Food Insecurity after Cash Transfer Program in Rural Areas of Tehran: A Mixed Method Study

Background: Cash transfer (CT) is one of the strategies used by many developing countries to improve food security and nutritional status of lower socio-economic groups. This study aims to assessing household food insecurity (HFI) and viewpoints of women after CT program in rural population of Tehran province by both quantitative and qualitative methods. Methods: After making arrangements with rural health centers of Shahid Beheshti University of Medical Sciences and Health Services, ۲۵۰ households were selected from five rural of Iran with different socio-economic status (SES) by cluster sampling. Locally adapted Household Food Insecurity Access Scale (HFIAS), food frequency, and SES questionnaires were completed, and height, weight, and waist circumference of adult females were measured. .Data on families' coping strategies were collected through ۷ focus-group discussions.  Results: The frequency of mild, moderate, and severe HFI was ۲۲.۳, ۲۲.۳, and ۱۶.۰%, respectively. SES negatively affected HFI (P<۰.۰۰۱), and HFI negatively influenced food-group consumption (P<۰.۰۰۱). Most of the women reported strategies like borrowing from family and friends, skipping meals, and eating less food by mothers. Conclusions: It seems that in spite of CT program, the prevalence of HFI among Iranians in rural areas was relatively high and consumption of food groups in FI households was low. Corresponding Author:Fatemeh Mohammadi-Nasrabadi View Orcid in Profile You can search for this author in PubMed     Google Scholar Profile

Keywords:

Food assistance , Social support , Food security , Qualitative search