Food Access and Experience of Food Insecurity in Nigerian Households during the COVID-19 Lockdown

The food insecurity experiences and related behaviors of Nigerian households during the COVID-19 lockdown have not been fully discussed. This study was conducted to elicit information on the impact of COVID-19 lockdown on economic and behavioral patterns related to food access. An online-based semi-structured questionnaire distributed through messaging platforms was used to collect information on characteristics, food purchasing behaviour before and during COVID-19 lockdown among respondents. Experience of food insecurity was assessed using Food Insecurity Experience Scale (FIES). A total of 883 responses were received and analyzed using SPSS Version 20.0. Most of the respondents (90.5%) were at home or had stopped going to work due to COVID-19 restrictions. Even though smaller households had higher food expenditure claims than larger households (p = 0.012), the larger the household, the more acute the challenge of economic access to food (p = 0.050). Location (p = 0.000), age (p = 0.003), occupation (p = 0.014) and income level (p = 0.000) were associated with experience of food insecurity. In conclusion, lockdown restrictions increased food expenditure and experience of food insecurity among the respondents and thus we recommend the probe of long-term consequences of deviations from usual food access on undernutrition or overnutrition in Nigerian households.


Introduction
The Nigerian index case of the novel coronavirus was announced in February 2020. By March 29th 2020, the federal government of Nigeria declared nationwide lockdown which included bans on inter-state traveling, non-essential economic and related activities. Though the lockdown restrictions were helpful in curtailing the spread of COVID-19, consequences on the nation's fragile food system and livelihoods of households were soon evident. Such consequences were not unexpected following high burden of poverty in Nigeria. In addition, predictions of food access hardship were becoming evident as the lockdown progressed (and even beyond) which further placed a burden on not-too robust food systems [1] [2]. Prior to COVID-19 pandemic, food insecurity was high in Nigeria with prevalence range of 30% -81% [1] [2] [3] [4]. This could be attributed to the fragile food system in the country occasioned by high dependence on rain-fed, subsistence agriculture often accompanied by poor yield and limited value addition along the various agricultural value chains. Food insecurity is a barrier to healthy eating habits, which is important to reduce susceptibility to and longterm complications from COVID-19 [5] [6]. With the lockdown, restriction of movements and other measures to curtail the spread of coronavirus, the fragile food system was further strained leading to restricted distribution of food and a sharp rise in the price of food commodities. This peculiar situation thus justifies the need to provide research evidence of the impact of COVID-19 lockdown on food access. This study was therefore conducted to elicit information on the economic and behavioral patterns related to food access and food security in Nigeria especially during the COVID-19 lockdown.

Study Design and Data Collection
This study was descriptive and cross-sectional in design. An online-based questionnaire was shared through messaging platforms to elicit information on socio-demographic and socioeconomic characteristics, food expenditure and purchasing behavior during Nigeria's nationwide lockdown months of April and May, 2020. Respondents' participation was entirely voluntary and anonymous.

Data Management and Analysis
Responses were received in a spreadsheet and transferred into Statistical Package for Social Sciences (SPSS) version 20.0. A total of 883 responses were received before data cleaning commenced. Data processing of the FIES questions was carried out using the methodology presented by the Food and Agriculture Organization [7] [8]. The discrete assignment approach was used to further classify responses from the FIES module. The cleaned data were analyzed and presented using descriptive and inferential statistics. Chi-square was used to test for statistical associations between variables. Significance was set at p < 0.05.

Characteristics of Respondents
A summary of responses showed that most of the respondents (90.5%) were staying at home or had stopped going to work due to COVID-19 lockdown restrictions. The socio-demographic, economic and household characteristics of respondents are presented in Table 1. Responses were mostly from urban residents (62.0%) and only 8.3% in rural areas. The age categories of respondents revealed that 37.1% were aged 21 -30 years, 30.4% were 31 -40 years, and 18.2% were 41 -50 years. Households with 4 -6 members were predominant (55.3%) and those with more than 10 members constituted only 4.2%. Household composition showed that about 25% of all respondents had at least one household member who was aged below 5, 5 -9 and 10 -17 years of age. Most of the respondents had at least a post-secondary education (97.1%). Occupational distribution showed that 27.5% were in professional/managerial cadre and 15.3% were into sales and services while 16.0% were unemployed. The income pattern of respondents showed that 66.7% earned monthly salary and 7.2% earned daily income. Over half of the respondents (63.1%) had experienced lack of money in the previous 4 weeks prior to the survey. A similar impact of restrictions on source of livelihood and income has been reported in Ethiopian households [9] and this appears to be a worldwide pattern resulting from lockdown restrictions seeking to control the spread of COVID-19.

Impact of Lockdown Situation on Food Purchasing
The reasons for respondents' current purchasing behavior (ranked in order of popularity of response) are also presented ( Table 2). Respondents who now purchased less than their usual food stock gave "insufficient money for food" as their main reason. For respondents who now purchased more than usual, the most popular response was "because everyone is home we now eat more as there's nowhere to go" and the least popular was "because I am at home, I now eat all my meals at home instead of eating out". Those whose purchasing behavior did not change mostly said "my income and budget have not changed".

