Food Security in South Africa: A Review of Data and Trends. Johannes John-Langba, PhD., MPH Department of Social Development University of Cape Town

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Food Security in South Africa: A Review of Data and Trends Johannes John-Langba, PhD., MPH Department of Social Development University of Cape Town

What is Food Security? Food security exists when all people, at all times, have physical and economic access to sufficient, safe and nutritious food to meet their dietary needs and food preferences for an active and health life (FAO, 1996 World Summit)

Review Questions 1. Who and Where are the food insecure in South Africa? Who? : Population group Educational status Age group Sex Socio-economic status Household composition Family type Employment Status Own production/not Where?: Provinces Districts Rural/Urban Ex-homelands 2. What are current food security trends in South Africa?

Indicators to measure food security include: Food Security Indicators All people at all times (universality, frequency) Access (Physical and economic) Sufficiency (adequacy/quantity) Safe and nutritious (Quality) Meets dietary needs (quality) Preference

DHS Indicators- Measure Evaluation (SADHS, 2003; 2008) Food Security Indicators-2 Use nutritional status as proxy indicators for food security Assess the anthropometric status of sub-groups of the population Children: (Usually more valid for children under five years) Stunting (height-for-age) Wasting (Weight-for-height) Underweight (Weight-for-age) (data usually disaggregated by: age (in months); sex; birth order; birth interval; size at birth; residence; race; mother s age; mother s education, wealth quintiles) Women: Body Mass Index (BMI) Also usually disaggregated by background characteristics

Food Security Indicators-3 NATIONAL FOOD CONSUMPTION SURVEY (1999)-Dept. of Health, Stellenbosch University Indicator: The amount of money spent on food weekly in children aged 1-9 years nationally/by province Indicator: Mean energy intake (kj) of children by age and area of residence Indicator: Hunger risk classification in children aged 1-9 years nationally and by province (Children are classified as: Food secure; at risk of hunger; and Experienced hunger) Indicator: Hunger Scale Questionnaire: % of affirmative responses in children aged 1-9 years nationally/by province (Do your children ever say they are hungry because there is not enough food in the house? )

Food Security Indicators - 4 GENERAL HOSEHOLD SURVEY(GHS)/October Household Survey-Statistics South Africa Question: Did any child in your HH go hungry during the last 12 months? Module: Food access and supply and income and expenditure Did your household run out of money to buy food during the past year? Has it happened five or more days in the past 30 days? Did you cut the size of means during the past year because there was not enough food in the house? Did you skip any means during the past year because there was not enough food in the house? Did you eat a smaller variety of foods during the past year than you would have liked to, because there was not enough food in the house? Please specify how many times the household ate the following foods during the past seven days?

Changes in GHS HH food Security questions/indicator (GHS 2007 & 2010 ) Source: Jacobs, P (2012). Household food access in Rural South Africa: Lessons for emerging food security policy: HSRC Food Security Status Household livelihood & demography Living standards expenditure Agricultural production GHS 2007 GHS 2010 Hunger scale (adults/children) Farm workers; small-farm HHs; Household size Total spending (quartiles) Food spending; Social grants Land access; Agricultural outputs Hunger scale (adults/children) Food access; Variety foods consumed; Coping strategies Farm workers Small-farm HHs Household size Total spending (quartiles); Social grants Farm activities; Agricultural outputs Spatial information Provinces; District council Provinces; rural categories (formal/exhomeland)

Food Security Indicators - 5 NATIONAL INCOME DYNAMICS SURVEY (NIDS)- SALDRU Module : Food spending and consumption Examples of questions: What was the total food expenditure of this household in the last 30 days? Was [ food item.. ] eaten by this household in the last 30 days? What was the value of [.. ] eaten from own production and/or from own shop stock in the last 30 days? Anthropometric measurements (Adults/Children) BMI; Stunting; Underweight; Wasting; Height; Overweight; Obesity

Recent Trends of HHs experiencing food adequacy by province 2009/2010/2011 Source: Stats SA General Household Surveys Food Adequacy by Province 100 90 80 Percentage of Households 70 60 50 40 30 2009 2010 2011 20 10 0 Western Cape Eastern Cape Northern Cape Free State Kw a Zulu Natal North West Gauteng Mpumalanga Limpopo South Africa Province

Recent Trends in HHS experiencing food inadequacy by province 2009/2010/2011 Source: Stats SA General Household Surveys Food Inadequacy by Province 40 35 30 Percentage by Household 25 20 15 10 2009 2010 2011 5 0 Western Cape Eastern Cape Northern Cape Free State Kw a Zulu Natal North West Gauteng Mpumalanga Limpopo South Africa Province

More HHs in the Northern Cape Reporting SEVERE food Inadequacy Source: Stats SA General Household Survey 2011 Percentage of households experiencing food adequacy/inadequacy by province 100% 90% 80% 70% 60% Percentage 50% 40% Food Access Severely Inadequate Food Access Inadequate Food Access Adequate 30% 20% 10% 0% Western Cape Eastern Cape Northern Cape Free State Kw a Zulu- Natal North West Gauteng Mpumalang a Limpopo South Africa Province

Adequacy of food consumption by sex Source: Living Conditions of South Africans 2008/2009 published by Stats SA 70 Percentage distribution of households by standard of adequacy of their foodconsumption during the month prior to the month they were surveyed by sex of householdhead 60 50 Percentage 40 30 Male Female Total 20 10 0 Less than adequate Just adequate More than adequate Consumption

Annual Food Expenditure in Proportion to Total Expenditure Source: Living Conditions of South Africans 2008/2009 published by Stats SA 30 Annual Average Household Consumption Expenditure on Food and Proportion of Food Expenditure to Total Expenditure 25 20 Percentage 15 % of total expenditure 10 5 0 Black African Coloured Indian/Asian White Population Group

Trends in HHS with Children experiencing Hunger (GHS 2002-2010) Source. M. Aliber

Anthropometric Data Source: WHO and The National Food Consumption Survey (NFCS): South Africa, 1999 Anthropomorphic Data 35 30 25 Percentage of population 20 15 10 Stunting (Under 5's HAZ <- 2) Under Weight (Under 5's WAZ <- 2) Wasting (Under 5's WHZ <- 2) Overw eight ( WHZ > +2) 5 0 1999 2003-2005 2008 Year

Malnutrition among Children aged 6 months to 5 yrs. (NIDS 2008)

Malnutrition among Children aged 6 months to 5 yrs. (PSLSD 1993)

Changes in Malnutrition among children in SA(1993 & 2008) % of stunted children under 5 yrs. decreased from 30% to 24% b/w 1993 &2008 Similarly, the % of underweight and wasted children from 15% to 9% and 9% to 5% respectively Over the same period, Female children are less likely to be classified as malnourished No significant change over time in the risk of being overweight and obese in this age group The average weight of African children increased by 2.4kg Source: Ardington et al 92009) health: Analysis o the NIDS Wave 1 Dataset. Discussion paper no. 2. UCT: SALDRU

Conclusions There is a plethora of existing data on the dynamics of food consumption/security in SA but of varying quality and relevance There seems to be a lack of consensus on standard indicators to effectively monitor and evaluate the food security situation nationally Little or no data on the intra-household dynamics of food security Dearth in data on the relationships among cultural norms, gender stereotypes and inequality, and food insecurity Limited information/data to answer the question: Who are the food insecure in SA?

Thank you