Food Security in Africa A Cross Scale Empirical Investigation Using Structural Equation Modelling
Food Security in Africa A Cross Scale Empirical Investigation Using Structural Equation Modelling
DOI 10.1007/s10669-017-9652-7
Abstract Despite consistent gains in global agricultural the critical importance of availability and accessibility for
productivity in the last 50 years, lack of food security mitigating food insecurity.
persists in many regions of the world. Addressing this issue
is especially pertinent in Africa where 39 of the nearly five Keywords Food security Undernutrition Africa
dozen nations most at risk of food insecurity are located. Structural equation modeling
We draw from interdisciplinary research to develop an
empirical model that outlines the four interconnected
aspects of food security—availability, access, utilization 1 Introduction
and stability. Given the complexity of this issue, we
develop a model that considers agricultural, socio-political, Persistent food insecurity is a challenge for the global
and economic factors as drivers of food security and its community. In the face of global wealth gains, economic
manifestations, related in a complex system of relations growth, and increased food production since at least the
that includes both direct and indirect paths. We use struc- 1950s, populations remain vulnerable to shifts in food
tural equation modeling with latent variables to specify a availability and access. Food insecurity is the norm rather
model that seeks to determine the primary drivers of food than the exception in the developing world and is a par-
security over 55 years in Africa, West Africa as a region, ticularly critical challenge in Africa where recent work
and for a group of 5 West African countries: Burkina Faso, estimates 1 in 4 people go hungry (UNDP 2017). Since the
Ghana, Mali, Niger, and Nigeria. Empirical results reveal factors shaping food security are complicated and interre-
lated, encompassing social, economic, political, and envi-
ronmental issues from poverty and inequality to health,
temperature, and rainfall, developing an empirical model to
& Riva C. H. Denny test these proposed paths requires careful and rigorous
[email protected]
specification, assessment, and validation. In this study, we
1
Department of Sociology, Michigan State University, build a model of food security that specifies multiple paths
East Lansing, MI, USA from social, economic, political, and agricultural factors
2
Department of Geography, Environment, and Spatial and tests these proposed direct and indirect relations for
Sciences, Michigan State University, East Lansing, MI, USA African countries, with a West African regional emphasis,
3
Department of Community Sustainability, Michigan State and for a five-country West African sub-sample, over 55
University, East Lansing, MI, USA years using structural equation modeling with latent vari-
4
Department of Forestry and Environmental Resources, North ables (SEMLV).
Carolina State University, Raleigh, NC, USA For decades scholars have investigated food security as
5
Department of Construction Science, Texas A&M an important component of well-being, since answering the
University, College Station, TX, USA question of who goes hungry and why is a topic of great
6
Department of Agricultural, Food, and Resource Economics, importance to populations, governments, and policymakers
Michigan State University, East Lansing, MI, USA worldwide. Food security is recognized as a fundamental
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right and is a central goal of development efforts and originated from efficient, effective, [equitable] and
international organizations including the Food and Agri- low-cost food systems that are compatible with sus-
culture Organization (FAO) of the United Nations, the tainable use of natural resources. (Quisumbing et al.
World Bank, and the International Food Policy Research 1995, p. 50)
Institute (IFPRI). Famines and disasters draw episodic
The four key aspects of food security—availability, access,
international media attention to this recalcitrant problem,
stability, and utilization—are described by the FAO (2008)
such as in Niger in 2004/2005 (BBC 2005), and, as of this
and encompass the cross-scale relevance of daily struggles
writing in 2017, in Somalia (Gettleman 2017), yet food
for subsistence related to adequate food along with system-
insecurity reflects deeper structural challenges related to
level production and distribution challenges. Availability
inequality and distributional issues related to resource
and access describe (1) the presence or existence of food,
access. Ecological factors contributed to both crises, yet
that is whether food in the area or particular place is
played out via a slightly differing confluence of events.
physically available, and (2) physical and economic access
Although the poor harvest the preceding fall was the
to that food. Utilization refers to food preparation and
proximate cause of the 2005–2006 famine in Niger, the
feeding practices, food diversity and distribution in the
lack of rain during the rainy season in the month of August
household, and the biological ability to utilize the food
the prior year—typically when the heaviest rains occur—
consumed, which determines nutrition status and thus
and subsequent pest damage where locusts destroyed crops
represents where physical health becomes a crucial com-
were key precipitating events. Drought, given the pro-
ponent of food security. Although present in varying
longed absence of rain for nearly 2 years, is one factor in
degrees depending on any number of social, economic, and
what is being labeled as the 2017 famine in Somalia. Crop
political factors, the configuration and stability over time of
failure and livestock deaths are occurring, and more than
the other three pillars in relation to one another can define a
six million Somalians are facing increased prospects of
population as food insecure and/or be applied to the system
malnutrition and related diseases. Thus, food security is a
in its entirety.
challenging and critically important topic given its com-
Research on food security is evident in numerous dis-
plexity with regard to conceptual dimensions, its cross-
ciplinary fields in the social sciences including sociology,
scale attributes, and variability across spatial, temporal,
economics, geography, and political science as well as in
and social gradients.
