Tuesday 26 November 2013

The Swan Song to the Month Long
by Ashley Brooks


I bloody finished it!

Well the four weeks of no hot food came to an end with a Buccsy Barefooted Bang! A massive Halloween party at Barefoot Cafe on Friday and a wonderful fish braai at Buccaneers Backpackers on Saturday, both of whom contributed so much to helping the cause. Thanks guys. Including the fundraisers and sponsorship we raised a massive R12, 000. That’s about £800 for you folks in the UK. And that’s definitely going to keep the feeding scheme at Chintsa East Primary running for a fair few months. Thanks to all those who donated and supported... well done to you all.
Not eating hot food was a pretty tough challenge for a slightly podgy ninety hmm kg Welshman with a taste for steak and chips, but hell I’m glad I did it. I have really come to realize how incredibly lucky I am. More than anything, doing the fast got me reading about food insecurity, wealth gaps and poverty within South Africa. What I found shocked and saddened me. Yet there is also cause for hope and celebration. Let’s take a look at the data!

Who is really hungry then?

The 2013 SANHANES-1[i] study found that over 50% of South Africans are food insecure. That is, around 26% are food insecure and a further 27% are currently hungry. These figures are based on the Global Hunger Index which incorporates energy intake, child morbidity and child undernourishment. Of all the provinces of South Africa, the Eastern Cape was the area worst affected by this depressing reality.

Hungry bellies make for wandering minds

A huge number of studies worldwide have shown that there is a direct link between learning and hunger. To name but a few; a study by the Centre for Research on the Wider Benefits of Learning in 2006[ii] showed that “Children with nutritional deficiencies are particularly susceptible to the
moment-to-moment metabolic changes that impact upon cognitive ability and performance of the brain”; A 2006 World Food Programme study concludes that at school age “…vitamin and mineral deficiencies may limit future capacity to learn … [h]unger also reduces opportunities to learn while in school by leading to low enrolment, attendance and retention (i.e. limited access) as well as to poor attention spans (i.e. inability to fully utilize the opportunity).” These results are repeated in study after study and should therefore guide our thinking in terms of how education can be of most benefit to a child. The lack of attention span of students was a result noticed on the ground by Mike and Jo Ford here in Chintsa and they subsequently started the feeding scheme in order to counter such negative results of food insecurity and hunger.



“So why are the kids of South Africa hungry?” I hear you ask

And so you should! In a country of enormous wealth, in fact, a country that has a GDP that makes up over one quarter of the GDP for the whole African continent, it shouldn’t be a question we ought to have to ask at all! South Africa is recognised by the World Bank as an ‘upper-middle income’ country[iii];  yet a the Human Development Indices of 2008 by the United Nations Development Programme[iv] found over 50% of South Africans live on less than $2 a day; and worse, over half of those live on less than $1.25 (the international standard for extreme poverty). These statistics go a long way to explaining the lack of nutritional food for the average mainstream student. I do not wish to simplify; there are many other determining factors including educational attainment of parents, place of abode, employment of household and sex[v], all of which are statistically significant contributing factors. But we can’t ignore the elephant in the room: poverty is at the heart of food insecurity.

So Filthy Rich, So Bloody Poor

Since 1994 and the end of the apartheid system South Africa’s GDP has risen dramatically, but the distribution of the generated wealth has been far from equal[vi]. South Africa is now one of the most unequal countries on the planet. And whether we like to face up to it or not, the colour of our skin is still a good indicator of whether we fall into the extreme poverty bracket or not. Despite all the rhetoric to the contrary, the average black household earns on average 16% of the average white household[vii]. The poor, rural schools with which we worked have 100% black populations whose catchment area are poor rural black communities. Again, living in a rural area being another significant factor in the chances of falling below the poverty line.


Shame upside down spells hope the right way up

Many of the papers I have been reading compared South Africa with other much poorer countries in a negative light, emphasising, for example, the high educational attainment levels of children from much poorer Latin American countries in comparison to South Africa. In fact, most papers I came across were less than complimentary about the education, poverty and inequality realities of Africa’s richest nation.

But then I realised, I had been reading the papers upside down and back to front. Such shocking statistics shouldn’t be read with a sorry heart. Indeed, they should be read as a reason for hope! If much poorer nations can achieve better results in educational, poverty and equity terms, then why on earth can’t South Africa.  Well, such an answer is far beyond the remit of this blog and way beyond my capabilities, but it has planted in me the seed of hope and a desire to research more about where things are going well.



