Local studies on household food security – lessons from recent studies using anthropometric and food access measures DST and HSRC seminar on “Policy-relevant

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  • Local studies on household food security lessons from recent studies using anthropometric and food access measures DST and HSRC seminar on Policy-relevant indicators to monitor household food-security status in South Africa Cape Town 12 th of November 2013 Prof L. DHaese, Prof H.C. Schnfeldt & Prof M. Karaan
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  • Food Security is a multi-dimensional phenomenon Since 1996: more than 200 different definitions Yet it only originated from the mid 1970s From the definition/vision of food security four dimensions of food security have been determined: 1.Food availability 2.Food accessibility 3.Food utilisation 4.Food stability AVAILABILITY ACCESS UTILISATION STABILITY
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  • Case Study: Food Security of rural Limpopo Province (2011) Five frequently used food security indicators included in the study: 1.Household Food Insecurity Access Scale (HFIAS) 2.Food/Household expenditure 3.Household Dietary Diversity Score (HDDS) 4.Months of Adequate Household Food Provisioning (MAHFP) 5.Food poverty (FP) and Low Energy Availability (LEA) also known as the Rose and Charlton indices
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  • Data collection (July August 2011) DISTRICTMUNICIPALITY 1MUNICIPALITY 2RESPONSIBLE? CapricornBlouberg (60)Molemole (60) Total: 120 surveys data collection data entry 4 enumerators + 1 controller + 1 data entry MopaniGiyani (60)Maruleng (60) Total: 120 surveys data collection data entry 4 enumerators + 1 controller + 1 data entry SekhukhuneFetakgomo (60)Tubatse (60) Total: 120 surveys data collection data entry 4 enumerators + 1 controller + 1 data entry VhembeMutale (60)Thulamela (60) Total: 120 surveys data collection data entry 4 enumerators + 1 controller + 1 data entry WaterbergMogalakwena (60)Mookgopong (60) Total: 120 surveys data collection data entry 4 enumerators + 1 controller + 1 data entry
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  • Food insecurity & poverty rural Limpopo province 53% severely food insecure on the basis of the HFIAS 32% less then 1$/person per day 60% less then 2$/person per day
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  • Validating Limpopo Case Study results Figures from 2002 43% of SA households suffer from food poverty A state where physiological human needs are not adequately met as the available amount of money is not enough to purchase a basic nutritionally balanced diet National Food Consumption Survey -Fortification Baseline (NFCS-FB), 2005 Limpopo, 2011 1 in 2 hh experienced hunger 1 in 3 hh were at risk of hunger 1 in 5 ppl were food secure 53% severely food insecure 26% moderately food insecure 21% food secure
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  • Current National Values vs. Limpopo Case Study SANHANES-1 (2012)( South African National Health and Nutrition Examination Survey) Hunger (food insecurity) assessed by means of the Community Childhood Hunger Identification Project (CCHIP) The CCHIP index is based on eight occurrence questions A score of one to four indicates that members of the household are at risk of hunger A score of zero indicates that the household is food secure Compared to Limpopo Case Study, SANHANES-1 (2012) Included both rural and urban areas Method to measure food insecurity was different
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  • Food Security Data at household level Question NFCS 1999 (n = 2 735) NFCS 2005 (n = 2 413) SASAS 2008 (n = 1 150) StatsSA GHS 2011 SANHANES-1 Limpopo 2011 SANHANES -1 2012 (n = 6 306) Food security 2519.84841.545.6 Food insecure 21.1 At risk of hunger 2327.9251327.328.3 Experiencing hunger 52.35225.911.530.826.0
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  • IndicatorDefinition of food insecurity is different Food poverty (IES)Household spending on food less than minimum food basket Income poverty (GHS) Household spending less than R1200 per month Dietary diversity (DDS) Less than 4 food groups consumed out of 9 groups Dietary diversity (NFCS) Less than 6 food groups consumed out of 13 groups Stunting and underweight (NFCS) Stunting measures HAZ below -2SD; underweight measures WAZ below -2SD CCHIP index (SASAS & NFCS) Additive scale combines coping strategies & perception of hunger Food insecure when more than 4/8 questions answered yes HFIAS (GHS)Additive scale combines coping strategies & perception of hunger Food insecure when more than 2/4 questions answered yes Hunger index (GHS)Perception of hunger by household 2 questions asked General problems in measuring Food Security in studies (NFCS 1999 & 2005; GHS 2001 & 2011; SASAS 2008; DDS 2009; IES 1995, 2000, 2005/6, 2010/11; SANHANES-1 2012)
