Food Security

, Volume 9, Issue 5, pp 1001–1017 | Cite as

Where food safety meets nutrition outcomes in livestock and fish value chains: a conceptual approach

  • Barbara HäslerEmail author
  • Paula Dominguez-Salas
  • Kimberly Fornace
  • Maria Garza
  • Delia Grace
  • Jonathan Rushton
Original Paper


There is increasing interest in the links between food safety and nutrition. Animal-source foods contribute to fulfilling important micronutrient requirements by supplying vitamin B12, high quality protein, iron, zinc, vitamin A of high bioavailability, riboflavin and calcium. However, high meat and dairy consumption may raise health concerns related to the risk of non-communicable diseases and food safety, especially if upscaling of livestock and fish value chains does not follow recommended hygiene and biosecurity practices. A recent report by the World Health Organisation indicates that food-borne diseases from animal-source foods constitutes an important health burden worldwide. Only a few studies explore nutrition outcomes and food-borne diseases simultaneously and integrative approaches may be difficult due to limited understanding of disciplinary paradigms. Here we propose a conceptual approach to integrate food safety and nutrition assessments in livestock and fish value chains combining knowledge from food sciences, public health, nutrition and economics. It offers six analytical dimensions with explanations of key disciplinary paradigms and methodological characteristics that can cause pitfalls for integration and provides recommendations for joint assessments. The insights arising from this work on methodology for interdisciplinary research can assist those who engage in collaboration to integrate food safety and nutrition research in livestock and fish value chains.


Food safety Nutrition Food security Integration 



This study was partly supported by the project “Rapid Integrated Assessment of Nutrition and Health Risks in Livestock and Fish Value Chains” funded by the Australian Centre for International Agricultural Research (ACIAR). It has been partly supported by the Consultative Group for International Agricultural Research (CGIAR) research program on Agriculture for Nutrition and Health. Barbara Häsler acknowledges support from the Leverhulme Centre for Integrative Research on Agriculture and Health (LCIRAH).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. Agyei-Mensah, S., & de -Graft Aikins, A. (2010). Epidemiological transition and the double burden of disease in Accra, Ghana. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 87(5), 879–897.CrossRefGoogle Scholar
  2. Alarcon, P., Fèvre, E. M., Murungi, M. K., Muinde, P., Akoko, J., Dominguez-Salas, P., Kiambi, S., Ahmed, S., Häsler, B., & Rushton, J. (2017). Mapping of beef, sheep and goat food systems in Nairobi — A framework for policy making and the identification of structural vulnerabilities and deficiencies. Agricultural Systems, 152, 1–17. doi: 10.1016/j.agsy.2016.12.005.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Arimond, M., Wiesmann, D., Becquey, E., Carriquiry, A., Daniels, M. C., Deitchler, M., Fanou-Fogny, N., Joseph, M. L., Kennedy, G., Martin-Prevel, Y., & Torheim, L. E. (2010). Simple food group diversity indicators predict micronutrient adequacy of women’s diets in 5 diverse, resource-poor settings. Journal of Nutrition Supplement, 140, 2059S–2069S.CrossRefGoogle Scholar
  4. Barrett, C. B. (2010). Measuring food insecurity. Science, 80-327, 825–828.CrossRefGoogle Scholar
  5. Bateman, I. J., Harwood, A. R., Mace, G. M., Watson, R. T., Abson, D. J., Andrews, B., Binner, A., Crowe, A., Day, B. H., et al. (2013). Bringing ecosystem services into use in the United Kingdom. Science, 341(6141), 45–50.CrossRefPubMedGoogle Scholar
  6. Beerlandt, H., & Huysman, S. (1999). Manual for bottom-up-approach in food security interventions: Analysis of target groups. Rome: International Fund for Agricultural Development.Google Scholar
  7. Bilinsky, P., & Swindale, A. (2010). Months of adequate household food provisioning (MAHFP) for measurement of household food access: Indicator guide (v.4). Washington: FHI 360/FANTA.Google Scholar
  8. Carron, M., Alarcon, P., Häsler, B., Fèvre, E. M., Karani, M., Muinde, P., Akoko, J., Onono, J., & Rushton, J. (2015). Value chain mapping of broiler and indigenous chicken production systems in Nairobi as a first step to food safety and food security assessments. Proceedings of the 49th Kenya veterinary association annual scientific conference, Busia, Kenya, 22–25 April, 2015.Google Scholar
  9. CFS OEWG-Nutrition (2017). Work Programme of the UN Decade of Action on Nutrition [WWW Document]. URL Accessed 5.16.17.
