By Dr Nisha Arunatilake

Even before the onset of COVID-19, malnutrition stood as a significant driver of multi-dimensional poverty among children in Sri Lanka. Startling data from the Department of Census and Statistics (DCS) in 2019 revealed that one in three children aged 0 to 4 who are multidimensionally poor, are either underweight or stunted. The multiple crises that affected Sri Lanka since 2020 have only exacerbated the already precarious nutrition situation in poor households. This blog argues the need for prioritising social policies focused on children to ensure sustained investment in human capital.

Crisis Impact on Government Initiatives

In response to the pressing nutrition issues in the country, successive governments have introduced several initiatives to maintain the minimum required nutrition levels to ensure unhampered growth and development. However, the crisis affected several of these nutrition programmes, depriving households of access to much-needed social assistance for maintaining nutrition, when it was needed the most.

One such initiative that was adversely affected was the Triposha programme. Triposha is a nutrient-dense food supplement given to pregnant mothers and young children affected by malnutrition. During the crisis, supply chain disruptions and issues of sourcing ingredients necessary for production resulted in a 51% drop in the production of Thriposha in 2020. This resulted in many identified households not receiving nutrition assistance through Triposha.

Another programme adversely affected by the economic crisis was the breakfast programme for preschool (BPS) children. The BOS provides children in selected pre-schools with a daily nutritious breakfast according to the Ministry of Health guidelines. In 2017, a sum of LKR 30 was allocated per child per meal for this programme. Despite high food inflation, this amount was not revised, making it impossible to supply meals as specified by the Ministry of Health. 

The Plight of the Urban Poor

A study by the Institute of Policy Studies of Sri Lanka (IPS) finds that the recent economic crisis had devastating effects on the food environment in urban underserved settlements (USSs). According to retail and eatery owners serving these communities, food prices have skyrocketed during the economic crisis. The price of nadu-rice, the cheapest variety of rice in the market, doubled from LKR 100 in August 2021 to LKR 220 in August 2022. The prices of other staples frequently consumed by poor households, like dhal, eggs, dried fish and dried sprats, also increased several folds.

The crisis also reduced the availability of food in the market.  The policies introduced by the government to contain the import costs, such as the chemical fertiliser ban and food imports, reduced the variety of food in the market. Further, the vendors were storing less expensive food items in the market as the demand for expensive food items reduced due to low affordability.

As explained by a retail owner in the area:

“I used to stock 50kg of rice earlier, now, I only stock 5kg of rice.”

“We used to keep stocks of green gram and cowpea. But now only one or two customers buy those items, so I do not stock them anymore.”

Coping with Food Inflation

The households in the USSs were using various methods to cope with food inflation. Most stopped eating from outside and reduced buying snacks. Consumption of milk, vegetables, fruits, and meat has all been reduced. One of the main sources of fat for USS residents, coconuts, has also declined during the crisis. As explained by some of the residents:

“We used to drink tea with milk in the morning and afternoon. Now we can only have milk tea in the morning.”

“We used to eat about 250g of vegetables per meal earlier. Now we make the same amount of vegetables last for two meals.”

“We only eat chicken once or twice a week. We try to manage mainly with dried fish and eggs for protein.”

 “We rarely eat fruits now. Fruit is expensive. If we buy fruit, we don’t have money for other food.”

“We used to eat about one coconut a day earlier. Now we make one coconut last several days, as the price of coconuts has increased.”

The above findings show that households were either marginally or moderately food insecure during the economic crisis (See infographic).  Households in USSs have compromised on food quality and variety, or reduced food consumption due to the crisis.

Infographic: Food Insecurity (FI) experience of households

Conclusion

The findings from Sri Lanka emphasise the pressing issue of child malnutrition, which has only worsened amidst recent crises. Although there are several government initiatives to improve the nutrition levels of children in the country, their operations were severely affected by the economic crisis.

More attention needs to be paid to sustaining the social policies focusing on children, particularly during times of crisis. Only by doing so, we can ensure that children’s development is not compromised due to crisis and that they have the opportunity to thrive, regardless of the adversities they face.

Link to original blog: https://www.ips.lk/talkingeconomics/2023/10/11/prioritising-child-friendly-policies-addressing-sri-lankas-child-malnutrition-crisis/

Dr Nisha Arunatilake is the Director of Research at IPS. She heads the Labour, Employment and Human Resource Development unit at the IPS. Her research interests include labour market analysis, education and skills development, migration and development, and health economics. She holds a BSc in Computer Science and Mathematics summa cum laude from the University of the South, USA and an MA and PhD in Economics from Duke University, USA. (nisha@ips.lk)