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Perceptions of School Management on the Relationship between School Nutrition and Development of Non-Communicable Diseases in a Rural South African District: A Qualitative Study

Author

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  • Sibusiso Cyprian Nomatshila

    (Department of Public Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5117, South Africa)

  • Teke Ruffin Apalata

    (Department of Laboratory Medicine, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5117, South Africa)

  • Sikhumbuzo A. Mabunda

    (The George Institute for Global Health, University of New South Wales, Sydney 2042, Australia)

Abstract

Globally, noncommunicable diseases (NCDs) were responsible for 41 million deaths in 2016, with the majority of these occurring in low- and middle-income countries. These diseases are on the rise as a result of unhealthy, low-quality, and unbalanced diets, which have resulted in overweight and obesity. The National School Nutrition Program (NSNP) was created to regulate the foods sold to schoolchildren. The aim of this study was to ascertain school management teams’ perspectives on the relationship between the NSNP and the development of lifestyle diseases. A phenomenological qualitative study using focus group discussions among 16 purposively selected members of the school management teams were conducted in Mt Frere, Eastern Cape in 2016. The narrative data were analyzed using Tesch’s eight-phase thematic analysis approach. The data analysis revealed two themes (NSNP and the vendor system) and six sub-themes. The NSNP was viewed as making a significant contribution to children’s food security, thereby improving academic output. However, reengineering of the NSNP was needed through improved budgeting and inclusion of breakfast in the menu to control NCDs risk factors. The current implementation of the vendor system did not support reduction of NCDs risk factors. Improved implementation of the guide to the vendor system is needed.

Suggested Citation

  • Sibusiso Cyprian Nomatshila & Teke Ruffin Apalata & Sikhumbuzo A. Mabunda, 2021. "Perceptions of School Management on the Relationship between School Nutrition and Development of Non-Communicable Diseases in a Rural South African District: A Qualitative Study," IJERPH, MDPI, vol. 19(1), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:432-:d:715607
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    References listed on IDEAS

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    1. Peter Scott, 2017. "Global panel on agriculture and food systems for nutrition: food systems and diets: facing the challenges of the 21st century," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 9(3), pages 653-654, June.
    2. Florentine Petronella Martino & Peter Graeme Miller & Kerri Coomber & Linda Hancock & Kypros Kypri, 2017. "Analysis of Alcohol Industry Submissions against Marketing Regulation," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-22, January.
    3. Hochfeld, Tessa & Graham, Lauren & Patel, Leila & Moodley, Jacqueline & Ross, Eleanor, 2016. "Does school breakfast make a difference? An evaluation of an in-school breakfast programme in South Africa," International Journal of Educational Development, Elsevier, vol. 51(C), pages 1-9.
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