From the Field

Africa hunger, famine: Facts, FAQs, and how to help

In Africa, hunger is increasing at an alarming rate. The COVID-19 pandemic, conflict, drought, economic woes, and extreme weather are reversing years of progress. As of 2019, 234 million sub-Saharan Africans were chronically undernourished, more than in any other region. In the whole of Africa, 250 million people were experiencing hunger, which is nearly 20% of the population.

Conditions are deteriorating across East Africa, where 7 million people are at risk of starvation and another 33.8 million face acute food insecurity. At least 12.8 million children are acutely malnourished in the region.

“It’s heartbreaking that the lives of millions of children in East Africa are at risk due to a perfect storm of conflict, changing or unpredictable weather patterns, and the aftershocks of COVID-19,” said Edgar Sandoval Sr., president and CEO of World Vision U.S. “The long-term harm of malnutrition on children’s development hinders their ability to achieve their God-given potential.”

World Vision has launched an emergency response for Ethiopia, Somalia, Sudan, South Sudan, Kenya, and Uganda to help feed 3.2 million people, including 1.2 million children. We’re supplying families with nutritional care and screening children and pregnant mothers for acute malnutrition.

“We are marshaling resources to support vulnerable communities across East Africa to avert the catastrophic effects of hunger, starvation, and loss of livelihoods. We are particularly concerned about the impact on children,” said Joseph Kamara, regional humanitarian and emergency affairs director for World Vision in East Africa. “It is not too late to avert the crisis, but it will be soon, if we don’t act quickly and decisively.”

Further south, successive crop failures and poor harvests in ZambiaZimbabweMozambique, and Angola are taking a toll on agriculture production, and food prices are soaring. In the past four growing seasons, parts of Southern Africa experienced their lowest rainfall since 1981. Other areas suffered widespread destruction from Cyclones Idai and Kenneth in March and April 2019, near the time for harvesting.

Extreme hunger. Drought. Conflict. Help children and families in Africa.

FAQs: What you need to know about Africa’s hunger crises

Explore frequently asked questions about the Africa hunger crises, and learn how you can help hungry children and families:

Fast facts: Africa hunger crises

Recurring failed rainy seasons have made it impossible for many African farmers and herders to keep up their livelihoods. Cyclones, floods, and swarms of desert locusts also increased humanitarian needs in Eastern and Southern Africa.

  • Though the global numbers of people suffering from hunger have declined 31% since 2000, the food and nutrition situation in sub-Saharan Africa has worsened over the past four years.
  • Conflict, hunger, poverty, and displacement create a climate in which children are at risk of violence and exploitation.
  • Help is necessary to keep the Africa hunger and food crises from worsening. Children, especially those younger than 5, are the most vulnerable because they need critical nutrients to build strength and immunity against disease.


Africa food insecurity map

Serious food insecurity is a current concern in Eastern and Southern Africa, according to the Famine Early Warning Systems Network (FEWS NET).

Learn about hunger and famine in Africa and how to help
A food insecurity map of East Africa from the Famine Early Warning System highlights areas of hunger from March to May 2021. (Map courtesy of FEWS NET)


Learn about hunger and famine in Africa and how to help
A food insecurity map of East Africa from the Famine Early Warning System highlights estimated areas of hunger from June to September 2021. (Map courtesy of FEWS NET)


Why are people in Africa facing chronic hunger?

Recurring drought, conflict, and instability have led to severe food shortages. Many countries have struggled with extreme poverty for decades, so they lack government and community support systems to help their struggling families.

The economic and health impacts of the pandemic have driven millions deeper into poverty and despair. The secondary impacts of COVID-19 persist for children and their communities throughout Africa. This means a decline in income opportunities, lost livelihoods, diminished purchasing power, and limited access to basic food and services. All of which have continued into 2021.

A compressed cycle of recurring drought is also plunging the same communities into a drought again before they have a chance to recover sufficiently from the last one.

In South Sudan, where people fled their homes because of violence, few farmers have been able to harvest a crop. This limits what is available at community markets and raises food prices. Also, during the rainy season, 60% of the country is inaccessible by roads, which limits the transportation of food aid as well as goods sent to market.

From March through May 2018, long rains were 150% to 200% above normal in some East Africa locations. This brought some relief to herders as livestock benefit from renewed grasslands. However, in many places, flash floods and overflowing rivers wiped out crops, roads, and bridges, thwarting both cultivation and relief activities.

Storms kept coming. In 2020, nearly two months of heavy rains and flooding left a trail of destruction across Sudan’s 18 states, devastating more than 875,000 people, more than half of them children. Families’ livelihoods were decimated, as livestock and crops were damaged or swept away. Children faced a greater risk of food insecurity and exposed to disease and illnesses. At the time, about 9.6 million people were facing food insecurity and in need of food aid.

In such conditions, poor families can’t afford enough food to keep their children healthy, and eventually, they need emergency help from government agencies or aid groups when they run out of money and food. We’re not talking low funds or food that’s been in our pantry that’s well past its expiration. We’re talking about not having any money or any food at all — nothing.

