The 2021 State of Food Security and Nutrition in the World report identified Pakistan as a food crisis country with high levels of acute food insecurity. It estimates that the prevalence of undernourishment in Pakistan is 12.9 percent. According to the Food Insecurity Experience Scale (FIES), 16.4 percent of Pakistanis (38 million people) are moderately or severely food insecure and 1.8 percent are severely food insecure. In some districts, moderate or severe food insecurity affects 49 percent of the population.
Adding vitamins and minerals to commonly eaten foods through fortification is generally done via large-scale production systems. But in Pakistan, most people, including the poorest and most at risk of malnutrition, buy their wheat flour from one of the country’s 70,000 small-scale mills, called chakkis.