Global equity for global health
Salma M Abdalla, Pascale Allotey, Catherine K. Ettman, Sandro Galea, Nason Maani, Lily Parsey, Emma Rhule Policy Brief
To achieve food security for all, new resource policies for sustainable land and water use are needed. Land, water, and energy need to be considered jointly in policies, not in isolation. G20 countries’ policy makers, corporate and civil society actors, and those of other countries should act in coordinated fashion in the following four policy areas on which specific proposals are made in this T20 Brief: 1) focusing land, and water resource policies on human wellbeing, 2) investing in and sharing water, agricultural and energy innovations, 3) making wider use of digital opportunities for sustainable agriculture, and 4) re-designing global governance of agriculture and food.[1]
The Challenges of Water, Land, Energy Linkages with Hunger and Environment. Achieving the Sustainable Development Goals (SDGs) requires much stronger attention to sustainable agricultural practices. Land and water use are currently not sustainable in many regions of the world, including in G20 countries. While there is progress in reduction of hunger in the world[2], close to 800 million people still face hunger and about a quarter of children are affected by stunting due to malnutrition[3], mostly in Sub-Saharan Africa and South Asia. A productive and sustainable agriculture sector will be key to addressing these challenges and achieving food security and improved nutrition for all. An integrated, cross-sectoral strategy requires G20 and global action since land, water and energy are no longer just local or national issues:
Food security and sustainable agriculture have been firmly established as priorities on the global policy agenda, and vigorous follow up to policy commitments by G20 and others is called for. Following the “L’Aquila” Joint Statement on Global Food Security in 2009, G7 leaders in 2015 committed to lifting 500 million people out of hunger and malnutrition by 2030 as their contribution to SDG 2 (zero hunger). Sustainable agriculture was also highlighted as one of the key sectors of importance for achieving the globally agreed Sustainable Development Goals in the G20 Action Plan on the 2030 Agenda for Sustainable Development adopted in 2016. In their Action Plan G20 leaders have stressed the link between sustainable agriculture and healthy land-based ecosystems (SDG 15). In addition, linkages to SDGs 6 (water and sanitation) and 7 (energy) as drivers and consequences of a sustainable agriculture systems need to be considered more.
Broaden policy focus to health and nutrition linkages
Water in agriculture has deep implications for food safety, peoples’ health and hygiene, and if not managed well triggers large health costs. Waste water irrigation has the potential to boost food production in many rural and peri-urban areas, but also carries risks such as increased exposure to pathogens and related health issues for farm workers and food consumers, or increased exposure to water-borne diseases for neighboring communities. In emerging economies, as much as 80% of illnesses and large proportions of child undernutrition are linked to poor water and sanitation conditions and about 1.5 million children die every year from diseases caused by unsafe water and inadequate sanitation.[14] Water borne diseases like malaria and dengue need more attention in irrigation systems design. In many locations including in G20 countries, this requires a fundamental redesign of water use systems in agriculture, by separating the agriculture water systems as much as possible from people’s living environments.
Harnessing investment in small farm sector as bearers and mitigators of food security risks
Land degradation and mismanaged water heavily impact over 400 million smallholder farmers. Smallholder farms are key to national and regional food security because they represent a large number of people who are themselves vulnerable to food insecurity, but also because these small farms produce a large share of the food exchanged on the markets. The small-scale farm sector in Sub-Saharan Africa and in Asia has large investment opportunities and will help improve the resilience of the global food system, contribute to increased economic growth, and employment.[15] A focus on youth employment, and women is central to improve food security and sustainable agricultural systems. Investing in youth would reduce unemployment and rural outmigration, and could support the adoption of innovation and uptake of digital technology in sustainable land and water use. Empowering women farmers much more with programs for enhancing their access to finance and markets remains critical.
Increasing economic water use efficiency in agriculture
G20 countries will be the main drivers of growing and changing food demand, which will significantly increase water use, unless innovative investment opportunities are found. In particular the rapid expansion in the consumption of animal products, which account for a third of all water used in agriculture[16] , will require investments in innovations. Addressing water shortages requires increasing water use efficiency, as measures increasing water supply are often costly, unsustainable (e.g. pumping more groundwater), or may have substantial ecological and social consequences (e.g. construction of large dams).
Step up investments in energy innovations
Renewable energy innovations are promising for water use and for the development of the food and agriculture sector as a whole. Especially solar energy creates new opportunities for higher value agricultural production and processing businesses in rural communities. For example, shifting from thermal to solar energy for pumping groundwater for irrigation could provide substantial environmental, economic and health synergies, once ground water systems are governed by sound policy and legal frameworks at local levels.
These innovations are critical to address the tradeoffs between water for agriculture, industry or energy, and the dilemmas between energy resources extraction (hydro, oil, gas), energy generation (hydro, thermo), and energy access (use by different groups in society). G20 can assist each other and other countries by supporting and sharing sound energy technologies and planning capacities.
Need to reverse land degradation
Reversing land degradation trends makes economic sense and reduces poverty. The costs of in-action are much higher than the costs of action for reversing land degradation: Globally, on average, one US dollar invested into restoration of degraded land returns five US dollars.vii In spite of these high returns from investing in healthy soils and land, degradation is persisting in many areas across the world. Policies are needed to minimize the indirect costs of land degradation, which for instance include siltation of waterways and lakes, erosion, deterioration of water cycles, and loss of biodiversity. Related knowledge sharing, effective extension and vocational training will go long ways. This is a G20 policy matter, since land degradation reduces productivity, increases costs and prices, and to a considerable extend these are global burdens.
