Priorities for Africa's food and nutrition security post-covid-19. A contribution from the Task Force Rural Africa (TFRA) to the AU-EU Summit, October 2020

A deep sense of concern about the impact of the COVID-19 pandemic on the lives and livelihoods of Africa’s people has inspired the writing of this contribution. As members of the Task Force Rural Africa (TFRA), we produced a report in March 2019 on what we thought was needed to transform Africa’s agriculture and rural economy. Less than one year later, COVID-19 struck Africa and the rest of the world with devastating effect. Another important change since March 2019 has been the shift on climate policy, represented by the EU Commission proposal in December 2019 of the European Green Deal (EGD). This ambitious vision, aimed at making Europe the first climate-neutral continent by 2050, will have implications for Africa – Europe relations. The combination of COVID-19’s impact on Africa and the EU’s climate policy change has led us to re-examine the analysis and the recommendations in our original report. We have drawn one central conclusion from our work: that food and nutrition security has become of such fundamental political, economic and social importance that it must be at the centre of all future policy and planning. We have built our report on this conclusion and produced a set of short and long-term recommendations we believe are relevant to the new world shaped by the COVID-19 pandemic. We hope our contribution may help in the preparation of the AU-EU Summit in October 2020. The Summit will seek to agree the long-term basis for partnership between Africa and the EU. It will meet at a crucially important time, shortly before the US Presidential election, when the world will be looking to see how Africa and Europe, separately and in partnership, can contribute to an effective multilateral response to global challenges and the current COVID-19 crisis. We wish the leaders well in their efforts

Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on child stunting and anaemia in rural Zimbabwe: a cluster-randomised trial.

BACKGROUND: Child stunting reduces survival and impairs neurodevelopment. We tested the independent and combined effects of improved water, sanitation, and hygiene (WASH), and improved infant and young child feeding (IYCF) on stunting and anaemia in in Zimbabwe. METHODS: We did a cluster-randomised, community-based, 2 × 2 factorial trial in two rural districts in Zimbabwe. Clusters were defined as the catchment area of between one and four village health workers employed by the Zimbabwe Ministry of Health and Child Care. Women were eligible for inclusion if they permanently lived in clusters and were confirmed pregnant. Clusters were randomly assigned (1:1:1:1) to standard of care (52 clusters), IYCF (20 g of a small-quantity lipid-based nutrient supplement per day from age 6 to 18 months plus complementary feeding counselling; 53 clusters), WASH (construction of a ventilated improved pit latrine, provision of two handwashing stations, liquid soap, chlorine, and play space plus hygiene counselling; 53 clusters), or IYCF plus WASH (53 clusters). A constrained randomisation technique was used to achieve balance across the groups for 14 variables related to geography, demography, water access, and community-level sanitation coverage. Masking of participants and fieldworkers was not possible. The primary outcomes were infant length-for-age Z score and haemoglobin concentrations at 18 months of age among children born to mothers who were HIV negative during pregnancy. These outcomes were analysed in the intention-to-treat population. We estimated the effects of the interventions by comparing the two IYCF groups with the two non-IYCF groups and the two WASH groups with the two non-WASH groups, except for outcomes that had an important statistical interaction between the interventions. This trial is registered with ClinicalTrials.gov, number NCT01824940. FINDINGS: Between Nov 22, 2012, and March 27, 2015, 5280 pregnant women were enrolled from 211 clusters. 3686 children born to HIV-negative mothers were assessed at age 18 months (884 in the standard of care group from 52 clusters, 893 in the IYCF group from 53 clusters, 918 in the WASH group from 53 clusters, and 991 in the IYCF plus WASH group from 51 clusters). In the IYCF intervention groups, the mean length-for-age Z score was 0·16 (95% CI 0·08-0·23) higher and the mean haemoglobin concentration was 2·03 g/L (1·28-2·79) higher than those in the non-IYCF intervention groups. The IYCF intervention reduced the number of stunted children from 620 (35%) of 1792 to 514 (27%) of 1879, and the number of children with anaemia from 245 (13·9%) of 1759 to 193 (10·5%) of 1845. The WASH intervention had no effect on either primary outcome. Neither intervention reduced the prevalence of diarrhoea at 12 or 18 months. No trial-related serious adverse events, and only three trial-related adverse events, were reported. INTERPRETATION: Household-level elementary WASH interventions implemented in rural areas in low-income countries are unlikely to reduce stunting or anaemia and might not reduce diarrhoea. Implementation of these WASH interventions in combination with IYCF interventions is unlikely to reduce stunting or anaemia more than implementation of IYCF alone. FUNDING: Bill & Melinda Gates Foundation, UK Department for International Development, Wellcome Trust, Swiss Development Cooperation, UNICEF, and US National Institutes of Health.The SHINE trial is funded by the Bill & Melinda Gates Foundation (OPP1021542 and OPP113707); UK Department for International Development; Wellcome Trust, UK (093768/Z/10/Z, 108065/Z/15/Z and 203905/Z/16/Z); Swiss Agency for Development and Cooperation; US National Institutes of Health (2R01HD060338-06); and UNICEF (PCA-2017-0002)

