IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2021i1p432-d715607.html
   My bibliography  Save this article

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

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/1/432/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/1/432/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Linda Hancock & Natalie Ralph & Florentine Petronella Martino, 2018. "Applying Corporate Political Activity (CPA) analysis to Australian gambling industry submissions against regulation of television sports betting advertising," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-21, October.
    2. Ronja Teschner & Jessica Ruppen & Basil Bornemann & Rony Emmenegger & Lucía Aguirre Sánchez, 2021. "Mapping Sustainable Diets: A Comparison of Sustainability References in Dietary Guidelines of Swiss Food Governance Actors," Sustainability, MDPI, vol. 13(21), pages 1-21, November.
    3. Caitlin Wall & Terezie Tolar-Peterson & Nicole Reeder & Marina Roberts & Abby Reynolds & Gina Rico Mendez, 2022. "The Impact of School Meal Programs on Educational Outcomes in African Schoolchildren: A Systematic Review," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    4. Paul R. Ehrlich & John Harte, 2018. "Pessimism on the Food Front," Sustainability, MDPI, vol. 10(4), pages 1-5, April.
    5. Jonathan E. Barnsley & Chanjief Chandrakumar & Carlos Gonzalez-Fischer & Paul E. Eme & Bridget E. P. Bourke & Nick W. Smith & Lakshmi A. Dave & Warren C. McNabb & Harry Clark & David J. Frame & John L, 2021. "Lifetime Climate Impacts of Diet Transitions: A Novel Climate Change Accounting Perspective," Sustainability, MDPI, vol. 13(10), pages 1-18, May.
    6. Hill, Susan M. & Byrne, Matthew F. & Wenden, Elizabeth & Devine, Amanda & Miller, Margaret & Quinlan, Henrietta & Cross, Donna & Eastham, Judy & Chester, Miranda, 2023. "Models of school breakfast program implementation in Western Australia and the implications for supporting disadvantaged students," Children and Youth Services Review, Elsevier, vol. 145(C).
    7. Julia Stafford & Tanya Chikritzhs & Hannah Pierce & Simone Pettigrew, 2021. "An evaluation of the evidence submitted to Australian alcohol advertising policy consultations," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-16, December.
    8. Nason Maani Hessari & May CI van Schalkwyk & Sian Thomas & Mark Petticrew, 2019. "Alcohol Industry CSR Organisations: What Can Their Twitter Activity Tell Us about Their Independence and Their Priorities? A Comparative Analysis," IJERPH, MDPI, vol. 16(5), pages 1-12, March.
    9. Campbell, Norah & Mialon, Melissa & Reilly, Kathryn & Browne, Sarah & Finucane, Francis M., 2020. "How are frames generated? Insights from the industry lobby against the sugar tax in Ireland," Social Science & Medicine, Elsevier, vol. 264(C).
    10. Akolgo, James Anaba & Osei-Asare, Yaw B. & Sarpong, Daniel Bruce & Asem, Freda Elikplim & Quaye, Wilhemina, 2024. "Examining the Nexus Between Dry Season Vegetable Production and Household Food Security in the Upper East Region of Ghana," International Journal of Food and Agricultural Economics (IJFAEC), Alanya Alaaddin Keykubat University, Department of Economics and Finance, vol. 12(01), January.
    11. Evans, David K. & Mendez Acosta, Amina, 2023. "How to measure student absenteeism in low- and middle-income countries," Economics of Education Review, Elsevier, vol. 96(C).
    12. Ebrahim Jahanshiri & Sayed Azam-Ali & Peter J. Gregory & Eranga M. Wimalasiri, 2023. "A Shortlisting Framework for Crop Diversification in the United Kingdom," Agriculture, MDPI, vol. 13(4), pages 1-29, March.
    13. Sonja Klingberg & Catherine E. Draper & Lisa K. Micklesfield & Sara E. Benjamin-Neelon & Esther M. F. van Sluijs, 2019. "Childhood Obesity Prevention in Africa: A Systematic Review of Intervention Effectiveness and Implementation," IJERPH, MDPI, vol. 16(7), pages 1-18, April.
    14. Ruerd Ruben & Jan Verhagen & Christine Plaisier, 2018. "The Challenge of Food Systems Research: What Difference Does It Make?," Sustainability, MDPI, vol. 11(1), pages 1-14, December.
    15. Saffia Hassanally & Ashika Naicker & Evonne Singh, 2020. "Snack Development for School Feeding Programs in Africa: A Scoping Review," IJERPH, MDPI, vol. 17(14), pages 1-13, July.
    16. Katerina Penelope Barons & Davina Mann & Liliana Orellana & Mia Miller & Simone Pettigrew & Gary Sacks, 2022. "Nutrition-Related Information on Alcoholic Beverages in Victoria, Australia, 2021," IJERPH, MDPI, vol. 19(8), pages 1-11, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:432-:d:715607. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.