Fish markets facilitate nutrition security in coastal Kenya: Empirical evidence for policy leveraging

Fish markets are key to supporting the availability and accessibility of nutritious food but are often overlooked in food and nutrition research and policy. This study investigated fish markets in coastal Kenya, using data from 223 semi-structured interviews collected through market surveys, and analyzed their potential to meet recommendations for consumption and alleviate malnutrition in a vulnerable coastal population (children under five years). Findings reveal that women small-scale traders dealt in lower quantities of fish per trader than the other traders, yet sold more nutritious fish. Fish shop traders sold enough fish to meet 129% of the recommended intake of fish (10.4 kg cap−1 yr−1) for all people within the assessed towns, whereas women small-scale traders sold enough to meet 84% of the intake. All market traders were key to making nutrient-dense fish available, with a 100 g portion of fish providing at least 25% of required intakes, across five nutrients, and women small-scale traders providing over 25% of required intakes across six nutrients for a child under five years. The average cost of a nutritious portion of fish was KES 31 (USD 0.22), ranging from KES 12 (USD 0.08) to 49 (USD (0.34), which provide 33.3% of the required nutrients (averaged across six nutrients), with nutrient-dense fish being notably cheaper. This study contributes empirical evidence on how territorial fish markets support nutrition, which is important for food policy interventions that promote nutritional literacy, address nutrient gaps, and improve postharvest practices and infrastructure for fish quality and safety in Kenya.