  10. Chalimbaud, J., Coates, J., & Colaiezzi, B. (2015). Link NCA: A participatory and response oriented method for conducting a nutritional causal analysis. Report for Action Contre La Faim.Google Scholar
  11. Coates, J., Swindale, A., & Bilinsky, P. (2007). Household food insecurity access scale (HFIAS) for measurement of food access: Indicator guide. USAID: Washington.Google Scholar
  12. Committee on Nutrient Relationships in Seafood. (2007). Seafood choices: Balancing benefits and risks. Institute of Medicine of the National Academies: Washington. Google Scholar
  13. Cornelsen, L., Alarcon, P., Häsler, B., Amendah, D. D., Ferguson, E., Fevre, E. M., Grace, D., Dominguez-Salas, P., & Rushton, J. (2016). Cross-sectional study of price and other drivers of demand for animal source foods in low-income urban areas of Nairobi, Kenya. BMC Nutrition, 2, 70. doi: 10.1186/s40795-016-0109-z.CrossRefGoogle Scholar
  14. De Brauw, A., Gelli, A., & Summer, A. (2015). Identifying opportunities for nutrition-sensitive value-chain interventions. IFPRI Research Brief, 21.Google Scholar
  15. Delisle, H., Ntandou-Bouzitou, G., Agueh, V., Sodjinou, R., & Fayomi, B. (2012). Urbanisation, nutrition transition and cardiometabolic risk: The Benin study. British Journal of Nutrition, 107, 1534–1544.CrossRefPubMedGoogle Scholar
  16. Dubé, L., Pingali, P., & Webb, P. (2012). Paths of convergence for agriculture, health, and wealth. Proceedings of the National Academy of Sciences of the United States of America, 109, 12294–12301.CrossRefPubMedPubMedCentralGoogle Scholar
  17. ENCU/DPPA. (2006). Guiding principles for rapid nutrition assessments. Addis Ababa: Emergency Nutrition Coordination Unit/ Disaster Prevention and Preparedness Agency.Google Scholar
  18. FAO (1997). Hazard Analysis and Critical Control Point (HACCP) System and Guidelines for its Application: Annex to CAC/RCP 1–1969, Rev. 3. Food and Agriculture Organization of the United Nations: Rome.Google Scholar
  19. FAO. (2006). Food security. Policy Brief, Issue, 2. doi: 10.1016/B978-0-12-375083-9.00127-6.
  20. FAO. (2008). Methods to monitor the human right to adequate food. In Volume II: An overview of approaches and tools. Food and Agriculture Organization of the United Nations: Rome.Google Scholar
  21. FAO/WHO. (2004). FAO/WHO guidance to governments on the application of HACCP in small and/or less-developed food businesses. FAO Food and Nutrition Paper, 86, 1–84.Google Scholar
  22. FAO/WHO. (2009). Risk characterization of microbiological hazards in food: Guidelines. Microbiological risk assessment series, 17, 135.Google Scholar
  23. FAO/WHO. (2013). Codex Alimentarius Commission: Procedural Manual. Joint FAO/WHO Food Standards Programme. 21st Edition. Rome: World Health Organization and Food and Agriculture Organization of the United Nations.Google Scholar
  24. Gelli, A., Hawkes, C., Donovan, J., Harris, J., Allen, S., Brauw, A. De, Henson, S., Johnson, N., Garret, J., & Ryckembusch, D. (2015). Value chains and nutrition: A framework to support the identification, design, and evaluation of interventions. IFPRI discussion paper 01413.Google Scholar
  25. Gerber, N., & Torero, M. (2013). Food and nutrition security Indicators : A review. FOODSECURE working paper 05.Google Scholar
  26. Gong, Y., Hounsa, A., Egal, S., Turner, P. C., Sutcliffe, A. E., Hall, A. J., Cardwell, K., & Wild, C. P. (2004). Postweaning exposure to aflatoxin results in impaired child growth: A longitudinal study in Benin, West Africa. Environmental Health Perspectives, 112, 1334–1338.CrossRefPubMedPubMedCentralGoogle Scholar