the physical sciences including agronomy, ecology, and
The paper proceeds as follows. The next section
biogeochemistry. Increasingly, much of the food security
describes prior research that informs this study, in which a
work is transdisciplinary, incorporating insights from
path diagram of the drivers of food insecurity across the
relevant fields as needed to address this critical issue with
four pillars of availability, access, stability, and utilization
a shared objective: to improve human well-being. Given
is developed. Next, the data and empirical models are
this broad disciplinary breadth, the unit of analysis of
discussed, followed by results and discussion of the anal-
studies of food security ranges from individuals and
yses. The paper concludes with a discussion of avenues for
households to communities, regions, countries, and groups
future academic work.
of countries as defined by geographic boundaries (e.g.,
Sub-Saharan Africa) and/or geo-political/economic cate-
gories (e.g., less developed countries or LDCs). Extant
2 Defining and explaining food insecurity
work on food security chronicles not just the particular
constellation of the pillars but also how these intercon-
Consensus has emerged among scholars in recent decades
nected aspects play out over time, over space (e.g., across
regarding how to define food security in relation to the
communities and/or countries), and in relation to defining
household. At the household level, food security is the
vulnerable groups. Many programs run by international
ability of a household to secure enough food to ensure
organizations aimed at reducing hunger and food insecu-
adequate dietary intake of socially acceptable foods for all
rity are targeted at the national level to allow for tailored
its members. Efforts to explain food insecurity focus on
approaches with regard to how policies are constructed
how availability, access, utilization, and stability take
and implemented (Stamoulis and Zezza 2003). As a result,
shape across different scales ranging from the global to the
studies of food security are wide-ranging and varied,
individual and how this affects human populations and
including regionally focused investigations, country-
decision-making, especially at the household level.
specific work, within-country research, examinations of
Food security exists when every person has access to households specifically, as well as multi and cross-scale
sufficient food to sustain a healthy and productive approaches. Throughout, the crucial roles of contexts are
life, where malnutrition is absent, and where food highlighted.
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In explaining food security, scholars have developed population, thus curtailing the potential for economic and
conceptual models that to varying degrees incorporate the social development and thus institutional transformation.
pillars of food security. Building models is challenging This includes work on food security, particularly at the
given the uneven spatial distribution of these concepts and national or macro-comparative scale as incorporated in
the identification of—to varying degrees—both proximate cross-national studies (Firebaugh and Beck 1994; Jenkins
and underlying causes of hunger, undernutrition, malnu- and Scanlan 2001).
trition, and food insecurity. The seminal work of Sen Studies also examine economic and political determi-
(1981), for instance, outlined a clear shift in the puzzle of nants of food availability and access using a macro-com-
food security. How and why in the context of an increasing parative, cross-national approach to investigate whether or
global food supply is food insecurity possible? Moving not an available food supply and by extension the broader
from the availability or supply-side argument, Sen posited food system holds the key to enhancing food security
that more attention should be paid to questions of access through reducing food insecurity (Jenkins and Scanlan
that illuminate demand-side dynamics and bring social, 2001; Scanlan and Jenkins 2001; Brady et al. 2007; Jenkins
political, and economic factors squarely into focus as key et al. 2007). This work reveals that food availability does
drivers (Barrett 2010). Specifically, questions of access are not necessarily result in food security in less developed
demand-side topics that maintain a focus on adequacy of countries (LDCs) (Jenkins and Scanlan 2001) and that
economic production and growth. More recent work builds economic gains do not consistently result in improved
on this, introducing notions of equity and justice with food, nutrition, and health (Brady et al. 2007). It is also the
regard to distributional issues that also have cross-scale case that increases in food security, as measured by
relevance. Briefly, harkening back to defining food inse- reductions in child hunger, is not uniformly found in LDCs
curity, differences can be shown within a nation as well as but rather is confined to a subset of well-to-do LDCs
within a household in terms of whether all societal or (Scanlan and Jenkins 2001). This work also demonstrates
household members have access to sufficient food to meet the relevance of more than just food supply, such as key
their needs. socio-political variables including gender stratification and
A central element in work on food security is the role of military conflicts that increase the prevalence of child
environmental conditions in facilitating agricultural pro- hunger in the developing world (Jenkins et al. 2007).
duction and economic growth. Ecological factors linked Expanding social and political rights and improving
with temperature, rainfall, and soil conditions have clear gender equality has been advanced as important for
roles in agricultural production, particularly in Africa reducing child hunger and by extension food insecurity of
where most agriculture is rain-fed. Given this fundamental vulnerable populations (Jenkins et al. 2007; FAO 2015a;
reliance on natural system irregularity, populations are UNDP 2017). Reductions in health and educational dis-
especially vulnerable to shifts in ecological conditions like parities between income groups, women and men, children
climate variability. Food production as evidenced by and adults, rural and urban residents, and other social
agriculture and increased food supply is posited as crucial categories have the potential to reduce barriers to food
for development. Measured at the national scale and pro- accessibility as well as the stability and utilization of
moted as vital to improving societal well-being, increases available resources. Strategies for poverty reduction that
in agricultural production through increased crop yields are emphasize access to basic needs and increasing opportunity
touted as positive, and expected to reduce food insecurity for livelihood gains have long been argued to result in
with respect to food availability. promoting increased overall well-being such as education
A long line of research in development argues that gains for girls that can with time result in gains in gender
economic growth promotes societal and human well-being, equality for women (Bouis and Hunt 1999; Brady et al.
at least since the inception of the growth consensus model 2007).
