Supermarket Shopping and Nutritional Outcomes: A Panel Data Analysis for Urban Kenya

Overweight and obesity are growing health problems in many developing countries. Rising obesity rates are the result of changes in people’s diets and lifestyles. Income growth and urbanization are factors that contribute to these changes. Modernizing food retail environments may also play a certain role. For instance, the rapid spread of supermarkets in many developing countries could affect consumer food choices and thus nutritional outcomes. However, concrete evidence about the effects of supermarkets on consumer diets and nutrition is thin. A few existing studies have analyzed related linkages with cross-sectional survey data. We add to this literature by using panel data from households and individuals in urban Kenya. Employing panel regression models with individual fixed effects and controlling for other factors we show that shopping in supermarkets significantly increases body mass index (BMI). We also analyze impact pathways. Shopping in supermarkets contributes to higher consumption of processed and highly processed foods and lower consumption of unprocessed foods. These results confirm that the retail environment affects people’s food choices and nutrition. However, the effects depend on the types of foods offered. Rather than thwarting modernization in the retail sector, policies that incentivize the sale of more healthy foods – such as fruits and vegetables – in supermarkets may be more promising to promote desirable nutritional outcomes

Supermarket food purchases and child nutritional outcomes in Kenya.

In many developing countries, supermarkets are spreading rapidly at the expense of traditional food markets and shops. Changing retail environments and food choices may affect consumer diets and nutritional outcomes. Previous research suggested that supermarkets may contribute to rising rates of obesity. However, most existing research looked at adult populations. Here, we analyze effects of supermarkets on child nutrition with panel data from medium-sized towns in Kenya. Instrumental variable regressions show that supermarket food purchases significantly increase child height-for-age and weight-for age Z-scores. The effects on height are larger than the effects on weight. These are welcome findings, because child stunting continues to be a major nutrition problem in developing countries that is declining more slowly than child underweight. Supermarkets do not seem to be a driver of childhood obesity in Kenya. The positive effects of supermarkets on child nutrition are channeled through improvements in food variety and dietary quality

Supermarket shopping and nutritional outcomes: A panel data analysis for urban Kenya

Non-PRIFPRI5; Capacity Strengthening; B Promoting healthy food systemsDSG

Urban Public Food Procurement in Kiambu and Machakos Counties as a Driver of Food and Nutrition Security and Sustainability: A Literature Review and Case Studies

Urban public food procurement can address malnutrition and improve the beneficiary experience at public institutions whilst reshaping food systems to be healthier and more sustainable. We reviewed grey and peer-reviewed literature on urban public food procurement in Kiambu and Machakos counties in Kenya. From the literature, we selected programmes for case study research through stakeholder interviews and targeted literature searching. We searched 11 databases and reviewed 23 relevant articles. The case studies involved early childhood education centre and primary school feeding, hospital food provision, and COVID-19 responses. We found that actionable data and public–private partnerships are enabling factors. Similarly, multistakeholder involvement and governance increase coordination. However, budget constraints threaten programme stability. Procurement criteria focused on nutrition, food quality, and community development, but did not explicitly include environmental sustainability. We linked case studies to the United Nations Sustainable Development Goals 2, 3, 4, 5, 8, and 12. By developing, improving, and scaling public food procurement, urban governments in low- and middle-income countries (LMICs) can reach the most vulnerable whilst improving farmer livelihoods, creating business opportunities, and addressing environmental concerns. This paper contributes implementational insights in Kenyan urban contexts by highlighting opportunities for local and regional policymakers in LMICs and their partners to strengthen public food procurement

Urban Public Food Procurement in Kiambu and Machakos Counties as a Driver of Food and Nutrition Security and Sustainability: A Literature Review and Case Studies

Urban public food procurement can address malnutrition and improve the beneficiary experience at public institutions whilst reshaping food systems to be healthier and more sustainable. We reviewed grey and peer-reviewed literature on urban public food procurement in Kiambu and Machakos counties in Kenya. From the literature, we selected programmes for case study research through stakeholder interviews and targeted literature searching. We searched 11 databases and reviewed 23 relevant articles. The case studies involved early childhood education centre and primary school feeding, hospital food provision, and COVID-19 responses. We found that actionable data and public–private partnerships are enabling factors. Similarly, multistakeholder involvement and governance increase coordination. However, budget constraints threaten programme stability. Procurement criteria focused on nutrition, food quality, and community development, but did not explicitly include environmental sustainability. We linked case studies to the United Nations Sustainable Development Goals 2, 3, 4, 5, 8, and 12. By developing, improving, and scaling public food procurement, urban governments in low- and middle-income countries (LMICs) can reach the most vulnerable whilst improving farmer livelihoods, creating business opportunities, and addressing environmental concerns. This paper contributes implementational insights in Kenyan urban contexts by highlighting opportunities for local and regional policymakers in LMICs and their partners to strengthen public food procurement

Comparison of mean food consumption within last 30d in households that buy and do not buy food in supermarkets (n = 433).

<p>*Mean is different at <i>P</i> < 0.10; ** Mean is different at <i>P</i> < 0.05; *** Mean is different at <i>P</i> < 0.01.</p

Regression results for the effects of supermarket purchase (%) on BMI, fasting blood glucose, systolic and diastolic blood pressure.

<p>Regression results for the effects of supermarket purchase (%) on BMI, fasting blood glucose, systolic and diastolic blood pressure.</p

Descriptive statistics for adults in households that buy and do not buy food in supermarkets.

<p>Descriptive statistics for adults in households that buy and do not buy food in supermarkets.</p