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Food crop production, nutrient availability, and

nutrient intakes in Bangladesh: Exploring the


agriculture–nutrition nexus with the 2010
Household Income and Expenditure Survey

John L. Fiedler

Abstract of the zinc, 67% of the calcium, and 55% of the iron
produced by the agricultural sector. The domination
Background. Systematic collection of national agricul- of agriculture and diet by rice is a major constraint to
tural data has been neglected in many low- and middle- improving nutrition in Bangladesh. Simple examples of
income countries for the past 20 years. Commonly how minor changes in the five most common cropping
conducted nationally representative household surveys patterns could improve farming households’ nutritional
collect substantial quantities of highly underutilized food status are provided.
crop production data. Conclusions. Household surveys’ agricultural mod-
Objective. To demonstrate the potential usefulness ules can provide a useful tool for better understanding
of commonly available household survey databases for national nutrient production realities and possibilities.
analyzing the agriculture–nutrition nexus.
Methods. Using household data from the 2010 Bang-
ladesh Household Income and Expenditure Survey, the Key words: Dietary assessment, food policy, House-
role and significance of crop selection, area planted, yield, hold Consumption and Expenditure Survey (HCES),
nutrient production, and the disposition of 34 food crops micronutrients, nutrient availability, nutrient intake,
in affecting the adequacy of farming households’ nutrient nutrient intake adequacy, nutrition policy
availability and nutrient intake status are explored. The
adequacy of each farming household’s available energy,
vitamin A, calcium, iron, and zinc and households’ Introduction
apparent intakes and intake adequacies are estimated.
Each household’s total apparent nutrient intake adequa- The ascendancy of interest in the agriculture–nutrition
cies are estimated, taking into account the amount of nexus and the long-term deterioration of agricultural
each crop that households consume from their own statistics could not have been more ill-timed. Just as
production, together with food purchased or obtained the international nutrition community was coming
from other sources. to a consensus about the fundamental importance
Results. Even though rice contains relatively small of agriculture in nutrition, and began positioning
amounts of micronutrients, has relatively low nutrient agriculture at center stage in the analysis of the causes
density, and is a relatively poor source of nutrients com- and the search for solutions to malnutrition, the
pared with what other crops can produce on a given tract United Nations, the Food and Agriculture Organiza-
of land, because so much rice is produced in Bangladesh, tion (FAO), the World Bank, the Bill & Melinda Gates
it is the source of 90% of the total available energy, 85% Foundation, and others began calling for action to
reverse the long-term neglect of systematic collection
of national agricultural data in many low- and middle-
The author is affiliated with Poverty, Health and Nutri-
tion Division, International Food Policy Research Institute,
income countries. Lamenting that “Over the last
Washington, DC, and, at the time of writing this article, with two decades, the quantity and quality of agricultural
the United States Agency for International Development’s statistics have undergone a serious decline,” in 2010
Strengthening Partnerships, Results and Innovations in the United Nations and FAO began a global initiative,
Nutrition Globally (SPRING). “Improving Statistics for Food Security, Sustainable
Please direct queries to the author: John L. Fiedler,
HarvestPlus, International Food Policy Research Institute Agriculture and Rural Development” [1]. Shortly there-
(IFPRI), 2033 K Street NW, Washington, DC 20006, USA; after, the World Bank joined the efforts, acknowledg-
e-mail: J.fiedler@cgiar.org. ing that “Many countries, especially in the developing

Food and Nutrition Bulletin, vol. 35, no. 4 © 2014, The Nevin Scrimshaw International Nutrition Foundation. 487
488 J. L. Fiedler

TABLE 1. Prevalence (%) of nutritional deficiencies in Bangladesh, 2011/12


School-age children Nonpregnant,
Preschool-age nonlactating
Nutritional deficiency children All: (6–14 yr) 6–11 yr 12–14 yr women 15–49 yr
Vitamin A 76.9 74.5 39.7
Anemia 33.1 19.1 17.1 26.0
Iron 10.7 3.9 9.5 7.1
Iron-deficiency anemia 7.2 1.3 1.8 4.8
Zinc 44.6 57.3
Iodine 40.0 42.1
Vitamin B12 6.1
Folate 9.1
Source: Icddr,B, UNICEF/Bangladesh, GAIN, Institute of Public Health and Nutrition, 2013 [11].

world, lack the capacity to produce and report even the been attributable to poverty reduction* and advances
minimum set of agricultural data.” Later that year, the in education and health programs. The most significant
two agencies unveiled their “Global Strategy to Improve progress in health has been the steady, two-decade-long
Agricultural and Rural Statistics” [2]. This initiative is growth in coverage rates of immunization, oral rehy-
sorely needed and past due. The nature of the factors dration salts (ORS), and vitamin A supplementation, all
that have contributed to this neglect and the longstand- of which attained rates in excess of 80% by 2006 [7–9].
ing nature of neglect both suggest that remedying the In contrast to the advances in health, nutritional
situation will be a long process and one that will likely deficiencies have proven more intractable. Anthropo-
proceed unevenly and with varying degrees of success metric measures only began to improve in the mid-
across countries. 1990s, and both macro- and micronutrient deficiencies
Another trend that is observable over the past two remain high (table 1)—higher than would be predicted
decades has been the slow but steady growth in the by the country’s income level alone [7]. Factors that
use of Household Consumption and Expenditure Sur- have been cited as to why Bangladesh’s rates of mal-
veys (HCES) to analyze nutrition issues [3, 4]. Most nutrition have been so high include the gap in the
of the analyses of these surveys to date have focused distribution of foods between households and between
on the food consumption and expenditure data that members within households (due largely to discrimi-
are routinely collected in the consumption modules nation against girls), gastrointestinal malabsorption,
of these surveys. Roughly three-quarters of HCES morbidity, and ignorance about the importance of and
contain another potentially highly useful component the unavailability of protein and micronutrients in the
for analyzing complementary aspects of nutrition diet [10].
issues, viz., an agricultural module. For many low- and The nutrition gains—in reducing stunting (begin-
middle-income countries where agricultural statistics ning in the mid-1990s) and in increasing per capita
have been neglected, these surveys provide a potentially caloric availability—that have been achieved have been
useful source of routinely collected national agricul- due to increased rice production. Starting with the
tural data with which to analyze the agriculture–nutri- advent of the Green Revolution in the 1970s, Bang-
tion nexus. The objective of this paper is to provide a ladesh has increased rice production by 98%.** The
case study of Bangladesh to demonstrate this potential. average number of calories available per person per day
Analyzing data from the 2010 Bangladesh Household grew from an annual average of 2,059 in 1993–95 to
Income and Expenditure Survey (HIES), the paper 2,438 in 2007–09, an increase of 18% [12]. As a result,
explores the nutrient availability of foods produced in the average real price of rice fell by 15% from the early
Bangladesh and the relationship of nutrient availability 1990s through 2004 and average income grew [13].
and apparent inadequate nutrient intake [5]. Although there has been some increase in the amount
of land planted, most of the increase in production
has been due to increases in productivity, the use of
The context
* Between 1980 and 2009, per capita gross national income
Bangladesh has made enormous strides in reducing increased more than fivefold (measured in international dol-
lars, i.e., purchasing power parity [6]).
population growth, mortality, and morbidity over the
past three decades. It is one of the few countries that ** Tiongco M, Hossain M. 2013. Determinants of adoption
of modern varieties and rice varietal diversity on household
will achieve the Millennium Development Goal of farms in Bangladesh. Unpublished paper prepared for Har-
reducing mortality among children under 5 years of vestPlus. Washington DC: International Food Policy Research
age by two-thirds by 2015. Much of the progress has Institute.
Agriculture–nutrition nexus in Bangladesh 489

high-yielding modern varieties, and irrigation [14, 15]. February 2010 and January 2011 and interviewed
These long-term trends, however, appear to be playing 12,240 households. It was a two-stage stratified sample
out. With irrigation now reaching 70% of the country with probability proportional to size, and the sampling
and the nearly complete adoption of modern varieties frame was based on the 2001 population census [5, 19].
on irrigated lands, these factors are approaching their The sample provides estimates that are representative
ceiling levels, slowing the growth in rice output levels at the national level and for each of Bangladesh’s six
and with it, threatening the rate of progress that has divisions. Demographic information was collected
been made in improving nutritional status. Progress on each household member. The total number of
in reducing stunting has stalled. At the same time, individuals in the sample was 55,580. Sample weights,
the two-decade-long trend of growing coverage of the adjusted for nonresponse, are included in the database
vitamin A supplementation and ORS programs has and are used to determine total population estimates
been reversed [8, 9, 16],* revealing the vulnerability of households and persons. The interviewing was done
of the advances made by these programs to date, while between 1 February 2010 and 31 January 2011. The
rekindling interest in food-based interventions, both to year was divided into 18 terms. Data were collected
shore up the gains made to date and as a mechanism for in 34 primary sampling units during each term in
accelerating improvements in micronutrient intakes. an effort to minimize distortions that may have been
On average, Bangladeshis eat 453 g of rice per day caused by seasonality.
and obtain 70% of their total daily caloric intake from
rice. Although increasing rice production, availability, Estimating nutrient intakes with the consumption
and consumption has helped to reduce energy malnu- module
trition in Bangladesh, it alone cannot address all of the
country’s nutrition problems. Despite the tremendous The consumption module of the survey included 132
advances in rice production, the diet of many Bang- food items. Information on household food acquisition
ladeshis remains inadequate in both quantitative and and consumption was collected in seven visits to each
qualitative terms [17]. home. During each visit, a 2-day recall was conducted,
The objective of this paper is to analyze the agri- and information on the quantity, value, and source of
cultural module of the 2010 Bangladesh Household each food item consumed (purchases, in-kind wage,
Income and Expenditure Survey (HIES) to estimate own production, and gifted food) was collected for the
the nutrient availability of food crops produced in entire household.
Bangladesh [18]. This is an exploratory study to better To estimate the apparent nutrient intake of Bangla-
understand the quality of the Bangladeshi diet and to deshi households, we identified the specific types and
investigate food-based strategies for improving it and quantities of each of the 132 foods in the HIES food list
the micronutrient status of Bangladeshis. that the household reported it purchased, consumed
The organization of the paper is as follows: first, from its own production, received as payment in kind,
the supply of food is analyzed using the agriculture or received without payment (e.g., from friends, rela-
module of the 2010 Bangladesh HIES and discussing tives, or a safety net program) during the previous 14
the production of food crops in Bangladesh. Then the days. We assumed that all of the food that was acquired
paper considers the nutritional characteristics of the during the 14-day reference period was consumed
food produced relative to the nutritional requirements during that period, and we used it as a proxy for the
and nutritional status of the Bangladesh population, household’s “usual intake.” Adjustments were made
focusing in particular on farming households. Finally, for the edible portion of foods, but no adjustments
the paper considers some potential changes that might were made for waste or loss or for food given away or
be made in the farming behaviors—cropping, crop used for other than human consumption. To remind
disposition, and food crop consumption patterns—of the reader of these important assumptions, we refer to
Bangladeshi farmers to improve their nutritional status. our estimate of the quantity of food eaten during the
14-day recall period as the quantity of food that was
“apparently consumed.”
Methods The nutrient content of each food item was esti-
mated by matching it to a food composition table.
The Bangladesh Bureau of Statistics of the Ministry Following the work of Bermudez and colleagues [20],
of Planning has conducted the HIES since 1973. The we used a combination of a Bangladesh-specific food
15th round of the survey was conducted between composition table that was developed by HarvestPlus,
complemented where necessary with food composition
tables of the National Institute of Nutrition of India and
* Coverage of the vitamin A supplementation program
grew steadily from 1996 to 2007, when it peaked at 88%, the US Department of Agriculture [21], and updated
before slipping to 60% in 2011. ORS usage rates have followed these estimates with the recently released University of
a parallel trend, falling from 81% to 60% [8, 9]. Dhaka food composition table [22]. We estimated each
490 J. L. Fiedler

