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The World Vegetable Center
vegetables + development




            Vegetable gardens:
     A nexus for agriculture, nutrition &
                   health
                                         Robert J. Holmer
                                           Regional Director
                       AVRDC – The World Vegetable Center in East and Southeast Asia

                                           Learning event 9:
                 From field to fork to field: nutritious food and nutrient recycling to
                                enhance health, wealth and resilience




1/                                                                                        www.avrdc.org
The World Vegetable Center
     Imbalanced Food Systems
      vegetables + development




                                 “Double burden
                                   of disease”




For example in the
Philippines:


26 % of children                                  27 % of adults
underweight                                       overweight or
Source: FNRI 2008
                                                  obese

     2/                                                      www.avrdc.org
The World Vegetable Center
     vegetables + development
    National vegetable availability vs. health/nutrition status:

                                                          Health status indicator:                                                                             Nutrition status indicator:
                                                      Children under 5 mortality rate                                                                        Children under 5 underweight
                                                    300                                                                                                 60
             Children < 5 mortality rate (1/1000)




                                                    250                                                                                                 50




                                                                                                                         Children < 5 underweight (%)
                                                    200                                                                                                 40                               Lao PDR
                                                                                                                                                                   Cambodia
                                                                                                                                                                              Maldives
                                                    150                                                                                                 30
                                                                                                                                                                                         Korea PDR
                                                              Cambodia                                                                                                  Viet Nam
                                                    100                                                                                                 20                      Tajikistan
                                                                            Tajikistan   Lao PDR
                                                                                                                                                                                         United Arab Emirates
                                                                         Vietnam           Korea PDR                                                                         Saudi Arabia
                                                     50                                                                                                 10


                                                      0                                                                                                 0
                                                          0     100   200     300        400   500     600   700   800                                       0   100   200     300       400   500     600      700   800

                                                                 Vegetable availability (g/person/day)                                                            Vegetable availability (g/person/day)

                                                                                                              Veg availability
                                                                              Countries                                        Mortality rate (1/1000)                                               Underweight (%)
                                                                                                              (g/ person/day)
Source: FAOSTAT (2010), WHO (2010)                                            Cambodia                               85                   93                                                                     36
                                                                              Lao PDR                               397                   75                                                                     37
                                                                              Viet Nam                              230                   30                                                                     20
    3/                                                                                                                                                                                                                www.avrdc.org
The World Vegetable Center
     Relationship between malnutrition and infection
      vegetables + development




Source: Brown (2003)




     4/                                                www.avrdc.org
The World Vegetable Center
     Malnutrition and the link to sanitation
      vegetables + development




   • Effects of malnutrition – mortality, impairment of
     cognitive development and educational
     performance - can cost up to 9% of a country’s
     Gross Domestic Product.

   • Health impacts can be prevented by reducing
     environmental health risks (e.g. improved
     sanitation, water and hygiene) and improved
     nutrition

   • Multiplier effect: for every death prevented from
     an environmental health intervention, additional
     deaths from other diseases are averted (Mills-
     Reincke phenomenon)


Source: World Bank (2008)




     5/                                                   www.avrdc.org
The World Vegetable Center
     Food and Nutrition Security
      vegetables + development




     • Nutrition security:
            – “secure access to
              appropriately nutritious food
              coupled with a sanitary
              environment, adequate health
              services and care, to ensure a
              healthy and active life for all
              household members”




Source: DFID (2009)




     6/                                               www.avrdc.org
The World Vegetable Center
Why vegetables?
 vegetables + development




• High value crops
• Relatively easy to grow in different
  environments
• Provide employment, especially for
  women and other vulnerable groups
• Generate income
• Provide micronutrients, vitamins,
  dietary fiber, phytochemicals and
  protein
• Contribute to balanced diets              Vegetables

                                         3-5 servings a day
                                          1 serving = 80g
                                         240 – 400g a day


7/                                                            www.avrdc.org
The World Vegetable Center
Why home gardens?
vegetables + development




8/                                              www.avrdc.org
The World Vegetable Center
Anything new?
vegetables + development




                   Berlin, 1946




9/                                                     www.avrdc.org
The World Vegetable Center
Allotment Gardens Philippines
   vegetables + development




                              ... preparing the land
  10 /                                                 www.avrdc.org
The World Vegetable Center
Asset-Based Community Development (ABCD)
  vegetables + development




                                 Jeannette M.E. Tramhel. 2010. Using Participatory
                                 Urban Design to "Close the Nutrient Loop" in the
                                 Philippines. Urban Agriculture Magazine 23 - Urban
                                 nutrient management, 30-31.
 11 /                                                                           www.avrdc.org
The World Vegetable Center
Productive Sanitation
   vegetables + development




