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When Food Prices Rise, Diets Shrink: Nutrition Under Pressure in Pregnancy and Early Childhood in Nigeria

Christopher Bassey and Timothy Kovonah (Lead writers)

Food prices are reshaping what families eat, how they cook, and how they share meals, with direct implications for nutrition and health. In this photo essay, Nigeria Health Watch tracks one household in a peri-urban community in Abuja over the course of a day, tracing food decisions from market purchases and meal preparation to meal portioning, while examining how unpaid care work is balanced with earning an income.

Food inflation remained very high at 39% through late 2024 and, even after the consumer price index (CPI) rebasing in 2025, food inflation remained above 20% year-on-year in the early months of 2025. When food prices remain high for long periods, pregnant women in low-income households face a greater risk of poor diet quality, micronutrient deficiencies, and undernutrition. These are associated with maternal anaemia and poorer birth outcomes, including low birth weight.

Image credit: Nigeria Health Watch

To understand what these figures mean in daily life, Nigeria Health Watch followed a day in the life of Annabel, a pregnant small-scale trader, and her household in Kubwa, Abuja, to show how sustained food inflation affects nutrition, resilience, and the strain on low-income families, while pointing to gaps in how health, agriculture, and social protection systems respond. This reflects a wider national reality, where nearly 35 million people could face acute and severe food insecurity during the 2026 lean season.

Annabel and her three-year-old daughter, Christabel, stand outside their home in Kubwa, Abuja. Annabel, a pregnant mother of three children, is balancing unpaid care work and informal trading while trying to feed her family amid high food prices. Image credit: Nigeria Health Watch

Annabel is a 30-year-old woman who lives in Kubwa, Abuja, with her husband and three children. She is a secondary school graduate and a small-scale trader who sells akara (fried bean cakes) in her community. Her income contributes to the household’s daily food and other routine expenses. Her daily routine combines income-earning work with unpaid care responsibilities at home. This is not a nationally representative study. It is a household-level case snapshot designed to surface the policy questions behind daily food choices during a period of high food prices. Annabel is in her second trimester and attends antenatal care (ANC) at a small private clinic in her community. She says she is taking iron and folic acid supplements, but no one at the clinic or during ANC visits has discussed what she should be eating during her pregnancy, and she has not received nutrition counselling. In practice, this means she is in contact with the health system, but without the guidance needed to translate maternal nutrition into everyday food choices on a tight budget.

Annabel’s akara stall, a stone’s throw from her home, is set up for the day’s business. The stall is more than a place of trade; it is the household’s daily cash source, and what she earns here helps determine whether the family can buy food, repay food bought on credit, and keep meals on the table. Image credit: Nigeria Health Watch

At home, Annabel says her husband covers larger expenses, such as rent and school fees. She reports earning about ₦1,000 a day in profit from her akara business, but says a large share of that money goes towards repaying food bought on credit. Asked whether she is able to prioritise diet quality for herself and her youngest child, a three-year-old, she says, “I am only thinking of the money to buy any food that we can cook and eat.”

Annabel buys food items at a local market in Kubwa, where rising prices shape what she can afford to take home. Like many low-income households, she says she now shops for what can “stretch” across meals, rather than what she would ideally choose for nutrition during pregnancy and for her young children. Image credit: Nigeria Health Watch

In Nigeria, food prices have risen sharply in recent years. The World Bank reports that the average price of food items most consumed by poor households increased fivefold between 2020 and 2024, while food price reports showed steep increases in key carbohydrate staples and protein sources such as beans, eggs, and yam. These pressures push households to switch to cheaper foods and reduce dietary variety.

The household’s food basket for the day, arranged after the market trip. Seen together, the items, worth ₦2,360, show how inflation affects diet quality. When budgets are tight, households like Annabel’s prioritise quantity and affordability over variety, making it harder to maintain balanced meals for pregnant women and children under five.
Image credit: Nigeria Health Watch

Beyond changing what families eat and how meals are shared, sustained food price pressure can reduce diet quality and dietary diversity, especially in low-income households. This raises the risk of nutrient inadequacy and micronutrient deficiencies among groups with higher nutritional needs, particularly pregnant women and children under five. Annabel’s household now depends more heavily on staples such as local rice, with fewer foods in rotation across the week. In practice, portions are guided less by appetite or nutritional need and more by what is available.

Cooking utensils in the home kitchen where Annabel prepares meals for the family. The image highlights a part of the nutrition story often overlooked, showing how food choices are shaped not only by prices but also by time, fuel, kitchen tools, and the daily realities of cooking while caring for children. Image credit: Nigeria Health Watch

Annabel says that over the past year, the family has had to cut back on how often they eat foods like beans, spaghetti, and noodles. Instead, they now rely more on cheaper meals that can stretch to feed everyone, including swallow made from ground maize and cassava flour, paired with a simple soup of pepper, onions, and tozo (a fatty cut of beef).

Annabel prepares a family meal in her kitchen after returning from the market. Meal preparation is where household food decisions become visible. The most critical factors depend on what is affordable, what is available, and how ingredients are combined to feed multiple people on a limited budget. Image credit: Nigeria Health Watch
Annabel prepares family meals while caring for her child at home, demonstrating how unpaid care work and food preparation often overlap. This highlights the hidden labour behind household nutrition, especially for women, whose limited time can affect how often meals are prepared. Image credit: Nigeria Health Watch
In homes facing food pressure, portioning is less about ideal nutritional needs and more about what is available, who needs to eat first, and how far the meal must stretch. Image credit: Nigeria Health Watch

Annabel’s story points to a clear policy gap. When food prices rise faster than incomes, families prioritise affordability over dietary quality and sufficiency, with pregnant women and young children bearing the greatest burden. She attends ANC, yet does not receive practical nutrition counselling.

Akara fries in hot cooking oil as Annabel prepares food for sale. Each batch depends on ingredients, cooking oil, charcoal, and time, and rising input costs can quickly reduce profits that would otherwise go towards purchasing household food items. Image credit: Nigeria Health Watch
Annabel arranges freshly fried akara for customers as the day’s sales begin, with the pressure to earn enough from each day’s trade at the back of her mind, especially when household meals, pregnancy needs, and child feeding all depend on daily cash flow. Image credit: Nigeria Health Watch
At the end of the day, Annabel counts the money from her akara sales. Her profit is only ₦1,000. What remains after business costs and repayments shapes what the family can eat next. This is a reminder that nutrition under inflation is not only a health issue, but also a cash-flow and social protection issue. Image credit: Nigeria Health Watch

Families are adapting, and policy needs to respond with the same urgency and coordination. State and local governments should act first through primary healthcare and community systems. ANC and child health services should provide basic maternal and infant feeding counselling, ensure access to multiple micronutrient supplements (MMS), conduct nutrition risk screening, and offer realistic food advice based on what families can afford, including in small private clinics.

State and local governments should also expand shock-responsive social cash transfers or food support linked to health services. The federal government should set standards, finance and supply nutrition services, and hold systems accountable. No pregnant woman or young child should have their diet determined by inflation.

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