TABLE 2. Farm size distributiona


household’s total caloric intake and its total nutrient
intakes of calcium, vitamin A, iron, and zinc and cal- Quintile Size (decimals)
culated each household’s Estimated Average Require- Q1: Small < 33
ment (EAR) based on the household’s composition, Q2 33 to < 120
i.e., the number, age, and sex of its members, using the Q3 120 to < 231
FAO’s adult consumption equivalent [23]. Not having Q4 231 to < 429
any information on individuals’ physical activity level Q5: Large ≥ 429
or their anthropometrics, we assumed that all persons
had a moderate physical activity level and we did not Mean 288.0
make adjustments for body size. Given the longstand- Median 168.0
ing, persistently high prevalence rate of stunting in Total area 4,367,505,236
Bangladesh, it is likely that our not adjusting for body No. of farms 15,165,840
size results in overestimation of nutrient intake require- a. 1 decimal = .01 acre.
ments and of nutrient intake inadequacies. We used
the US Institute of Medicine EARs [24], to estimate TABLE 3. Number of crops grown by Bangladeshi farmers
the prevalence of inadequate nutrient intake as the
No. of crops No. of Percent of Cumulative
percentage of individuals with intakes below the EAR, grown households households percent
using the cut-point method for vitamin A, calcium, and
zinc and the probability method for iron.* 1 2,798,884 18.46 18.46
2 3,926,676 25.89 44.35
3 2,680,343 17.67 62.02
Estimating nutrient production and nutrient
4 1,732,217 11.42 73.44
availability with the agricultural module
5 1,257,848 8.29 81.74
Interviewees were asked if anyone in the household 6 816,314 5.38 87.12
had been engaged in the agricultural sector in the pre- 7 590,160 3.89 91.01
vious 12 months. The 5,640 interviewed households 8 450,035 2.97 93.98
that answered affirmatively (46%) were then admin- 9+ 913,363 6.02 100.00
istered the agricultural module. Respondents were Total 15,165,840 100.00
asked if anyone in the household had planted any of
34 precoded food crops (including fruit trees) in the
previous 12 months. For each crop that was planted, nutrients in the food consumed by Bangladeshis should
the household was asked how much land they had cul- include considerations of how the food is usually stored
tivated under the crop, how much of the crop they had and prepared. We therefore adopted the food-list-based
produced, and the disposition of the output (household estimates of nutrient contents as the estimates for the
consumption, sold, stored, and other). We used these food crops, as well.
data, in combination with information from the food
composition tables [20–22], to estimate the availabil-
ity of energy, calcium, iron, vitamin A, and zinc, and Results
then analyzed the risk of deficiency or adequate intake
using the cut-point method for calcium, vitamin A, Food crop production and total nutrient availability
and iron and the probability method for iron [24, 25]. in Bangladesh
The agricultural module’s food crop list is much more
“commodity-like” than the consumption module’s The vast majority of the 15.2 million Bangladeshi
food item list. As such, the food crop list introduces households that engage in agriculture have small
substantially more uncertainty about how best to match farms (table 2): 56% cultivate less than 1 acre of land.
food crops to the food composition table, because the On average, farmers planted a mean of 2.9 acres and
food composition table has more detailed entries that a median of 1.7 acres. The typical farming household
capture differences in a food’s nutrient content owing plants three or four crops annually as shown in table 3.
to differences in how the food is stored and prepared. The most commonly grown crop is Boro rice (64%),
Whereas the food list matchings reflect these addi- followed by Aman rice (52%). The next most common
tional nutrient-content-affecting considerations, the crops are mango (30%), jack fruit (21%), and beans
more general, commodity-like food crops list does not. (14%).**
We assumed that the most accurate estimates of the
** Bangladesh has three overlapping rice-growing seasons:
two dry seasons (Aus and Boro) and a wet season (Aman).
* See pages 55–60 of the US Institute of Medicine [25] for As measured by the amount of land planted, Aman is the
the probability method and pages 60–62 for the cut-point most important of the three, accounting for about half of
method. all land annually cultivated in rice and 35% to 40% of total
Agriculture–nutrition nexus in Bangladesh 491

TABLE 4. Bangladesh food crop production and availability, 2010


HHs planting crop Total area planted Production Refuse Availability
(g/HH/
Food crop No. % Acres % MTs % day)a %
1 Rice–boro 9,645,394 63.6 9,197,162 37.36 18,118,931 0.000 1,503 47.94
2 Rice–aman 7,917,324 52.2 8,104,279 32.92 9,332,285 0.000 774 24.69
3 Rice–aus 2,134,820 14.1 2,012,306 8.17 1,788,901 0.000 148 4.73
Rice–all 11,981,055 79.0 19,313,747 78.45 29,252,571 0.000 2,427 77.41
4 Wheat 1,387,913 9.2 559,295 2.27 537,942 0.000 45 1.42
5 Maize 402,188 2.7 163,486 0.66 391,050 0.370 20 0.65
6 Sugar 228,060 1.5 161,868 0.66 2,411,639 0.900 20 0.64
7 Pulses 1,571,917 10.4 850,515 3.45 309,529 0.000 26 0.82
8 Oil seeds 1,282,479 8.5 690,434 2.80 298,195 0.000 25 0.79
9 Potato 1,641,022 10.8 379,067 1.54 2,219,465 0.250 138 4.40
10 Onion 951,584 6.3 218,791 0.89 834,972 0.100 62 1.99
11 Garlic 688,067 4.5 44,230 0.18 72,457 0.130 5 0.17
12 Ginger 170,476 1.1 29,794 0.12 50,957 0.070 4 0.13
13 Turmeric 751,980 5.0 122,102 0.50 219,377 0.000 18 0.58
14 Tomato 630,597 4.2 62,364 0.25 229,523 0.090 17 0.55
15 Brinjal 1,206,120 8.0 125,829 0.51 522,343 0.190 35 1.12
16 Green banana & 1,085,280 7.2 60,544 0.25 254,986 0.360 14 0.43
papaya
17 Cauliflower & 247,258 1.6 45,752 0.19 368,026 0.405 18 0.58
cabbage
18 Pumpkin 1,276,388 8.4 81,500 0.33 198,168 0.300 12 0.37
19 Radish 375,456 2.5 27,690 0.11 112,667 0.100 8 0.27
20 Green chili 1,568,147 10.3 187,148 0.76 381,798 0.270 23 0.74
21 Bean 2,052,059 13.5 64,777 0.26 164,917 0.000 14 0.44
22 Perbol/carrot 236,587 1.6 31,515 0.13 144,682 0.110 11 0.34
23 Okra 474,955 3.1 29,776 0.12 134,483 0.140 10 0.31
24 Puisak/spinach 1,267,574 8.4 31,780 0.13 106,532 0.113 8 0. 25
25 Other vegetables 1,409,203 9.3 35,331 0.14 553,926 0.165 38 1.22
26 Mango 4,493,258 29.6 623,881 2.53 624,808 0.310 36 1.14
27 Jack fruit 3,244,666 21.4 181,735 0.74 759,651 0.720 18 0.56
28 Ripe banana 1,075,977 7.1 46,417 0.19 762,880 0.360 41 1.29
29 Ripe papaya 820,035 5.4 103,723 0.42 109,482 0.330 6 0.19
30 Pineapple 105,682 0.7 2,933 0.01 25,035 0.490 1 0.03
31 Lychee 141,823 0.9 17,572 0.07 32,546 0.400 2 0.05
32 Melon 300,142 2.0 40,494 0.16 101,942 0.477 4 0.14
33 Guava 1,838,228 12.1 230,625 0.94 145,566 0.220 9 0.30
34 Other fruit 1,945,704 12.8 54,894 0.22 362,399 0.294 21 0.68
Totals 15,165,840 100.0 24,619,610 100 42,694,514 3,135 100
HH, household; MT, metric ton
a. Grams per household per day, adjusted for refuse. Includes all Bangladesh households.

