Food insecurity in urban poor households in Mumbai, India

India ranks 66th of 88 countries in the Global Hunger Index and has a quarter of the world??s hungry. Food security status of 377 million inhabitants of India??s urban areas, of which one-fourth live in extreme poverty, is poorly documented. The purpose of this study was to determine (a) the extent of food insecurity among households in urban slums, (b) to quantitatively assess their subjective experiences related to food insecurity and (c) to identify sub-groups among the urban poor that are vulnerable to food insecurity. A cross-sectional, interviewer-administered survey of adult female respondents from 283 households, selected using two-stage cluster sampling, was conducted in slums across three municipal wards in the city of Mumbai. Food insecurity, as measured by the Household Food Insecurity Access Scale (HFIAS), was found in a large number of households in the urban slums of Mumbai; 59.7?% (n?=?169) households were categorized as severely food-insecure, 16.6?% (n?=?47) as mildly to moderately food-insecure, and 23.7?% (n?=?67) as food-secure. Further analysis revealed that severe food insecurity was significantly associated with lower monthly household income and other socioeconomic status measures such as lower household monthly per capita income, lower rank in the standard of living index (SLI) and less monthly per capita expense on food items. Households where the woman was the primary income-earner and contributed the largest share to the monthly household income, and was older, less educated, with less media use or access were more likely to experience severe food insecurity. Although corrective steps at the household level such as livelihood security schemes and income generation programs are necessary, they will not be sufficient to eliminate this problem; state intervention is required in order to assure food security for the urban poor. The Government of India has drafted a Food Security Bill; but the criteria for determining which households are vulnerable and deserving are still being debated. The findings of this study highlight the urgency of corrective action and also provide pointers for the identification of vulnerable or priority sub-groups. Food security policies and programs have to be implemented immediately and effectively in order to ensure that subsidies and food items are allocated to the households of the vulnerable urban poor.