Thow, Anne MarieGreenberg, StephenHara, MafaFriel, Sharondu Toit, AndriesSanders, David2019-03-182019-03-182017-12Thow et al (2017) 'Food trade and investment in South Africa: Improving coherence between economic policy, nutrition and food security’, Working Paper 50. PLAAS, UWC: Cape Town.http://hdl.handle.net/10566/4539South Africa must address a rising burden of diet-related chronic disease while also continuing to combat persistent food insecurity and undernutrition (Muzigaba et al. 2016). The prevalence of stunting among children in South Africa remains around 25% (Said-Mohamed et al. 2015). At the same time, the prevalence of obesity has risen to 39% among women and 11% among men, and diabetes in the adult population to 10% (Shisana et al. 2014). Addressing this double burden of malnutrition will require a comprehensive policy approach that supports demand for healthy food (including financial access) and its supply. In this paper, we focus on supply side interventions – and particularly, the need for policy across sectors to support availability of affordable, healthy food (Republic of South Africa Department of Health 2013; Government of South Africa 2014). However, growing trade and Foreign Direct Investment (FDI), supported by binding international commitments, present governments with a challenge as they seek to intervene in the food supply to improve diets and health. Government action to regulate the food supply to reduce consumption of unhealthy foods and increase access to healthy foods becomes subject 1) to the influence of powerful investors and other industry actors, and 2) to commitments made in international trade and investment agreements (Baker et al. 2014, Thow and McGrady 2014, Schram et al. 2015, Thow et al. 2015a, Thow et al. 2015b).enFood tradeFood securityLiberalisationSupply chain policiesWorking Paper