Table 4 shows the number of households planting 78% of the land cultivated in food crops was planted
the crop, the total area planted, total production, and in rice, and rice constituted 69% of total food crop
grams of the crop available per household per day for production in metric tons.
each of the 34 food crops. Bangladesh’s rice monocul-
ture is readily evident: in 2010, 79% of farming house- Nutrient density of food crops: An indicator of the quality
holds (36% of all Bangladeshi households) planted rice, of nutrient availability
Table 5 shows the nutrient contents of each of the 34
production. Measured by output, Boro is the most important food crops. Section A of the table shows the nutri-
season, accounting for about 55% of total annual production ent content per 100 g of edible portion of each crop.
and about 40% of the rice-cultivated land [26, 27]. These are the food composition table entries that were
492 J. L. Fiedler

TABLE 5. Nutrient content and nutrient density per decimal of food crops produced in Bangladesh, 2010
A. Nutrients per 100 g of edible portion B. Nutrients per day per decimala
Vita- Vita-
Energy Calcium min A Iron Zinc Energy Calcium min A Iron Zinc
Food crop kcal mg µg RAE mg mg kcal mg µg RAE mg mg
1 Rice–aus 364 22 0 0.78 1.1 89 5 0 0.2 0.3
2 Rice–aman 364 22 0 0.78 1.1 115 7 0 0.2 0.3
3 Rice–boro 364 22 0 0.78 1.1 196 12 0 0.4 0.6
4 Wheat, atta 339 34 0 3.88 2.93 89 9 0 1.0 0.8
5 Maize 86 2 9 0.52 0.46 36 1 4 0.2 0.2
6 Sugar/misri 387 1 0 0.05 0.01 158 0 0 0.0 0.0
7 Pulses 353 101 2.5 5.61 2.79 35 10 0 0.6 0.3
8 Oil seed 884 0 0 0 0 105 0 0 0.0 0.0
9 Potato 77 12 0 0.78 0.29 93 14 0 0.9 0.3
10 Onion 40 23 0 0.21 0.17 38 22 0 0.2 0.2
11 Garlic 149 181 0 1.70 1.16 58 71 0 0.7 0.5
12 Ginger 80 16 0 0.60 0.34 35 7 0 0.3 0.1
13 Turmeric 354 183 0 41.42 4.35 174 90 0 20.4 2.1
14 Tomato 18 10 42 0.27 0.17 17 9 39 0.2 0.2
15 Brinjal (eggplant) 24 9 1 0.24 0.16 22 8 1 0.2 0.1
16 Green banana/ 89 5 3 0.26 0.15 66 4 2 0.2 0.1
green papaya
17 Cauliflower/ 25 31 2.5 0.45 0.23 33 41 3 0.6 0.3
cabbage
18 White gourd/ 26 21 369 0.80 0.32 12 10 172 0.4 0.1
pumpkin
19 Radish 16 25 0 0.34 0.28 16 25 0 0.3 0.3
20 Green chili 40 14 48 1.03 0.26 16 6 20 0.4 0.1
21 Bean/lobey 62 43 0 1.97 0.5 43 30 0 1.4 0.3
22 Patal/perbol 41 33 835 0.30 0.24 46 37 935 0.3 0.3
(carrot)
23 Ladies’ finger 31 81 19 0.80 0.6 33 86 20 0.9 0.6
(okra)
24 Puisak/spinach 99 809 361 15.68 2.42 81 659 294 12.8 2.0
25 Other vegetables 45 78 112 1.57 0.47 161 280 402 5.6 1.7
26 Mango 65 10 38 0.13 0.04 12 2 7 0.0 0.0
27 Jack fruit 94 34 15 0.60 0.42 30 11 5 0.2 0.1
28 Ripe banana 89 5 3 0.26 0.15 256 14 9 0.7 0.4
29 Ripe papaya 39 24 55 0.10 0.07 8 5 11 0.0 0.0
30 Pineapple 50 13 3 0.29 0.12 60 16 4 0.3 0.1
31 Lychee 66 5 0 0.31 0.07 20 2 0 0.1 0.0
32 Melon/bangi 33 9 57 0.24 0.11 12 3 21 0.1 0.0
33 Guava 68 18 31 0.26 0.23 9 2 4 0.0 0.0
34 Other fruits 67 18 16 0.40 0.38 86 23 21 0.5 0.5
The unconditional mean is averaged over all foods, including those not containing any of the nutrient. The conditional mean includes only
those foods for which there is some non-zero quantity of the nutrient.
RAE, retinal activity equivalent
a. Based on average yield calculated from HIES data.

matched to the HIES food list, item-by-item. Nutrient A comparison of the densities across micronutrients
density is the ratio of nutrient content to total energy and food types in table 5 reveals several distinguishing
content. It is a commonly used metric for comparing characteristics. First, there is one crop, oilseeds, that
the relative contribution of a particular food with the contains no calcium, vitamin A, iron, or zinc but has
body’s nutrient requirements. When it is calculated on the highest energy content of all 34 of the identified
the basis of all foods consumed by an individual, it is food crops. Its four micronutrient density measures
an indicator of the quality of the diet. are, therefore, all equal to zero. Second, 14 food items
Agriculture–nutrition nexus in Bangladesh 493

(41% of the 34) contain no vitamin A. This contrasts calcium measures have puisak/spinach and turmeric in
sharply with the other three micronutrients—all of common. The other two foods with the highest calcium
which have only one food crop that contains none of densities per 1,000 kcal are garlic and pulses. Those
the micronutrient in question. Clearly, relative to cal- with the highest yield-based calculation are “other
cium, iron, and zinc, vitamin A occurs less commonly vegetables” and ladies’ finger/okra.
in the foods identified in the list and is, in general, In the case of iron, too, only two of the top four food
more concentrated in those foods in which it is found. crops have both the highest densities per 1,000 kcal
Although increasing the consumption of any of the 34 and the highest densities per decimal. Again, those
specified foods—with the exception of vegetable oil— two crops are turmeric and puisak/spinach. The other
will increase calcium, iron, and zinc intakes, improving two with the highest iron densities per 1,000 kcal are
the intake of vitamin A entails a more selective and pulses and wheat. “Other vegetables” and bean/lobey
deliberate effort. Other things being equal, attempts to are among the four crops that can add the greatest
improve vitamin A nutriture would do well to focus on amount of iron to the food supply per decimal. Tur-
white gourd/pumpkin, patal/perbol (carrot), puisak/ meric, wheat, pulses, and ladies’ finger/okra have the
spinach, and “other vegetables,” which have especially highest densities of zinc per 1,000 kcal, and turmeric,
high densities of vitamin A. puisak/spinach, “other vegetables,” and wheat have the
highest densities of zinc per decimal. Clearly, puisak/
Nutrient density of the food produced on a given unit of land spinach is a very important potential source of all four
Although it is important to understand the differences micronutrients in the food crops produced in Bangla-
in the nutrient densities of foods per se, for the pur- desh, and turmeric is for three of the four micronutri-
pose of assessing how to directly harness agriculture ents (not vitamin A).
to improve nutrition—and especially the nutrition of How important are these two crops in the micro-
farmers who produce large proportions of the foods nutrient intake of Bangladeshi farmers? Despite the
they consume—it is especially important to take into facts that puisak/spinach and turmeric have among
account the amount of food that can be produced on the highest nutrient densities of the foods produced by
a given amount of land (for example, an acre). Section Bangladeshi farmers and that they provide the highest
B in table 5 presents such an indicator: the amount of average nutrient concentrations per decimal in the
each of the four micronutrients that can be produced, country, neither crop is all that important a source of
on average, in Bangladesh by cultivating each of the 34 available calcium, vitamin A, iron, or zinc. Puisak/spin-
food crops on a decimal of land (1% of an acre). These ach provides 7.9%, 11.0%, 3.6%, and 0.6%, respectively,
estimations are based on the national average yield of the total available calcium, vitamin A, iron, and zinc
per decimal for each food, as estimated from the HIES produced by the agricultural sector (i.e., in these 34
agriculture module.* crops), while turmeric provides 4.1%, 0.0%, 22.0%, and
The foods that have the highest vitamin A densi- 2.5%, respectively. The relatively limited contribution
ties—white gourd/pumpkin, patal/perbol (carrot), of both of these crops to the nutrient intakes of Bangla-
puisak/spinach, and “other vegetables”—are also the deshis is because few farmers choose to plant them, and
foods that produce the highest quantities of vitamin A those who do, plant relatively small areas with them.
per decimal. For calcium, only two of the top four food Returning to table 1, it can be seen that puisak/spinach
crops have both the highest densities per 1,000 kcal and turmeric are not crops that are commonly both
and the highest concentrations per decimal. The two planted and consumed by Bangladeshi farmers. Puisak/
spinach is planted by only 8.4% of farming households
* To provide a simple assessment of the extent to which and turmeric by even fewer, 5.0% (1,267,574 and
differences in agroecological zones might constitute a con- 751,980 households, respectively). How much of what
straint on farmers’ selection of food crops to cultivate, we is produced by farmers is sold? The total area planted
investigated whether each of the 34 food crops was planted in puisak/spinach is 31,780 acres, a mere 0.13% of the
in different regions of the country. We found that of the 238
potential combinations of food crop and region (34 crops total area planted in food crops. The respective quanti-
× 7 regions) there were no households planting some of ties of turmeric are 122,102 acres and 0.50%.
the crop in question for only 10 combinations (4%). Five of The average Bangladeshi farming household plants
these 10 combinations were accounted for by pineapple and a mean of 16 and a median of 5 decimals of turmeric,
Lychee. The only combination of crop and region that was and the respective averages of puisak/spinach are 2.5
a top source of any of the micronutrients was perbol/carrot
in Barisal. While recognizing that this is a crude measure and 1 decimals. Although about 70% more households
and that there are important, systematic variations in yields plant puisak/spinach than plant turmeric, the area
nationwide that influence farmers’ choice of food crops, we planted in turmeric per farm on average is five times
concluded that the differences that exist are not major con- greater, reflecting the fact that turmeric is a much more
straints to producing alternative food crop mixes. For the 17
crops that include the sources of all four micronutrients, the commercialized product. Only 13% of the turmeric
ratio of the maximum and minimum regional average yields produced is consumed by its producers, compared
is 4.1 (3.1 without the outlier, turmeric). with 37% of puisak/spinach. Among all Bangladeshi
TABLE 6. Nutrient availability provided by food crop production in Bangladesh, 2010 494
A. Total availability per HH per day B. Total availability per farming HH per day
Vitamin Vitamin C. Percentage of total micronutrient availability
Energy Calcium A Iron Zinc Energy Calcium A Iron Zinc accounted for by each food
Vitamin
Food crop kcal mg µg RAE mg mg kcal mg µg RAE mg mg Energy Calcium A Iron Zinc
1 Rice–aus 540.1 33.1 — 1.2 1.6 1,176.3 72.2 — 2.5 3.6 5.5 4.1 0.0 3.4 5.2
2 Rice–aman 2,817.8 172.9 — 6.0 8.5 6,136.6 376.5 — 13.1 18.5 28.8 21.4 0.0 17.6 27.3
3 Rice–boro 5,470.9 335.7 — 11.7 16.5 11,914.5 731.0 — 25.5 36.0 56.0 41.6 0.0 34.2 52.9
Rice–all 8,828.9 541.7 — 18.9 26.7 19,227.4 1,179.7 — 41.2 58.1 90.3 67.2 0.0 55.2 85.4
4 Wheat, atta 151.3 15.2 — 1.7 1.3 329.4 33.0 — 3.8 2.8 1.5 1.9 0.0 5.1 4.2
5 Maize 17.6 0.4 1.8 0.1 0.1 38.3 0.9 4.0 0.2 0.2 0.2 0.1 0.7 0.3 0.3
6 Sugar/misri 77.4 0.2 — 0.0 0.0 168.6 0.4 — 0.0 0.0 0.8 0.0 0.0 0.0 0.0
7 Pulses 90.6 25.9 0.6 1.4 0.7 197.4 56.4 1.4 3.1 1.6 0.9 3.2 0.2 4.2 2.3
8 Oil seed 218.7 — — — — 476.2 — — — — 2.2 0.0 0.0 0.0 0.0
9 Potato 106.3 16.6 — 1.1 0.4 231.5 36.1 — 2.3 0.9 1.1 2.1 0.0 3.1 1.3
10 Onion 24.9 14.3 — 0.1 0.1 54.3 31.2 — 0.3 0.2 0.3 1.8 0.0 0.4 0.3
11 Garlic 7.8 9.5 — 0.1 0.1 17.0 20.6 — 0.2 0.1 0.1 1.2 0.0 0.3 0.2
12 Ginger 3.1 0.6 — 0.0 0.0 6.8 1.4 — 0.1 0.0 0.0 0.1 0.0 0.1 0.0
13 Turmeric 64.4 33.3 — 7.5 0.8 140.3 72.5 — 16.4 1.7 0.7 4.1 0.0 22.0 2.5
14 Tomato 3.1 1.7 7.3 0.0 0.0 6.8 3.8 15.8 0.1 0.1 0.0 0.2 2.8 0.1 0.1
15 Brinjal 8.4 3.2 0.4 0.1 0.1 18.3 6.9 0.8 0.2 0.1 0.1 0.4 0.1 0.2 0.2
(eggplant)
16 Green banana/ 12.0 0.7 0.4 0.0 0.0 26.2 1.5 0.9 0.1 0.0 0.1 0.1 0.2 0.1 0.1
papaya
17 Cauliflower/ 4.5 5.6 0.5 0.1 0.0 9.9 12.3 1.0 0.2 0.1 0.0 0.7 0.2 0.2 0.1
Cabbage
18 White gourd/ 3.0 2.4 42.5 0.1 0.0 6.5 5.3 92.5 0.2 0.1 0.0 0.3 16.5 0.3 0.1
Pumpkin
19 Radish 1.3 2.1 — 0.0 0.0 2.9 4.6 — 0.1 0.1 0.0 0.3 0.0 0.1 0.1
20 Green chili 9.2 3.2 11.1 0.2 0.1 20.1 7.0 24.2 0.5 0.1 0.1 0.4 4.3 0.7 0.2
21 Bean/lobey 8.5 5.9 — 0.3 0.1 18.5 12.8 — 0.6 0.1 0.1 0.7 0.0 0.8 0.2
22 Patal/perbol 4.4 3.5 89.2 0.0 0.0 9.5 7.7 194.2 0.1 0.1 0.0 0.4 34.8 0.1 0.1
(carrot)
23 Ladies’ finger 3.0 7.8 1.8 0.1 0.1 6.5 16.9 4.0 0.2 0.1 0.0 1.0 0.7 0.2 0.2
(okra)
24 Puisak/spinach 7.8 63.4 28.3 1.2 0.2 16.9 138.1 61.7 2.7 0.4 0.1 7.9 11.0 3.6 0.6
J. L. Fiedler

