The Dual Problem of Malnutrition and Obesity among Children in Western Cape

The Western Cape is facing a significant health challenge among its young population – malnutrition and obesity among children under five years old. This problem is primarily due to poverty, which deprives these children of access to sufficient and nutritious meals.

The Western Cape Stunting Baseline Survey

The Western Cape Department of Health and DG Murray Trust, in collaboration with researchers from the University of Cape Town and Stellenbosch University, conducted the Western Cape Stunting Baseline Survey (WCSBS). The survey gathered data on children under five and created an extensive anthropometric malnutrition profile that includes stunting, underweight, thinness, overweight, and obesity.

The Severity of the Issue

The study revealed that the prevalence of stunting (17.5%) slightly exceeds the medium public health concern threshold (10-19%) for children aged 0-59 months. This problem stems from undernutrition. Additionally, obesity is also a growing concern, both in the Western Cape and nationwide.

Addressing the Issues

Rise Against Hunger is one organization that is working to address these issues. They provide highly nutritious, balanced meals to children at Early Childhood Development (ECD) centers. By targeting ECD centers, they can ensure that children under six receive proper nutrition every weekday, with meals cooked onsite by the centers to guarantee access. Rise Against Hunger collaborates with volunteers and corporations to physically pack their meals, raising awareness and promoting action against child malnutrition.

The Western Cape Education Department’s School Nutrition program provides nutritious breakfast and lunch meals to approximately 517,000 learners daily. For the 2023/24 financial year, R557 million has been allocated for this initiative, benefiting 1,038 schools, which represents 67% of public ordinary schools in the region.

Examining the Causes of Malnutrition

The WCSBS also examined the underlying and direct causes of malnutrition, such as food security, carer capacity, and environmental hygiene, as well as dietary intake and disease. The provincial health department is working with communities and partner organizations to actively engage caregivers and empower them with knowledge on good health and nutrition.

A Multifaceted Challenge

The fight against malnutrition and obesity in Western Cape’s young children is a multifaceted challenge that requires concerted efforts from various stakeholders. By providing nutritious meals, raising awareness, and promoting healthier lifestyles, it is possible to turn the tide and ensure a brighter, healthier future for these children.