The longer these factors persist, the harder it is for families to stave off the effects of lost livelihoods and homes.



I hear the word famine a lot, but how do you define famine?

The word famine means extreme scarcity of food. But it’s more than that — it’s the absolute worst-case scenario for a food crisis and has a technical definition used by the humanitarian community.

Keep in mind that not all food crises become famines. A food crisis becomes a famine when there’s so little food in the region that it causes large-scale starvation, malnutrition, and death.

South Sudan declared famine in February 2017 in two counties in Unity state with a population of about 100,000. By July, enough aid had reached the area so that famine conditions had ended.

To declare a famine, the following three things must all happen:

  • At least 20% of households in a given area face extreme food shortages with limited ability to cope.
  • More than 30% of children suffer from acute malnutrition.
  • Hunger causes more than two deaths each day for every 10,000 people.

When a food crisis no longer meets these technical criteria, a famine is no longer in effect.


Why does it seem like there’s always a hunger crisis in Africa?

Drought, poor harvests, and instability create a cycle that’s difficult to break. And this happens in other regions of the world, too.

When instability persists because of conflict or political problems, people flee their homes or are unable to plant their crops. Then less food gets harvested. Prices go up. Families’ livelihood prospects dwindle as markets close. Violent conflict makes situations worse because humanitarian groups often cannot access affected communities to bring emergency relief.

Droughts have become more frequent and intense in recent years in Western, Eastern, and Southern Africa. These droughts affect food-production systems in fragile contexts in similar ways that conflict does. Less food and water also mean vast numbers of dead livestock in affected areas. This devastates families whose livestock are their main source of income and nutrition.

And when 31% of children in sub-Saharan Africa are stunted due to chronic malnutrition, they lack the capacity to learn and contribute to society. It’s because their little bodies don’t get enough of the right nutrients at the right times to support physical and intellectual growth. Thus, their countries lose out on significant leadership and innovative potential, which perpetuates the cycle of poverty and deprivation.


What is malnutrition?

Malnutrition refers to an unhealthy condition that develops when your body does not get enough of the vitamins, minerals, and other nutrients it needs to function properly. It can occur when you don’t eat enough food or you aren’t eating enough healthy food.

When food crises happen, some children are malnourished for long periods. This leads to stunting (being underweight for their age). Children who were already growing poorly when the food crisis began now risk becoming permanently stunted (being short for their age).

Those who are most at risk experience severe acute malnutrition, known as severe wasting. This means their bodies are beginning to lose the ability to absorb vital nutrients. So they’re literally starving to death. And they’re nine times more likely to die than a well-nourished child.

Malnourished children don’t just need more food. They need nutrient-rich food treatment, called ready-to-use therapeutic food.

You’ve seen the photos — children getting their arms measured with the mid-upper arm circumference (MUAC) strips to gauge their level of malnutrition.
Eight-month-old Charity Asibitar is held by her mother while a community health worker measures her mid-upper arm circumference. (©2017 World Vision/photo by Jon Warren)

Medical workers often measure a child’s mid-upper arm circumference to gauge the level of malnutrition the child is experiencing. That’s why you may see photos of people wrapping a band with green, yellow, and red sections around a malnourished child’s tiny upper arm. Green indicates the child is not malnourished. Yellow indicates malnourishment. Red indicates severe malnourishment and risk of death.

Malnutrition is the cause or a contributing factor to 45% of deaths among children younger than 5 globally, according to the World Health Organization.

Read more on the tragic, long-term effects of malnutrition.


How is World Vision responding to hunger and food crises in Africa?

For more than 40 years, World Vision has brought emergency aid and long-term assistance to families and communities in Africa. Here are some of the ways we help to overcome the root causes of hunger and malnutrition:

  • Food assistance, including emergency feeding and cash
  • Diagnosis and treatment of childhood malnutrition
  • Water and sanitation to prevent water-related diseases and provide water for irrigation
  • Support for improved, more efficient agriculture and for farmers to diversify livelihoods
  • Land rehabilitation to improve harvests

From October 2018 through March 2020, World Vision staff reached more than 1.96 million people in Ethiopia and Kenya with life-saving programs. They include food, clean water and sanitation services, livelihood skills training, educational programs, other essential relief supplies, and child protection activities and programs.

Funding provided through child sponsorship programs in Kenya and Ethiopia enabled our local staff to assist communities in 2016 before the hunger crisis intensified. They provided drought-resistant seeds and training for farmers, cash-for-work programs, and other projects that help families avert crisis or weather it more confidently.

By the time the food crisis became full-fledged, staff in South Sudan and Somalia were already helping communities struggling with food insecurity and malnutrition due to conflict and years of persistent drought.

In drought-affected areas of Southern African countries, especially Zambia, Zimbabwe, and Angola, World Vision is supporting food and nutrition programs to stave off poverty and hunger.

Read about a family in Zambia that’s overcoming drought by raising goats. 