25 Other 17.3 29.9 43.0 0.6 0.2 37.6 65.2 93.7 1.3 0.4 0.2 3.7 16.8 1.8 0.6
vegetables
26 Mango 23.2 3.6 13.6 0.0 0.0 50.6 7.8 29.6 0.1 0.0 0.2 0.4 5.3 0.1 0.0
27 Jack fruit 16.6 6.0 2.6 0.1 0.1 36.1 13.1 5.8 0.2 0.2 0.2 0.7 1.0 0.3 0.2
28 Ripe banana 36.0 2.0 1.2 0.1 0.1 78.5 4.4 2.6 0.2 0.1 0.4 0.3 0.5 0.3 0.2
29 Ripe papaya 2.4 1.5 3.3 0.0 0.0 5.2 3.2 7.3 0.0 0.0 0.0 0.2 1.3 0.0 0.0
30 Pineapple 0.5 0.1 0.0 0.0 0.0 1.2 0.3 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0
31 Lychee 1.1 0.1 — 0.0 0.0 2.3 0.2 — 0.0 0.0 0.0 0.0 0.0 0.0 0.0
32 Melon/bangi 1.5 0.4 2.5 0.0 0.0 3.2 0.9 5.5 0.0 0.0 0.0 0.0 1.0 0.0 0.0
33 Guava 6.4 1.7 2.9 0.0 0.0 13.9 3.7 6.4 0.1 0.0 0.1 0.2 1.1 0.1 0.1
34 Other fruits 14.2 3.8 3.4 0.1 0.1 31.0 8.3 7.4 0.2 0.2 0.1 0.5 1.3 0.2 0.3
Totals: 9,776 806 257 34 31 21,289 1,756 559 75 68 100 100 100 100 100
Agriculture–nutrition nexus in Bangladesh

Average HH EAR
of:
A. All HHs’ EAR 10,239 3,494 1,616 90 38
(n=33,028,014):
Percent of all 95 23 16 38 82
households’ EAR
available:
B. Farming 11,301 4,007 1,855 103 43
HHs’ EAR
(n=15,165,840):
Percent of farming 188 44 30 72 158
households’ EAR
available:
EARs are HIES-based calculations of age- and gender-weighted household averages. EAR, Estimated Average Requirement; HH, household.
*Net of refuse
495
496 J. L. Fiedler

households (i.e., not only those engaged in farming), age, and sex of its members, and assuming a medium
98% reported purchasing turmeric in the 14 days level of physical activity [23]. In 2010, the agricultural
prior to being interviewed, compared with 21% of all sector of Bangladesh made available 95% of the average
households that reported purchasing puisak/spinach. household’s energy EAR, 23% of its calcium EAR, 16%
It appears that there is considerable upside for Bang- of its vitamin A EAR, 38% of its iron EAR, and 82% of
ladeshi households to increase their production and its zinc EAR; the availabilities per farming household
consumption of these two nutrient-dense crops.* were 188%, 44%, 30%, 72%, and 158%, respectively.**
Conspicuously lacking in this discussion of the food Section B provides a benchmark for what Bangladeshi
crops with the highest micronutrient densities and the farming households would have available for con-
highest concentrations of micronutrients per decimal is sumption if they consumed all of the food crops they
any mention of rice. Rice is far behind these foods as a produced and sold none of them. Even under such an
provider of these four micronutrients, but in the provi- extreme scenario, the availability of nutrients provided
sion of kilocalories per decimal it is a top performer. by the Bangladeshi agricultural sector is inadequate for
Averaged over all three seasons, it provides 189 kcal Bangladesh’s population.
per decimal, second only to ripe banana (section C Section C of table 6 shows the percentage of the
of table 6). For households in which ensuring caloric total nutrient availability that is made available by each
intake is the primary concern, therefore, choosing to food (adjusted for each food’s edible portion). Again,
plant rice may very well be a rational decision. But what the domination of rice is striking: it is the source of
about the growing number of households with rising 90% of the total available energy produced by the 32
incomes that are now increasingly meeting their caloric different food crops, as well as 85% of the zinc, 67% of
requirements? What types of micronutrient inadequa- the calcium, and 55% of the iron. Given that rice has
cies do they have, and what does it make sense for them relatively low nutrient density among the 32 common
to be doing? food crops and is a relatively poor source of nutrients
How good a food source is rice? Of the four micro- compared with what can be produced (on average) with
nutrients of interest here, zinc has the highest nutrient other crops on a given tract of land in Bangladesh, the
density ranking, and rice ranks 6th in zinc density fact that rice plays such predominant role as the food
among the 32 food crops. Rice is tied for 10th place source of nutrients in Bangladesh is surprising. Rice
for iron and ranks 15th for calcium. With no vitamin accounts for such a large proportion of all four of these
A, rice—along with 11 other crops—is tied for 22nd micronutrients produced and consumed because so
place, i.e., last. As assessed by its micronutrient con- much of it is produced and consumed in Bangladesh,
centrations per decimal (section C of table 6), rice is an both in absolute terms and relative to other food crops.
even poorer source of these four micronutrients. Based The preeminent position of rice in both the agricul-
on the weighted average of the three rice seasons, rice tural production and the food consumption patterns
ranks as the 19th best source of calcium (out of 32 food of the country is a major constraint on the availability
crops), the 19th best source of iron, and the 8th best of micronutrients in the diet of Bangladeshis. Diver-
source of zinc and is tied with 11 other food crops as sity is severely lacking. Those food crops other than
the poorest food source of vitamin A. rice that are cultivated are planted by relatively few
Up to this point, the discussion has been about farmers on relatively little land area and produce such
food crop production and nutrient availability and limited quantities that they do not make much of a
has focused exclusively on the supply of food. How contribution to the nutrient intakes of the Bangladeshi
well do the common food crop production patterns population.
fulfill the nutritional requirements of the Bangladeshi
population? Table 6 presents a simple, first-cut assess-
ment that combines the purely supply-side measures
of table 5 with population-size information to provide ** The EAR is the daily required intake measure used to
per capita availability measures for each food crop. assess the nutrient intake of a group or population. The EAR
is the average daily nutrient intake level that is estimated to
Section A shows the average nutrient availability per meet the requirements of half of the healthy individuals in
household and section B shows the average nutrient a particular life-stage and sex group. Being the estimated
availability per farming household. In the box at the median requirement, it exceeds the needs of half of the group
bottom of table 6, the average household’s EARs for and falls short of the needs of the other half. The objective
of public nutrition policy, therefore, should be to attain an
each nutrient are presented. This is the mean of the average intake for the entire population that is greater than
individual households’ calculated EAR, taking into the EAR in order to reduce the percentage of the population
account household composition, i.e., the number, with inadequate intakes. How much greater than the median
EAR level public policy should strive to achieve in any par-
* This implicitly assumes that households’ income deci- ticular population, however, will depend on the distribution
sion-making and their food and nutrition decision-making of intakes, which is generally unobservable for the entire
are separable. population. See Institute of Medicine [25] for more details.
Agriculture–nutrition nexus in Bangladesh 497

TABLE 7. Apparent nutrient intake status of farming households in Bangladesh, 2010a

No. of Farming households


apparent intake Cum.
inadequacies No. % percent
None 1,805,790 12 12
1 2,590,452 17 29
2 4,111,015 27 56
3 2,940,508 19 75
4 3,718,075 25 100
Total 15,165,840 100

No. of Farming households Type of apparent nutrient inadequacy


apparent intake
inadequacies No. % Vitamin A Calcium Zinc Iron
0 1,805,790 11.9
1 71,971 0.5 1
1 2,309,927 15.2 1
1 208,553 1.4 1
2 2,957,631 19.5 1 1
2 16,784 0.1 1 1
2 1,048,385 6.9 1 1
2 88,215 0.6 1 1
3 1,861,821 12.3 1 1 1
3 689,644 4.5 1 1 1
3 389,042 2.6 1 1 1
4 3,718,075 24.5 1 1 1 1
Totals 15,165,838 100.0
a. Not all possible combinations of nutrient inadequacies were found.

