OP-ED | South Africans Have Waited Long Enough For Front-Of-Pack Warning Labels

In April 2023, the National Department of Health published Draft Regulation R3337, proposing changes to the way foodstuffs are labelled and advertised in South Africa, including the introduction of prominent front-of-pack warning labels on certain products high in sugar, sodium and saturated fat.

More than three years later, South Africans are still waiting for these regulations to reach the finish line.

Three years is a considerable period in public policy, particularly when the policy in question concerns a preventable contributor to the country’s growing burden of non-communicable disease. During this time, the evidence supporting clearer food labelling has continued to grow internationally, while South Africa’s proposed regulations have remained caught in a lengthy process of consultation and negotiation. 

The country now needs to move from deliberation to implementation.

We have been debating this for long enough

The case for front-of-pack warning labels did not begin with the publication of R3337. South African researchers have spent years examining how consumers understand nutrition information, which warning-label designs are most effective and how such measures could work within the South African food environment. 

The proposed system has therefore emerged from a substantial body of local research, public consultation and policy development rather than being an intervention introduced without consideration of its potential consequences.

There is also considerable international experience to draw upon. Countries including Chile, Mexico and Argentina have introduced front-of-pack warning labels, while the World Health Organization has recognised interpretive front-of-pack labelling as an important policy measure for helping consumers identify products with excessive amounts of nutrients of concern. 

Evidence from countries that have implemented these systems indicates that warning labels can improve consumers’ understanding of the nutritional quality of products and can create incentives for manufacturers to reformulate products to avoid receiving warnings.

South Africa should continue to consider legitimate questions about how the regulations will operate in practice. However, after years of research, consultation and policy development, the central issue should now be how the regulations can be implemented effectively rather than whether the country should continue debating the principle of clearer food labelling.

NEDLAC must help decisions move forward

This is where the current process involving the National Economic Development and Labour Council (NEDLAC) becomes particularly important. NEDLAC has an important constitutional and institutional role in South Africa’s system of social dialogue, bringing together government, organised business, organised labour and community constituencies to consider policies with significant socio-economic implications.

This op-ed was published on Health-e on the 8th of October 2026. Click here to read the entire article.

WE ARE HIRING: Non-Executive Board Member: Finance and Human Resources

We are seeking a Non-Executive Board Member with strong expertise in finance, human resources and/or organisational governance to join the HEALA Board. You will share the Board’s formal legal and fiduciary responsibility for the organisation and play a key role in strengthening the Board’s oversight of financial management, people and organisational governance as a member of the Finance and/or Human Resources Committee. 

This role is particularly suited to a senior professional with experience across finance, human resources and governance who is motivated by food justice, ethical leadership and the opportunity to contribute their expertise at Board level to a mission-driven organisation. 

HEALA launches countdown demanding approval food warning labels

JOHANNESBURG, SOUTH AFRICA — Today, a broad coalition of public health advocates, civil society organisations including HEALA ( Healthy Living Alliance) launches “90 Days to Protect Our Health,” an intense public accountability campaign demanding that the Government and Department of Health (DoH)Minister of Health, immediately finalise and ratify South Africa’s stalled Front-of-Pack Warning Label (FoPWL) regulations (Regulation R3337).

The launch marks a strict 90-day countdown to 10 December 2026, the definitive deadline by which the National Department of Health must enforce these life-saving regulations. First published in April 2023, the draft regulations propose mandatory, easy-to-read front-of-pack warning triangles on ultra-processed foods high in sugar, salt, saturated fat, and artificial sweeteners, alongside tight restrictions on marketing junk food to children.

Yet, more than three years later, the regulations remain trapped in a state of perpetual draft form. Growing evidence indicates that commercial food industry lobby groups have weaponised institutional negotiation frameworks at the National Economic Development and Labour Council (Nedlac) to trap the policy in a cycle of endless delay. At the recent 31st Annual Summit, Deputy Minister of Labour, Minister Sibiya, told government, business and labour and civil society that talk without implementation will not change lives, this sentiment is echoed by HEALA. 