How is World Vision helping people affected by the East Africa hunger crisis?

In 2020, World Vision helped more than 4.7 million children through its programs in Ethiopia, Kenya, Uganda, Sudan, Somalia, and South Sudan.

In East Africa, we’re seeking to protect the lives and the livelihoods of more than 3.2 million people made vulnerable by severe conditions. Our emergency response in Ethiopia, Somalia, Sudan, South Sudan, Kenya, and Uganda seeks to feed millions of people, including 1.2 million children.

World Vision is also currently reaching more than 400,000 children in Kenya, Uganda, and Ethiopia through our sponsorship program.


How are women and children in East Africa affected by hunger?

Hunger can have devastating consequences for women and children.

Across East Africa, at least 12.8 million children are experiencing high levels of malnutrition. In South Darfur, Sudan, World Vision is providing nutritional care for children diagnosed with malnutrition. As of March 2021, nearly 7,000 children below the age of 5 and 1,800 pregnant women and breastfeeding mothers have received nutritional care for acute malnutrition.

The dire situation also increases risks faced by women and girls, including gender-based violence and sexual exploitation and abuse. The indirect impacts and aftershocks of COVID-19 also persist for children and their communities in the region, where there are declining income opportunities, lost livelihoods, and limited access to basic food and services — all in contexts without safety nets.


How can people become resilient so they don’t need aid?

There’s no substitute for life-saving aid in an emergency. But World Vision also focuses on long-term solutions that build resilience, which allows families and communities to bounce back when crops fail or streams dry up. Livelihood skills training is one aspect of World Vision’s current responses that help families find their own way out of a food crisis.

With long-term development programs in place, hunger crises can often be avoided and families can maintain independence. Here’s how World Vision is working today to prevent future food and hunger crises:

  • Farmers and pastoralists benefit from market development, immunizations for livestock, and training and seeds to grow drought-resistant crops.
  • Cash aid gives impoverished families the ability to take care of themselves and stimulates local markets.
  • Saving groups and community banks make loans that help members recover from emergencies.
  • Building and repairing water and sanitation facilities contribute to healthy living.
  • New business training, equipment, and materials can help families diversify their income so their assets are not wiped out by drought or adverse weather.
  • Developing resilience is a generational process. Children who stay in school are better prepared for the challenges and opportunities in their future.


How can I help hungry children and families in Africa?

  1. Pray for children and families affected by famine and hunger crises in Africa.
  2. Give to our Emergency Food in Africa Fund. Your gift will help provide essential care to hungry children and families in Africa.
  3. Sponsor a child. World Vision’s sponsorship program is the most powerful way you can help fight poverty at the family and community level. When you sponsor a child, you empower them, their family, and their community with access to life-saving basics like nutritious food, healthcare, clean water, quality education, and more.


History of hunger and famine in Africa

A look back at some of Africa’s major food crises shows conditions still faced by many Africans today: poverty, drought, conflict, and environmental degradation due to overgrazing, deforestation, and other types of environmental damages.

1968 to 1980s — A drought in the Sahel region led to 1 million deaths in Mali, Chad, Niger, Mauritania, and Burkina Faso.

1980 to 1981 — Drought and conflict led to widespread hunger in Uganda.

1984 to 1985Famine in Ethiopia: Drought in the northern highlands and problems delivering aid led to about 1 million deaths and massive displacements.

1991 to 1992 — The Somalia famine was caused by drought and civil war.

1998 to 2004 — During the Second Congo War, more than 3 million people died in the Democratic Republic of the Congo, mainly from starvation and disease.

2011 to 2012 — The Horn of Africa hunger crisis was responsible for 285,000 deaths in East Africa.

2015 to 2016 — A strong El Niño affected almost all of East and Southern Africa, causing food insecurity for more than 50 million people.

2017 — 25 million people, including 15 million children, needed humanitarian assistance in East Africa. In September, inter-communal conflict in Ethiopia led to more than 800,000 people becoming internally displaced.

2018 — Africa was home to more than half of the global total of acutely food-insecure people, estimated at 65 million people. East Africa had the highest number at 28.6 million, followed by Southern Africa at 23.3 million, and West Africa at 11.2 million.

2019 — Food security deteriorated. In late 2019, East Africa endured widespread breeding of desert locusts, which resulted in the loss of vast pasturelands and crops.

2020 — Large-scale floods decimated East African communities, devastating 4 million people across the region. The conflict in Tigray, Ethiopia, dramatically increased displacement and food insecurity. Conditions deteriorated across Ethiopia, Kenya, Somalia, South Sudan, Sudan, and Uganda, where 12.8 million children experienced high levels of malnutrition.

2021 — In East Africa, 7 million people are at risk of starvation and another 33.8 million face acute food insecurity. At least 12.8 million children are acutely malnourished in the region, which includes Ethiopia, Somalia, Sudan, South Sudan, Kenya, and Uganda.


Chris Huber and Sevil Omer of World Vision’s U.S. staff contributed to this article.


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