TABLE 8. Nutrient availability, nutrient intake, and nutrient adequacy status of farming households in
Bangladesh, 2010, measured relative to each household’s specific EARa
Households with nutrient inadequacies
Average household-specific Apparent intake-based
EAR Availability-based estimates estimates
Prevalence Prevalence
Nutrient Mean Median No. (%) No. (%)
Energy 11,301 10,725 974,274 6 8,313,011 55
Calcium 4,007 3,832 1,042,620 7 13,062,741 86
Vitamin A 1,855 1,750 7,029,844 46 9,315,928 61
Iron 103 98 1,120,145 7 4,884,976 32
Zinc 43 40 1,017,323 7 7,242,661 48
HH: Household. EAR: Estimated Average Requirement.
a. Available from food crop production. Intakes are the estimated apparent consumption based on data from the HIES
consumption module.

Nutrient requirements, intakes, and intake subpopulation’s own nutrient intake levels and those
adequacies of Bangladeshi households of the country as a whole.
Table 7 shows the estimated prevalence of inadequate
The analysis now narrows to only farming households nutrient intakes by number and type of micronutrient.
to take a closer look at their nutrition-related food Multiple micronutrient inadequacies are the norm and
production and consumption behaviors in order to plague an estimated 71% of the farming population. As
better understand how these behaviors affect this may be seen in the top panel, only 12% of Bangladeshi
498 J. L. Fiedler

TABLE 9. Top food crop sources of available energy, calcium, iron, and zinc

Farming households planting


Cal- Vita- Total
kcal cium min A Iron Zinc production Energy (kcal/
rank rank rank rank rank Food crop (1,000s of MT) No. % HH/d)
1 1 NS 1 1 1. Rice–boro 18,119 9,645,394 64 18,734
2 2 NS 3 2 2. Rice–aman 9,332 7,917,324 52 11,755
3 5 NS 7 3 3. Rice–aus 1,789 2,134,820 14 8,357
Rice–all 29,253 11,981,055 79 24,349
4 9 NS 4 4 4. Wheat 538 1,387,913 9 3,600
5 7 NS 6 7 5. Potato 2,219 1,641,022 11 2,853
6 6 17 5 6 6. Pulses 310 1,571,917 10 1,904
7 4 NS 2 5 7. Turmeric 219 751,980 5 2,829
8 8 5 9 8 8. Jack fruit 760 3,244,666 21 603
9 3 4 8 9 9. Other vegetables 554 1,409,203 9 485
10 11 11 11 10 10. Other fruits 362 1,945,704 13 342
11 10 NS 10 11 11. Bean 165 2,052,059 14 137
HH, household; MT, metric ton; NS: Not a source of vitamin A.

farming households had adequate apparent intakes of all four micronutrients, farmers could increase their
all four of the micronutrients. At the other extreme, intake by increasing the percentage of those foods
25% had apparent intake inadequacies of all four. The they already produce that are rich in each micronutri-
bottom panel shows the 12 different combinations of ent, but of which they may sell at least a substantial
apparent intake inadequacies that were found. portion. The extent to which farming households are
Table 8 shows the nutrient requirements (EAR), aware of the tradeoff they are making between income
nutrient availability, nutrient intake, and nutrient and nutritional status is an important question to be
adequacy of the 15 million farming households, juxta- addressed as part of a next step in developing a com-
posing the nutrient availability and apparent nutrient prehensive agriculture-for-nutrition-based strategy.
intake measures. The differences between the nutrient What are the key food sources of the nutrients avail-
content of the food that farming households are pro- able and apparently consumed in Bangladesh? Table 9
ducing and the food they are apparently consuming are shows the top food crop sources of available energy, cal-
vast. The availability-based estimates of the prevalence cium, iron, and zinc for both the total farming popula-
of inadequacies range from 6% for energy to 46% for tion and the subset of farmers that produce each of the
vitamin A (a clear outlier) and average 15%. The appar- top food crops. Nutrient-specific rankings of the crops
ent intake-based estimates are much higher, ranging are identified in the first columns (from the left) of the
from 32% for iron to 86% for calcium and averaging table. These four nutrients (all but vitamin A) share the
56%. The differences in the availability versus appar- same top 11 food crop sources. Vitamin A (again) is
ent intake prevalence measures vary substantially by the outlier: its top 11 food crop sources include only 4
nutrient. The largest difference is for calcium, for which of those of the other nutrients. Vitamin A’s top 11 food
the prevalence estimates of apparent intake include 12 crop sources are presented in table 10, along with the
million more households than the availability-based crops’ contents of the other 4 nutrients.
measure. The next largest differences in prevalence Both table 9 and table 10 report the percentage of
rates are 7.3 million households for energy, 6.2 million farming households producing each of the crops, the
for zinc, and 3.8 million for iron. The smallest differ- share of production that farming households appar-
ence is that for vitamin A, for which the prevalence of ently consume from their own production of the spe-
both measures is high. cific crop in question, the average nutrient availability
The large differences in these prevalence measures per farming household (independently of whether or
reflect what Bangladeshi farming households do with not they grow the specific crop in question), and the
their produce and reveal that there exists significant average nutrient availability per farming household
potential for improving farmers’ nutrient status.* For that grows some of each crop. It is important to dis-
tinguish the average nutrient availability in these two
* This again implicitly assumes the separability of house- subpopulations of farming households, because they
holds’ income decision-making and their food and nutrition are likely to reflect important differences in farmers’
decision-making. receptivity to different nutrition-enhancing policies.
Agriculture–nutrition nexus in Bangladesh 499

Nutrient availability Nutrient availability


per Farming HH Planting this Crop per Day per All Farming HH per Day
Vitamin A Vitamin A
Calcium (µg RAE/ Iron (mg/ Zinc (mg/ Energy Calcium (µg RAE/ Iron (mg/ Zinc (mg/
(mg/HH/d) HH/d) HH/d) HH/d) (kcal/HH/d) (mg/HH/d) HH/d) HH/d) HH/d)
1,148 0 40.1 56.6 11,914 730 — 25.53 36.01
720 0 25.2 35.5 6,137 376 — 13.15 18.54
512 0 17.9 25.3 1,176 72 — 2.52 3.55
1,492 0 52.2 73.6 19,236 1,178 — 41.22 58.13
361 0 41.2 31.1 329 33 — 3.77 2.85
445 0 28.9 10.7 309 48 — 3.13 1.16
544 13 30.3 15.0 197 56   1 3.14 1.56
1,463 0 331.1 34.8 140 73 — 16.42 1.72
218 96 3.8 2.7 129 47 21 0.82 0.58
840 1,207 16.9 5.1 45 78 112 1.57 0.47
92 82 2.0 1.9 44 12 11 0.26 0.25
95 0 4.3 1.1 18 13 - 0.59 0.15

To the extent that farmers are already familiar with a provide sufficient food of adequate nutritional con-
crop and cultivating it—as opposed to their considering tent falls well short of the country’s needs. Of the five
planting it for the first time—it is likely that encour- nutrients considered here, only energy is produced in
aging them to plant more of it in order to improve sufficient quantity to adequately fulfill the EARs of the
their nutritional status will require considerably less general population. Looking at the average per capita
behavioral change and will entail a shorter, more direct availability per farming household alone, however
pathway to improving nutritional status. Farmers who (see the box at the bottom of table 6), the availability
are already familiar with a crop will confront a less of energy and zinc exceeds their EARs if one does not
complex decision-making process, involving less risk take into account how farming households dispose of
and uncertainty, about whether they should expand the their production.
area they already plant in a crop that they are already As may be seen in table 11, for all five of the top food
producing, as opposed to their having to choose to sources of each of the four micronutrients analyzed
plant a crop with which they are unfamiliar. here, the mean apparent intake quantities of house-
So too, those who are already producing a particular holds with adequate intakes are significantly higher
crop confront a less complex issue in deciding whether than the mean intake quantities of those with inad-
or not to consume more and sell less of that crop in equate intakes. According to t-tests of all 20 pairs of
order to improve the household’s nutritional intake, the mean differences of households with adequate and
as opposed to having to determine whether or not to inadequate intake levels, the differences were signifi-
plant the crop and then having to decide how much of cant at above the 99% confidence level. As shown in the
it to consume and how much of it to sell. right-hand column, for each of the four micronutrients,
As already noted, caloric adequacy has been the the average quantity apparently consumed by farming
primary concern of the overwhelming share of Bang- households with adequate micronutrient intake levels
ladeshi farming households until only very recently. was between 210% and 712% greater than the average
Now, with growing incomes and growing productivity quantity apparently consumed by farming households
levels ensuring more households of adequate energy with inadequate intakes of the micronutrient.*
supplies, how might households—and particularly Farming households that produce the crops that are
farming households—better address their nutritional among those providing the most micronutrients are
needs other than their energy needs, i.e., how can they more likely to consume some of those crops, are more
improve their micronutrient intakes and status? likely to have higher intakes of those micronutrients,
It is important to bear in mind that this is a simpli- and are less likely to have inadequate intakes of those
fied, exploratory analysis that does not include the micronutrients. In other words, not surprisingly, it
production and consumption of fish, livestock, or
poultry, nor does it take into account income consid- * This calculation is exclusive of the five crops for which the
erations. Even with this in mind, however, the analysis mean quantity apparently consumed by farming households
here suggests that the agricultural sector’s ability to was equal to zero.
TABLE 10. Top food crop sources of available vitamin A produced in Bangladesh, 2010 500
Nutrient availability Nutrient availability
Farming HHs planting Per farming household planting this crop per day Per farming household per year
Total
production Energy Calcium Vitamin A Energy Calcium Vitamin A
(1,000s of (kcal/ (mg/ (µg RAE/ Iron (mg/ Zinc (mg/ (kcal/ (mg/ (µg RAE/ Iron (mg/ Zinc (mg/
Rank Food crop MT/year) No. % HH/d) HH/d) HH/d) HH/d) HH/d) HH/d) HH/d) HH/d) HH/d) HH/d)
1 Pumpkin 198 1,276,388 8 111 89 1,570 3.4 1.4 9.3 7.5 132 0.3 0.1
2 Mango 625 4,493,258 30 248 38 145 0.5 0.2 73.4 11.3 43 0.1 0.0
3 Perbol/ 145 236,587 2 687 553 13,990 5.0 4.0 10.7 8.6 218 0.1 0.1
carrot
4 Other veg- 554 1,409,203 9 485 840 1,207 16.9 5.1 45.0 78.1 112 1.6 0.5
etables
5 Jack fruit 760 3,244,666 21 603 218 96 3.8 2.7 129.0 46.7 21 0.8 0.6
6 Green chili 382 1,568,147 10 267 93 320 6.9 1.7 27.6 9.7 33 0.7 0.2
7 Tomato 230 630,597 4 179 100 419 2.7 1.7 7.5 4.1 17 0.1 0.1
8 Ripe 109 820,035 5 143 88 201 0.4 0.3 7.7 4.7 11 0.0 0.0
papaya
9 Spinach 107 1,267,574 8 228 186 83 3.6 0.6 19.1 15.6 7 0.3 0.0
10 Guava 146 1,838,228 12 148 39 67 0.6 0.5 17.9 4.7 8 0.1 0.1
11 Other 362 1,945,704 13 342 92 82 2.0 1.9 43.9 11.8 11 0.3 0.2
fruits
HH, household; MT, metric ton; NS: Not a source of vitamin A.