(Rostow 1959; Kerr 1960). Within the field of develop- Given this broad disciplinary breadth, the unit of anal-
ment, promotion of the ‘benefits to growth’ model spills ysis of studies of food security ranges from individuals and
over into topics linked with economic growth like indus- households to communities, regions, countries, and groups
trial and agricultural production. In effect, wealth accu- of countries as defined by particular discipline-relevant
mulation reaches all social and economic categories in geographic boundaries (e.g., Sub-Saharan Africa) and/or
society—from rich to poor—and thus improves human geo-political/economic categories (e.g., less developed
welfare, although likely via different mechanisms related countries or LDCs). Some conceptual models include
to the international stratification system including capital, multiple paths of influence (Hammond and Dube 2012;
aid, and investment as well as the intra-national income Stamoulis and Zezza 2003). Given our focus on the nation-
inequality distribution. The development potential of a state as the unit of analysis and use of SEMLV, we draw
nation can be hampered by poverty and poor health of the from related substantive work investigating life expectancy
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and the likelihood of experiencing a disaster for the com- boxes depict observed (manifest) variables and ovals show
parative, cross-national approach. latent (unobserved) variables. Conceptual groupings that
Substantively related cross-national, comparative work map onto the four pillars of food security are shown by
using SEMLV investigates life expectancy and disaster boxes enclosed with dashed lines. Our model includes
devastation (Austin and McKinney 2012, 2016). In the latent variables, created from the conceptual underpinnings
former, hunger is included in a model of health, political, in previous work, which are abstract constructs best mod-
and economic factors affecting life expectancy in devel- eled using multiple indicators that are conceptually rele-
oping countries, specifically LDCs, and in Sub-Saharan vant and intercorrelated. We describe each latent variable
Africa (SSA) given the low life expectancy across the and the specific individual measures of which they are
region and also in comparison globally with the rest of the comprised in the data and methods section. This model
world. In the latter, disaster vulnerability is examined in shows that environmental, socio-political, and economic
poor nations as the result of social, economic, political, and variables have direct and indirect effects on measures of
environmental factors associated with underdevelopment. availability, accessibility, utilization, and the final outcome
Examining a path model of disaster vulnerability with 85 variable: undernutrition.
nations, Austin and McKinney (2016) demonstrate direct Moving from left to right in the path diagram in Fig. 1,
effects of health resources and gender equality and indirect our hypothesized model shows that we use three variables
effects of economic and political variables working to incorporate social and environmental stability through-
through these two measures. out the model. At the top of the model diagram, agricul-
Extant work demonstrates that the factors shaping food tural inputs are posited to affect agricultural production
security are complex and interrelated, encompassing social, which then affects variability in the food supply and food
economic, political, and environmental issues from poverty aid, all of which affect the adequacy of dietary energy
and inequality to social rights protections, health, and supply. These effects comprise the food supply or avail-
temperature and rainfall. Many empirical models tend to ability part of the model. At the bottom of the model are
emphasize agricultural variables as central to understand- the utilization variables related to disease burden, preven-
ing food security, often as stand-alone models without tion, and treatment. Also of importance is accessibility,
specific ties to social systems. We seek to integrate these measured with poverty, which is in the center of our path
disparate threads into an empirical model that accounts for diagram and serves an important link between the stability,
complexities related to identifying primary and secondary availability, and utilization components and their ultimate
factors affecting food security (Hammond and Dube 2012; effect on our final outcome variable: undernutrition. We
Drimie and McLachlan 2013; Stamoulis and Zezza 2003). use a latent variable of undernutrition that encapsulates
Prior work outlines the factors shaping food security to be multiple measures of the nutritional status of the population
direct and indirect but do not necessarily construct models as described in detail below. The nutritional status of the
that reflects the complexity. In addition, although work population, especially as it applies to vulnerable groups
includes aspects of accessibility and availability, stability, like children or the elderly, status has long been viewed as
and utilization, the latter is explicitly examined with less a measurable outcome of hunger and food insecurity
frequency in empirical models. In this study, we build a (Anderson 1990; UNICEF 1990; Campbell 1991; Sta-
model of food security that specifies multiple paths from moulis and Zezza 2003; Bhattacharya et al. 2004; FAO
social, economic, political, and agricultural factors and 2015b).
tests these proposed relations in African countries, the To develop this model, we drew from past studies
West Africa region, and a group of five dryland West regarding what concepts were essential to include and how
African countries over 55 years using structural equation they were related to one another. Our model does not
modeling with latent variables (SEMLV). replicate a model from previous work but does share
emphasis on the pillars of availability and stability and
relies on prior conceptual work to also bring access and
3 Modeling food security utilization into the framework (Hammond and Dube 2012;
Stamoulis and Zezza 2003). Data coverage and availability,
Drawing from prior research described in an earlier section, both spatially and temporally, were significant factors
here we outline an empirical model that encompasses the informing our decisions about how availability, access,
four main pillars of food security: stability, availability, stability, and utilization were operationalized and
access, and utilization (FAO 2008, 2010; Hammond and interconnected.
