pathways to nutritional outcomes

Knowledge and evidence on how food value chains can deliver nutrition, especially micronutrients, are limited. A deeper understanding of the food value chains as part of agri-food systems approaches addressing hunger and malnutrition through agricultural development may provide pathways for nutrition and health outcomes.. This systematic review was undertaken using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to assess the broad topic of value chains and micronutrients, focusing on interventions and their related impact pathways. Impact pathway interventions improving micronutrient delivery and consumption were classified as production, accessibility, marketing, income, knowledge and behavioral, and finally, women’s empowerment pathways. However, the case study evidence on the micronutrient-sensitive value chains for nutritional outcomes is very scant. This review identified that making value chains micronutrient-sensitive requires a multi-stakeholder, integrated approach as a basis for concerted action among various stakeholders in terms of policy, research, strengthening partnerships and coordination, and information sharing. The review illustrates the scarcity of literature with a focus on the micronutrients in the context of food value chains and developing countries. The food value chain approach offers great potential to unpack the complexity of food systems and identify entry points and pathways for improving nutrition outcomes, especially the micronutrients. Additionally, this review identifies multiple entry points and calls for strong advocacy of nutrition-sensitive value chain approaches to combat hidden hunger.