Inequities in under-five child nutritional status in South Africa. What progress has been made?

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May, J ; Timaeus, IM (2014)

Despite the emphasis given to poverty reduction in policy statements and a substantial increase in social spending, money-metric poverty has shown little improvement since South Africa’s transition to democracy in 1994. Alternative approaches to measuring well-being and inequality may show a more positive trend. This article uses the 2008 National Income Dynamics Study to assess the magnitude of inequalities in under-five child malnutrition ascribable to economic status. The article compares these results with those of Zere and McIntyre, who analysed similar data collected in 1993. In both cases, household income, proxied by per-capita household expenditure, was used as the indicator of socio-economic status. Children’s heights and weights have increased since 1993 and being stunted or underweight has become less common. Furthermore, pro-rich inequalities in stunting and being underweight have significantly declined since the end of apartheid. This suggests that pro-poor improvements in child welfare have taken place. Policies that may have contributed to this include the Child Support Grant, introduced in 1998, and improvements in healthcare and the education of women.
  • References (11)
    11 references, page 1 of 2

    Leibbrandt, M, Levinsohn, JA & McCrary, J, 2010a. Incomes in South Africa after the fall of apartheid, Journal of Globalization and Development, 1(1). doi: 10.2202/1948-1837.1023 Leibbrandt, M, Woolard, I, Finn, A & Argent, J, 2010b. Trends in South African Income Distribution and Poverty since the Fall of Apartheid. OECD Social Employment and Migration Working Papers, 101. OECD Publishing, Paris.

    Nandy, S, Irving, M, Gordon, D, Subramanian, SV & Smith, GD, 2005. Poverty, child undernutrition and morbidity: new evidence from India. Bulletin of World Health Organization 83, 210-216.

    Nannan, N, Norman, R, Hendricks, M, Dhansay, MA, Bradshaw, D & South African Comparative Risk Assessment Collaborating Group, 2007. Estimating the burden of disease attributable to childhood and maternal undernutrition in South Africa in 2000. South African Medical Journal 97, 733-39.

    Ozler, B, 2007. Not separate, not equal: poverty and inequality in post-apartheid South Africa. Economic Development and Cultural Change 55(3), 487-529.

    SALDRU, 2012. National Income Dynamics Study 2008, Wave 1 [dataset]. Version 4.1. Southern Africa Labour and Development Research Unit [producer], DataFirst [distributor], Cape Town.

    Statistics SA, 2002. Earning and spending in South Africa. Selected findings and comparisons from the income and expenditure surveys of October 1995 and October 2000. Statistics South Africa, Pretoria.

    Svedberg, P, 2000. Poverty and Undernutrition: Theory, measurement and policy. Oxford University Press, Oxford.

    Timaeus, IM, 2012. Stunting and obesity in childhood: a reassessment using longitudinal data from South Africa. International Journal of Epidemiology 41(3), 773-781.

    Timaeus, IM, Simelane, S & Letsoalo, T, 2013. Poverty, race, and children's progress at school in South Africa. Journal of Development Studies 49(2), 270-284.

    Victora, CG, Wagstaff, A, Schellenberg, JA, Gwatkin, D, Claeson, M & Habicht, J-P, 2003. Applying an equity lens to child health and mortality: more of the same is not enough. The Lancet 362(9379), 233-41.

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