Dube 2012; Stamoulis and Zezza 2003). Figure 1 shows
our hypothesized model of food security and undernutrition
using conventions from path analysis and SEMLV where
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Fig. 1 Conceptual path diagram. Boxes indicate observed variables, ovals indicate latent variables, dashed boxes indicate variables that
represent the four pillars of food security
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model fit that examine whether this model adequately 4.1 Outcome variables
captures the relations shown.
As an initial step in model building and testing, CFA ‘Undernutrition’ is a latent construct (or measurement
analyses or measurement models were completed for each model evaluated using confirmatory factor analysis (CFA),
of the latent variables. That is, we completed CFA analyses a technique in SEM) that includes three variables capturing
for each latent construct on its own, using the full sample critical dimensions of undernourishment: prevalence of
of countries and years, to check the reliability of each undernourishment as percent of the population experienc-
observed variable in the measurement model, and overall ing it, prevalence of undernourishment as a 3-year average
fit. Detailed results for component and overall fit for each of the percent of the population experiencing it, and share
latent variable in the model in Fig. 1 are available upon of dietary energy supply from starchy staples (i.e., cereals,
request. Numerous measurement models were tested while roots and tubers) as a 3-year average of the percent of the
selecting the specific measurement models used for the diet as a measure of lack of dietary diversity (Hoddinott
four latent variables in this model. Many latent variables et al. 2002). Empirical checks provide information
were considered that we ultimately reduced to summed regarding the validity and reliability of the individual
indexes (such as the poverty index, natural disaster index, measures (e.g., standardized factor loadings ranging from
and education index variables) or single observed variables 0.995 to 1 and unstandardized loadings from 0.892 to 1, all
(such as the tuberculosis rate variable), due to lack of data significant).
and/or poor measurement model fit. The Poverty Index variable comes from combining two
Variables in the full empirical model include measures measures of poverty: the percentage of the population
from social, economic, political, health, and agricultural living on less than $2 a day, and the poverty gap at $2 a
domains. All variables were gathered from secondary data day—the mean shortfall from $2 a day expressed as a
sources including the World Bank’s World DataBank percentage.
(http://databank.worldbank.org/data/home.aspx), and the We include four measures of food availability: three
FAO’s FAOSTAT (http://www.fao.org/faostat/en/#home), measures of food from different sources and one of the
unless otherwise noted. Variable transformations were adequacy of the food supply. Food production is the
completed as appropriate and as described in the following. average value of food produced in standardized dollars per
We have 8 outcome (endogenous) variables in our full person expressed as a 3-year average. Food imports are
empirical model, of which 6 are observed and 2 are latent, shown as a percentage of merchandise imports. Food aid is
and 12 predictor (exogenous) variables of which 10 are in grams per capita per day and includes both cereal and
observed and 2 are latent. non-cereal foods. Diet energy adequacy is the 3-year
average of dietary energy supply adequacy expressed as a
percentage (e.g., 100% = ‘adequate’).
We include two measures related to food utilization.
Tuberculosis rate is the incidence of tuberculosis per
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100,000 people; we use this variable as a proxy for the CPIA gender equality rating (rescaled to look like a per-
health of the population. Disease prevention and treatment centage), and the percentage of teenagers (ages 15–19) that
is a latent variable with six indicators. Three indicators are do not give birth (a transformed version of the adolescent
immunization rates for: diphtheria, pertussis and tetanus fertility rate). The CFA results and fit statistics indicate a
(DPT) immunization (percentage of children ages reasonable fit (Chi-square is significant,3 RMSEA =
12–23 months), Hepatitis B (percentage of children 1-year 0.069, IFI & CFI = 0.973).
old), and measles (percentage of children ages Water and Sanitation Infrastructure is a latent variable
12–23 months).1 The additional four indicators are: the that includes 4 predictors: the percentage of the population
percentage of newborns protected from tetanus by virtue of with access to improved sanitation facilities, the percentage
being born to mothers who had been vaccinated, the per- of the population with access to an improved water source,
centage of children under 6 months old who are exclusively the percentage of the rural population not practicing open
breastfed, and the percentage of children under age 5 with defecation, and the percentage of the urban population not
diarrhea who are treated with oral rehydration salts. Fit practicing open defecation. Fit statistics of this measure-
statistics of this measurement model indicate very good to ment model indicate very good to excellent fit of this latent
excellent fit of this latent construct (Bollen 1989; West construct (Bollen 1989; West et al. 2012). The fit of this
et al. 2012). Overall model fit statistics are excellent—the latent variable is very good (Chi-square is significant,
Chi-square value is non-significant and values for the RMSEA = 0.052, IFI & CFI = 0.996).
