Determinants of Household Food Insecurity in Rural Areas of the Hilly Region of Kumaun, Uttarakhand, India: A Pilot Study.

The food security status of rural inhabitants of the hilly region of the Uttarakhand State was poorly documented. This study aimed to determine the extent and determinants of household food insecurity in rural-hilly areas of Kumaun, Uttarakhand. A cross-sectional, interview-administered survey was conducted among 155 households. Food insecurity, as measured by Household Food Insecurity Access Scale, was found in a large number of households; 2.6% of households were categorized as severely food-insecure, 53.3% as moderately food-insecure, 7.1% as mildly food-insecure, and 36.8% as food-secure. Multivariate logistic regression analysis revealed that food insecurity was significantly associated with the poverty level of the family, number of children or adolescents in the household, educational level of household head, number of employed family members, and social class ( < 0.05). The food security policies in India must modify focus from food entitlement to include education, income, employment, and household composition. Nutrition-sensitive interventions in agriculture to promote the cultivation of fruits and vegetables in hilly areas. Promotion of poultry farming, goat rearing, freshwater fish farming, and related training will increase the availability of animal food sources. It is an urgent need to design and implement location-specific programs and policies to address food insecurity and food access.