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The National Food Consumption Survey (NFCS): South Africa, 1999

Published online by Cambridge University Press:  02 January 2007

D Labadarios*
Department of Human Nutrition, University of Stellenbosch and Tygerberg Academic Hospital, Tygerberg 7505, South Africa
NP Steyn
Chronic Diseases of Lifestyle Unit, Medical Research Council, Tygerberg, South Africa
E Maunder
Department of Dietetics and Human Nutrition, University of Natal, Pietermaritzburg, South Africa
U MacIntryre
Department of Paediatrics and Child Health, MEDUNSA, South Africa
G Gericke
Division of Human Nutrition, University of Pretoria, South Africa
R Swart
Department of Human Ecology & Nutrition, University of the Western Cape, Cape Town, South Africa
J Huskisson
Nutrition & Dietetics Unit, University of Cape Town, South Africa
A Dannhauser
Department of Human Nutrition, University of the Orange Free State, Bloemfontein, South Africa
HH Vorster
Nutrition Research Group, School for Physiology & Nutrition, University of Potchefstroom, South Africa
AE Nesmvuni
Department of Hospitality Management, Tshwaye University of Technology, Pretoria, South Africa
JH Nel
Department of Logistics, University of Stellenbosch, South Africa
*Corresponding author: Email
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The aim of the National Food Consumption Survey (NFCS) in South Africa was to determine the nutrient intakes and anthropometric status of children (1–9 years old), as well as factors that influence their dietary intake.


This was a cross-sectional survey of a nationally representative sample of all children aged 1–9 years in South Africa. A nationally representative sample with provincial representation was selected using 1996 Census information.


Of the 3120 children who were originally sampled data were obtained from 2894, a response rate of 93%.


The sociodemographic status of each household was assessed by a questionnaire. Dietary intake was assessed by means of a 24-hour recall and a food-frequency questionnaire from the caregivers of the children. Food purchasing practices were determined by means of a food procurement questionnaire. Hunger was assessed by a modified hunger scale questionnaire. Nutritional status was determined by means of anthropometric measurements: height, weight, head circumference and arm circumference.


At the national level, stunting (height-for-age below minus two standard deviations (< -2SD) from the reference median) was by far the most common nutritional disorder, affecting nearly one in five children. The children least affected (17%) were those living in urban areas. Even with regard to the latter, however, children living in informal urban areas were more severely affected (20%) compared with those living in formal urban areas (16%). A similar pattern emerged for the prevalence of underweight (weight-for-age < -2SD), with one in 10 children being affected at the national level. Furthermore, one in 10 (13%) and one in four (26%) children aged 1–3 years had an energy intake less than half and less than two-thirds of their daily energy needs, respectively. For South African children as a whole, the intakes of energy, calcium, iron, zinc, selenium, vitamins A, D, C and E, riboflavin, niacin, vitamin B6 and folic acid were below two-thirds of the Recommended Dietary Allowances. At the national level, data from the 24-hour recalls indicated that the most commonly consumed food items were maize, sugar, tea, whole milk and brown bread. For South African children overall, one in two households (52%) experienced hunger, one in four (23%) were at risk of hunger and only one in four households (25%) appeared food-secure.


The NFCS indicated that a large majority of households were food-insecure and that energy deficit and micronutrient deficiencies were common, resulting in a high prevalence of stunting. These results were used as motivation for the introduction of mandatory fortification in South Africa.