PRIORITIES FOR AFRICA’S FOOD AND NUTRITION SECURITY POST-COVID-19. A contribution from the Task Force Rural Africa (TFRA) to the AU-EU Summit, October 2020.

A deep sense of concern about the impact of the COVID-19 pandemic on the lives and livelihoods of Africa’s people has inspired the writing of this contribution. As members of the Task Force Rural Africa (TFRA), we produced a report in March 2019 on what we thought was needed to transform Africa’s agriculture and rural economy. Less than one year later, COVID-19 struck Africa and the rest of the world with devastating effect. Another important change since March 2019 has been the shift on climate policy, represented by the EU Commission proposal in December 2019 of the European Green Deal (EGD). This ambitious vision, aimed at making Europe the first climate-neutral continent by 2050, will have implications for Africa – Europe relations. The combination of COVID-19’s impact on Africa and the EU’s climate policy change has led us to re-examine the analysis and the recommendations in our original report. We have drawn one central conclusion from our work: that food and nutrition security has become of such fundamental political, economic and social importance that it must be at the centre of all future policy and planning. We have built our report on this conclusion and produced a set of short and long-term recommendations we believe are relevant to the new world shaped by the COVID-19 pandemic. We hope our contribution may help in the preparation of the AU-EU Summit in October 2020. The Summit will seek to agree the long-term basis for partnership between Africa and the EU. It will meet at a crucially important time, shortly before the US Presidential election, when the world will be looking to see how Africa and Europe, separately and in partnership, can contribute to an effective multilateral response to global challenges and the current COVID-19 crisis. We wish the leaders well in their efforts

An Africa-Europe agenda for rural transformation

According to the commissioners Josefa Leonel Correira Sacko (Rural Economy and Agriculture, African Union Commission), Neven Mimica (International Cooperation & Development), and Phil Hogan (Agriculture & Rural Development), the report… • recognizes the new reality of Africa and Europe as global partners on an equal footing, and that each region must steer its own development. • argues that the solution to agriculture will be found beyond agriculture, through a territorial approach to rural development in the widest sense. • stresses the importance of good policy as the key to developing the agri-food sector and rural areas. • demonstrates that farmers and the food industry are in it together and should work hand in hand to take the new opportunities that the African Continental Free Trade Area will offer and also, build the regional markets needed for Africa’s long term food security. • gives a democratic and legitimacy that is at the heart of responsible investment and sustainable development, by recommending to directly involve farmers, cooperatives, civil society, and the private sector in policymaking and in their own futures. The Task Force recommends the African Union and the European Union to develop a partnership operating on three levels: government to government, business to business, and people to people. In the next months, the European Commission and the African Union will decide how to translate the Report into action on the ground