                          FOOD                       FOOD




                                     Closing the loop
                                    between sanitation
                                      and agriculture
                        NUTRIENTS                        NUTRIENTS




                                                                     Pathogen
                                                                     destruction


  12 /                                                                  www.avrdc.org
The World Vegetable Center
Productive Sanitation
   vegetables + development




Estimated annual excretion of nutrients per person (500 l of
urine and 50 kg of faeces)*:

                               Nitrogen               Phosphorous                 Potassium
                              (kg/capita)              (kg/capita)                (kg/capita)

         Urine                 2.3 – 4.0                  0.3 – 0.4                 0.9 - 1.1

         Faeces                0.3 – 0.6                  0.1 – 0.2                 0.3 - 0.4

         Total                 2.6 – 4.6                  0.4 – 0.6                 1.2 – 1.5


                 * flushed away with about 10,000 liters of water as medium of transportation

  13 /                                                                                          www.avrdc.org
The World Vegetable Center
Productive Sanitation
   vegetables + development




 Monetary equivalents (PhP/capita and year) of annual
 excretion of nutrients: per person:
                                      Amount          Cost           Subtotal
                                     (kg/year)      (PhP/kg)        (PhP/year)
 Complete (14-14-14)                    6.53          35.60          232.47
 Urea (46-0-0)                          3.65          33.20          121.18
 MoP (0-0-60)                           0.96          38.00           36.48
 Total                                                               390.13
                              Multiplied by 90 million Filipinos:
                  35.1 Billion Pesos (580 Mio Euro) worth of fertilizer
                equivalents go down the drain every year polluting water
                                       bodies.
  14 /                                                                           www.avrdc.org
The World Vegetable Center
Ecological Sanitation
   vegetables + development




            How a “waterless” urine diversion dehydration toilet works
  15 /                                                                   www.avrdc.org
The World Vegetable Center
Productive Sanitation
   vegetables + development




            How a “waterless” urine diversion dehydration toilet works
  16 /                                                                   www.avrdc.org
The World Vegetable Center
Productive Sanitation
   vegetables + development




                                    Primary treatment (storage)
                         6 months                             1 month


               How a “waterless” urine diversion dehydration toilet works
  17 /                                                                      www.avrdc.org
The World Vegetable Center
Productive Sanitation
   vegetables + development




              Diluting urine with water                      Side dress application




                                 Preplant application of composted faeces


                                     Reuse of ecosan products
  18 /                                                                                www.avrdc.org
The World Vegetable Center
Ecological Sanitation
   vegetables + development




                                  Secondary treatment
                              (aerobic & vermicomposting)

               How a “waterless” urine diversion dehydration toilet works
  19 /                                                                      www.avrdc.org
The World Vegetable Center
Productive Sanitation
   vegetables + development




    • International guidelines are
                 FOOD
      available, but:
    • Lack of R&D investment to
      develop local protocols that
      best suit the agronomic
      requirements of the crops
      grown as well as the specific
      socioeconomic, cultural,
      and environmental realities
                                          NUTRIENTS
      of many NUTRIENTS countries
               developing
    • “Nexus”: another catchphrase
      or real commitment?



  20 /                                                www.avrdc.org
The World Vegetable Center
Potential of School Gardens
vegetables + development




                        • A school usually is the center
                          of each community




   Healthy diets begin with
   knowledge

                        • A place where programs on
                          good health practices can be
                          taught and implemented to
                          achieve behavioral changes at
                          home.

21 /                                                       www.avrdc.org
The World Vegetable Center
Advantages of school-based programs
 vegetables + development




• Promoting good health and nutrition
  before and during school age is essential
  to effective growth and development


 Good health and nutrition are prerequisites for
              effective learning


• The pre-existing infrastructure of the
  educational system offers a cost-
  effective route for delivery of simple
  health interventions

22 /                                               www.avrdc.org
The World Vegetable Center
Philippine “Vegetable Gardens in Schools” Program
 vegetables + development




• Establishment of vegetable
  gardens in all 42,076 public
  primary and secondary schools of
  the country

Earlier successful lessons of vegetable gardening
have to be re-learned by a new generation


• To be complemented by home &
  community gardens


23 /                                                www.avrdc.org
The World Vegetable Center
Strategies for successful implementation
 vegetables + development




• Successful school garden programs
  cannot be created in isolation, but have to
  be linked with education and
  environmental interventions


• Communication and
  synergy between the
  health, agriculture
  and education
  sectors is
  indispensable
24 /                                             www.avrdc.org
The World Vegetable Center
Promotion of vegetables…
 vegetables + development




       …. sanitation, and healthy lifestyles
25 /                                             www.avrdc.org
The World Vegetable Center
 vegetables + development




                    AVRDC - The World Vegetable Center
              Prosperity for the Poor and Health for All

26 /                            www.avrdc.org              www.avrdc.org

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Learning Event No. 9, Session 2: Holmer. ARDD2012 Rio.

