Derek Headey

Women’s dietary diversity and child feeding practices amidst COVID19 in India: Findings from National Family Health Surveys, 2016–2021

The COVID-19 pandemic caused a crisis that jeopardized food consumption and dietary diversity. This study aimed to: (1) investigate relationship between COVID-19 and women’s and children’s diets in India; (2) examine how this varies by socioeconomic status and mothers’ vegetarianism; and (3) assess whether mobility restrictions during India’s national lockdown influenced these dietary changes. The analysis drew on data from India’s National Family Health Survey 2015–16 and 2019–21, focusing on 11 states surveyed before and during COVID-19 (N = 567,727 women, 141,905 children). COVID-19 exposure was defined as interviews after 24 March 2020 (national lockdown). Outcomes included child feeding practices and women’s food consumption and dietary diversity. The impact of COVID-19 on diets was estimated using a difference-in-difference model; effect of mobility reduction on diets was examined using linear regression. All analyses were adjusted for confounders, interview month, state fixed effects, and sampling weights. Results showed that COVID-19 exposure was linked to significant declines in child feeding practices (−6.9 percentage points [pp] for minimum dietary diversity, −5.0 pp for minimum acceptable diet, and −6.1 pp for fruit consumption) and women’s diet (−5.7 pp for dietary diversity and green vegetable consumption). While magnitude of impact varied across socioeconomic sub-strata and mothers’ vegetarianism status, the differences were not statistically significant. The diets of women and children were greatly impacted by mobility reduction. COVID-19 has worsened the diets of women and children in India. More research is needed on the impact of relief measures to strengthen food safety nets nationwide.

The (un)affordability of healthy diets in South Asia and the implications for nutrition-sensitive food policies

The agrifood system in South Asia: Pathways to sustainable healthy diets

South Asia is home to an estimated 2.08 billion people, making it the most densely populated region on the planet. This places immense pressure on the region’s agrifood systems to ensure that healthy and affordable food is available for all, a goal that can only be met by addressing today’s multiple interconnected challenges. Overcoming bottlenecks in agrifood systems — the networks of actors, activities, infrastructure, and policies that are involved in getting food from farms to mouths — requires data and evidence on the many elements of these complex systems. Moreover, that evidence must serve as a catalytic driver of change, which further requires strong partnerships between donors, researchers, civil society, industry, and policymakers. This report begins with a summary of the latest evidence on diets in the region, and then traces the drivers of current diets, starting from the food environment experienced by consumers, back through the diverse markets and farm production, and finally looks at the role of social protection and agrifood policy. The chapters on diets include close looks at consumption of unhealthy foods, the (un)affordability of healthy diets, and behavioral and environmental drivers of food choice. Production-related chapters consider trade-offs between production and consumption as well as how farming households adapt to climate shocks. Other chapters review evidence on the roles of men, women, and adolescents at different points in agrifood systems. The final chapters address lessons learned from social protection and on structural variations in India’s agricultural value chains. Many of the chapters draw from surveys recently conducted in Bangladesh, India, and Nepal under the CGIAR Research Initiative on Transforming Agrifood Systems (TAFSSA).