The evidence is undeniable: the Health Promotion Levy, enacted in 2018 to combat South Africa’s soaring rates of diet-related diseases, delivered on its promise. Multiple studies have demonstrated that the tax has successfully reduced both sugary drink consumption and overall sugar intake.
Around the world, governments and international organisations have recognised that taxing sugary drinks is a simple, cost-effective way to promote public health. From the UK to the US to Mexico, these taxes have reduced sugary drink consumption without hurting the economy. In five US cities that implemented sugary drink taxes, sales of these drinks dropped and the trend continued over time.
This op-ed was first published in the Daily Maverick on the 1st of November 2024. To read the entire article please click here.
African civil society organisations launch report on how the Sugar Industry blocks vital public health policies for Healthier Societies
African civil society organisations working to promote and defend sugar-sweetened beverage taxes in Cameroon, Nigeria, and South Africa have, today, jointly released the report, “Sweetened Profits: The Industry’s Playbook to Fight Sweetened Beverage Taxes,” exposing the beverage industry’s Global campaign to oppose taxes on sugar-sweetened beverages (SSBs).
The report, first unveiled in September 2024 by the Global Health Advocacy Incubator (GHAI), is being re-presented regionally to highlight efforts by the Sweetened Beverage industry to weaken governments’ efforts to adopt this important public health intervention on the continent, and as part of activities for the Global Week for Action on non-communicable diseases (NCDs) from 14 – 21 October.
GHAI’s comprehensive analysis demonstrates how the beverage industry, also called Big Soda, uses a global playbook of strategies to thwart government efforts to reduce the consumption of sugary drinks, a known driver of obesity, diabetes, cardiovascular diseases and other serious health problems. These tactics undermine public health initiatives while also negatively impacting environmental sustainability.
It comes just as African nations are grappling with soaring rates of diet-related non-communicable diseases, with organisations including RADA in Cameroon, pushing for a sweetened beverage and UPP tax, while CAPPA in Nigeria and the Healthy Living Alliance (HEALA) in South Africa continue to protect the existing tax and call for government to strengthen it to reach its public health objective.
“While the global community is working towards creating healthier populations, Big Soda is using its influence to derail policies that could save millions of lives and billions in healthcare costs,” said Verónica Schoj, Vice President, Food and Nutrition, GHAI.
“Our report reveals the depth and breadth of the industry’s efforts to protect its profits at the expense of public health.”
Through exhaustive monitoring and analysis, GHAI identified five strategies employed by Big Soda to obstruct SB taxes across more than 25 countries. These include:
1. Economic Alarmism: As seen in Nigeria and Pakistan, economic arguments are employed to suggest that SB taxes would lead to job losses and economic downturns.
2. Exploiting Social Concerns: Efforts in Indonesia show how the industry uses corporate social responsibility to overshadow their products’ negative health impacts.
3. Manipulating Tax Designs: Instances such as in Vietnam, where industry bodies have pushed to exclude certain drinks from taxation.
4. Mounting Legal Challenges: Examples from Colombia and Spain highlight how legal threats and challenges are used to intimidate governments and contest the legality of SB taxes.
5. Discrediting Scientific Evidence: Tactics observed in Guam and China where industry-funded research is leveraged to question the effectiveness of SB taxes.
“In Nigeria, beverage companies continue to exploit false narratives and inaccurate health claims with disregard for the health of the people,” said Akinbode Oluwafemi, Executive Director, [CAPPA]. “Their approach does not only show their focus on profit but reinforces the alarming way they mislead the public and interfere in policy processes,” he concluded.
In Cameroon, industry is highly involved in sports and donation of hospital related equipment and facilities. “These masks the negative impact of the source of the financing for their philanthropy” said Ferdinant M. Sonyuy, the President/CEO of RADA, in Cameroon.
In South Africa, “the sugar industry uses the same playbook tactics employed by the tobacco, alcohol, gambling, and ultra-processed food industries, which are often a barrier to the implementation of public health policies. These come at a high cost for ordinary citizens who carry the burden of ill health,” said Nzama Mbalati, the CEO of HEALA
The GHAI report calls on policymakers, civil society and health advocates to anticipate and counter these tactics with robust, evidence-based SB tax designs that prioritise health over industry profits.
