Traditionally, Thais have bought their food from fresh markets. However, recently multi‐national supermarket chains have expanded rapidly so that currently, Thais procure food from both modern and traditional retail formats. If Thailand were to follow the Western pattern, supermarkets will become the dominant food retail format.
We present a synthesis of 10 years of multidisciplinary research, examining the contribution of food retail to the Thai nutrition and health transition, to demonstrate that fresh markets provide access to fresh, affordable, nutritious foods. Fresh market shoppers have healthier diets and lower chronic disease risks than other groups.
In the South East Asia context, the protection of fresh markets constitutes a novel intervention to protect and promote nutrition‐sensitive retail. This could be achieved through policy action nationally, with monitoring of national and multi‐national supermarket chain growth, regionally, with planning to safeguard fresh markets' urban locations, and locally, with the development of food hubs.