TABLE 11. Differences in the mean consumption levels of the top five food sources of key nutrients by household intake adequacy status
Intake Average
adequacy adequate
status quantity
(intake White Ladies’ as a % of
relative to gourd/ Perbol/ Puisak/ Other Bean / finger/ inadequate
Nutrient EAR) No. of HHs pumpkin carrot spinach vegetables Turmeric Garlic Pulses Wheat lobey okra quantitya
Food is among 5 highest nutrient VA, Ca, VA, Ca,
VA VA VA, Fe, Zn Ca, Fe, Zn Ca Ca Zn Fe
concentrations per decimal for: Fe, Zn Fe, Zn
Energy Adequate 6,852,829 .0971 .0176 .0821 .1004 .0594 .0528 .1219 .1070 .1447 .0420
Inadequate 8,313,011 .0738 .0139 .0851 .0861 .0418 .0392 .0886 .0789 .1283 .0225
Total 15,165,840 .0844 .0156 .0838 .0925 .0498 .0454 .1036 .0916 .1357 .0313
Vitamin A Adequate 5,849,912 .1046 .0286 .1229 .1127 .0419
J. L. Fiedler

Inadequate 9,315,928 .0716 .0074 .0592 .0798 .0247 210


Total 15,165,840 .0844 .0156 .0838 .0925 .0313
Agriculture–nutrition nexus in Bangladesh 501

For each nutrient, household intake adequacy status is determined by the household’s nutrient intakes relative to its EAR (IOM 2006) [24]. The EAR for each household is calculated based on the sum of
the household members’ age- and gender-specific EARs. Households with nutrient intakes < EAR are classified as having inadequate nutrient intake. Those with ≥ EAR are classified as having adequate
appears that the mix of food crops that farmers plant
affects their nutritional status.
712

513

505
As may be seen in table 12, there is a system-
atic relationship between local agricultural biodiver-
sity and farming households’ nutritional status. As
the number of different crops planted by a farmer
.0334
.0026
.0313
.0336
.0024
.0313
.0334
.0027
.0313
increases, the percentage of farming households whose
crop-provided nutrient availability is less than the
EAR decreases, the prevalence of inadequate nutrient
intakes decreases, and the magnitude of the EAR gap
.1387
.0984
.1357

(nutrient intake as a percentage of the EAR) decreases.


It is important to note that farming households with
more land are more likely to cultivate more different
kinds of crops. The relationship, however, is not par-
.0982
.0000
.0916

ticularly strong, although it is statistically significant.


The bivariate correlation coefficient between the total
land area planted in crops and the number of crops
planted is 0.40. Regressing the number of food crops
.1105
.0110
.1036

and the area planted on each of the four measures of


micronutrient inadequacy reveals that the relationship
between the number of crops planted and inadequate
a. Calculations exclude the five observations for which the quantity consumed by farmers with inadequate intake is equal to zero.

nutrient intake is substantially greater than the rela-


t-tests of the mean differences of households with adequate and inadequate intake levels are all significant at above the 99 level.
.0487
.0000
.0454

tionship between the total area planted in food crops


and inadequate nutrient intake. As shown in table 13,
the importance of land area in accounting for differ-
ences in nutrient intake adequacy varies substantially
.0535
.0000
.0498
.0537
.0000
.0498
.0534
.0000
.0498

by micronutrient. The standardized beta coefficients


of the number of food crops planted are (in absolute
terms) from 2 to 10 times larger than those of the total
land area planted in food crops. Moreover, two of the
.0964
.0441
.0925
.0946
.0633
.0925

coefficients of the total land area variable are positive;


that is, they suggest that increasing land area is associ-
ated with increasing inadequate intakes of vitamin and
calcium. In short, the number of food crops grown
.0879
.0274
.0838
.0882
.0287
.0838
.0846
.0724
.0838

appears to be a more important factor than land area


in shaping the micronutrient status of Bangladeshis.
The analysis to this point has found a number of
food cropping patterns that are associated with a lower
EAR, estimated average requirement; HH, household; VA, vitamin A.

likelihood of having inadequate nutrient intakes: cul-


tivating one or more of the most nutrient-dense food
crops raised, cultivating one or more of the food crops
that produce the greatest nutrient availability per unit
of land area, and growing more different types of food
Source: Author’s calculations based on 2010 HIES.

crops. It has also been noted that although incomes and


health indicators have been improving over the past
2,103,099
13,062,741
15,165,840
10,280,864
4,884,976
15,165,840
15,165,840
7,242,661
15,165,840

decades, nutritional status is lagging. Are Bangladeshi


farming households aware of the relationship between
their agricultural practices and their nutritional status?
Do they know, for instance, how they might change
Inadequate

Inadequate

Inadequate

the mix of food crops they cultivate to improve the


Adequate

Adequate

Adequate

nutritional status of their households? Rabbani’s recent


Total

Total

Total

comparative analysis of the 2005 and 2010 HIES


[28]—which reveals that there has been almost no
nutrient intake.

change in Bangladeshis’ dietary diversity over the past


Calcium

half-decade (fig. 1)—suggests that there is a need to


Zinc

address this question and to accelerate the pace of


Iron

change in food cropping patterns in Bangladesh.


502 J. L. Fiedler

TABLE 12. Indicators of farming household nutrient intake adequacy by number of crops planted
Energy Vitamin A
Household Household
prevalence HHs whose prevalence HHs whose
Cumulative of crop- of crop-
Number Number percent of inadequate Intake as a provided inadequate Intake as a provided
of crops of farming farming intake percent of availability intake percent of availability
planted households households (< EAR) EAR is < EARa (< EAR) EAR is < EARa
1 2,739,576 18 57.1 98.8 13.5 69.5 84.8 82.3
2 3,926,676 44 58.6 97.5 7.3 66.9 88.1 73.3
3 2,680,343 62 57.7 98.3 6.3 63.1 93.5 43.8
4 1,732,217 73 54.3 101.4 3.4 58.9 105.7 23.9
5 1,257,848 81 52.6 103.9 2.0 53.4 109.7 11.2
6 816,314 87 51.1 104.5 0.8 57.1 107.0 9.9
7 590,160 91 47.5 106.7 0.0 48.7 121.5 1.7
8 450,035 94 45.3 111.3 0.0 46.3 126.3 1.9
9 265,205 95 42.2 109.7 0.0 40.4 126.0 2.5
EAR, estimated average requirement; HH, household.
a. Households whose consumption from own production provided less than the household’s EAR.

TABLE 13. Relationship of inadequate nutrient intake to the number of crops planted and the total area planted in food crops
in Bangladesh, 2010
Number of
Unstandard- Standardized crops beta as
Dependent Independent ized coeffi- Standard coefficients: a percent of
variable variable cients: B error beta t Significance area beta
Energy (Constant) .6202613 .0002147 2888.856 0.000
Total food –.0001657 .0000006 –.0743566 –267.307 0.000
crop area
Number of –.0126598 .0000520 –.0676737 –243.283 0.000 91
food crops
Vitamin A (Constant) .7082944 .0002088 3392.689 0.000
Total food .0001284 .0000006 .0588960 212.975 0.000
crop area
Number of –.0319009 .0000506 –.1743502 –630.472 0.000 –296
food crops
Calcium (Constant) .9143101 .0001492 6130.056 0.000
Total food .0000215 .0000004 .0139145 50.005 0.000
crop area
Number of –.0157053 .0000361 –.1208942 –434.459 0.000 –869
food crops
Zinc (Constant) .5451686 .0002159 2524.817 0.000
Total food –.0000802 .0000006 –.0358625 –128.666 0.000
crop area
Number of –.0152250 .0000523 –.0810898 –290.931 0.000 226
food crops
Iron (Constant) .3887316 .0002019 1925.169 0.000
Total food –.0000205 .0000006 –.0097849 –35.120 0.000
crop area
Number of –.0176238 .0000489 –.1003370 –360.124 0.000 1025
food crops
Agriculture–nutrition nexus in Bangladesh 503

Calcium Iron Zinc


Household Household Household
prevalence HHs whose prevalence HHs whose prevalence HHs whose
of crop- of crop- of crop-
inadequate Intake as a provided inadequate Intake as a provided inadequate Intake as a provided
intake percent of availability Intake percent of availability intake percent of availability
(< EAR) EAR is < EARa (< EAR) EAR is < EARa (< EAR) EAR is < EARa
91.3 52.6 17.5 37.2 70.8 17.8 51.1 104.4 16.4
87.6 57.7 7.4 34.5 73.0 8.4 51.2 104.5 7.4
87.1 59.3 5.5 33.4 74.5 5.9 48.6 105.2 5.9
86.2 61.5 2.4 32.8 76.6 3.2 50.5 107.3 2.3
83.0 66.5 1.6 29.2 80.5 1.6 43.2 112.2 1.3
84.3 64.4 0.7 26.8 79.4 1.5 44.0 111.8 0.7
79.7 71.1 0.0 25.4 85.0 0.0 44.1 114.2 0.0
78.5 72.5 0.0 24.1 86.9 0.0 32.2 121.4 0.0
73.9 82.9 0.0 18.6 93.3 0.0 37.1 120.1 0.0

8 2005 2010

6
Average HDDS

0
1 2 3 4 5 6 7 8 9 10

Consumption decile

FIG. 1, Average Household Dietary Diversity Score (HDDS) by consumption decile, 2005
and 2010. Source: Rabbani [28], based on HIES 2005 and 2010 data