Research Article
Copyright © The Authors 2005


1RDP Office. Children, Poverty and Disparity Reduction. Pretoria: Government Printer, 1996.Google Scholar
2Central Statistical Service. October Household Survey. Pretoria: Government Printer, 1994.Google Scholar
3Whiteford, A, McGrath, M. Income distribution, inequality and poverty in South Africa: preliminary findings from the Project on Living Standards and Development. Paper presented at SALDRU Conference on Poverty, University of Cape Town, South Africa, 1993.Google Scholar
4World Bank. Health Expenditure and Finance in South Africa. Durban: World Bank and Health Systems Trust, 1995.Google Scholar
5RDP Office. RDP White Paper, Discussion Document. Cape Town: CTP Book Printers, September 1995.Google Scholar
6Mazur, RE. Demographic data in the poverty survey: analytic perspectives and regional profiles. Unpublished technical report, Medical Research Council, Tygerberg, 1994.Google Scholar
7Labadarios, D, Van Middelkoop, A, eds. The South African Vitamin A Consultative Group (SAVACG). Children aged 6 to 71 months in South Africa, 1994: Their Anthropometric, Vitamin A, Iron and Immunisation Coverage Status. Isando: SAVACG, 1995.Google Scholar
8Vorster, HH, Jerling, JC, Oosthuizen, W, Becker, P, Wolmarans, P. Nutrient Intakes of South Africans. An Analysis of the Literature SANNSS Group Report, Isando: Roche, 1995.Google Scholar
9United Nations Children's Fund (UNICEF). Conceptual Framework for Improved Nutrition of Children and Women in Developing Countries. New York: UNICEF, 1990.Google Scholar
10Labadarios, D, ed. The National Food Consumption Survey (NFCS): Children aged 1–9 years, South Africa, 1999. Pretoria: Directorate: Nutrition, Department of Health, 2000.Google Scholar
11Central Statistical Services. Census '96: Preliminary Estimates of the Size of the Population of South Africa. Pretoria: Central Statistical Services, June 1997.Google Scholar
12Lee, RD, Nieman, DC. Nutritional Assessment. Oxford: Brown and Benchmark, 1993.Google Scholar
13National Center for Health Statistics (NCHS). NCHS Growth Curves for Children. Birth-18 years. DHEW Publication No. 78-1650. Hyattsville, MD: US Department of Health, Education and Welfare, Public Health Services, 1977.Google Scholar
14Dean, AG, Dean, JA, Coulombier, D, Brendel, KA, Simth, DC, Burton, AH, et al. Epi Info, Version 6: A Word Processing, Database, and Statistics Program for Epidemiology on Microcomputers. Atlanta, GA: Centers for Disease Control and Prevention, 1994.Google Scholar
15Gorstein, J, Sullivan, R, Yip, M, de Onis, M, Trowbridge, F, Fajans, P, et al. Issues in the assessment of nutritional status using anthropometry. Bulletin of the World Health Organization 1994 72: 273–83.Google ScholarPubMed
16Medical Research Council (MRC). Food Composition Tables. Parow: MRC, 1998.Google Scholar
17Steyn, NP, Labadarios, D, Maunder, E, Nel, J, Lombard, C. and Directors of the National Food Consumption Survey, Secondary anthropometric data analysis of the national food consumption survey in South Africa: the double burden. Nutrition 2005; 21: 413.CrossRefGoogle ScholarPubMed
18National Food Fortification Task Group. Pretoria: Department of Health, 1998.Google Scholar
19National Food Fortification Task Group. Pretoria: Department of Health, 2002.Google Scholar
20Gibney, M, Vorster, H. South African food-based dietary guidelines. South African Journal of Clinical Nutrition 2001; 14: S2.Google Scholar
21Vorster, HH, Love, P, Browne, C. Development of food-based dietary guidelines for South Africa – the process. South African Journal of Clinical Nutrition 2001: 14: S3S6.Google Scholar
22Food and Agriculture Organization/World Health Organization (WHO) Consultation. Preparation and Use of Food-based Dietary Guidelines, Geneva: WHO, 1998.Google Scholar
23Love, P, Maunder, E, Ross, F, Smale-Lovely, J, Charlton, K. South African food-based dietary guidelines: testing of the preliminary guidelines among women in KwaZulu-Natal and the Western Cape. South African Journal of Clinical Nutrition 2001; 14: 919.Google Scholar