Thanks for the energy M & J

First person experience of some of these realities has helped me gain far more understanding than any academic paper ever could. And we too, here in Chintsa, have cause for hope and celebration. The feeding scheme is working. The energy levels in the classrooms and computer laboratories where we run our Wild Coast Schools Programme are fantastic. And for that we have to thank Mike and Jo Ford, the founders of the Friends of Chintsa Feeding Scheme. It is making a real difference to children who would otherwise lack the nutritional food required to benefit from the education, however unsatisfactory, than they would otherwise could.  


Blundering my way through the bush

Ok, so this is all a bit disjointed and if you’re hoping that I will at last bring it all together in a simple, well formulated and inspirational conclusion then please stop reading now; I do hate to disappoint. However, I hope that I’ve given you some food for thought. Whoever you wish to blame for lack of nutritional food, the children themselves should be free from your accusations and deserving of your support. They require your help, whatever it is you can give, be it a few pennies, a huge fundraiser, a month long sponsored fast or simply a quick and relatively painless ‘like’ of our Friends of Chintsa Facebook page. I thank you all for your help and time, and proudly pass the baton on to our last Nuremburg volunteers, Kat and Jana who are currently going without the hot stuff back in Germany! Keep u the good work both. Love and (deliciously warm) peas.   



[i] The South African National Health and Nutrition Examination Survey, 2013, HSRC Press Ltd.
[ii] Sorhaindo S. and Feinstein L. ‘Wider Benefits of Learning Research Report No.18’ 2006. IOE London
[v] A. Narayan and S. Mahajan ‘The State of Opportunities in South Africa: Inequality among Children and in the Labour Market’ Poverty Reduction and Equity Department World Bank Vol. 2, No. 1 2013
[vi] Tonheim M. and Matose F. “South Africa: social mobility for a few?” Norwegian Centre for Peace Building, 2013 Report
[vii] 2012 Transformation Audit: The Youth Dividend, Chapter 4: Poverty and Inequality P.71 2012

Tuesday 5 November 2013

EC coalition meeting with Parliament 6 November - Pt. 8 Chintsa For Better Health Care


Dear East Coast Friends

Things are moving on both the small and the big level.

Starting big – tomorrow the Eastern Cape Health Crisis Coalition will be addressing the Parliament Portfolio Committee of Health. The Committee had already called our Health minister and Dr Mbengashe (the new HOD of Health in our province) to come and report following the Death and Dying publication that was released by Section 27 on the day of the March. At that meeting one of the committee members actually called for the MEC to be fired. It is a slim chance that we are actually going to get rid of the MEC but getting parliament involved will help strengthen the Coalition’s cause and hopefully motivate Dr Mbengashe to address our concerns. The coalition now has over 20 member organisations, with the Keiskammahoek Trust being the most recent one to join.

And on a local level. We had given our resolutions for health care access in ward 6 to our ward councillor, who presented our case to Mr Mali, who carries the Portfolio of Health for the Great Kei Municipality. He has given our report to Mr Lusasa, the Buffalo City subdistrict manager and Counsellor Billie, from the regional District Health Council. The most urgent issues around ward 6 – particularly mobile clinics, the health post handover and ambulance access will be on the agenda of the next District Council Meeting on the 22nd of November 2013 and Mr Mali will represent us at that meeting. I have sent a summary of our issues for their agenda to Counsellor Billie. They will be discussing the handover of health services from Buffalo City Metro to Amahlati and I am therefore very pleased that the issue of Ward 6, and particularly Chintsa, will be covered at that meeting. The slow, bureaucratic process has begun….




Remember to spread the word about how to get in contact with the ECHCAC and stay informed about our work:

Facebook: www.facebook.com/EChealthcrisis (please like the page!)
Website www.echealthcrisis.org (please sign the memorandum!)
Phone: Kwazi Mbatha: 0780599309 or Anele Yawa: 073 555 8849 

Madeleine Muller
RuDASA National Secretary
    
Rural Doctors Association of Southern Africa
Inspiring others to Rural Health
Tel: 0741028137

Catch up on all the health crisis stories in the posts below!