Incremental Fit Index (IFI), and the Comparative Fit Index The Gross domestic product (GDP) per capita in con-
(CFI), are 0.999. Values above 0.95 suggest very good to stant 2005 US dollars is included to measure economic
excellent fit for these measures (West et al. 2012). The development. The age dependency ratio (ADR) is the ratio
root-mean-square error of approximation (RMSEA) is of individuals younger than 15 and older than 64 (depen-
0.015 (CI 0.000, 0.031). For the RMSEA, values closer to dents) to those between the ages of 15 and 64 years
zero are desirable and below 0.05 suggests very good fit. expressed as a percentage. The remaining three exogenous
observed variables are related to agricultural productive
4.2 Predictor variables capacity: the amount of agricultural land in 1000 sq. km,
the tractor density, as the number of tractors per 100 sq. km
We include three measures of stability, one environmental of arable land, and the amount, in kilograms, of fertilizer
and two social. The natural disaster index is a sum of nine used per hectare of arable land. Education is measured as
variables from the International Disaster Database from the the summed index of three variables: the gross enrolment
Centre for Research on the Epidemiology of Disasters ratio in primary, secondary and tertiary schools of both
(CRED) (http://www.emdat.be/). These were nine dummy sexes combined expressed as a percentage. The gross
variables on whether or not there was a: drought, earth- enrolment ratio is the total enrollment of all ages compared
quake, extreme storm, temperature extreme, flood, insect to total population of expected age for the education level.
infestation, landslide or dry mass movement, volcanic Public health expenditures are the healthcare portion paid
activity or a wildfire in the year. Social rights is a summed by government entities expressed as a percentage of total
index of two variables: the scores of the degree of civil health expenditures.
liberties and the degree of political rights from Freedom
House (https://freedomhouse.org/reports), reverse coded so 4.3 Sample background
that high values indicate high degrees of rights and liber-
ties. The Refugee population variable is the percentage of Using the above-mentioned model and variables, we focus
the country’s population that are refugees. on food insecurity in Africa where roughly one-fourth of
The latent construct ‘Gender Equality’ includes six the population goes hungry. Fourteen African countries
variables. Four variables are related to education: the have undernourishment rates of 25% or more of the pop-
gender parity index (GPI) for gross enrollment in primary, ulation, another 7 have undernourishment rates of
secondary and tertiary schools,2 which is the ratio of girls 15–24.9%, and 20 countries have failed to meet their
to boys enrolled at each level of school expressed as a Millennium Development Goal hunger target—which in
percentage, and the ratio of female to male literacy rates the aggregate are higher rates than any other continent
expressed as a percentage. The other two variables are the (FAO 2015a, b). Paarlberg (1999) suggests that a combi-
nation of historical, political, economic, ethnic and envi-
1 ronmental factors contribute to Africa’s distinctiveness
We include theoretically based correlated errors between the three
immunization rate variables.
2 3
We include theoretically based correlated errors between the three Give the large size of our sample a significant Chi-square test is not
education GPI variables. surprising.
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Table 1 Background on region sub-samples and African continent: 2005–2014 averages per country
Africa West Africa 5 Countries
compared to developing countries in other parts of the nations,5 and a five-country sample of nations within West
world when it comes to efforts to improve food security. Africa.6 Our approach creates multiple spatial comparisons
Not only does Africa seem to be unique from other global to broaden our understanding of how food security takes
regions, but there is also likely to be substantial variation shape across the African continent, across a region (West
within global regions including within Africa (Barrett Africa), and then further zooms into five countries to pro-
2010). vide a comprehensive look at how these dynamics play out
In our analyses, we seek to further our understanding of at different spatial scales. Comparing across these three
the spatial distribution of vulnerable populations and the groupings, there is considerable variation in many indica-
social, economic, political, and ecological contexts within tors (see Table 1).
which these individuals are embedded. Thus, we consider We highlight a few values from the table. First, the
Africa as a continent,4 a regional sample of West African cereal yields are highest when a continental lens is used
(close to 1500 kg per hectare averaged over countries and
years) and lower across West Africa as a region and the
group of five West African countries at 1218 and 1186 kg
4
Southern Region: Botswana, Lesotho, Namibia, South Africa, per hectare averaged as appropriate. Second, it should be
Swaziland; Eastern Region: Burundi, Comoros, Djibouti, Eritrea,
Ethiopia, Kenya, Madagascar, Malawi, Mauritius, Mozambique,
noted that the prevalence of undernourishment as a percent
Rwanda, Seychelles, Somalia, South Sudan, Tanzania, Uganda, of the population is highest across the African continent
Zambia, Zimbabwe; Middle Region: Angola, Cameroon, Central (approximately 21%) and lower in both West Africa as a
African Republic, Chad, Congo, Democratic Republic of the Congo,
Equatorial Guinea, Gabon, Sao Tome and Principe; Northern Region: 5
Algeria, Egypt, Libya, Morocco, Sudan, Tunisia; Western Region: Benin, Burkina Faso, Cape Verde, Cote d’Ivoire, Gambia, Ghana,
Benin, Burkina Faso, Cape Verde, Cote d’Ivoire, Gambia, Ghana, Guinea, Guinea-Bissau, Liberia, Mali, Mauritania, Niger, Nigeria,
Guinea, Guinea-Bissau, Liberia, Mali, Mauritania, Niger, Nigeria, Senegal, Sierra Leone, and Togo.
