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.

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.

Nestlé Sugar coating the truth about sugar content in baby food and formula

New research shows that Food Giant Nestle is intentionally exposing young children from developing countries like South Africa to foods containing high levels of sugar. The researchers found that biscuit flavoured baby cereal South Africa contains 6 grams of sugar while the same product sold in Switzerland, where Nestlé is headquartered, is available with no added sugar. 

Alarmingly the report noted that “Cerelac wheat-based cereals for six-month-old babies sold by Nestlé in Germany and the UK has no added sugar, while the same product contains over 5 grams per serving in Ethiopia and 6 grams in Thailand.” The same cereal sold in South Africa contained 4 grams of sugar per serving.

It is a well known fact that the overconsumption of sugar is linked to obesity. South Africa is facing a growing crisis of childhood obesity. 1 in 8 children under the age of 5 are obese. This alarming statistic points to a grim future for these children, who are likely to grow into a cohort of adults where every second person is obese. Being overweight or obese is a well-known driver of diseases like cancer, heart disease, diabetes, and high blood pressure.

With low levels of nutrition literacy, it is difficult for ordinary people to make sense of the current nutrition labels on the back of food products. Additionally, parents and caregivers who want to make the best choices for their children are often lured in by false claims of healthfulness and enrichment made by food producers.

The Healthy Living Alliance (HEALA) reiterates its call for the ratification of front-of-pack warning label (FOPWL) regulations on foods containing high levels of salt, sugar and saturated fat to protect caregivers from predatory food organisations like Nestlé. In 2023, the the National Department of Health (NdoH) published R3337, putting forward a draft regulation to introduce front-of-pack labelling in South Africa. These labels are intended to make it easier for everyone to identify these foods and make better food choices for themselves and their families.

Additionally, the regulation makes provision for marketing restrictions to be placed on foods bearing a warning label. This will protect consumers from unfounded health claims made by food producers.

“HEALA continues to call for South African government to strengthen their regulation and policy framework to safe guards the health of the children which is under the risk to major unhealthy food producers such as Nestle. We calling for government to review and tightening the Marketing Restriction to Children Regulation, urgently promulgate regulation on unhealthy food through FOWPL, policies that make schools a healthy food zones, protect academia from conflict of interests by food industry,” says Nzama Mbalati, HEALA, acting interim CEO.

Additional sugar was not only found in baby cereals, added sugar was also detected in Nido powdered milk marketed to children from the age on one.

Nestlé’s has a history of intentionally violating regulations put in place to protect the young. South Africa has regulations in place that prevent companies from aggressively promoting consumption of ultra-processed food, including products with a high sugar content. However, in 2021 Nestlé was caught flouting R991 regulations meant to safeguard the nutrition and health of South African children by organising a webinar with a potential giveaway to parents who attended. The department’s regulations are meant to safeguard the nutrition and health of South African children.

“Unethical behaviour in sales and marketing is something Nestlé is familiar with. Being the world’s largest food and beverage corporation, Nestlé has made a reputable name and made excessive profits for themselves at the expense of children and adults health globally,” Mbalati says.

While positioning itself as the solution to serious, life threatening issues like hidden hunger , Nestle pushes products with added sugars to food insecure children in developing countries.

HEALA is urging the government to do everything in its power to protect South Africa’s most vulnerable. The consequences of allowing big food companies to run rampant in our country are terrifying and should be a concern for us all. 

END

About HEALA: 

HEALA is a coalition of civil society organisations that advocates for equitable access to affordable and nutritious food for all in South Africa.

For interview requests please contact:

Zukiswa Zimela, Communications Manager HEALA

Zukiswa[at]heala.org |

WEBINAR: My Health, My Right: The Importance of regulating the food environment to eliminate over and under nutrition

HEALA cordially invites you to our upcoming webinar scheduled for April 24 at 15.30 SAST. The webinar titled “My Health, My Right: The Importance of regulating the food environment to eliminate over and under nutrition” is aimed at highlighting the grim reality of the food environment in South Africa. Currently, the country is battling a double burden of over and under-nutrition.

Experts warn that Ultra-Processed Food consumption may be associated with a higher risk of obesity, overweight, and stunting in low and middle-income countries. New research by Dr. Tamryn Frank shows that low-income South African adults consume, on average, 40% of their calories from ultra-processed products. We live in a society where eight million children go hungry every day. Dr. Edzani Mphaphuli will discuss the dangers of stunting and malnutrition for the wellbeing of children throughout their lives.

HEALA’s Programmes Manager, Petronell Kruger, will speak about the need for evidence-based regulations to fix South Africa’s broken food system and guarantee everyone equitable access to affordable, nutritious food.

RSVP HERE

OP-ED: Government must take steps to end hunger in SA

Last month we commemorated 25 years of the SA constitution – a document that was supposed to usher in a generation of South Africans living in dignity, equality and freedom.

However, we see a dangerous dualism in SA: while eight million children go hungry every day and a quarter of all children are stunted, we also see that one in eight children is overweight.

According to statistics, these children will grow into a cohort of adults where every second person is obese. Being overweight or obese is a well-known driver of diseases like cancer, heart disease, diabetes and high blood pressure.

More than half of South Africans are dying of these diseases each year, which Stats SA has termed a “looming health crisis”. At first glance, the idea of a society where half of the population is overweight, while severe hunger persists seems dystopian, akin to the Hunger Games, where the rich gorge themselves and the poor fight to survive.

READ MORE: This World Obesity Day We Urgently Need To Confront The Scourge Of Non-Communicable Diseases (NCDs) In South Africa.

But the reality is that in individual households, both co-exist. Low income households are more likely to purchase energy dense, nutritionally poor food, which contributes to weight gain.

Strong evidence has emerged that food companies that sell low nutrition products target poorer families through marketing and retail outlet placement – the “double burden of malnutrition”.

Human rights are the idea that human beings are entitled to certain protections. After World War 2, the first modern international instrument setting out these rights was created – the Universal Declaration of Human Rights.

This article was published on SowetanLive on the 4th of April 2024. Click HERE to read the full oped.