scholarly journals Changes in household food security, access to health services, and income in northern Lao PDR during the COVID-19 pandemic

Author(s):  
Jennifer R Head ◽  
Phetsavanh Chanthavilay ◽  
Helen Catton ◽  
Ammaline Vongsitthi ◽  
Kelley Khamphouxay ◽  
...  

Background: The COVID-19 pandemic is expected to exacerbate food insecurity in low and middle-income countries, through loss of income and disrupted food supply chains. Lao PDR has among the highest rates of malnutrition in Southeast Asia. We assessed the relative difficulty in meeting food needs during the COVID-19 pandemic in rural districts of Luang Prabang Province, Lao PDR compared to before; determined associations between pandemic-associated difficulties in food access and household, maternal and child food security; and identified resiliency-promoting strategies. Methods: In November 2020, households (N = 1,122) with children under five years were interviewed. Respondents reported the relative ease of access of food and health care as well as changes in income and expenditures compared to before March 2020. We used generalized linear models with cluster robust standard errors to assess univariate and multivariate associations. Results: Nearly four-fifths (78.5%) found it harder to meet household food needs during the pandemic. The most common reasons were increased food prices (51.2%), loss of income (45.3%), and decreased food availability (36.6%). Adjusting for demographics, households with increased difficulty meeting food needs had lower food consumption scores and child dietary diversity. Over 85% of households lost income during the pandemic. Decreased expenditures was associated with reliance on more extreme coping strategies to meet food needs. The households who experienced no change in meeting food needs produced a greater percentage of their food from homegrown methods (4.22% more, 95% CI: 1.28, 7.15), than households who found it more difficult. We estimated that decreases in child bodyweight by 0.5 - 1% would increase wasting in this population by 1.7 - 2.1 percentage points. Conclusions: Pandemic-associated shocks may have large effects on malnutrition prevalence. Action is needed to mitigate consequences of the pandemic on nutrition. Local food production and safety net programs that offset income losses may help.

2018 ◽  
Vol 10 (9) ◽  
pp. 3307 ◽  
Author(s):  
Primrose Ngema ◽  
Melusi Sibanda ◽  
Lovemore Musemwa

Food security at the household level remains a major issue in South Africa and for many other developing countries, particularly those in Africa. As a means of ensuring food security in KwaZulu-Natal province, various food security intervention programmes were launched. Nonetheless, food security remains an issue among households in the province. This paper estimates the household food security status of the “One Home One Garden” (OHOG) beneficiaries against that of non-beneficiaries and assesses the determinants of household food security status in Maphumulo. A stratified random sampling technique was used to sample 495 households (including 330 OHOG beneficiaries and 165 non-beneficiaries). The status of household food security was estimated by means of a “Household Dietary Diversity Score” (HDDS). Additionally, a Household Food Consumption Score” (HFCS) tool was employed to supplement the HDDS. The results showed that food consumption patterns were characterized by medium (4.89) and average (4.22) HDDS for the OHOG beneficiaries and non-beneficiaries, respectively. Taking HDDS as a proxy for household food security, an independent samples t-test (Levene’s test—equal variances assumed) reveals a significant (p < 0.001) relationship between the sample means of the two groups. A greater proportion (65%) of the OHOG beneficiaries had an acceptable (≥35) HFCS level, whereas just over half (54%) of the non-beneficiaries fell in the borderline (21.5 to 35) HFCS level. The determinants of household food security status were elicited by means of a binary logistic regression model. The results revealed that education (p = 0.036), receiving infrastructural support (irrigation) (p = 0.001), and participation in the OHOG programme (p = 0.000) positively influenced the food security status of households, yet household income (p = 0.000) and access to credit (p = 0.002) showed a negative correlation. This paper proposes that government and developmental agencies, in their efforts to enhance food security through food security intervention programmes, should support households by investing in education and agricultural infrastructure, as well as giving priority to smallholder infrastructural irrigation support for households that largely rely on rain-fed systems.


Social Change ◽  
2021 ◽  
Vol 51 (3) ◽  
pp. 396-419
Author(s):  
Swati Dutta ◽  
Sunil Kumar Mishra

The level of food diversity in any household is an indicator of its healthy dietary habits. It depends on demographic and socio-economic conditions, geographic location, consumption habits and expenditure, cultural practices, income, food prices and the availability, access and utilisation of food. Against this backdrop, our study analyses the pattern of food consumption, dietary diversity, food frequency and the Recommended Dietary Allowance in 12 villages located in 6 districts of Bihar to understand the socio-economic determinants of a household’s food security. The results show that the diversity of food consumption is mainly dependent on the consumption of cereals across various socio-economic classes. Our analysis also emphasises the importance of schemes like the Public Distribution System which has a positive influence on food security outcomes of a household. The logistic regression results show that if the household belongs to the richest consumption class, with better education levels and more salaried members, then the probability of better food and nutrition security is high. In contrast, the low social status of a household, especially those from a Scheduled Caste background, will reveal reduced household food security.


2019 ◽  
Vol 279 ◽  
pp. 109-121 ◽  
Author(s):  
Rachel Bezner Kerr ◽  
Joseph Kangmennaang ◽  
Laifolo Dakishoni ◽  
Hanson Nyantakyi-Frimpong ◽  
Esther Lupafya ◽  
...  

2020 ◽  
Vol 12 (5) ◽  
pp. 1851
Author(s):  
Priviledge Cheteni ◽  
Yohane Khamfula ◽  
Gisele Mah

Food security is one of the most severe challenges facing the majority of African countries. The objective of this study was to explore household food dietary diversity and food security in a rural area in the Eastern Cape Province, South Africa. A total of 296 household heads were randomly sampled to participate in the study. The Household Dietary Diversity Score (HDDS) and Household Food Consumption Score (HFCS) were used to identify the consumption patterns of the households and their food security status. Meanwhile, a binary model was used to identify the variables that had an impact on household food security. Findings from the Household Dietary Diversity Score (HDDS) revealed that 61 percent of the households had lower dietary diversity and were consuming at least three food groups, which mainly include pulses, milk, and cereals. The results from the Household Food Consumption Score (HFCS), however, showed that the majority of the households had adequate levels of food consumption. The binary model revealed that age, household income, access to credit, and gender are statistically significant in influencing household food security status in the study area. It can be concluded that household dietary diversity is not guaranteed by food security, as proven by the regression model. Therefore, the government should consider the impact of low income on food security and it should intensify efforts directed at helping rural households to reduce incidences of food insecurity.


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