Reasons for current purchasing behavior
Reasons for purchasing less than usual "insufficient money for food" "income is not flowing as usual" "I bought less food for fear of running out of funds" "the price of food has increased so I can only buy less with money on ground" "I do not have access to market" "I buy in bits to avoid illusion of plenty" "relied more on my personal farm" "to prevent gaining unnecessary weight" Reasons for purchasing just as usual "my income and budget have not changed" "God has just been faithful. he has been providing for us." "we still have access to market" "I have disciplined myself to manage what is available" "our state is on not on lockdown so we are coping" Reasons for purchasing more foods than usual "because everyone is home we now eat more as there's nowhere to go" "buying more to store more in case food availability in the market becomes limited due to the pandemic" "fear of hike in food prices" "don't want to be going to market all the time" "more people are at home" "because I am at home, I now eat all my meals at home instead of eating out" Generally, restrictions resulted in alterations to food purchasing. While the decision to buy less was influenced more by purchasing power of the individual/household, those who bought more, mainly did so out of necessity and uncertainty. Most respondents claimed to deviate from their usual purchasing pattern (  members and >10 members ( Table 3) which implies that households with higher size purchased less food than usual compared with smaller sized households (p = 0.012). Similarly, households with 7 -9 members and >10 members reported shortage of food/money for food than household with <3 members and 4 -6 members (p = 0.05). These patterns suggest pressure on available financial resources in larger households and therefore corroborates the reasons earlier given for the category of "less than usual" spending behaviour. Further extension of movement restrictions was a source of worry for most of the respondents sampled in this survey based on household size (p = 0.001). Since most of the respondents had earlier mentioned being affected by stay at home orders, findings from this study confirm a fear of uncertainty and barriers to economic food access especially in larger sized households. These responses confirm a strain on access to food which in most cases was as a result of uncertainty during the period of lockdown.  they would normally eat. Those experiencing severe levels would have gone for entire days without eating, due to lack of money or other resources to have access to food; as shown by the responses to questions 6, 7 and 8. In this study, although very few of the respondents (4.5%) went a whole day without eating anything because there was not enough food, more than a third gave a 'yes' response to the question "in the last 30 days (4 weeks), was there a time when you were hungry but did not eat?".

Experience of Food Insecurity
Overall, 57.7% of the respondents were food secure, 28.4%, were experiencing either of moderate or severe forms of food insecurity and the severely food insecure households amounted to 113 (13.9%) ( Table 4). Going by definitions stated in the FIES methodology [7], the estimated number of respondents living in households where at least one adult was found to be food insecure is close to half. Numerical comparisons with previous national estimates were not done (due to statistical validation constraints). However, when a contextual comparison with reports in literature was done, the experiences reported in this study were not different from lockdown situations from different parts of the world [5] [9] [11] [12]. Further analysis of results in this study reveal that factors related to experiencing food insecurity were location, age, occupation, and income level ( Table  5). Household size was not found to be significantly associated to experience of food insecurity. The associations between food insecurity and location can be   [14] presented evidence in Nigerian households to support the fact that areas with higher infection rates (and full lockdown restrictions) experienced high food insecurity. Age was significantly associated with experience of food insecurity (p = 0.003), which was most experienced by respondents aged 21 -30 years. A similar observation has been reported in literature [15] [16] but it is unclear if the experience of Nigerian respondents is caused by the inability to earn during lockdown or the inability to be thrifty with available resources.
As regards occupation, food insecurity (p = 0.014) was high in households where the respondent's source of income was artisanship or personal business under the skilled manual category. This implies that respondents who usually relied on day-to-day business activities were most affected since about 91% of respondents claimed to be staying at home and unable to go to work. This is further explained by the relationship observed between monthly income and experience of food insecurity (p = 0.000). The association of food insecurity with income levels seems straightforward to explain since higher income levels will definitely suggest some means of adjustability to the lockdown situation. Also, since most of the respondents depended on a monthly salary as their main income source, it is logical to assume that disruptions to flow of income was a major factor in determining economic access to food and by extension the experience of food insecurity (or otherwise). This assertion is mirrored in literature presented in the earliest and recent waves of COVID-19 [16] [17]. An old and recent assessment carried out on expenditure patterns of American households (during and after lockdown restrictions) asserts likewise [10] [12]. A study of Ethiopian households shows that higher income earners who relied on savings were able to circumnavigate any shocks on their household food expenditure [9].

Conclusion
This study presents findings on economic and behavioral patterns related to food access during COVID-19 lockdown in Nigeria. Evidence is presented showing substantial alterations to usual purchasing patterns of food coupled with mild experience of food insecurity. Although the responses captured respondents' own perspectives regarding the adequacy of their food consumption, the findings indicate that overall, there was disruption in physical or economic access to food which was common to all respondents. On the average, individuals in smaller households reported buying more food when compared to households with larger sizes. Evidently, the latter experienced more strain of food expenditure and were more likely to complain of lack of economic access to food. However, many respondents expressed worry and uncertainty of coping with access to affordable food if the existing restrictions persisted. This study is not without some limitations; firstly, respondents were restricted to smartphone users which limited participation to a small audience. Secondly, most of the respondents F. O. Samuel et al. were from the urban centers with less from rural areas. Overall, the experience of severe food insecurity is not generally a serious problem; however, most respondents reported worry of physical and economic instability regarding food access and had fears of an uncertain future if lockdown restrictions persisted.
The possible pathways through which these observations can impact optimum nutritional status are in two parts. Firstly, these alterations suggest a possible decline in diet quality which inevitably results in undernutrition. Another silent but salient challenge posed by this food access alterations is the burden of consuming excess above nutrient adequacy. Households with financial ability to stock up more food may find themselves having more meals and expending less energy since they are on lockdown. Either of these two pathways can give rise to serious health consequences on the short and long terms. A pre-and post-impact of these food access alterations on national nutrition indicators especially in vulnerable age groups is hereby recommended.