Role of cash transfers in mitigating food insecurity in India during the COVID-19 pandemic: a longitudinal study in the Bihar state

Objective There are scant empirical data on the impacts of the COVID-19 pandemic on food security across the globe. India is no exception, with insights into the impacts of lockdown on food insecurity now emerging. We contribute to the empirical evidence on the prevalence of food insecurity in Bihar...

Full description

Saved in:
Bibliographic Details
Main Authors: Tinku Thomas, Anura V Kurpad, Sumathi Swaminathan, Patrick Webb, Sanchit Makkar, Jawahar Ramasamy Manivannan, Sandra M Travasso, Anjaly Teresa John
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e060624.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832587196669886464
author Tinku Thomas
Anura V Kurpad
Sumathi Swaminathan
Patrick Webb
Sanchit Makkar
Jawahar Ramasamy Manivannan
Sandra M Travasso
Anjaly Teresa John
author_facet Tinku Thomas
Anura V Kurpad
Sumathi Swaminathan
Patrick Webb
Sanchit Makkar
Jawahar Ramasamy Manivannan
Sandra M Travasso
Anjaly Teresa John
author_sort Tinku Thomas
collection DOAJ
description Objective There are scant empirical data on the impacts of the COVID-19 pandemic on food security across the globe. India is no exception, with insights into the impacts of lockdown on food insecurity now emerging. We contribute to the empirical evidence on the prevalence of food insecurity in Bihar state before and after lockdown, and whether the government’s policy of cash transfer moderated negative effects of food insecurity or not.Design This was a longitudinal study.Settings The study was conducted in Gaya and Nalanda district of Bihar state in India from December 2019 to September 2020.Participants A total of 1797 households were surveyed in survey 1, and about 52% (n=939) were followed up in survey 2. Valid data for 859 households were considered for the analysis.Main outcome measures Using the Food Insecurity Experience Scale, we found that household conditions were compared before and after lockdown. The effect of cash transfers was examined in a quasi-experimental method using a longitudinal study design. Logistic regression and propensity score adjusted analyses were used to identify factors associated with food insecurity.Results Household food insecurity worsened considerably during lockdown, rising from 20% (95% CI 17.4 to 22.8) to 47% (95% CI 43.8 to 50.4) at the sample mean. Households experiencing negative income shocks were more likely to have been food insecure before the lockdown (adjusted OR 6.4, 95% CI 4.9 to 8.3). However, households that received cash transfers had lower odds of being food insecure once the lockdown was lifted (adjusted OR 0.75, 95% CI 0.56 to 0.99).Conclusion These findings provide evidence on how the swift economic response to the pandemic crises using targeted income transfers was relatively successful in mitigating potentially deep impacts of food insecurity.
format Article
id doaj-art-1d0e04a4c5f34c87adebdb05c8702242
institution Kabale University
issn 2044-6055
language English
publishDate 2022-06-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-1d0e04a4c5f34c87adebdb05c87022422025-01-24T17:10:10ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-060624Role of cash transfers in mitigating food insecurity in India during the COVID-19 pandemic: a longitudinal study in the Bihar stateTinku Thomas0Anura V Kurpad1Sumathi Swaminathan2Patrick Webb3Sanchit Makkar4Jawahar Ramasamy Manivannan5Sandra M Travasso6Anjaly Teresa John7Division of Biostatistics, St John`s Research Institute, Bangalore, Karnataka, IndiaDepartment of Physiology, St John`s Medical College, Bangalore, Karnataka, IndiaDivision of Nutrition, St John`s Research Institute, Bangalore, Karnataka, IndiaFriedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, USADivision of Nutrition, St John`s Research Institute, Bangalore, Karnataka, IndiaDivision of Epidemiology and Biostatistics, St John`s Research Institute, Bangalore, Karnataka, IndiaDivision of Epidemiology and Biostatistics, St John`s Research Institute, Bangalore, Karnataka, IndiaDivision of Epidemiology and Biostatistics, St John`s