A Prepandemic Nutrition-Sensitive Social Protection Program Has Sustained Benefits for Food Security and Diet Diversity in Myanmar during a Severe Economic Crisis.

BACKGROUND: One-third of preschool children in Myanmar were stunted in 2015-2016, and three-quarters of children 6-23 mo had inadequate diet diversity. In response, a large-scale nutrition-sensitive social protection program was implemented over 2016-2019. In 2020, however, Myanmar's economy was hit hard by the COVID-19 pandemic and harder still by a military takeover in 2021. OBJECTIVE: The objective of this study was to examine whether former beneficiaries of this program experienced better food security, food consumption, and diet diversity outcomes in the wake of major economic shocks. METHODS: In a previous cluster-randomized controlled trial conducted over 2016-2019, pregnant women and their children aged <2 y were randomly assigned to either: 1) CASH; 2) CASH + social and behavioral change communication (SBCC); or 3) a control group. Subsamples of these former participants were then resurveyed 10 times from June 2020 to December 2021 during Myanmar's protracted economic crisis. Randomized treatment exposure was used in a regression analysis to test for postprogram impacts on Food Insecurity Experience Scale indicators, household food consumption, and maternal and child diet diversity. We also examined the impacts on household income as a secondary outcome and potential impact pathway. RESULTS: Both intervention arms reported lower food insecurity, more frequent consumption of nutritious foods, and more diverse maternal and child diets compared with households in the control group. However, the improved dietary outcomes were larger for mothers and children exposed to CASH+SBCC compared with CASH, as was their monthly household income. CONCLUSIONS: The findings suggest that a program combining cash transfers with nutrition-related education can yield sustained benefits 1-2 y after the program was completed. This strengthens the evidence to support the expansion and scale-up of nutrition-sensitive social welfare programs to redress chronic malnutrition and enhance nutritional resilience in the face of a severe economic crisis.

Poverty and food insecurity during COVID-19: Phone-survey evidence from rural and urban Myanmar in 2020.

Myanmar first experienced the COVID-19 crisis as a relatively brief economic shock in early 2020, before the economy was later engulfed by a prolonged surge in COVID-19 cases from September 2020 onwards. To analyze poverty and food security in Myanmar during 2020 we surveyed over 2000 households per month from June-December in urban Yangon and the rural dry zone. By June, households had suffered dramatic increases in poverty, but even steeper increases accompanied the rise in COVID-19 cases from September onwards. Increases in poverty were much larger in urban areas, although poverty was always more prevalent in the rural sample. However, urban households were twice as likely to report food insecurity experiences, suggesting rural populations felt less food insecure throughout the crisis.

Can nutrition education mitigate the impacts of COVID-19 on dietary quality? Cluster-randomised controlled trial evidence in Myanmar's Central Dry Zone.

We evaluate the immediate impact of a nutrition and gender behaviour change communication on dietary quality in rural communities in Myanmar and assess whether the communication helped mitigate the effect of the COVID-19 crisis on dietary quality. The intervention was designed and implemented as a cluster-randomised controlled trial in which 15 villages received the intervention and 15 control villages did not. The intervention was implemented from June to October 2020. This paper provides an assessment of the intervention's impact on dietary quality based on the results of two phone surveys conducted in August and October 2020. Immediate impacts of the intervention indicate an improvement in women's dietary diversity scores by half a food group out of 10. At baseline, 44% of women were likely to have consumed inadequately diverse diets; results indicate that 6% (p-value: 0.003, SE: 0.02) fewer sample women were likely to have consumed inadequately diverse diets. More women in treatment villages consumed pulses, nuts, eggs and Vitamin A-rich foods daily than in control villages. In response to economic shocks related to COVID-19, households in the treatment villages were less likely to reduce the quantity of meat and fish consumption than in control villages. The long-term impacts of the intervention need to be continuously evaluated.

Immediate impacts of COVID-19 on female and male farmers in central Myanmar: Phone-based household survey evidence.

This article provides evidence of the immediate impacts of the first months of the COVID-19 crisis on farming communities in central Myanmar using baseline data from January 2020 and follow-up phone survey data from June 2020 with 1,072 women and men. Heterogeneous effects among households are observed. Fifty-one percent of the sample households experienced income loss from various livelihood activities, and landless households were more severely affected by the crisis, mainly because of lost farm and nonfarm employment and negative impacts on rural enterprises. Women and men in these landless households were equally engaged and affected by lower wages or more difficulties in finding farm work; fewer women were engaged in nonfarm work, but almost all of them lost such nonfarm wage employment. Women in landless households are also particularly vulnerable in terms of worsened workload and increased tension in the household during COVID-19. Landed households were also affected through lower prices, lower demand for crops, and difficulties in input access. Women and men differ in levels of stress, fear, and pessimism regarding the effects of COVID-19. In most households, there were no signs that household task-sharing and work balance improved, and no clear shift in intrahousehold relations was observed.

Impacts of COVID-19 on agricultural production and food systems in late transforming Southeast Asia: The case of Myanmar.

The objective of this contribution is to report the initial impacts of measures taken to contain the COVID-19 pandemic on Myanmar's agri-food system. Myanmar is one of several late-transforming low-income countries in Southeast Asia where agriculture still plays a large role in rural livelihoods, and where food prices are a key factor affecting nutrition security for poor urban and rural households. Whereas the economic impacts of COVID-19 disruptions on tourism and manufacturing were obvious to policymakers, the impacts on the agri-food system were less evident and often more indirect. This resulted in the rural sector being allocated only a very small share of the government's initial fiscal response to mitigate the economic impacts of COVID-19. To correct this information gap, a suite of phone surveys covering a wide spectrum of actors in the agri-food system were deployed, including farm input suppliers, mechanization service providers, farmers, commodity traders, millers, food retailers and consumers. The surveys were repeated at regular intervals prior to and during the main crop production season which began shortly after nationwide COVID-19 prevention measures were implemented in April. While the results indicate considerable resilience in the agri-food system in response to the initial disruptions, persistent financial stress for a high proportion of households and agri-food system businesses indicate that the road to a full recovery will take time. The experience provides important lessons for strengthening the resilience of the agri-food system, and the livelihoods of households that depend on it.

COVID-19 and the food system: setback or opportunity for gender equality?

Agriculture and the food sector are critical to food and nutrition security because they not only produce food but also contribute to economic empowerment by employing a large share of female and male workers, especially in developing countries. Food systems at all levels-globally, domestically, locally, and in the home- are expected to be highly affected by the COVID-19 crisis. Women and men work as food producers, processors, and traders and will likely be impacted differently. Shocks or crises can exacerbate or reduce gender gaps, and so can policy responses to mitigate the impact of these crises or shocks. We offer some perspectives and available country examples on how the COVID-19 crisis and responses to the crisis could be a setback or offer opportunities for gender equality in the food system.