  • 1. The World Vegetable Center vegetables + development Vegetable gardens: A nexus for agriculture, nutrition & health Robert J. Holmer Regional Director AVRDC – The World Vegetable Center in East and Southeast Asia Learning event 9: From field to fork to field: nutritious food and nutrient recycling to enhance health, wealth and resilience 1/ www.avrdc.org
  • 2. The World Vegetable Center Imbalanced Food Systems vegetables + development “Double burden of disease” For example in the Philippines: 26 % of children 27 % of adults underweight overweight or Source: FNRI 2008 obese 2/ www.avrdc.org
  • 3. The World Vegetable Center vegetables + development National vegetable availability vs. health/nutrition status: Health status indicator: Nutrition status indicator: Children under 5 mortality rate Children under 5 underweight 300 60 Children < 5 mortality rate (1/1000) 250 50 Children < 5 underweight (%) 200 40 Lao PDR Cambodia Maldives 150 30 Korea PDR Cambodia Viet Nam 100 20 Tajikistan Tajikistan Lao PDR United Arab Emirates Vietnam Korea PDR Saudi Arabia 50 10 0 0 0 100 200 300 400 500 600 700 800 0 100 200 300 400 500 600 700 800 Vegetable availability (g/person/day) Vegetable availability (g/person/day) Veg availability Countries Mortality rate (1/1000) Underweight (%) (g/ person/day) Source: FAOSTAT (2010), WHO (2010) Cambodia 85 93 36 Lao PDR 397 75 37 Viet Nam 230 30 20 3/ www.avrdc.org
  • 4. The World Vegetable Center Relationship between malnutrition and infection vegetables + development Source: Brown (2003) 4/ www.avrdc.org
  • 5. The World Vegetable Center Malnutrition and the link to sanitation vegetables + development • Effects of malnutrition – mortality, impairment of cognitive development and educational performance - can cost up to 9% of a country’s Gross Domestic Product. • Health impacts can be prevented by reducing environmental health risks (e.g. improved sanitation, water and hygiene) and improved nutrition • Multiplier effect: for every death prevented from an environmental health intervention, additional deaths from other diseases are averted (Mills- Reincke phenomenon) Source: World Bank (2008) 5/ www.avrdc.org
  • 6. The World Vegetable Center Food and Nutrition Security vegetables + development • Nutrition security: – “secure access to appropriately nutritious food coupled with a sanitary environment, adequate health services and care, to ensure a healthy and active life for all household members” Source: DFID (2009) 6/ www.avrdc.org
  • 7. The World Vegetable Center Why vegetables? vegetables + development • High value crops • Relatively easy to grow in different environments • Provide employment, especially for women and other vulnerable groups • Generate income • Provide micronutrients, vitamins, dietary fiber, phytochemicals and protein • Contribute to balanced diets Vegetables 3-5 servings a day 1 serving = 80g 240 – 400g a day 7/ www.avrdc.org
  • 8. The World Vegetable Center Why home gardens? vegetables + development 8/ www.avrdc.org
  • 9. The World Vegetable Center Anything new? vegetables + development Berlin, 1946 9/ www.avrdc.org
  • 10. The World Vegetable Center Allotment Gardens Philippines vegetables + development ... preparing the land 10 / www.avrdc.org
  • 11. The World Vegetable Center Asset-Based Community Development (ABCD) vegetables + development Jeannette M.E. Tramhel. 2010. Using Participatory Urban Design to "Close the Nutrient Loop" in the Philippines. Urban Agriculture Magazine 23 - Urban nutrient management, 30-31. 11 / www.avrdc.org
  • 12. The World Vegetable Center Productive Sanitation vegetables + development FOOD FOOD Closing the loop between sanitation and agriculture NUTRIENTS NUTRIENTS Pathogen destruction 12 / www.avrdc.org
  • 13. The World Vegetable Center Productive Sanitation vegetables + development Estimated annual excretion of nutrients per person (500 l of urine and 50 kg of faeces)*: Nitrogen Phosphorous Potassium (kg/capita) (kg/capita) (kg/capita) Urine 2.3 – 4.0 0.3 – 0.4 0.9 - 1.1 Faeces 0.3 – 0.6 0.1 – 0.2 0.3 - 0.4 Total 2.6 – 4.6 0.4 – 0.6 1.2 – 1.5 * flushed away with about 10,000 liters of water as medium of transportation 13 / www.avrdc.org
