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This working paper explores the state of food security and nutrition in Myanmar using 6 rounds of nationally representative household panel data collected from December 2021 to November 2023. Overall, the state of food security and nutrition has deteriorated in Myanmar in 2022-23. More than 3 percent of households were in moderate to severe hunger in September-November 2023. Hunger was highest in Chin (8.7 percent) and Tanintharyi (7.0 percent). Households with a low food consumption score increased from 9.4 percent in December 2021-February 2022 to 15.9 percent in October-December 2022 and remained high at 14.4 percent in September-November 2023. The shares in September-November 2023 were highest in Chin (38.2 percent), Kayah (22.4 percent), and Magway (20 percent). Inadequate diet diversity among adults rose from 20.6 percent to 30.9 percent over December 2021-February 2022 to October-December 2022, with an increase of 5.9 percentage points in the past one year. Women saw a faster decline in diet quality from December-February 2022 to September-November 2023 (12.1 percentage points increase in poor diet quality vs 8.4 percentage points for men). Decreases in diet quality among adults are driven by lower consumption of milk and dairy products as well as Vitamin A rich fruits, meat, fish, and eggs. 34.5 percent of all children aged 6-23 months and nearly a quarter (23.6 percent) of all children aged 6-59 months had inadequate diet quality in the latest round of survey. Regression analysis reveals low income and limited assets to be important risk factors for food security and adequate diet quality. Wage workers and low wage communities are found to be particularly vulnerable. Rising food prices, conflict and physical insecurity increase the likelihood of poor diet quality. Receiving remittances is a source of resilience; remittance-receiving households are less likely to experience hunger or poor dietary diversity at the household, adult, and child level. To avert a full-blown nutrition crisis in Myanmar, effective multisectoral steps are required to protect nutritionally vulnerable populations. Expanded implementation of nutrition- and gender sensitive social protection programs, including maternal and child cash transfers, particularly to vulnerable groups is called for. Further, given the importance of remittances as an effective coping mechanism, supporting migration and the flow of remittances would help to improve the welfare of the Myanmar population.
This working paper explores the state of food security and nutrition in Myanmar using 5 rounds of nationally representative household panel data collected from December 2021 to June 2023. Overall, the state of food security and nutrition has deteriorated in Myanmar in 2022-23. More than 3 percent of households were in moderate to severe hunger in April-June 2023. Hunger was highest in Chin (10.1 percent), Rakhine (7.6 percent), and Kayin (5.9 percent). Households with a low food consumption score increased from 9.4 percent in December 2021-February 2022 to 17.7 percent in April-June 2023. The shares in April-June were highest in Chin (48.4 percent), Kayah (27 percent), and Kachin (22 percent). Inadequate diet diversity among adults rose from 20.6 percent to 27.1 percent over the same period. Women saw a faster decline in diet quality from December-February 2022 to April-June 2022 (9.1 percentage points increase in poor diet quality vs 3.8 percentage points for men). Decreases in diet quality among adults are driven by lower consumption of milk and dairy products as well as Vitamin A rich fruits, meat, fish, and eggs. 40 percent of all children aged 6-23 months and nearly a quarter (24.9 percent) of children aged 6-59 months had inadequate diet quality in the latest round of survey. Regression analysis reveals low income and limited assets to be important risk factors for food security and adequate diet quality. Wage workers and low wage communities are found to be particularly vulnerable. Rising food prices, conflict and physical insecurity increase the likelihood of poor diet quality. Receiving remittances is a source of resilience; remittance-receiving households are less likely to experience hunger or poor dietary diversity at the household, adult, and child level. To avert a full-blown nutrition crisis in Myanmar, effective multisectoral steps are required to protect nutritionally vulnerable populations. Expanded implementation of nutrition- and gender-sensitive social protection programs, including maternal and child cash transfers, particularly to vulnerable groups is called for. Further, given the importance of remittances as an effective coping mechanism, supporting migration and the flow of remittances would help to improve the welfare of the Myanmar population.
