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Business-Based Strategies for Improved Nutrition: The Case of Grameen Danone Foods
Open accessAbstract
There is increasing interest in the role that businesses can play in promoting the consumption of nutrient-dense foods as part of strategies to reduce the prevalence of micronutrient deficiencies in developing countries. To date, however, there has been little in-depth analysis of the extent to which viable business opportunities exist for nutrient-dense foods in the context of markets catering to communities. Furthermore, whether businesses can deliver sustainable improvements in the nutrition of poor populations at scale is not yet evident. This article examines the case of Grameen Danone Foods Ltd, a social enterprise that specifically aims to bring about improvements in the micronutrient status of poor children in Bangladesh through the sale of fortified yogurt. The article examines the degree to which this business has been successful at establishing a viable market for fortified yogurt amongst poor communities, and the challenges it has faced in trying to achieve this.
Overview
CoChat Summary
TL;DR
This case study of Grameen Danone Foods Ltd (GDFL) examines whether a social enterprise can market fortified yogurt to poor Bangladeshi communities while sustaining itself commercially. It finds GDFL raised awareness and achieved sales, but regular consumption remained below recommended levels and skewed toward less-poor households, leaving long-term viability and nutritional impact at scale uncertain.
Key findings
- GDFL’s marketing raised awareness: among rural respondents aware of Shokti, 98% believed it was good for their child, 82% correctly cited at least one benefit, and 56% purchased it because of nutritional benefits.
- Regular consumption was low: in the rural survey, 73% had ever purchased Shokti+, 50% in the last three months, and 28% were current consumers; only 21% of children aged 3–12 in households that purchased in the last week consumed three or more pots, and across all households only 6% consumed at least three pots.
- Consumption skewed to less-poor, better-diet households: mean weekly income of households that purchased Shokti+ in the last week was 2,807BDT versus 1,818BDT for households unaware of Shokti+ (ANOVA <0.0001), and children in purchasing households had a mean diet diversity score of 5.2 versus 4.0 for the Rajshahi division.
- Pricing and availability constrained use: 45% of purchasers cited financial constraints for not consuming more, 8% of non-purchasers cited affordability as the main reason not to purchase, and 52% of school respondents cited lack of availability as the primary reason for not consuming more frequently.
Methods
- Case study of GDFL combining a desk review, in-depth interviews with GDFL managers (n=9), retailers (n=11), door-to-door sales team (n=3), and producers (n=2), plus value-chain mapping against a conceptual framework adapted from Henson and Humphrey (2015).
- Rural community survey (n=1,000) using face-to-face interviews with the person primarily responsible for household food purchases, selected by multi-level proportional sampling in Bogra, Sirajganj, and Naogaon.
- Urban school survey in randomly selected schools from districts in Dhaka, Chittagong, and Bogra with at least a 5% extreme poverty rate, interviewing 20 randomly selected children aged 8–12 per school; analysis included diet diversity scores (DDS) and ANOVA comparisons.
Limitations
- The paper states that more analysis is needed across a broad range of business initiatives and contexts, and that lessons from GDFL may not translate well to businesses of differing size or in distinct contexts.
- The paper states that GDFL is a more extreme example because Shokti+ was a novel product, and that questions remain about the scope for such nutritionally enhanced foods to have nutritional impacts on poor populations at scale.
- Evident in the text: the survey evidence is cross-sectional and uses DDS as a proxy, so it cannot establish causal micronutrient impact; purchase and consumption data are self-reported, and the single-case design limits generalizability.
Model-written summary. Check it against the paper before relying on it.
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Verification
Claims the paper makes
0 Valid · 1 Not valid · 23 Not checked · 63 Own results and interpretations
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“98 per cent of respondents who were aware of the Shokti brand, believed that the product was good for their child.”
§ Transforming Development Knowledge VALUE CHAINS FOR NUTRITION IN SOUTH ASIA: WHO DELIVERS, HOW, AND TO WHOM? > 5.1 Effectiveness of strategies employed to address the challenges faced by GDFL
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper states — it cites no source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“At the same time, GDFL recognised that marketing costs had to be minimised in order to establish a price that poor consumers were able and willing to pay.”
§ Transforming Development Knowledge VALUE CHAINS FOR NUTRITION IN SOUTH ASIA: WHO DELIVERS, HOW, AND TO WHOM? > 5.1 Effectiveness of strategies employed to address the challenges faced by GDFL
plainstates a cause- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“and 28 per cent were current consumers (Figure 3).”
§ Transforming Development Knowledge VALUE CHAINS FOR NUTRITION IN SOUTH ASIA: WHO DELIVERS, HOW, AND TO WHOM? > 5.1 Effectiveness of strategies employed to address the challenges faced by GDFL
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper states — it cites no source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Over the period since 2007, the price of Shokti+ has more than doubled due, predominantly, to increase in raw milk prices.”
