Poverty and health

No sign of a dependency culture in South Africa
Noble M and Ntshongwana P: Human Sciences Research Council, 2008

This brief is based on the Human Sciences Research Council’s (HSRC) 2006 Social Attitudes Survey and aims to explore the existence of a so-called ‘dependency’ culture among the unemployed and social grants recipients. It seeks to inform the policy context around social security in South Africa. By providing evidence to show that poor people demonstrate a greater attachment to the labour market than the non-poor, it challenges the notion that the provision of social grants will rear a ‘dependency culture’ among the unemployed and recipients of social grants. It suggests that both groups of people are interested in and are motivated to find work. It also provides the evidence to show that, among the poor, having a job is perceived to be better than claiming grants and work is valued for its social integration role and helps to overcome feelings of isolation. The brief’s findings indicate that the Child Support Grant does not discourage people from seeking work. It appears the main cause of people remaining unemployed is the structural conditions of the labour market, as opposed to a reluctance to find work and choosing, instead, to rely on State support.

Notes on Imagination
Gamedze T: Johannesburg Workshop in Theory and Criticism, The Salon (8), 2015

The author argues that psychological violence of colonialism today only exists as a re-enactment, or a reframing of the original physical warfare between colonialist and colonized bodies. He argues that contemporary images and representation still repeat the violence within popular culture, within academic curricula, literature, mainstream music, art, architecture, theatre, that pervades the contemporary world in ways that continue to suppress imagination.

Nutrition for mothers and children
id21 Health News 131, July 2008

Article 25.2 of the Universal Declaration of Human Rights establishes that motherhood and childhood are entitled to special care and assistance. Yet maternal and child undernutrition are still highly prevalent in most developing countries. This article outlines the role of the World Food Programme (WFP) in tackling undernutrition. It concludes that WFP programmes can contribute to breaking traditional gender barriers, such as the view that caring for children is the sole responsibility of women. It can bring communities together around a common goal of improving maternal and child nutrition for the benefit of society. In communities where the WFP also operates School Feeding programmes, there are opportunities to link school feeding to wider nutrition issues and advocate the importance of nutrition throughout a person's lifecycle.

Nutrition in ART programmes
Reynolds L: HIV & AIDS Treatment in Practice 141: 2–11, 16 July 2009

The consequences of malnutrition for the efficacy of anti-retroviral therapy (ART) are poorly understood, and evidence regarding the impact of food supplementation on ART outcomes is still limited. The World Health Organization and World Food Programme have issued guidance on food support in ART programmes: every newly enrolled patient should have a nutritional assessment that includes measurement of weight and body mass index, along with nutritional counselling and monitoring. Promotion of activity that increases ability to maintain and expand food supplies, either through growing crops or trading (`livelihoods`) may be a more appropriate response to malnutrition in people with less-advanced HIV disease, with cash transfers also being used as a means of addressing food insecurity. Households affected by HIV often experience multiple threats to their livelihoods. All nutritional support programmes need realistic strategies to avoid dependency and promote long-term food security.

Nutrition in the WHO Africa Region
World Health Organisation Regional Office for Africa: Brazzaville, 2017

This report explores the current nutrition status of countries in the WHO African Region in relation to the six primary outcomes achievable by 2025 and the other global nutrition monitoring framework indicators. The aim is to highlight where action is needed to drive progress on the global targets for 2025 and Sustainable Development Goal No. 2 that calls on countries to end hunger through achieving food security, improving nutrition and promoting sustainable agriculture. A complementary objective of the report was to evaluate existing data sources that countries use to monitor programme performance and track progress on the global targets. A key finding in this report is that undernutrition is still persistent in the WHO African Region, with major implications for health, particularly among poor and vulnerable population groups. It finds that persistent drought, famine, flooding, and civil crises will make it difficult for many countries to achieve the target of reducing and maintaining wasting at less than 5%. Along with persistent undernutrition, the prevalence of overweight among children under 5 years of age (as well as the overall number of children affected) is rising, whereas the target is to halt its increase. WHO AFRO assert that In the absence of survey data, properly functioning routine surveillance systems could provide invaluable real-time information for decision making in policy and programme design and implementation in this area.

