The COVID-19 pandemic reveals an unprecedented rise in hunger: The South African Government was ill-prepared to meet the challenge

Recent research has shown increasing household food and nutrition insecurity in South Africa, indicating weaknesses in the national food system due to historical and current socioeconomic inequalities. The lack of inclusive governance and collaboration among actors and institutions to develop long-term strategies increase the problem. Such weaknesses intensify the government's ill-preparedness to provide food relief during disasters. We drew upon two rounds of the longitudinal University of Johannesburg and the Human Sciences Research Council's COVID-19 Democracy Survey to illustrate how ill-preparedness has resulted in increased hunger. The rollout of food relief was slow because the state ignored established non-governmental food relief structures. Delayed tender processes and corruption have worsened local distribution and access to food relief, increasing households' hunger. Individuals reported higher experiences of hunger above pre-COVID-19 figures of 11% attaining highs of 42% in 2020. We argue that COVID-19 has emphasised the South African food system's inequalities, particularly the state's inability to ensure integration, inclusiveness and rapidly provide emergency food relief. We focused on individual and households’ experiences of hunger and economic circumstances. Challenges were evident where access to food was provided in-kind or through financial aid. The pandemic food relief interventions and the lack of food price controls were serious challenges. The state and stakeholders must prevent high transitory food insecurity levels from resulting in chronic food insecurity. The state's practices and challenges during lockdown must be examined to ensure this situation does not reoccur. Some essential foods require subsidisation and price regulation to ensure long-term access for the poor. To ensure zero hunger and increased food security, these elements of the NDP must be re-examined. Research is required on vulnerabilities in the system, ways to overcome these and the understanding of factors contributing to system-wide resilience, including at individual and household levels.

Nutritional contribution of street foods to the diet of people in developing countries: a systematic review

OBJECTIVE

To review studies examining the nutritional value of street foods and their contribution to the diet of consumers in developing countries.

DESIGN

The electronic databases PubMed/MEDLINE, Web of Science, Cochrane Library, Proquest Health and Science Direct were searched for articles on street foods in developing countries that included findings on nutritional value.

RESULTS

From a total of 639 articles, twenty-three studies were retained since they met the inclusion criteria. In summary, daily energy intake from street foods in adults ranged from 13 % to 50 % of energy and in children from 13 % to 40 % of energy. Although the amounts differed from place to place, even at the lowest values of the percentage of energy intake range, energy from street foods made a significant contribution to the diet. Furthermore, the majority of studies suggest that street foods contributed significantly to the daily intake of protein, often at 50 % of the RDA. The data on fat and carbohydrate intakes are of some concern because of the assumed high contribution of street foods to the total intakes of fat, trans-fat, salt and sugar in numerous studies and their possible role in the development of obesity and non-communicable diseases. Few studies have provided data on the intake of micronutrients, but these tended to be high for Fe and vitamin A while low for Ca and thiamin.

CONCLUSIONS

Street foods make a significant contribution to energy and protein intakes of people in developing countries and their use should be encouraged if they are healthy traditional foods.

Food security in South Africa: a review of national surveys

OBJECTIVE

To assess the status of food security--i.e., access to food, food availability and food utilization--in South Africa.

METHODS

A systematic search of national surveys that used the Community Childhood Hunger Identification Project (CCHIP) index to measure food security in South Africa over a period of 10 years (1999-2008) was conducted. Anthropometric data for children aged 1-9 years were used to assess food utilization, and household food inventory data were used to assess food availability.

FINDINGS

Only three national surveys had used the CCHIP index, namely, the 1999 and 2005 National Food Consumption Surveys (NFCS) and the 2008 South African Social Attitudes Survey. These surveys showed a relatively large decrease in food insecurity between 1999 and 2008. However, the consistent emerging trend indicated that in poorer households women were either feeding their children a poor diet or skipping meals so their children could eat. In terms of food access and availability, the 1999 NFCS showed that households that enjoyed food security consumed an average of 16 different food items over 24 hours, whereas poorer households spent less money on food and consumed fewer than 8 different food items. Moreover, children had low mean scores for dietary diversity (3.58; standard deviation, SD: ± 1.37) and dietary variety (5.52; SD: ± 2.54) scores. In terms of food utilization, the NFCS showed that stunting in children decreased from 21.6% in 1999 to 18% in 2005.

CONCLUSION

The South African government must implement measures to improve the undesirably high level of food insecurity in poorer households.