How might Bangladeshi farmers modify their crop- provided by each of the cropping patterns (section 1).
ping patterns to improve the nutritional intake status At the median, the three most common cropping pat-
of their households? Table 14 shows the five most terns provide adequate availability of energy, vitamin
common food cropping patterns in Bangladesh out A, zinc, and iron for 100% of the households, but they
of the 1,156 possible combinations of the 34 different do not provide adequate availability of calcium for
food crops planted in Bangladesh. The table is divided any of these farming households. At the mean, these
into an upper panel A and a lower panel B. Each panel levels of adequate availability dip only slightly for
has sets of indicators and is labeled as section 1, 2, 3, cropping pattern 3, rice–Aman only, where 2% of these
or 4. In 2010, 3,864,816 households (25.5% of those households have inadequate availability of vitamin A
cultivating one or more crops) planted one of these five and zinc. Cropping pattern 5 (rice–Boro, rice–Aman,
patterns. Panel A of table 14 shows the average total mango, and jackfruit) also produces enough nutrients
number of Adult Consumption Equivalents (ACEs) to have nearly zero inadequate availability across the
per farming household using each cropping pattern five nutrients. The only exception for cropping pattern
(section 1), the households’ EAR (section 2), the aver- 5 is that for calcium it leaves a mean inadequate avail-
age total area planted per household (section 3) and the ability of 20% of the households planting these four
nutrient availability provided by each specific cropping crops. By the measure of the prevalence of inadequate
pattern (section 4). The total nutrient availability is availability, the poorest performing cropping pattern is
a function of the crops selected, the amount of area pattern 4, which consists of planting only mango and
planted in each crop, and the average yield. Panel B of having a mean of only five decimals and a median of
table 15 shows the prevalence of inadequate availability only one decimal planted in mango: i.e., the household
504 J. L. Fiedler

TABLE 14. The five most common food cropping patterns in Bangladesh, 2010
PANEL A Section 1 Section 2
Household EARs
Number of farming Average ACEs
Crops planted households per HH Energy Vitamin A Calcium Iron
1. Rice–boro and 1,684,437 Mean 3.53 10,797 1,776 3,821 98.2
aman 11.1% Median 3.33 10,186 1,644 3,582 91.8
2. Rice–boro only 1,368,360 Mean 3.76 11,504 1,897 4,084 103.9
9.0% Median 3.62 11,025 1,858 3,832 100.2
3. Rice–aman only 347,221 Mean 3.69 11,298 1,863 4,002 101.7
2.3% Median 3.53 10,775 1,750 3,832 97.0
4. Mango only 267,665 Mean 3.05 9,330 1,547 3,328 85.8
1.8% Median 3.05 9,500 1,572 3,332 87.8
5. Rice–boro, rice– 197,134 Mean 3.68 11,250 1,831 3,923 101.5
aman, mango, and 1.3% Median 3.65 11,125 1,893 3,915 100.2
jackfruit
All farmers 15,165,840 Mean 3.70 11,301 1,855 4,007 102.5
Median 3.51 10,725 1,750 3,832 97.6

PANEL B Section 1 Section 2

Number HH prevalence of inadequate availability (%) HH prevalence of


of farming Vitamin Vitamin
Crops planted households Energy A Calcium Zinc Iron Energy A Calcium
1. Rice–boro and 1,684,437 Mean 0 0 100 0 0 57 67 88
aman 11% Median 0 0 100 0 0 100 100 100
2. Rice–boro only 1,368,360 Mean 0 0 100 0 0 57 72 95
9% Median 0 0 100 0 0 100 100 100
3. Rice–aman only 347,221 Mean 0 2 100 2 0 56 80 92
2% Median 0 0 100 0 0 100 100 100
4. Mango only 267,665 Mean 54 71 16 80 83 62 51 83
2% Median 100 100 0 100 100 100 100 100
5. Rice–boro, rice– 197,134 Mean 0 0 20 0 0 62 58 88
aman, mango, and 1% Median 0 0 0 0 0 100 100 100
jackfruit
All farmers 15,165,840 Mean 6 7 46 7 7 55 61 86
Median 0 0 0 0 0 100 100 100
ACE, adult consumption equivalent; EAR, estimated average requirement; HH, household.
a. 1 decimal = 0.01 acre.

has essentially one or a small number of mango trees, only), at the mean, these patterns outperform the
and nothing else. Not surprisingly—given both the overall cropping pattern averages for energy, vitamin
single crop and the very small size of the area—this A, zinc, and iron.
cropping pattern (admittedly an extreme one) pro- The indicators in panel B, sections 2 and 3, show
vides the poorest availability of nutrients among these the consumption-based nutrient intake measures. The
five most common cropping patterns: it results in a prevalence of inadequate intake for each of the crop-
high prevalence of inadequate availabilities for all five ping patterns is strikingly higher than the prevalence
of the nutrients. A comparison of the prevalence of of availability—again, providing insight into the sig-
inadequate nutrient availability for each of these five nificant nutritional impact of how Bangladeshi farming
cropping patterns with that of all Bangladeshi farm- households make use of the food crops they produce.
ers (shown as the last row in the panel, “All farmers”) Although the farmers who practice these cropping
reveals that with the exception of pattern 4 (mango patterns produce foods with significant amounts of
Agriculture–nutrition nexus in Bangladesh 505

Section 3 Section 4
Nutrient availability from crop production
Area planted
Zinc (decimalsa) Energy Vitamin A Calcium Iron Zinc
40.9 147 16,566,216 0 1,014,908 35,499 50,063
37.0 110 12,448,800 0 762,660 26,676 37,620
43.3 92 13,168,149 0 806,730 28,217 39,794
40.0 56 8,736,000 0 535,200 18,720 26,400
42.6 109 7,523,560 0 460,921 16,122 22,736
40.0 60 4,368,000 0 267,600 9,360 13,200
34.6 5 87,011 50,868 13,386 174 54
33.0 1 26,000 15,200 4,000 52 16
43.7 223 21,060,282 41,173 1,319,466 45,472 63,648
44.0 162 16,019,760 14,750 995,184 34,588 48,316

42.8 161 15,470,960 235,438 1,064,494 42,538 46,457


40.0 99 8,736,000 9,300 609,720 21,840 26,488

Section 3 Section 4
inadequate intake Inadequate intake minus inadequate availability
(%) HH nutrient intake as a percent of EAR (%)
Vitamin Vitamin
Zinc Iron Energy A Calcium Zinc Iron Energy A Calcium Zinc Iron
51 35 97.8 85.7 71.9 104.3 57.2 57 67 –12 51 35
100 0 95.5 71.3 64.2 98.3 48.2 100 100 0 100 0
54 40 98.6 79.1 67.8 102.4 50.0 57 72 –5 54 40
100 0 96.1 67.8 60.8 97.1 43.4 100 100 0 100 0
47 33 99.3 68.4 70.2 103.5 48.0 56 78 –8 45 33
0 0 96.4 49.3 62.8 102.1 38.8 100 100 0 0 0
44 27 98.2 106.6 80.8 111.0 64.0 8 –20 66 –36 –55
0 0 92.6 90.5 72.5 103.1 54.1 0 0 100 –100 –100
61 51 94.8 99.1 64.3 93.9 54.3 62 58 69 61 51
100 100 88.6 70.8 55.6 83.8 40.3 100 100 100 100 100

48 32 100.9 98.0 76.2 107.7 60.7 48 55 40 40 26


0 0 97.3 80.8 68.0 101.7 51.4 100 100 100 0 0

nutrients, so that their households have (with the (the proportion of their total area that they plant in
exception of calcium) nearly 0% inadequate nutri- each) so as to produce more nutrients? Or, could they
ent availability for four of the five cropping patterns, sell less of some of the more nutrient dense crops,
their consumption of these foods is substantially less, particularly those for which their households have
leaving them with high prevalence rates of inadequate inadequate intakes?
nutrient intakes. These (again) are the outcome of Table 15 provides a simple example of the net impact
farming households selling substantial amounts of their of substituting 1 decimal of Boro rice for 1 decimal of
product to generate income to meet other family needs each of four alternative crops that contain multiple
(which may include gaining access to the land, which micronutrients, are micronutrient dense, and also pro-
many do not own). Could these farming households duce high concentrations of nutrients per decimal. The
be doing things differently? For example, could they example is based on the “all farmers” average household
modify their selection of crops or their mix of crops EAR requirement (panel A, section 2 of table 14) and
506 J. L. Fiedler

TABLE 15. Exploring the size of EAR gaps through an agriculture lens: the net nutrient impacts of substituting other food
crops for 1 decimal of Boro rice
Net impact of replacing 1 decimal
in boro rice for 1 of:
Household Household Apparent Patal/
EAR apparent EAR Puisak/ Ladies’ perbol/ Other
Nutrient requirement intake shortfall spinach finger/okra carrot vegetables
Energy (kcal/day)Mean 11,301 11,101 200 –115 –163 –150 –35
Median 10,725 10,250 264
Vitamin A (µg Mean 1,855 1,686 169 647 74 25 268
RAE/day) Median 1,750 1,385 310
Calcium (mg/day) Mean 4,007 2,266 1,740 294 20 935 402
Median 3,832 1,928 1,681
Iron (mg/day) Mean 102.5 73.7 28.8 12.4 0.5 –0.1 5.2
Median 97.6 66.2 28.9
Zinc (mg/day) Mean 42.8 44.4 –1.6 1.4 0.0 -0.3 1.1
Median 40.0 40.8 –0.6
Number of decimals that would need to be substituted to close the EAR gap at the mean nutrient intake level
1. Vitamin A 0.3 2.3 25.9 0.3
2. Calcium 5.9 87.0 0.3 0.0
3. Iron 2.3 57.6 NAa 0.1
4. Zinc NAa NAa NAa NAa
EAR, estimated average requirement; HH, household; RAE, retinol activity equivalent.
a. NA = Not applicable: There is no EAR gap for this micronutrient (zinc), or the food does not contain the particular micronutrient or the
substitution results in a net reduction in this particular micronutrient.

