This report is one of the outputs of the Technical Cooperation Programme project (TCP/SAP/3705) aimed at strengthening the capacity of Pacific Island Countries to monitor SDG Target 2.1. The process started in March 2019 with the analysis of the food data collected in the 2018 Household Income and Expenditure survey (HIES) in collaboration with Samoa Bureau of Statistics. The report presents the main results derived from the analysis of the food data and the Food Insecurity Experience Scale data collected in the 2018 HIES to inform current patterns on food security and nutrition in Samoa. Whenever possible indicators are given at national level and for sub-groups of population.

Updates for many countries have made it possible to estimate hunger in the world with greater accuracy this year. In particular, newly accessible data enabled the revision of the entire series of undernourishment estimates for China back to 2000, resulting in a substantial downward shift of the series of the number of undernourished in the world. Nevertheless, the revision confirms the trend reported in past editions: the number of people affected by hunger globally has been slowly on the rise since 2014. The report also shows that the burden of malnutrition in all its forms continues to be a challenge. There has been some progress for child stunting, low birthweight and exclusive breastfeeding, but at a pace that is still too slow. Childhood overweight is not improving and adult obesity is on the rise in all regions. The report complements the usual assessment of food security and nutrition with projections of what the world may look like in 2030, if trends of the last decade continue. Projections show that the world is not on track to achieve Zero Hunger by 2030 and, despite some progress, most indicators are also not on track to meet global nutrition targets. The food security and nutritional status of the most vulnerable population groups is likely to deteriorate further due to the health and socio economic impacts of the COVID-19 pandemic. The report puts a spotlight on diet quality as a critical link between food security and nutrition. Meeting SDG 2 targets will only be possible if people have enough food to eat and if what they are eating is nutritious and affordable. The report also introduces new analysis of the cost and affordability of healthy diets around the world, by region and in different development contexts. It presents valuations of the health and climate-change costs associated with current food consumption patterns, as well as the potential cost savings if food consumption patterns were to shift towards healthy diets that include sustainability considerations. The report then concludes with a discussion of the policies and strategies to transform food systems to ensure affordable healthy diets, as part of the required efforts to end both hunger and all forms of malnutrition.

Little research has been conducted on the association of food insecurity, particularly at the moderate level, and dietary consumption in low- and middle-income countries. This study expands on previous works by considering cross-country comparable measures of food insecurity that are calibrated against the global Food Insecurity Experience Scale (FIES). The FAO Statistics Division has been publishing estimates of the prevalence of food insecurity, based on the FIES, since 2017. The FIES is the first standardized measure, of people's direct experiences of food insecurity, appropriate for application on a global scale. The prevalence of moderate or severe food insecurity based on the FIES is one of the official SDG indicators (2.1.2). The objective of this study is to explore the relationship between the severity of food insecurity, as measured with the FIES (or an analogous experience-based food insecurity scale calibrated to the global reference scale), and dietary intake using microdata from four middle-income countries from different world regions: Kenya, Mexico, Samoa, and Sudan.

The report summarizes country achievements in the Asia and Pacific region in advancing towards the 2030 SDG deadlines. These success stories involve FAO offices working with governments and partners in some 21 countries in Asia and a complitation of success stories from the Pacific. It was initially published for presentation at the 35th Session of the FAO Regional Conference for Asia and the Pacific (APRC-35) in Thimphu, Bhutan (17-20 February 2020), but these achievements will be of interest to member countries and other development partners for several years to come.

This report highlights three main pathways for changing the food system based on consultations and analysis. The pathways include strengthening and connecting rural food systems, enhancing the national policy environment, and advocating for healthy food environments that are accessible, affordable, and convenient. These pathways operate on different scales, ranging from provincial to national inward and outward-looking approaches, but they are interconnected and interact in significant ways. To achieve national prosperity, it is important to prioritize rural and urban areas and establish strong connections between them. The report recognizes areas of strength that are already in place and emphasizes the need to strengthen them further to maintain their positive trajectory.

Traditional and indigenous food systems have existed for centuries and were in balance with local food supplies, globally. However, between the mid 20th and early 21st century the green revolution dramatically altered food production, which in turn affected the inclusivity of traditional production systems within food systems and subsequently, traditional dietary intakes. This change was accompanied by lifestyle changes and spurred a global nutrition transition. Today the world faces a global syndemic of obesity, undernutrition, and climate change. A new call to action to create food systems that nourish people and sustain the planet is needed. Traditional and indigenous food systems have long been recognized as systems that can both support good human nutrition as well as maintain a balance with nature. There is an underutilized knowledge base around traditional and indigenous food systems. This includes the knowledge of nutritious species, traditional culinary preparations, and cultural practices. Greater agricultural production of underutilized species can result in more sustainable agricultural and food systems which can also help improve livelihoods and food security. Traditional and indigenous cultural practices with respect to both land and water management, as well as culinary practices, contribute to both sustainable food production and consumption. These practices require a greater evidence base in order to be incorporated into public health nutrition initiatives related to improving dietary quality, such as food-based dietary guidelines for example. An increased focus on the importance of local, traditional, and indigenous food systems and nutrition could therefore help countries to improve human nutrition and, ideally, help mitigate the global syndemic of obesity, undernutrition, and climate change. This Research Topic will focus on documenting diverse local food systems and promoting elements within them that can help improve nutrition and health – both human and planetary - in various ways including the livelihood development of knowledge holders.