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186 JOACHIM VON BRAUN, MARIE T. RUEL, AND STUART GILLESPIE


• Recognizing the different cultures, incentives, and career structures of health and agriculture professionals


• Cultivating cross-sectoral consensus on common problems and on the mutual benefits of addressing them through joint work


• Developing innovative systems of communication between disciplines (based, for example, on agreed-upon shared values and principles, rules of engagement, and platforms for communication)


• Developing models and tools for assessing and analyzing joint problems (this work could identify appropriate indicators for monitoring and evaluation that could be linked to joint accountability for results and help highlight complete pathways from research outputs to development impacts)


• Strengthening capacity and incentives for development professionals to think and act intersectorally, whether in research, programming, policymaking, or funding of new initiatives—this might include joint training of “agri-health” professionals


• Synthesizing and promptly disseminating intersectoral research findings and experiences


How can national policy frameworks be oriented to promote synergies between


agriculture and health? The following approaches—partially drawn from Bos (2006) and Bryce et al. (2008)—are promising.


• Develop a joint metric for research and policy in agriculture and health. Setting priorities for research and policy in agriculture and health requires a unified framework to avoid “ad hoc-ism.” Two complementary approaches need to be merged: one approach that focuses on lives saved and livelihoods improved (as measured by mortality, morbidity, and disability-adjusted life years saved, for example), and another approach that focuses on economic productivity, growth, and returns to investment (as measured by human productivity and lifetime earn- ings, for example). In view of the different positions of health and agriculture in society and the economy, an integrated framework approach that includes both of these concepts would help generate an informed policy discourse on priority setting. Developing such a joint metric is essential for results-oriented action in both sectors.


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