LAUSR

Abstract Objectives This study aims to examine how poor women perceived the impact of COVID-19 in their lives regarding daily routines, food acquisition and consumption, hygiene practices and access to health services in rural Bangladesh. Methods Questions about the perceived impact of COVID-19 were included as part of an evaluation survey of a community-based nutrition program, and assessed cross-sectionally in November-December 2020 among a total of 2960 poor or ultra-poor women. Results 84–87% of respondents perceived COVID-19 has affected their daily routine in the activities related to diet, work/school, income, social activities and to lesser extent, 78.8% in entertainment activities and 67.9% in health activity. For the current food acquisition and consumption compared to pre-COVID-19 situation, 77.3% reported less grocery shopping, 74.2% decreased activities of eating with someone else, 39.6% reduced consumption of fresh foods, and 23.4% decreased consumption of stable foods. Also, 92.3% of respondents experienced restriction to market access for food acquisition. In light of this, 74.4% of respondents found food assistance to be helpful coping with a negative impact of COVID-19, the highest among other assistances (below 10%). Only 25.7% of respondents reported wearing facial masks whenever out and 67.9% did not perceive any change of their health and hygiene practices after COVID-19. 58.7% of respondents responded that public health messages were helpful to cope with the current pandemic. Conclusions While COVID-19 has hit every area of routine and lives, food-related activities and assistance were perceived to be affected the hardest compared to other daily activities in rural Bangladesh. People fear about infections through gathering, not wearing masks, and going out, however, disease prevention practices does not follow as much as they fear. This study suggest that the food security intervention deserves urgent attention as well as educational information dissemination on the prevention and protection measures of COVID-19. Funding Sources World Vision Bangladesh, World Vision Korea, KOICA