Publications

× Little is known about whether reductions in intimate partner violence (IPV) from transfer programs persist. Using a randomized controlled trial, we find that women in rural Bangladesh who received cash transfers with complementary nutrition programming (including group-based training, home visits, and community meetings) experienced sustained reductions in IPV four years after the program ended. Neither cash transfers alone, nor food transfers with or without complementary nutrition programming, showed sustained impacts on IPV. Evidence suggests that cash with complementary nutrition programming sustained IPV reductions through persistent increases in women’s bargaining power, costs to men of perpetrating violence, and men’s emotional well-being.

× In the context of rural Bangladesh, we assess whether agriculture training alone, nutrition behavior communication change (BCC) alone, combined agriculture training and nutrition BCC, or agriculture training and nutrition BCC combined with gender sensitization improve: (a) production diversity, either on household fields or through crop, livestock, or aquaculture activities carried out near the family homestead; and (b) diet diversity and the quality of household diets. All treatment arms were implemented by government employees. Implementation quality was high. No treatment increased production diversification of crops grown on fields. Treatment arms with agricultural training did increase the number of different crops grown in homestead gardens and the likelihood of any egg, dairy, or fish production but the magnitudes of these effect sizes were small. All agricultural treatment arms had, in percentage terms, large effects on measures of levels of homestead production. However, because baseline levels of production were low, the magnitude of these changes in absolute terms was modest. Nearly all treatment arms improved measures of food consumption and diet with the largest effects found when nutrition and agriculture training were combined. Relative to treatments combining agriculture and nutrition training, we find no significant impact of adding the gender sensitization on our measures of production diversity or diet quality. Interventions that combine agricultural training and nutrition BCC can improve both production diversity and diet quality, but they are not a panacea. They can, however, contribute toward better diets of rural households.

× Rice plays a central role in the diet in Bangladesh and as a source of income for farmers. Although Bangladesh has largely liberalized international trade in rice, it maintains a public food distribution system to stablize prices, distributing an average of 2 million tons of rice per year at a cost of almost US$ 800 million per year. This study explores whether alternative policies could achieve similar stabilization at a lower cost. It uses a stochastic spatial-equilibrium model of rice markets to simulate monthly prices in eight regions of the country. Stochastic shocks are used to simulate fluctuations in regional production, replicating historical patterns at the region-season level, as well as inter-regional correlation in production shocks. It also simulates fluctuation in world rice prices, mimicking the mean, variance, and serial correlation of historical wholesale prices of rice in Delhi. Public procurement and distribution follow historic averages by month and region. Private storage is represented by a simplified version of rational expectations models, in which net storage is a non-linear function of availability in the previous month.

× Food system transformation strategies rely on consumer demand response for achieving sustainable healthy diets, but food consumption patterns and consumer preferences are often not well understood in many countries of the global South. This brief examines consumer demand in Bangladesh, a country in the take-off stage of agrifood system transformation, that has experienced improvements in diet quality but also an increasing incidence of overweight, with faster increases in rural than urban areas. The authors estimate responses in consumer demand to changes in incomes and changes in food prices, finding that rural consumer demand is driven by strong preferences for animal-source foods, while the demand for sugar and highly processed foods increases faster than total food demand when income rises. They conclude that agricultural value chain development can be an important policy instrument for improving household diet quality but can also lead to undesirable dietary change if food consumption incentives conflict with nutritional needs.

× A key challenge in systematically collecting data on intermediary agri-food value chain actors is that value chains take the form of a network, with actors linked by a series of transactions. Moreover, we have limited ex ante knowledge about the structure or scale of these networks, which complicates the construction of valid sampling frames and limits traditional random sampling approaches to collect data. To address these challenges, we adapt the respondent-driven sampling approach to collect data on intermediary agri-food value chain actors within their transaction-linked network and implement this approach in the arabica coffee and soybean value chains in Uganda and the rice and potato value chains in Bangladesh. We observe meaningful heterogeneity in the structure and scale of agri-food value chains across commodities and countries. Focusing on traders, we show that the respondent-driven sampling approach generates a larger sample of traders who differ in observable characteristics (i.e., value added, enterprise scale, and financial access) compared to a sub-sample of traders generated in a way that mimics traditional random sampling approaches used to study traders. We conclude by discussing how this respondent-driven sampling approach, applied within transaction-linked networks, can provide a useful data collection method for studying intermediary agri-food value chain actors.

× This study conducts an assessment of the current mandates, performance, and capacity gaps of the Directorate General of Food (DG Food) and suggests remedies to strengthen the agency. Formed originally as the Supply Department in undivided Bengal under British rule in the early 1940s, the organization was named the Directorate General of Food by the provincial government of East Pakistan in 1956. Upon the independence of Bangladesh in 1971, DG Food became a part of the Ministry of Food and Civil Supplies and was later renamed as the Directorate General of Food in 1975. The last major reorganization of the agency took place in 1984. The current mandates and organogram are from 1984. As the custodian of the Public Food Distribution System (PFDS), DG Food plays an important role for the Government of Bangladesh (GoB). Under the Social Safety Net Programs (SSNP) of the GoB, DG Food ensures food security for vulnerable populations. In its sprawling countrywide network of 650-plus traditional warehouses, DG Food has an effective storage capacity of 1.9 million tons. In recent years, DG Food has procured and distributed approximately 3.0 million tons of foodgrains per year. A very large organization, DG Food has a sanctioned workforce of over 13,000 officers and employees, and an annual budget of approximately 1.5 billion U.S. dollars.

× Grain drying has become increasingly challenging for the Bangladesh food system as postharvest innovations have not kept pace with production growth and an increasing volume of grain is harvested during wet or foggy periods, when conventional open-air drying is problematic. This activity sought to build capacity for mechanical dryer service provision by small-scale entrepreneurs and to demonstrate a model for providing mobile grain drying services through entrepreneurs using a locally manufactured small-scale dryer. In coordination with Ministry of Food officials, the project selected 20 farmers to train as mechanized drying service providers, provided them with use of small-scale mobile batch dryers, and deployed them in rural areas from which Local Supply Depots (LSDs) source grain. The service providers were active in Bogura and Rangpur Districts in late May 2023, during the closing phases of the Boro harvest season. The pilot revealed nuances of the costs of operation and indicated potential for viable business activities, especially in areas where open-air drying is relatively costly or inadequately available. Additionally, a scoping visit to Naogaon District revealed significant interest in mechanized drying services. The findings suggest a value to additional observation of the service providers to document capacity utilization over an Aman season and a full Boro season. Such observations would allow confirmation about parameters related to annual capacity utilization which are important determinants of business viability

× The “Foresight for Food Markets: Developing and Implementing Market Forecasting Methods/Models with Hands-on Training at the FPMU” is an element of Integrated Food Policy Research Program (IFPRP). Originally signed in 2016 between the Government of Bangladesh (GoB) and the Joint Venture (JV) comprising the International Food Policy Research Institute (IFPRI), the Bangladesh Institute of the Development Studies (BIDS), and the University of Illinois, IFPRP was extended and modified in subsequent periods. The most recent updated contract between the GoB and the JV was signed in mid-2022. Deliverable 4.3, Foresight for Food Markets: Developing and Implementing Market Forecasting Methods/Models with Hands-on Training at the FPMU is one of the new deliverables included in the updated contract. Rising prices of essential commodities affect consumer welfare and pose a serious challenge to the Government of Bangladesh. Knowing prices of essentials in advance would allow the government to take necessary measures to restrain the extent of price increases or to mitigate effects of rising prices; such measures could include provisions of direct distributions of rice and wheat through social safety net programs or of subsidized open market sales on the one hand and engaging in direct imports of essentials or easing import restrictions for the private sector, on the other. Because price fluctuations are a feature of a free market, there is a persistent need for the government to be able to project consumer prices in advance. Accordingly, it is important that in addition to receiving estimates prepared by external experts, the government has the ability to obtain its own price projections; the government should have the estimates when it needs them and for commodities for which such information is needed. Against this backdrop, IFPRP is providing hands-on training on price projection techniques to officials from the Food Planning and Monitoring Unit (FPMU), the Directorate General of Food (DG Food), and the Ministry of Food (MoFood). It is envisioned that trained officials from the DG Food, the Ministry of Food, and mostly from the FPMU will produce price projection estimates on their own with IFPRP personnel helping a consultative capacity.

× Warehouse receipts systems (WRS) have been used to tackle multiple challenges faced by farmers. In the absence of adequate collateral and consequent credit constraints, a WRS enables the use of inventory as collateral for loans, thus removing a key constraint farmers face. With growing digital reach, electronic based Negotiable Warehouse Receipts (e-NWR) that can be swapped, exchanged and traded and can assist in deepening financial markets while maintaining the integrity of the system. While e-NWRS can potentially address farmer level constraints, they can also be viewed from a larger policy perspective as a system that aids government plans for food security and manage public procurement operations better and more nimbly; it can also play a key role for enhancing the efficiency and food quality and safety along value chains by enabling mid-stream players like traders and importers to manage these chains better. This report seeks to inform the policy process around e-NWRS by focusing on the potential of Ware house Receipt Financing, more broadly, in the agricultural development of Bangladesh. To do this we review global evidence as well as evidence closer to home, within South Asia, to understand the pre-conditions and prerequisites for a successful system.

× In this third edition of the South Asia Nutrition Knowledge Initiative’s Abstract Digest, we present studies on global, regional, and country-specific evidence on various topics of nutrition. These include the impact of short birth intervals on child malnutrition in the Asia-Pacific region, a summary of lessons from program evaluations of food systems interventions for nutrition in South Asia, the effect of zinc supplementation in pregnant and lactating mothers in a three-country study, and a review of evidence on school meals, impact on nutrition, and their other evolving dimensions.

× Intermediary firms within agri-food value chains operating between the farmgate and retailers typically account for at least as much, if not more, value added as the primary agricultural production sector of the economy, but little is known about how these small and largely informal firms conduct their business. Drawing on a set of innovative surveys implemented amid the arabica coffee and soybean value chains in Uganda and the rice and potato value chains in Bangladesh, we describe the financial activities of the firms that transform agricultural produce into food. We document four sets of results. First, across all intermediary actors in our data the overwhelming majority of transactions are cash-based. Second, although many intermediary actors are un-banked, access to financial accounts varies considerably by value chain segment, commodity, and country. Third, while most intermediary actors report using mobile money for personal purposes, especially in Uganda, very few use mobile money to facilitate business transactions. Fourth, although intermediary actors frequently report exposure to risk, very few effectively manage this risk. We conclude by discussing how intermediary agri-food value chain actors represent an underappreciated population for the promotion of new technologies both to improve the stability of the agricultural sector and to improve outcomes among smallholder farmers.

× There is growing evidence that gender disparities in the distribution of paid and unpaid work impose constraints on women’s well-being and livelihoods, reducing access to paid employment, and time for education, leisure, and social activities. Yet, gender disparities in unpaid work often go undiagnosed by traditional household surveys. While time-use surveys are well-suited for measuring unpaid work, they are often expensive to administer and take substantial amounts of survey time, leading to respondent fatigue, particularly in multi-topic surveys where other outcomes are also being collected.

× Progress to improve nutrition among women, infants and children in South Asia has fallen behind the pace needed to meet established global targets. Renewed political commitment and monitoring of nutrition interventions are required to improve coverage and quality of care. Our study aimed to assess the availability of national nutrition policies, programmes, and coverage data of nutrition interventions for women, children, and adolescents in eight countries in South Asia. We reviewed relevant policy and programme documents, examined questionnaires used in the most recent rounds of 20 nationally representative surveys, and generated an evidence gap map on the availability of policies, programmes, and survey data to track progress on coverage of globally recommended nutrition interventions. Current policies and programmes in South Asian countries addressed almost all the recommended nutrition interventions targeted at women, children, and adolescents. There was a strong policy focus in all countries, except Maldives, on health system platforms such as antenatal and postnatal care and child growth and development. Survey data on nutrition intervention coverage was most available in India and Nepal, while Bangladesh and Bhutan had the least. Though countries in South Asia have committed to national nutrition policies and strategies, national surveys had substantial data gaps, precluding progress tracking of nutrition intervention coverage. Greater attention and effort are needed for multisectoral collaboration to promote and strengthen nutrition data systems.

× Many cash transfer programs include complementary nutrition training, with the aim of encouraging households to use transfer resources toward improving child nutrition. Evidence indicates that these bundled programs, if intensive and well-implemented, can be effective in improving child nutritional status. However, little is known about how adding nutrition training to transfer programs affects their economic impacts. In particular, few studies have assessed whether nutrition programming may induce reallocation of transfer resources from physical capital to human capital. Scarce evidence also exists as to whether these tradeoffs depend on the transfer modality. We study a pilot program called the Transfer Modality Research Initiative in Bangladesh (TMRI), designed as a randomized controlled trial. TMRI provided cash or food transfers, with or without intensive group-based nutrition behavior change communication (BCC), to mothers of young children in poor rural households. We find that adding nutrition BCC to cash or food transfers leads to larger impacts on both consumption and assets – potentially surprising, given that the transfer value is unchanged. Analysis of mechanisms suggests that these effects occur through the BCC inducing increases in income generation, through investments in livelihoods. Suggestive evidence indicates that the effects of TMRI’s BCC are plausibly due to the intensive group-based format, which increased social capital for participant women and their household members, as well as improved participant women’s agency and self-confidence, knowledge, and input into household decisions. Results indicate that adding nutrition BCC to cash or food transfer programs do not necessarily induce a tradeoff between investing in human capital versus physical capital, but can rather strengthen impacts on both if appropriately designed.

× While there is growing global momentum behind food systems strategies to improve planetary and human health—including nutrition—there is limited evidence of what types of food systems interventions work. Evaluating these types of interventions is challenging due to their complex and dynamic nature and lack of fit with standard evaluation methods. In this paper, we draw on a portfolio of six evaluations of food systems interventions in Africa and South Asia that were intended to improve nutrition. We identify key methodological challenges and formulate recommendations to improve the quality of such studies. We highlight five challenges: a lack of evidence base to justify the intervention; the dynamic and multifaceted nature of the interventions; addressing attribution; collecting or accessing accurate and timely data; and defining and measuring appropriate outcomes. In addition to more specific guidance, we identify six cross-cutting recommendations, including a need to use multiple and diverse methods and flexible designs. We also note that these evaluation challenges present opportunities to develop new methods and highlight several specific needs in this space.

× We investigated the change of the prevalence of noncommunicable diseases (NCDs) in Bangladesh from 2011 to 2018 across different socioeconomic groups as well as the factors associated with the changes in prevalence. We used the two waves of the Bangladesh Demographic and Health Surveys conducted in 2011 and 2017–2018. Modified Poisson regression model was used to estimate the prevalence rate and ratio of NCDs and to test the association with different demographic and socioeconomic variables. The study found an upward trend of NCDs from 2011 to 2017 in which overweight and obesity, hypertension, and diabetes increased by 1.8, 1.5, and 1.1 times, respectively. In 2011, people from the richest households had 5.6 higher odds of being overweight compared to the poorest, which was reduced to 3.0 in 2017. However, the increment for overweight and hypertension was the highest among the poor and manual workers from 2011 to 2017. The age-adjusted prevalence ratio of overweight increased 4.4 times for the poorest, compared to 1.7 times for the richest. For manual workers, overweight increased 3.8 times, whereas hypertension increased by 2.4 times. The pooled analysis revealed that participants from the richest households have the highest risk of NCDs, with 3.3 times for overweight, 2.3 times for diabetes, and 1.3 times for hypertension, compared to the poorest. However, the prevalence of NCDs is rising quickly among the low socioeconomic groups in Bangladesh, narrowing the gap with higher socioeconomic groups. Our findings call for immediate policy interventions and targeted programs to curb NCD escalation in Bangladesh.

× Background The Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) indicator was validated as a proxy of micronutrient adequacy among nonpregnant women in low- and middle-income countries (LMICs). At that time, indeed, there was insufficient data to validate the indicator among pregnant women, who face higher micronutrient requirements. Objective This study aimed to validate a minimum food group consumption threshold, out of the 10 food groups used to construct MDD-W, to be used as a population-level indicator of higher micronutrient adequacy among pregnant women aged 15–49 y in LMICs. Methods We used secondary quantitative 24-h recall data from 6 surveys in 4 LMICs (Bangladesh, Burkina Faso, India, and Nepal, total n = 4909). We computed the 10-food group Women's Dietary Diversity Score (WDDS-10) and calculated the mean probability of adequacy (MPA) of 11 micronutrients. Linear regression models were fitted to assess the associations between WDDS-10 and MPA. Sensitivity, specificity, and proportion of individuals correctly classified were used to assess the performance of MDD-W in predicting an MPA of >0.60. Results In the pooled sample, median values (interquartile range) of WDDS-10 and MPA were 3 (1) and 0.20 (0.34), respectively, whereas the proportion of pregnant women with an MPA of >0.60 was 9.6%. The WDDS-10 was significantly positively associated with MPA in each survey. Although the acceptable food group consumption threshold varied between 4 and 6 food groups across surveys, the threshold of 5 showed the highest performance in the pooled sample with good sensitivity (62%), very good specificity (81%), and percentage of correctly classified individuals (79%). Conclusions The WDDS-10 is a good predictor of dietary micronutrient adequacy among pregnant women aged 15–49 y in LMICs. Moreover, the threshold of 5 or more food groups for the MDD-W indicator may be extended to all women of reproductive age, regardless of their physiologic status.

× Large, unexpected shocks are becoming more frequent, making the design of robust social transfer programs more vital than ever. We evaluate the performance of the Food Friendly Program (FFP), the largest in-kind social transfer program in Bangladesh, before and during the nation-wide COVID-19 lockdown. Using two-rounds of nationally representative household surveys combined with administrative data, we document that high leakages and large welfare losses are related to corruption. This contrasts with the performance of the pre-lockdown FFP, when leakage was low and coverage high. We then compare the performance of the FFP with two initiatives launched following the pandemic: an in-kind and cash transfer program, respectively. These programs have markedly higher levels of leakage than the FFP. Our findings are relevant to other large shocks, such as those caused by climate change, and have important policy implications for the design and delivery of transfer programs in developing countries characterized by institutional weaknesses.

× Absenteeism by doctors in public healthcare facilities in rural Bangladesh is a form of chronic rule-breaking and is recognised as a critical problem by the government. We explored the factors underlying this phenomenon from doctors’ perspectives. We conducted a facility-based cross-sectional survey in four government hospitals in Dhaka, Bangladesh. Junior doctors with experience in rural postings were interviewed to collect data on socio-demographic characteristics, work and living experience at the rural facilities, and associations with professional and social networks. Multiple logistic regression was used to determine the factors associated with rural retention. Of 308 respondents, 74% reported having served each term of their rural postings without interruptions. The main reasons for absenteeism reported by those who interrupted rural postings were formal training opportunities (65%), family commitments (41%), and a miscellaneous group of others (17%). Almost half of the respondents reported unmanageable workloads. Most (96%) faced challenges in their last rural posting, such as physically unsafe environments (70%), verbally abusive behaviour by patients/caregivers (67%) and absenteeism by colleagues that impacted them (48%). Respondents who did not serve their entire rural posting were less likely to report an unmanageable workload than respondents who did (AOR 0.39, 95% CI 0.22–0.70). Respondents with connections to influential people in the local community had a 2.4 times higher chance of serving in rural facilities without interruption than others (AOR 2.40, 95% CI 1.26–4.57). Our findings demonstrate that absenteeism is not universal and depends upon doctors’ socio-political networks. Policy interventions rarely target unsupportive or threatening behaviour by caregivers and community members, a pivotal disincentive to doctors’ willingness to work in underserved rural areas. Policy responses must promote opportunities for doctors with weak networks who are willing to attend work with appropriate support.

× Objectives: Quality antenatal care (ANC) services are critical for maternal health and nutrition. Information on quality of nutrition interventions during ANC is scarce in low-and middle-income countries. Our study examined the effects of intensified maternal nutrition interventions during ANC on service readiness, provision of care, and client’s experience of care in Bangladesh (BD), Burkina Faso (BF), Ethiopia (ET), and India (IN). We also examined inter-relationships between the dimensions of ANC quality.

× The fertilizer response of yield has been one of the major indicators of agricultural productivity in both developed and developing countries. Filling the evidence gap remains vital regarding fertilizer response in Asia, particularly in South Asia, given the evolution and emergence of new challenges, including intensifying climate shocks. We aim to partly fill this knowledge gap by investigating the associations between climate shocks and fertilizer response in Bangladeshi rice production. Using three rounds of nationally representative farm household panel data with plot- level information, we assess fertilizer response functions regarding rice yield and how the shapes of these response functions are heterogeneous in relation to anomalies in temperatures, droughts, and rainfall. We find robust evidence that climate anomalies have adverse effects on fertilizer responses, including higher temperatures for the Boro and the Aman irrigated systems and higher temperatures and droughts for the Aman rainfed systems. These findings hold robustly under various fertilizer response function forms, i.e., polynomial function and stochastic Linear Response Plateau. Furthermore, results for stochastic Linear Response Plateau are also consistent for both switching regression type models and Bayesian regression models.

× Early marriage restrains women's agency and bargaining strength in postmarital households, impairing their ability to make meaningful contributions to household decision making. This paper employs a comprehensive measure of women's empowerment in the domestic and productive spheres, and isolates the causal effect of age at marriage, instrumented by age at menarche, on their bargaining strength, using nationally representative data from Bangladesh. Results suggest that delayed marriages result in significantly higher empowerment scores and probability of being empowered for women, because of higher likelihood in achieving adequacy in their autonomy in agricultural production, control over income, ownership of assets and rights in those assets, and ability to speak in public. Favorable impacts of delayed marriage are also found on women's freedom of mobility, fertility choices, and their ability to decide on household expenses and investments, with the impacts likely coming via improvements in education and labor market outcomes when women married later.

× The COVID-19 pandemic resulted in severe income losses, but little is known about its impacts on diets and nutritional adequacy, or the effectiveness of social protection interventions in mitigating dietary and nutritional impacts. We first assess the likely impacts of COVID-19 shocks in Bangladesh and Myanmar on poverty and food and nutrient consumption gaps. We then analyze the estimated mitigating effects of five hypothetical social protection interventions of a typical monetary value: (1) cash transfers; (2) in-kind transfers of common rice; (3) in-kind transfers of fortified rice enriched with multiple essential micronutrients; (4) vouchers for a diversified basket of rice and non-staple foods; and (5) food vouchers with fortified rice instead of common rice. The simulation results suggest modest effectiveness of the cash transfers for mitigating poverty increases and little effectiveness of all five transfers for preventing increasing food and nutrient consumption gaps among the poorest 40%. Rice fortification is, however, effective at closing key micronutrient consumption gaps and could be a suitable policy instrument for averting ‘hidden hunger’ during economic crises.

