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.

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.

Nutritional and Health Aspects of Food in South Asian Countries provides an analysis of traditional and ethnic foods from the South Asia Region, including India, Sri Lanka, Pakistan, Nepal, Bangladesh and Iran. The book addresses the history of use, origin, composition, preparation, ingredient composition, nutritional aspects, and the effects on the health of various foods and food products in each of these countries from the perspective of their Traditional and Ethnic Foods. In addition, the book presents local and international regulations and provides suggestions on how to harmonize regulations and traditional practices to promote safety and global availability of these foods. Analyzes nutritional and health claims related to South Asian foods Explores both scientific and anecdotal diet-based health claims Examines how these traditional foods can be viewed from regulatory requirements and how to address any noncompliance in dynamics or regulations Reviews the influence of historical eating habits on today's diets and its combinatorial effect for health and wellness

Welcome to the first edition of South Asia Nutrition Knowledge Initiative’s (SANI) Abstract Digest! In each issue, we aim to curate a selection of the latest and relevant studies on maternal and child nutrition for the South Asia region. We conduct literature search across peer-reviewed journals and identify studies of relevance. The abstracts in this document are reproduced in their original form from their source, and without editorial commentary about specific articles. In this first edition, we include global studies on trends in malnutrition, health inequalities of common nutrition deficiencies in children and the importance of gender-sensitive social safety nets and nutritionspecific and -sensitive interventions in the low-and middle-income countries. There are interesting studies from South Asia with a focus on Bangladesh, India and Nepal on topics including geospatial and environmental determinants of undernutrition, dietary diversity assessment of pregnant adolescent girls and nutrition interventions such as mid-day meal program in India and Suaahara in Nepal. Below is the list of peer-reviewed articles. Please click on the title if you wish to go straight to the article or scroll down to explore the abstracts in the pages that follow. Happy reading! If this Abstract Digest was forwarded to you, we invite you to subscribe.

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.

Malnutrition is endemic in India. In 2015-16 some 38% of preschool children were stunted and 21% were wasted, while more than half of Indian mothers and children were anemic. There are many posited explanations for the high rates of malnutrition in India, but surprisingly few discuss the role of Indian diets, particularly the affordability of nutritious diets given low wages and the significant structural problems facing India’s agricultural sector. This study was undertaken to address knowledge gaps around the affordability of nutritious diets in rural India. To do so we used nationally representative rural price and wage data to estimate the least cost means of satisfying India-specific dietary recommendations, referred to as the Cost of a Recommended Diet (CoRD), and assess the affordability of this diet relative to male and female wages for unskilled laborers. Although we find that dietary costs increased substantially over 2001-2011 for both men and women, rural wage rates increased more rapidly, implying that nutritious diets became substantially more affordable over time. However, in absolute terms nutritious diets in 2011 were still expensive relative to unskilled wages, constituting approximately 50-60% of male and about 70-80% of female daily wages, and were often even higher relative to minimum wages earned from the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA). Since many poor households have significant numbers of dependents and substantial non-food expenditure requirements, it follows that nutritious diets are often highly unaffordable for the rural poor; we estimate that 45-64% of the rural poor cannot afford a nutritious diet that meets India’s national food-based dietary guidelines. Our results point to the need to more closely monitor food prices through a nutritional lens, and to shift India’s existing food policies away from their heavy bias towards cereals. Achieving nutritional security in India requires a much more holistic focus on improving the affordability of the full range of nutritious food groups and ensuring that economic growth results in sustained income growth for the poor.