What are we assessing when we measure food security? A compendium and review of current metrics.

The appropriate measurement of food security is critical for targeting food and economic aid; supporting early famine warning and global monitoring systems; evaluating nutrition, health, and development programs; and informing government policy across many sectors. This important work is complicated by the multiple approaches and tools for assessing food security. In response, we have prepared a compendium and review of food security assessment tools in which we review issues of terminology, measurement, and validation. We begin by describing the evolving definition of food security and use this discussion to frame a review of the current landscape of measurement tools available for assessing food security. We critically assess the purpose/s of these tools, the domains of food security assessed by each, the conceptualizations of food security that underpin each metric, as well as the approaches that have been used to validate these metrics. Specifically, we describe measurement tools that 1) provide national-level estimates of food security, 2) inform global monitoring and early warning systems, 3) assess household food access and acquisition, and 4) measure food consumption and utilization. After describing a number of outstanding measurement challenges that might be addressed in future research, we conclude by offering suggestions to guide the selection of appropriate food security metrics.

[1]  C. Olson,et al.  Importance of Cognitive Testing for Survey Items: An Example From Food Security Questionnaires , 1999 .

[2]  K. Kraemer,et al.  Household dietary diversity and food expenditures are closely linked in rural Bangladesh, increasing the risk of malnutrition due to the financial crisis. , 2009, The Journal of nutrition.

[3]  M. Nord,et al.  Household Food Security in the United States, 2006 , 2012 .

[4]  M. Singer,et al.  Nutritional Epidemiology , 2020, Definitions.

[5]  M. Ruel Is dietary diversity an indicator of food security or dietary quality? A review of measurement issues and research needs. , 2003, Food and nutrition bulletin.

[6]  E. Kennedy,et al.  Income and Nutritional Effects of the Commercialization of Agriculture in Southwestern Kenya , 1987 .

[7]  H. Pan,et al.  WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age , 2006 .

[8]  S. Heymsfield,et al.  Human Body Composition , 1996 .

[9]  A. Kant,et al.  Indexes of overall diet quality: a review. , 1996, Journal of the American Dietetic Association.

[10]  U. Jonsson The rise and fall of paradigms in world food and nutrition policy , 2010 .

[11]  T. Rahman,et al.  Determinants of Dietary Quality: Evidence from Bangladesh , 2011 .

[12]  B. Rogers,et al.  Comparison of a Qualitative and Quantitative Approach To Developing a Household Food Insecurity Scale for Bangladesh , 2006, The Journal of nutrition.

[13]  P. Apps Intrahousehold Resource Allocation in Developing Countries: Models, Methods and Policy , 2002 .

[14]  Terri J. Ballard,et al.  Validation of a measure of household hunger for cross-cultural use. , 2010 .

[15]  Koos Richelle Food security : understanding and meeting the challenge of poverty , 2009 .

[16]  R. Pérez‐Escamilla,et al.  An adapted version of the U.S. Department of Agriculture Food Insecurity module is a valid tool for assessing household food insecurity in Campinas, Brazil. , 2004, The Journal of nutrition.

[17]  Y. Mehrabi,et al.  Validity of an adapted Household Food Insecurity Access Scale in urban households in Iran , 2011, Public Health Nutrition.

[18]  J. Hoddinott,et al.  Women's income and boy-girl anthropometric status in the Côte d'Ivoire , 1994 .

[19]  Peter F. Orazem,et al.  Haddad, Lawrence, John Hoddinott, and Harold Alderman, eds. Intrahousehold Resource Allocation in Developing Countries: Models, Methods, and Policy. Baltimore MD: Johns Hopkins University Press, 1997, 384 pp., $55.00 , 1999 .

[20]  Jonathan Gorman,et al.  Rights and Reason: United Nations Universal Declaration of Human Rights , 2003 .

[21]  W. Sullivan,et al.  The Globalization of Ethics: Universal Declaration of Human Rights , 2007 .

[22]  J. Bartrina,et al.  Household food insecurity access scale (HFIAS). , 2015 .

[23]  Stephen Devereux,et al.  Food security in sub-Saharan Africa. , 2001 .

[24]  E. Frongillo Validation of measures of food insecurity and hunger. , 1999, The Journal of nutrition.

[25]  A. Hromi-Fiedler,et al.  Validity of the Latin American and Caribbean Household Food Security Scale (ELCSA) in South Haiti , 2008 .

[26]  M. Demment,et al.  Validation of the Household Food Insecurity Access Scale in rural Tanzania , 2009, Public Health Nutrition.

[27]  K. Kraemer,et al.  Low dietary diversity is a predictor of child stunting in rural Bangladesh , 2010, European Journal of Clinical Nutrition.