  27. Grace, D. (2015). Food safety in low and middle income countries. International Journal of Environmental Research and Public Health, 12, 10490–10507.CrossRefPubMedPubMedCentralGoogle Scholar
  28. Grace, D., Randolph, T., Olawoye, J., Dipelou, M., & Kang’ethe, E. (2008). Participatory risk assessment: a new approach for safer food in vulnerable African communities. Development in Practice, 18, 611–618.CrossRefGoogle Scholar
  29. Grace, D., Makita, K., Ethe, E. K. K., & Bonfoh, B. (2010). Safe food, fair food: Participatory risk analysis for improving the safety of informally produced and marketed food in sub Saharan Africa. Revue Africaine de Santé et de Productions Animales, 8(S), 3–11.Google Scholar
  30. Grace, D., Mahuku, G., Hoffmann, V., Atherstone, C., et al. (2015). International agricultural research to reduce food risks: Case studies on aflatoxins. Food Security, 7(3), 569–582. doi: 10.1007/s12571-015-0469-2.CrossRefGoogle Scholar
  31. Greenfield, H., & Southgate, D. A. T. (2003). Food composition data: Production, management and use. Rome: Food and Agriculture Organization of the United Nations.Google Scholar
  32. Grimshaw, J. M., Eccles, M. P., Lavis, J. N., Hill, S. J., & Squires, J. E. (2012). Knowledge translation of research findings. Implementation Science, 7, 50.CrossRefPubMedPubMedCentralGoogle Scholar
  33. Gross, R., Schoeneberger, H., Pfeifer, H., & Preuss, H. A. (2000). The four dimensions of food and nutrition security: Definitions and concepts. Rome: Food and Agriculture Organization of the United Nations.Google Scholar
  34. Havelaar, A. H., Kirk, M. D., Torgerson, P. R., Gibb, H. J., Hald, T., Lake, R. J., Praet, N., Bellinger, D. C., de Silva, N. R., Gargouri, N., et al. (2015). World Health Organization global estimates and regional comparisons of the burden of foodborne disease in 2010. PLoS Medicine, 12, 1–23. doi: 10.1371/journal.pmed.1001923.CrossRefGoogle Scholar
  35. Hawkes, C., & Ruel, M.T. (2011). Value chains for nutrition. Proceedings of the IFPRI 2020 international conference “Leveraging Agriculture for Improving Nutrition and Health,” February 10–12, 2011, New Delhi, India.Google Scholar
  36. Henriques, J., Dick, J. R., Tocher, D. R., & Bell, J. G. (2014). Nutritional quality of salmon products available from major retailers in the UK: Content and composition of n-3 long-chain PUFA. British Journal of Nutrition, 112, 964–975.CrossRefPubMedGoogle Scholar
  37. Herforth, A., Nicolò, G. F., Veillerette, B., & Dufour, C. (2016). Compendium of indicators for nutrition-sensitive agriculture. Rome: Food and Agriculture Organization of the United Nations.Google Scholar
  38. Hoinville, L. J., Alban, L., Drewe, J. A., Gibbens, J. C., Gustafson, L., Häsler, B., Saegerman, C., Salman, M., & Stärk, K. D. C. (2013). Proposed terms and concepts for describing and evaluating animal-health surveillance systems. Preventive Veterinary Medicine, 112(1–2), 1–12.CrossRefPubMedGoogle Scholar
  39. Iannotti, L., Barron, M., & Roy, D. (2008). Animal source foods and nutrition of young children: An ex ante analysis of impact of HPAI on nutrition in Indonesia, HPAI research brief. International Food Policy Research Institute: Washington.Google Scholar
  40. IFRC. (2006). How to conduct a food security assessment: A step-by-step guide for National Societies in Africa. Geneva: International Federation of Red Cross and Red Crescent Societies.Google Scholar
  41. ILRI. (2010). Project brief: Participatory risk assessment of pork in Ha Noi and Ha Tay, Vietnam. In Improving the competitiveness of pig producers in Vietnam project brief 3. Nairobi, Kenya: International Livestock Research Institute.Google Scholar