× This study addresses the policy-relevant question of how, in the face of major economic shocks, social protection interventions can more effectively mitigate undernutrition. In particular, it considers the scope of scaled-up fortification of staples to avert the “hidden hunger” of micronutrient deficiencies. As a re-cent and still relevant example, it focuses on the kinds of economic shocks brought about by the COVID-19 pandemic which, especially during the first lockdowns of April 2020, resulted in severe job and income losses for the poor and thus reduction and changes in spending, with urban and rural non-farm households typically affected more severely than farm households. However, the findings of this study are relevant for other economic shocks that severely reduce household’s disposable income.
In this study, we examine the effects of stylized economic shocks on household incomes in Bangladesh, Myanmar, and Indonesia, with a focus on the difference between recommended and actual consumption of particular foods and nutrients. To this end, we use a novel combination of three integrated models to examine impacts and experiment with different types of social protection interventions. In Bangladesh and Indonesia, these are stylized models of the COVID-19 shock and government lock-downs; in Myanmar, however, we model the economic instability that took place after the February 2021 military takeover, which – in conjunction with COVID-19 impacts – resulted in an estimated 18 percent contraction in GDP (World Bank 2022).

× One of the Sustainable Development Goals (SDGs) is reducing food loss and waste (FLW) across all stages of food value chains, including the on-farm production, the off-farm postharvest, processing, and distribution, and the household consumption stages. We employ general equilibrium models for Bangladesh, Kenya, and Nigeria to assess the economywide implications of reducing FLW at different stages of value chains. Halving FLW results in GDP increases of between 1.1 and 2 percent, with up to 13 million people lifted out of poverty across the three countries. Diets also improve – especially in Kenya and Nigeria – due to greater availability and lower prices of healthy foods such as fruits and vegetables. Although most of the gains originate from reducing FLW in the on-farm production stage, strong intersectoral linkages mean around 30 percent of measured GDP gains are realized in non-agricultural sectors. Reducing waste at the final consumption stage has small negative impacts on GDP as households purchase less food without reducing their food intake. We conclude that the significant economywide gains provide a justification for adopting FLW reduction strategies, although costing the policy and investment options needed to reduce FLW is an important area for future research.

× Many development agencies design and implement interventions that aim to reach, benefit, and empower rural women across the value chain in activities ranging from production, to processing, to marketing. Determining whether and how such interventions empower women, as well as the constraints faced by different value chain actors, requires quantitative and qualitative tools. We describe how we adapted the project-level Women’s Empowerment in Agricultural Index (pro-WEAI), a mixed-methods tool for studying empowerment in development projects, to include aspects of agency relevant for multiple types of value chain actors. The resulting pro-WEAI for market inclusion (pro-WEAI+MI) includes quantitative and qualitative instruments developed over the course of four studies. Studies in the Philippines (2017), Bangladesh (2017), and Malawi (2019) were intended to diagnose areas of disempowerment to inform programming, whereas the Benin (2019) study was an impact assessment of an agricultural training program. The pro-WEAI+MI includes all indicators included in pro-WEAI, plus a dashboard of complementary indicators and recommended qualitative instruments. These tools investigate the empowerment of women in different value chains and nodes and identify barriers to market access and inclusion that may restrict empowerment for different value chain actors. Our findings highlight three lessons. First, the sampling strategy needs to be designed to capture the key actors in a value chain. Second, the market inclusion indicators cannot stand alone; they must be interpreted alongside the core pro-WEAI indicators. Third, not all market inclusion indicators will be relevant for all value chains and contexts. Users should research the experiences of women and men in the target value chains in the context of the programto select priority market inclusion indicators.

× The Bay of Bengal Initiative for Multi-Sectoral Technical and Economic Cooperation (BIMSTEC) is a regional organization that comprises seven nations, five of which are from South Asia (Bangladesh, Bhutan, India, Nepal, Sri Lanka) and two from Southeast Asia (Myanmar and Thailand). BIMSTEC aims to increase trade including agri-food products to much higher levels than its historical low values lying much below potential. In 2020, intra-BIMSTEC trade accounted for a mere 6.15% of the total trade among its member countries. In contrast, intra-ASEAN trade made up around 23% of the total trade within the Association of Southeast Asian Nations (ASEAN). These figures highlight the significant room for growth
in intra-regional trade among BIMSTEC member countries. Importantly the low share of intra BIMSTEC trade is not due to greater integration with supra-BIMSTEC partners. This policy note seeks to spell out some of the key agricultural trade policy-related challenges in the BIMSTEC region and their implications for economic integration in the area.

× Empowering women is crucial for a country's development because it leads to greater economic growth, increased productivity, and improved social outcomes. When women have access to education, economic opportunities, and decision-making power, they are better able to contribute to their families and communities. This can lead to increased income, improved health and education outcomes, and reduced poverty. In Bangladesh, women and girls still face considerable barriers to accessing education and economic opportunities, and are often subjected to traditional gender roles that may hinder them. Although women play a crucial role in agriculture, they experience many challenges that limit their productivity and economic potential, such as limited access to credit and training. They are also often marginalized and excluded from decision-making processes. As the complexity and importance of gender equity in development work has increased, so too has the need to measure empowerment and progress made toward improving empowerment and achieving gender parity. In Bangladesh, there has been growing momentum by the government and development partners to use evidence to inform gender-sensitive and -responsive policies and programs. The Women's Empowerment in Agriculture Index (WEAI) has emerged as a key tool to achieve this objective. This brief examines how WEAI data have informed and supported the design of policies and programs to promote women's empowerment in Bangladesh.

× The focus of research on international trade has recently shifted from industries and countries to firms. Firm heterogeneity is shown to be a determinant of trade at both the intensive margin (increase exports per firm/product) and extensive margins (the number of firms exporting – new products, new partners, new varieties, and new prices). It is now widely accepted that exporting firms are larger, comparatively productive, more skilled, and capital-intensive, and pay higher wages than non-exporting firms.
The innovations in international trade literature that explains both the emergence as well as levels and the nature of trade flows through value chain integration necessitates examining trade-based exchanges at the highest possible levels of product disaggregation. Developments in trade theory emphasize that it is individual firms not countries that trade and analysis needs to incorporate firm characteristics in decisions and ability for exporting and importing. Firms are the appropriate unit of analysis for trade flows. It helps several paradoxes once the import of firm heterogeneity is understood.
Despite the substantive importance of granular level data and the significant level of disaggregated product-level bilateral trade flow data and enhanced computing power that are becoming available, most studies have tended to rely on analysis with high level of aggregation. Recent research on firm heterogeneity in international trade highlights the importance of extensive margins i.e., new products, new partners, new varieties, and cumulative of these i.e., new prices in trade patterns and firms' responses to trade liberalization and other policy changes. However, the high dimensionality of the data and the large number of responses to changes can easily overwhelm researchers. Additionally, bigger data sets may contain more noise, which can mask important systematic patterns. In analysis of trade flows, notwithstanding the rising incidence of differentiated products (varieties) and value chains that transcend national boundaries, methods in agri-food trade analysis in particular have not kept pace in terms of empirical methods and suitable data.

× The stakeholder identification is initiated under the CGIAR Research Initative on Sustainable Healthy Diets through Food Systems Transformation (SHiFT) to identify with whom the project needs to engage with to achieve food system transformations. It brings together all the stakeholders working on food systems issues in a so-called ‘living’ database that can quickly identify potential stakeholders in each of the SHIFT target countries. Understanding, engaging and capacitating the different food system stakeholders will provide diverse perspectives to foster collaborations to leverage transformative actions across the system to improve outcomes. This stakeholder identification is a first step to building an understanding of who (people and institutions) is engaged with food system issues at different governance levels, including public and private actors, and those working in formal and informal sectors at national, regional, and local government levels.
In addition, the SHiFT country engagement approach is looking to connect with and strengthen existing stakeholder (coordination) mechanisms or platforms in food system transformation rather than establish new collaborative structures. Applying a stakeholder platform mapping tool to detect (coordination) structures engaged around food system issues, existing platforms, and networks are identified.

× There is ample data and literature that shows how women’s experiences in low-paid, short-term migration vary from those of men, and that experiences are linked to women’s empowerment – captured by the interrelated dimensions of resources, agency, and achievements. While considerable attention is paid to understanding the generalized notion of women’s empowerment, it is also key to distinguish empowerment in specific realms, including economic empowerment, agriculture, health and nutrition, and migration. To better understand the agency of female migrants, a Women’s Empowerment in Migration Index (WEMI) was developed. This brief discusses work to assess this index with data from women migrants in the Bangladesh to West Asia migration corridor.

× Transformation of the agri-food system (AFS) is a leading pathway to achieve the USG Global Food Security Strategy Objective 1 of “Inclusive agriculture-led growth”. The AFS encompasses the primary agricultural sector, as well as all upstream and downstream agriculture-related activities. An expansion of the AFS’s off-farm components is central to the process of agricultural transformation and is strongly associated with economic development. The Percent change in value-added in the agri-food system (AgGDP+) and Employment in the agri-food system (AgEMP+) indicators are useful to track this process.

× The spike in global commodity prices caused by the Russia-Ukraine war has had major adverse impacts on many developing countries, including Bangladesh, that still depend heavily on energy and food imports. Although the Bangladesh economy has rebounded after the COVID-19 pandemic, the latest global trade shock has threated to increase food insecurity and poverty. This study utilizes the Bangladesh RIAPA economywide model to assess the impact of increases in global commodity prices and explores potential policy interventions to reduce negative impacts. Simulation results show that increases in international commodity prices create a GDP loss of 0.36 percent and an increase of three million in the number of poor (mainly rural poor). Energy price shocks account for most of this decline in real GDP (0.28 percent). The fertilizer subsidy helps spur agriculture production which leads to an increase in crop GDP by 0.78 percent and total agricultural GDP by 0.43 percent. Changes in policy could help mitigate the effects of these price shocks. In particular, petroleum subsidies would help increase production in both agriculture and services, leading to a 0.3 percent increase in household consumption, considerably more than the gain under a targeted cash transfer policy of equal cost. However, given that the petroleum subsidy does not specifically target the poor, it only reduces poverty by a fraction of what a targeted cash transfer would. Moreover, as illustrated by the experiences of other countries, increases in a fuel subsidy, once introduced, are likely to be very difficult to reverse. This suggests that if the major policy goal is to reduce poverty, a direct cash transfer would be more effective than the other policy options considered here. Combining these policies, however, would be even more effective than any single intervention, reducing poverty incidence by around 2.5 million people, and thereby preventing nearly all of the potential increase in poverty resulting from global price shocks.

× Jordan’s garment sector employs a large number of women migrants from South Asia who face various challenges and vulnerabilities in their work environment. The COVID-19 pandemic has further exacerbated some of these vulnerabilities, leading to income losses. However, little information is available about this migration corridor. This study implemented qualitative phone survey interviews with returnee women migrants in Bangladesh to identify interventions that the organizations, such as the International Labor Organization and other actors supporting women’s safe migration could undertake to reduce women’s vulnerabilities in migration. The study identified networks of discipline and power, the perception of appropriate behavior at work and beyond and racialization as key areas that mediate vulnerabilities of women. We recommend increasing awareness of conditions at Jordan’s garment sector as part of pre-departure training, which is supported by the main recruitment practice of garment workers through BOESL in the country. Awareness raising includes information on the role of the Al Hassan Workers’ Center as well as on the role of the embassy of Bangladesh in Jordan. A second recommendation is to translate contractual documents into Bengali so that women migrants can better understand work conditions, including salaries. The final recommendation focuses on the need to continue research on the uneven power dynamics in Jordan’s garment sector to support dismantling networks of discrimination and power and racialization of the work environment.

× As the Russia-Ukraine crisis continues to disrupt the global trade of key foods such as wheat and vegetable oils, along with fertilizers, impacts are falling heavily on countries such as Bangladesh. Dependent on imports of those items to feed its large population, many of whom are poor and vulnerable to shocks, the country faces the prospect of rising food insecurity.
The conflict threatens Bangladesh’s recent progress on this front. With a population of 165 million in 2021 — with 38% employed by the griculture and fisheries sector — and a growing economy, the country’s undernourished population declined from a high of 16% in 2000 to as low as 9.7% in 2019. While the COVID-19 pandemic increased food insecurity, by some measures the country proved relatively resilient: According to an IFPRI study, the proportion of rural households facing moderate or severe food insecurity rose from 15% in early 2020 to 45% in January 2021, then returned to pre-pandemic levels by the end of 2021.

× Bangladesh experienced strong annual economic growth of 6.6 percent between 2009 and 2019 (BBS 2021). While the global COVID-19 pandemic caused a significant growth slowdown in 2020, growth started to recover in 2021. However, the recovery was hampered by global commodity market disruptions related to the war in Ukraine beginning in 2022 and the global recession in 2023 (Arndt et al. 2023; Diao and Thurlow 2023). The World Bank (2023) projects growth of 5.2 percent for 2023 and 6.2 percent for 2024, which is slower than the country’s pre-pandemic growth rate. Rapid growth in the past has already led to significant structural shifts in Bangladesh’s economy along with a transformation within the agrifood system (AFS). In this brief, we unpack these trends and future projections further to understand how Bangladesh’s AFS is contributing to growth and transformation in the country.

× The food systems approach is increasingly being used to understand the dynamics of how food is produced and consumed, with an optimal outcome for human health, social justice, economic endeavors, and the preservation of planetary resources. Since the United Nations Food Systems Summit (UNFSS) in September 2021, the food systems approach has become central to policy and practice of many international development and research organizations, multilateral organizations, and in (national) programs and policies aiming at improving food and nutrition security.

× Shrimp is Bangladesh’s main agricultural export and makes a substantial contribution to the economy of southern Bangladesh, but the sector has a checkered history. Bangladesh’s shrimp production and exports have been in steady decline, since peaking in the early 2010’s. Most shrimp exports from Bangladesh are used by the food service and niche ethnic markets in Europe.
The complex nature of shrimp supply chains in Bangladesh, comprised of hundreds of thousands of small polyculture farms and tens of thousands of small traders, make it difficult to implement tracea bility and certification initiatives – now a prerequisite for entry into most supermarket supply chains.
This report provides an overview of the sector and the challenges it faces, drawing on secondary and survey data, reviews of government reports and academic literature. We also report the findings of an expert consultation conducted to identify key constraints and potential solutions.
The consensus among industry stakeholders who were part of the expert consultations is that issues related to the supply and quality of shrimp seed and pond management practices represent some of the most pressing, yet relatively simple-to-solve challenges currently faced by the sector. This would serve as the foundation for establishing traceability and certification processes. Previous interventions aimed at upgrading production practices (such as promoting stocking of disease-free shrimp seed) and facilitating disintermediation and transparency in the supply chain (such as by establishing producer groups, shrimp collection centers, and contracts with processors), have met with limited success. We outline potential interventions and partners that might offer scalable solutions enabling small shrimp farmers to access global markets.

× The Bay of Bengal Initiative for Multi-Sectoral Technical and Economic Cooperation (BIMSTEC) brings together five South Asian countries (Bangladesh, Bhutan, India, Nepal, and Sri Lanka) and two Southeast Asian countries (Myanmar and Thailand). Recent events have raised global concerns on food security, including for BIMSTEC countries; these events include Russia’s withdrawal from the Black Sea Grain Initiative with Ukraine, India’s prohibition on the export of non-basmati white rice, and its 20 percent export duty on parboiled rice. This policy note spells out the likely impact of one of these events, that is, India’s restrictions on rice exports to its fellow BIMSTEC nations.
Trade moves food from surplus to deficit regions and hence is crucial for maintaining a stable food supply. Historically, the global supply of cereals has been stable (Bradford et al. 2022); this implies that trade (or the lack of it) can be directly mapped onto area-specific food insecurity. At the same time, shocks leading to trade disruption can pose serious challenges, particularly for countries with high import penetration in food.

× Women farmers in Bangladesh face several challenges when it comes to accessing technology and information, and this limits their ability to improve their agricultural productivity and enhance their livelihoods. The gendered digital divide is a significant contributor to inequities in agriculture and has important implications for women’s empowerment. Lack of access to information affects their ability to make informed decisions, access markets, and secure their rights. This policy note summarizes research designed to identify the barriers female farmers in Bangladesh face in accessing technology and information so that future policies and initiatives can address these challenges and, in so doing, promote gender equality and the empowerment of rural women.

× Agri-food systems transformation requires accelerated innovations to address multiple economic, environmental and health objectives. No innovation serves everyone’s interests. Political opposition to innovations is therefore inevitable. Promotion of agrifood systems innovations requires overcoming such opposition. One strategy is to bundle multiple technological, socio-cultural, policy, and/or institutional innovations to build political coalitions sufficient to champion bundled innovation that might not suffice to advance one-off innovations. Bundling can translate the potential Pareto improvements of individual innovations into actual Pareto improvements more likely to enjoy political support and advance multiple societal objectives simultaneously. This chapter lays out conceptually why bundling is therefore important for the political economy of innovation to transform agri-food systems. It then illustrates the logic using three cases from Asian agricultural development: China’s Science and Technology Backyards program, a comparison of genetic advances in Green Revolution and golden rice, and the contrasting cases of Bt brinjal in India and Bangladesh.

× Smallholder farmers in low- and middle-income countries have limited access to finance, due to the pau city of banks and other financial institutions in rural areas. As a result, banks and other formal financial institutions tend not to know much about farming as a business, and therefore they hesitate to extend credit to farmers. Such reluctance is often attributed to the elevated costs and risks linked with small, geographically dispersed farms, as well as the farmers' lack of collateral.
Microfinance has emerged as a crucial intervention in bridging this gap. However, the fixed and rigid repayment structures of microfinance institutions (MFIs) often clash with the seasonal nature of agricul tural production. This mismatch creates financial strain for farmers, who must manage cash flows that are inherently unpredictable due to factors like weather variability and market fluctuations. These challenges underscore the need for more flexible and tailored financial solutions.

× Evidence shows social protection can improve diets, but little is understood about how effects vary within a household or what factors determine how food is allocated across different household members. We use individual food intake data from two randomized control trials to estimate intrahousehold dietary impacts of cash or food transfers, with or without nutrition behavior change communication (BCC), in two regions of Bangladesh. We assess whether intrahousehold impacts 1) are consistent with different allocation "rules" hypothesized in the literature, 2) differ by transfer modality, provision of BCC, or regional context. Results indicate that households distribute food equally among their members (men, women, boys, and girls), both in absolute terms and in proportion to individual-specific requirements and deficits. Patterns are similar across regions and do not depend on transfer modality or whether BCC is provided. Findings have implications for designing nutrition-sensitive social protection with different target groups prioritized.

× Agri-food value chains are a crucial element of food systems and local economies around the world. Existing estimates show that intermediary agri-food value chain actors—the operating enterprises that transport and transform food from the farmgate to retailers—account for 60 to 75 percent of value-added produced by the entire agricultural sector of an economy.

× There is little evidence on the association between women’s migration, empowerment, and well-being, driven in part due to difficulty in measuring empowerment in the migration context. To better understand these linkages, we developed a Women’s Empowerment in Migration Index (WEMI) and validated it with survey of 1019 returnee female migrants in Bangladesh, who had returned after working internationally, mostly from countries in West Asia. By incorporating indicators of subjective well-being from migration literature into measures of empowerment, our paper advances research over earlier assessments of women’s experiences in the migration process beyond seemingly objective indicators, such as income, health, and economic welfare. We find that 14% of all migrant women in our sample could be classified as being empowered. Lack of membership in groups, restricted mobility, and lack of asset ownership are the largest contributors to migrant women’s disempowerment in our sample. We find that WEMI is strongly correlated with other measures of well-being, including mental health and livelihood-efficacy. Women with higher empowerment scores are also less likely to experience discriminatory labor practices and unsafe work conditions. With broad applicability to migrants from low and middle-income countries, WEMI can be used as a tool, helping to identify sources of disempowerment, and enabling stakeholders to develop interventions targeting the welfare of women migrant workers.

× There are few studies that rigorously assess how agricultural and nutrition related interventions enhance resilience and even fewer that incorporate a gendered dimension in their analysis. Mindful of this, we address three knowledge gaps: (1) Whether agricultural interventions aimed at diversifying income sources and improving nutrition have sustainable impacts (on asset bases, consumption, gender-specific outcomes and women’s empowerment, and on diets) that persist after the intervention ends; (2) whether such interventions are protective when shocks occur? and (3) whether these interventions promote gender-sensitive resilience. We answer these questions using unique data, a four-year post-endline follow up survey of households from a cluster-randomized controlled trial of a nutrition-and-gender-sensitive agricultural intervention in Bangladesh. We find that treatment arms that included both agriculture and nutrition training had sustainable effects on real per capita consumption, women’s empowerment (as measured by the pro-WEAI), and asset holdings measured four years after the original intervention ended. Treatment arms that included both agriculture and nutrition training (with or without gender sensitization) reduced the likelihood that households undertook more severe forms of coping strategies and reduced the likelihood that household per capita consumption fell, in real terms, by more than five percent between in the four years following the end of the intervention. The treatment arm that only provided training in agriculture had positive impacts at endline but these had largely faded away four years later. Our results suggest that bundling nutrition and agriculture training may contribute to resilience as well as to sustained impacts on consumption, women’s empowerment, and asset holdings in the medium term. These have implications for the design of future gender- and nutrition-sensitive agricultural programs.

× The COVID-19 pandemic in Bangladesh, associated public health measures, and people’s reactions were projected to have caused job losses among women, a decline in women’s empowerment and reduced women’s diet diversity. Using a November 2020 telephone survey to re-interview adult female respondents of a November 2019 in-person survey, contrary to expectations we find that more women found than lost jobs, and women’s diet diversity increased over the year partly marked by the COVID-19 pandemic. We did not find evidence of a decline in women’s involvement in food purchase decisions, nor women’s autonomy over use of household income. The change in women’s outside employment is neither statistically related to changes in women’s involvement in food purchase decisions, changes women’s autonomy over use of household income, nor changes in women’s diet diversity. Change in women’s involvement in food purchase decisions is positively related with change in women’s diet diversity and change in women’s autonomy over income use is negatively related with change in women’s diet diversity.

× Agricultural development projects increasingly aim to improve health and nutrition outcomes, often by engaging women. Although evidence shows such projects can improve women's and children's health and nutrition and empower women, little is known about their impacts on women's health- and nutrition-related agency and the extent to which impacts emerge through women's empowerment, largely due to a lack of instruments that measure the dimensions of women's agency that are directly relevant to health and nutrition outcomes. We developed an optional, complementary module for the project-level women's empowerment in agriculture index (pro-WEAI) to measure health- and nutrition-related agency (pro-WEAI + HN). Our method for developing related indicators used data collected from six agricultural development programmes implemented across Bangladesh, Burkina Faso and Mali (pooled sample = 12,114) and applied psychometric analysis (exploratory and confirmatory factor analysis) and the Alkire−Foster methodology. Results revealed seven indicators covering women's agency in the areas of her own health and diet; her health and diet during pregnancy; her child's diet; breastfeeding and weaning; purchasing food and health products; and acquiring food and health products. Multigroup confirmatory factor analysis revealed measurement invariance across contexts and samples. Tests of association (Cramer's V) and redundancy suggest that the pro-WEAI + HN indicators measured aspects of agency that are distinct from the core pro-WEAI. The uptake of these indicators in studies of nutrition-sensitive agricultural development projects may strengthen the evidence on how such programming can enhance women's empowerment to improve health and nutrition outcomes for themselves and their children.

