ABSTRACT
Background: School Nutritional Programmes (SNP) provide meals at school to reduce hunger, nutrient deficiencies and improve class alertness among children in poor communities. The purpose of the research was to determine the challenges encountered in implementing the SNP in KwaZulu-Natal Province, South Africa in 2017.
Design and methods: A cross-sectional study underpinned by a concurrent triangulation research design where interviews were used to collect qualitative data from stakeholders, and a questionnaire collected quantitative data from students. The set of qualitative data was thematically analysed. Descriptive and inferential statistics were used to analyse the quantitative data. Analysis of variance (ANOVA) and Tukey HSD test were used to compare the mean scores for food quality on different days of the week.
Results: Both the quality and quantity of food were affected by delays in payment of food suppliers, lack of training of stakeholders, and poor kitchen facilities. Health problems experienced by students after eating the food made them reluctant to consume meals on some days. The Tukey HSD test indicated that the mean score for the quality of food served on Wednesday (3.2±1.3) was significantly higher than the mean score for the quality of the meal served on Friday (2.5±1.3).
Conclusions: Late payment of food-suppliers and inadequate training of food-handlers affected the quality and quantity of the meals. The researcher recommends that the programme administrators should improve the frequency of payment for food suppliers, training of food handlers, and find alternative meals for students who do not consume the regular meals due to various reason.
REFERENCES
FAO, IFAD, UNICEF, WFP, WHO. The state of food security and nutrition in the world: Building climate resilience for food security and nutrition. Rome: FAO; 2018.
Hayes D, Berdan G. School nutrition programs: challenges and opportunities. Am J Lifestyle Med 2013;7:333-40.
Jomaa J, Mcdonnell E, Probart C. School feeding programs in developing countries: impacts on children’s health and educational outcomes. Nutr Rev 2011;69:83-98.
Bashir S, Lockheed M, Ninan E, Tan JP. Facing forward: Schooling for learning in Africa. Washington, DC: AFD & World Bank; 2018. p.127-133.
Bundy DAP, de Silva N, Horton S, et al. Optimizing education outcomes: High-return investments in school health for increased participation and learning. Disease Control Priorities, Vol 1. World Bank Group; 2018.
Kristiansson EA, Gelli A, Welch V, et al. Costs, and cost-outcome of school feeding programmes and feeding programmes for young children. Evidence and recommendations. Int J Educ Dev 2016;48 79-83.
World Food Programme. School meals. 2016 [cited 2019 Nov 22]. Available from: http://www.wfp.org/school-meals/wfp-school-meals
Drake L, Woolnough A, Burbano C, Bundy D. Global School Feeding Sourcebook Lessons from 14 countries. London: Imperial College Press; 2016.
Aliyar R, Gelli A, Hamdani SH. A review of nutritional guidelines and menu compositions for school feeding programs in 12 countries. Front Public Health 2015;3:148.
Otsuki K. The local food revolution in Brazil’s schools. Countercurrents [Internet]. 2013. [cited 2019 Apr 30]. Available from: http://countercurrents.org/otsuki060113.htm
Medeiros IMS, Lima SG, de Almeida Maffi B, et al. Inadequacies in good manufacturing practices and high health risks are still problems in food production in public preschools and day-cares in Rio Branco, Acre, Western Brazilian Amazonia. Adv Food Technol Nutr Sci Open J 2015;1:S38-46.
The Partnership for Child Development. Elementary School Feeding and Health Programme Transition Strategy: State of Osun, Nigeria. 2012.
Okae-Adjei S, Akuffo B, Amartei C. Ghana’s school feeding programme in perspective: A case study of the Akuapem North Municipality in the Eastern Region. Int J Technol Manag Res 2016;1:31-41.
Fernandes M, Galloway R, Gelli A, et al. Enhancing linkages between healthy diets, local agriculture, and sustainable food systems: the school meals planner package in Ghana. Food Nutr Bull 2016;37:571-84.
Hochfeld T, Graham L, Stuart L, Gent MY. Evaluation study of the National School Nutrition Programme and the Tiger Brands Foundation in-school breakfast feeding programme in the Lady Frère and Qumbu districts of the Eastern Cape, Centre for Social Development in Africa. Johannesburg: University of Johannesburg; 2015.
Rendall-Mkosi K, Wenhold F, Sibanda, NB. Case study of the National School Nutrition Programme in South Africa. Pretoria: Partnership for Child Development; 2013.
Berejena T, Kleynhans IC, Vibetti SP. Challenges of the secondary school nutrition programmes in the City of Tshwane, South Africa. Afr J Phys Activ Health Sci 2018;24:233-44.
Lacey G. Guidebook to education in the Commonwealth. London: Commonwealth Secretariat; 2012.
Kwatubana S, Makhalamele T. Parental involvement in the process of implementation in the process of implementation of the National School Nutrition Programme in Public Schools. Int J Sci Educ 2015;93:315-23.
Quila VE, Tyilo N. Implementing the National School Nutrition Programme: How involved are stakeholders. Mediterr J Soc Sci 2014;5:381-90.
Statistics South Africa. General Household Survey. Pretoria: Statistics South Africa; 2018.
Ryan TP. Sample size determination and power. Hoboken: John Wiley & Sons; 2013.
Ridenour CS, Newman I. Mixed method research: Exploring the interactive continuum. Carbondale: Southern Illinois University Press; 2008.
Mcnee CL, McCabe S. Understanding nursing research in evidence-based practice, 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 2008.
Schober P, Boer C, Schwarte LA. Correlation coefficients: Appropriate use and interpretation. Anesth Analg 2018;126:1763-8.
Langsford C. Enough on our plate? The national school nutrition programme in two schools in Katlehong, South Africa. Thesis dissertation. Johannesburg: University of the Witwatersrand; 2012.
Dei FA. An evaluation of the school feeding programme: a case study of Magog primary school. Thesis dissertation. Pretoria: University of South Africa; 2014. Available from: http:www.uir.unisa.ac.za/bitstream/handle/10500/18779/dissertation_dei_fa.pdf?sequence
Overy N. An Evaluation of the School Nutrition Programme in the Grahamstown Education District, Eastern Cape, South Africa. Grahamstown: Rhodes University; 2010.
Maijers W, Nalla VR. Analysis of supply chain studies for home grown school feeding, Procurement Governance for Home Grown School Feeding Project learning series #2. Alkmaar: Netherland Development Organisation; 2014.