reports the household’s average apparent intake and possibility of changing only the mix of crops that it
its average EAR shortfalls, given its household com- currently produces and consumes, and altering the
position. How much change would this require? One amount of land that is planted in each food. This
decimal is 1% of an acre, 40 by 40 meters.* The sub- would identify one set of achievable options and would
stitution of one decimal of rice for one decimal of one require relatively minor modifications in the behavior
of these four alternative crops would entail modifying of farmers. A second step would consider changing
the equivalent of 0.6% of the median or 1.0% of the the mix of crops farmers produce and would include
mean Bangladesh farming household’s total cultivated the introduction of new crops that the farmers are not
area. In short, we are not talking about a large amount yet familiar with. These two modeling exercises would
of land in absolute or relative terms. The box at the bracket the results of the optimization exercise. The
bottom of table 15 takes this analysis a step further, third step would attempt to take into account Bangla-
showing the number of decimals that would need to deshi farmers’ cultural norms, perceived risks, rates of
be planted with each of these four crops in order to returns, uncertainties, and opportunity sets [31, 32].
entirely close the EAR gap at the mean nutrient intake This work is now under way.
level of each of the five nutrients.
These are but simple, provocative examples. What
is needed is a more systematic and comprehensive Conclusions
approach, which could be addressed as a two-step
process. Paralleling the seminal, smaller-scale study This exploratory analysis of the agricultural module of
of McIntyre and colleagues [30], the first step would the Bangladesh HIES has identified several reasons for
consist of optimizing farming households’ nutrient the country’s lagging nutritional status and has been
intake status by identifying how each household could useful for better understanding the nutritional implica-
improve its nutrient intake, while investigating the tions of the country’s rice monoculture. Of the 32 major
food crops cultivated in Bangladesh, rice is second only
* To provide a reference point for this size, the classic to banana in the amount of energy provided per cul-
Bangladeshi home garden study of Marsh [29] reported that
at baseline 50% of the target population already had a home tivated area. Although it does a good job of providing
garden, and the mean size was 61 m2. At endline, the size had calories, rice contains no vitamin A and relatively small
expanded to 131 m2. amounts of other micronutrients compared with other
Agriculture–nutrition nexus in Bangladesh 507

crops grown in the country, its nutrient density is low, production possibilities might be modified. These
and it is a relatively poor source of nutrients compared surveys provide a potentially powerful instrument for
with what is produced (on average) on a given tract of diagnosing, modeling, designing, and assessing agri-
land with other crops. Still, rice is the source of 90% cultural and nutritional policies. When the analysis of
of the total available energy, 85% of the zinc, 67% of the agricultural module is combined with the nutrient
the calcium, and 55% of the iron produced and made intake analysis of the consumption modules of the
available by the plant-based agriculture sector. Despite same surveys, they provide a unique tool for contex-
its being the source of such a large proportion of total tualizing and better understanding the behaviors of
nutrient intake in Bangladesh, rice is part of the nutri- households as both producers and consumers of food
tion problem of Bangladesh and contributes to nutri- crops, an aid to better understanding the agriculture–
ent inadequacies because it has low intrinsic nutrient nutrition nexus.
content, produces smaller quantities of nutrients for a
given land area, and is a monoculture, providing (by
definition) low dietary diversity as a result of its crowd- Acknowledgements
ing out other food crops.
Other related factors that have been identified as This work was undertaken as part of the CGIAR
contributing to the poor nutritional status of Bangla- Research Program on Agriculture for Nutrition and
deshi farmers are that relatively few of them choose to Health (A4NH) and supported by the Strengthening
plant crops with high nutrient densities, and relatively Partnerships Results and Innovations in Nutrition
few choose to plant crops that produce large concentra- Globally (SPRING) Project of the US Agency for Inter-
tions of nutrients per decimal. Furthermore, those who national Development (USAID) under Cooperative
do produce crops that provide substantial quantities Agreement No. AID-OAA-A-11-00031. The opinions
of micronutrients generally do not consume enough expressed here are those of the author, and do not
of those crops themselves—choosing, instead to sell necessarily reflect those of A4NH, CGIAR, SPRING
a large proportion of them—so that their households or USAID.
suffer from high levels of nutrient inadequacies. Thanks to Dr. Odilia Bermudez of Tufts University
This study has shown that the analysis of the agri- School of Medicine, Department of Public Health and
cultural modules of household interview surveys can Community Medicine, Boston, MA and Keith Lividini
provide a useful general diagnostic tool for better of HarvestPlus/International Food Policy Research
understanding a country’s current nutrient production Institute who prepared the nutrient consumption ana-
possibilities, as well as providing a general analytic lytic file that was used in this analysis.
framework for considering how a country’s nutrient

References
1. United Nations/Food and Agriculture Organization. a decade of progress in reducing poverty 2000–2010.
Improving statistics for food security, sustainable Bangladesh Development Series Paper No. 31. Wash-
agriculture and rural development. An action plan to ington, DC: World Bank, 2013.
implement the global strategy. Rome: United Nations/ 7. World Bank. Maintaining momentum in 2015? An
FAO, 2010. impact evaluation of interventions to improve maternal
2. World Bank/Food and Agriculture Organization/United and child health and nutrition in Bangladesh. Washing-
Nations. Global strategy to improve agricultural and ton, DC: World Bank, 2005.
rural statistics. Report No. 5719-GLB. Washington, DC: 8. National Institute of Population Research and Training
World Bank, 2011. (NIPORT)/Mitra and Associates/ICF International.
3. Fiedler, John L. Towards overcoming the food con- Bangladesh Demographic and Health Survey 2011.
sumption information gap: strengthening household Dhaka and Calverton, MD, USA: NIPORT/Mitra and
consumption and expenditures surveys for food and Associates/ICF International, 2013.
nutrition policymaking. Glob Food Sec 2013;2:56–63. 9. National Institute of Population Research and Training
4. Fiedler JL, Carletto C, Dupriez O. Still waiting for (NIPORT)/Mitra and Associates/Macro International.
Godot? Improving Household Consumption and Expen- Bangladesh Demographic and Health Survey 2007.
ditures Surveys (HCES) to enable more evidence-based Dhaka and Calverton, MD, USA: NIPORT/Mitra and
nutrition policies. Food Nutr Bull 2012;33:S242–51. Associates/Macro International, 2009.
5. Bangladesh Bureau of Statistics. Report of the House- 10. Hossain M, Hussain T. Fighting micronutrient malnu-
hold Income and Expenditure Survey 2010. Dhaka: New trition in Bangladesh: progress made over the decade.
Panama Printing Press. 2012. Available at: http://www Food Nutr Bull 2004;25:79–84.
.bbs.gov.bd/PageWebMenuContent.aspx?MenuKey 11. Icddr,b/UNICEF Bangladesh/GAIN/Institute of Public
=325. Accessed 25 September 2014. Health Nutrition, Ministry of Health and Family Wel-
6. World Bank. Bangladesh poverty assessment. Assessing fare, Bangladesh. National Micronutrients Status Survey
508 J. L. Fiedler

2011–12. Final report. Dhaka: January 2013. Standard Reference, Release 23. Nutrient Data Labora-
12. Food and Agriculture Organization. FAOSTAT 2014. tory Home Page. Available at: http://www.ars.usda.gov/
Available at: http://faostat3.fao.org/faostat-gateway/go/ ba/bhnrc/ndl. Accessed 10 September 2014.
to/download/FB/*/E. Accessed 11 August 2014. 22. University of Dhaka. Food composition table for Bang-
13. White H. Comment on contributions regarding the ladesh. Dhaka: Institute of Nutrition and Food Science,
impact of the Bangladesh Integrated Nutrition Project. Centre for Advanced Research in Science, University of
Health Policy Plan 2005;20:41–4. Dhaka, 2013.
14. Hossain M, Bose ML, Mustaf BAA. Adoption and pro- 23. Weisell R, Dop MC. FAO’s development of the Adult
ductivity impact of modern rice varieties in Bangladesh. Male Equivalent (AME) concept. Food Nutr Bull 2012;33
The Developing Economies 2006;XLIV-2:149–66. (3 suppl):S157–42.
15. Hossain M, Deb U. Volatility in rice prices and policy 24. Institute of Medicine. Dietary Reference Intakes: The es-
responses in Bangladesh. In: Dawe D, ed. The rice crisis: sential guide to nutrient requirements. Washington, DC:
markets, policies and food security. Rome: Earthscan National Academy Press, 2006.
and Food and Agriculture Organization, 2010:91-108. 25. Institute of Medicine. Dietary Reference Intakes: Appli-
Available at: http://www.fao.org/docrep/015/an794e/ cations in dietary assessment. Washington, DC: National
an794e00.pdf. Accessed September 12, 2014. Academies Press, 2000. Available at: http://www.nap.
16. UNICEF 2013. ORS: The medical advance of the cen- edu/catalog/9956.html. Accessed 11 August 2014.
tury. Available at: http://www.unicef.org/sowc96/joral. 26. Bangladesh Bureau of Statistics. Handbook of ag-
htm Accessed April 25, 2014. ricultural statistics. 2007. http://www.bbs.gov.bd/
17. Arsenault JE, Yakes EA, Islam MM, Hossain MB, Ahmed PageSearchContent.aspx?key = handbook%20of%20
T, Hotz C, Lewis B, Rahman AS, Jamil KM, Brown KH. agricultural%20statistics Accessed April 25, 2014.
Very low adequacy of micronutrient intakes by young 27. Bangladesh Bureau of Statistics. Agricultural yearbook
children and women in rural Bangladesh is primarily 2009. Bangladesh Bureau of Statistics, 2010. Available
explained by low food intake and limited diversity. J at: http://www.bbs.gov.bd/PageSearchContent.aspx?key
Nutr 2013;143:197–203. = agricultural%20yearbook%202009.
18. International Household Survey Network (IHSN). Bang- 28. Rabbani A. Status of food security beyond poverty meas-
ladesh–Household Income and Expenditure Survey ures: evidence from 2005 and 2010 HIES. Washington,
2010. Available at: http://catalog.ihsn.org/index.php/ DC: World Bank, 2012.
catalog/2257. Accessed 11 August 2014. 29. Marsh R. Building on traditional gardening to improve
19. Asian Development Bank. Bangladesh Quarterly Eco- household food security. Food, Nutrition and Agricul-
nomic Update, 2006. Prepared by the Economics Unit ture (22), FAO, Rome, 1998. Available at: http://www
of the Bangladesh Resident Mission, ADB. Available at: .fao.org/docrep/x0051t/x0051t02.htm. Accessed 11
http://www.adb.org/Documents/Economic_Updates/ August 2014.
BAN/2006/sep-2006.pdf. Accessed April 25, 2014. 30. McIntyre BD, Bouldin DR, Urey GH, Kizito F. Modeling
20. Bermudez OI, Lividini K, Smitz MF, Fiedler JL. cropping strategies to improve human nutrition in
Estimating micronutrient intakes from Household Uganda. Agric Syst 2001;67:105–20.
Consumption and Expenditures Surveys (HCES): An 31. George T. Why crop yields in developing countries have
example from Bangladesh. Food Nutr Bull 2012;33 not kept pace with advances in agronomy. Glob Food
(3 suppl):S208–13. Sec 2014;3:49–58.
21. US Department of Agriculture, Agricultural Research 32. World Bank. Agriculture for development. World De-
Service. 2010. USDA National Nutrient Database for velopment Report. Washington, DC: World Bank, 2007.

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