× Zinc deficiency is a severe public health problem in Bangladesh. We examine the effects of nutritional information on rural consumers’ willingness-to-pay (WTP) for two ways to increase zinc intake through rice, the main staple crop–low-milling that gives rice grains a distinctive light brown color (a visible trait) and sets it apart from the culturally preferred high-milled white rice grain and biofortification of rice with increased zinc content (an invisible trait), which is also low-milled to retain maximum zinc content. Results of our economic experiments suggest that with nutritional information, consumers are willing to pay a premium of 4.6% for zinc biofortified rice compared to non-biofortified rice, when milled at the same level. However, results confirm the strong preference for high-milled rice by Bangladeshi consumers who discounted low-milled rice by 8%–10% even after receiving information on the nutritional benefits of biofortified or low-milled rice. We find that consumers’ WTP for the two high-zinc-low-milled rice types (biofortified and non-biofortified) is positively correlated with being a female, more educated, belonging to households engaged in non-farm activities and with children under 5 years of age. Results point to the importance of nutritional awareness campaigns for increasing zinc biofortified and low-milled rice consumption and guiding the targeting strategy for such campaigns. Given the consumer preference for high-milled rice, this study also points to the need for exploring the rice fortification strategy to address the challenge of malnutrition.

× Micronutrient deficiencies such as iron (Fe), zinc (Zn), and vitamin A, constitute a severe global public health phenomenon. Over half of preschool children and two-thirds of nonpregnant women of reproductive age worldwide have micronutrient deficiencies. Biofortification is a cost-effective strategy that comprises a meaningful and sustainable means of addressing this issue by delivering micronutrients through staple foods to populations with limited access to diverse diets and other nutritional interventions. Here, we report on the proof-of-concept and early development stage of a collection of biofortified rice events with a high density of Fe and Zn in polished grains that have been pursued further to advance development for product release. In total, eight constructs were developed specifically expressing dicot ferritins and the rice nicotianamine synthase 2 (OsNAS2) gene under different combinations of promoters. A large-scale transformation of these constructs to Bangladesh and Philippines commercial indica cultivars and subsequent molecular screening and confined field evaluations resulted in the identification of a pool of ten events with Fe and Zn concentrations in polished grains of up to 11 μg g−1 and up to 37 μg g−1, respectively. The latter has the potential to reduce the prevalence of inadequate Zn intake for women of childbearing age in Bangladesh and in the Philippines by 30% and 50%, respectively, compared to the current prevalence. To our knowledge, this is the first potential biotechnology public-sector product that adopts the product cycle phase-gated approach, routinely applied in the private sector.

× Addressing public health externalities often requires community-level collective action. Due to social norms, each person’s sanitation investment decisions may depend on the decisions of neighbors. We report on a cluster randomized controlled trial conducted with 19,000 households in rural Bangladesh where we grouped neighboring households and introduced (either financial or social recognition) rewards with a joint liability component for the group, or asked each group member to make a private or public pledge to maintain a hygienic latrine. The group financial reward has the strongest impact in the short term (3 months), inducing a 7.5–12.5 percentage point increase in hygienic latrine ownership, but this effect dissipates in the medium term (15 months). In contrast, the public commitment induced a 4.2–6.3 percentage point increase in hygienic latrine ownership in the short term, but this effect persists in the medium term. Non-financial social recognition or a private pledge has no detectable effect on sanitation investments.

× Digital financial services (DFS), particularly mobile banking, have the potential to extend financial services to unbanked populations.[1] Specifically, DFS reduce direct and indirect transaction costs. Mobile banking allows clients to access bank accounts, save money, and send and receive payments directly from their mobile phones, eliminating travel to a physical bank. Additionally, mobile banking reduces social or administrative constraints—such as in-person meetings and paperwork, and safety concerns while travelling with money—which can be especially salient for women.

× Introduction: Alive and Thrive (A&T) implemented infant and young child feeding (IYCF) interventions in Bangladesh. We examine the sustained impacts on health workers' IYCF knowledge, service delivery, job satisfaction, and job readiness three years after the program's conclusion.
Methods: We use data from a cluster-randomized controlled trial design, including repeated cross-sectional surveys with health workers in 2010 (baseline, n = 290), 2014 (endline, n = 511) and 2017 (post-endline, n = 600). Health workers in 10 sub-districts were trained and incentivized to deliver intensified IYCF counseling, and participated in social mobilization activities, while health workers in 10 comparison sub-districts delivered standard counseling activities. Accompanying mass media and policy change activities occurred at the national level. The primary outcome is quality of IYCF service delivery (number of IYCF messages reportedly communicated during counseling); intermediate outcomes are IYCF knowledge, job satisfaction, and job readiness. We also assess the role of hypothesized modifiers of program sustainment, i.e. activities of the program: comprehensiveness of refresher trainings and receipt of financial incentives. Multivariable difference-in-difference linear regression models, including worker characteristic covariates and adjusted for clustering at the survey sampling level, are used to compare differences between groups (intervention vs. comparison areas) and over time (baseline, endline, post-endline).
Results: At endline, health workers in intervention areas discussed significantly more IYCF topics than those in comparison areas (4.9 vs. 4.0 topics, p < 0.001), but levels decreased and the post-endline gap was no longer significant (4.0 vs. 3.3 topics, p = 0.067). Comprehensive refresher trainings were protective against deterioration in service delivery. Between baseline and endline, the intervention increased health workers' knowledge (3.5-point increase in knowledge scores in intervention areas, vs. 1.5-point increase in comparison areas, p < 0.0001); and this improvement persisted to post-endline, suggesting a sustained program effect on knowledge. Job satisfaction and readiness both saw improvements among workers in intervention areas during the project period (baseline to endline) but regressed to a similar level as comparison areas by post-endline. Discussion: Our study showed sustained impact of IYCF interventions on health workers' knowledge, but not job satisfaction or job readiness—and, critically, no sustained program effect on service delivery. Programs of limited duration may seek to assess the status of and invest in protective factors identified in this study (e.g., refresher trainings) to encourage sustained impact of improved service delivery. Studies should also prioritize collecting post-endline data to empirically test and refine concepts of sustainment.

× The COVID-19 pandemic resulted in severe income losses, but little is known about its impacts on diets and nutritional adequacy, or the effectiveness of social protection interventions in mitigating dietary and nutritional impacts. We first assess the likely impacts of COVID-19 shocks in Bangladesh and Myanmar on poverty and food and nutrient consumption gaps. We then analyze the estimated mitigating effects of five hypothetical social protection interventions of a typical monetary value: (1) cash transfers; (2) in-kind transfers of common rice; (3) in-kind transfers of fortified rice enriched with multiple essential micronutrients; (4) vouchers for a diversified basket of rice and non-staple foods; and (5) food vouchers with fortified rice instead of common rice. The simulation results suggest modest effectiveness of the cash transfers for mitigating poverty increases and little effectiveness of all five transfers for preventing increasing food and nutrient consumption gaps among the poorest 40%. Rice fortification is, however, effective at closing key micronutrient consumption gaps and could be a suitable policy instrument for averting “hidden hunger” during economic crises.

× We use economywide models to examine the economic recovery from COVID-19 shocks in Bangladesh and Nepal during 2020–2026. Declining labor productivity, capital underutilization, consumption shifts, and international investment shocks had significant and differential sectoral and country-level impacts in these countries. By 2026, GDP will be 6.9% and 13.9% lower in Bangladesh and Nepal, respectively, and the two countries will have an additional 3.3 million people in poverty compared to a no-COVID baseline. Regaining economic and welfare losses will require substantial investments in key industrial, agricultural, and tourism sectors, although tough policy decisions will be required given high levels of public debt.

× The COVID-19 pandemic has disproportionately affected vulnerable populations. With its intensity expected to be cyclical over the foreseeable future, and much of the impact estimates still modeled, it is imperative that we accurately assess the impact to date, to help with the process of targeted rebuilding of services. We collected data from administrative health information systems in six South Asian countries (Afghanistan, Bangladesh, Nepal, India, Pakistan and Sri Lanka), to determine essential health services coverage disruptions between January–December 2020, and January–June 2021, compared to the same calendar months in 2019, and estimated the impact of this disruption on maternal and child mortality using the Lives Saved Tool. We also modelled impact of prolonged school closures on continued enrollment, as well as potential sequelae for the cohort of girls who have likely dropped out. Coverage of key maternal and child health interventions, including antenatal care and immunizations, decreased by up to 60%, with the largest disruptions observed between April and June 2020. This was followed by a period of recovery from July 2020 to March 2021, but a reversal of most of these gains in April/May 2021, likely due to the delta variant-fueled surge in South Asia at the same time. We estimated that disruption of essential health services between January 2020 and June 2021 potentially resulted in an additional 19,000 maternal and 317,000 child deaths, an increase of 19% and 13% respectively, compared to 2019. Extended school closures likely resulted in 9 million adolescents dropping out permanently, with 40% likely being from poorest households, resulting in decreased lifetime earnings. A projected increase in early marriages for girls who dropped out could result in an additional 500,000 adolescent pregnancies, 153,000 low birthweight births, and 27,000 additional children becoming stunted by age two years. To date, the increase in maternal and child mortality due to health services disruption has likely exceeded the overall number of COVID-19 deaths in South Asia. The indirect effects of the pandemic were disproportionately borne by the most vulnerable populations, and effects are likely to be long-lasting, permanent and in some cases inter-generational, unless policies aimed at alleviating these impacts are instituted at scale and targeted to reach the poorest of the poor. There are also implications for future pandemic preparedness.

× In the aftermath of the COVID-19 pandemic, interest has grown in what kinds of assistance protect household food security during shocks. We study rural and urban Bangladesh from 2018 to 2019 to late 2021, assessing how pre-pandemic access to social safety net programs and private remittances relate to household food insecurity during the pandemic. Using longitudinal data and estimating differences-in-differences models with household fixed effects, we find that pre-pandemic access to social protection is associated with significant reductions in food insecurity in all rounds collected during the pandemic, particularly in our urban sample. However, pre-pandemic access to remittances shows no similar protective effect.

× Widespread use of small power pumps in South Asia has revolutionized agricultural production since the 1970s. In the past few years, solar photovoltaic pumps have become affordable alternatives to diesel and grid-powered electric pumps. While their initial investment is higher, the near-zero operating costs make them extremely attractive (Xie et al. 2021; Lefore et al. 2021). They have additional benefits, including reducing the national fuel import bill; and producing no greenhouse gases. Small solar-powered pumps are portable and can be used for many purposes. India, among others, is investing billions of Indian Rupees in subsidies to ramp up their use; and partnerships among private firms, NGOs, governments, researchers, and investors are trying to expand their uptake in sub-Saharan Africa. A major downside is that most irrigation pumps are being acquired by relatively wealthy male farmers, exacerbating already high levels of inequality in rural communities. Poor smallholders, especially women, cannot meet the required credit checks and therefore cannot purchase the pumps. Nor do they have access to finance to purchase complementary inputs such as fertilizer and seeds. In response, various research institutions, pump manufacturers, and NGOs are exploring how to target irrigation pumps to poor smallholders, women, and youth. Many studies and pilot programs have been implemented and shown positive results. The challenge is to scale out the successful pilots based on lessons learned. This brief explores the lessons learned and identifies potential ways forward.

× Background: Despite considerable evidence on a negative association between pregnancy pesticide exposure and child development in high-income countries, evidence from low- and middle-income countries (LMICs) is limited. Therefore, we assessed associations between pregnancy pesticide exposure and child development in rural Bangladesh and summarised existing literature in a systematic review and meta-analysis.
Methods: We used data from 284 mother-child pairs participating in a birth cohort established in 2008. Eight urinary pesticide biomarkers were quantified in early pregnancy (mean gestational age 11.6±2.9 weeks) as an index of pesticide exposure. The Bayley Scales of Infant and Toddler Development, Third Edition were administered at 20–40 months of age. Associations between creatinine-adjusted urinary pesticide biomarker concentrations and child development scores were estimated using multivariable generalised linear models. We searched ten databases up to November 2021 to identify prospective studies on pregnancy pesticide exposure and child development conducted in LMICs. We used a random-effects model to pool similar studies, including our original analysis. The systematic review was pre-registered with PROSPERO: CRD42021292919.
Results: In the Bangladesh cohort, pregnancy 2-isopropyl-4-methyl-6-hydroxypyrimidine (IMPY) concentrations were inversely associated with motor development (-0.66 points [95% CI -1.23, -0.09]). Pregnancy 3,5,6-trichloro-2-pyridinol (TCPY) concentrations were inversely associated with cognitive development, but the association was small: -0.02 points (-0.04, 0.01). We observed no associations between 4-nitrophenol and 3-phenoxybenzoic acid (3-PBA) concentrations and child development. The systematic review included 13 studies from four LMICs. After pooling our results with one other study, we found consistent evidence that pregnancy 3-PBA concentrations were not associated with cognitive, language, or motor development.
Conclusion: Evidence suggests that pregnancy exposure to some organophosphate pesticides is negatively associated with child development. Interventions to reduce in-utero pesticide exposure in LMICs may help protect child development.

× Antenatal care (ANC) is an opportunity to receive interventions that can prevent low birth weight (LBW). We sought to 1) estimate LBW prevalence and burden in South Asia, 2) describe the number of ANC visits (quantity) and interventions received (quality), and 3) explore associations between ANC quantity, quality and LBW. We used Demographic and Health Survey (DHS) data from Afghanistan (2015), Bangladesh (2018), India (2016), Nepal (2016), Pakistan (2018) and Sri Lanka (2016) (n = 146,284 children <5y). Women were categorized as follows: 1) low quantity (<4 ANC visits) and low quality (<5 of 10 interventions received during ANC), 2) low quantity and high quality (≥5 of 10 interventions), 3) high quantity (≥4 visits) and low quality, 4) high quantity and high quality. We used fixed effect logistic regressions to examine associations between ANC quality/quantity and LBW (<2500 grams). LBW prevalence was highest in Pakistan (23%) and India (18%), with India accounting for two-thirds of the regional burden. Only 8% of women in Afghanistan received high quantity and high quality ANC, compared to 42–46% in Bangladesh, India, and Pakistan, 65% in Nepal and 92% in Sri Lanka. Compared to the low quantity/quality reference group, children of women with high quantity/quality ANC had lower odds of LBW in India (Adjusted Odds Ratio 0.84, 95% CI 0.78–0.89), Nepal (0.57, 0.35–0.94), Pakistan (0.45, 0.23–0.86), and Sri Lanka (0.73, 0.57–0.92). Low quantity but high quality ANC was protective in India (0.90, 0.84–0.96), Afghanistan (0.53, 0.27–1.05) and Pakistan (0.49, 0.23–1.05). High quantity but low quality ANC was protective in Sri Lanka (0.76, 0.61–0.93). Neither frequent ANC without appropriate interventions nor infrequent ANC with appropriate interventions are sufficient to prevent LBW in most South Asian countries, though quality may be more important than quantity. Consistent measurement of interventions during ANC is needed.

× Background
Early detection of diabetes and hypertension is helpful to prevent and/or delay the onset of these diseases through proper interventions. Therefore, it is a prerequisite to know the prevalence of prediabetes and prehypertension and the factors associated with these conditions but people from developing countries including Bangladesh often remain undiagnosed and unaware of these conditions. In this study we investigate the prevalence of prediabetes and prehypertension and their associated factors in Bangladesh using nationally representative data.

Method
We used nationally representative Bangladesh Demographic and Health Survey (BDHS) 2017–18 survey data, which included a total sample of 14,704 adults aged 18 years and more from whom blood pressure and fasting plasma glucose were collected. Chi-square test was used to examine the differences between sociodemographic and outcome variables. The univariate and multivariate logistic regression was performed to identify the factors associated with prediabetes and prehypertension.

Results
Overall, the prevalence of prediabetes and prehypertension was 8.6% with 14% of the sampled population having from prediabetes and prehypertension separately. Among the prediabetic and prehypertensive participants, one-fourth of the participant were from the richest families and around one-third were overweight/obese, while more than fifty percent had normal Body Mass Index (BMI) and completed secondary and higher education. In the univariate analysis, the richest wealth status (UOR 3.3, 95% CI: 2.46 -4.35) and overweight/obesity (UOR 3.2, 95% CI: 2.62–3.85) are the highest predictors for prediabetes and prehypertension. After adjusting the other variables, overweight/obesity remains the largest predictor for prediabetes and prehypertension (AOR:2.5, 95% CI:2.05–3.05). Further, people aged 31 and above and from the richest family had around 2 times and 1.8 times higher risk of being prediabetic and prehypertensive compared to the younger age people (18–30 years) and the poorest family (respectively).

Conclusion
The coexistence of prediabetes and prehypertension is an early sign of a greater burden of noncommunicable diseases (NCDs) in the near future for Bangladesh. To reduce the higher burden of NCDs, our findings call for a multisectoral approach to identify the precondition of NCDs with particular attention to maintaining body weight.

× The COVID-19 pandemic not only imposed severe health risks but also raised major challenges to the economy, due to widespread and severe measures to control the spread of the disease. Food value chains were disrupted by restrictions of the movement of people and commodities, which had significant impacts on the livelihoods of smallholder farmers. The purpose of this research is to determine the impact of the COVID-19 pandemic on Bangladeshi vegetable farmers. A total of 320 vegetable farmers were selected from the North-West region of Bangladesh. Both quantitative and qualitative data were collected through a digital survey method. Analysis revealed that around 3–5% of the marketed surplus of the farms was reduced during the pandemic due to the disturbances. The majority of the farm households reported that there was a significant reduction in their family income and, as a consequence, around 38% of farm households had cut down on their food consumption during the pandemic. The farmers were found to follow different strategies to cope with the difficulties and respond to government initiatives to mitigate such impacts. Despite all the restrictions and risks, extension services were still available to help the farmers. On the basis of the findings, this study suggests the importance of collaborative participation of the relevant bodies to decrease the effects of COVID-19 on farm households by employing all available mechanisms and focusing more on identifying effective coping strategies that can be supported in the event of future shocks, for more sustainable and resilient food systems.

× We use a randomized controlled trial in rural Bangladesh to compare two models of delivering nutrition content jointly to husbands and wives: deploying female nutrition workers versus mostly male agriculture extension workers. Both approaches increased nutrition knowledge of men and women, household and individual diet quality, and women’s empowerment. Intervention effects on agriculture and nutrition knowledge, agricultural production diversity, dietary diversity, women’s empowerment, and gender parity do not significantly differ between models where nutrition workers versus agriculture extension workers provide the training. The exception is in an attitudes score, where results indicate same-sex agents may affect scores differently than opposite-sex agents. Our results suggest opposite-sex agents may not necessarily be less effective in providing training. In South Asia, where agricultural extension systems and the pipeline to those systems are male dominated, training men to deliver nutrition messages may offer a temporary solution to the shortage of fe male extension workers and offer opportunities to scale and promote nutrition-sensitive agriculture. However, in both models, we find evidence that the presence of mothers-in-law within households modifies the programs’ effectiveness on some nutrition, empowerment, and attitude measures, suggesting that accounting for other influential household members is a potential area for future programming.

× This paper investigates the associations between agricultural diversification and dietary diversity among men, women and children of farm households in Bangladesh. Using three waves of nationally representative Bangladesh Integrated Household Survey (BIHS- 2011–12, 2015 and 2018) data and a panel data model, the study found that agricultural production diversification can emphasize the dietary diversification across the life cycle of farm household members. The balanced panel data reveals that agricultural production diversification has a statistically significant and positive impact on dietary diversity of individual members (men, women and children) of farm households. Moreover, other important factors that impact on agricultural diversification and improve dietary diversity like women’s education and employment, commercialization of farm households, access to non-farm income sources, and access to information facilities also have a strong association in improving dietary status, food and nutritional security as well. Although there is currently limited diversity in the diets of adult men, women and children of rural farm households, the situation can be improved over time with proper and consistent support. The findings suggest policy interventions should target not only agricultural diversification but also improve women’s education and on and off farm employment opportunities and facilitate better access to information for rural households. These recommendations can support improved dietary diversity for all household members under different settings.

× Background: Bangladesh is urbanizing rapidly, facing challenges of malnutrition, low coverage and poor quality of urban nutrition services.
Objectives: We assessed the impact of integrating maternal, infant, and young child nutrition interventions, delivered at urban Maternal Neonatal and Child Health facilities, on maternal dietary diversity, iron-folic acid (IFA) and calcium consumption, and child feeding practices.
Methods: We used a quasi-experimental design with a non-random assignment of 20 health facilities in Dhaka to intensive and standard service arms. We conducted facility-based observations and community-based surveys at baseline (2020) and endline (2022) (n=2,455 observations and surveys with 1,678 pregnant [PW] or recently delivered women [RDW] at endline). We derived difference-in-difference (DID) estimates, adjusted for characteristics that differed at baseline or endline, and accounted for clustering.
Results: Exposure to antenatal care (ANC) was similar in both arms: two-thirds of RDW received ANC during the first trimester and three-fourths received ≥4 ANC check-ups.
Compared to the standard arm, a higher proportion of PW in the intensive arm received counselling on dietary diversity (DID: 45 percentage points [pp]), and a higher proportion of RDW received IFA (25pp) and calcium supplementation (19pp), adequate weight gain (44pp), and appropriate child feeding (27pp). Improvements were greater in the intensive than standard arm for number of food groups consumed (DID: 1.1 food groups) and minimum dietary diversity (23pp); no impact was observed for IFA and calcium consumption during pregnancy. Impacts were observed for early initiation (20pp), exclusive breastfeeding (45pp), introduction of solid or semi-solid foods (28pp), and egg and/or flesh food consumption (33pp) among children. Minimum dietary diversity and acceptable diet remained low in both arms.
Conclusions: Intensifying nutrition in government-aligned health services delivered by experienced NGO-run facilities is a feasible model to address the urban health gap, nutrition services coverage, and improved practices.

