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Small-scale fisheries and aquaculture have been recognized as important opportunities to enhance household food security in developing countries. While interventions aiming at promoting these activities reveal many positive effects, their direct and indirect impacts on nutritional status have not yet been fully documented. The objective of this paper is to identify more specifically the potential pathways that exist between fish-related livelihoods (small-scale fisheries, fish farming) and household nutritional security. The existing literature reveals scattered but increasing evidence of the contribution of fish to nutritional security through three distinct pathways. The first one is the direct nutritional contribution from fish consumption: because fish are rich in essential nutrients such as vitamin A, calcium, iron and zinc, households engaged in small-scale fisheries or aquaculture are, in theory, able to improve their own …