Buying to Thrive: Exploring the Potential for Market-Based Approaches to Contribute to Increases in Diet Diversity in Mozambique

Globally, more than two billion people suffer from deficiencies in micronutrients that are essential for human health. Low-income populations in low- and middle-income countries are especially vulnerable to these deficiencies. There are three priority interventions used to reduce micronutrient deficiencies and improve overall nutrition status — supplementation, fortification, and diet diversity. As the share of food purchases made by low-income households has been increasing, there is increasing interest in the role the private sector can play in these interventions. Currently, there is little known about the potential for a market-based approach to contribute to improvements in diet diversity. Proven to be one of the most effective ways of improving nutritional status, increasing diet diversification among low-income populations will be essential for reducing micronutrient deficiencies in the long-term. The purpose of this research is to contribute evidence on the potential for a market-based approach to increase diet diversity among low-income households in Mozambique. This research starts by examining the extent to which low-income consumers in

Nampula, Mozambique make diverse food purchases and the amount they are willing to pay for such diversity. Since diet diversification is intended to improve health, the connections between individual-level health constructs and diversity of food purchases is subsequently investigated. These studies are then used as the basis for a participatory community-based intervention that explores if health constructs influence modifications in food purchases and the barriers and enabling factors that exist to using the market to increase household diet diversity. The findings of this work reveal that there is potential for markets to contribute to the diversity of foods consumed by low-income households; however, concerted efforts between the private, public, and civil sectors will likely be required for the success and longevity of market-based approaches.