6
Senegal, Sierra Leone, Togo. Burkina Faso, Ghana, Mali, Niger, and Nigeria.
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Fig. 3 Path diagram showing simplified model results for Africa model
region and the five West African countries at 16.2 and outlined in Fig. 1, specifying that environmental, socio-
11.2%, respectively. Third, the prevalence of food inade- political, and economic variables have direct and indirect
quacy is largest at the continent at 11.3% of the population, effects on measures of availability, accessibility, utiliza-
lower in the West Africa region at 3.1% and lower still for tion, and food insecurity or undernutrition. Our analyses
the group of five West African countries at 1.7% of the use the four pillars of food security—accessibility, avail-
population. Fourth, the depth of the food deficit is the ability, utilization, and stability—as specified in the model
largest at the continental scale at 151 kcal per day com- shown in Fig. 1 and explained in detail in this section. Our
pared with the West Africa region and group of five West sample is all 54 African countries over 55 years
African countries at 116 and 79 kcal per day, respectively. (1960–2014), which provides 2885 observations. We use
Although important, these values do not show the full structural equation modeling with latent variables
range of variability across the continent nor do they show (SEMLV) to estimate the model using AMOS software.
the within-region differences for individual nations. We run three models: one unrestricted model that covers
the entire African continent, and two that use a dummy
4.4 Analysis variable to control for the West African region, and a five-
country sub-sample of West African countries, respectively
Table 2 presents the descriptive statistics for the variables (see footnotes 4, 5, and 6).
used in the analysis. We investigate the empirical model
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Table 3 Standardized and unstandardized maximum likelihood coefficients, and standard errors from SEMLV of undernutrition, predictors of
dietary energy adequacy in Africa, with controls for West Africa region, and five-country sub-sample, 1960–2014 (n = 2885)
Africa West Africaa 5 Countrya
Unstd coeffs (SE) Std coeffs Unstd coeffs (SE) Std coeffs Unstd coeffs (SE) Std coeffs
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Table 4 Standardized and unstandardized maximum likelihood coefficients, and standard errors from SEMLV of undernutrition, predictors of
poverty index in Africa, with controls for West Africa region, and five-country sub-sample, 1960–2014 (n = 2885)
Africa West Africaa 5 Countrya
Unstd coeffs (SE) Std coeffs Unstd coeffs (SE) Std coeffs Unstd coeffs (SE) Std coeffs
gender equality is not. A potential explanation for the size of ADR is about half the size as in the Africa model,
effect direction of gender equality is that the measures we and the effect of the education index on the poverty index is
use in the latent variable, such as education participation, modestly larger. The five-country sub-sample model is
literacy, and adolescent non-fertility rate, simply do not very similar to the Africa model, with the exception of the
function to improve economic status due to the presence of effect of the education index on the poverty index, which is
other forms of gender discrimination. not significant.
There are some notable cross-group differences for the
drivers of the poverty index, particularly when controlling 5.3 Utilization
for West Africa, that show important spatial differences. In
the West Africa model, social rights, and gender equality The ability to absorb and thereby utilize the nutrients that
change sign and become non-significant, while the effect are consumed is an important element of nutritional
Table 5 Standardized and unstandardized maximum likelihood coefficients, and standard errors from SEMLV of undernutrition, predictors of
tuberculosis rate in Africa, with controls for West Africa region, and five-country sub-sample, 1960–2014 (n = 2885)
Africa West Africaa 5 Countrya
Unstd coeffs (SE) Std coeffs Unstd coeffs (SE) Std coeffs Unstd coeffs (SE) Std coeffs
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Table 6 Standardized and unstandardized maximum likelihood coefficients, and standard errors from SEMLV of undernutrition, predictors of
undernutrition in Africa, with controls for West Africa region, and five-country sub-sample, 1960–2014 (n = 2885)
Africa West Africaa 5 Countrya
Unstd coeffs (SE) Std coeffs Unstd coeffs (SE) Std coeffs Unstd coeffs (SE) Std coeffs
security. Poor health can cause as well as be caused by of public health expenditures on tuberculosis rate may be
poor nutrition. Table 5 shows the results of the drivers of due to having unmeasured reciprocal effects—the govern-
tuberculosis rate, a proxy for overall population disease ment might be spending a larger proportional share of
burden. In Africa water and sanitation infrastructure is the health care costs because there are higher tuberculosis
most important driver, as indicated by the size of the rates, not because publicly funded healthcare somehow is
standardized coefficient, and it has an expected negative less effective or contributes to the tuberculosis rate.
