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18 June 2020 | Story Dr Chantell Witten | Photo Supplied
Dr Chantell Witten.

On 26 March 2020, the President declared a national lockdown in response to the COVID-19 pandemic as it started to emerge in South Africa. Since then and several weeks into the lockdown, Statistics South Africa (2020) has provided evidence which many intuitively knew would be more devastating to households than the coronavirus itself – loss of income and the negative effects that follow hunger. Stats SA reported that the percentage of respondents receiving no income increased from 5,2% before the lockdown to 15,4% by the sixth week of the national lockdown. Given that the majority of South Africans depend on the informal labour market, such as informal traders and casual workers, this lack of income would hit millions of households. Furthermore, Stats SA also reported a decrease in formal wage/salary earners for the same period, from 76,6% before the national lockdown to 66,7% by the sixth week of national lockdown.

While South Africa is food secure at national level, millions of households are food insecure. According to the United Nations Food and Agriculture Organization’s (FAO) 1996 definition of food security, this simply means that there is not enough food at all times for all the people in a household to have physical and economic access to sufficient, safe, and nutritious food that meets their dietary needs and food preferences for an active and healthy life.  In short, people are hungry and at greater risk for ill health – physically, emotionally, and spiritually.  A hungry man is an angry man. Likewise, a hungry nation is an angry nation.

In July 2019, the measurement of extreme poverty – the food poverty line (FPL) – was raised to R561 (using April 2019 prices) per person per month, which was up from R547 last year. This is the amount of money that Stats SA calculates an individual requires “to afford the minimum required daily energy intake” of 2 100 calories per day. Before the onset of the COVID-19 pandemic, South Africa already had a precarious food and nutrition situation, especially for young children. South Africa’s child stunting levels – an indication of chronic and long-term food insecurity – increased from 21% in 2008 to 27% in 2016.  With COVID-19 and the subsequent lockdown, child malnutrition rates are expected to increase. Stunting not only affects a child’s health, making them more susceptible to disease and infection, but also impairs their mental and physical development – meaning that children who suffer from stunting are less likely to achieve their full height and cognitive potentials as adults.  

What can we do to address this food situation or prevent it from worsening?
The 2020 Global Nutrition Report recognises and asserts that inequality and globalisation are major drivers of food insecurity. As individuals and as collectives, we need to continue to advocate for and support calls to continue raising the child support grant to help households stay above the poverty line.  Millions of households in South Africa are supported by social grants; in solidarity, we need to appreciate the safety net that these social grants provide to vulnerable households. Advocate for and support initiatives to safeguard child health and nutrition, including efforts to promote, protect, and support breastfeeding in neonatal care, postnatal care, and ongoing support to breastfeeding mothers.  Breastfeeding remains the most cost-effective health intervention for infants and young children, supporting optimal growth and development and providing long-term health benefits into adulthood. Advocate for and support initiatives to coordinate sustainable food support to vulnerable households, including, among others, food distribution, food vouchers, onsite feeding, home gardening, and tax-free food baskets.  These efforts would be our collective solidarity to support and protect vulnerable households as we enter the global economic recession as a result of COVID-19.

How can we protect our households’ food and nutrition security? 
COVID-19 brings with it much uncertainty and many unintended negative effects.  While we seek out strategies to support mental well-being and emotional resilience, we also need to remain physically healthy.  Good nutrition is fundamental to good health and well-being. South Africa has a set of ten healthy eating guidelines that promote the principles of eating more unprocessed foods, eating more vegetables and fruit, reducing the use of fats and oils and reducing the intake of sugar and salt.  Good nutrition starts with good food and sometimes good food can cost more, so it is important to use your food budget wisely.  The food budget includes food eaten at home, as well as funds spent on food eaten outside of the home, eating take-outs, foods bought online, and food eaten away from home.  Planning your meals in advance and sticking to a food plan will limit opportunities to spend money on items that are not on the plan; planning ahead also means you can take advantage of good prices, especially as food prices are on the increase and will continue to increase. Bulking up when prices are low and on special, making use of combo buying, e.g. buy three and pay for two, and buying directly from food producers such as co-ops, all help to save money in the long run.  Meat, fish, and especially seafood are the most expensive food items; rather use eggs, chicken, and less expense meat cuts for your meals.  Legumes such as dried beans, peas, and soya are less expensive with great nutritional value.  Explore these less-known group of foods with many great health benefits, such as no fat, more fibre, and lots of vitamins and minerals.

