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In many respects, the continent of Africa is in transition. Prominent among them – currently – is the nutrition transition. One consequence of the nutrition transition is the increase in prevalence of nutrition-related non-communicable diseases (NCDs) such as obesity, type 2 diabetes, cardiovascular diseases, and certain cancers. Although NCDs are a global public health problem, the rate of increase in NCDs morbidity and mortality in some African countries is staggering. This surge has been linked to modifiable environmental factors – factors that facilitate the consumption of obesogenic (energy-dense nutrient-poor foods), rather than unrefined cereals, fruits, and vegetables. It has long been recognized that the physical and social environments - in which people live, work, and eat are critical determinants of their health. More recently, there has been a greater focus on the food environment as a key determinant of health. Available evidence shows that unhealthy food environments drive unhealthy diets; and unhealthy diet is one of four main risk factors for NCDs.
Hunger, malnutrition, poor health, and deficient food systems are widespread in Sub-Saharan Africa. While much is known about African food systems and about African health and nutrition, our understanding of the interaction between food systems and health and nutrition is deficient. Moreover, the potential health gains from changes in the food system are frequently overlooked in policy design and implementation.The authors of The African Food System and its Interactions with Human Health and Nutrition examine how public policy and research aimed at the food system and its interaction with human health and nutrition can improve the well-being of Africans and help achieve the United Nations Millennium Development Goals (MDGs). Several of the MDGs focus on health-related challenges: hunger alleviation; maternal, infant, and child mortality; the control of HIV/AIDS, tuberculosis, and malaria; and the provision of safe water and improved sanitation. These challenges are intensified by problems of low agricultural and food system productivity, gender inequity, lack of basic infrastructure, and environmental degradation, all of which have direct and indirect detrimental effects on health, nutrition, and the food system.Reflecting the complexity and multidisciplinary nature of these problems and their solutions, this book features contributions by world-renowned experts in economics, agriculture, health, nutrition, food science, and demography. Contributors: Harold Alderman, World Bank; Christopher B. Barrett, Cornell University; Kathryn J. Boor, Cornell University; Laura K. Cramer, Cornell University; Stuart Gillespie, International Food Policy Research Institute; Anna Herforth, Cornell University; Dorothy Nakimbugwe, Makerere University; Rebecca Nelson, Cornell University, Onesmo K. ole-MoiYoi, Kenyatta University and Kenya Agricultural Research Institute; Per Pinstrup-Andersen, Cornell University and the University of Copenhagen; Marie T. Ruel, International Food Policy Research Institute; David E. Sahn, Cornell University; Barbara Boyle Torrey, Population Reference Bureau; E. Fuller Torrey, Stanley Medical Research Institute; Joachim von Braun, University of Bonn; Speciosa Wandira, Concave International; Derrill D. Watson, Cornell University
Interestingly, some relief from today's woes may come from ancient human practices. While current agri-food production models rely on abundant supplies of water, energy, and arable land and generate significant greenhouse gas emissions in addition to forest and biodiversity loss, past practices point toward more affordable and sustainable paths. Different forms of insect farming and soilless crop farming, or hydroponics, have existed for centuries. In this report the authors make a persuasive case that frontier agriculture, particularly insect and hydroponic farming, can complement conventional agriculture. Both technologies reuse society's agricultural and organic industrial waste to produce nutritious food and animal feed without continuing to deplete the planet's land and water resources, thereby converting the world's wasteful linear food economy into a sustainable, circular food economy. As the report shows, insect and hydroponic farming can create jobs, diversify livelihoods, improve nutrition, and provide many other benefits in African and fragile, conflict-affected countries. Together with other investments in climate-smart agriculture, such as trees on farms, alternate wetting and drying rice systems, conservation agriculture, and sustainable livestock, these technologies are part of a promising menu of solutions that can help countries move their land, food, water, and agriculture systems toward greater sustainability and reduced emissions. This is a key consideration as the World Bank renews its commitment to support countries' climate action plans. This book is the Bank's first attempt to look at insect and hydroponic farming as possible solutions to the world's climate and food and nutrition security crisis and may represent a new chapter in the Bank's evolving efforts to help feed and sustain the planet.
A changing climate is likely to have a drastic impact on crop yields in Africa. The purpose of this book is to document the effects of climate change on agriculture in Africa and to discuss strategies for adaptation to hotter weather and less predictable rainfall. These strategies include promoting opportunities for farmers to adopt technologies that produce optimal results in terms of crop yield and income under local agro-ecological and socioeconomic conditions. The focus is on sub-Saharan Africa, an area that is already affected by changing patterns of heat and rainfall. Because of the high prevalence of subsistence farming, food insecurity, and extreme poverty in this region, there is a great need for practical adaptation strategies. The book includes empirical research in Ethiopia, Kenya, South Africa, Tanzania, and other Sub-Saharan countries, and the conclusion summarizes policy-relevant findings from the chapters. It is aimed at advanced students, researchers, extension and development practitioners, and officials of government agencies, NGOs, and funding agencies. It also will provide supplementary reading for courses in environment and development and in agricultural economics.