“South Africans have waited long enough to know what is truly in the food they feed their families,” says HEALA CEO, Nzama Mbalati. “We cannot allow Nedlac to become a stumbling block where public health regulations go to die. Industry pressure, commercial stalling tactics, and prolonged corporate debates must not be permitted to compromise a policy designed to curb South Africa’s catastrophic epidemic of lifestyle diseases, like diabetes, which has now become the number one killer disease in South Africa, surpassing HIV and TB,  obesity, and hypertension.”

The #ApproveFOPL campaign shifts the spotlight away from technical, bureaucratic arguments and directly onto government accountability, posing one clear question: “Government and DoH, will you protect South Africans’ right to know what is in their food, or will you side with big business on 10 December?”

Currently, consumers must navigate a wall of complex, un-understandable and technical nutritional tables on the back of food packaging just to see if a product is healthy. The proposed FOPL regulation replaces this confusion with instant, black warning triangles on the front of packages.

The campaign will escalate across four distinct phases over the next 90 days, utilizing an aggressive media rollout, investigative reporting on industry interference, and grassroots mobilisations by mothers, community healthcare workers, teachers, and youth activists across the country.

The coalition urges all South Africans to join the call, visit HEALA.org and sign a petition to the Minister demanding immediate action. Public health cannot be negotiated indefinitely. The clock is ticking, Tik Tok Tik Tok 

– ENDS –

For media enquiries and Interviews, please contact:

Mr. Neo Merafi

Maverick Brand Communications 

neo@maverickbrand.co.za

WhatsApp: 071 359 9738

OR 

Ms. Zukiswa Zimela 

Communications Manager- HEALA 

zukiswa(@)heala.org

WhatsApp: 074 521 0652

 Campaign Hashtags:#ApproveFOPL | #PublicHealthCannotWait | #EndTheDelay 

Protecting, Promoting & Supporting Breastfeeding

This webinar explores why protecting, promoting, and supporting breastfeeding is essential for the health and wellbeing of women, children, and communities. Through expert insights and engaging discussion, we examine the policies, systems, and collective action needed to create environments where every mother can breastfeed with the support she deserves. The webinar forms part of HEALA’s Nourished Truth campaign, which aims to empower people with evidence-based information about nutrition, food systems, and public health while challenging misinformation and advocating for policies that create healthier food environments for everyone.

Let Women Choose: Ratify Front-of-Pack Warning Labels Now

Every day, millions of South African women make decisions about the food their families eat. They are the primary household shoppers and caregivers, carrying the responsibility of feeding their families while navigating supermarket shelves filled with unhealthy, ultra-processed foods.

Yet instead of helping them make informed choices, current food labels are confusing, cluttered and difficult to understand. Women should not have to spend valuable time deciphering complex nutrition information simply to protect their families’ health.

South Africa’s food environment is stacked against consumers. Researchers at the University of Cape Town warn that global food companies have flooded the market with cheap ultra-processed foods that are high in sugar, salt and saturated fat, contributing to the country’s growing obesity crisis.

Front-of-Pack Warning Labels offer a simple solution. Clear, black-and-white warning labels placed on the front of food packages make it easy to identify products high in sugar, salt, saturated fat or containing artificial sweeteners. They reduce the burden on consumers by providing quick, easy-to-understand information, regardless of literacy level or language.

Non-communicable diseases are a women’s issue

Women bear a disproportionate burden of South Africa’s obesity epidemic. An estimated 68% of Black African women over the age of 15 were overweight or obese in 2016, compared with 31% of men.

Obesity significantly increases the risk of non-communicable diseases (NCDs), including type 2 diabetes, heart disease, stroke and certain cancers. These illnesses affect not only women’s own health but also the wellbeing of the families who depend on them.