[28]  Christopher B. Barrett,et al.  FOOD SECURITY AND FOOD ASSISTANCE PROGRAMS , 2001 .

[29]  Commonalities in the experience of household food insecurity across cultures: what are measures missing? , 2006, The Journal of nutrition.

[30]  F. Delpeuch,et al.  Use of variety/diversity scores for diet quality measurement: relation with nutritional status of women in a rural area in Burkina Faso , 2005, European Journal of Clinical Nutrition.

[31]  R. Whitehead,et al.  Food security status in households of people living with HIV/AIDS (PLWHA) in a Ugandan urban setting , 2007, British Journal of Nutrition.

[32]  R. Rawat,et al.  Food access and diet quality independently predict nutritional status among people living with HIV in Uganda , 2012, Public Health Nutrition.

[33]  A. Hatløy,et al.  Food variety—a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa , 1998, European Journal of Clinical Nutrition.

[34]  John Hoddinott,et al.  Dietary diversity as a food security indicator , 2002 .

[35]  A. Misselhorn,et al.  What drives food insecurity in southern Africa? a meta-analysis of household economy studies , 2005 .

[36]  S. Rosen,et al.  Food Security Assessment , 2005 .

[37]  G. Boëtsch,et al.  The effect of socio-economic status and area of residence on household food variety in Morocco , 2009, Annals of human biology.

[38]  H. Bouis The effect of income on demand for food in poor countries: Are our food consumption databases giving us reliable estimates? , 1994 .

[39]  Jennifer Coates,et al.  Burden of household food insecurity in urban slum settings , 2019, PloS one.

[40]  F. Delpeuch,et al.  The household food insecurity access scale and an index-member dietary diversity score contribute valid and complementary information on household food insecurity in an urban West-African setting. , 2010, The Journal of nutrition.

[41]  C. Dunford,et al.  Household food insecurity and food expenditure in Bolivia, Burkina Faso, And the Philippines. , 2006, The Journal of nutrition.

[42]  Samson Gebremedhin,et al.  Prevalence of prenatal zinc deficiency and its association with socio-demographic, dietary and health care related factors in Rural Sidama, Southern Ethiopia: A cross-sectional study , 2011, BMC public health.

[43]  Matt Grainger,et al.  World Summit on Food Security (UN FAO, Rome, 16–18 November 2009) , 2010 .

[44]  S. Drimie,et al.  Dietary diversity in relation to other household food security indicators. , 2009 .

[45]  B. Rogers,et al.  Measuring household food insecurity: why it's so important and yet so difficult to do. , 2006, The Journal of nutrition.

[46]  M. McEwan,et al.  Evaluation of a Rapid Field Tool for Assessing Household Diet Quality in Mozambique , 2002, Food and nutrition bulletin.

[47]  N. Regassa,et al.  Household food insecurity and hunger among households in Sidama district, southern Ethiopia , 2011, Public Health Nutrition.

[48]  Eric Puybaret,et al.  Universal Declaration of Human Rights , 2006 .

[49]  E. Frongillo,et al.  Questionnaire-based measures are valid for the identification of rural households with hunger and food insecurity. , 1997, The Journal of nutrition.

[50]  Kathryn G. Dewey,et al.  Guiding principles for complementary feeding of the breastfed child , 2003 .

[51]  A. Quisumbing Intrahousehold allocation and gender relations : new empirical evidence , 1999 .

[52]  C. Wehler,et al.  The community childhood hunger identification project: A model of domestic hunger—Demonstration project in Seattle, Washington , 1992 .

[53]  Christopher B. Barrett,et al.  Measuring Food Insecurity , 2010, Science.

[54]  D Labadarios,et al.  Food variety and dietary diversity scores in children: are they good indicators of dietary adequacy? , 2006, Public Health Nutrition.

[55]  C. Olson,et al.  Development of indicators to assess hunger. , 1990, The Journal of nutrition.

[56]  A. Hromi-Fiedler,et al.  Household food insecurity is associated with childhood malaria in rural Haiti. , 2009, The Journal of nutrition.

[57]  I. Jallow Africa's food and nutrition security situation: where are we and how did we get here? , 2004 .

[58]  Daniel Maxwell,et al.  The Coping Strategies Index , 2008 .

[59]  P. Pinstrup-Andersen,et al.  Food security: definition and measurement , 2009, Food Security.

[60]  Harriet Torlesse,et al.  Association of household rice expenditure with child nutritional status indicates a role for macroeconomic food policy in combating malnutrition. , 2003, The Journal of nutrition.

[61]  G. Tawodzera Vulnerability in crisis: urban household food insecurity in Epworth, Harare, Zimbabwe , 2011, Food Security.

[62]  D. Maxwell,et al.  Measuring food insecurity: Can an indicator based on localized coping behaviors be used to compare across contexts? , 2008 .