× Background: Recent evidence suggests that diet inequities between men and women may have diminished within rural Bangladeshi households. However, this has not been directly tested with appropriate physiologic adjustments and it is unclear whether changes have occurred across socioeconomic strata. Understanding intrahousehold dietary patterns at different points on the income and food-security distribution in rural Bangladesh—particularly, within ultrapoor and farm households—is important for appropriate design of gender-sensitive and nutrition-sensitive interventions, which often target these groups.
Objective: Using 2012 and 2016 data, we aimed to examine gender differences in diet quantity and quality among ultrapoor and farm households in rural Bangladesh.
Methods: The study used baseline 24-h dietary data from 2 randomized control trials conducted in rural Bangladesh: the Transfer Modality Research Initiative (ultrapoor households) and the Agriculture, Nutrition, and Gender Linkages project (farm households). Ordinary least squares regressions with household-level fixed effects tested for gender differences among constructed diet measures, such as caloric intake, caloric adequacy ratio, dietary diversity score, global diet quality score, and probability of consuming moderate or high levels of healthy food groups.
Results: In both samples, on average, women consumed fewer calories than men in the same households but consumed near equal or more in reference to their caloric needs. Women scored <1% lower than men on diet quality indicators and showed similar probabilities to men of consuming healthy foods. Most men and women in both samples were calorically inadequate (>60%) and recorded poor diet quality scores that indicated high risk of nutrient inadequacy and chronic disease (>95%).
Conclusions: In both ultrapoor and farm households, although men record higher intake quantities and diet quality scores, the apparent male advantage disappear when energy requirements and the magnitudes of difference are considered. Diets of men and women in these rural Bangladeshi households are equitable but suboptimal.

× The rapid growth of aquaculture in Bangladesh over the past three decades has been facilitated by increasing supplementary feed use and increasing numbers of feed suppliers, but little is known about the organization and behavior of the feed supply segment of aquaculture value chain. We conducted a comprehensive survey with 79 feed suppliers of two types: ‘dealers’ linked to feed companies (n = 34) and independent retailers (n = 45), in the seven main aquaculture producing districts of southern Bangladesh in 2021 to address this knowledge gap. We found the following. (1) Over the past 10 years, the number of traders increased 70% and the volume of feed traded almost doubled. (2) Feed supply is shifting from traditional agricultural byproducts to formulated feeds (47% of total feed), and floating feeds as a subset of those (54% of formulated feed), contributing to increasing farm productivity. (3) The formulated fish feed market in Bangladesh is diverse, but quite concentrated. Feed suppliers sold formulated feed produced by 35 companies, with eight companies accounting for 74% of sales. (4) Feed handling practices are efficient. Traders sell feeds quickly (average turnover time 10 days) and storage practices are adequate to maintain quality. (5) No traders reported experiencing any waste or loss of feed during their most recent completed transaction, and only 5% of traders reported losing a small portion of feed (1.7%) during transport. (6) The average profit margin earned by feed suppliers is a modest 6.2%. (7) Feed trading creates substantial employment: 43,937 full time equivalent (FTE) jobs in the seven surveyed districts. In sum, the feed supply segment of the aquaculture value chain in southern Bangladesh is dynamic, well-developed, and relatively competitive and efficient. This finding is contrary to the conventional wisdom, which often portrays the sector as inefficient and beset by problems.

× Integrated aquaculture–agriculture (IAA) is a form of crop diversification where aquatic and terrestrial foods are grown together on a single parcel of land. We compare economic and nutrient productivity per hectare for 12 distinct IAA combinations, identified from a representative survey of 721 farms in southern Bangladesh. Just under half of households integrate agriculture into their aquaculture production. Regression analyses show positive associations between the integration of terrestrial foods into aquatic farming systems and nutrient productivity, but that nutrient productivity is partly disconnected from economic productivity. However, we find that production of specific combinations of aquatic foods and vegetables can simultaneously improve nutrient productivity and economic productivity, thereby promoting nutrition-sensitive agriculture (NSA). The approach demonstrated here can be applied to the design of NSA programmes that are important for realizing nutrition-sensitive food systems.

× Poverty is endemic in the highly populated Eastern Gangetic Plains where agriculture is critical to more than half the population. However, the mechanisms to support agriculture for development are contested. For example, some have advocated a strong role for government support and assistance due to market weaknesses, while others have promoted the need for more market-oriented approaches. We use an elicitation process focussed on expert policymaking communities, employing stated preference techniques to explore these options. Differences in perceptions about the effectiveness of policies and their delivery are reported between countries, while also empirically examining the influence of the respondents' organisational background. The results show support for policies that improve farmers' access to inputs, especially when delivered by private sector actors. The research provides an important contribution to the literature on policies for agricultural development.

× This study used a panel data model to examine the relationship between agricultural diversification and dietary diversity of farm households across three waves of nationally representative Bangladesh Integrated Household Survey data (BIHS- 2011-12, 2015, and 2018). Prior research measured diversification in terms of crop cultivation and livestock rearing. However, this study takes a different approach to measuring agricultural diversification by combining the three major sectors—crop, fish, and livestock production—at the farm household level to evaluate the impact of such agricultural diversification on the diversification of diets in households. The panel data allows us to establish that agricultural production diversification has a significantly positive effect on the dietary diversity of farm households. Moreover, other important factors that impact agricultural diversification to improve dietary diversity, like women’s employment, market access, engagement with non-farm income sources, and access to information also have a strong association in improving the dietary status, food and nutritional security of households. Participation in the market helps farming households to become more commercially oriented but negatively affects the dietary diversification of the households. However, participation in non-farming activities was reported to have a significant positive influence on dietary diversity, though not as much as agricultural diversification. From the perspective of policy that requires nutrition into consideration, the findings suggest to focus on providing support for diversified farming systems can directly increase the nutritionally enriched dietary intake, increasing the employability of women. Promoting market participation through modern infrastructural facilities should be prioritized to improve the current scenarios.

× Climate change poses a greater threat for more exposed and vulnerable countries, communities and social groups. People whose livelihood depends on the agriculture and food sector, especially in low-and middle-income countries (LMICs), face significant risk. In contexts with gendered roles in agri-food systems or where structural constraints to gender equality underlie unequal access to resources and services and constrain women's agency, local climate hazards and stressors, such as droughts, floods, or shortened crop-growing seasons, tend to negatively affect women more than men and women's adaptive capacities tend to be more restrained than men's . Transformation towards just and sustainable agri-food systems in the face of climate change will not only depend on reducing but also on averting aggravated gender inequality in agri-food systems. In this paper, we developed and applied an accessible and versatile methodology to identify and map localities where climate change poses high risk especially for women in agri-food systems because of gendered exposure and vulnerability. We label these localities climate-agriculture-gender inequality hotspots. Applying our methodology to LMICs reveals that the countries at highest risk are majorly situated in Africa and Asia. Applying our methodology for agricultural activity-specific hotspot subnational areas to four focus countries, Mali, Zambia, Pakistan and Bangladesh, for instance, identifies a cluster of districts in Dhaka and Mymensingh divisions in Bangladesh as a hotspot for rice. The relevance and urgency of identifying localities where climate change hits agri-food systems hardest and is likely to negatively affect population groups or sectors that are particularly vulnerable is increasingly acknowledged in the literature and, in the spirit of leaving no one behind, in climate and development policy arenas. Hotspot maps can guide the allocation of scarce resources to most at-risk populations. The climate-agriculture-gender inequality hotspot maps show where women involved in agri-food systems are at high climate risk while signaling that reducing this risk requires addressing the structural barriers to gender equality.

× We assess whether ownership of dairy cows is associated with a greater likelihood of consuming dairy products and with child anthropometric status in rural Bangladesh. Consistent with the assumption of imperfectly functioning markets for dairy products, ownership of dairy cows increases the likelihood that a child 6–59 months consumes milk by 7.7 percentage points with no difference in this association between boys and girls. This association nearly doubles in magnitude when we consider households that own a dairy cow that produced milk in the last year. This result is robust to the controls we use and the way in which we measure dairy cow ownership. Even when we saturate our model with child, maternal, household, wealth, as well as village fixed effects, we retain an association between dairy cow ownership and height-for-age z scores (HAZ) that is meaningful in magnitude – 0.13 standard deviations – and statistically significant at the one percent level. For children in the 12–23.9 month age group, ownership of a dairy cow is associated with a 0.37 SD increase in HAZ and a reduction of 11.3 percentage points in stunting. There is no statistically significant association with weight-for-height or wasting. These associations do not differ between boys and girls.

× While the key role that policy plays in sustainable development has long been recognized, rigorously documenting the influence of research on policy outcomes faces conceptual, empirical and even political challenges. Addressing these challenges is increasingly urgent since improving policies—broadly defined—is at the heart of the structural transformation agenda. This paper describes the use of a new evaluation method—outcomes trajectory evaluation (OTE), based on both evaluation and policy process theory—to explore the influence of HarvestPlus, a large and complex research for development program focused on improving nutrition, on a specific policy outcome, namely the establishment of crop biofortification breeding programs in national agricultural research institutes in Bangladesh, India and Rwanda. The findings support claims of significant HarvestPlus contributions to the establishment of the programs while also raising issues that need to be monitored moving forward to ensure sustainability. The paper also discusses the pros and cons of the OTE approach in terms of both methodological rigor and program learning. In particular, the fact that HarvestPlus is a long-running program allows us to reflect on how a “backward looking” approach such as OTE builds on and complements the more “forward looking,” theory of change-based approaches that informed HarvestPlus programming and evaluation during its earlier, highly-successful phases. Such a long-run perspective is rare in development evaluation and it offers important lessons for how to think about and plan for evaluation over the course of a complex agriculture research for development program.

× Public food transfer programs serve as an important safety net for those facing hunger and food insecurity in both low- and high-income countries around the world. During the COVID-19 pandemic, these programs have become even more crucial, as food insecurity and poverty rates have soared. But lockdowns and other public health restrictions can also disrupt food distribution operations and thus limit their effectiveness.

× With the onset of the COVID-19 pandemic, CGIAR pivoted its research planning to better support countries as they responded to the crisis. Despite the unprecedented, highly disruptive nature of the pandemic, CGIAR’s collaborative country work has enhanced engagement across the agrifood sector, leveraged existing capacities, and improved awareness of vulnerabilities within value chains. The insights gained from this experience may ultimately prove useful in addressing other longstanding challenges as well. In this chapter, we recount selected country experiences during the pandemic and the response of the international agricultural research system to support these countries. In the section on country experiences, we draw from IFPRI’s COVID-19 Policy Response Portal (CPR) to focus on lockdown policies in Bangladesh, Kenya, and Nigeria. We describe the steps taken by governments in these countries to address challenges in the agrifood sector and provide social protection to the vulnerable.

× A growing body of evidence indicates that agricultural development programs can potentially improve production diversity and diet quality of poor rural households; however, less is known about which aspects of program design are effective in diverse contexts and feasible to implement at scale. We address this issue through an evaluation of the Agriculture, Gender, and Nutrition Linkages (ANGeL) project. ANGeL is a randomized controlled trial testing what combination of trainings focused on agricultural production, nutrition behavior change communication, and gender sensitization were most effective in improving production diversity and diet quality among rural farm households in Bangladesh. We find that trainings focused on agriculture improved production diversity in terms of greater production of fruits and vegetables grown on the homestead, eggs, dairy, and fish; adding trainings on nutrition and gender did not significantly change these impacts. Trainings focused on both agriculture and nutrition showed the largest impacts on diet quality, with evidence indicating that households in this arm also significantly increased consumption out of homestead production for fruits and vegetables, eggs, dairy, and fish. Findings indicate that agricultural training that promotes production of diverse, high-value, nutrient-rich foods can increase production diversity, and this can improve diet quality, but diet quality impacts are larger when agricultural training is combined with nutrition training. Relative to treatments combining agriculture and nutrition training, we find no significant impact of adding the gender sensitization on our measures of production diversity or diet quality.

× The Bay of Bengal Initiative for Multi-Sectoral Technical and Economic Cooperation (BIMSTEC) is a regional organization which came into being in 1997. It comprises seven member states: five from South Asia, namely, Bangladesh, Bhutan, India, Nepal, and Sri Lanka, and two from Southeast Asia, Myanmar and Thailand. BIMSTEC region is home to around 1.5 billion people, that is, nearly 22 percent of the global population with a combined gross domestic product (GDP) of US$2.7 trillion.

× Adoption of high-quality yet more expensive agricultural inputs remains low, in part because most inputs are experience goods: before purchase, buyers observe only price—not quality—providing sellers with opportunities to cheat on quality. Our lab-in-the-field experiment in Bangladesh replicates markets for such inputs, with input retailers (sellers) choosing price and quality, and farmers (buyers) choosing from which seller to purchase inputs. We analyze market behavior, including buyers’ trust and sellers’ reciprocity, and study the effects of buyer-driven accreditation and loyalty rewards for accredited sellers of high-quality products. Trust and reciprocity remain low: Sellers provide mostly low-quality products, and buyers reveal low demand for more expensive, high-quality inputs. Accrediting sellers when their buyers are satisfied leads to higher input quality and more repeat purchases, but only when combined with loyalty rewards, because buyers’ quality signals are weak and do not incentivize sellers to change their behavior. We conclude that small incentives are effective at improving seller behavior, but this behavior change does not necessarily enhance quality signals and farmer welfare.

× Global food, fuel, and fertilizer prices have risen rapidly in recent months, driven in large part by the fallout from the ongoing war in Ukraine and the sanctions imposed on Russia. Other factors, such as export bans, have also contributed to rising prices. Palm oil and wheat prices increased by 56 and 100 percent in real terms, respectively, between June 2021 and April 2022, with most of the in-crease occurring since February (Figure 1). Wide variation exists across products, with real maize prices increasing by only 11 percent and rice prices declining by 13 percent. The price of crude oil and natural gas has also risen substantially, while the weighted average price of fertilizer has dou-bled. With these changes in global prices, many developing countries and their development part-ners are concerned about the implications for economic stability, food security, and poverty.

× Social safety nets (SSN) are cash or in-kind/food transfer programs designed to help individuals and households cope with chronic poverty, destitution, and vulnerability (World Bank, 2018). Some of these social protection programs include conditions or additional interventions that can enhance their impact on nutrition. Examples include attending health and nutrition services, targeting households with nutritionally vulnerable members (e.g., pregnant, and lactating women, children under 24 months), administration of transfers in a ender-sensitive manner, distributing transfers during periods of seasonal or climatic vulnerability, and focusing on emergencies (Ruel & Alderman, 2013; Alderman, 2016) developed a framework that identifies which of the World Bank ASPIRE categories of social safety nets have the potential to be nutrition sensitive. These are captured in six broad categories with multiple program subcategories (Table 1).

× The MitigatePlus: Low-Emission Food Systems Initiative aims to contribute to low-emission food systems development and reduce net annual greenhouse gas emissions (GHGE) from food systems. It forms part of CGIAR’s new Research Portfolio, delivering science and innovation to transform food, land, and water systems in a climate crisis.

× La iniciativa MitigatePlus: Sistemas Alimentarios Bajos en Emisiones tiene como objetivo contribuir a la reducción de las emisiones anuales de gases de efecto invernadero (GEI) en los sistemas alimentarios. Esta iniciativa forma parte del nuevo portafolio de Investigación del CGIAR, que produce ciencia e innovación para transformar los sistemas alimentarios, terrestres e hídricos en un contexto de crisis climática.

× We use a randomized controlled trial in rural Bangladesh to compare two models of delivering nutrition content jointly to husbands and wives: deploying female nutrition workers versus mostly male agriculture extension workers. Both approaches increased nutrition knowledge of men and women, household and individual diet quality, and women’s empowerment. Intervention effects on agriculture and nutrition knowledge, agricultural production diversity, dietary diversity, women’s empowerment, and gender parity do not significantly differ between models where nutrition workers versus agriculture extension workers provide the training. The exception is in an attitudes score, where results indicate same-sex agents may affect scores differently than opposite-sex agents. Our results suggest opposite-sex agents may not necessarily be less effective in providing training. In South Asia, where agricultural extension systems and the pipeline to those systems are male-dominated, training men to deliver nutrition messages may offer a temporary solution to the shortage of female extension workers and offer opportunities to scale promote nutrition-sensitive agriculture.

× In the aftermath of the COVID-19 pandemic, interest has grown in what kinds of assistance protect household food security during shocks. We study rural and urban Bangladesh from 2018-19 to late 2021, assessing how pre-pandemic access to social safety net programs and private remittances relate to household food insecurity during the pandemic. Using longitudinal data and estimating differences-in-differences models with household fixed effects, we find that pre-pandemic access to social protection is associated with significant reductions in food insecurity in all rounds collected during the pandemic, particularly in our urban sample. However, pre-pandemic access to remittances shows no similar protective effect.

× Bangladesh has extensive experience with targeted social safety net programs. Most of these programs are widely credited with providing the poor access to food and improving their livelihoods. However, the need for assistance is overwhelming. According to the latest poverty estimates, 24.3 percent of the country’s 163 million people were poor in 2016 (BBS 2019). Improving program targeting to reach the poorest of the poor effectively is needed to address the wide gap between the resources available for safety net programs and those in need of support.
Targeting effectiveness indicates the extent to which program benefits are received by the neediest versus the less needy or non-needy population. A well-targeted intervention improves the real income, food consumption, and nutrition of the neediest without providing those benefits to members of society who are better off. As such, targeting benefits to those most in need is a cost-effective way of implementing a program.
Upon request from the Ministry of Women and Children Affairs (MoWCA) and the World Food Programme (WFP) in Bangladesh, the International Food Policy Research Institute (IFPRI) undertook this study to develop indicators for targeting the urban poor through the Vulnerable Women’s Benefit (VWB) program in Bangladesh.

× Home to one-quarter of humanity—one-fifth of whom are youth—South Asia has the world’s largest concentration of poverty and malnutrition (1–3). Despite producing one-quarter of the world’s consumed food, the region’s agrifood systems face formidable challenges in producing an adequate and affordable supply of the diverse foods needed for sustainable healthy diets (4,5). Unhealthy food consumption is rising, and farming systems are threatened by unsustainable groundwater withdrawal due to poorly developed food and energy policies. In addition, South Asia’s farmers are both contributors and victims of climate change and extreme weather, which contributes to rural out-migration—particularly of youth—resulting in rising labor scarcity and increased production costs.
TAFSSA (Transforming Agrifood Systems in South Asia), a CGIAR Regional Integrated Initiative, aims to address these challenges by delivering actionable evidence and scalable innovations across these regions through a coordinated program of research and engagement from farmer to consumer.
One of the roadblocks to addressing these challenges is the lack of credible and high-resolution data on food systems in the region. The TAFSSA food systems assessment aims to provide a reliable, accessible and integrated evidence base that links farm production, market access, dietary patterns, climate risk responses, and natural resource management in Bangladesh, India, Nepal and Pakistan. It is intended to be a multi-year assessment.

× ABOUT THIS NOTE
This research note presents findings on the availability of diet-related data in publiclyavailable population-based surveys conducted in Bangladesh, India, Nepal, and Pakistan in the last decade. It is intended to be used by researchers and policymakers to understand the data landscape and identify measurement priorities for future surveys.
KEY FINDINGS
• Data on diets for older children and adolescents are captured less frequently than
for younger children and women of reproductive age.
• Data are mostly available on food group consumption and for infants and young
children; data on consumption of unhealthy foods is poor.
• Few surveys capture quantity of foods consumed; estimating nutrient intake from
population-based surveys is therefore not possible.
• Only Bangladesh currently has large-scale publicly available and repeated rounds of
data on dietary intakes for multiple age groups.
• Dietary data are essential to shape public policy on nutrition; financial and technical
investments are needed to scale up data availability in South Asia.

× Feed the Future seeks to sustainably reduce global poverty, hunger, and malnutrition by helping partner countries boost agriculture-led growth, resilience, and nutrition. Program efforts are designed to impact the population in Zones of Influence (ZOI) in Feed the Future target countries. The ZOI is the targeted sub-national regions and districts where the program intends to achieve the greatest household- and individual-level impacts on poverty, hunger, and malnutrition. Progress in achieving Feed the Future’s objectives is tracked using population-based performance indicators collected at baseline then periodically thereafter.
The purpose of the Bangladesh Feed the Future Phase 2 ZOI 2018/2019 Baseline Survey, referred to as the Feed the Future Bangladesh ZOI Baseline Survey 2018/2019 throughout this report, is to provide the U.S. Government interagency partners, the United States Agency for International Development (USAID) Bureau for Resilience and Food Security (RFS), USAID/Bangladesh, the Government of Bangladesh, and development partners with information on the current status of the Feed the Future ZOI-level population-based survey indicators.

× The economy of Bangladesh is largely defined by the agricultural sector, which is reflected in its yearly GDP contribution of approximately 11% in the past few years (World Bank, 2022). The sector holds po tential for even higher contributions to the economy, provided effective initiatives related to financial in clusion and logistical innovations are implemented. Even during the immense global challenges during to the Covid-19 pandemic, the country’s agricultural sector persisted. Improving on traditional initiatives and practices to address constraints faced by farmers and other agricultural value chain actors will ena ble the sector to expand and benefit new sections of the population, including those most vulnerable such as the poor, women, and youth.
Many of the recent innovations in the agricultural sector in Bangladesh have been initiated by ‘AgriTech’ companies/start-ups in the space of financial and logistical services. Financial services are available for both small and large-scale agriculture operations in the country. Besides innovations in fi nancial services, there has been a burgeoning list of logistical services as well. Utilizing this wave of innovations appropriately can help the agricultural sector reach its full potential for success.
This report is arranged in the following manner. First section 1 discusses the traditional services in fi nancial and logistic sectors, and then section 2 discusses the existing constraints in both sectors. Sec tions 3 and 4 go into detail on financial and logistical innovations respectively that aim at addressing the discussed constraints. Both sections 3 and 4 have subsections giving a brief description of organiza tions that are behind these innovations.

× Adequate dietary diversity among infants is often suboptimal in developing countries. We assessed the impact of nutrition counselling using a digital job aid on dietary diversity of children aged 6–23 months using data from a cluster randomised controlled trial in Bangladesh. The trial had five arms, each with 25 clusters. The four intervention arms provided counselling using a digital job aid and different prenatal and post-natal combinations of lipid-based supplements and the comparison arm with usual practice. We enrolled 1500 pregnant women and followed them until the children reached their second birthday. We developed a tablet-based system for intervention delivery, data collection and project supervision. We combined the four intervention arms (n = 855), in which community health workers (CHWs) provided age-appropriate complementary feeding counselling, to compare against the comparison arm (n = 403). We calculated the outcome indicators from the children's 24-h dietary recalls. Overall, the intervention increased the mean dietary diversity score by 0.09 (95% confidence interval [CI]: 0.2–0.16) and odds of minimum dietary diversity by 18% (95% CI: 0.99–1.40). However, there was a significant interaction on the effect of the intervention on dietary diversity by age. The mean dietary diversity score was 0.24 (95% CI: 0.11–0.37) higher in the intervention than in the comparison arm at 9 months and 0.14 (95% CI: 0.01–27) at 12 months of age. The intervention effect was non-significant at an older age. Overall, consumption of flesh food was 1.32 times higher in the intervention arm (odds ratio [OR] 1.32, 95% CI: 1.11–1.57) in 6–23 months of age. The intervention significantly improved child dietary diversity score in households with mild and moderate food insecurity by 0.27 (95% CI: 0.06–0.49) and 0.16 (0.05–27), respectively, but not with food-secure and severely food-insecure households. Although the study did not evaluate the impact of digital job aid alone, the findings indicate the utility of nutrition counselling by CHWs using a digital job aid to improve child feeding practices in broader programmes.

