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South Africa’s food system is letting children down – what needs to be done?

Child malnutrition in South Africa has far-reaching consequences, affecting children’s growth and brain development, ultimately limiting their educational and job opportunities. Stunted and overweight children face increased risks of noncommunicable diseases, straining the country’s healthcare system and perpetuating a cycle of poverty and ill health.

Despite South Africa’s food surplus, many children are dying of hunger, with severe malnutrition representing just the tip of a larger issue. Research from the Children’s Institute at the University of Cape Town emphasizes the slow violence of malnutrition and the deteriorating situation for South Africa’s children.

A Growing Burden

Over 25% of young children are stunted, and childhood obesity rates have nearly doubled since 2016. Early intervention is critical, particularly during the first 1,000 days of life, to mitigate long-term health effects and support economic development.

The Root Causes

Many children live in food-insecure households, often relying on the caregivers who skip meals to save food for their children. Nearly 40% of children exist below the food poverty line, unable to afford adequate nutrition. Meanwhile, cheap ultra-processed foods dominate the market, contributing to rising obesity rates.

Violations of children’s rights to essential nutrition are being investigated by the South African Human Rights Commission, which is focusing on the responsibilities of major retailers.

What Needs to Be Done?

To tackle child malnutrition, a multi-faceted approach is required:

  1. Invest in Maternal Health: Introduce a maternal support grant for pregnant women, transitioning into a child support grant to support both mother and child.

  2. Enhance Infant Feeding: Promote breastfeeding and improve nutrition for infants and young children, ensuring health systems support breastfeeding and early intervention for growth issues.

  3. Maintain Nutrition Support: Schools should provide daily meals, but support must focus more on the critical first two years of a child’s life.

  4. Increase Child Support Grants: Adjust the child support grant’s value to at least match the food poverty line to counteract inflation.

  5. Regulate the Food Industry: Implement taxes on sugary beverages, improve food labeling, and restrict marketing unhealthy foods to children.

Through these initiatives, South Africa can improve children’s nutrition and health outcomes. The commission’s recommendations could help prevent the food industry from benefiting at the expense of vulnerable children’s well-being.

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