The issues, challenges and opportunities of South Africa’s National School Nutrition Programme (NSNP) came under the spotlight as researchers, experts, activists and policymakers presented their own experiences and insights as part of the Healthy Living Alliance’s (HEALA) two-day Schools Food Environment Assembly Programme which took place at the Anew Hotel on Wednesday and Thursday (October 9 and 10).
This programme highlighted the need for collaborative efforts between various stakeholders to ensure that the more than 9 million beneficiaries of NSNP across 21 000 SA schools realise the full benefits of the country’s government-led NSNP programme.
This is in light of the 2022/2023 report which indicates that the South African government spent just over R8,4 billion during the 2022/23 financial year on its nationwide school feeding scheme.
However, in light of the recent budget cuts, announced by the government, concerns have been raised that these austerity measures will adversely affect the ongoing efforts of ensuring every child receives a healthy and nutritious meal even if it is once a day.
The discussions delved deeper into some of these challenges with the aim of finding practical solutions in spite of a challenging economic environment.
On the first day of the programme, experts from various fields including from advocacy groups, civil society, academia, health, medicine, agriculture, government departments and school governing bodies spent the day in various panel discussions aimed at highlighting the plight of the country’s young people and government’s efforts in addressing poverty levels in our education system.
In his keynote address which kicked off the first day of the conference, Professor Scott Drimmie of the Stellenbosch University’s division of human nutrition, department of global health and medicine sciences, revealed that even though the country’s NSNP has moved learners out of poverty, there has been some missed opportunities by government in ensuring that hunger and poverty is eradicated through innovative and cost -effective procurement programmes and sustainable agricultural practices.
“We need to look at what we can do to leverage procurement and how to use this to support and promote agroecology for sustainable livelihoods,” he said.
“There is urgency in finding long-lasting solutions and there are strong arguments being made on key impact areas in our school nutrition programmes. We need to start thinking about the systems and about deliverables,” he further elaborated.
Dr Nomathemba Chindiwana, principal scientist and director at Ezintsha, Mr Gilbert Tshitaudzi, Unicef SA’s nutritionist manager, Ms Palesa Ramolefo food justice campaigner at Amandla.Mobi and Professor Lisanne Du Plesis tackled the first panel discussion titled, “Why and What? Childhood diet in SA” which touched on childhood diet and health in SA, improving children’s food environment as well as the effects of high food prices and marketing in school premises and other key areas affecting children.
The second panel discussion which was led by another group of local and international experts, including Brazilian school nutrition activist, Ms Giorgia Russo, Dr Michelle Brear, Priceless SA, researcher and Black Sash’s National Advocacy Manager, Ms Hoodah Abrahams-Fayker expanded the discourse by tackling the panel titled: “How to impact children’s nutrition” with Hoodah tackling the role of social protection, Dr Brear tackling the impact of outdoor advertising on the psyche and behaviour of children as they grow up and transition into adulthood.
Giorgia gave a compelling comparative breakdown of how the Brazilian model of school nutrition programme compares well with the South African model even though differences in approach could be discerned.
On the second day, she further elaborated on some of the models used by her home country to encourage family farming initiatives which have been legislatively implemented since 1995 as a way to promote child nutrition in schools and communities.
“Brazil has a model that has a process of implementing and promoting nutrition. This model also prioritises school feeding councils who conduct food inspection as a way of monitoring. Under the Family Agriculture National Policy of 1995, Brazil prioritises and supports family farming through Rural Technical Assistance and the Food Procurement Programme (PAA),” she said.
Other experts who took part in panel discussions include, Dr Edzani Mphaphuli of Grow Great, Ms Mavis Ranwedzi, the basic education’s nutritionist programme director, Ms Matshidiso Lencoasa from the Bridget Justice Coalition and Section 27’S Sasha Stevenson as they tackled the discussion themed: The National School Nutrition Programme (NSNP) as a key impact space” which looked into issues the history and impact of NSNP, looming budget cuts and perspectives from Early Childhood Development (ECD).