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  • Indicators Surveys Income poverty Hunger scale HFIAS Food poverty Anthrop. measures Dietary diversity GHS NFCS IES SASAS DDS * HFIAS- Household Food Insecurity Access scale
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  • Survey Food access Food utilization Food availability Time frame Sample size IES Every five years 30 000 NFCS Not done since 2005 2894 SASAS Once off3500 DDS Once off3827 GHS Yearly30 000 SANHANES-1 (2012) provided updated clinical data such as anthropometric & biomarker data (such as iron status) on 12,025 participants
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  • Results from various studies vary No regularized ways of monitoring food security in SA Different methodologies Different samples & sampling techniques Assess different aspects of food security Bound to give different results As a result, difficult to: Compare indicators across studies Come up with a single food security estimate for SA Difficult task since there is no gold standard to compare results to Never a national survey was conducted to assess all food security dimensions (Labadarios et al 2011)
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  • Food Security Today Food security analysis become more associated to poverty & inequality The approach moves more to livelihood indicators and deprivation of capabilities to lead a minimally acceptable life As objective verifiable indicators are making place for subjective measurements (i.e. HFIAS)
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  • Distribution of the various Food Security indicators in rural areas of Limpopo
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  • Food security is difficult to measure 1.Multi-dimensionality of food security makes it technically complicated to develop indicators 2.Difficult to develop an indicator for every element 3.The conceptual challenges refer to the translating of multiple elements of food security into meaningful indicators
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  • Developing food security indicator(s) for South Africa A good measure of food security needs to be: Relevant Credible Low cost Time sensitive Appropriate for the decisions that needs to be made Needs to be comparable across locations and cultures It needs to be tested for validity The form depends on the needed information and the purposes and decisions for which it will be used no golden standard exists
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  • Developing a Composite Food Security Index for SA Needs to integrate national, household, individual level + 4 dimensions of FS Similar approach to the Human Development Index Weights of each indicator could be calculated according to the Principal Component Analysis (PCA) Or as HDI: 1/3 of a composite food security indicator National Level Household Level Individual Level
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  • Weight 1/3 Using the EIU food security index 25 different sub- indicators of a wide range of trusted organisations are taken in account EIU index is regularly updated comparing South Africa with 107 countries using a scale from 0 to 100 Developing a Composite Food Security Index for SA 1 st Component National and Global Level http://foodsecurityindex.eiu.com/
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  • On the basis of the important determinants of the food security situation at household level being: household income household size dependency ratio Food poverty index = relation of income to a minimal acceptable food consumption of the household Developing a Composite Food Security Index for SA 2 nd Component Household Level National Level Household Level Individual Level
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  • Food poverty index Relies on data from: income and expenditure surveys household size rural and urban food prices monetary value of the home production caloric value of an adequate basic food plan Outcome of this index is the % of households able to purchase a nutritionally adequate basic diet Available funds for food vs. Cost of nutritionally adequate basic food basket Two main suppliers of informations related to income in SA South African Advertising Research Foundation (SAARF) Living Standard Measure (LSM ) (www.saarf.co.za)www.saarf.co.za IES
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  • LSM Spectrum (SAARF, 2013) (BFAP, 2013) Divides population into three lifestyle levels: 1.Poor consumers (LSM 1-4) 25% of adult population 50% contribution to income & expenditure Available funds for food