  • 14. The World Vegetable Center Productive Sanitation vegetables + development Monetary equivalents (PhP/capita and year) of annual excretion of nutrients: per person: Amount Cost Subtotal (kg/year) (PhP/kg) (PhP/year) Complete (14-14-14) 6.53 35.60 232.47 Urea (46-0-0) 3.65 33.20 121.18 MoP (0-0-60) 0.96 38.00 36.48 Total 390.13 Multiplied by 90 million Filipinos: 35.1 Billion Pesos (580 Mio Euro) worth of fertilizer equivalents go down the drain every year polluting water bodies. 14 / www.avrdc.org
  • 15. The World Vegetable Center Ecological Sanitation vegetables + development How a “waterless” urine diversion dehydration toilet works 15 / www.avrdc.org
  • 16. The World Vegetable Center Productive Sanitation vegetables + development How a “waterless” urine diversion dehydration toilet works 16 / www.avrdc.org
  • 17. The World Vegetable Center Productive Sanitation vegetables + development Primary treatment (storage) 6 months 1 month How a “waterless” urine diversion dehydration toilet works 17 / www.avrdc.org
  • 18. The World Vegetable Center Productive Sanitation vegetables + development Diluting urine with water Side dress application Preplant application of composted faeces Reuse of ecosan products 18 / www.avrdc.org
  • 19. The World Vegetable Center Ecological Sanitation vegetables + development Secondary treatment (aerobic & vermicomposting) How a “waterless” urine diversion dehydration toilet works 19 / www.avrdc.org
  • 20. The World Vegetable Center Productive Sanitation vegetables + development • International guidelines are FOOD available, but: • Lack of R&D investment to develop local protocols that best suit the agronomic requirements of the crops grown as well as the specific socioeconomic, cultural, and environmental realities NUTRIENTS of many NUTRIENTS countries developing • “Nexus”: another catchphrase or real commitment? 20 / www.avrdc.org
  • 21. The World Vegetable Center Potential of School Gardens vegetables + development • A school usually is the center of each community Healthy diets begin with knowledge • A place where programs on good health practices can be taught and implemented to achieve behavioral changes at home. 21 / www.avrdc.org
  • 22. The World Vegetable Center Advantages of school-based programs vegetables + development • Promoting good health and nutrition before and during school age is essential to effective growth and development Good health and nutrition are prerequisites for effective learning • The pre-existing infrastructure of the educational system offers a cost- effective route for delivery of simple health interventions 22 / www.avrdc.org
  • 23. The World Vegetable Center Philippine “Vegetable Gardens in Schools” Program vegetables + development • Establishment of vegetable gardens in all 42,076 public primary and secondary schools of the country Earlier successful lessons of vegetable gardening have to be re-learned by a new generation • To be complemented by home & community gardens 23 / www.avrdc.org
  • 24. The World Vegetable Center Strategies for successful implementation vegetables + development • Successful school garden programs cannot be created in isolation, but have to be linked with education and environmental interventions • Communication and synergy between the health, agriculture and education sectors is indispensable 24 / www.avrdc.org
  • 25. The World Vegetable Center Promotion of vegetables… vegetables + development …. sanitation, and healthy lifestyles 25 / www.avrdc.org
  • 26. The World Vegetable Center vegetables + development AVRDC - The World Vegetable Center Prosperity for the Poor and Health for All 26 / www.avrdc.org www.avrdc.org

Editor's Notes

  1. Overweight children have a strongly increased risk of being overweight as adults (Power &amp; Parsons 2000).
  2. Bundy et al. (2006) encourage school-based approaches for health and nutrition programs because (1) promoting good health and nutrition before and during school age is essential to effective growth and development; (2) the preexisting infrastructure of the educational system can often offer a more cost-effective route for delivery of simple health interventions and health promotion than can the health system; (3) good health and nutrition are prerequisites for effective learning and (4) the provision of quality schools, textbooks, and teachers can result in effective education only if the child is present, ready, and able to learn
  3. Overweight children have a strongly increased risk of being overweight as adults (Power &amp; Parsons 2000).
  4. Overweight children have a strongly increased risk of being overweight as adults (Power &amp; Parsons 2000).