Research Institute, Bangalore, Karnataka, IndiaObjective There are scant empirical data on the impacts of the COVID-19 pandemic on food security across the globe. India is no exception, with insights into the impacts of lockdown on food insecurity now emerging. We contribute to the empirical evidence on the prevalence of food insecurity in Bihar state before and after lockdown, and whether the government’s policy of cash transfer moderated negative effects of food insecurity or not.Design This was a longitudinal study.Settings The study was conducted in Gaya and Nalanda district of Bihar state in India from December 2019 to September 2020.Participants A total of 1797 households were surveyed in survey 1, and about 52% (n=939) were followed up in survey 2. Valid data for 859 households were considered for the analysis.Main outcome measures Using the Food Insecurity Experience Scale, we found that household conditions were compared before and after lockdown. The effect of cash transfers was examined in a quasi-experimental method using a longitudinal study design. Logistic regression and propensity score adjusted analyses were used to identify factors associated with food insecurity.Results Household food insecurity worsened considerably during lockdown, rising from 20% (95% CI 17.4 to 22.8) to 47% (95% CI 43.8 to 50.4) at the sample mean. Households experiencing negative income shocks were more likely to have been food insecure before the lockdown (adjusted OR 6.4, 95% CI 4.9 to 8.3). However, households that received cash transfers had lower odds of being food insecure once the lockdown was lifted (adjusted OR 0.75, 95% CI 0.56 to 0.99).Conclusion These findings provide evidence on how the swift economic response to the pandemic crises using targeted income transfers was relatively successful in mitigating potentially deep impacts of food insecurity.https://bmjopen.bmj.com/content/12/6/e060624.full
spellingShingle Tinku Thomas
Anura V Kurpad
Sumathi Swaminathan
Patrick Webb
Sanchit Makkar
Jawahar Ramasamy Manivannan
Sandra M Travasso
Anjaly Teresa John
Role of cash transfers in mitigating food insecurity in India during the COVID-19 pandemic: a longitudinal study in the Bihar state
BMJ Open
title Role of cash transfers in mitigating food insecurity in India during the COVID-19 pandemic: a longitudinal study in the Bihar state
title_full Role of cash transfers in mitigating food insecurity in India during the COVID-19 pandemic: a longitudinal study in the Bihar state
title_fullStr Role of cash transfers in mitigating food insecurity in India during the COVID-19 pandemic: a longitudinal study in the Bihar state
title_full_unstemmed Role of cash transfers in mitigating food insecurity in India during the COVID-19 pandemic: a longitudinal study in the Bihar state
title_short Role of cash transfers in mitigating food insecurity in India during the COVID-19 pandemic: a longitudinal study in the Bihar state
title_sort role of cash transfers in mitigating food insecurity in india during the covid 19 pandemic a longitudinal study in the bihar state
url https://bmjopen.bmj.com/content/12/6/e060624.full
work_keys_str_mv AT tinkuthomas roleofcashtransfersinmitigatingfoodinsecurityinindiaduringthecovid19pandemicalongitudinalstudyinthebiharstate
AT anuravkurpad roleofcashtransfersinmitigatingfoodinsecurityinindiaduringthecovid19pandemicalongitudinalstudyinthebiharstate
AT sumathiswaminathan roleofcashtransfersinmitigatingfoodinsecurityinindiaduringthecovid19pandemicalongitudinalstudyinthebiharstate
AT patrickwebb roleofcashtransfersinmitigatingfoodinsecurityinindiaduringthecovid19pandemicalongitudinalstudyinthebiharstate
AT sanchitmakkar roleofcashtransfersinmitigatingfoodinsecurityinindiaduringthecovid19pandemicalongitudinalstudyinthebiharstate
AT jawaharramasamymanivannan roleofcashtransfersinmitigatingfoodinsecurityinindiaduringthecovid19pandemicalongitudinalstudyinthebiharstate
AT sandramtravasso roleofcashtransfersinmitigatingfoodinsecurityinindiaduringthecovid19pandemicalongitudinalstudyinthebiharstate
AT anjalyteresajohn roleofcashtransfersinmitigatingfoodinsecurityinindiaduringthecovid19pandemicalongitudinalstudyinthebiharstate