Healthcare workers, food handlers, local farmers, food producers and School Governing Bodies, labour and education researchers brought into sharp focus some of the issues affecting quality nutrition in schools as well as some of the underlying issues affecting procurement of nutritious food items for schools. This multi-layered session was led by Dr Asafika Mbangata from the Rural Association, HEALA CEO, Nzama Mbalati, Western Cape researcher, Professor Rina Swart, Equal Education’s Ms Nontikelelo Dlulani and Dullah Omar Institute’s researcher, Ms Paula Knipe, Ms Nosipho Twala, among others.
Theft of food meant for learners in schools, ensuring safe food storage, procurement of healthy and nutritious foods and challenges faced by food handlers, educators and other role players formed part of the robust engagement of this session.
Following a series of robust and serious engagements, the first day of a two-day programme culminated in a grand gala dinner that not only marked the re-launch of the Healthy Living Alliance (HEALA) but also celebrated an impressive eight years of advocacy for healthier food choices across South Africa.
The auspicious occasion served as an opportunity for guests, partners and other HEALA stakeholders to reflect on the remarkable journey of the organisation, which has fostered awareness and inspired a movement towards nutritional wellbeing in communities nationwide.
As the celebrations winded down, HEALA CEO, Nzama Mbalati quipped: “I have not told my team this, but I think HEALA is a political organisation and not necessarily a political party. It is about political mobilisation and an organisation that wants to change the norms of the current food systems,” he said.
Day two led by facilitators such as Sheldon Petersen and Angelika Grimeek, Dasantha Pillay and Lucilla Blankenberg,Allice Khan and Eunice Montso, Nqabutho Mpofu, Ptronell Kruger, Nzama Mbalati and Sameera Mahomedy was dedicated to intimate breakaway sessions on key thematic issues with the aim of answering questions raised from the issues under discussion in a bid to bring about practical solutions to the NSNP programme.
During the final plenary, group leaders from the five designated groups took to the stage to unveil a host of actionable solutions. Among the most notable proposals was the integration of local agricultural initiatives to bolster food sourcing—an idea that not only seeks to improve meal quality but also aims for sustainability by supporting local farmers.
Among these was the empowerment of young people to be roped in as nutritionist, dietitians, small-scale farmers, the use of technology, social media to ensure whistleblowing and monitoring, data collection, food storage, incentivising local farmers, while also ensuring big food corporations are taxed higher on their unhealthy product in order to fund school nutrition.
There were also calls for the government to change its funding of the NSNP programme in a way that allows food handlers to be paid better salaries, afforded food parcels in order to be afforded dignity and respect that they deserve as one of the vulnerable groups in the NSNP system.
Borrowing from the Brazilian model which prioritises food councils and monitoring and evaluation system, and employment of nutritionists, the groups reported that this model could also benefit South Africa and about the much-needed change in South Africa’s youth unemployment and lack of adequate nutrition challenges.
Reflecting on the two-day programme, Nzama Mbalati indicated that the country’s flagship government programme, NSNP which has noble intentions to meet its objectives needed due to high numbers of NCDs, including wasting, stunting, obesity, malnutrition and undernutrition among South African children.
“The reason we called the two-day convention is threefold. It is in light of high rising reports of stunting at 29%, obesity which affected one in eight children. This is actually concerning because food is at the centre of this crisis and unhealthy food is the main driver of this scourge. When we looked at the NSNP programme as a flagship government programme that can assist us to start being intentional about how we can help provide a better food environment for South Africans,” he said.
On the success of the programme, Mbalati remarked: “We were able to bring everyone from academia to government to food handlers, coordinators of NSNP programmes and education communities on the ground and the highlight for me was some of the proposals made in trying to mitigate against the concerning budget cuts. Schools and provinces are already complaining about the budget cuts and there were proposals made in trying to support food handlers in terms of their working conditions.”