× The livelihoods of wetland (Haor) communities living in northeastern region of Bangladesh are largely dependent on agriculture. Unseasonably heavy rainfall in Haor basin and upstream Indian catchments triggered a devastating early monsoon flash flood in Haor basin at the beginning of April in 2017, which destroyed the nearly ready-to-harvest annual rice crop and resulted in significant income loss of Haor dwellers. The present study aims at assessing post-flood household food insecurity and the factors associated with it in the aftermath of this flash flood. A cross-sectional study design was adopted, and a survey covering 1845 flood-affected households was conducted to measure the post-flood household food insecurity. A set of questionnaires was adopted from Household Food Insecurity Access Scale (HFIAS) to assess the level of household food insecurity, and a modified poisson regression model was used to identify the risk factors of household food insecurity. A staggering 62% of the surveyed households were found food insecure following the flash flood. Being ultra-poor, loss of livestock in flood, household head's occupation being natural resource-based, and household reliance on market purchase of food were identified as significant risk factors of post-flood household food insecurity. Household being headed by relatively younger, educated people, and household owning agricultural land were found to be protective against post-flood food insecurity. Therefore, post-flood emergency programs, especially the food assistance programs should be designed prioritizing these most food insecure groups instead of considering household poverty as the only selection criteria. As a long-term plan, a multi-sectoral approach focusing on disaster risk reduction by taking into account the risk of disaster-induced food insecurity is essential to reduce the vulnerability of wetland communities.

× Background: Suboptimal child growth and development are significant problems in low- and middle-income countries. Maternal resources for care may help to improve growth and development. This study examined the association of maternal resources for care on child length, motor development and language development of children 12–23.9 months old.
Methods: We used baseline data from the Alive & Thrive household surveys collected in Bangladesh (n = 803) and Vietnam (n = 635). Resources for care were represented by maternal education, knowledge, height, well-nourishment, mental well-being, decision-making, employment, support in chores and perceived support. The regression analyses were adjusted for household wealth and other covariates on households, children and parents and accounted for geographical clustering.
Results: Maternal height (Bangladesh β = 0.150 p < 0.001, Vietnam β = 0.156 p < 0.001), well-nourishment (Vietnam β = 0.882 p = 0.007) and mental well-being (Bangladesh β = 0.0649 p = 0.008, Vietnam β = 0.0742 p = 0.039) were associated with child length. Well-nourishment (Vietnam β = 0.670 p = 0.042) and support in chores (Bangladesh β = 0.0983 p = 0.021) were associated with child motor development. Mental well-being (Vietnam β = 0.0735 p = 0.013), decision-making autonomy (Bangladesh β = 0.0886 p = 0.029) and perceived support (Vietnam β = 0.445 p = 0.003) were associated with child language development. Conclusion: Maternal height, well-nourishment, mental well-being, decision-making, support in chores and perceived social support were associated with child outcomes. Interventions that help to improve resources among mothers have potential to foster child growth and development.

× The COVID-19 pandemic prompted social distancing, workplace closures, and restrictions on mobility and trade that had cascading effects on economic activity, food prices, and employment in low- and middle-income countries. Using longitudinal data from Bangladesh, Kenya, and Nigeria covering a period from October 2020 to April 2021, the paper assesses whether knowledge of a person infected with COVID-19 is associated with food insecurity, job loss and business closures, and coping strategies to smooth consumption. The likelihood of households to experience food insecurity at the extensive and intensive margins increased among those who knew an infected person in Bangladesh and Kenya.

× Antenatal care (ANC) is the largest health platform globally for delivering maternal nutrition interventions (MNIs) to pregnant women. Yet, large missed opportunities remain in nutrition service delivery. This paper examines how well evidence-based MNIs were incorporated in national policies and programs in Bangladesh, Burkina Faso, Ethiopia and India. We compared the nutrition content of ANC protocols against global recommendations. We used survey data to elucidate the coverage of micronutrient supplementation, weight gain monitoring, dietary and breastfeeding counselling. We reviewed literature, formative research and program assessments to identify barriers and enabling factors of service provision and maternal nutrition practices. Nutrition information in national policies and protocols was often fragmented, incomplete and did not consistently follow global recommendations. Nationally representative data on MNIs in ANC was inadequate, except for iron and folic acid supplementation. Coverage data from subnational surveys showed similar patterns of strengths and weaknesses. MNI coverage was consistently lower than ANC coverage with the lowest coverage of weight gain monitoring and variable coverage of dietary and breastfeeding counselling. Key common factors associated with coverage were micronutrient supply disruptions; suboptimal counselling on maternal diet, weight gain, and breastfeeding; and limited or no record keeping. Adherence of women to micronutrient supplementation and dietary recommendations was low and associated with late and too few ANC contacts, poor maternal knowledge and self-efficacy, and insufficient family and community support. Models of comprehensive nutrition protocols and health systems that deliver maternal nutrition services in ANC are urgently needed along with national data systems to track progress.

× Background
Bangladesh introduced ChAdOx1 nCoV-19 since February, 2021 and in six months, only a small population (12.8%) received either one or two dose of vaccination like other low-income countries. The COVID-19 infections were continued to roll all over the places although the information on genomic variations of SARS-CoV-2 between both immunized and unimmunized group was unavailable. The objective of this study was to compare the proportion of immune escaping variants between those groups.

Methods
A total of 4718 nasopharygeal samples were collected from March 1 until April 15, 2021, of which, 834 (18%) were SARS-CoV-2 positive. The minimum sample size was calculated as 108 who were randomly selected for telephone interview and provided consent. The prevalence of SARS-CoV-2 variants and disease severity among both immunized and unimmunized groups was measured. A total of 63 spike protein sequences and 14 whole-genome sequences were performed from both groups and phylogenetic reconstruction and mutation analysis were compared.

Results
A total of 40 respondents (37%, N = 108) received single-dose and 2 (2%) received both doses of ChAdOx1 nCoV-19 vaccine, which significantly reduce dry cough, loss of appetite and difficulties in breathing compared to none. There was no significant difference in hospitalization, duration of hospitalization or reduction of other symptoms like running nose, muscle pain, shortness of breathing or generalized weakness between immunized and unimmunized groups. Spike protein sequence assumed 21 (87.5%) B.1.351, one B.1.526 and two 20B variants in immunized group compared to 27 (69%) B.1.351, 5 (13%) B.1.1.7, 4 (10%) 20B, 2 B.1.526 and one B.1.427 variant in unimmunized group. Whole genome sequence analysis of 14 cases identified seven B.1.351 Beta V2, three B.1.1.7 Alpha V1, one B.1.526 Eta and the rest three 20B variants.

Conclusion
Our study observed that ChAdOx1 could not prevent the new infection or severe COVID-19 disease outcome with single dose while the infections were mostly caused by B.1.351 variants in Bangladesh.

× Objective: This study explored Frontline Health Workers’ (FLWs) knowledge, attitude and practice (KAP) on COVID-19 and their lived experiences, in both their personal and work lives, at the early stage of the pandemic in Bangladesh. Design, setting and participants: This was a qualitative study conducted through telephone interviews in May 2020. A total of 41 FLWs including physicians, nurses, paramedics, community healthcare workers and hospital support staff from 34 public and private facilities of both urban and rural parts of Bangladesh participated in the interview. A purposive sampling technique supplemented by a snowball sampling method was followed to select the participants. The in-depth interviews followed a semi-structured interview guide, and we applied the thematic analysis method for the qualitative data analysis. Findings: Except physicians, the FLWs did not receive any institutional training on COVID-19, including its prevention and management, in most instances. Also, they had no training in the use of personal protective equipment (PPE). Their common source of knowledge was the different websites or social media platforms. The FLWs were at risk while delivering services because patients were found to hide histories and not maintaining safety rules, including physical distancing. Moreover, inadequate supply of PPE, fear of getting infected, risk to family members and ostracisation by the neighbours were mentioned to be quite common by them. This situation eventually led to the development of mental stress and anxiety; however, they tried to cope up with this dire situation and attend to the call of humanity. Conclusion: The uncertain work environment during the COVID-19 pandemic simultaneously affected FLWs’ physical and emotional health in Bangladesh. However, they showed professional devotion in overcoming such obstacles and continued to deliver essential services. This could be further facilitated by a quick and targeted training package on COVID-19, and the provision of supplies for delivering services with appropriate safety precautions.

× Objective: To examine inequalities and opportunity gaps in co-coverage of health and nutrition interventions in seven countries.
Methods: We used data from the most recent (2015–2018) demographic and health surveys of mothers with children younger than 5 years in Afghanistan (n = 19 632), Bangladesh (n = 5051), India (n = 184 641), Maldives (n = 2368), Nepal (n = 3998), Pakistan (n = 8285) and Sri Lanka (n = 7138). We estimated co-coverage for a set of eight health and eight nutrition interventions and assessed within-country inequalities in co-coverage by wealth and geography. We examined opportunity gaps by comparing coverage of nutrition interventions with coverage of their corresponding health delivery platforms.
Findings: Only 15% of 231 113 mother–child pairs received all eight health interventions (weighted percentage). The percentage of mother–child pairs who received no nutrition interventions was highest in Pakistan (25%). Wealth gaps (richest versus poorest) for co-coverage of health interventions were largest for Pakistan (slope index of inequality: 62 percentage points) and Afghanistan (38 percentage points). Wealth gaps for co-coverage of nutrition interventions were highest in India (32 percentage points) and Bangladesh (20 percentage points). Coverage of nutrition interventions was lower than for associated health interventions, with opportunity gaps ranging from 4 to 54 percentage points.
Conclusion: Co-coverage of health and nutrition interventions is far from optimal and disproportionately affects poor households in south Asia. Policy and programming efforts should pay attention to closing coverage, equity and opportunity gaps, and improving nutrition delivery through health-care and other delivery platforms.

× Malnutrition during pregnancy is associated with increased maternal morbidity and mortality and has a long-term negative impact on child growth and development. Antenatal care (ANC) is the formal point of contact for pregnant women to receive preventive health and nutrition services. We assessed the quality of nutrition service delivery during ANC and examined its influencing factors related to the health facility, health care provider (HCP) and client characteristics. We conducted a cross-sectional assessment in 179 facilities, including 1,242 ANC observations and exit interviews of pregnant women from 21 districts in Bangladesh. We considered four essential nutrition services at each ANC contact including maternal weight measurement, anaemia assessment, nutrition counselling and iron-folic acid (IFA) supplement provision. We defined a composite ‘quality nutrition service’ outcome by counting the number of services (out of four) provided at each ANC from observation data. We explored both the supply-side and the client-level factors of quality nutrition service using multilevel Poisson regression. Overall, only 15% of clients received all four nutrition services. Performance of weight measurement (79%) was higher than IFA provision (56%), anaemia assessment (52%) and nutrition counselling (52%). The multivariable analysis showed that quality nutrition service delivery is positively associated with good logistical readiness of the facilities (aIRR: 1.23, 95% CI: 1.08–1.39), consultation by paramedics (aIRR 1.23, 95% CI: 1.06–1.42) and community health care providers (aIRR 1.32, 95% CI: 1.12–1.57), HCPs’ knowledge on maternal nutrition (aIRR 1.04; 95% CI: 1.01–1.08), better HCP-client communication (aIRR 1.14; 95% CI: 1.04–1.26) and use visual aids or ANC card (aIRR 1.18; 95% CI: 1.11–1.27). We found limited associations between HCP training and external supervision with the quality of nutrition services. In conclusion, the quality of nutrition service provision during ANC is suboptimal. Public health nutrition programmers should ensure the facilities’ logistical readiness, and revisit and reinforce the content and modality of training and supportive supervision of the HCPs. They should also emphasize positive HCP-client communication and the use of job aids to improve the quality of nutrition service provision during ANC.

× The National Nutrition Services of Bangladesh aims to deliver nutrition services through the primary health care system. Little is known about the feasibility of reshaping service delivery to close gaps in nutrition intervention coverage and utilization. We used a scenario-based feasibility testing approach to assess potential implementation improvements to strengthen service delivery. We conducted in-depth interviews with 31 service providers and 12 policymakers, and 5 focus group discussions with potential beneficiaries. We asked about the feasibility of four hypothetical scenarios for preventive and promotive nutrition service delivery: community-based events (CBE) for pregnant women, well-child services integrated into immunization contacts; CBE for well-children, and well-child visits at facilities. Opinions on service delivery platforms were mixed; some recommended new platforms, but others suggested strengthening existing delivery points. CBE for pregnant women was perceived as feasible, but workforce shortages emerged as a key barrier. Challenges such as equipment portability, upset children and a fast-moving service environment suggested low feasibility of integrating nutrition into outreach immunization contacts. In contrast, CBE and facility-based well-child visits emerged as feasible options, conditional on having the necessary workforce, structural readiness and budget support. On the demand side, enabling factors include using interpersonal communication and involving community leaders to increase awareness, organizing events at a convenient time and place for both providers and beneficiaries, and incentives for beneficiaries to encourage participation. In conclusion, integrating preventive and promotive nutrition services require addressing current challenges in the health system, including human resource and logistic gaps, and investing in creating demand for preventive services.

× The study explored the spatial differences in diet quality and economic vulnerability to food insecurity with the association of sociodemographic characteristics at the household level in Bangladesh. This study was a secondary data analysis of Household Income and Expenditure Survey (HIES) data of 2016. Both statistical and spatial analyses were applied while assessing diet qualities in terms of the household dietary diversity score (HDDS), percentage of food energy from staples (PFES), and percentage of expenditure on food (PEF) as an indicator of the economic vulnerability to food insecurity (EVFI). The study’s findings revealed that the quality of people’s diets worsened as they moved from urban to rural area, and EVFI increased as they moved from the center to the periphery of the country. Nationally, the average HDDS was about 6.3, and the average PFES per household per day was about 70.4%. The spatial distribution of HDDS and PFES showed that rural regions in terms of settlements and the north, northwest and southeast regions had mostly low diet diversity. Besides, the average PEF per household per day was about 54%, with the highest in Mymensingh (57.4%) and the lowest in Dhaka division (50.2%). The average PEF in the households illustrated was highest in rural (55.2%) and lowest in the city (45.7%). Overall, based on the PEF at the sub-district level, the medium level of vulnerability comprised the highest share (69%) in Bangladesh. Age, gender, literacy, educational qualification and religion of the household’s head along with the number of earners, monthly income, area of settlements and divisions were significantly correlated with HDDS, PFES and EVFI. The study findings suggest that targeted interventions, including access to education, women empowerment and employment generation programs should be implemented in peripheral areas (north, northwest and southeast) to increase diet quality and minimize economic vulnerability to achieve sustainable food and nutrition security in Bangladesh.

× Exclusive breastfeeding (EBF) for the first 6 months has established benefits, yet had slow improvements globally. Little is known about electronic job aid-assisted counselling to support EBF. As a secondary outcome of a cluster randomized controlled trial in Bangladesh, we assessed the effect of electronic job aid-supported nutrition counselling and practical demonstration on EBF. We randomized pregnant women to one of five study arms in the trial and followed mother–child dyads until 2 years of age. Community health workers (CHWs) provided breastfeeding counselling with or without prenatal and complementary nutrient supplements in all four intervention arms. The comparison arm continued with the usual practice where mothers could receive nutrition counselling at routine antenatal and postnatal care, and during careseeking for childhood illnesses. We assessed breastfeeding indicators at birth and monthly until the child was 6 months old, in both intervention and comparison arms. To evaluate the effect of nutrition counselling on breastfeeding, we combined all four intervention arms and compared them with the comparison arm. Intervention newborns had half the risk (relative risk [RR]: 0.54, 95% confidence interval [CI]: 0.39, 0.76) of receiving prelacteal feeds than those in the comparison arm. EBF declined steeply in the comparison arm after 3 months of age. EBF was 16% higher in the intervention than the comparison arm at 4 months (RR: 1.16, 95% CI: 1.08, 1.23) and 22% higher at 5 months of age (RR: 1.22, 95% CI: 1.12, 1.33). Maternal background and household characteristics did not modify the intervention effect, and we observed no difference in EBF among caesarean versus vaginal births. Breastfeeding counselling and practical demonstration using an electronic job aid by CHWs are promising interventions to improve EBF and are scalable into existing community-based programmes.

× Integrating nutrition interventions into antenatal care (ANC) requires adapting global recommendations to fit existing health systems and local contexts, but the evidence is limited on the process of tailoring nutrition interventions for health programmes. We developed and integrated maternal nutrition interventions into ANC programmes in Bangladesh, Burkina Faso, Ethiopia and India by conducting studies and assessments, developing new tools and processes and field testing integrated programme models. This paper elucidates how we used information and data to contextualize a package of globally recommended maternal nutrition interventions (micronutrient supplementation, weight gain monitoring, dietary counselling and counselling on breastfeeding) and describes four country-specific health service delivery models. We developed a Theory of Change to illustrate common barriers and strategies for strengthening nutrition interventions during ANC. We used multiple information sources including situational assessments, formative research, piloting and pretesting results, supply assessments, stakeholder meetings, household and service provider surveys and monitoring data to design models of maternal nutrition interventions. We developed detailed protocols for implementing maternal nutrition interventions; reinforced staff capacity, nutrition counselling, monitoring systems and community engagement processes; and addressed micronutrient supplement supply bottlenecks. Community-level activities were essential for complementing facility-based services. Routine monitoring data, rapid assessments and information from intensified supervision were important during the early stages of implementation to improve the feasibility and scalability of models. The lessons from addressing maternal nutrition in ANC may serve as a guide for tackling missed opportunities for nutrition within health services in other contexts.

× The COVID-19 pandemic disrupted health services worldwide. Alive and Thrive (A&T) is testing MIYCN integration into non-governmental organizations’ (NGOs) health services in eight facilities in Dhaka. We aimed to develop a data-driven urban MIYCN intervention pathway adapted to continue delivering nutrition services during COVID-19.

× Community health workers (CHWs) increasingly provide interpersonal counselling to childbearing women and their families to improve adoption of recommended maternal and child nutrition behaviours. Little is known about CHWs' first-hand experiences garnering family support for improving maternal nutrition and breastfeeding practices in low-resource settings. Using focused ethnography, we drew insights from the strategies that CHWs used to persuade influential family members to support recommendations on maternal diet, rest and breastfeeding in a behaviour change communication trial in rural Bangladesh. We interviewed 35 CHWs providing at-home interpersonal counselling to pregnant women and their families in seven ‘Alive & Thrive’ intervention sites. In-depth probing focused on how CHWs addressed lack of family support. Thematic coding based on Fisher's narrative paradigm revealed strategic use of three rhetorical principles by CHWs: ethos (credibility), pathos (emotion) and logos (logic). CHWs reported selectively targeting pregnant women, husbands and mothers-in-law based on their influence on behavioural adoption. Key motivators to support recommended behaviours were improved foetal growth and child intelligence. Improved maternal health was the least motivating outcome, even among mothers. Logically coherent messaging resonated well with husbands, while empathetic counselling was additionally required for mothers. Mothers-in-law were most intransigent, but were persuaded via emotional appeals. Persuasion on maternal rest was most effort-intensive, resulting in contextually appealing but scientifically inaccurate messaging. Our study demonstrates that CHWs can offer important insights on context-relevant, feasible strategies to improve family support and uptake of nutrition recommendations. It also identifies the need for focused CHW training and monitoring to address scientifically flawed counselling narratives.

× Using a theory of change (TOC; a simplified definition of how and why an intervention is expected to work) or a programme impact pathway (PIP; a more detailed description of the causal pathways through which an intervention is delivered) to guide design, monitoring, and evaluation efforts is increasingly being used across various nutrition interventions, yet there are few documented examples in biofortification programmes. During the inception phase of the Commercialisation of Biofortified Crops (CBC) programme, which aims to scale up production and consumption of biofortified foods in six countries in Africa and Asia, a PIP was developed and used to inform the design of commercialisation strategies and their monitoring and evaluation. The objective of this paper is to describe that process. Using a generic TOC for biofortification as a starting point, we developed detailed PIPs for each of the nine country-crop combinations. Within each PIP, we identified the commercial pathway(s) and selected the one(s) with the most potential for impact. We then identified the binding constraint along each pathway and a set of activities and resources to tackle it. This process formed the basis of the country-crop commercialisation strategies and associated workplans. Additionally, we developed a monitoring reference manual that included a set of standardised indicators mapped to the PIP and detailed indicator reference sheets. These tools were contextualised for each country-crop combination and formed the basis of the programme’s monitoring and evaluation plans. Using a PIP to guide the development of programme strategies and measurement of achievements is good practice to ensure that programmes have high potential for impact and that relevant information needed to understand the evolution of results along the PIP is collected throughout programme implementation.

× Background: Tracking dietary changes can inform strategies to improve nutrition, yet there is limited evidence on food consumption patterns and how disparities in food and nutrient intakes have changed in Bangladesh. Objectives: We assessed trends and adequacies in energy and macronutrient intakes and evaluated changes in inequities by age group, sex, and expenditure quintile. Methods: We used panel data from the 2011 and 2018 Bangladesh Integrated Household Survey (n = 20,339 and 19,818 household members ≥ 2 years, respectively). Dietary intakes were collected using 24-hour recall and food-weighing methods. Changes in energy and macronutrient intakes were assessed using generalized linear models and adjusted Wald tests. Inequities in outcomes were examined by age group, sex, and expenditure quintile using the Slope Index of Inequality and Concentration Index.

× Biofortification (or nutrient enrichment) of staple crops has the potential to contribute to reducing micronutrient deficiencies by increasing micronutrient intakes. In 2019, GAIN and HarvestPlus entered a partnership to lead the Commercialisation of Biofortified Crops (CBC) Programme, which aims to catalyse commercial markets for biofortified crops in six countries across Africa and Asia. During the CBC programme inception phase, information on the value chains and their challenges and opportunities for commercialisation were collected for each country-crop combination through literature reviews and third party-led commercialisation assessments. In this paper, we summarise the processes undertaken to identify the potential opportunities and barriers for commercialisation and describe how the findings were used to develop commercialisation strategies for nine country-crop combinations.