  42. ILRI, CIAT, ICARDA, & WorldFish. (2011). More meat, milk and fish by and for the poor. CGIAR research program 3.7. Brochure. Nairobi, Kenya: International Livestock Research Institute.Google Scholar
  43. IPC Global Partners. (2008). Integrated food security phase classification technical manual, Version 1.1. Rome: Food and Agriculture Organization of the United Nations.Google Scholar
  44. Islam, M., Ahmed, T., Faruque, A., Rahman, S., Das, S., Ahmed, D., Fattori, V., Clarke, R., Endtz, H., & Cravioto, A. (2012). Microbiological quality of complementary foods and its association with diarrhoeal morbidity and nutritional status of Bangladeshi children. European Journal of Clinical Nutrition, 66, 1–5.CrossRefGoogle Scholar
  45. Jones, A. D., Ngure, F. M., Pelto, G., & Young, S. L. (2013). What are we assessing when we measure food security? A compendium and review of current metrics. Advances in Nutrition: An International Review Journal, 4, 481–505.CrossRefGoogle Scholar
  46. Kaplinsky, R., & Morris, M. (2000). A handbook for value chain research. Prepared for IDRC.
  47. Kariuki, S., Onsare, R., Mwituria, J., Ng’etich, R., Nafula, C., Karimi, K., Karimi, P., Njeruh, F., Irungu, P., & Mitema, E. (2013). Improving food safety in meat value chains in Kenya. General interest paper: FAO/WHO project report. Food Protection Trends, 5, 172–179.Google Scholar
  48. Kavle, J. A., El-Zanaty, F., Landry, M., & Galloway, R. (2015). The rise in stunting in relation to avian influenza and food consumption patterns in lower Egypt in comparison to upper Egypt: Results from 2005 and 2008 demographic and health surveys. BMC Public Health, 15, 285. doi: 10.1186/s12889-015-1627-3
  49. Kizito, A. (2008). Structure-conduct-performance and food security. In Famine early warning system NET markets guidance, no 2. United States Agency for International Development: Washington.Google Scholar
  50. Lake, I. R., Hooper, L., Abdelhamid, A., Bentham, G., Boxall, A. B., Draper, A., Fairweather-Tait, S., Hulme, M., Hunter, P. R., Nichols, G., & Waldron, K. W. (2012). Climate change and food security: Health impacts in developed countries. Environmental Health Perspectives, 120, 1520–1526.CrossRefPubMedPubMedCentralGoogle Scholar
  51. Lee, J., Geref, G., & Beauvais, J. (2012). Global value chains and agrifood standards : Challenges and possibilities for smallholders in developing countries. Proceedings of the National Academy of Sciences of the United States of America, 109, 12326–12331.CrossRefPubMedGoogle Scholar
  52. Majowicz, S. E., Musto, J., Scallan, E., Angulo, F. J., Kirk, M., O’Brien, S. J., Jones, T. F., Fazil, A., & Hoekstra, R. M. (2010). The global burden of nontyphoidal salmonella gastroenteritis. Clinical Infectious Diseases, 50, 882–889.CrossRefPubMedGoogle Scholar
  53. Maxwell, D. G., & Caldwell, R. (2008). The coping strategies index: Field methods manual (2nd ed.). Atlanta: GA, CARE, WFP, TANGO, Tufts University, USA.Google Scholar
  54. McDermott, J., Johnson, N., Kadiyala, S., Kennedy, G., & Wyatt, A. J. (2015). Agricultural research for nutrition outcomes – Rethinking the agenda. Food Security, 7(3), 593–607.CrossRefGoogle Scholar
  55. Motarjemi, Y., & Nout, M. J. R. (1996). Update: Food fermentation : A safety and nutritional assessment. Bulletin of the World Health Organization, 74, 553–559.PubMedPubMedCentralGoogle Scholar
  56. Murray, C. J. L., Vos, T., Lozano, R., Naghavi, M., Flaxman, A. D., Michaud, C., Ezzati, M., Shibuya, K., Salomon, J. A., Abdalla, S., et al. (2012). Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the global burden of disease study 2010. Lancet, 380, 2197–2223.CrossRefPubMedGoogle Scholar