Ends.
About HEALA: HEALA is a coalition of civil society organisations advocating for equitable access to affordable, nutritious food in South Africa by building a more just food system.
For media interviews contact: Mr Neo Merafi on 071 359 9738 or Neo@maverickbrand.co.za
The South African Constitution clearly states that every child has the right to basic nutrition, shelter, basic health care services, and social services. Yet, South Africa’s public healthcare system is still grappling with a triple burden of malnutrition – undernutrition, overnutrition, and micronutrient deficiencies, a result of our country’s broken food system.
It goes without saying that a healthy and sufficient diet is essential for all – particularly for the adequate growth and development of school-age children. The recent National Food and Nutrition Security Survey found a 13 per cent prevalence of obesity in children under the age of 5, which is double the global average. Undernutrition, in the form of stunting, stood at 27 per cent – with underweight at 6 per cent and wasting at 3 per cent. The above statistics point to a major public health concern and show that learners do not stand a fighting chance against the risk of developing non-communicable diseases (NCDs) such as diabetes, hypertension, cardiovascular diseases, and some cancers, now and in the future.
The National School Nutrition Programme (NSNP), a government initiative, is a school feeding scheme that provides daily meals to over 9 million learners in underprivileged primary and secondary schools. “The NSNP was established in 1994 with the aim of fighting malnutrition, reducing hunger and thereby improving school attendance. We, at The Healthy Living Alliance (HEALA), view the NSNP as an important and massive opportunity that can be leveraged to improve the school food environment, strengthen health promotion, and improve the health outcomes of learners. This matter will be foremost on the agenda at the Schools Food Environment Assembly, our upcoming two-day conference which falls on South Africa’s National Health and Nutrition Weekthis October,” says HEALA CEO Nzama Mbalati.
About Schools Food Environment Assembly
Convened by HEALA and its partners, the Schools Food Environment Assembly aims to develop a joint actionable plan that mobilises society to monitor and improve the school food environment and health outcomes of all learners utilising the existing NSNP. “This convening will bring together diverse views and vibrant voices from civil society, small-scale farmers and local food producers, schools, United Nations agencies, government, and researchers to chart a way forward for collective efforts to improve the NSNP through a variety of interventions,” explains Mbalati. The interventions will include, but will not be limited to:
The legal framework in the implementation of South Africa’s NSNP; Opportunities and challenges in the implementation of the NSNP, as well asexploring possibilities of scaling and expanding; Utilising the NSNP for the promotion of local and sustainable food systems – connecting local and small-scale food producers to consumers, democratising and decentralising public procurement and expenditure, and strengthening local economies; Limiting the availability of ultra-processed foods/products and incentivising healthy eating in the school environment; and Looking at the main drivers of obesity and malnutrition, and related policy interventions in schools. Details Date: 9 to 10 October 2024 Venue: Anew Hotel OR Tambo, 1 Country Street, Lakefield, Benoni, 1501 (Google Maps) About HEALA: HEALA is a coalition of civil society organisations advocating for equitable access to affordable, nutritious food in South Africa by building a more just food system. For media interviews contact: Mr Neo Merafi on 071 359 9738 or Neo@maverickbrand.co.za Ends.
On 30 September, the SA Canegrowers Association publicly questioned whether a tax on sodas is intended to be a health tax. Higgins Mdluli, the Chair of SA Canegrowers’ Association, asks: “At what point do we look at the data with common sense and admit the tax is not working?” He asks this after referring to two local studies, (both which are used to support the success of the tax, by the way) because: one study found that the single intervention of the sugar tax did not fix the whole problem of bad diets in South Africa, so people are still gaining weight. The second found that people buy less sodas, and then buy other products with that money instead. A finding one would think speaks to the fact that consumers substitute purchasing: so a job in one industry where fewer products are being bought, will be replaced by a job in another industry, where more products are being purchased.