× Fortification of staple foods is among the most cost-effective public health interventions. In settings where mandatory fortification is not feasible, providing fortified foods through public safety net programs and building private demand can be implemented in parallel to maximize coverage. However, little is known about what marketing messages are most effective at increasing the demand for fortified foods. Further, as governments scale up fortification of foods distributed through safety net programs, understanding the effect of knowledge about this on consumer demand will be important for crafting communication strategies. Drawing on insights from the literature on marketing and consumer behavior, we hypothesize that a message linking fortified rice, an unfamiliar product in this setting, to a known, aspirational product, can increase demand. We test the individual and joint impacts of an aspirational marketing message and information about the public distribution of fortified rice through a framed field experiment eliciting willingness to pay for rice fortified with six micronutrients in Chandpur District, Bangladesh. We find that a message which combines aspirational positioning and information on public distribution increases the proportion of participants willing to pay a premium at least equal to the cost of fortification by 19 percentage points. The results suggest that any negative impact on willingness to pay associated with free distribution is outweighed by the credibility distribution lends to health claims about the product.

× Bangladesh is experiencing a nutrition transition with an increase in the double burden of malnutrition and non-communicable diseases (NCDs). This study sought to: 1) examine trends and differences in underweight, overweight/obesity, hypertension and diabetes by gender, area of residence, and wealth in Bangladesh from 2004 to 2018, 2) assess what factors contributed to changes in these outcomes.

× Bangladesh struggles with undernutrition in women and young children. Nutrition-sensitive agriculture programmes can help address rural undernutrition. However, questions remain on the costs of multisectoral programmes. This study estimates the economic costs of the Targeting and Re-aligning Agriculture to Improve Nutrition (TRAIN) programme, which integrated nutrition behaviour change and agricultural extension with a credit platform to support women's income generation. We used the Strengthening Economic Evaluation for Multisectoral Strategies for Nutrition (SEEMS-Nutrition) approach. The approach aligns costs with a multisectoral nutrition typology, identifying inputs and costs along programme impact pathways. We measure and allocate costs for activities and inputs, combining expenditures and micro-costing. Quantitative and qualitative data were collected retrospectively from implementers and beneficiaries. Expenditure data and economic costs were combined to calculate incremental economic costs. The intervention was designed around a randomised control trial. Incremental costs are presented by treatment arm. The total incremental cost was $795,040.34 for a 3.5-year period. The annual incremental costs per household were US$65.37 (Arm 2), USD$114.15 (Arm 3) and $157.11 (Arm 4). Total costs were led by nutrition counselling (37%), agriculture extension (12%), supervision (12%), training (12%), monitoring and evaluation (9%) and community events (5%). Total input costs were led by personnel (68%), travel (12%) and supplies (7%). This study presents the total incremental costs of an agriculture-nutrition intervention implemented through a microcredit platform. Costs per household compare favourably with similar interventions. Our results illustrate the value of a standardised costing approach for comparison with other multisectoral nutrition interventions.

× Excess agricultural nitrogen, mainly from manure and chemical fertilizers, is a primary source of nutrient pollution and presents serious environmental threats to natural ecosystems and human health. Improvements in nitrogen-use efficiency in crop production are critical for addressing the triple challenge of food insecurity, environmental degradation, and climate change. Approaches such as sustainable intensification that stress technological innovations have received the most attention. But science-based cropland use planning, a promising complementary approach, has so far been largely overlooked. Here we develop a spatially integrated economic-ecological modeling method to assess this previously unexplored potential for improving the economic-environmental performance of crop production by examining the seasonal and spatial implications of cropland and fertilizer use in Bangladesh. In doing so, we aim to make the modeling method accessible to researchers and practitioners interested in achieving the dual goal of food production and environmental sustainability for countries that are characterized by seasonal and spatial variations in crop mix and cropping practices.

× Intoduction: This study aims to investigate the health-related quality of life and coping strategies among COVID-19 survivors in Bangladesh.
Methods: This is a cross-sectional study of 2198 adult, COVID-19 survivors living in Bangladesh. Data were collected from previously diagnosed COVID-19 participants (confirmed by an RT-PCR test) via door-to-door interviews in the eight different divisions in Bangladesh. For data collection, Bengali-translated Brief COPE inventory and WHO Brief Quality of Life (WHO-QoLBREF) questionnaires were used. The data collection period was from October 2020 to March 2021.

× There is a gender wage gap (men earning more than women) in labour market of most countries, to varying degrees, is widely recognised in relevant literature. In this backdrop, the findings of the ILO study (ILO 2018), based on an analysis of cross-country data, showing Bangladesh as an outlier in this regard, calls for an explanation and indepth investigation. Based on Bangladesh labour force data, the ILO report found factor-weighted hourly wage in Bangladesh to be 5.0% more for women compared to that of men. This counter-intuitive presence of reverse gender wage gap is a departure from results derived for all other countries in the sample of 60 countries. The study examines why the ILO results are what they are, what are the reasons that have informed the ILO findings and whether a different (improved) methodology would give other results. The study undertakes a re-estimation of gender wage gap in Bangladesh by changing the specifications in the ILO study, by deploying human capital, wage discrimination and segmented labour market theories and quantile regression. The study finds that under full specification men are found to earn more than women in the Bangladesh labour market, albeit not to a significant extent—the wage gap was found to be in the range of between 2.0 and 4.0%. While the study does not find strong embedded discrimination against women, it does find sectoral segmentation, and presence of glass ceiling in the Bangladesh labour market.

× This initiative aims to show how a One Health approach – which recognizes the interconnections between people, animals, plants, and their shared environment – can help reduce antimicrobial resistance, improve food and water safety, and manage zoonotic diseases, leading to better human, animal, and environment health. It forms part of CGIAR’s new research portfolio, delivering science and innovation to transform food, land, and water systems in a climate crisis.

× Poor households in rural Bangladesh often face concurring idiosyncratic and aggregate shocks, which have adverse impacts on their income and consumption. In this study, we investigate the transmission channels, coping responses, and economic consequences of different shocks including idiosyncratic adverse health events and aggregate agricultural productivity shocks. We use a balanced panel data of 5,655 rural households–interviewed every year between 2010 and 2013–in northern Bangladesh. We estimate the effects of adverse health shocks on the consumption levels of poor households in a multi-shock framework. We take advantage of the panel data and use fixed effect models to control for unobserved household-level confounders and potential endogeneity. We further examine effects of shocks to agricultural wages on consumption using rainfall as an instrument. We further carry out a number of robustness checks to understand how sensitive our models are to different alternate specifications. Results indicate that households smooth their consumption after experiencing adverse health shocks, with and without the parallel incidence of other types of shocks. Consumption smoothing occurs despite households experiencing a significant decrease of wage income, which appears to be driven by an increase in informal loans from money lenders and households' social networks. To evaluate the effect of a different type of income shock on consumption, we use rainfall as an exogenous instrument for agricultural income. Results indicate that while higher rainfall leads to a significant increase in agricultural income, it does not translate to higher food expenditure for households. Together, these findings offer suggestive evidence that, in this setting, households appear to smooth food consumption in the face of income shocks. Poor households rely on formal and informal, potentially costly channels and exploit existing social networks to insure themselves against adverse shocks. The findings highlight the importance of developing a better framework to evaluate and implement more equitable social safety net policies.

× Background: Tracking dietary changes can inform strategies to improve nutrition, yet there is limited evidence on food consumption patterns and how disparities in food and nutrient intakes have changed in Bangladesh. Objectives: We assessed trends and adequacies in energy and macronutrient intakes and evaluated changes in inequities by age group, sex, and expenditure quintile. Methods: We used panel data from the 2011 and 2018 Bangladesh Integrated Household Survey (n = 20,339 and 19,818 household members aged ≥2 y, respectively). Dietary intakes were collected using 24-h recall and food-weighing methods. Changes in energy and macronutrient intakes were assessed using generalized linear models and adjusted Wald tests. Inequities in outcomes were examined by age group, sex, and expenditure quintile using the Slope Index of Inequality and Concentration Index. Results: Between 2011 and 2018, dietary diversity improved across sex and age groups (30–46% in children, 60–65% in adolescents, 37–87% in adults), but diets remain imbalanced with ∼70% of energy coming from carbohydrates. There were declines in intakes of energy (3–8%), protein (3–9%), and carbohydrate (9–16%) for all age groups (except children aged 2–5 y), but an increase in fat intake (57–68% in children and 22–40% in adults). Insufficient intake remained high for protein (>50% among adults) and fat (>80%), whereas excessive carbohydrate intake was >70%. Insufficient energy, protein, and fat intakes, and excessive carbohydrate intakes, were more prevalent among poor households across survey years. Inequity gaps decreased for insufficient energy intake in most age groups, remained stable for insufficient protein intake, and increased for insufficient fat and excessive carbohydrate intakes. Conclusions: Despite improvements in dietary diversity, diets remain imbalanced and inequities in insufficient energy, protein, and fat intakes persist. Our findings call for coherent sets of policies and investments toward a well-functioning food system and social protection to promote healthier, more equitable diets in rural Bangladesh.

× This fact sheet is organized to reflect the status and/or trends of different components in the framework for food systems for diets and nutrition based on a selection of indicators for each of the domains. The indicators have been selected for their orientation toward the goal of better quality diets; their contribution to assessment of the situation at national scale; their standardized use of data and method of construction which permit crosscountry comparison; their construction based on routinely collected, publicly-accessible data or reports available for a wide range of countries. The latter implies most indicators are based on data housed by international organizations rather than national statistics.

× In anticipation of the development of a safe and effective COVID-19 vaccine—the distribution of which will be a complex and sensitive issue—governments will need to assess the number and location of the most vulnerable people within their populations. Problematically, however, tracking data for most low- and middle-income countries are only available at the national level. The most widely used dataset by the Johns Hopkins University Center for Systems Science and Engineering (Dong, Du, and Gardner 2020), for example, does not include subnational data for Feed the Future’s 12 target countries in Africa south of the Sahara (SSA) and South Asia: Bangladesh, Ethiopia, Ghana, Guatemala, Honduras, Kenya, Nepal, Niger, Nigeria, Mali, Senegal, and Uganda. For this reason, the Gender, Climate Change, and Nutrition Integration Initiative (GCAN) was commissioned to correlate Demographic and Health Survey data from the United States Agency for International Development (USAID) with geospatial data in order to develop a subnational dataset of key COVID-19 risk indicators based on which potential risk hotspots were identified. This policy note summarizes the study’s analysis in the 12 Feed the Future countries and across subnational administrative units within each country.

× As COVID-19 vaccines are becoming available, governments will need to assess the number and location of the most vulnerable people within their populations. However, problematically, tracking data for most low- and middle-income countries are only available at the national level. To support the COVID-19 relief effort, the Gender, Climate Change, and Nutrition Integration Initiative (GCAN) was commissioned to develop a subnational dataset of key COVID-19 risk indicators and potential risk hotspots.

× Public food transfer program provide a lifeline for the poor in both high- and low-income countries, and many countries stepped these up in response to COVID-19. But little is known about how effective these programs have been in reaching the poor during the crisis. This brief reviews the findings of an evaluation of Bangladesh’s Food Friendly Program, pointing to the difficulties encountered during the pandemic and lessons to help these program perform better in future crises.

× On September 18, 2020, USAID requested IFPRI to conduct 15 stakeholder consultations on three thematic areas across five districts in the Feed the Future Zone of Influence (ZOI) and Zone of Resilience (ZOR): Barishal, Cox’s Bazar, Dhaka, Jashore, and Khulna. The thematic areas are: (1) Increased Access to Finance, (2) Commercialization of Oilseeds and Pulses, and (3) Commercialization of Agricultural Research and Biotechnology. IFPRI agreed to conduct these stakeholder consultations and, on October 21, 2020, USAID approved IFPRI’s Increased Access to Finance concept note.

× On September 18, 2020, USAID requested IFPRI to conduct 15 stakeholder consultations on three thematic areas across five districts in the Feed the Future Zone of Influence (ZOI) and Zone of Resilience (ZOR): Barishal, Cox’s Bazar, Dhaka, Jashore, and Khulna. The thematic areas are: (1) Increased Access to Finance, (2) Commercialization of Oilseeds and Pulses, and (3) Commercialization of Agricultural Research and Biotechnology. IFPRI agreed to conduct these stakeholder consultations and, on October 21, 2020, USAID approved IFPRI’s Commercialization of Oilseeds and Pulses concept note.

× From December 6-10, 2020, USAID organized and IFPRI facilitated five virtual stakeholder consultation workshops on agricultural research and biotechnology, bringing together relevant stakeholders involved in crop and non-crop agriculture from Barishal, Cox’s Bazar, Dhaka, Jashore, and Khulna districts in southern Bangladesh. This format aimed to capture the views and perceptions of a range of relevant actors on the status, opportunities and challenges, and recommendations for improving agricultural research and biotechnology. This report presents the subjective views of participants who are affected by and have a stake in these discussions, from value chain actors who have had challenges cultivating certain varieties and raising certain breeds due to climate-related challenges to researchers who are developing new varieties and breeds accounting for these ground-level challenges. Although the authors have substantiated parts of this report with primary and secondary data sources, the major thrust of this report is to communicate perspectives as they were framed during the workshops. Although stakeholder responses reflect varying knowledge levels of biotechnology among participants, some of which may be convoluted or inaccurate, this report preserves the diversity of stakeholder input as an honest reflection of the opinions received.

× Increased market inclusion through participation in agricultural value chains may increase employment and household incomes, but evidence on its empowerment impacts is mixed. In societies with restrictive social norms, greater market inclusion can enhance existing income and empowerment inequalities by relegating marginalized groups, including women, to low value chains or lower value nodes within those chains. We use primary data from rural Bangladesh to investigate the associations between households’ primary economic activity – agricultural wage-earning, production, or entrepreneurship – and absolute and relative levels of men’s and women’s empowerment. Women in producer households, on average, fare better on empowerment outcomes than women in wage-earner or entrepreneur households; the opposite is true for men. The gap between men’s and women’s empowerment scores is also lowest in producer households. A decomposition of these results into composite indicators yields insights into potential trade-offs, while accompanying qualitative work highlights the importance of social and cultural norms in shaping the economic roles women can adopt. With a push towards diversification of agriculture into higher value market-oriented crops, more careful programming is needed to ensure that market inclusion translates into an increase in women’s empowerment.

× The COVID-19 pandemic compelled the Government of Bangladesh to impose policy measures to stop the spread of the virus. These efforts were critical for public health, but have led to serious disruptions in the economy and livelihoods. To document the experiences of Bangladeshi households during this time, the International Food Policy Research Institute (IFPRI) and Cornell University conducted two rounds of socioeconomic phone surveys in rural areas of Bangladesh in June 2020 and in January 2021, and benchmarked them against data from in-person interviews carried out on the same households in 2019. Together, these surveys have tracked the experiences of Bangladeshi households in terms of unemployment, income loss, food insecurity, and coping mechanisms during the COVID-19 pandemic.

× The COVID-19 pandemic in Bangladesh, associated public health measures, and people’s responses to these measures are projected to have caused job losses among women, who tend to be in more precarious jobs, a decline in women’s empowerment and reduced diet diversity among women. Using a November 2020 telephone survey to re-interview adult women respondents of a November 2019 in-person survey, we test the way and the extent to which women’s employment outside their homes, women’s decision-making power with regard to income use and food purchases, and women’s diet diversity in rural Patuakhali and Faridpur districts changed over the year partly marked by the COVID-19 pandemic. We further examine the relationship between change in women’s empowerment and change in women’s outside employment, and the relationship between change in women’s diet diversity and change in women’s empowerment. Contrary to expectations, we find more women found, rather than lost, jobs over the past year. The chance that women gained outside employment was 12.2 percent, while the chance they lost employment was 3.5 percent. However, we observe a negative trend in women’s involvement in food purchase decisions in their households. Changes in women’s decision-making power over food purchases are not statistically related to change in women’s outside employment. Gaining employment outside the home is associated with a decrease in women’s autonomy over the use of household income. Contrary to expectations, we find the number of food groups consumed by women increased over the year with COVID-19. The chance that women gained achievement of minimum diet diversity over the year is 38 percent; the chance they lost it 11.5 percent; the chance it did not change is 50.5 percent. Change in women’s diet diversity is positively related with change in women’s decision-making power over food purchases but negatively with change in women’s autonomy over income use.

× To address malnutrition in low- and middle income countries (LMICs), more evidence is needed about the potential of food system innovations to help guide the transformation towards healthier, more sustainable, and equitable food systems. This paper reviews the literature on food system innovations in the food environment and addressing consumer behavior on diet and nutrition-related outcomes in Bangladesh, Ethiopia, Nigeria, Viet Nam, and other LMICs, then highlights promising innovations and demonstrates gaps in the literature. In the food environment, promising innovations include nutrition-relevant multi-sectoral national policy backed by effective implementation; institutional purchasing offering healthy meals in school or factory environments; compulsory nutrition labelling; and fortified foods, if these can be durably offered or viably commercialised. Promising innovations influencing consumer behavior include unhealthy food taxes; large-scale information campaigns raising awareness about specific unhealthy food items; and campaigns that provide information and/or fortified food (supplements) to address nutrition of infants and young children. Promoting women’s empowerment and targeting women with nutrition information could be effective food system innovations addressing consumer behavior, but deliberation is needed about risks of emphasizing the instrumental role of gender equity and women’s empowerment for nutrition or reinforcing gender roles and increasing women’s responsibilities. That said, our review also demonstrates a general lack of evidence on most types of food system innovations in the four primary countries of study. More evidence is needed on several types of food systems innovations before definitive advice can be given on guiding food systems transformations towards healthier diet outcomes. This review therefore acts as a starting point for addressing country-specific food system challenges and identifies needs for further research.

× This study, based on a primary survey conducted in Bangladesh in 2016, assesses the impact of contract farming in broiler production on profits and the adoption of food safety measures at the farm level. It also estimates the determinants for participation in contract farming, finding a farmer’s education and broiler-housing structure to be significant determinants. This study uniquely assesses the association of contract farming with the provision of well-defined food safety attributes. It finds that contract participation enhances farmers’ net returns by as much as 215–280% and raises compliance with food safety measures by around 13%. Increased productivity and provision of non-price attributes such as food safety in the product account for the difference in farmer returns.

× The World Health Organization (WHO) and other global nutrition and health agencies recommend nutrition actions throughout the life-course to address malnutrition in all its forms. As global recommendations are updated based on available evidence, it is anticipated that governments and stakeholders will, in turn, build on these recommendations to update national policies and programs. Little is known in the South Asia region about policy coherence with globally recommended actions. Even less is known about the degree to which countries are able to track their progress on nutrition actions. To address the gap, this brief summarizes the policy and program gaps in addressing nutrition actions, along with data gaps in population-based surveys in all the countries in the South Asia region, including Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka.

× In Bangladesh, social protection programs have the potential to uplift the most vulnerable out of poverty. Until recently, however, these programs have had little impact on nutrition. Results from a randomized controlled trial in Bangladesh – the Transfer Modality Research Initiative – provides the proof of concept that combining social safety net transfers with nutrition behavior change communication (BCC) can significantly improve household food security and child nutrition, and these impacts can be sustained over time.

× For almost fifty years, the Food Planning and Monitoring Unit (FPMU) of the Ministry of Food has played a role in policy analysis and planning related to the Public Foodgrain Distribution System (PFDS) and food policy in Bangladesh. Supported by a series of major donor-funded technical sup-port projects, this small unit has had major positive impacts on food policy reforms, as well as policy decisions on timing of PFDS imports, domestic procurement and distribution. And in the last dec-ade, the FPMU has played a lead role in formulation and monitoring of Country Investment Plans for Agriculture, Food Security and Nutrition. Thus, the FPMU provides support not only to the Ministry of Food, but nine other ministries, as well.
This expanded mandate and the increased complexity of food and nutrition policy in Bangladesh suggest the need for an in-depth examination of the FPMU’s structure and performance. This diag-nostic study, based on a review of documents, interviews of FPMU staff and other government offi-cials, stakeholder consultations and synthesis of findings, assesses the organizational structure, management, technical performance (data management and direct support to food policy implemen-tation) and capacity strengthening needs to provide insights on how to further enhance the FPMU’s effectiveness.

× Bangladesh has successfully improved national food security over the last two decades, primarily by increasing rice production and consumption. However, the country’s food system remains vulnerable to periodic floods and droughts that seriously affect agricultural production and prices. While food imports can cushion the effects of these short-term climate shocks, there is always uncertainty about whether shortages in global commodity markets will coincide with domestic production shortfalls, leading to particularly adverse outcomes, especially for poor farmers and net consumers. This is one of the reasons why Bangladesh’s government has maintained a long-standing public grain procurement and storage system, as well as a large social protection program that distributes subsidized rice and wheat to poor households. These programs, together with investments in farm productivity, have enhanced the resilience of Bangladesh’s food system to climate and world market shocks. Heightened climate variability in recent years has also led the government to increase stocks and make substantial new investments to expand public grain storage capacity.

× Bangladesh has a complex rice value chain consisting of farmers, upstream paddy wholesalers and intermediaries, millers, and downstream rice traders, wholesalers and retailers. Each of these actors serve distinct functions and have lines of trade that affect their stock turnover in different ways. There is a lack of complete information on the volume of rice traded and stored by the private sec-tor. This leads to difficulties in the timeliness of requisite policy actions on the part of the govern-ment. When rice prices spike, the typical response has been to lay the blame at the feet of millers and traders. For the government, it is important to have a general picture of the level of private stocks in a given year to ensure appropriate adjustments in procurement, distribution and import de-cisions can be made to meet their food security and price stabilization objectives.

× Price instability is a fact of life. In a market economy, domestic prices change in response to changes in supply, consumer preferences, policy, world prices, and other factors. Crop prices tend to be particularly volatile because harvests occur only once or a few times per year and because the size of the harvest varies due to weather, prices, and other factors. For internationally-traded commodities, volatility in world prices can be another source of instability in domestic prices.

× Micronutrients, often referred to as vitamins and minerals are vital to healthy development, disease prevention, and wellbeing. Although only required in small amounts, micronutrients are not produced in the body and must be derived from the diet. Commonly cited micronutrients include Iron, Vitamins A, B, D, Iodine, and Zinc. Malnutrition in micronutrients tends to trap populations in a vicious cycle of poverty, causing adults to be less productive and preventing children from reaching their full potential, and exacerbating household poverty in general. Addressing the problem of micronutrient malnutrition, therefore, provides substantial benefits to the cause of development (Ara et al. 2019). The fortification of staple food items including rice to deliver vital micronutrients offers a unique opportunity to target the vulnerable populace – mostly women, young children and female adolescents – at a low cost, and importantly, without forcing a change in dietary habits.2 Although considerable investments are currently being made to improve micronutrient nutrition outcomes around the world, such efforts generally take time to provide results.