  57. Ngowi, H. A., Kassuku, A. A., Maeda, G. E. M., Boa, M. E., & Willingham, A. L. (2004). A slaughter slab survey for extra-intestinal porcine helminth infections in Northern Tanzania. Tropical Animal Health and Production, 36, 335–340.CrossRefPubMedGoogle Scholar
  58. Oliver, K., Innvar, S., Lorenc, T., Woodman, J., & Thomas, J. (2014). A systematic review of barriers to and facilitators of the use of evidence by policymakers. BMC Health Services Research, 14, 2.CrossRefPubMedPubMedCentralGoogle Scholar
  59. Picchioni, F., Aurino, E., Aleksandrowicz, L., Bruce, M., et al. (2017). Roads to interdisciplinarity – Working at the nexus among food systems, nutrition and health. Food Security, 9(1), 181–189. doi: 10.1007/s12571-017-0658-2.CrossRefGoogle Scholar
  60. Pingali, P. (2015). Agricultural policy and nutrition outcomes – Getting beyond the preoccupation with staple grains. Food Security, 7(3), 583–591.CrossRefGoogle Scholar
  61. Pinstrup-Andersen, P., & Watson II, D. D. (2011). Food policy for developing countries: The role of government in global, national, and local food systems. USA: Cornell University Press.Google Scholar
  62. Ponnampalam, E. N., Mann, N. J., & Sinclair, A. J. (2006). Effect of feeding systems on omega-3 fatty acids, conjugated linoleic acid and trans fatty acids in Australian beef cuts: Potential impact on human health. Asia Pacific Journal of Clinical Nutrition, 15, 21–29.PubMedGoogle Scholar
  63. Praet, N., Kanobana, K., Kabwe, C., Maketa, V., Lukanu, P., Polman, K., Matondo, P., Speybroeck, N., Dorny, P., & Sumbu, J. (2010). Taenia solium cysticercosis in the Democratic Republic of Congo : How does pork trade affect the transmission of the parasite ? PLoS Neglected Tropical Diseases, 4(9), e817. doi: 10.1371/journal.pntd.0000817.CrossRefPubMedPubMedCentralGoogle Scholar
  64. Racloz, V., Ramsey, R., Tong, S., & Hu, W. (2012). Surveillance of dengue fever virus: A review of epidemiological models and early warning systems. PLoS Neglected Tropical Diseases, 6, e1648. doi: 10.1371/journal.pntd.0001648.CrossRefPubMedPubMedCentralGoogle Scholar
  65. Rich, K. M., Ross, R. B., Baker, A. D., & Negassa, A. (2011). Quantifying value chain analysis in the context of livestock systems in developing countries. Food Policy, 36, 214–222.CrossRefGoogle Scholar
  66. Richardson, D.P. (2014a). Nutritional risk analysis approaches for establishing maximum levels of vitamins and minerals in food (dietary) supplements. Report prepared for the International Alliance of Dietary/Food Supplement Associations.Google Scholar
  67. Richardson, D. P. (2014b). Nutritional risk analysis approaches for establishing maximum levels of vitamins and minerals in food (dietary) supplements. Report prepared for the International Alliance of Dietary/Food Supplement Associations.Google Scholar
  68. Ruel, M. T., Deitchler, M., & Arimond, M. (2010). Developing simple measures of women’s diet quality in developing countries : Overview. Journal of Nutrition Supplement, 140, 2048–2050.CrossRefGoogle Scholar
  69. Save the Children UK. (2000). The household economy approach: A resource manual for practitioners, development manual 6. United Kingdom: Save the Children UK.Google Scholar
  70. SMART (2007). Standardized monitoring and assessment of relief and transitions [WWW document]. URL
  71. Smith, L.E., Prendergast, A.J., Turner, P.C., Mbuya, M.N.N., Mutasa, K., Kembo, G., & Stoltzfus, R.J. (2015). The potential role of mycotoxins as a contributor to stunting in the SHINE trial. Clinical Infectious Diseases 61 (suppl_7), S733-S737. doi:  10.1093/cid/civ849.
