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Estimation of undernutrition and mean calorie intake in Africa: methodology, findings and implications.

van Wesenbeeck CF, Keyzer MA, Nubé M - Int J Health Geogr (2009)

Bottom Line: We conclude that the picture of Africa that emerges from anthropometric data is much less negative than that usually presented.Especially for Eastern and Central Africa, the nutritional status is less critical than commonly assumed and also mean calorie intake is higher, which implies that agricultural production and hence income must also have been growing at a pace at least high enough to keep up with population growth.In terms of methodology, our estimates form a base line for 2005 for the whole continent that can be easily updated with far less information for individual countries, as we show in an example for Ethiopia.

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre for World Food Studies, VU University, De Boelelaan 1105, 1081 HV Amsterdam, the Netherlands. c.f.a.vanwesenbeeck@sow.vu.nl

ABSTRACT

Background: As poverty and hunger are basic yardsticks of underdevelopment and destitution, the need for reliable statistics in this domain is self-evident. While the measurement of poverty through surveys is relatively well documented in the literature, for hunger, information is much scarcer, particularly for adults, and very different methodologies are applied for children and adults. Our paper seeks to improve on this practice in two ways. One is that we estimate the prevalence of undernutrition in sub-Saharan Africa (SSA) for both children and adults based on anthropometric data available at province or district level, and secondly, we estimate the mean calorie intake and implied calorie gap for SSA, also using anthropometric data on the same geographical aggregation level.

Results: Our main results are, first, that we find a much lower prevalence of hunger than presented in the Millennium Development reports (17.3% against 27.8% for the continent as a whole). Secondly, we find that there is much less spread in mean calorie intake across the continent than reported by the Food and Agricultural Organization (FAO) in the State of Food and Agriculture, 2007, the only estimate that covers the whole of Africa. While FAO estimates for calorie availability vary from a low of 1760 Kcal/capita/day for Central Africa to a high of 2825 Kcal/capita/day for Southern Africa, our estimates lay in a range of 2245 Kcal/capita/day (Eastern Africa) to 2618 Kcal/capita/day for Southern Africa. Thirdly, we validate the main data sources used (the Demographic and Health Surveys) by comparing them over time and with other available data sources for various countries.

Conclusion: We conclude that the picture of Africa that emerges from anthropometric data is much less negative than that usually presented. Especially for Eastern and Central Africa, the nutritional status is less critical than commonly assumed and also mean calorie intake is higher, which implies that agricultural production and hence income must also have been growing at a pace at least high enough to keep up with population growth. In terms of methodology, our estimates form a base line for 2005 for the whole continent that can be easily updated with far less information for individual countries, as we show in an example for Ethiopia.

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Undernutrition prevalence rates in children (low height-for-age) in the 9 provinces of Zambia, as reported in three successive surveys over a period of 10 years. Source: own calculations.
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Figure 6: Undernutrition prevalence rates in children (low height-for-age) in the 9 provinces of Zambia, as reported in three successive surveys over a period of 10 years. Source: own calculations.

Mentions: Finally, Figure 6 shows for one country, Zambia, the results of three successive nutrition surveys over a time span of 10 years (1992–2002), hence covering a full change in the cohorts of children surveyed. It appears that also over this longer period of time, the pattern of underweight distribution as measured by height-for-age remains strikingly constant, with only the 2001/2002 results for the regions Central, Copperbelt, and Eastern showing some deviation from the overall pattern.


Estimation of undernutrition and mean calorie intake in Africa: methodology, findings and implications.

van Wesenbeeck CF, Keyzer MA, Nubé M - Int J Health Geogr (2009)

Undernutrition prevalence rates in children (low height-for-age) in the 9 provinces of Zambia, as reported in three successive surveys over a period of 10 years. Source: own calculations.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2710326&req=5

Figure 6: Undernutrition prevalence rates in children (low height-for-age) in the 9 provinces of Zambia, as reported in three successive surveys over a period of 10 years. Source: own calculations.
Mentions: Finally, Figure 6 shows for one country, Zambia, the results of three successive nutrition surveys over a time span of 10 years (1992–2002), hence covering a full change in the cohorts of children surveyed. It appears that also over this longer period of time, the pattern of underweight distribution as measured by height-for-age remains strikingly constant, with only the 2001/2002 results for the regions Central, Copperbelt, and Eastern showing some deviation from the overall pattern.

Bottom Line: We conclude that the picture of Africa that emerges from anthropometric data is much less negative than that usually presented.Especially for Eastern and Central Africa, the nutritional status is less critical than commonly assumed and also mean calorie intake is higher, which implies that agricultural production and hence income must also have been growing at a pace at least high enough to keep up with population growth.In terms of methodology, our estimates form a base line for 2005 for the whole continent that can be easily updated with far less information for individual countries, as we show in an example for Ethiopia.

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre for World Food Studies, VU University, De Boelelaan 1105, 1081 HV Amsterdam, the Netherlands. c.f.a.vanwesenbeeck@sow.vu.nl

ABSTRACT

Background: As poverty and hunger are basic yardsticks of underdevelopment and destitution, the need for reliable statistics in this domain is self-evident. While the measurement of poverty through surveys is relatively well documented in the literature, for hunger, information is much scarcer, particularly for adults, and very different methodologies are applied for children and adults. Our paper seeks to improve on this practice in two ways. One is that we estimate the prevalence of undernutrition in sub-Saharan Africa (SSA) for both children and adults based on anthropometric data available at province or district level, and secondly, we estimate the mean calorie intake and implied calorie gap for SSA, also using anthropometric data on the same geographical aggregation level.

Results: Our main results are, first, that we find a much lower prevalence of hunger than presented in the Millennium Development reports (17.3% against 27.8% for the continent as a whole). Secondly, we find that there is much less spread in mean calorie intake across the continent than reported by the Food and Agricultural Organization (FAO) in the State of Food and Agriculture, 2007, the only estimate that covers the whole of Africa. While FAO estimates for calorie availability vary from a low of 1760 Kcal/capita/day for Central Africa to a high of 2825 Kcal/capita/day for Southern Africa, our estimates lay in a range of 2245 Kcal/capita/day (Eastern Africa) to 2618 Kcal/capita/day for Southern Africa. Thirdly, we validate the main data sources used (the Demographic and Health Surveys) by comparing them over time and with other available data sources for various countries.

Conclusion: We conclude that the picture of Africa that emerges from anthropometric data is much less negative than that usually presented. Especially for Eastern and Central Africa, the nutritional status is less critical than commonly assumed and also mean calorie intake is higher, which implies that agricultural production and hence income must also have been growing at a pace at least high enough to keep up with population growth. In terms of methodology, our estimates form a base line for 2005 for the whole continent that can be easily updated with far less information for individual countries, as we show in an example for Ethiopia.

Show MeSH
Related in: MedlinePlus