Single mothers coping with food insecurity in a Nairobi slum

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Abstract

With high urbanisation rates, cities in sub-Saharan Africa are contending with food insecurity.

Urban studies scholars have approached the issue mainly from the perspective of food deserts. We adapt Sen’s ‘resource bundles’ and Watts and Bohles’s ‘space of vulnerability’ concepts to examine food insecurity as a function of both tangible and intangible resources. Moreover, we also interrogate the role of kin in strengthening safety nets for the urban poor. Drawing on a data set of 462 single mothers in a slum in Nairobi, Kenya, we find that (1) bundles comes in four types; (2) bundles with high levels of all resources buffer against food insecurity as do (3) bundles weighted with high levels of wealth and social standing; and (4) kin enhance the protective effect of bundles only for two types. These findings should direct urban poverty researchers to consider the compounding effect of resources in the reproduction of poverty and social inequality and encourage policy makers to focus on both vulnerability and resilience in designing interventions to ensure food security.

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Does social class predict diet quality?

Nicole Darmon, Adam Drewnowski (2008)

A large body of epidemiologic data show that diet quality follows a socioeconomic gradient. Whereas higher-quality diets are associated with greater affluence, energy-dense diets that are nutrient-poor are preferentially consumed by persons of lower socioeconomic status (SES) and of more limited economic means. As this review demonstrates, whole grains, lean meats, fish, low-fat dairy products, and fresh vegetables and fruit are more likely to be consumed by groups of higher SES. In contrast, the consumption of refined grains and added fats has been associated with lower SES. Although micronutrient intake and, hence, diet quality are affected by SES, little evidence indicates that SES affects either total energy intakes or the macronutrient composition of the diet. The observed associations between SES variables and diet-quality measures can be explained by a variety of potentially causal mechanisms. The disparity in energy costs ($/MJ) between energy-dense and nutrient-dense foods is one such mechanism; easy physical access to low-cost energy-dense foods is another. If higher SES is a causal determinant of diet quality, then the reported associations between diet quality and better health, found in so many epidemiologic studies, may have been confounded by unobserved indexes of social class. Conversely, if limited economic resources are causally linked to low-quality diets, some current strategies for health promotion, based on recommending high-cost foods to low-income people, may prove to be wholly ineffective. Exploring the possible causal relations between SES and diet quality is the purpose of this review.

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The local food environment and diet: a systematic review.

Caitlin E. Caspi, Glorian Sorensen, S.V. Subramanian … (2012)

Despite growing attention to the problem of obesogenic environments, there has not been a comprehensive review evaluating the food environment-diet relationship. This study aims to evaluate this relationship in the current literature, focusing specifically on the method of exposure assessment (GIS, survey, or store audit). This study also explores 5 dimensions of "food access" (availability, accessibility, affordability, accommodation, acceptability) using a conceptual definition proposed by Penchansky and Thomas (1981). Articles were retrieved through a systematic keyword search in Web of Science and supplemented by the reference lists of included studies. Thirty-eight studies were reviewed and categorized by the exposure assessment method and the conceptual dimensions of access it captured. GIS-based measures were the most common measures, but were less consistently associated with diet than other measures. Few studies examined dimensions of affordability, accommodation, and acceptability. Because GIS-based measures on their own may not capture important non-geographic dimensions of access, a set of recommendations for future researchers is outlined. Copyright © 2012 Elsevier Ltd. All rights reserved.

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Slum Health: Arresting COVID-19 and Improving Well-Being in Urban Informal Settlements

Jason Corburn, David Vlahov, Blessing Mberu … (2020)

The informal settlements of the Global South are the least prepared for the pandemic of COVID-19 since basic needs such as water, toilets, sewers, drainage, waste collection, and secure and adequate housing are already in short supply or non-existent. Further, space constraints, violence, and overcrowding in slums make physical distancing and self-quarantine impractical, and the rapid spread of an infection highly likely. Residents of informal settlements are also economically vulnerable during any COVID-19 responses. Any responses to COVID-19 that do not recognize these realities will further jeopardize the survival of large segments of the urban population globally. Most top-down strategies to arrest an infectious disease will likely ignore the often-robust social groups and knowledge that already exist in many slums. Here, we offer a set of practice and policy suggestions that aim to (1) dampen the spread of COVID-19 based on the latest available science, (2) improve the likelihood of medical care for the urban poor whether or not they get infected, and (3) provide economic, social, and physical improvements and protections to the urban poor, including migrants, slum communities, and their residents, that can improve their long-term well-being. Immediate measures to protect residents of urban informal settlements, the homeless, those living in precarious settlements, and the entire population from COVID-19 include the following: (1) institute informal settlements/slum emergency planning committees in every urban informal settlement; (2) apply an immediate moratorium on evictions; (3) provide an immediate guarantee of payments to the poor; (4) immediately train and deploy community health workers; (5) immediately meet Sphere Humanitarian standards for water, sanitation, and hygiene; (6) provide immediate food assistance; (7) develop and implement a solid waste collection strategy; and (8) implement immediately a plan for mobility and health care. Lessons have been learned from earlier pandemics such as HIV and epidemics such as Ebola. They can be applied here. At the same time, the opportunity exists for public health, public administration, international aid, NGOs, and community groups to innovate beyond disaster response and move toward long-term plans.

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Author and article information

Contributors

Sangeetha Madhavan: (View ORCID Profile)

Journal

Title: Urban Studies

Abbreviated Title: Urban Studies

Publisher: SAGE Publications

ISSN (Print): 0042-0980

ISSN (Electronic): 1360-063X

Publication date Created: October 2021

Publication date (Electronic): December 01 2020

Publication date (Print): October 2021

Volume: 58

Issue: 13

Pages: 2703-2720

Affiliations

[1 ]University of Maryland, USA

[2 ]McGill University, Canada

[3 ]Independent Researcher, USA

Article

DOI: 10.1177/0042098020963849

SO-VID: 298da71d-82d4-4827-904c-cd5425eef90c

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http://journals.sagepub.com/page/policies/text-and-data-mining-license

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Single mothers coping with food insecurity in a Nairobi slum

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Most cited references 81

Does social class predict diet quality?

The local food environment and diet: a systematic review.

Slum Health: Arresting COVID-19 and Improving Well-Being in Urban Informal Settlements

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