The COVID-19 crisis in Myanmar poses a very serious risk to the nutritional status of vulnerable populations, notably women and children, as well as poor urban populations and internally displaced persons. The COVID-19 crisis will hit vulnerable groups through multiple mechanisms.

Myanmar had one of the lowest confirmed COVID-19 caseloads in the world in mid-2020 and was one of the few developing countries not projected to go into economic recession. However, macroeconomic projections are likely to be a poor guide to individual and household welfare in a fast-moving crisis that has involved disruption to an unusually wide range of sectors and livelihoods. To explore the impacts of COVID-19 disruptions on household poverty and coping strategies, as well as maternal food insecurity experiences, this study used a telephone survey conducted in June and July 2020 covering 2,017 mothers of nutritionally vulnerable young children in urban Yangon and rural villages of Myanmar’s Dry Zone. Stratifying results by location, livelihoods, and asset-levels, and using retrospective questions on pre-COVID-19 incomes and various COVID-19 impacts, we find that the vast majority of households have been adversely affected from loss of income and employment. Over three-quarters cite income/job losses as the main impact of COVID-19 – median incomes declined by one third and $1.90/day income-based poverty rose by around 27 percentage points between January and June 2020. Falling into poverty was most strongly associated with loss of employment (including migrant employment), but also with recent childbirth. The poor commonly coped with income losses through taking loans/credit, while better-off households drew down on savings and reduced non-food expenditures. Self-reported food insecurity experiences were much more common in the urban sample than in the rural sample, even though income-based and asset-based poverty were more prevalent in rural areas. In urban areas, around one quarter of respondents were worried about food quantities and quality, and around 10 percent stated that there were times when they had run out of food or gone hungry. Respondents who stated that their household had lost income or experienced food supply problems due to COVID-19 were more likely to report a variety of different food insecurity experiences. These results raise the concern that the welfare impacts of the COVID-19 crisis are much more serious and widespread than macroeconomic projections would suggest. Loss of employment and casual labor are major drivers of increasing poverty. Consequently, economic recovery strategies must emphasize job creation to revitalize damaged livelihoods. However, a strengthened social protection strategy should also be a critical component of economic recovery to prevent adversely affected households from falling into poverty traps and to avert the worst forms of food insecurity and malnutrition, particularly among households with pregnant women and young children. The recent second wave of COVID-19 infections in Myanmar from mid-August onwards makes the expansion of social protection even more imperative.

Myanmar had one of the lowest confirmed COVID-19 caseloads in the world in mid-2020 and was one of the few developing countries not projected to go into economic recession. However, macroeconomic projections are likely to be a poor guide to individual and household welfare in a fast-moving crisis that has involved disruption to an unusually wide range of sectors and livelihoods. To explore the impacts of COVID-19 disruptions on household poverty and coping strategies, as well as maternal food insecurity experiences, this study used a telephone survey conducted in June and July 2020 covering 2,017 mothers of nutritionally vulnerable young children in urban Yangon and rural villages of Myanmar's Dry Zone.Stratifying results by location, livelihoods, and asset-levels, and using retrospective questions on pre-COVID-19 incomes and various COVID-19 impacts, we find that the vast majority of households have been adversely affected from loss of income and employment. Over three-quarters cite income/job losses as the main impact of COVID-19 - median incomes declined by one third and $1.90/day income-based poverty rose by around 27 percentage points between January and June 2020. Falling into poverty was most strongly associated with loss of employment (including migrant employment), but also with recent childbirth. The poor commonly coped with income losses through taking loans/credit, while better-off households drew down on savings and reduced non-food expenditures. Self-reported food insecurity experiences were much more common in the urban sample than in the rural sample, even though income-based and asset-based poverty were more prevalent in rural areas. In urban areas, around one quarter of respondents were worried about food quantities and quality, and around 10 percent stated that there were times when they had run out of food or gone hungry. Respondents who stated that their household had lost income or experienced food supply problems due to COVID-19 were more likely to report a variety of different food insecurity experiences.These results raise the concern that the welfare impacts of the COVID-19 crisis are much more serious and widespread than macroeconomic projections would suggest. Loss of employment and casual labor are major drivers of increasing poverty. Consequently, economic recovery strategies must emphasize job creation to revitalize damaged livelihoods. However, a strengthened social protection strategy should also be a critical component of economic recovery to prevent adversely affected households from falling into poverty traps and to avert the worst forms of food insecurity and malnutrition, particularly among households with pregnant women and young children. The recent second wave of COVID-19 infections in Myanmar from mid-August onwards makes the expansion of social protection even more imperative.