Land degradation and water runoff are related in many areas and need to be addressed. Investments are needed for both rehabilitation and restoration of degraded lands through such policy measures as strengthening community participation in natural resource management, enhancing government effectiveness and the rule of law around land tenure issues. Land titling is increasingly important, to ensure that productivity gains in agriculture can be realized by farmers, whilst ensuring that the process is fair. G20 may consider strengthening the existing international understandings [19] beyond mere voluntary guidelines.
Service provision through mobile ICT networks and platforms
Information and communication technology (ICT) in agriculture is still an underrated game changer for sustainable resource use. ICTs can play a central role in offering services to farmers and other actors at scale in the value chains, and for gathering and analyzing policy relevant data.
The rapid expansion of mobile networks and devices around the world offers unprecedented opportunities to offer services to farmers and other players in the agriculture value chains. ICTs can facilitate access to and management of water in farming operations, e.g. through water bills using mobile payments, remotely operating pumps, automated analysis of soil moisture sensors. Examples of applications in land management include land title registry using blockchains to protect against fraud, precision agriculture technologies, and optimized drip irrigation even in field crops, and in-field variable rate application of fertilizer, which allows for site-specific management of fields.
To tap these ICT opportunities G20 may consider establishing food and agriculture related ICT platforms at national levels, and make them available for transnational sharing. This is a promising field for public-private partnerships within and across G20, and with other pioneering countries, such as Kenya. Particular attention should be paid to Women farmers’ access to ICT supported services.
Risk mitigation through early warning and insurance
Data gathered through ICT supported monitoring networks combined with the organizational capacities to analyze this information can improve preparedness and risk mitigation. Thereby, ICTs can help to strengthen extension services, develop hydro-meteorological capacities and early warning systems in emerging economies, which could yield high benefits. In particular dryland farmers could greatly benefit, as climate risks are increasing. Data collected through weather stations (which have unfortunately been declining in numbers) and satellites can also be used to provide index based crop and livestock insurance. Examples already exist where remotely collected data on rainfall patterns trigger automatic insurance pay-outs to farmers. G20 nations should implement regulatory frameworks that facilitate expanded experiments and their scaling of such innovations that can support resilience of farmers.
Improved metrics and open data for political decision-making
G20 members should also share and deploy these technologies to ensure that adequate metrics of land degradation and water use are available and used to identify priorities where the issues are most severe. ICT-based monitoring and data analytics by satellite technology for real-time measurements of agricultural production in relation to water and weather estimations are promising. Remotely sensed satellite data, mobile phone networks or sensors connected through the Internet of Things can be helpful to trace, for instance, rainfall patterns, soil moisture or nutrient levels with increased time and scale resolutions. Further G20 support for open data/open access solutions, including support for the Global Open Data for Agriculture & Nutrition (GODAN) [20] on soil, water and land resources is warranted, as well as data integration from traditional and non-traditional (industry, NGOs, crowd sources), and harmonized rules, incentives and supporting policies at international levels, facilitating knowledge sharing.
Towards a sustainable bioeconomy
Challenges related to water and land use cannot be addressed in isolation. Rather, a resource policy with joint attention to water, land, and energy should be created, to deal with complex tradeoffs and synergies. Expansion of bio-energy production must not contribute to food insecurity and to deforestation. At the same time, food waste and losses directly translate into waste of water, land and energy. The linkages between water, energy and food production call for a broader framework under which policies should be designed, and this is offered by the bioeconomy concept.[21 & 22] Bioeconomy is the knowledge based use of biological resources, biological systems, and technologies for all industries and economic sectors to provide sustainable products. More than 40 nations, including most of G20, have adopted it in recent years. Bioeconomy is a central element of a green growth strategy, and sustainable agriculture is a key part of it. G20 should collaborate to establish sound and transparent international standards for a sustainable bioeconomy and its food and agricultural products to accelerate investment, and trade in bio-based products.
Capitalize on trade opportunities for the efficient allocation of water and land use
Trade is one way in which challenges related to water and land use transcend national boundaries, because water and land are embodied in traded goods, thus water and land are virtually traded between nations. These interconnections offer opportunities to allocate water use and agricultural production more efficiently at the global level, while the implications for local food security are bornein mind. Shifting production from countries with low comparative advantages and low water productivity to those with high productivity can enhance more sustainable resource use. Global food trade is estimated to have resulted in 34% reduction in the global water use in producing the traded amounts.[23] The same applies to shifting production to countries with abundant or less degraded land. International trade and investment agreements by G20 need to explicitly factor in the potential positive and negative trade related impacts on sustainable land and water use in the analyses that are typically used to advise on expected outcomes of trade agreements.
Redesigning global governance arrangements for sustainable agriculture, land and water
Land and water use have international impacts, which reach beyond local and national dimensions, but there is no “world water organization” or “world land use organization”. The global public goods aspects, which need international governance arrangements, include trans-boundary water resource management and trade issues, and the sharing of and joint investments in research and innovation, such as by the CGIAR, InterAcademy Partnership, and others. G20 should consider taking a lead to re-design global food and agriculture governance; proposals for this have been developed by various forums in recent years.[24 & 25]
To support this process with research based evidence, an integration and consolidation of the myriad of panels and committees at international level in an International Panel on Food, Nutrition and Agriculture (IPFNA) is suggested, partly following the design of the Intergovernmental Panel on Climate Change (IPCC). Existing organizations and mechanisms would form building blocks of such a strengthened food and agriculture governance system. Some re-design in the suggested direction was triggered by the food crisis of 2008, as indicated by the reform of the Committee on Food Security (CFS) with its High Level Panel of Experts (HLPE), but more is needed. Moving forward, G20 may consider calling for a stakeholder forum that explores the organizational implications of such needed global governance redesign of agriculture and food.

Figure 2: Key Policy Action Areas
