Food security and disability in South Africa: an analysis of General Household Survey data

PurposeWe investigated the relationship between disability and food security in South Africa using data from the General Household Survey (GHS).Materials and MethodsRegression models were utilised with GHS data (2014-2018) to gauge the likelihood of food insecurity (the dependent variable) among individuals with disabilities. Socioeconomic and demographic traits of the 2018 GHS sample were analysed. All estimates were weighted and represented nationally at the individual level.ResultsIn this study population (32 187) of food insecure people, 9.64% are disabled. Food insecurity impacts more Black people with disabilities (91%) versus those without disabilities (90%), and disabled women (65%) versus nondisabled women (58%). Most reside in KwaZulu-Natal. Those with disability grants lower food insecurity odds, while child support grant recipients face higher odds. Household size and education are significant predictors, while marital status and gender are not.ConclusionThis study data justifies the need for disability-inclusive food security programmes in South Africa, especially amid crises like COVID-19. Significantly, there is a nil data finding about people with eating/swallowing disabilities whose needs intersect with food security. This emphasises the need for inclusive data collection that operates within a food sovereignty framework to increase the visibility of people with disabilities. South African national surveys and censuses should include data on people with disabilities, particularly those with eating and swallowing disabilities.Updated metrics, such as the Food Insecurity Experience Scale (FIES), if used, will facilitate easier cross-country comparisons and helps monitor progress towards achieving zero hungerThe study underscores the necessity for disability-inclusive food security programmes in South Africa, and the importance of a food sovereignty framework to enhance visibility.