The state of food security and nutrition has deteriorated in Myanmar in 2022. Four percent of households were in moderate to severe hunger in October/December 2022. Hunger was highest in Chin (10%), Mon (6.8%), and Kayin (6%). Households with a low food consumption score increased from 9.4% in December 2021/February 2022 to 15.7% in October/December 2022. The shares in October/December were highest in Chin (48.3%), Kayin (23.1%), and Magway (22.7%). Inadequate diet diversity among adults rose from 20.6% to 25.1% over the same period with rates higher for women, especially in rural areas. Decreases in diet quality among adults is driven by lower consumption of milk and dairy products as well as Vitamin A rich fruits, meat, fish, and eggs. More than a third of all children aged 6-23 months and 15.9% of all children aged 24-59 months have inadequate diet quality. Regression analysis reveals low income and limited assets to be important risk factors for food security and adequate diet quality. Wage workers and low wage communities are found to be particularly vulnerable. Rising food prices, conflict and physical insecurity increase the likelihood of poor diet quality. Receiving remittances is a source of resilience; remittance-receiving households are less likely to experience hunger or poor dietary diversity at the household, adult, and child level.
In this research note, we provide an overview of the state of food security and nutrition in Myanmar using a recently collected household dataset. We examine food security using a household hunger scale and a food consumption score. To examine the state of nutrition, we examine the diet quality of individuals across Myanmar for three separate but important sections of population: (1) adults (18+ years), (2) women of reproductive age (15-49 years), and (3) children (6-23 and 6-59 months). We explore these indicators using three rounds of the Myanmar Household Welfare Survey (MHWS) collected over the phone in the first three quarters of 2022 – hereafter Q1, Q2 and Q3 – among over 12,000 households in 310 townships of Myanmar. MWHS is a nationally, urban/rural and state/region representative phone survey (MAPSA 2022a). We use standard food security and diet diversity measures for each of the three subpopulations to examine trends over the three rounds as well as explore heterogeneity with respect to gender, location of residence, and asset and income-based welfare indicators. We also look at disaggregated consumption of the different food groups that constitute the diet diversity measures to investigate the change in the consumption pattern of individuals. Finally, we use regression analysis to look at predictors of food insecurity and inadequate diet diversity, including household wealth and income, self reported shocks, food prices, and household characteristics.
In this research note, we report results on the prevalence of underweight, overweight and obesity among mothers of young children using data collected in Yangon and Ayeyarwady as part of the Rural-Urban Food Security Survey (RUFSS). This in-person study, conducted between October–November 2023, surveyed mothers who were registered from antenatal clinics in peri-urban Yangon in early 2020. In this latest survey round, we revisited this sample of mother-child pairs to gather anthropometric data (along with other nutrition-relevant indicators). We successfully collected anthropometric data for 646 mothers.
New evidence this year corroborates the rise in world hunger observed in this report last year, sending a warning that more action is needed if we aspire to end world hunger and malnutrition in all its forms by 2030. Updated estimates show the number of people who suffer from hunger has been growing over the past three years, returning to prevailing levels from almost a decade ago. Although progress continues to be made in reducing child stunting, over 22 percent of children under five years of age are still affected. Other forms of malnutrition are also growing: adult obesity continues to increase in countries irrespective of their income levels, and many countries are coping with multiple forms of malnutrition at the same time – overweight and obesity, as well as anaemia in women, and child stunting and wasting.
Poverty measurement in low and middle income countries (LMICs) has always been challenging, especially among rural households whose incomes are characterized by seasonality, informality and some degree of subsistence consumption. During the COVID-19 pandemic poverty measurement became even more challenging as research had to resort phone surveys, who necessary brevity precludes the use of detailed household expenditure modules preferred in rural settings. Phone surveys instead typically resorted to qualitative questions on income losses and other welfare impacts of economic shocks. Here we use the new nationally representative Myanmar Household Welfare Survey (MHWS) to experiment with three kinds of poverty measures: (1) Asset poverty (10 questions); (2) Income poverty (a maximum of 17 questions); and (3) Food expenditure poverty (based on 4 questions). We first describe the methods for constructing these three indicators – including the poverty lines used for income and food poverty – and their conceptual strengths and weaknesses, before turning to a descriptive analysis of their geographical patterns, their associations with each other and with expenditure-based poverty in the last national survey in 2017. We then test their ability to predict poor diet quality and experiences of hunger, which – based on previous studies – are outcomes that ought to be highly sensitive to household poverty. We draw three important conclusions for measuring poverty in phone surveys. First, asset poverty and income poverty are strongly associated with each other, and with state/region poverty patterns of expenditure-based poverty in 2017. Second, asset poverty was consistently the strongest predictor of poor diet diversity among adults and children, as well as food insecurity at the household level, but income poverty also predicted these outcomes even after controlling for asset poverty. Third, we argue that phone surveys should measure both asset and income poverty, but should likely steer clear of food expenditure measures, which will either require overly long survey instruments, or very short questionnaires susceptible to underestimate of expenditure and overestimation of poverty. However, asset and income poverty are relatively quick and easy to measure, and conceptual complements to each other: income poverty is likely to be sensitive to shocks and seasonality, while asset poverty is insensitive to these fluctuations but captures long-term wealth. Finally, another important benefit of measuring income poverty is its ability to capture the effects of inflationary shocks, as inflation can affect both nominal incomes (e.g. through unemployment) as well as through the analyst’s price adjustments to the real food poverty line.