In an effort to eat more fresh vegetables and fruit, starting a home garden is a great family challenge and a definite way of keeping food costs low. And as we navigate the new normal post-COVID times ahead, let us keep mealtimes and meal preparation a fun family activity. Discovering new foods and new tastes can be as exciting as travelling to a new place.  Stay safe, stay healthy! 

Opinion article by Dr Chantell Witten, Division of Health Professions Education, University of the Free State.


News Archive

First M degree in Sport Medicine commences at the UFS
2006-02-03

Some of the guests that attended the launch of the M degree in Sport Medicine were from the left Dr Derik Coetzee (senior lecturer at the UFS Department of Human Movement Science and one of the tutors of the programme); Dr Sorita Viljoen (a student from Bloemfontein); dr Stephan Pretorius (a student from Pretoria) ; Dr Louis Holtzhausen (Programme Director:  Sport Medicine at the UFS) and Prof Teuns Verschoor (Vice-Rector:  Academic Operations at the UFS).
Photo: Lacea Loader


First M degree in Sport Medicine commences at the UFS   
 

The classes of the first group of nine students registered for the M degree in Sport Medicine at the University of the Free State (UFS) commenced at the School of Medicine this week.

This is the first degree of its kind presented by the UFS.  Only two other universities in South Africa are presenting the course, namely the University of Cape Town and the University of Pretoria.

“It is an important new subject field for medicine in South Africa and is aimed at medical doctors,” said Dr Louis Holtzhausen, Programme Director of Sport Medicine in the School of Medicine and head of the UFS Sport and Exercise Medicine Clinic.

The course focuses on the wellness and healthy lifestyle of patients and also intercepts the growing need for a specialized medical service for sportsmen,” said Dr Holtzhausen.

Athletes’ needs for specialised medical care have increased dramatically during the past ten years.  “The primary health care practitioner has already surrendered a great deal of the athletics community to disciplines such as physiotherapy, bio kinetics, homeopathy, chirology and other alternative disciplines because of a lack to provide for these practitioners,” said Dr Holtzhausen.

“The course is especially in demand with general practitioners because they want to deliver a more specialized service to patients.  With this course a student can call him/herself a sport doctor and will then not only be able to present patients with scientifically funded exercise, food supplements and advice on their lifestyle, but will also be able to help with the rehabilitation of patients with chronic illnesses,” said Dr Holtzhausen.

“The greatest medical care expense in South African stems from lifestyle bound illnesses such as depression, strokes and obesesiveness.  The M degree in Sports Medicine at the UFS will intercept some of these problems,” said Dr Holtzhausen.

According to Dr Holtzhausen the duration of the degree is three years and it comprises of three legs.  In the first leg, attention is given to an athlete’s performance and how it can be improved with the correct methods and supplements.  In the second leg attention is given to the wellness of patients and the reversibility of the risk of illness and the exercise rehabilitation of chronic illnesses such as diabetes and hart problems to assist patients to exercise in a scientific way in order for them to start living optimally again.  In the third leg attention is given to a healthier lifestyle as a precautionary measure. 

The course also includes a lecture part (four attendance sessions of seven days each) and a thesis.  

“The new course is important for the UFS as the whole tendency in medicine is to move into a direction of a more affordable precaution.  There is no other qualification or programme with as much detail as this course,” he said.

Media release
Issued by: Lacea Loader
Media Representative
Tel:   (051) 401-2584
Cell:  083 645 2454
E-mail:  loaderl.stg@mail.uovs.ac.za
3 February 2006

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