Giving women clear information at the point of purchase empowers them to make healthier choices for themselves and their families.

Government must act

The National Department of Health published draft regulations (R3337) for Front-of-Pack Warning Labels for public comment in 2023. Nearly three years later, South Africans are still waiting.

“Government has had these draft regulations since 2023. Every month of delay is another month that South African women are left to decode confusing labels on their own, while the food industry continues to profit from that confusion. This Women’s Month, we are not asking for charity, we are asking government to finish what it started and urgently ratify R3337,” says Nomfundo Mbuli, Programmes Manager at HEALA.

Front-of-Pack Warning Labels are a practical, evidence-based public health intervention. They are designed to help busy, budget-conscious consumers make informed decisions in seconds, while encouraging manufacturers to produce healthier foods.

This Women’s Month, HEALA calls on government to urgently ratify the Front-of-Pack Warning Label regulations. South African women already carry the responsibility of feeding their families. They deserve the tools to do so with confidence.

Let women choose. Ratify R3337 now.

For media enquiries please contact 

Zukiswa Zimela Communications Manager, (HEALA)

Zukiswa[@]heala.org 0745210652

Register for: Protecting breastfeeding from commercial interests webinar

This World Breastfeeding Week, join us to create sustainable support systems and prioritise breastfeeding! Our expert panellists will unpack how breastfeeding is being threatened by the commercial milk formula (CMF) industry actions and what we can do as health care workers to protect infants and young children from inappropriate commercial influence.

OP ED: Our Children Are Telling Us Something Is Wrong 

We live in a country where children can eat every day and still go hungry. This is the shocking reality facing many South African households today. Cheap, ultra-processed foods have become the most affordable and accessible option for struggling families.  

This contradiction should alarm all of us. 

According to UNICEF, around 23% of South African children live in severe food poverty. This means they consume food from only one or two food groups a day and are at significantly higher risk of malnutrition and developmental delays. At the same time, communities are seeing rising levels of childhood obesity, stunting and diet-related illness existing side by side. Furthermore, the percentage of overweight and obesity in children under 5 years rose from 13% in 2016 to 23% in 2024.  

Availability of ultra-processed food

The proliferation of cheap, unhealthy ultra-processed food means that a small packet of crisps from a spaza shop or street vendor costs as little as R3–R5, while a single piece of fruit (a banana or apple) can cost the same or more at a formal retailer. A nutritious home-cooked meal for a child costs considerably more. For many families, the math is stark: ultra-processed snacks are cheaper, closer, and more readily available than fresh food. 

 In one neighbourhood I drive through regularly, children stop after school to buy brightly colored sweets, sugary drinks and cheap snacks from informal traders. Among them is a mother whose two young boys spend most days beside her, eating the same food she sells.  

Across South Africa, millions of households are under immense economic pressure. Social grants remain a critical lifeline for many families, yet rising food prices, unemployment and inequality continue to push nutritious food further out of reach. For many households, the priority is no longer healthy eating; it is about survival.

This piece was published on the 19th of June by Health-e. Click HERE to read the full article.

2026 World Cup: Global Health Leaders Demand FIFA End its Coca-Cola Partnership

Media Statement

For Immediate Release

June 10, 2026 (Johannesburg) — A formidable coalition of global health experts and advocates is demanding FIFA commit to ending its partnership with Coca-Cola by 2030. The Kick Big Soda Out movement has targeted FIFA across major tournaments, where campaigners have accused Coca-Cola of sportswashing its health and environmental harms through stadium branding, broadcasts and social media. Despite sustained pressure, FIFA has failed to respond.

The tension is hard to ignore. Governments worldwide have introduced front-of-package warning labels and health taxes on sugary drinks — measures designed to protect public health and curb consumption of the very products Coca-Cola markets to millions of fans, especially children. FIFA’s commercial partnerships have long drawn scrutiny for the way they stand in direct opposition to these local health policies. Coca-Cola’s prominent presence at FIFA tournaments follows the same playbook — asking these same countries to spotlight one of the world’s biggest sweetened drink companies while sidelining regulations designed to protect public health.

