The nature of food insecurity has been changing in the world. While research on food insecurity in developing countries used to focus on undernourishment (i.e. lack of calorie consumption) and related outcomes, today, many developing countries face at least a “double burden of malnutrition” with persistently high rates of undernourishment and increasing rates of overweight, obesity and related non-communicable diseases (NCDs). An important driver of overweight and obesity in developing countries is the „nutrition transition“, i.e. the trend towards the consumption of more energy-dense, highly processed foods and more sedentary lifestyles. Two essays of this Ph.D. thesis analyse drivers and consequences of the nutrition transition in developing countries with a particular focus on the role of supermarkets, which have been rapidly spreading in many countries. We provide evidence that the presence of supermarkets causally affects dietary choices and nutritional outcomes. Data collection for this research was carried out in small Kenyan towns of the kind that accommodate most of the country’s urban population. We designed our sample to be quasi-experimental in nature and employ instrumental variable techniques to allow for endogeneity of supermarket purchases. Kenya’s supermarket landscape is dynamic and so far, it has followed the ‘traditional pattern’ of the so-called supermarket revolution. Supermarket purchases are found to contribute to the nutrition transition by shifting consumption towards processed and away from unprocessed foods. At the same time, calorie availability increases as calories are sourced at lower prices in supermarkets. We find that supermarket purchases increase adult Body Mass Index and their probability of being overweight or obese. Yet, we also find that buying in a supermarket tends to decrease underweight among children and adolescents (age 5-19) in terms of stunting (height-for-age). In a third essay, we use secondary household survey data from Malawi to analyse ‘one of the other faces of malnutrition’. The world food price crisis of 2007/08 and other global and regional price and income shocks that followed have spurred interest in producing timely predictions on their implications for food security. A critical research gap remains with comparing simulation outcomes across studies that use different, established methods on the same subject. This is to establish if and to which extent they might result in different and potentially conflicting policy recommendations. We address this gap building on three simulation studies set in Malawi, which analyse welfare in terms of food security and income effects using the same 2004/05 household survey data but resort to methodologies of different complexity. We harmonize simulation scenarios across methods and systematically modify relevant parameters for our comparative assessment. We find differences between methods to depend on the scenario under consideration and to grow with increasing rates of simulated price changes. The differences we find are driven by differences in conceptualising price changes. In case of Malawi, for a reasonable set of observed price changes, mean outcomes on district levels are fairly robust to underlying methodologies. We illustrate that is it important to improve our understanding of how changes in the underlying methodologies change results and to analyse the sensitivity of simulation outcomes to different model assumptions.

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal.

La crise alimentaire de 2008 a suscité un regain d’intérêt pour les questions agricoles et de sécurité alimentaire dans les pays en développement. Partant du constat que près de 27% de la population d’Afrique Sub-saharienne souffre de malnutrition, cette thèse a pour objectif de contribuer à une meilleure compréhension des causes complexes de l’insécurité alimentaire. Le premier chapitre étudie les mécanismes de transmission des variations du prix mondial du riz aux prix domestiques dans trois pays ouest-africain: le Sénégal, le Tchad et le Mali. Les résultats indiquent que le prix du riz importé à Dakar et le prix du riz local à Bamakorépondent de façon asymétrique aux variations du prix mondial. Le chapitre 2 teste la présence d’obstacles aux échanges agricoles entre pays d’Afrique de l’Ouest et du Centre. Il ressort de l’analyse que le passage des frontières est coûteux. Toutefois, le coût associé au passage de la frontière est plus faible entre pays membre d’une même union économique et monétaire. Le chapitre 3 a pour objectif le renforcement des systèmes d’alertes précoces des crises alimentaires existants au Sahel. Il montre qu’il est possible d’anticiper les crises de prix avec six mois d’avance en analysant les mouvements passés des prix des céréales. Enfin, le chapitre 4 s’intéresse à la vulnérabilité des ménages face aux chocs pluviométriques. Il révèle que les ménages ruraux au Burkina Faso n’ont pas la capacité d’assurer ou d’absorber ces chocs climatiques. / This doctoral thesis is in line with the renewed interest in research on agriculture and food security, following the 2008 global food crisis. The aim of this thesis is to contribute to a better understanding of the complex issues surrounding food security. The first chapter investigates whether the changes in the international price of rice are transmitted to the domestic prices of rice in Senegal, Mali and Chad. Results indicate that the domestic prices of imported rice in Dakar and of local rice in Bamako react differently to changes in the world price depending on whether the world price is rising or falling. Chapter 2 analyses by how much trade barriers at the border and transport costs impede the integration of agricultural markets in West and Central Africa. Results highlight the role played by borders in explaining price deviations between markets. Additionally, belonging to an economic union and sharingthe same currency appear as major determinants of market integration. The third chapter aims at providing new early warning indicators based on food prices in Mali, Niger and Burkina Faso. Our analysis reveals that price crisis can be predicted about 6 months in advance through the observation of past price movements. Chapter 4 focuses on the analysis of children’s vulnerability to climate shocks in Burkina Faso. By combining health data originating from a 2008 household survey with meteorological data, we show the importance of weather conditions in prenatal period and in the first year of life on the future nutritional status of the children.

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Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal

Dans le but de faire face aux défis interdépendants en termes d’épuisement des ressources énergétiques, de dégradation environnementale et des préoccupations de santé publique dans le contexte chinois en réponse au développement durable, nous nous concentrons sur l'étude des politiques en matière d’énergie, d’environnement et de santé en Chine. Dans le chapitre 1, nous donnons un aperçu des politiques chinoises en matière d’énergie, d’environnement et de santé au cours des 20 dernières années afin de connaître les orientations politiques futures auxquelles le gouvernement n'a pas donné une attention suffisante. Dans les trois chapitres suivants, nous proposons une série d'études empiriques afin de tirer quelques implications politiques utiles. Dans le chapitre 2, nous étudions l'impact de l'urbanisation, de l'adaptation de la structure industrielle, du prix de l'énergie et de l'exportation sur les intensités énergétiques agrégés et désagrégés des provinces. Dans le chapitre 3, nous étudions les facteurs qui expliquent la transition énergétique vers des combustibles propres des ménages ruraux. Dans le chapitre 4, nous examinons les effets conjoints des risques environnementaux, du revenu individuel, des politiques de santé sur l'état de santé des adultes chinois. En particulier, nos résultats empiriques suggèrent d’intégrer le développement urbain dans la stratégie d'économies d'énergie; de considérer des substitutions/complémentarités complexes parmi les sources d'énergie et entre l'énergie et l’alimentation pour les ménages ruraux; d’aligner les politiques environnementales, énergétiques et alimentaires avec les politiques de santé. / With the purpose of coping with the intertwined challenges of energy depletion, environmental degradation and public health concerns in the Chinese-specific context in response to sustainable development, we focus on investigating China’s energy, environment and health policies. In chapter 1, we provide an overview of China’s energy, environment and health policies over the past 20 years in order to know about the future policy directions to which the government has not given a sufficient attention. In the following three chapters, we provide a series of empirical studies so as to derive some useful policy implications. In chapter 2, we investigate the impact of urbanization, industrial structure adjustment, energy price and export on provincial aggregate and disaggregate energy intensities. In chapter 3, we study the factors explaining the switches from dirty to clean fuel sources in rural households. In chapter 4, we examine the joint effects of environmental hazards, individual income and health policies on the health status of Chinese adults. Our empirical findings particularly suggest integrating urban development into the strategy of energy saving; considering the complex substitutions/complementarities among energy sources and between energy and food for rural households; aligning the environment, energy and food policies with health policies.