§ Transforming Development Knowledge VALUE CHAINS FOR NUTRITION IN SOUTH ASIA: WHO DELIVERS, HOW, AND TO WHOM? > 5.1 Effectiveness of strategies employed to address the challenges faced by GDFL
plainstates a cause- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper states — it cites no source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Whilst currently only 5 per cent of production is distributed in this way”
§ Transforming Development Knowledge VALUE CHAINS FOR NUTRITION IN SOUTH ASIA: WHO DELIVERS, HOW, AND TO WHOM? > 5.1 Effectiveness of strategies employed to address the challenges faced by GDFL
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
49 more claims
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- It may state two separate claims as one. 17
- Probably not a substantial claim. 22
- The quote only partly states this claim. 1
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ Transforming Development Knowledge VALUE CHAINS FOR NUTRITION IN SOUTH ASIA: WHO DELIVERS, HOW, AND TO WHOM? > 5.1 Effectiveness of strategies employed to address the challenges faced by GDFL
“For example, offering employment and income-earning opportunities for milk producers and the Shokti Ladies is essential to the first social objective of the enterprise.”
§ Transforming Development Knowledge VALUE CHAINS FOR NUTRITION IN SOUTH ASIA: WHO DELIVERS, HOW, AND TO WHOM? > 4 GDFL and its value chain
“The enterprise has two social objectives.First, to bring improved health through better nutrition to the poorest children of Bangladesh.Second, to reduce poverty and create employment for local people, particularly through a rural distribution network of women in poor rural communities.”
Citations
Cites
Maternal and child undernutrition and overweight in low-income and middle-income countries
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., et al. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60937-x · Cited by 8,475
The epidemiology of global micronutrient deficiencies
Bailey, R. L., West Jr., K. P., & Black, R. E. (2015) · Annals of Nutrition and Metabolism · doi:10.1159/000371618 · Cited by 2,035
The politics of reducing malnutrition: building commitment and accelerating progress
Gillespie, S., Haddad, L., Mannar, V., Menon, P., & Nisbett, N. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60842-9 · Cited by 460
Impact of communication on consumers' food choices: Plenary Lecture
Verbeke, W. (2008) · Proceedings of the Nutrition Society · doi:10.1017/s0029665108007179 · Cited by 245
2014 Global Hunger Index The Challenge of Hidden Hunger
Research Institute (IFPRI), I. F. P. (2014) · doi:10.2499/9780896299627 · Cited by 189
Groote, H. D., Kimenju, S. C., & Morawetz, U. B. (2010) · Agricultural Economics · doi:10.1111/j.1574-0862.2010.00466.x · Cited by 186
Chowdhury, S., Meenakshi, J. V., Tomlins, K. I., & Owori, C. (2011) · American Journal of Agricultural Economics · doi:10.1093/ajae/aaq121 · Cited by 183
Hotz, C. S., & Gibson, R. S. (2004) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602063 · Cited by 85
Steur, H. D., Gellynck, X., Feng, S., Rutsaert, P., & Verbeke, W. (2012) · Food Quality and Preference · doi:10.1016/j.foodqual.2012.02.001 · Cited by 72
Gibson, R. S. (2010) · CABI eBooks · doi:10.1079/9781845937140.0007 · Cited by 61
Cited by
Which Choice of Delivery Model(s) Works Best to Deliver Fortified Foods?
Lalani, B., Bechoff, A., & Bennett, B. (2019) · Nutrients · doi:10.3390/nu11071594 · Cited by 41
Nordhagen, S., & Demmler, K. (2023) · Global Food Security · doi:10.1016/j.gfs.2023.100699 · Cited by 20
Food supply chains and child and adolescent diets: A review
Nordhagen, S. (2020) · Global Food Security · doi:10.1016/j.gfs.2020.100443 · Cited by 16
Donovan, J., & Gelli, A. (2019) · World Development Perspectives · doi:10.1016/j.wdp.2019.100149 · Cited by 13
Henson, S., & Agnew, J. (2020) · Development Policy Review · doi:10.1111/dpr.12492 · Cited by 12
Self-citation
Metadata
- Authors
- Agnew, J., & Henson, S.
- Affiliations
- Virginia Tech (US)
- University of Guelph (CA)
- ORCID
- Henson, Spencer
- Venue
- IDS Bulletin
- Publisher
- Institute of Development Studies
- Published
- 2018-01-31
- Volume
- 49
- Issue
- 1
- ISSN
- 0265-5012 (ISSN-L)
- OpenAlex
- W2793900004
- Semantic Scholar
- 612fd7c3fddf7ade25c4a9145c34cf2f56c490b2
- Cited by
- 14
- References
- 14
- Citations by year
- 2025: 3 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 6 · 2019: 2
- FWCI
- 5.76
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- IDS Bulletin (publishedVersion, cc-by)
- Figshare (submittedVersion, cc-by)
- OpenDocs (Institute of Development Studies) (submittedVersion, cc-by)
- Topics
- Social Sciences › Business, Management and Accounting › Business and International Management › Innovation and Socioeconomic Development
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Life Sciences › Agricultural and Biological Sciences › Food Science › Food Industry and Aquatic Biology
- Keywords
- micronutrient deficiency, social enterprises, nutrient-dense foods, child nutrition, low-income communities, market viability, Bangladesh
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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