There is a lot to be said about the evidence about sugar-sweetened beverage taxation. Given that the Health Promotion Levy has only been in effect for six years, and that changes in population diet and health outcomes are usually measured in decades, there is comprehensive evidence to show it is already working. We know that the Levy has led to a reduction in soda purchases (especially in lower socio-economic income groups) and a reduction in sugar added to sodas by companies. Evidence shows that people are buying less sugary drinks, and when they do those drinks are less sugary.
We have this evidence, despite successful lobbying from the industry that has led to a Levy almost half of the recommended rate by WHO, and without it being increased for inflation. We know that after decades, sugar-sweetened beverage taxation rates are more supported than ever, and that an increasing body of evidence shows it works.
The sugar industry relies on studies – funded by them – to show that there are job losses in their sector “due to the HPL”. It would be refreshing to see these studies being reported accurately to reflect the whole set of circumstances that lead to forecasted or modelled job losses. Significant sugar dumping in South Africa, droughts, the impact of the Durban riots and the corporate fraud of Tongaat Hulett (leading to 5000 retrenchments) are all cited as underlying reasons by their own studies. The actual job portion of job losses attributed to the HPL are disputed.
For far too long industry has been allowed to aggressively fight health promotion interventions across the globe by making deceptive economic threats, supporting junk science that minimizes the health impacts of their products and other strategies to block and undermine SB tax- advocacy efforts by influencing governments, the public and the media. South Africa is hanging on the edge of a non-communicable disease cliff. We know that the overconsumption of sweetened beverages is bad for our health. It is common sense for government to take steps to reduce consumption. We can no longer allow industry to bully, coerce and misinform decision makers for the benefit of their bottom line.
Food is a fundamental part of our cultural identities. By allowing big food to homogenise our plates we run the risk of finding ourselves losing the rich tapestry of our collective identities. This heritage month, HEALA is highlighting the importance of reclaiming our food sovereignty.
This however, this is near impossible given the proliferation of cheap, addictive ultra-processed food. HEALA is calling on government to use funds from unhealthy food taxes to subsidise healthier alternatives. Since its inception in 2018 the Health Promotion Levy has raised billions for the fiscus. The money can be used to implement health promotion measures such as subsidising healthy food and making it accessible to ordinary South Africans. It is widely excepted that our diets have changed significantly in the last few years.
According to researchers “economic development has displaced traditional dietary patterns and driven a shift in food preferences, resulting in the nutrition transition”. This change in the food environment is synonymous with a proliferation of packaged foods high in sugar, salt and saturated fat, otherwise known as ultra-processed foods and undermines dietary patterns based on minimally and unprocessed food and processed culinary ingredients.
Since the dawn of democracy, experts note that our diets have shifted towards an increase in sugar-sweetened beverages, processed and packaged foods, sweet and savoury snacks, and increased meat consumption. We have moved away from consuming vegetables. These shifts in food consumption are concerning as it leads to more fat, sugar and salt intake and negative impacts on public health.
“We know that half of South Africans are dying from non-communicable disease at the moment, and that Statistics South Africa has already said this is our next looming health crisis,” says Dr Petronell Kruger, Programmes’ Manager at Healthy Living Alliance. This begs the question, why can we take diseases like Covid-19 seriously to the extent of lockdowns, but we don’t see serious government intervention to protect our lives and our cultural heritage.”
Thirty-year-old Siyakholwa Mkoka from Khayelitsha, a township in the Western Cape, lives in a seven-person household. Each month, the family has just R3000 to feed all seven mouths.
According to the July Household Affordability Index released by Pietermaritzburg Economic Justice and Dignity “[y]ear-on-year: The cost of a basic nutritional food basket for a family of 7 members increased by R240,47 (3,9%) from R6 165,69 in July 2023 to R6 406,16 in July 2024.”
Mkoka’s family has less than half of what is needed to achieve a basic nutrition.
South Africa suffers from the triple burden of malnutrition, obesity, undernutrition (Stunting, low birth weight) and micronutrient deficiency. This overly affects women and the children they care for.
“Most of the time we buy unhealthy food. It is rare that we buy healthy food. We buy coke every day. I am worried that the food we are eating will make us sick,” Mkoka says.