  72. Sonaiya, E. B. (2007). Family poultry, food security and the impact of HPAI. World's Poultry Science Journal, 63.Google Scholar
  73. Taylor, N., & Rushton, J. (2011). A value chain approach to animal diseases risk management - technical foundations and practical framework for field application. Rome: Food and Agriculture Organization of the United Nations.Google Scholar
  74. UNICEF (2013). Improving child nutrition. The achievable imperative for global progress. New York, USA. 978-92-806-4686-3.Google Scholar
  75. USDA Agricultural Research Service (2011). USDA National Nutrient Database for standard reference, release 24. Nutrient Data Laboratory Home Page, Scholar
  76. Vhurumuku, E. (2014). Food security indicators. Workshop on integrating nutrition and food security programming for emergency response and resilience building. Kenya: Nairobi.Google Scholar
  77. Villers, P. (2014). Aflatoxins and safe storage. Frontiers in Microbiology, 2014(5), 158.Google Scholar
  78. Vorster, H. H., Kruger, A., & Margetts, B. M. (2011). The nutrition transition in Africa: Can it be steered in a more positive direction? Nutrients, 3, 4429–4441.CrossRefGoogle Scholar
  79. Vrbova, L., Stephen, C., Kasman, N., Boehnke, R., Doyle-Waters, M., Chablitt-Clark, A., Gibson, B., FitzGerald, M., & Patrick, D. M. (2010). Systematic review of surveillance systems for emerging zoonoses. Transboundary and Emerging Diseases, 57, 154–161.CrossRefPubMedGoogle Scholar
  80. Webb, P., & Block, S. (2012). Support for agriculture during economic transformation: Impacts on poverty and undernutrition. Proceedings of the National Academy of Sciences of the United States of America, 109, 12309–14.Google Scholar
  81. WFP. (2002). Food security analysis field kit. Sierra Leone: World Food Programme -Food Economy Group technical support unit.Google Scholar
  82. WFP. (2009). Emergency food security assessment handbook (Second ed.). World Food Programme: Rome.Google Scholar
  83. WHO. (1995). Field guide on rapid nutritional assessment in emergencies. Alexandria: World Health Organization Regional Office for the Eastern Mediterranean.Google Scholar
  84. WHO (2015). WHO estimates of the global burden of foodborne diseases. In Foodborne disease burden epidemiology reference group 2007–2015 268 p. Geneva: World Health Organization.Google Scholar
  85. WHO/FAO (2012). Codex Alimentarius: International food standards [WWW document]. URL Scholar
  86. Wiesmann, D., Bassett, L., Benson, T., & Hoddinott, J. (2009). Validation of the world food Programme’s food consumption score and alternative indicators of household food security. IFPRI Discussion Paper, 00870, 1–105.Google Scholar
  87. Williams, J. H., Phillips, T. D., Jolly, P. E., Stiles, J. K., Jolly, C. M., & Aggarwal, D. (2004). Human aflatoxicosis in developing countries: A review of toxicology, exposure, potential health consequences, and interventions. American Journal of Clinical Nutrition, 80(5), 1106–1122.PubMedGoogle Scholar
  88. World Bank. (2007). From agriculture to nutrition: Pathways, synergies and outcomes. Washington: Agriculture and Rural Development Department. The World Bank.CrossRefGoogle Scholar
  89. Zain, M. E. (2011). Impact of mycotoxins on humans and animals. Journal of Saudi Chemical Society, 15, 129–144.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. and International Society for Plant Pathology 2017

Authors and Affiliations

  1. 1.Leverhulme Centre for Integrative Research on Agriculture and HealthRoyal Veterinary CollegeLondonUK
  2. 2.Royal Veterinary CollegeLondonUK
  3. 3.International Livestock Research InstituteNairobiKenya
  4. 4.London School of Hygiene and Tropical MedicineLondonUK

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