# Impact of COVID-19 on household hunger and socio-economic inequality in South Africa: a comparative analysis using NIDS-CRAM (2020–2021) and NFNSS 2022 data

**Authors:** Akim Tafadzwa Lukwa, Plaxcedes Chiwire, Folahanmi Tomiwa Akinsolu, Paidamoyo Bodzo, Denis Okova, Sikelela Charles Maseko, Tholang Mokhele, Whadi-ah Parker, Vuyo Mjimba, Thokozani Simelani, Charles Hongoro

PMC · DOI: 10.3389/fpubh.2025.1736131 · Frontiers in Public Health · 2026-01-12

## TL;DR

This study shows that the COVID-19 pandemic worsened food insecurity in South Africa, with wealthier households recovering faster than poorer ones.

## Contribution

The study provides new evidence on how the pandemic and recovery affected household hunger and inequality in South Africa.

## Key findings

- Household hunger peaked at 26.47% during the pandemic and dropped to 8.19% by 2022.
- Pro-rich inequality in food security intensified during the pandemic and only slightly improved post-pandemic.
- Higher socio-economic status was strongly linked to lower hunger risk across all periods.

## Abstract

Food insecurity is a persistent socio-economic challenge in South Africa that was sharply exacerbated by the COVID-19 pandemic. This study compares household hunger during the acute pandemic period and the early recovery phase and examines how socio-economic inequalities in food security evolved.

We analyzed five waves of the National Income Dynamics Study—Coronavirus Rapid Mobile Survey (NIDS-CRAM, 2020–2021) and the National Food and Nutrition Security Survey (NFNSS, 2022). A harmonized 7-day household hunger indicator was recoded as “no household hunger” and modeled using survey-weighted logistic regression. Socio-economic-related inequality in being hunger-free was assessed using the Erreygers Concentration Index and decomposition analysis, with sensitivity checks for alternative socio-economic status (SES) specifications and model diagnostics.

Hunger peaked at 26.47% in Wave 1 of NIDS-CRAM and declined to 16.07% by Wave 5, before falling to 8.19% in NFNSS. Improvements were uneven; several provinces, notably the Northern Cape, Free State and North West, remained comparatively food insecure. Across all waves and NFNSS, higher SES was strongly associated with a lower risk of hunger, and living in informal or traditional dwellings and larger household size were consistently associated with a higher risk of hunger. Erreygers indices were positive in all periods, indicating pro-rich inequality in food security that intensified during the pandemic and narrowed only modestly post-pandemic, with SES the dominant contributor.

Although household hunger declined below pandemic peaks, the recovery in food security has been unequal and remains strongly patterned by socio-economic status and place, underscoring the need for structural, equity-focused policy responses.

## Linked entities

- **Diseases:** COVID-19 (MONDO:0100096)

## Full-text entities

- **Diseases:** COVID-19 (MESH:D000086382), Coronavirus (MESH:D018352), Food (MESH:D005517)

## Full text

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## References

54 references — full list in the complete paper: https://tomesphere.com/paper/PMC12832473/full.md

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Source: https://tomesphere.com/paper/PMC12832473