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The COVID-19 crisis is having macro-level impacts on health systems, economies, and social dynamics that will take much longer to recover from. In Bangladesh, lockdowns to prevent transmission have taken a heavy toll on economies and millions of people are struggling with poverty and food security. This assessment highlights the impact of COVID-19 on livelihoods, food security, nutrition and health of poor and extreme poor households covered by USAID’s Development Food Security Activity ‘Nobo Jatra-New Beginning,’ implemented by World Vision Bangladesh in Dacope, Koyra, Shyamnagar, and Kaliganj sub-districts in southwest Bangladesh.