Almost 70% of all women in South Africa are overweight and obese, putting them at an increased risk of non-communicable diseases and death while malnutrition is the underlying cause of death in a third of child deaths in South Africa.
Mkoka is already concerned about her weight. “I was told that my weight was not good. I did try to cut down on food, however it is very difficult,” she says.
“The challenge that we face is that the food (we buy) is very addictive,” she explains.
Experts are raising the alarm on the dietary intake of low-income adults in South Africa. According to one study, adults from low income households on average get 40% of their daily calories from ultra-processed food.
Ultra-processed foods are often cheap, high in salt, saturated fat and sugar and are engineered to taste good. The overconsumption of these foods is linked to increased rates of obesity.
The Cancer Association of South Africa (CANSA) warns that the, “common health effects of overweight and obesity raised BMI is a major risk factor for number of cancers such as breast cancer (postmenopausal women), cancer of the colon, cancer of the rectum , cancer of the uterus, cervical cancer and endometrial cancer.
Making good food choices in an environment dominated by ultra-processed food is challenging for many due to low nutrition levels. Interventions like front-of-pack warning labels (FOPWL) can make it easier for everyone to readily identify foods high in salt, sugar and saturated fat and make better food choices.
For decades, the food and beverage industry has fed the public the myth that what we eat is our choice alone. This has created stigmatising and shaming narratives that lay the blame for non-communicable diseases such as obesity and diabetes squarely at consumers’ feet — ignoring the larger food system.
The FOPWL will also make it harder for corporations to market to vulnerable children by restricting the use of cartoons and collectable toys to lure children to consume unhealthy foods.
Mkoka explains that even on a tight budget, she often capitulates to her daughter’s pleas for an unhealthy snack. When they go shopping together, her four year old daughter begs her for a Kinder Joy egg because she wants the toy inside the snack. This puts further strain on an already tight budget and makes shopping more difficult.
This Women’s Month, HEALA is urging the government to adopt these vital regulations to support the improvement of health and wellbeing of all, particularly women and children.
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About HEALA: HEALA is a coalition of civil society organisations advocating for equitable access to affordable, nutritious food in South Africa by building a more just food system.
I don’t have kids, but as an aunt, I know what it’s like to have to resist the pressure from the little ones at the stores. It seems they have just what it takes to tug at my heartstrings, so I give in to their requests for unhealthy snacks with bright cartoon characters. Most parents and full-time care-givers know how hard it is to resist the pleas for sweets, sugary cereal, and treats with their children’s favourite characters.
We know that children are the future. Unfortunately, food companies see children as future consumers. Big food companies are increasingly using Child Directed Marketing (CDM) to increase sales. CDM is targeted at children to influence them to want unhealthy food. Getting children hooked on unhealthy foods creates in them lifelong loyal fans.
Industry players know the power children have in decision-making for household spend. A 2021 Paramount Insightsreport showed that South African children are media savvy. Seventy percent of parents said their children have an impact on household purchasing decisions. “The main categories that kids influence are entertainment (97%), food and groceries (94%), restaurant (89%), vacations and day trips (80%, and electronics (75%). Additionally, “65% of kids participate in decisions about the gifts their family buys for others,” the study found.
This means that our children, who are vulnerable and can be tricked by these groups, are the perfect tool to get parents to spend money on unhealthy food.
This article was published on Longevity on the 26th of July 2024. Click HERE to read the full op-ed.
In congratulating both Ministers, HEALA also urges them to prioritise the implementation of evidence-based policies that will address the triple burden of hunger, food insecurity, and obesity – and ultimately improve the health of ordinary South Africans.
To date, South Africa faces alarming levels of hunger, food insecurity, and obesity stemming from a broken food system. Globally, ultra-processed foods high in salt, sugar, and fat are more available than ever before, particularly in low and middle-income countries such as South Africa. Diets high in these components significantly increase the risk of people developing non-communicable diseases (NCDs) such as obesity, high blood pressure, type 2 diabetes, and heart disease.