effect on tuberculosis rate. The ADR is the other predictor The West Africa results for tuberculosis rate are
that has a negative and significant effect on the tuberculosis somewhat different in magnitude than for all of Africa,
rate, while social rights, refugee population, and public with greater effects of social rights, refugee population,
health expenditures have a positive effect on the tubercu- ADR, and water and sanitation infrastructure, and a
losis rate. There is also a significant and positive non- smaller effect of public health expenditures. The five-
causal relationship between the tuberculosis rate and the country sub-sample model is quite similar to all of Africa
poverty index.8 with the notable exceptions of refugee population, which is
Three variables have counterintuitive effects. The neg- not significant, likely due to there being very low rates of
ative effect of ADR on tuberculosis rate is not as expected, refugees in these countries,9 and disease prevention and
but may be a result of the use of tuberculosis rate as a treatment having a significant negative effect on tubercu-
proxy for disease burden. We would expect having a larger losis rate. These counterintuitive effects reinforce the
proportion of young and old people in the population importance of considering multiple levels of granularity
would increase the disease burden of the population as the and especially smaller-scale context effects.
young and old are more vulnerable to disease. However, if
young and old people are less likely to contract tubercu- 5.4 Undernutrition
losis specifically, then the negative effect of ADR is rea-
sonable. The positive effects on tuberculosis rate by social Table 6 shows the direct effects on our key outcome
rights and public health expenditures are also not as variable, undernutrition, and Table 7 shows the total
expected, but may be due to false assumptions of what effects of all the model variables on undernutrition. Un-
effect these variables should have. For instance, we include dernutrition in Africa is directly reduced (Table 6) by
social rights as a social stability measure, but it may be greater diet energy adequacy, most substantially, the ADR,
embedded within other neoliberal concepts and policies disease prevention and treatment, and tuberculosis rate. As
that ultimately decrease peoples’ health. The positive effect expected, poverty is found to increase undernutrition. Of
these effects, the ADR and tuberculosis rate are not in the
8
This non-causal relationship was included because of the suspected
9
reciprocal relationship between health status and poverty that we were The mean for these five countries ranges from 0.006 to 0.090%,
not able to otherwise include in this model. while the Africa average is 0.738%.
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expected direction. The negative effect of ADR may be due of negative. Gender equality has a small but negative total
to the working age population shielding the more vulner- effect in the West Africa model, in contrast to the other two
able members of society through household food distribu- models, and the effect of water and sanitation infrastruc-
tion strategies (Bhattacharya et al. 2004). The more ture is much larger. We also see the total effect of social
surprising negative effect of tuberculosis rate on under- rights range from 0.003 to 0.131 across the models, simi-
nutrition could be the result of an unmodeled reciprocal larly to GDP per capita, which ranges from -0.677 to
relationship between undernutrition and tuberculosis rate -0.906. The total effect size of education and disease
as a proxy for disease burden, where undernutrition prevention and treatment also varies across the models.
increases disease rate more than disease rate increases
undernutrition. 5.5 Model discussion
The total effects on undernutrition in Table 7 compli-
ment the results of Tables 3, 4, 5 and 6 and show the In addition to finding important scale and context effects in
indirect effects that some variables have on undernutrition. the differences between our models, we make some
Of particular interest are the relatively large indirect effects observations on modeling food security and undernutrition
of fertilizer use, tractor density, and GDP per capita on that may prove useful to future modeling efforts. One
undernutrition that were not visible in the direct effects observation is that the composition of the latent variables
presented in Table 6. Additionally, the total effect of ADR matters for their role in the overall model. By definition,
on undernutrition is smaller than the direct effect shown in the observed or indicator variables must have particular
Table 6 (approximately -0.04 vs. -0.1). attributes regarding their substantive content and their
While the five direct drivers of undernutrition are quite empirical properties (e.g., directionality, number, and
consistent across spatial groups, several of the total effects measurement scale), which requires careful selection and
on undernutrition vary more substantially, as shown in attention to detail. However, even if the predictors all
Table 7, although they are generally in a direction that contribute to the same latent concept, the latent variable
confirms theoretical expectations. Looking across the may still not be measuring all the aspects of the concept
models by variable we see that tractor density and refugee that is desired. We potentially see this happening in the
population have a larger effect in the five-country model positive effect of gender equality on poverty in our model,
than in the Africa or West Africa models, while the effect where the type of gender equality we are capturing in the
of agricultural land is positive, though very small, instead latent variable, which is largely focused on education, may
Table 7 Standardized
Africa West Africa 5 Country
maximum likelihood
coefficients from SEMLV of Fertilizer use -0.511 -0.507 -0.613
undernutrition, effects on
undernutrition in Africa, with Tractor density 0.642 0.623 0.852
controls for West Africa region, Agricultural land -0.062 -0.062 0.007
and five-country sub-sample, Food production -0.570 -0.552 -0.559
1960–2014 (n = 2885)
Food imports -0.181 -0.115 -0.173
Food aid 0.020 0.019 0.012
Diet energy adequacy -0.925 -0.898 -0.923
Social rights 0.003 0.057 0.131
Natural disasters index 0.041 0.003 0.018
Refugee population 0.016 0.013 0.025
ADR -0.048 -0.038 -0.040
GDP per capita -0.677 -0.759 -0.906
Gender equality 0.045 -0.001 0.047
Education index -0.044 -0.061 -0.037
Poverty index 0.247 0.287 0.256
Water and sanitation infrastructure 0.031 0.067 0.040
Disease prevention and treatment -0.053 -0.079 -0.068
Tuberculosis rate -0.117 -0.151 -0.127
Public health expenditures -0.022 -0.017 -0.024
Region (West Africa) -0.317
Region (5 Countries) -0.241
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not be the aspects of gender equality that are important to the observed complexity of food security is the reason we
reducing poverty. chose to use SEMLV rather than a classic regression model
A second observation is that we need to pay more where we would be assured of getting model fit measures.