× National and household food security in Bangladesh have been greatly enhanced over the past two decades by policies that have allowed a major public foodgrain distribution and relatively large pub-lic stocks to co-exist with private sector trade. Yet, this system has also undergone substantial changes as the structure of the Bangladesh food economy has been transformed in response to growing household incomes, shifts in production and consumption, and changes in international markets.

× Bangladesh has a long history of catering to the consumption needs of its population through public distribution of food-grains—rice and wheat—stored across an extensive network of warehouses all over the country. This network has its roots in the Bengal famine, but now performs a variety of functions ranging from price support to providing a safety net against crises. However, the storage infrastructure is old, with many warehouses having originated some sixty years ago. The food security situation in Bangladesh has also improved remarkably from the time when this warehousing network was established. Finally, there have been remarkable improve-ments in both technology and management of grain storage that have increased overall efficiency.

× While Bangladesh has had reactionary responses to the newer waves of COVID-19, it is projected that the country could face severe consequences if the Delta variant detected in May 2021 spreads. Since the beginning of the health crisis, CGIAR and partners have worked to support a food systems response to the pandemic through informing national policies and improving food security

× Onion is a key ingredient in most Bangladeshi meals, so its sudden price spurt in the domestic market in early-July 2013 raised deep concerns among the people and the government. While such a price surge hits low-income consumers the hardest, it can also become an important political issue. For example, in India, onion prices were regarded as the decisive factor in the 1998 state elections in Delhi and Rajasthan and were responsible for bringing down the central government in 1980. Following the 2013 price hike, a situation analysis of the onion price surge was conducted with a view to derive policy recommendations for onion price stabilization in the country. The analysis of onion price situation was based on information collected from a number of sources.

× Securing Food for All in Bangladesh presents an array of research that collectively address four broad issues: (1) agricultural technology adoption; (2) input use and agricultural productivity; (3) food security and output market; and (4) poverty, food security, and women’s empowerment. The fifteen chapters of the book address diverse aspects within these four themes.
Access to sufficient food by all people at all times to meet their dietary needs is a matter of critical importance. Despite declining arable agricultural land, Bangladesh has made commendable progress in boosting domestic food production. The growth in overall food production has been keeping ahead of population growth, resulting in higher per capita availability of food over time. In the early 1970s, Bangladesh was a food-deficit country with a population of about 75 million. Today, the population is 165 million, and the country is now self-sufficient in rice production, which has tripled over the past three decades. Along with enhanced food production, increased income has improved people’s access to food. Furthermore, nutritional outcomes have improved significantly.
Nevertheless, the challenges to food and nutrition security remain formidable. Future agricultural growth and food and nutrition security are threatened by population growth, worsening soil fertility, diminishing access to land and other scarce natural resources, increasing vulnerability of crop varieties to pests and diseases, and persistent poverty leading to poor access to food. In addition, the impacts of climate change—an increase in the incidence of natural disasters, sea intrusion, and salinity—will exacerbate food and nutrition insecurity in the coming decades if corrective measures are not taken. Aligned with this context, the authors of the book explore policy options and strategies for developing agriculture and improving food security in Bangladesh.
Securing Food for All in Bangladesh, with its breadth and scope, will be an invaluable resource for policymakers, researchers, and students dedicated to improving people’s livelihoods in Bangladesh.

× Large-scale government interventions in cereal markets supported by public stocks have been a central part of food policy in the Indian sub-content since the days of British colonial India. Following the Great Bengal Famine of 1943, during which an estimated three million people died of hungerrelated causes, the colonial government instituted a system of government sales and distribution of cereals designed to help ensure minimum food consumption for poor households (Sen 1982). Public distribution systems continued in both India and Pakistan following independence in 1947. The famine conditions in 1972-74 that followed the liberation war and Bangladesh’s independence in December 1971 strongly reinforced the perceived need for major public interventions to ensure food security (see Ahmed, Haggblade, and Chowdhury 2000).

× In Bangladesh, the dry season of October to March is characterised by falling water tables, reduction in the discharge of major rivers, drying water channels, and salinity intrusion, particularly in the southwest coastal region. Demand for groundwater is at its highest during this season. Although groundwater has powered the expansion of cereal production over the last two decades or so, the sustainability of groundwater-based agricultural production has been questioned by many researchers. The tension between water supply and demand during the dry season thus has become a critical one.

× Since Bangladesh’s independence in 1971, the country’s population has more than doubled to over 160 million in 2016. Despite a large population and severe resource constraints, the country has achieved significant development including steady growth in per capita income and impressive gains in human development. The incidence of poverty has also declined from nearly 60 percent in the early 1990s to less than a quarter in recent years. However, there are still millions of people who are food insecure, as commonly understood, in terms of complex multi-faceted issues concerning not just agriculture, technology and trade, but also involving multiple social and ecological considerations.

× Many studies suggest that hybrid rice can contribute to food security in developing countries, especially in parts of Asia where rice production is so vital to the rural economy and where rice remains a staple of both urban and rural food consumption. The higher yields attributable to hybrid rice have the potential to increase food availability for farm households’ own consumption, while also increasing farm incomes through sales of larger marketable surpluses. These larger marketable surpluses can result in increased food supplies that reduce or stabilize prices for both urban and rural food-insecure households (see e.g. Lin and Pingali 1994; Xie and Hardy 2009).

× In Bangladesh, the pace of economic growth accelerated in recent years, with real GDP growing at a rate of 6.5 percent on average per year between 2010 and 2016, reaching 7.3 percent in 2017—the highest in the country’s history. The incidence of poverty in Bangladesh was cut in half in the past 16 years, dropping from 48.9 percent in 2000 to 24.3 percent in 2016. In rural areas, poverty headcount declined from 52.3 percent to 26.4 percent over the same period (BBS 2017).

× Agricultural production in Bangladesh has undergone dramatic changes over the past several decades. Green Revolution technologies transformed the agriculture system in the country through the introduction of highyielding rice and wheat varieties, chemical fertilizers and pesticides, and the expansion of tube well-irrigated area, enabling crop production during the dry season (e.g. Hossain 1988; Sen, Mujeri, and Shahabuddin 2004; Timmer 2005). As a result, yields of key staples, namely rice but also wheat, have increased as has food availability. However, serious challenges continue to plague the agriculture sector. These include scarcity of land due to high population density, unbalanced use of fertilizers and pesticides, great variation in water supply across seasons from drought to stagnant flood conditions, resource degradation due to over-application of chemicals and intensive year-round cultivation of rice, climate change and related extreme climatic events.

× With about 1,200 people per square kilometer, Bangladesh is one the most densely populated countries on the planet. The reality of intense population pressure is reflected in commonly portrayed images in the popular media, such as crowded buses and trains with passengers on top, endless lines of human-powered rickshaws, and deaths in the thousands from both natural and man-made disasters. With increasing landlessness, and a heavy reliance on labor markets, understanding the dynamics of wage formation in this setting is critically important for identifying the process of economic transformation and poverty reduction. However, both theories and empirics of wage determination in Bangladesh, and elsewhere in developing countries, have intrigued economists for decades. The neoclassical theories, where labor demand and wages are determined by the marginal physical product, cannot explain stable wages amid seemingly unlimited supply of workers and massive involuntary unemployment in developing countries like Bangladesh. The reason is simple: if market clearing conditions hold, unemployed workers should bid down wages until full employment as reached. One set of theories that provide a more coherent explanation of stable wages amid abundant labor supply has been the nutrition-based efficiency wage theory, originally proposed by Leibenstein (1957) and Mazumdar (1959). The premise of this theory is that since productivity depends on consumption, it is in the interest of the employers to pay a wage that ensures minimum calorie requirement of the workers so that they can work effectively.

× Bangladesh has achieved commendable progress in agriculture especially in increasing food grains production over the past few decades. Three mutually supportive mechanisms have operated in different degrees for expanding agricultural (food) production in Bangladesh during the period: first, the increase in efficiency of use of farm inputs and technologies; second, using more productive inputs; and third, adopting improved technologies. Among the three, the first two have helped the small and marginal farmers (who form the overwhelming majority in Bangladesh agriculture) to experience the immediate benefits of higher farm outputs, contributing to an increased income and better living conditions. The third has been particularly important in enhancing the welfare of the consumers (resulting from lower real food prices) including the largest segment of the poor households in both rural and urban areas who are net buyers of food in Bangladesh (Mujeri, Shahana, Chowdhury, and Haider 2013).

× Intimate partner violence (IPV) is a major global public health problem with economic costs ranging from 1-4 percent of GDP (García-Moreno et al. 2015; Ribero and Sánchez 2005). IPV has multiple malign consequences for women’s physical and mental health (Ellsberg et al. 2008; Kapiga et al. 2017) and is the leading cause of women’s death by homicide (Devries et al. 2013). Adverse effects are transmitted inter-generationally, with IPV linked to poorer child development, nutrition, and health outcomes, as well as a greater likelihood of children also entering into abusive relationships (Aizer 2010; Fulu et al. 2017; Hasselmann and Reichenheim 2006; Karamagi et al. 2007; Koenen et al. 2003; Pollak 2004; Yount et al. 2011). Using data from 141 studies from 81 countries, Devries et al. (2013) estimate that 30 percent of all adult women have experienced physical or sexual IPV. There is considerable regional variation in this prevalence, with South Asia (41 percent)—the region of our study—among the highest in the world.

× There are two strands in the socioeconomic literature on aquaculture. The first, which we call “micro socioeconomics,” is work centered on the role of farm households as fish producers, and the impacts of aquaculture on rural communities where aquaculture takes place. This strand can be divided into three themes: (i) farm technology diffusion and efficiency (e.g., Dey et al. 2005; Rauniyar 1998); (ii) farm interactions with the environment (e.g., Islam 2014; Primavera 2006); (iii) livelihoods. The latter can be divided further into studies linking aquaculture to poverty reduction and studies of impacts of aquaculture on communities. The “poverty” literature has focused on the role of small-scale and subsistence forms of aquaculture for household food security and incomes (e.g., Bondad-Reantaso and Subasinghe 2013). The “community” literature adopts a more critical approach to the distribution of benefits and losses from aquaculture among farm and non-farm households (e.g., Paprocki and Cons 2014; Toufique and Gregory 2008).

× While Bangladesh has experienced steady advances in food production through the adoption of agricultural technologies, chronic food insecurity remains a challenge. Similar to other countries in South Asia, there is a strong gender dimension to food insecurity and malnutrition in Bangladesh. In South Asia, the low status of women and gender gaps in health and education contribute to chronic child malnutrition (Smith et al. 2003) and food insecurity (von Grebmer et al. 2009), even as other determinants of food security, such as per capita incomes, have improved. Renewed interest in agriculture as an engine of inclusive growth and specifically in women’s empowerment has highlighted the need to develop indicators for measuring women’s empowerment, to examine its relationship to various food security outcomes, and to monitor the impact of interventions to empower women.

× Technology is the basis for sustainable agricultural growth. Enhanced agricultural productivity and growth depend, to a large extent, upon the widespread adoption of appropriate technologies by farmers. Seed, fertilizer and irrigation technologies known as the ‘Green Revolution’ technologies have long played major roles in the growth of agriculture production in Bangladesh. The country has made commendable progress in domestic rice production through farmers’ adoption of these technologies. In the early 1970s, Bangladesh was a seriously food-deficit country with a population of about 75 million. Today, the population is more than 160 million, and Bangladesh is on the brink of self-sufficiency in rice production, which has tripled over the past three decades.

× Bangladesh has excellent conditions for rice production, with production possible during up to three seasons in a year. Production in Bangladesh increased rapidly during the 1960s to 1990s as a result of Green Revolution technologies fueled by short-duration varieties, irrigation, and fertilizers. Given the rapidly vanishing land base due to increased population density, urbanization, land degradation and climate change, technological change remains the key factor determining the potential for productivity growth of the agriculture sector in Bangladesh. The need for accelerated technological change was further sharpened as a result of the recent food price crises, which have led to increased calls for food self-sufficiency in the country (Asaduzzaman et al. 2010).

× Evidence accumulated from many developing countries during the past 50 years has demonstrated that yield-enhancing cultivars are vital inputs to sustained agricultural productivity growth, particularly in land-scarce countries where yield growth can only be achieved through intensification (Evenson and Gollin 2003). But sustained productivity growth requires more than just strong scientific expertise and good plant breeding programs. It also requires a modern seed system that has the capacity and infrastructure to multiply, popularize, and distribute these cultivars. And while there are many different designs for a modern seed system, they all share one commonality—they shift seed use practices away from traditional approaches in which farmers select, save, and exchange seeds, to a system that integrates traditional approaches with modern science, public investment, and market signals to provide farmers with more systematic access to improved cultivars and quality seed. Necessarily, this shift also means that seed becomes an economic commodity: it becomes the embodiment of innovative effort undertaken by plant breeders, entrepreneurs, sales representatives, and farmers, across whom the gains from innovation must be distributed in a manner that encourages continuous production and further innovation. It is the role of the policymaker to develop policies that encourage both production and innovation to benefit society.

× Securing Food for All in Bangladesh presents an array of research that collectively addresses four broad issues: (1) agricultural technology adoption; (2) input use and agricultural productivity; (3) food security and output markets; and (4) poverty, food security, and women’s empowerment. The fifteen chapters of the book address diverse aspects within these four themes.

× Food is the most important basic need for sustenance and survival, and the right to food is among the fundamental human rights. Access to sufficient food at all times to meet dietary needs of millions of people in Bangladesh is a matter of critical importance and should be an issue of paramount concern to those responsible for the nation’s welfare. According to Article 15 (a) of the Constitution of the People’s Republic of Bangladesh, it is a principal responsibility of the State to meet the basic food needs of all citizens. Furthermore, Article 18(1) of the Constitution has made the improvement of the nutritional status of the people and the improvement of public health, the primary responsibilities of the state.
This book assembles a set of papers that collectively focus on the extensive undertaking of securing food for all in Bangladesh. The book addresses four broad issues: (1) agricultural technology adoption; (2) input use and agricultural productivity; (3) food security and output market; and (4) poverty, food security and women’s empowerment. The chapters, fifteen in total, address diverse aspects within these four themes.

× "The 2018 Bangladesh Social Accounting Matrix (SAM) follows IFPRI's Standard Nexus SAM approach, by focusing on consistency, comparability, and transparency of data. The Nexus SAMs available on IFPRI's website separates domestic production into 42 activities. Factors are disaggregated into labor, agricultural land, and capital, with labor further disaggregated across three education-based categories. The household account is divided into 10 representative household groups: Rural and urban households across per capita consumption quintiles. Nexus SAMs support the improvement of model-based research and policy analysis in developing countries and allow for more robust cross-country comparisons of national economic structures, especially agriculture-food systems.
"

× Agricultural lands are vital to food security, which is imperative to the “no global hunger” objective of the United Nation’s Sustainable Development Goals. Global food security is at risk from climatic change related increased temperatures, fluctuating precipitation levels, and greater frequency of extreme weather. Bangladesh’s low topography, high population density, high poverty levels, and economic dependency on agriculture indicates a higher vulnerability to climate change, despite the nation’s minimal greenhouse gas emissions. To examine these trends in Bangladesh, this research analyzes a survey of over 800 Bangladeshi farmers to understand how they experience and adapt to climate change. Through quantitative data collation and analysis, research illuminates that 90% of farmers reported changing their practices because they observed long-term shifts in climate. The majority of these farmers reported significant changes to important agricultural practices such as changing the variety of crop they produce, irrigating their farms more, and changing their fertilizer application. Analysis of this data in relation to
population vulnerability and the United Nation Sustainable Development Goals reveals which groups are most at risk of food insecurity and livelihood loss as Bangladesh experiences higher agricultural variability related to climatic change. Lessons learned from Bangladesh have global
implications, particularly for other developing countries experiencing agricultural transitions.

× This evaluative review is one of a series of end-of-program studies being carried out by the CGIAR Research Program (CRP) on Agriculture for Nutrition and Health (A4NH) to document lessons from its achievements to inform future research and development (R&D) efforts. This study looks at lessons learned from HarvestPlus’ work with National Agricultural Research and Extension Systems (NARES) to develop and implement sustainable biofortification breeding programs. HarvestPlus is part of A4NH.

× We use pre-pandemic (2018-2019) data from the Bangladesh Integrated Household Survey (BIHS), together with three rounds of data collected by telephone in June 2020, January 2021, and September-October 2021, to understand changes in food security over time in a representative sample of rural Bangladeshi households.
• With the onset of the pandemic, combined with the lockdown restrictions imposed from March through May 2020, moderate and severe food insecurity tripled to 45 percent. This was likely driven by income losses and difficulties accessing food because of shop closures.
• By January 2021, the proportion of moderately or severely food insecure households had largely returned to pre-pandemic levels. The September-October 2021 survey showed no meaningful further change in the prevalence of moderate or severe food insecurity despite the strict national lockdown imposed in July-August 2021.
• A different picture emerges when we include the prevalence of mild food insecurity. The proportion of households reporting any food insecurity (mild, moderate or severe) increased from the pre-pandemic average of 45.7 percent to 87.8 percent in June 2020, before declining to 70.9 percent in January 2021 and 68 percent in September-October 2021. Dimensions of food insecurity that include consuming less diverse diets, being unable to eat healthy/nutritious food, and above all, being worried about not having enough food increased dramatically at the start of the pandemic and have remained elevated.
• Pre-pandemic, the majority of rural households in our sample were fully food secure; 18 months after the onset of the pandemic only 32 percent report no forms of food insecurity.
• In the immediate months after the outbreak (June 2020), many rural households coped by reducing expenditures on non-food goods, electricity and other utilities, and health-related items. The use of these forms of coping mechanisms has subsequently declined. However, the proportion of rural households that purchased food on credit (69 percent in June 2020) has barely changed and in all surveys fielded since the start of the pandemic, more than half of surveyed households have borrowed money to buy food. The continued use of savings and the ongoing use of credit to purchase food is consistent with the elevated levels of worry about not having enough food.
• A substantial share of rural households reported receiving cash or in-kind safety net support during the pandemic, mostly from government sources.
• Continued and expanded support from safety nets may be important, as many rural households face ongoing food insecurity and are using unsustainable coping strategies.

× Summary
• The Transfer Modality Research Initiative (TMRI) was a pilot transfer program implemented in rural Bangladesh from 2012-2014, following a randomized controlled trial (RCT) design. TMRI provided either cash transfers or food transfers, with or without nutrition behavior change communication (BCC), to ultra-poor women and their family members in two regions of rural Bangladesh.
• The nutrition BCC entailed intensive weekly group-based nutrition training, home visits, and community meetings focused on infant and young child feeding and encouraged home production of nutritious foods.
• We conducted a phone survey in November 2021 to re-interview a subset of the households that participated in TMRI from 2012-2014. We aimed to assess any differences in how they were faring shortly after the devastating third wave of the COVID-19 pandemic in Bangladesh.
• We find that attrition in our phone survey is low relative to the intended sample, and not correlated with treatment. This allows us to assume that differences across the treatment and control arms in November 2021 are causal differences – that is, persistent effects of the different treatment arms implemented seven years earlier.
• Overall, we find that households that received a combination of cash transfers and intensive nutrition BCC from 2012-2014 fare significantly better in November 2021 than those in the control group or the other arms, although they nonetheless struggle in many dimensions.
• In November 2021, compared with the control group, former Cash+BCC households report experiencing significantly lower prevalence of moderate or severe food insecurity, report a more diverse diet (being significantly more likely to consume eggs, dairy, and fruit in the previous seven days), report a slightly smaller share of main earners being unemployed, and report experiencing significantly less stress.
• Our findings suggest that providing poor rural households in Bangladesh with sizable cash transfers of long duration alongside intensive complementary programming, such as nutrition BCC, may help them cope with future shocks. Thus, such programming may be a cost-effective strategy to reduce households’ immediate and future food and nutrition insecurity.

× Poor households in rural Bangladesh often face concurring idiosyncratic and aggregate shocks, which have adverse impacts on their income and consumption. In this study, we investigate the transmission channels, coping responses, and economic consequences of different shocks including idiosyncratic adverse health events and aggregate agricultural productivity shocks. We use a balance panel data of 5,655 rural households – interviewed every year between 2010 and 2013 – in northern Bangladesh. We estimate the effects of adverse health shocks on the consumption levels of the poor households in a multi-shock framework. We take advantage of the panel data and use fixed effect models to control for unobserved household-level confounders and potential endogeneity. We further examine effects of shocks to agricultural wages on consumption using rainfall as an instrument. We further carry out a number of robustness checks to understand how sensitive our models are to different alternate specifications. Results indicate that households smooth their consumption after experiencing adverse health shocks, with and without the parallel incidence of other types of shocks. Consumption smoothing occurs despite households experiencing a significant decrease of wage income, which is possibly driven by an increase in informal loans from village money lenders and households’ social networks. To evaluate the effect of a different type of income shock on consumption, we use rainfall as an exogenous instrument for agricultural income. Results indicate that while higher rainfall leads to a significant increase in agricultural income, it does not translate to higher food expenditure for households. Together, these findings offer suggestive evidence that, in this particular setting, households appear to smooth food consumption in the face of income shocks. Poor households rely on formal and informal, potentially costly channels and exploit existing social networks to insure themselves against adverse shocks. The findings highlight the importance of developing a better framework and a more effective implementation of equitable social safety net policies.

× Evidence shows transfer programs can improve early childhood development (ECD). However, knowledge gaps remain on how short-term impacts on ECD evolve as children grow older, how program design features and context affect child development impacts over time, and through what pathways such impacts occur. We study the Transfer Modality Research Initiative (TMRI), a 2-year randomized controlled trial in two regions of Bangladesh that provided cash or food transfers, with or without complementary nutrition programming, to mothers of children aged 0-2 years at baseline. Drawing on data collected at 6 months post-program (when children were about 2-4 years old) and at 4 years post-program (when children were about 6-8 years old), we assess post-program impacts of TMRI on children’s home environment and development. We find strong post-program impacts on the home environment from cash transfers in the Northern region, particularly when combined with complementary programming, however limited post-program effects on child development outcomes. Improvements found in child development tend to be concentrated in boys. We find few post-program improvements in home environment or child development from food transfers in the Southern region, with or without complementary programming.

× Poor-quality diets are one of the leading causes of malnutrition and common non-communicable disease. In this study, we use nationally representative household survey data and food demand system estimations to analyze dietary change and changing consumer preferences for different foods in the context of urbanization in low- and middle-income countries. We estimate and compare income and price elasticities of total food demand and the demand for 15 food groups in rural, urban, and city areas of Bangladesh for 2010 and 2016. We then use Oaxaca-Blinder decomposition regressions to explore how much of the observed food consumption changes can be explained by changes in revealed consumer preferences vis-à-vis changes in household income and food prices. The results show that Bangladeshi diets shifted from coarse to refined rice, and consumer preferences for vegetables and pulses were relatively low, contributing to worsening dietary quality. On the other hand, the consumption of nutritious, animal-source foods including fish, poultry, and eggs increased due to high consumer preferences and declining food prices-partly thanks to governmental production support. Regarding the dietary implications of rapid urbanization, the analysis suggests that rural consumers’ diets will largely follow the trajectory of urban consumers in Bangladesh.