Nutrition status and associated factors among children in public primary schools in Dagoretti, Nairobi, Kenya
Mwaniki EW and Makokha AN: African Health Sciences 13(1): 39-46, March 2013

Interventions for school age children can supplement efforts to reduce levels of stunting in the preschool years. In this study, researchers aimed to assess the nutrition status and associated risk factors of children in selected public primary schools in Dagoretti Division, Nairobi. They randomly selected 208 students aged 4-11years of both gender from four public primary schools in Dagoretti Division. Data was collected from school registers and directly questioning the students, parents /guardians. Among the children surveyed, 24.5% were stunted, 14.9% underweight and 9.7% were wasted. There were more boys than girls who were stunted. Breakfast contributed 10.2% of the daily energy intake. Few children consumed foods from more than four food groups. Incidence of diarrhoea, colds/coughs increased the risk of stunting and underweight. Overall, the most important predictors of malnutrition were consumption of food that is inadequate in required calories and from less than four varieties of food groups.

Nutrition the foundation of basic health

Proper nutrition is a powerful good: people who are well-fed are generally healthy. Healthy women can lead more fulfilling lives; healthy children learn more in school and out. Good nutrition benefits families, their communities and the world as a whole. Malnutrition is, by the same logic, devastating. It plays a part in more than half of all child deaths worldwide. It perpetuates poverty. Malnutrition blunts the intellect and saps the productivity of everyone it touches, said a new report released by Unicef for the World Economic Forum.

Nutrition:The forgotten MDG
The World Bank, 28 January 2008

The new Lancet series on nutrition, co-authored and co-financed by the World Bank, depicts the lamentable state of under-nutrition worldwide, and a corresponding negligence on the part of the development community to meet the challenge decisively. Under-nutrition represents the non-income face of poverty. And the world is off track on meeting this goal. Countries with 'higher overall logistics costs are more likely to miss the opportunities of globalization,' say the study’s lead authors Jean Francois Arvis and Monica Alina Mustra of the Bank’s Poverty Reduction and Economic Management (PREM) group.

Nutritional status and dietary intake of urban residents in Gondar, Northwest Ethiopia
Kassu A, Amare B, Admassu M and Mulu A: BMC Public Health 12(752), 7 September 2012

This cross-sectional community-based nutrition survey was conducted in Northwest Ethiopia with 356 urban residents (71.3% female and 28.7% male). Subjects were selected by random sampling. Socio-demographic data was collected by questionnaire and body measurements taken. Results indicated that, of the sample, 12.9% were undernourished, 21.3% were overweight and 5.9% were obese. Men were taller, heavier and had a higher waist-to-hip ratio compared to women. Fish, fruits and vegetables were consumed ‘less frequently’ or ‘never at all’ by a large proportion of the subjects. Mean energy intake fell below the estimated energy requirements in women, but was significantly higher in men. Protein intake was inadequate in 11.2% of the participants whereas only 2.8% reported carbohydrate intake below the recommended dietary allowance. Significant micronutrient deficiencies were also noted. The overall risk of nutritional inadequacy among the study participants was high, along with their poor dietary intake. The authors call for nutritional programmes in urban settings to address the micronutrient and macronutrient deficiencies identified here, to help prevent nutrition-related diseases later in life.

Nutritional status and food intake data on children and adolescents in residential care facilities in Durban
Grobbelaar HH, Napier CE and Oldewage-Theron W: South African Journal of Clinical Nutrition 26(1): 29-36, April 2013

The aim of this study was to examine growth indicators and dietary intake patterns of orphans and vulnerable children aged 4-18 years residing in state-run residential care facilities in Durban, South Africa. Thirty-three girls and 110 boys, aged 5-18 years, in three different children’s homes participated in the study. The results showed that stunting and overweight were prevalent in this group: 4.7% of the boys aged 4-8 years and 3.3% of the boys aged 14-18 years were severely stunted, while 13.3% of the girls aged 9-13 years and 20% of the girls aged 14-18 years were stunted. A small number were wasted. At the same time, 33.3% of the girls aged 4-8 years and 33.4% of the girls aged 9-13 years were at risk of being overweight, while 26.7% of the girls aged 14-18 years were overweight. One hundred per cent or more of the dietary reference intakes for energy, protein, carbohydrate and most of the micronutrients were met, except for calcium and iodine. A low intake of vitamin C among older boys and girls was reported. None of the groups met the recommended fibre intake. The authors call for the development and implementation of a comprehensive nutrition education programme for both child care workers and children.

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