Considering the detrimental environmental impact of current food systems, and the concerns raised about their sustainability, there is an urgent need to promote diets that are healthy and have low environmental impacts. These diets also need to be socio-culturally acceptable and economically accessible for all. Acknowledging the existence of diverging views on the concepts of sustainable diets and healthy diets, countries have requested guidance from the Food and Agriculture Organization of the United Nations (FAO) and the World Health Organization (WHO) on what constitutes sustainable healthy diets. These guiding principles take a holistic approach to diets; they consider international nutrition recommendations; the environmental cost of food production and consumption; and the adaptability to local social, cultural and economic contexts. This publication aims to support the efforts of countries as they work to transform food systems to deliver on sustainable healthy diets, contributing to the achievement of the SDGs at country level, especially Goals 1 (No Poverty), 2 (Zero Hunger), 3 (Good Health and Well-Being), 4 (Quality Education), 5 (Gender Equality) and 12 (Responsible Consumption and Production) and 13 (Climate Action).
Overeating and obesity are on the rise. Despite public health warnings, availability of diet books and programs, and the stigma associated with obesity, many people find it difficult to achieve and maintain a healthy body weight. While there are many books on the topic of caloric or need-based eating, obesity and overeating can also result from eating that is not driven by hunger. Recent research found that excess food intake is largely driven by the palatability of food and the pleasure derived from eating. Hedonic Eating: How the Pleasure of Food Affects Our Brains and Behavior discusses the pleasurable aspects of food intake that may cause and perpetuate overconsumption. Broad in its scope, this book examines the various behavioral, biological, and social rewards of food. The comprehensive chapters cover topics ranging from the neurochemistry of food reward to the hotly debated concept of 'food addiction,' while providing relevant and up-to-date information from the current body of scientific literature regarding food reward.
Developing and maintaining healthy retail food environments and green spaces isof the utmost and pressing importance in urban centres. To this end, it is crucial to provide cities with tools to assess the availability, accessibility and use of food outlets and green spaces that facilitate healthy eating and living for urban dwellers. Existing tools to assess food and green environments have been developed and used mainly in high-income countries. This study shows that these tools can and should be adapted to low- and middle-income country settings. This study shows that small neighbourhood food shops are important for household food security, in particular for low- to middle-income households. At the same time, the study shows that consumers are disproportionately exposed to ultra-processed foods (UPFs) in these shops. The policy implication of this finding is that small neighbourhood shops must be incentivized to stock and sell greater amounts of fresh and minimally processed foods to make it easier for low- to middle-income households to adopt healthy diets.
"In this book, Morland, Lehmann, and Karpyn discuss the critical need for healthy food financing programs as a vehicle to improve food access for all Americans. In my career as a public servant, there are very few legislative achievements that I’m prouder of than the Healthy Food Financing Initiative, which started in my home state of Pennsylvania. The program gained status as a proven and economically sustainable federal program that is helping to improve the quality of life in our neighborhoods: by allowing millions access to healthy, affordable food." – Congressman Dwight Evans United States House of Representatives, Pennsylvania, District 3 "If we work together, we can create a healthy food system that is equitable and accessible to all. This book highlights the importance of healthy food projects like grocery stores, farmers markets, co-ops, and other healthy food retail in revitalizing local communities across the country. Without basic nourishment, kids and families simply won’t be successful – which is why this book is a must read." – Sam Kass President Obama’s Senior Nutrition Policy Advisor and Executive Director of Let’s Move! "Morland and colleagues’ new second edition provides an excellent foundation for courses in food policy and community nutrition. Their detailed review of the economics of local and national food financing will open students’ minds to the complexity inherent in measuring and interpreting outcomes." – Robert S. Lawrence, MD, MACP Founder and Former Director of the Center for a Livable Future Johns Hopkins University, Bloomberg School of Public Health Features ● Describes how disparities in food access formed in the United States ● Includes federal policies and programs aimed at addressing food access in underserved areas, including the Healthy Food Financing Initiative ● Features examples of state initiatives that address poor access to food retailers ● Provides methods for program evaluation utilizing principals of implementation and dissemination science ● Includes critical thinking questions and embedded videos aimed to generate discussions on how restricted local food environments in the United States are rooted in economic disparities that impact food access as well as housing, education, and job opportunities
An engaging history of how the idea of development has shaped Africa's past and present encounters with the West.
The food system is responsible for some of society’s most pressing sustainability challenges. Diets are currently unsustainable in many countries as evidenced by the growing burden of malnutrition, degradation of natural resources, contributions to climate change, and unaffordability of healthy diets. There is an urgent need to address the gaps in understanding of what a sustainable food system means across varying populations and geographies and how we can better measure these systems, while identifying how dietary choices impact on human health and the environment. However, decision makers and experts are questioning whether it is possible to meet environmental, social, and economic goals simultaneously, or whether trade-offs are necessary. Thus, the development of better measurements and indicators to clearly understand the benefits and considerations for healthy and sustainable food systems is needed.