[63]  C. Carletto,et al.  Still Waiting for Godot? Improving Household Consumption and Expenditures Surveys (HCES) to Enable More Evidence-Based Nutrition Policies , 2012, Food and nutrition bulletin.

[64]  J. Hallund,et al.  Food variety, socioeconomic status and nutritional status in urban and rural areas in Koutiala (Mali) , 2000, Public Health Nutrition.

[65]  A. Kant,et al.  Dietary patterns and health outcomes. , 2004, Journal of the American Dietetic Association.

[66]  James P. Verdin,et al.  Real-Time Decision Support Systems: The Famine Early Warning System Network , 2010 .

[67]  J. Greene,et al.  Understanding hunger and developing indicators to assess it in women and children , 1992 .

[68]  J. Hoddinott,et al.  Validation of the world food programme's food consumption score and alternative indicators of household food security , 2009 .

[69]  T. Benson Africa's food and nutrition security situation: where are we and how did we get here? , 2004 .

[70]  Alisha J. Coleman-Jensen,et al.  Household Food Security in the United States in 2011 Statistical Supplement , 2013 .

[71]  Daniel Maxwell,et al.  Measuring food insecurity , 1996 .

[72]  D. Rose,et al.  A Comparative Evaluation of Dietary Indicators Used in Food Consumption Assessments of at-Risk Populations , 2008, Food and nutrition bulletin.

[73]  T. Hart,et al.  Exploring definitions of food insecurity and vulnerability: time to refocus assessments , 2009 .

[74]  M. Ruel Operationalizing dietary diversity: a review of measurement issues and research priorities. , 2003, The Journal of nutrition.

[75]  Terri J. Ballard,et al.  Proxy measures of household food consumption for food security assessment and surveillance: comparison of the household dietary diversity and food consumption scores , 2010, Public Health Nutrition.

[76]  R. Briefel,et al.  Development of food sufficiency questions for the third national health and nutrition examination survey , 1992 .

[77]  L. Smith,et al.  Measuring food security using household expenditure surveys , 2007 .

[78]  C. Barrett,et al.  The economics of poverty traps and persistent poverty: An asset-based approach , 2006 .

[79]  A. Sen,et al.  Poverty and Famines. An Essay on Entitlement and Deprivation. , 1982 .

[80]  K. Maes,et al.  Food insecurity among volunteer AIDS caregivers in Addis Ababa, Ethiopia was highly prevalent but buffered from the 2008 food crisis. , 2009, The Journal of nutrition.

[81]  L. C. Smith,et al.  Food Security in Practice: measuring food security using household expenditure surveys. , 2007 .

[82]  Chris Hillbruner,et al.  Seasonality, Household Food Security, and Nutritional Status in Dinajpur, Bangladesh , 2008, Food and nutrition bulletin.

[83]  Laura E Smith,et al.  Food chain mycotoxin exposure, gut health, and impaired growth: a conceptual framework. , 2012, Advances in nutrition.

[84]  K. Tucker,et al.  Food diversity versus breastfeeding choice in determining anthropometric status in rural Kenyan toddlers. , 1998, International journal of epidemiology.

[85]  O. Bermudez,et al.  Food insecurity is prevalent in rural communities of El Salvador, Guatemala, Honduras and Nicaragua , 2010 .

[86]  D. Pelletier,et al.  The importance of context in choosing nutritional indicators. , 1990, The Journal of nutrition.

[87]  C. Olson,et al.  Relationship of hunger and food insecurity to food availability and consumption. , 1996, Journal of the American Dietetic Association.

[88]  D. Pelletier,et al.  The effects of malnutrition on child mortality in developing countries. , 1995, Bulletin of the World Health Organization.

[89]  R. Kanbur,et al.  How serious is the neglect of intrahousehold inequality , 1990 .

[90]  Daniel Maxwell,et al.  Alternative food-security indicators: revisiting the frequency and severity of 'coping strategies' , 1999 .

[91]  A. Hromi-Fiedler,et al.  Validity of the Latin American and Caribbean Household Food Security Scale (ELCSA) in Guanajuato, Mexico , 2008 .

[92]  Sue Ann Anderson,et al.  Core indicators of nutritional state for difficult-to-sample populations. , 1990, The Journal of nutrition.

[93]  M. Penny,et al.  Measuring food insecurity and hunger in Peru: a qualitative and quantitative analysis of an adapted version of the USDA’s Food Insecurity and Hunger Module , 2009, Public Health Nutrition.

[94]  E. Frongillo,et al.  Development and validation of an experience-based measure of household food insecurity within and across seasons in northern Burkina Faso. , 2006, The Journal of nutrition.

[95]  R. Crawshaw,et al.  2. Universal Declaration of Human Rights , 2008 .