Report shows widespread undernourishment in
Africa


By Barry Mason
6 September 2004
Economic immigrants from Africa are routinely portrayed in
the European press as scroungers as politicians compete in
devising the best methods to keep them out. The real conditions
that drive thousands of people each year to attempt to migrate
out of Africa to the West, often risking their lives and paying
huge sums to traffickers, are revealed in a recent report
by the Washington-based International Food Policy Research
Institute (IFPRI). The media has virtually ignored the report.
About
200 million people in Africa are undernourished, according
to the report. Asia has more undernourished people in absolute
number terms, but the rate in Africa is highest. An estimated
14 percent of the world’s population is undernourished, but
in continental Africa the figure is 27.4 percent and in sub-Saharan
Africa it is around 33 percent. In 12 African countries the
rate exceeds 40 percent and in countries with conflicts or
emerging from conflict the rate exceeds 50 percent.
In
Africa undernourishment has increased by 20 percent since
the early 90s and is double the rate in the late 1960s. Undernutrition
was the major factor in around 30 percent of deaths each year,
a figure of 2.9 million.
The
IFPRI researches food policy in the developing world and is
financed by the World Bank, the United Nations Children’s
organisation UNICEF, the European Union, the United Nations
Food and Agricultural Organisation FAO amongst others.
Undernourishment is measured by the United Nations Food and
Agricultural Organisation (FAO), combining an estimate of
total food calories available in a country with how these
calories are distributed across the population. It measures
the number of people who are not obtaining an adequate daily
energy supply of food.
The
IFPRI has produced figures which show that in a third of African
countries the mean daily per capita calorific intake is below
the recommended level of 2,100. In the Democratic Republic
of Congo, Burundi, Eritrea and Somalia that average figure
is below the absolute minimum calorific intake to maintain
body weight of 1,800.
A
vicious circle of malnourishment is created: “A girl born
to a mother that is undernourished will be likely to be born
stunted in height and weight.... If the infant survives, her
growth will be more likely to falter.... She will be susceptible
to infectious diseases.... During her child-bearing years;
she will bear low birth-weight babies of her own. And so the
cycle of intergenerational poverty and ill-health continues.”
For
many Africans there is no food security, i.e., no guaranteed
access to food. Even if there is food production taking place,
there is insufficient income for urban dwellers and a lack
of resources in rural African households leaving them unable
to access sufficient food. Food security is further threatened
in areas with a single rainy season. Whilst following the
harvest a family might have sufficient food, there is often
insufficient to provide a secure supply right through to the
next harvest.
The
report explains how HIV/AIDS impacts on this dire situation.
Adults with HIV infection have a 10-30 percent increased energy
requirement, but their condition leaves them less able to
secure food. “HIV poses a double nutritional burden: as the
infection progresses the infected individual is unable to
produce or earn income to reliably get access to the food
required, whilst at the same time his or her nutritional requirements
have increased.”
Africa
bucked the global trend of a decline in child malnutrition
between 1980 and 2000. In Africa the decline in the rate of
stunted growth was less than four percent and, because of
population growth, the actual number of stunted (low height-for-age)
children went up by more than 12 million. The relative and
absolute numbers of underweight (low weight-for-age) children
also increased. The report states: “Large populations coupled
with high levels of malnutrition mean that 19 percent of the
almost 47 million stunted preschoolers in Africa are found
in Nigeria, while eight percent are found in DR Congo.”
Dependence on a limited range of staple foods leads to health
problems because of the lack of certain micronutrients in
such food. In Africa the four most deficient micronutrients
are Vitamin A, iron, zinc and iodine. The report states: “Between
15,000 and 20,000 African women die each year owing to severe
iron-deficiency anaemia ... hundreds of thousands of children
... have lowered intellectual capacity due to iodine deficiency.
Vitamin A deficiencies in children are common across the continent,
reducing their ability to resist infection and contributing
to the deaths of more than half a million African children
annually.”
Staples
consisting of grains, roots and tubers make up about 65 percent
of the food available to most Africans. These staples are
deficient in the micronutrients listed above. The report notes:
“The continued reliance on staple grains, roots, and tubers
for the bulk of calories is principally an economic issue.
