Agrifood value chains of small and medium-sized producers in the Near East and North Africa region have the potential to generate more value through improved access to high-value markets. Limited logistics capacity in the region, coupled with lack of access to continuous cold chain, has resulted in weak supply chain management, high level of food loss, lack of compliance with food quality and safety standards; information asymmetries; and unfair value distribution, affecting income and livelihood of small and medium-sized producers.