This study assesses the welfare impacts of COVID-19 on households in Myanmar by combining recent high-frequency telephone survey evidence for two specific rural and urban geographies with national-level survey-based simulations designed to assess ex-ante impacts on poverty with differing amounts of targeted cash transfers. The first source of evidence – the COVID-19 Rural and Urban Food Security Survey (C19- RUFSS) – consists of four rounds of monthly data collected from a sample of over 2,000 households, all with young children or pregnant mothers, divided evenly between urban and peri-urban Yangon and the rural Dry Zone. This survey sheds light on household incomes prior to COVID-19 (January 2020), incomes and food security status soon after the first COVID-19 wave (June 2020), the gradual economic recovery thereafter (July and August 2020), and the start of the second COVID-19 wave in September and October 2020. This survey gives timely and high-quality evidence on the recent welfare impacts of COVID-19 for two important geographies and for households that are nutritionally highly vulnerable to shocks due to the presence of very young children or pregnant mothers. However, the relatively narrow geographic and demographic focus of this telephone survey and the need for forecasting the poverty impacts of COVID-19 into 2021 prompt us to explore simulationbased evidence derived by applying parameter shocks to household models developed from nationally representative household survey data collected prior to COVID-19, the 2015 Myanmar Poverty and Living Conditions Survey (MPLCS). By realistically simulating the kinds of disruptions imposed on Myanmar’s economy by both international forces, e.g., lower agricultural exports and workers’ remittances, and domestic COVID-19 prevention measures. e.g., stay-at-home orders and temporary business closures, we not only can predict the impacts of COVID-19 on household poverty at the rural, urban, and national levels, but also can assess the further benefits to household welfare of social protection in the form of monthly household cash transfers of different magnitudes. Combined, these two sources of evidence yield insights on both the on-the-ground impacts of COVID-19 in recent months and the potential poverty reduction impacts of social protection measures in the coming year. We conclude the study with a discussion of the policy implications of these findings.

Social behavior change communication (SBCC) interventions on gender and nutrition are now commonly implemented, but their impact on diet quality and empowerment is rarely assessed rigorously. We estimate the impact of a nutrition and gender SBCC intervention on women’s dietary diversity and empowerment in Myanmar during an especially challenging period—the first year of the COVID-19 pandemic. The intervention was implemented as a cluster-randomized controlled trial in 30 villages in Myanmar’s Central Dry Zone. Our analysis employs data from the baseline survey implemented in February 2020 and a phone survey implemented in February–March 2021 and focuses on women’s dietary diversity and sub-indicators of the project-level women’s empowerment in agriculture index (pro-WEAI). Two indicators of women’s empowerment―inputs to productive decisions and access to and decisions over credit―improved, indicating that SBCC interventions can contribute to changing gendered perceptions and behaviors; however, most of the empowerment indicators did not change, indicating that much of gendered norms and beliefs take time to change. Women’s dietary diversity scores were higher by half a food group out of 10 in treatment villages. More women in treatment villages consumed nuts, milk, meat or fish, and Vitamin A–rich foods daily than in control villages. We show that even in the setting of a pandemic, a SBCC intervention can be delivered through a range of tools, including household visits, phone-based coaching, and voice-based training, that are responsive to local and individual resource limitations. Gender messaging can change some gendered perceptions; but it may take more time to change deeply ingrained gender norms. Nutrition messaging can help counter the declines in dietary quality that would be expected from negative shocks to supply chains and incomes.

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).