Meat and fish consumption for the many poor Africans is a
luxury.... Unless dynamic, poverty-reducing growth is achieved
in the short term, one should expect that the shares of total
calories available across food types will remain [at the same
level].”
The
total of 200 million undernourished people in Africa is made
up of 160 million facing chronic undernutrition, together
with food emergencies that require international intervention.
The United Nations World Food Programme (WFP) estimates that
in 2003, 38 million Africans were affected by emergencies.
These crises result from drought, flood and civil conflict
and the resultant refugees. Food emergencies as a result of
civil conflict occurred in Angola, DR Congo and Sierra Leone
last year amongst other countries. Eritrea and Ethiopia were
affected by drought, leading to food emergencies.
While
the countries within Africa affected by such emergencies may
change there is a regular occurrence of such emergencies each
year. The danger that the chronic undernutrition can explode
into a full emergency is always present: “Undernutrition in
its various forms in Africa is primarily a chronic condition.
The food crises emerge when broad negative shocks—whether
due to drought, floods or other natural disasters; economic
downturns; or conflict, and often in combination or in sequence—affect
chronically food-insecure populations. Those suffering in
these acute food insecurity incidents were food insecure or
vulnerable to begin with.... Although they may not necessarily
face an acute crisis in access to food, their access is not
secure. They are vulnerable. Indeed, if any of the 160 million
were to be affected by one of these broad shocks or a range
of other more individual shocks—death in the household, loss
of an income, and so on—most would soon face an acute hunger
crisis.”
Sub-Saharan Africa child mortality rates are 170 per 1000 live
births. In some countries a decline in child mortality has
now been reversed. Malnutrition exacerbates child mortality
rates in over 50 percent of cases. The impact of HIV infection
also dramatically reduces the access to food and healthcare.
As
a result of HIV infection the chances of people being born
today reaching their 55th birthday is less than 50 percent.
Those areas with the highest HIV infection have the highest
drop in life expectancy. This has a knock-on effect on nutrition.
The
report states that because of HIV/AIDS, “high levels of mortality
among parents of young children render these children nutritionally
insecure. In addition to the economic shock resulting from
the death of a parent and resulting impact on the access a
child has to sufficient food of adequate quality, the death
will also reduce the quality of care the child receives....
the nutrition security of an orphaned child will be reduced
due both to an absolute reduction in the nutritional resources—food,
health services, and so on ... and to less effective use of
the resources that are available”.
Summing
up the situation the report states: “a large proportion of
the population of Africa does not enjoy food security. Moreover,
many of those who have good access to sufficient food for
their calorific needs nonetheless suffer from nutrition insecurity.
Many households consume a monotonous, unvaried diet and so
suffer from micronutrient deficiencies.”
The
report then turns to what must be done. It says economic growth
is necessary to reduce malnutrition. Noting that two thirds
of Africans live in rural areas, it emphasises the need for
farmers to have access to better crop varieties, livestock,
fertilisers and modern techniques. Citing studies that have
been carried out, it explains, “To end hunger in sub-Saharan
Africa ... a regional annual average per capita growth rate
of 6.3 percent is needed to meet a target date of 2025 and
3.5 percent if the target date is 2050. In the past decade,
however, only half a dozen countries have had average per
capita growth rates above 2.5 percent. The challenge is immense.”
The
report details a disastrous situation in Africa, but the only
answer it offers is more of the same free market measures
that have produced the food shortages in the first place.
“African nations and farmers,” the report claims, “can be strong
participants in such open markets. Consequently they must
remain fully engaged in negotiations within the World Trade
Organisation (WTO) ... African smallholders are in a disadvantageous
position relative to the large, integrated agribusinesses
that dominate global trade. Likely modifications to current
forms of agricultural production will be needed if Africa
is to compete effectively in broad global markets. Not competing,
however, is not an option.”
Privatisation of utilities like water and power supplies, cuts
in health care, cuts in subsidies to poor farmers, increased
fees for health and education are all part of the package
that has been forced on the population of Africa under the
terms of World Bank and IMF structural adjustment programmes.
Making Africa compete in the global market will only mean
further opening up its agriculture to foreign companies, who
will produce crops for export while the majority of the population
continue to live in near starvation conditions.