attention to how we incorporate the stability pillar into the Our analysis examines food insecurity using country-
model. The positive effect of social rights on TB rates level data, which represent one scale—the aggregate
suggests that we may need to include more stability mea- scale—that is important to chronicle in seeking to improve
sures that are more specifically selected for each outcome well-being worldwide. However, national-level processes
variable of interest, rather than trying to establish national can mask different patterns at the sub-national scale as our
stability with a few universal variables. If there are enough analysis shows. While studies using countries or regions as
appropriate variables available, this will also be useful the unit of analysis are useful for identifying inadequacies
empirically for model identification and estimation. in supply, studies also need to delve more deeply into
A third observation is that we need to consider disen- within-country or intra-national challenges related to
tangling the potentially reciprocal effects between poverty, access and utilization (Barrett 2010).
utilization/health, and undernutrition. There is an estab-
lished conceptual connection between poverty, which
contributes to household food insecurity and undernutrition 6 Conclusion
in individuals, which can cause physical and cognitive
limitations, which then makes it more difficult to break the The results of our model suggest that using undernutrition
cycle of poverty (FAO 2008). There are also predictors that as a single, combined outcome of food insecurity, as rep-
have conceptually ambiguous causal directions at least at resented by the four pillar concepts, is a useful practice. By
the national scale. For example, does disease prevention using SEMLV, we are able to not only assess the direct
and treatment reduce the amount of disease or does the predictors of undernutrition but also the drivers of the
amount of disease drive the amount of disease prevention predictors of undernutrition. Based on standardized total
and treatment happening? effects (Table 7), we find that the most important overall
The SEMLV method can be used to test reciprocal or drivers of national-level undernutrition in all three models
feedback relationships between two or more variables, but are fertilizer use, food production, diet energy adequacy,
requires very careful model specification and sufficient GDP per capita, tractor density, and poverty. Looking
data, which we could not do in the context of our current across regional scales, we see that while the direct drivers
model beyond including the error correlation between the of undernutrition and diet energy adequacy are quite con-
poverty index and the tuberculosis rate. A model designed sistent, the drivers of poverty and tuberculosis rate are not.
just to test the empirical reciprocity between poverty, This finding indicates important inter- and intra-regional
health status/utilization, and undernutrition would be an heterogeneity that should be considered and accounted for
exciting extension of this research. Other avenues for in future research, as well as the potential need accom-
future research using SEMLV include determining relevant modate reciprocal effects among accessibility, utilization
ecological factors that can be added to the existing model, and undernutrition measures.
incorporating data on rural versus urban populations, Economic growth, political stability and social rights
comparing models for different African regions, and non- and protections are vital to ensuring continued progress is
African regions, and integrating multiple spatial scales and made toward reducing food insecurity worldwide but
time-lagged effects. especially in regions, countries, communities, and house-
Modifications to the models are possible, including holds where vulnerable populations are at high risk of food
additional paths not shown here or additional variables that insecurity. Although some notable gains have been made in
may be of growing importance in this region for food recent decades, food insecurity in Africa persists and
security. We need to simultaneously grapple with goals of remains a pressing challenge for scholars and practitioners
model parsimony and data quality, as is the case in any (FAO 2015b). Moving forward, it is clear that addressing
country-level analysis. Building multiple models across this intractable challenge requires transdisciplinary
varying gradients remains an important goal of this approaches and thinking across disciplinary lines. Criti-
research and model parsimony remains instrumental to cally, even while economic development efforts chronicle
achieve this. However, given the limitations of our data we progress in well-being, these gains are not equally dis-
decided to use a pooled sample for this analysis and will tributed across social categories and nontrivial populations
examine models for individual countries using an alterna- remain vulnerable to shifts in food supply and access.
tive but related strategy of model building, testing, and Academics and stakeholders must continue to engage in
evaluation. Reducing the complexity of the model too meaningful dialogues in order to ensure that the emphasis
much threatens its usefulness; the ability to model more of
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