The new global and African food security agenda is overwhelmingly productionist and rural in its orientation, and is based on the premise that food insecurity is primarily a rural problem requiring a massive increase in smallholder production. This agenda is proceeding despite overwhelming evidence of rapid urbanisation and the growing likelihood of an urban future for the majority of Africans. Urban food insecurity can therefore no longer be ignored. This paper argues that achieving urban food security is the emerging development challenge for the 21st century and that the complexities of urban food systems urgently need to be addressed by researchers, policy makers, and international donors and multilateral agencies.

Rapid urbanization and increasing urban poverty are shifting the historical locus of food insecurity from the rural areas to the cities of Africa. This article uses data from the African Food Security Urban Network (AFSUN) baseline survey carried out in 11 cities in 9 southern African countries in 2008–2009 to demonstrate the existence of extremely high levels of urban food insecurity. The lack of access to food is primarily the result of household poverty, high unemployment, and limited income-generating opportunities rather than any absolute food shortages. The article also shows the growing importance of supermarkets, and the relative insignificance of urban agriculture in the food sourcing strategies of the urban poor.

This paper arises from a four-country study that sought to better understand the drivers of skilled health worker migration, its consequences, and the strategies countries have employed to mitigate negative impacts. The four countries—Jamaica, India, the Philippines, and South Africa—have historically been “sources” of skilled health workers (SHWs) migrating to other countries. This paper presents the findings from South Africa. The study began with a scoping review of the literature on health worker migration from South Africa, followed by empirical data collected from skilled health workers and stakeholders. Surveys were conducted with physicians, nurses, pharmacists, and dentists. Interviews were conducted with key informants representing educators, regulators, national and local governments, private and public sector health facilities, recruitment agencies, and professional associations and councils. Survey data were analyzed using descriptive statistics and regression models. Interview data were analyzed thematically. There has been an overall decrease in out-migration of skilled health workers from South Africa since the early 2000s largely attributed to a reduced need for foreign-trained skilled health workers in destination countries, limitations on recruitment, and tighter migration rules. Low levels of worker satisfaction persist, although the Occupation Specific Dispensation (OSD) policy (2007), which increased wages for health workers, has been described as critical in retaining South African nurses. Return migration was reportedly a common occurrence. The consequences attributed to SHW migration are mixed, but shortages appear to have declined. Most promising initiatives are those designed to reinforce the South African health system and undertaken within South Africa itself. In the near past, South Africa’s health worker shortages as a result of emigration were viewed as significant and harmful. Currently, domestic policies to improve health care and the health workforce including innovations such as new skilled health worker cadres and OSD policies appear to have served to decrease SHW shortages to some extent. Decreased global demand for health workers and indications that South African SHWs primarily use migratory routes for professional development suggest that health worker shortages as a result of permanent migration no longer pertains to South Africa.

Migration from Zimbabwe has recently been described as an archetypal form of “mixed migration” in which refugees and migrants are indistinguishable from one another. This paper argues that such a state-centred understanding of mixed migration oversimplifies a far more complex reality and fails to adequately account for the changing nature of Zimbabwean out-migration. Based on data from three separate Southern African Migration Programme (SAMP) surveys undertaken in 1997, 2005 and 2010 at key moments of transition, the paper shows how the form and character of mixed migration from the country has changed over time. The country’s emigration experience since 1990 is divided into three periods or “waves”. The third wave (roughly from 2005 onwards) has seen a major shift away from circular, temporary migration of individual working-age adults towards greater permanence and more family and child migration to South Africa. Zimbabwean migrants no longer see South Africa as a place of temporary economic opportunity for survival but rather as a place to stay and build a future for themselves and their families.