According to Statistics South Africa, more and more people are dying from NCDs than ever before. Diabetes, hypertension, and heart disease rank among the top ten leading causes of natural deaths in South Africa, based on the latest figures from 2017.
“HEALA particularly wishes for the Health Minister, Dr Motsoaledi, to speed up regulation on food labelling to assist ordinary South Africans in making informed food choices, to initiate coordinated mechanisms and resource mobilisation towards government and civil society as well as support improvement of the school food environment, champion taxation and regulation of unhealthy products such as sugary drinks, tobacco and alcohol,” says HEALA CEO Nzama Mbalati.
HEALA believes the government has ample evidence demonstrating the effectiveness of the Health Promotion Levy (HPL) and Front-of-Pack Warning Labels (FOPL) in addressing many of the health issues plaguing ordinary South Africans.
Previous HPL evidence has shown that public health policies, which increase the price of harmful products, can reduce consumption. However, there is potential to do even more. Government can allocate the funds generated from the levy towards addressing issues of hunger and poverty by increasing the Child Grant and subsidising healthier foods.
HEALA calls on Finance Minister Mr Godongwana to protect the gains made by the levy by increasing it to 20%, and expanding it to include fruit juices. We also urge Health Minister Dr Motsoaledi to fast-track the implementation of easy-to-read warning labels and empower ordinary South Africans to make better food choices.
In South Africa, essential nutritional information is buried at the back of canned products, boxes, and bottles, making it difficult for consumers to read or decipher the food labels. Implementing front-of-package labelling can translate necessary nutritional information into simple language and prominently display it on the front of food products.
The FOPL regulation will also protect children from predatory marketing practices employed by food manufacturers who use fancy marketing strategies to seduce vulnerable children into being addicted to unhealthy food.
The South African health system is buckling under the weight of NCDs. Two years ago, researchers found that “overweight and obesity cost South Africa’s health system R33 billion (US$1.9bn) a year. This represents 15.38% of government health expenditure and is equivalent to 0.67% of GDP. Annual per person cost of overweight and obesity was R2 769”. The cost of inaction in addressing this issue for both the state and the individual is too high.
HEALA remains committed to holding government leaders accountable for their responsibility in ensuring that the food environment benefits ordinary people rather than industry profits.
We are calling on the newly elected ministers to put food justice on the political agenda and create a healthier, more equitable future for all South Africans.
“HEALA is confident in Dr Motsoaledi’s expertise, enthusiasm and the political will he demonstrated in his previous tenure as Health Minister, during which he prioritised pivotal public health policies and initiatives aimed at improving the health of all South Africans,” concludes Mbalati.
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About HEALA: HEALA is a coalition of civil society organisations advocating for equitable access to affordable, nutritious food in South Africa by building a more just food system.
The HEALA Board is pleased to announce the appointment of Mr Nzama Mbalati as its Chief Executive Officer (CEO) effective from the 1st of July 2024. Nzama has been serving with the organisation since April 2018 and has served as the Programmes Manager and recently the Interim CEO driving the overall HEALA strategy.
His professional experience encompasses over a decade in social justice, health, food and nutrition advocacy. He has a degree in Communication Science and Advance Project Management from the University of South Africa (UNISA) Graduate School of Business Leadership. He has significant experience in coalition building, community mobilisation, communication and management. He has spearheaded the conceptualisation of the food justice framing in South Africa’s food policy space and the establishment of HEALA Food Justice Coalition. Together with the HEALA team, Nzama has led the establishment of HEALA as a registered non-profit company two years ago.
During this time of transition, the HEALA Board appointed Nzama as Interim CEO for seven months from the 1st of December 2023. During this period, the Board provided important support to Nzama including regular engagement around his performance, in particular the transition from operational management to strategic oversight and strengthening of the organisational arrangements. A coach was appointed to support Nzama over the period to support his professional development. The Board also established a performance and human resource management process and is satisfied with the report of deliverables.
Please join us in congratulating Nzama on the appointment of his role and to wish him all the best and continued success.