Effectiveness of public health spending in Sub-Saharan Africa: The moderating role of health system efficiency

South Africa's has been battling with energy crisis for many years, and with the ongoing power cuts, the nation has been plunged into darkness experienced almost every day in major cities such as Johannesburg. This paper conceptualises and positions the role of electrical and mechanical energy in food processing and preparation within South Africa's low-income households. The study aims to understand how households' choices and decisions made around food access, preparation and storage are affected by energy infrastructure. Urban studies on informality show that energy is a key input in food processing, preparation, and storage. This study focused on the intersection of infrastructure systems and sought to understand the energy needs and livelihoods strategies of South Africa's low-income households. A secondary focus of this study was on indigent energy policies that supports the provision and access of energy services to indigent households in South Africa. The study adopted a case study approach, low-income households' energy needs in Alexandra township, Johannesburg. This study utilised in-depth interviews and policy document reviews. Data was analysed using correlation and cross-tabulation methods. Findings reveal that measures adopted by the city authorities in the provisioning and access to infrastructure are largely fragmented and uncoordinated.