Updates for many countries have made it possible to estimate hunger in the world with greater accuracy this year. In particular, newly accessible data enabled the revision of the entire series of undernourishment estimates for China back to 2000, resulting in a substantial downward shift of the series of the number of undernourished in the world. Nevertheless, the revision confirms the trend reported in past editions: the number of people affected by hunger globally has been slowly on the rise since 2014. The report also shows that the burden of malnutrition in all its forms continues to be a challenge. There has been some progress for child stunting, low birthweight and exclusive breastfeeding, but at a pace that is still too slow. Childhood overweight is not improving and adult obesity is on the rise in all regions. The report complements the usual assessment of food security and nutrition with projections of what the world may look like in 2030, if trends of the last decade continue. Projections show that the world is not on track to achieve Zero Hunger by 2030 and, despite some progress, most indicators are also not on track to meet global nutrition targets. The food security and nutritional status of the most vulnerable population groups is likely to deteriorate further due to the health and socio economic impacts of the COVID-19 pandemic. The report puts a spotlight on diet quality as a critical link between food security and nutrition. Meeting SDG 2 targets will only be possible if people have enough food to eat and if what they are eating is nutritious and affordable. The report also introduces new analysis of the cost and affordability of healthy diets around the world, by region and in different development contexts. It presents valuations of the health and climate-change costs associated with current food consumption patterns, as well as the potential cost savings if food consumption patterns were to shift towards healthy diets that include sustainability considerations. The report then concludes with a discussion of the policies and strategies to transform food systems to ensure affordable healthy diets, as part of the required efforts to end both hunger and all forms of malnutrition.
We assess the impact of Ethiopia’s flagship social protection program, the Productive Safety Net Program (PSNP) on the adverse impacts of the COVID-19 pandemic on food and nutrition security of households, mothers, and children. We use both pre-pandemic in-person household survey data and a post-pandemic phone survey. Two thirds of our respondents reported that their incomes had fallen after the pandemic began and almost half reported that their ability to satisfy their food needs had worsened. Employing a household fixed effects difference-in-difference approach, we find that the household food insecurity increased by 11.7 percentage points and the size of the food gap by 0.47 months in the aftermath of the onset of the pandemic. Participation in the PSNP offsets virtually all of this adverse change; the likelihood of becoming food insecure increased by only 2.4 percentage points for PSNP households and the duration of the food gap increased by only 0.13 months. The protective role of PSNP is greater for poorer households and those living in remote areas. Results are robust to definitions of PSNP participation, different estimators and how we account for the non-randomness of mobile phone ownership. PSNP households were less likely to reduce expenditures on health and education by 7.7 percentage points and were less likely to reduce expenditures on agricultural inputs by 13 percentage points. By contrast, mothers’ and children’s diets changed little, despite some changes in the composition of diets with consumption of animal source foods declining significantly.
Food systems and diets underpin many critical challenges to public health and environmental sustainability, including malnutrition, noncommunicable diseases, and climate change, but sustainable healthy diets have the unique potential to reshape the future for both human and planetary well-being. The 2024 Global Food Policy Report draws on recent evidence to examine the role of food systems in driving nutrition outcomes and opportunities for transforming food systems to ensure healthy diets for all. Chapters by IFPRI researchers and partners evaluate proven and innovative ways to sustainably improve diet quality and reduce malnutrition, including ways to make healthy diets more affordable, accessible, and desirable, how to improve food environments, the role of both agricultural crops and animal-source foods, and governance for better diets and nutrition, all with a major focus on the most vulnerable populations in low- and middle-income countries. Regional sections explore the diverse challenges countries face and promising policy responses for transforming food systems for sustainable healthy diets.