“Sugary drinks are fuelling a global health crisis. Obesity, Type 2 diabetes and heart disease are rising at alarming rates, and Coca-Cola’s aggressive marketing is a driving force behind that. FIFA reaches five billion people through this World Cup and has a responsibility to those fans. Lending that platform to one of the world’s biggest sugary drink companies sends entirely the wrong message. That is exactly why we are demanding FIFA chooses differently, ” says Nomfundo Mbuli Programmes manager at the Healthy Living Alliance (HEALA).

Excess sugar consumption drives rising rates of obesity, Type 2 diabetes and heart disease. Big Soda’s aggressive marketing reaches millions, including children, influencing their preferences and purchases.

According to Mbuli “FIFA markets itself as a force for good for children, for communities, for the world. But you cannot champion the health of young people in one breath and sell their attention to the world’s biggest sugary drink company in the next. We are not asking FIFA to choose between football and health – we are asking them to choose both. This is FIFA’s moment to show that football truly belongs to the people – not to the corporations profiting from their ill health.”

Kick Big Soda Out has amassed over 523,000 supporters and the backing of 97 organizations since its launch during the 2024 Paris Olympics. The campaign’s ask is clear: FIFA must use the 2026 World Cup as a turning point, not another missed opportunity.

Join the movement demanding FIFA end its Coca-Cola partnership by 2030 at www.kickbigsodaout.org and use #KickBigSodaOutofSport to join the conversation.

Media Contact: Zukiswa Zimela, HEALA Communications Manager 0745210652 | zukiswa@heala.org

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.

Clear warnings help people act before hypertension becomes a lifelong illness

South Africa is facing a growing burden of hypertension and other non-communicable diseases,  Ahead of World Hypertension Day, HEALA is calling for stronger food labelling policies, including clear and effective front-of-pack warning labels, to help consumers make informed choices and reduce excessive salt consumption.

Hypertension, commonly known as high blood pressure, remains one of the leading risk factors for heart disease, stroke, kidney disease, and premature death in South Africa. Despite ongoing public awareness campaigns, many consumers still struggle to identify foods high in salt, sugar, and unhealthy fats due to complicated nutrition labels and misleading marketing on packaged foods.

Front-of-pack warning labels offer a practical, evidence-based solution. By placing simple to read, highly visible warnings on products that contain excessive levels of nutrients linked to poor health outcomes, such as sodium, these labels empower consumers to make healthier choices quickly and confidently.

South Africa has already demonstrated leadership in public health through progressive policies such as salt reduction regulations.  In 2023 government released for public comment the R3777 Regulations Relating to the Labelling And Advertising of Food Stuff, in acknowledgement of the fact that  stronger consumer information tools are needed to improve the overall health of South Africans, particularly as processed and ultra-processed foods become more common in household diets.

Three years later the regulations have yet to be implemented. 

Research from countries like Chile, that have implemented front-of-pack warning labels shows that these measures can influence purchasing decisions, encourage manufacturers to reformulate products, and improve public understanding of nutrition risks.

South Africa has low nutrition label literacy. A 2011 study in the North West reported that “respondents did not always understand how to use the information on food labels in order to make informed food choices. When scientists quizzed study participants on how well they understood labels, test scores revealed that even frequent readers did not always understand how to use labels to make better food choices.

For South Africa where hypertension affects millions of adults and increasingly impacts younger populations pack warning labels represent an important opportunity to strengthen prevention efforts, reduce healthcare costs, and protect future generations.

HEALA is urging policymakers to ratify mandatory front-of-pack warning labels as part of a comprehensive strategy to combat hypertension and improve nutrition across the country. 

South Africans have a right to know what is in their food. Clear warning labels are not just about information they are about prevention, empowerment, and saving lives.