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  • Average income According to IES survey (Stats SA 2010, 2012) : Average income per household is between $11 200 and $11 570 (US dollars) per annum Average earnings by a South African worker is $313/month 25% of workers earn a monthly salary of less than $168 Share of income derived from government support ranged between 26% to 40% of households in the lower income groups (BFAP 2013) With nearly 1/3 of the population being unemployed, the reality is that 1 salary often carries an entire household (Stats SA 2011) Poorest South Africans (30%) spend nearly 40% of their income on food (NAMC 2012) Available funds for food
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  • Estimating cost of a food basket Two approaches: 1.Based on balanced daily food plates Basis for the calculation of the cost of an individuals ideal nutritionally adequate daily food intake (Schnfeldt et al., 2013) 2.BFAP Poor Person Index (BPPI) Based on a typical daily food plate Cost of a nutritionally adequate basic food basket
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  • Approach 1. Balanced daily food plates A.Basic, economical, nutritionally adequate daily diet 61% energy value of the ideal option Considers the national Food-Based Dietary Guidelines for a balanced daily basket Developed for low socio-economic consumers (LSM 14) R22/person/day; R666/month R3 300 per month per household of 5 persons (Schnfeldt et al 2013, BFAP 2013) B.Ideal option of balanced daily food plate Compiled to provide adequate energy & dietary diversity for an adult through affordable food choice options R44/person/day; R1 320/person/month R6 600 per household of 5 persons (BFAP 2013) Recommended daily energy intake of adults 10,000 12,000kJ & Children 8,000kJ (Whitney & Rolfes, 2010) Cost of a nutritionally adequate basic food basket
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  • Considering that: part of agricultural products are produced in home gardens part of income (40%) used for non-food products Basic food basket requires: A minimum of R4333 / household (5 persons) /month in the range of LSM 5 Ideal food basket (adequate dietary diversity) requires: R9 900 / household (five persons) / month in the range of LSM 7 These values could be used for the index at household level Approach 1. Balanced daily food plates Implications Cost of a nutritionally adequate basic food basket
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  • 2 nd Approach: BFAP Poor Person Index (BPPI) Based on a typical daily food plate Poor South African consumers typical portion sizes 5 most widely consumed food items Grounded on values obtained from a range of scientific nutritional literature Not nutritionally adequate, insufficient: total energy value (only providing 2500 kJ) dietary diversity Cost of a nutritionally adequate basic food basket
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  • In April 2013 : cost of the BPPI Daily food basket = R4.26 / person / day = R130 / person / month = R650 / five member household / month (assuming equal portions for adults and children) (BFAP 2013) This value can also be used for the index at household level Cost of a nutritionally adequate basic food basket .stunting, vit A, zinc & iron deficiencies most prevalent
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  • Weight 1/3 Diet diversity score at individual level Stunting Micronutrient deficiency Opportunity to evaluate the component through SANHANES-1 Personal interviews with standardized physical examinations, diagnostic procedures and a variety of laboratory tests Developing a Composite Food Security Index for SA 3 rd Component Individual Level National Level Household Level Individual Level
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  • AVAILABILITY ACCESS UTILISATION STABILITY National Level Household Level Individual Level Need to integrate national, household, individual level + 4 dimensions of FS
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  • Often, choice of an appropriate indicator probably arbitrary & open to dispute However, the political and social consensus that merges around the chosen indicator determines to a large extent the success of the indicator (Oosthuizen 2012) Consensus over the chosen Food Security Indicator
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  • Conclusion Different components of the composite food security indicator Selected to agree On the evolution of the food security situation To verify the outputs and impacts of the food security policies Towards: Adequate availability of nutritious food Physical, social and economic accessibility of nutritious food Utilisation, quality and safety of nutritious food Stability of nutrition-sensitive food supply