Sugar in baby food: why Nestlé needs to be held to account in Africa
- Susan Goldstein
Added sugar gives babies a sweet tooth, which can lead to obesity and health problems later in life.

Nestlé has been criticised for adding sugar and honey to infant milk and cereal products sold in many poorer countries. The Swiss food giant controls of the baby-food market, valued at nearly US$70 billion.
Nadine Dreyer asked public health academic Susan Goldstein why extra sugar is particularly bad for babies and how multinationals targeting low-income countries with sweeter products get away with it.
Why has Nestlé been criticised?
, a Swiss investigative organisation, sent samples of Nestlé baby-food products sold in Asia, Africa and Latin America to a Belgian laboratory for testing. The laboratory found in many cases that baby formula with no added sugar sold in Switzerland, Germany, France and the UK contained unhealthy levels of sugar when sold in countries such as the Philippines, South Africa and Thailand.
As the Public Eye investigation revealed, one example of this is Nestlé’s biscuit-flavoured cereals for babies aged six months and older: in they contain 6g of added sugar. In Switzerland, where Nestlé is based, the same product has none.
In South Africa, Nestlé promotes its wheat cereal Cerelac as a source of 12 essential vitamins and minerals under the theme . Yet all Cerelac products sold in this country contain high levels of added sugar.
Obesity is increasingly a problem in low- and middle-income countries. In Africa, the number of overweight children under five has increased by nearly since 2000.
The World Health Organization has called for a in products for babies and young children under three years of age.
Why is extra sugar particularly unhealthy for babies?
Adding sugar make the foods delicious and, some argue, . The same goes for adding .
Children shouldn’t eat any added sugar before they turn two. show that adding sugar to any food for babies or small children predisposes them to having a sweet tooth. They start preferring sweet things, which is harmful in their diets throughout their lives.
Unnecessary sugar contributes to obesity, which has such as diabetes, high blood pressure and other cardiovascular diseases, cancer and joint problems among others.
The rate of overweight children in South Africa is , twice the global average of .
These extra sugars, fats and salt are harmful to our health throughout our lifetime, but especially to babies as they are still .
Children eat relatively small amounts of food at this stage. To ensure healthy nutrition, the food they eat must be .
How do multinationals influence health policies?
Companies commonly through lobbying and party donations. This gives politicians and political parties an incentive to align decisions with commercial agendas.
Low- and middle-income countries often have to address potential trade-offs: potential economic growth from an expanding commercial base and from the same commercial forces.
Research into how South µÚÒ»³Ô¹ÏÍø food companies, particularly large transnationals, go about shaping public health policy in their favour found examples of food industry practices designed to influence public health policy.
In many cases companies promise financial support in areas such as funding research. In 2023 a South µÚÒ»³Ô¹ÏÍø food security research centre attached to a university signed a with Nestlé signalling their intent to “forge a transformative partnership” to shape “the future of food and nutrition research and education” and transform “Africa’s food systems”.
What happens in high-income countries?
Most high-income countries have about baby foods. One example is the on processed cereal-based foods and baby foods for infants and young children.
Another is the , which sets out clear guidelines on healthy eating and advertising aimed at children.
The global food system is coming under not just for health reasons but for the humane treatment of animals, genetically engineered foods, and social and environmental justice.
What should governments in developing countries be doing?
South Africa already has limits on but we need limits on added sugar and oil.
Taxing baby foods as we do is another way of discouraging these harmful additions.
We need to make sure that consumers are aware of what’s in their food by having large front-of-package warning labels. Take yogurt: many people assume it is healthy, but there is lots of added sugar in many brands.
Consumers should be calling for front-of-pack labels that the has proposed so that parents can easily identify unhealthy foods.![]()
, Associate Professor in the SAMRC Centre for Health Economics and Decision Science - PRICELESS SA (Priority Cost Effective Lessons in Systems Strengthening South Africa), This article is republished from under a Creative Commons license. Read the .