The threat of Covid-19 on food security: A modelling perspective of scenarios in the informal settlements in Windhoek

Due to the heterogeneity among households across locations, predicting the impacts of stay-at-home mitigation and lockdown strategies for COVID-19 control is crucial. In this study, we quantitatively assessed the effects of the Namibia government’s lockdown control measures on food insecurity in urban informal settlements with a focus on Windhoek, Namibia. We developed three types of conditional regression models to predict food insecurity prevalence (FIP) scenarios incorporating household frequency of food purchase (FFP) as the impacting factor, based on the Hungry Cities Food Matrix. Empirical data were derived from the 2017 African Food Security Urban Network (AFSUN) Windhoek study and applied univariate probit and bivariate partial observability models to postulate the relation between food insecurity and FFP within the context of stay-at-home disease mitigation strategy. The findings showed that FFP was positively correlated with the prevalence of food insecurity (r = 0.057, 95% CI: 0.0394, 0.085). Daily purchases portrayed a survivalist behaviour and were associated with increased food insecurity (coeff = 0.076, p = 0.05)

Wild and indigenous foods (wif) and urban food security in northern Namibia

Rapid urbanisation and food system transformation in Africa have been accompanied by growing food insecurity, reduced dietary diversity, and an epidemic of non-communicable disease. While the contribution of wild and indigenous foods (WIF) to the quality of rural household diets has been the subject of longstanding attention, research on their consumption and role among urban households is more recent. This paper provides a case study of the consumption of WIF in the urban corridor of northern Namibia with close ties to the surrounding rural agricultural areas. The research methodology involved a representative household food security sur vey of 851 urban households using tablets and ODK Collect. The key methods for data analysis included descriptive statistics and ordinal logistic regression. The main findings of the analysis included the fact that WIFs are consumed by most households, but with markedly different frequencies. Frequent consumers of WIF are most likely to be female-centred households, in the lowest income quintiles, and with the highest lived poverty. Frequent consumption is not related to food security, but is higher in households with low dietary diversity. Infrequent or occasional consumers tend to be higher-income households with low lived poverty and higher levels of food security. We conclude that frequent consumers use WIF to diversify their diets and that occasional consumers eat WIF more for reasons of cultural preference and taste than necessity. Recommendations for future research include the nature of the supply chains that bring WIF to urban consumers, intra-household consumption of WIF, and in-depth interviews about the reasons for household consumption of WIF and preferences for certain types of wild food

Healthcare seeking practices and barriers to accessing under-five child health services in urban slums in Malawi: a qualitative study

BACKGROUND: Access to child health services is an important determinant of child health. Whereas, child health indicators are generally better in urban than rural areas, some population groups in urban areas, such as children residing in urban slums do not enjoy this urban health advantage. In the context of increasing urbanisation and urban poverty manifesting with proliferation of urban slums, the health of under-five children in slum areas remains a public health imperative in Malawi. This paper explores healthcare-seeking practices for common childhood illnesses focusing on use of biomedical health services and perceived barriers to accessing under-five child health services in urban slums of Lilongwe, Malawi’s capital city. METHODS: Qualitative data from 8 focus group discussions with caregivers and 11 in-depth interviews with key informants conducted from September 2012 to April 2013 were analysed using conventional content analysis. RESULTS: Whereas, caregivers sought care from biomedical health providers, late care-seeking also emerged as a major theme and phenomenon. Home management was actively undertaken for childhood illnesses. Various health system barriers: lack of medicines and supplies; long waiting times; late facility opening times; negative attitude of health workers; suboptimal examination of the sick child; long distance to health facility; and cost of healthcare were cited in this qualitative inquiry as critical health system factors affecting healthcare-seeking for child health services. CONCLUSIONS: Interventions to strengthen the health system’s responsiveness to expectations are essential to promote utilisation of child health services among urban slum populations, and ultimately improve child health and survival. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-016-1678-x) contains supplementary material, which is available to authorized users