Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

The impact of Covid-19 on food aid systems in South Africa

A cross-sectional mixed-methods study

Bibliographic Data

ID22945653
AuthorsSafura Abdool Karim (0000-0002-4843-9907, University of KwaZulu-Natal), Petronell Kruger (0000-0003-0624-2847, Healthy Living Alliance , Johannesburg 2196), Agnes Erzse (0000-0001-9303-9323, Wits School of Public Health, University of Witwatersrand , Johannesburg 2196), Teurai Rwafa-Ponela (0000-0002-3358-4327, Wits School of Public Health, University of Witwatersrand , Johannesburg 2196), Athini Nyatela (0000-0001-6141-2277, Ezintsha, Faculty of Health Sciences, University of Witwatersrand , Johannesburg 2196), Samanta Lalla-Edward (Ezintsha, Faculty of Health Sciences, University of Witwatersrand , Johannesburg 2196), Samanta Tresha Lalla‐Edward (0000-0003-3597-1643, University of the Witwatersrand)
Year2025
Volume40
Issue3
Publication date2025-05-13
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daaf070
PMID40459337
OpenAlexW4410975907
LanguageEN
References cited25

Covid-19 and South Africa’s response to Covid-19 resulted in increased food insecurity and reliance on food aid. This study aimed to describe the functioning of the food aid system during South Africa’s Covid-19 response. We conducted a mixed-methods study from August 2020 to January 2021 in South Africa. Data collection comprised of a desk-based review of private actor activities related to food aid during Covid-19; key informant interviews with food aid providers in both civil society and government, informal traders, and academia (n = 20); and a survey with HIV-positive women (n = 202). Interviews were transcribed and inductively coded. Data were analysed qualitatively using thematic analysis. Results showed that Covid-19, and the response, caused disruptions to food supply, specifically informal food economy and reduced incomes, resulting in increased reliance on food aid. While food donations increased, this did not meet increased demand for aid. Recipients of food aid reported low access to food aid and a mismatch between the contents of food aid parcels and their needs, despite aid providers outlining policies that considered nutritional and cultural acceptability of food parcels. Many participants indicated a preference for a food voucher or grant over food parcels. The paper highlights the unintended adverse consequences of the Covid-19 response on food insecurity. South Africa’s food aid system was insufficient to respond to the needs of vulnerable groups during the pandemic. We recommend ongoing monitoring of interventions to identify and mitigate unintended consequences and the implementation of a food voucher system.

2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19) · Cross-sectional study · Environmental health · Geography · Outbreak · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) · Food Security and Health in Diverse Populations · Global Public Health Policies and Epidemiology · HIV/AIDS Impact and Responses · Medicine · Virology

  • Does Food Insecurity Undermine Adherence to Antiretroviral Therapy? A Systematic Review

    Open Access•Amanda W Singer, Sheri D Weiser et al.•AIDS and Behavior•2015

  • Food Insecurity and Covid-19

    Open Access•Julia A Wolfson, Cindy W Leung•Nutrients•2020

  • A proposed approach to systematically identify and monitor the corporate political activity of the food industry with respect to public health using publicly available information

    Open Access•Mélissa Mialon, Boyd Swindurn et al.•Obesity Reviews•2015

  • Covid-19 lockdowns, income distribution, and food security

    Open Access•Channing Arndt, Rob Davies et al.•Global Food Security•2020

  • The Early Food Insecurity Impacts of Covid-19

    Open Access•Meredith T Niles, Farryl Bertmann et al.•Nutrients•2020

  • Planning and informal food traders under Covid-19

    Caroline Skinner, Watson et al.•Town Planning Review•2021

  • Addressing the HIV/Aids—food insecurity syndemic in sub-Saharan Africa

    D Himmelgreen, Nancy Romero‐daza et al.•African Journal of AIDS Research•2009

  • High prevalence of food insecurity, the adverse impact of Covid-19 in Brazilian favela

    Open Access•Catarina Vezetiv Manfrinato, Aluizio Marino et al.•Public Health Nutrition•2021

  • Impact of two policy interventions on dietary diversity in Ecuador

    Open Access•Juan Ponce, J Ramos-Martín•Public Health Nutrition•2017

  • Food insecurity measurement and prevalence estimates during the Covid-19 pandemic in a repeated cross-sectional survey in Mexico

    Open Access•Pablo Gaitán-Rossi, Mireya Vilar-Compte et al.•Public Health Nutrition•2021

  • Covid-19 and Food Insecurity

    Open Access•Eliza W Kinsey, Dirk Kinsey et al.•Journal of Urban Health•2020

  • Responding to Covid-19 in South Africa – social solidarity and social assistance

    Lucy Jamieson, Lorraine Van Blerk•Children s Geographies•2021

  • South Africa’s lockdown regulations and the reinforcement of anti-informality bias

    Open Access•Jane Battersby•Agriculture and Human Values•2020

  • Unraveling the effect of targeted input subsidies on dietary diversity in household consumption and child nutrition

    Open Access•Aurélie P Harou•World Development•2018

  • The Covid-19 pandemic and food insecurity

    Open Access•Khushbu Mishra, Jeevant Rampal•World Development•2020

  • Food security and social protection in times of Covid-19

    Open Access•Antonio López Peláez, Amaya Erro-Garcés et al.•International Social Work•2022

  • Supermarket Expansion and the Informal Food Economy in Southern African Cities

    J Crush, B Frayne•Journal of Southern African Studies•2011

Citation velocityhistorical
Highly citedNo

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae