It goes without saying that the COVID-19 pandemic has caused inconceivable human suffering and will worsen gender-based inequalities.
As economic activity grinds to a standstill, women, who were already disadvantaged when it came to accessing decent work, will suffer the most.
In Assam, the unemployment rate is likely to increase and settle in the range between 14% and 25% from the current level of 8% and poverty ratio is expected to rise to 50.8% for the state in the worst possible scenario with a 15% fall in income. The figure is estimated to be 54% for rural Assam.
Estimates from the National Flood Commission of the Ministry of Water Resources show that 31.60 lakh hectares of area are vulnerable to floods in Assam which amounts to 9.4% of the total flood-prone area in the country and affects one-third of the population in the state. The reproductive healthcare and nutritional security of women and children are therefore severely challenged with the additional burden of a possible escalation in poverty in the wake of the outbreak of the coronavirus and impeding flood during monsoons.
The National Family Health Survey (NFHS-4) shows that approximately 36% of women in Assam had a Body mass index (BMI) that was below normal and 8% were obese. Anaemia was prevalent in 72% of pregnant women and 69% of women who were not pregnant. In addition, teenage pregnancy (15-19 years age group) was at 61.4% and 13.6% of them were already mothers.
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The low BMI and anaemic conditions amongst women in Assam contribute towards reinforcing ‘structural deficiency’ in child health. There are 36% children in the state with stunted growth (NFHS-4). Furthermore, adequate breastfeeding and supplementary diet for children has decreased to 49% in 2015 (NFHS-4) compared to 60.1% in 20015 (NFHS-3) in the state.
Only 8.9% of children during the first two years of their lives received an adequate diet. It is therefore not difficult to understand why the incidence of infant mortality rate (IMR) and nutritional deficiency continues to be high in Assam. The low nutritional intake during the first two years of early childhood is also likely to lead to cognitive impairments and further impact growth and development.
Tribal women are seen sowing rice crops in an agricultural field in the outskirt of Nagaon Town in Assam. Photo: Flickr/Diganta Talukdar
Women’s diet is an important indicator of a child’s health. The NFHS-4 data shows that the protein content of diet in Assam is around 7% in rural and 10% in urban areas. The per capita per diem intake of protein in rural Assam is 54.4 gm and for urban areas is 58.8 gm. The average calorie intake per capita per diem in rural Assam is 2120 and 2176 in urban areas and the urban calorie intake per capita is above the recommended calorie intake for poverty level (2100 calorie per day per person) in India but for rural areas, it is below the poverty level (2400 calorie per day per person).
The NSSO’s 66th round data indicates that 59% rural and 52% of urban households in Assam face a calorie deficit (