× Unprecedented growth in rice production in Bangladesh over the last four decades has outpaced the capacity of post-harvest operations, resulting in substantial grain losses. While production technology has changed dramatically over time, there has been relatively little private investment in transforming storage capacity in the country.
This paper explores the lack of widespread private investment in improved grain storage and examines the potential for public support to stimulate greater private sector investment in modern storage. We calculate the returns to investment in bulk grain silos and hermetic cocoons that could upgrade warehouse storage, and calculate the grain loss that conversion to those technologies would prevent. We then assess the public support that would be required to trigger private investment in modern storage systems.

× Refugee sites throughout the world are loci of economic activity, including small enterprises, but limited information exists on these. We advance knowledge by collecting and analysing data on 326 enterprises operating inside and outside Rohingya settlements in southeastern Bangladesh. We find the following: refugees have access to a diverse array of active businesses; Bangladeshis and Rohingya both operate businesses and the two communities interact through transactions in local goods, services, inputs, and labour markets; lending plays an important role in sustaining these economies, as approximately 50 per cent of transactions are on credit; Rohingya-run enterprises face greater challenges than their local counterparts: their businesses are smaller and less profitable, and refugee workers are paid lower wages than local workers; and about half of the difference in performance between Rohingya and Bangladeshis can be explained by levels of start-up capital, scale, location, and education.

× We implemented a cluster randomized controlled trial to assess the impact of genetically modified eggplant (Bt brinjal) in Bangladesh. Our two primary outcomes were changes in yield and in pesticide costs. Cultivation of Bt brinjal raises yields by 3,564 kg/ha. This statistically significant impact is equivalent to a 51% increase relative to the control group. There is a statistically significant fall in pesticide costs, 7,175 Taka per hectare (85 USD per ha), a 37.5% reduction. Yield increases arise because Bt farmers harvest more eggplant and because fewer fruits are discarded because they are damaged. Bt brinjal farmers sell more eggplant and receive a higher price for the output they sell while incurring lower input costs, resulting in a 128% increase in net revenues. Bt brinjal farmers used smaller quantities of pesticides and sprayed less frequently. Bt brinjal reduced the toxicity of pesticides as much as 76%. Farmers growing Bt brinjal and who had pre‐existing chronic conditions consistent with pesticide poisoning were 11.5% points less likely to report a symptom of pesticide poisoning and were less likely to incur cash medical expenses to treat these symptoms. Our results are robust to changes in model specification and adjustment for multiple hypothesis testing. We did not find evidence of heterogeneous effects by farmer age, schooling, or land cultivated. Bt brinjal is a publicly developed genetically modified organism that conveys significant productivity and income benefits while reducing the use of pesticides damaging to human and ecological health.

× Early marriage (EM) and early childbearing (ECB) have far‐reaching consequences. This study describes the prevalence, trends, inequalities, and drivers of EM and ECB in South Asia using eight rounds of Demographic and Health Survey data across 13 years. We report the percentage of ever‐married women aged 20–24 years (n = 105,150) married before 18 years (EM) and with a live birth before 20 years (ECB). Relative trends were examined using average annual rate of reduction (AARR). Inequalities were examined by geography, marital household wealth, residence, and education. Sociodemographic drivers of changes for EM were assessed using regression decomposition analyses. We find that EM/ECB are still common in Bangladesh (69%/69%), Nepal (52%/51%), India (41%/39%), and Pakistan (37%/38%), with large subnational variation in most countries. EM has declined fastest in India (AARR of –3.8%/year), Pakistan (–2.8%/year), and Bangladesh (–1.5%/year), but EM elimination by 2030 will not occur at these rates. Equity analyses show that poor, uneducated women in rural areas are disproportionately burdened. Regression decomposition analysis shows that improvements in wealth and education explained 44% (India) to 96% (Nepal) of the actual EM reduction. Investments across multiple sectors are required to understand and address EM and ECB, which are pervasive social determinants of maternal and child wellbeing.

× Although women’s empowerment and gender equality are often linked with better maternal and child nutrition outcomes, recent systematic reviews find inconclusive evidence. This paper applies a comparable methodology to data on the Women’s Empowerment in Agriculture Index (WEAI), an internationally-validated measure based on interviews of women and men within the same household, from six countries in Africa and Asia to identify which dimensions of women’s empowerment are related to household-, woman-, and child-level dietary and nutrition outcomes. We examine relationships between women’s empowerment and household-level dietary diversity; women’s dietary diversity and BMI; and child-related outcomes, controlling for woman, child, and household characteristics. We also test for differential associations of women’s empowerment with nutrition outcomes for boys and girls. We find few significant associations between the aggregate empowerment scores and nutritional outcomes. The women’s empowerment score is positively associated only with child HAZ, while lower intrahousehold inequality is associated with a higher likelihood of exclusive breastfeeding and higher HAZ but with lower BMI. However, analysis of the subdomain indicators finds more significant associations, suggesting that tradeoffs exist among different dimensions of empowerment. Women’s empowerment accounts for a small share of the variance in nutritional outcomes, with household wealth and country-level factors accounting for the largest share of the variation in household and women’s dietary diversity. In contrast, most of the variation in child outcomes comes from child age. Improving nutritional outcomes requires addressing the underlying determinants of poor nutrition in addition to empowering women and improving gender equality.

× Improving the impact of nutrition interventions requires adequate measurement of both reach and quality of interventions, but limited evidence exists on advancing coverage measurement. We adjusted contact-based coverage estimates, taking into consideration the inputs required to deliver quality nutrition services, to calculate input-adjusted coverage of nutrition interventions across the continuum of care from pregnancy through early childhood in Bangladesh.

× To date, projections of human migration induced by sea-level change (SLC) largely suggest large-scale displacement away from vulnerable coastlines. However, results from our model of Bangladesh suggest counterintuitively that people will continue to migrate toward the vulnerable coastline irrespective of the flooding amplified by future SLC under all emissions scenarios until the end of this century. We developed an empirically calibrated agent-based model of household migration decision-making that captures the multi-faceted push, pull and mooring influences on migration at a household scale. We then exposed ~4,800,000 simulated migrants to 871 scenarios of projected 21st-century coastal flooding under future emissions pathways. Our model does not predict flooding impacts great enough to drive populations away from coastlines in any of the scenarios. One reason is that while flooding does accelerate a transition from agricultural to non-agricultural income opportunities, livelihood alternatives are most abundant in coastal cities. At the same time, some coastal populations are unable to migrate, as flood losses accumulate and reduce the set of livelihood alternatives (so-called "trapped" populations). However, even when we increased access to credit, a commonly-proposed policy lever for incentivizing migration in the face of climate risk, we found that the number of immobile agents actually rose. These findings imply that instead of a straightforward relationship between displacement and migration, projections need to consider the multiple constraints on, and preferences for, mobility. Our model demonstrates that decision-makers seeking to affect migration outcomes around SLC would do well to consider individual-level adaptive behaviors and motivations that evolve through time, as well as the potential for unintended behavioral responses.

× As a substantial portion of the rural labor force migrates to urban areas, it is commonly assumed that women could take over traditionally male tasks in agricultural production, with potentially empowering outcomes for women. We study how changes in the supply of labor may influence female labor participation and empowerment outcomes. Using a detailed panel dataset on jute producers in the delta region of Bangladesh, we test whether out-migration of household members and perceived labor shortages are associated with the share of household and hired labor performed by women, and women’s empowerment. When a household experiences reduced household or hired labor supply, we observe a relatively larger use of female household labor, but a reduced share of female hired labor. We also find that reduced labor supply is not associated with significant reductions in gender wage gaps, or enhanced women’s empowerment. These findings suggest that given existing gender norms, male and female labor are not perfect substitutes for one another, and as a result, male outmigration is not associated with improved outcomes for women in cash crop production in the short run. Our results demonstrate a need for better understanding of the role of gender in rural labor markets, particularly in contexts of rapid urbanization.

× This paper explores patterns of exit from agriculture in rural Bangladesh by utilizing nationally representative repeat cross-section and pseudo-panel survey data. Our analysis focuses at the rural household level where we focus on three types of households: (a) “pure” agriculture households in which all workers are employed only in agriculture; (b) “mixed” households in which some members remain in the farm sector and others pursue nonfarm activities, and (c) rural “nonfarm” households who are exclusively dependent on non-agricultural employment.
We find that non-farm orientation has increased over the 2000 to 2013 period, and that nonfarm households rely more on salaried employment and less on unpaid work. Pseudo-panel data based on age-cohort of household heads from the Labor Force Survey (LFS) of 2000 and 2013 also shows a notable increase in mixed households formed by diversification of activities of formerly farm-only households. Employment patterns of younger households are changing especially rapidly: the share of mixed households among households with heads age 15–30 years increased from 17% to 30% in this period. Proximity to urban areas also is associated with a rapid shift in household employment patterns over time. In areas less than 2.5 kms from cities, the share of pure farm households fell from 46.5 to 30.3 percent of households, while the share of mixed households rose from 14.8 to 33.7 percent.
Overall, our findings confirm a process of transformation involving a shift from predominantly agriculture employment to increased non-farm employment. We find that the structural transformation considered does not necessarily involve large-scale permanent migration to cities. Rather, much of the shift out of agriculture occurs within rural areas with especially rapid change happening in areas of close proximity to cities.

× In this pilot project, we demonstrate the exciting potential of online freelancing for improving the incomes of poor youth in rural Bangladesh. We also highlight the constraints to this type of work: financing constraints for the high training cost, access to the necessary work infrastructure, and soft skills requirements to success in the market. We shed light on some promising possibilities for innovative financing contracts and for ‘virtual exporting companies’ to act as freelancing incubators and assist students in their development.

× Adolescent birth is a major global concern owing to its adverse effects on maternal and child health. We assessed trends in adolescent birth and examined its associations with child undernutrition in Bangladesh using data from seven rounds of Demographic and Health Surveys (1996–2017, n = 12,006 primiparous women with living children <5 years old). Adolescent birth (10–19 years old) declined slowly, from 84% in 1996 to 71% in 2017. Compared with adult mothers (≥20 years old), young adolescent mothers (10–15 years old) were more likely to be underweight (+11 pp), have lower education (−24 pp), have less decision-making power (−10 pp), live in poorer households (−0.9 SD) with poorer sanitation (−15 pp), and have poorer feeding practices (10 pp), and were less likely to access health and nutrition services (−3 to −24 pp). In multivariable regressions controlled for known determinants of child undernutrition, children born to adolescents had lower height-for-age Z-scores (−0.29 SD for young and −0.10 SD for old adolescents (16–19 years old)), weight-for-age Z-score (−0.18 and −0.06 SD, respectively) as well as higher stunting (5.9 pp) and underweight (6.0 pp) than those born to adults. In conclusion, birth during adolescence, a common occurrence in Bangladesh, is associated with child undernutrition. Policies and programs to address poverty and improve women's education can help delay marriage, reduce early childbearing, and improve child growth.

× Antenatal care (ANC) is an important platform to deliver health and nutrition interventions during pregnancy but there is limited evidence on how both the number and content of ANC visits relate to birth outcomes. We examined the independent and additive contributions of ANC quantity and quality on child birthweight in four South Asian countries.

× The intensification of crop production has been identified as one of the major drivers of environmental degradation. While significant advances could still be made with more widespread adoption of sustainable intensification technologies that address the agronomic efficiency of nitrogen fertilizers, the dynamic use of agricultural land across seasons and associated crop-specific responses to fertilizer applications has so far been largely overlooked. This paper explores the potential for improving the economic-environmental performance of crop production through spatially integrated modeling and optimization, as applied to Bangladesh. Results show that per-billion-Taka nitrogen loss from soil would decline by 83% from the baseline level through factoring in crop-specific, seasonal and spatial variations in crop nitrogen-use efficiency and nitrogen transport. The approach should complement other policy analysis and decision-support tools to assess alternative options for maximizing the positive outcomes of nitrogen fertilizers with regard to farm income and food security, while maintaining environmental sustainability.

× Food security in Bangladesh has improved in recent years, but the country is now facing a double burden of malnutrition while also being highly vulnerable to climate change. Little is known about how this may affect food supply to different sectors of the population. To inform this, we used a national dietary survey of 800 rural households to define dietary patterns using latent class analysis. Nutrient adequacy of dietary patterns and their potential vulnerability to climate shocks (based on diversity of calorie sources) were assessed. We fitted mixed effects logistic regression models to identify factors associated with dietary patterns. Four dietary patterns were identified: rice and low diversity; wheat and high diversity; pulses and vegetables; meat and fish. The wheat and high diversity and meat and fish patterns tended to be consumed by households with higher levels of wealth and education, while the rice and low diversity pattern was consumed by households with lower levels of wealth and education. The pulses and vegetables pattern was consumed by households of intermediate socio-economic status. While energy intake was high, fat and protein intake were suboptimal for all patterns except for the wheat and high diversity pattern. All patterns had fruit and vegetable intake below the WHO recommendation. The wheat and high diversity pattern was least vulnerable to shocks, while the rice and low diversity pattern was the most vulnerable, relying mainly on single cereal staples. The diets showed “double vulnerability” where the nutrient inadequate patterns were also those most vulnerable to shocks.

× The importance of women’s roles for nutrition-sensitive agricultural projects is increasingly recognized, yet little is known about whether such projects improve women’s empowerment and gender equality. We study the Agriculture, Nutrition, and Gender Linkages (ANGeL) pilot project, which was implemented as a cluster-randomized controlled trial by the Government of Bangladesh. The project’s treatment arms included agricultural training, nutrition behavior change communication (BCC), and gender sensitization trainings delivered to husbands and wives together – with these components combined additively, such that the impact of gender sensitization could be distinguished from that of agriculture and nutrition trainings. Empowerment was measured using the internationally-validated project-level Women’s Empowerment in Agriculture Index (pro-WEAI), and attitudes regarding gender roles were elicited from both men and women, to explore potentially gender-transformative impacts. Our study finds that ANGeL increased both women’s and men’s empowerment, raised the prevalence of households achieving gender parity, and led to small improvements in the gender attitudes of both women and men. We find significant increases in women’s empowerment scores and empowerment status from all treatment arms but with no significant differences across these. We find no evidence of unintended impacts on workloads and inconclusive evidence around impacts on intimate partner violence. Our results also suggest some potential benefits of bundling nutrition and gender components with an agricultural development intervention; however, many of these benefits seem to be driven by bundling nutrition with agriculture. While we cannot assess the extent to which including men and women within the same treatment arms contributed to our results, it is plausible that the positive impacts of all treatment arms on women’s empowerment outcomes may have arisen from implementation modalities that provided information to both husbands and wives when they were together. The role of engaging men and women jointly in interventions is a promising area for future research.

× The COVID-19 pandemic is expected to have profound effects on healthcare systems, but little evidence exists on service provision, utilisation, or adaptations. This study aimed to (1) examine the changes to health and nutrition service delivery and utilisation in urban Bangladesh during and after enforcement of COVID-19 restrictions and (2) identify adaptations and potential solutions to strengthen delivery and uptake. We conducted longitudinal surveys with health care providers (n = 45), pregnant women (n = 40), and mothers of children <2 years (n = 387) in February 2020 (in-person) and September 2020 (by phone). We used Wilcoxon matched-pairs signed-rank tests to compare the changes before and during the pandemic. Services delivery for women and children which require proximity were severely affected; weight and height measurements fell by 20–29 percentage points (pp) for pregnant women and 37–57 pp for children, and child immunisations fell by 38 pp. Declines in service utilisation were large, including drops in facility visitations (35 pp among pregnant women and 67 pp among mothers), health and nutrition counselling (up to 73 pp), child weight measurements (50 pp), and immunisations (61 pp). The primary method of adaptation was provision of services over phone (37% for antenatal care services, 44%–49% for counselling). Despite adaptations to service provision, continued availability of routine maternal and child health services did not translate into service utilisation. Further investments are needed to provide timely and accurate information on COVID-19 to the general public, improve COVID-19 training and provide incentives for health care providers and ensure availability of personal protective equipment for providers and beneficiaries.

× Youth unemployment is a major issue in many developing countries, particularly in locations not well connected with large urban markets. A limited number of available job opportunities in urban centres may reduce the benefit of policies that encourage rural–urban migration.
In this project, we investigated the feasibility of ‘virtual migration’ by training rural youth in Bangladesh to become online freelancers, enabling them to export their labour services to a global online marketplace. We did this by setting up a ‘freelancing incubator’, which provided the necessary workspace and infrastructure – specifically, high-speed internet connectivity and computers. Close mentoring was also provided to participants to assist in navigating the competitive online marketplace.
We show the exciting potential of online work for improving the incomes of poor youth in developing countries. We also highlight the constraints to this type of work: financing constraints for the high training cost, access to the necessary work infrastructure, and soft skills requirements to succeed in the market.
We also shed light on some promising possibilities for innovative financial contracts and for ‘freelancing incubators’ or ‘virtual exporting companies’ to assist students in their sourcing of work and skills development.

× This paper analyzes gender differences in awareness and adoption of climate-smart agriculture (CSA) practices using data from a survey administered to men and women within the same households in southwestern Bangladesh. Access to sources of agricultural and climate information is low for both men and women, and women have particularly low access to key information sources. As a result of limited access to information sources and different roles in agriculture, women also tend to be less aware of practices for CSA. Gender gaps in adoption are smaller among those who are aware of CSA practices. Moreover, women are more likely than men to adopt some practices, particularly those related to their gendered roles, such as improved livestock feeding practices and grain storage when they are aware of the practices. Other factors, besides lack of awareness, also emerge as important determinants of adoption, including household wealth, as measured by size of landholdings, labor availability, access to credit, experience with climate shocks, and perceptions of future climate risk. The results suggest that greater efforts to reach both men and women with information on CSA would increase awareness and adoption of climate-smart practices.

× Women play important roles at different nodes of both agricultural and off-farm value chains, but in many countries their contributions are either underestimated or limited by prevailing societal norms or gender-specific barriers. We use primary data collected in Asia (Bangladesh, Philippines) and Africa (Benin, Malawi) to examine the relationships between women’s empowerment, gender equality, and participation in a variety of local agricultural value chains that comprise the food system. We find that the value chain and the specific node of engagement matter, as do other individual and household characteristics, but in different ways depending on country context. Entrepreneurship—often engaged in by wealthier households with greater ability to take risks—is not necessarily empowering for women; nor is household wealth, as proxied by their asset ownership. Increased involvement in the market is not necessarily correlated with greater gender equality. Education is positively correlated with higher empowerment of both men and women, but the strength of this association varies. Training and extension services are generally positively associated with empowerment but could also exacerbate the inequality in empowerment between men and women in the same household. All in all, culture and context determine whether participation in value chains—and which node of the value chain—is empowering. In designing food systems interventions, care should be taken to consider the social and cultural contexts in which these food systems operate, so that interventions do not exacerbate existing gender inequalities.

× Addressing public health externalities often requires community-level collective action. Each person’s sanitation behavior can affect the health of neighbors. We report on a cluster randomized controlled trial conducted with 19,000 households in rural Bangladesh where we randomized (1) either group financial incentives or a non-financial “social recognition” reward, and (2) asking each household to make either a private pledge or a public pledge to maintain hygienic latrines. The group financial reward has the strongest impact in the short term (3 months), inducing a 7.5-12.5 percentage point increase in hygienic latrine ownership. Getting people to publicly commit to maintaining and using a hygienic latrine in front of their neighbors induced a 4.2-6.1 percentage point increase in hygienic latrine ownership in the short term. In the medium term (15 months), the effect of the financial reward dissipates while the effect of the public commitment persists. Neither social recognition nor private commitments produce effects statistically distinguishable from zero.

× We develop an analytical framework based on the work of Akerlof and Kranton (2000) and use it to examine how identity – proxied by agreement with statements reflecting patriarchal notions of gender roles – affects the trade-off between the time women spend on household and care work and their subjective well-being. Analyzing household survey data from rural Bangladesh, we find that longer hours spent on household work are associated with lower levels of subjective well-being among women who hold egalitarian notions of gender roles, while the reverse is true for women who hold patriarchal notions of gender roles. Importantly, this pattern holds only when women strongly identify with patriarchal or egalitarian notions of gender roles. These findings provide insights into how social expectations govern gender roles and, specifically, how gender inequalities persist, at least in part, due to men’s and women’s internalization of traditional gender norms.

× Zinc deficiency is a severe public health issue in Bangladesh. We examine the effects of nutritional information on rural consumers’ willingness-to-pay (WTP) for two ways to address zinc deficiency—biofortification of rice with increased zinc content (an invisible trait) and low-milling that gives rice grains a distinctive light brown color (a visible trait) and sets it apart from the culturally preferred highlymilled white rice grain. Results of our economic experiments suggest that with nutritional information, consumers are willing to pay a premium of 6% for zinc biofortified rice compared to non-biofortified rice. However, results confirm the strong preference for high milled rice of Bangladeshi consumers who discounted less-milled rice by 14%. This discount was reduced to 10% with information, suggesting a positive effect (4%) of information on WTP for less-milled rice. We also find that consumers’ WTP for these two high-zinc rice grains was positively correlated with being a female, more education, and belonging to households with a major income source from non-farm activities and with children under five years of age. Results point to the importance of nutritional awareness campaigns for increasing zinc biofortified and low-milled rice consumption and guiding the targeting strategy for such campaigns.

× South Asia, home to 1.97 billion people (25% of the world’s population), is no stranger to conflict and confrontation. Longstanding border disputes (such as between India and China and the decades-old standoff between India and Pakistan), the forced displacement of Myanmar Muslims to Bangladesh, and the 2021 rise of the Taliban triggering a mass exodus of professionals and educated women from Afghanistan underscore the enormous volatility and unpredictability of the region. Climate change poses a further challenge, with the real risk of interstate “water wars.”1 Indeed, South Asia now faces a range of threats, with real risks of these spilling over into interstate conflict.
The links between longstanding conflict, insecurity, and poverty are well recognised.23 Abject poverty, especially when associated with disparities, underlies many of the known conflicts worldwide, unsurprisingly given the drain conflict places on social sector spending. And although lack of social inclusion and ethnic inequalities have been shown to lead to domestic terrorism,4 economic inequalities and grievances are stronger drivers of rebellion,5 and are particularly relevant in South Asia. Despite robust economic growth and progress on many technological fronts, South Asia still has the world’s largest concentrations of poverty, illiteracy, malnutrition, and preventable maternal and child deaths outside sub-Saharan Africa.6 Widespread poverty is closely intertwined with social disparities, marginalisation on the basis of an egregious caste system, and vast inequities that perpetuate disillusionment, grassroot rebellion, and further conflict.