Submitted by Renata Lopes (renatasil82@gmail.com) on 2017-05-25T14:58:17Z No. of bitstreams: 1 barbaradanelonandrade.pdf: 2244260 bytes, checksum: 7878cb3b6bba3d25cb8bf47a45bbeaf9 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-05-25T15:14:49Z (GMT) No. of bitstreams: 1 barbaradanelonandrade.pdf: 2244260 bytes, checksum: 7878cb3b6bba3d25cb8bf47a45bbeaf9 (MD5) / Made available in DSpace on 2017-05-25T15:14:49Z (GMT). No. of bitstreams: 1 barbaradanelonandrade.pdf: 2244260 bytes, checksum: 7878cb3b6bba3d25cb8bf47a45bbeaf9 (MD5) Previous issue date: 2017-02-22 / FAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais / Nas últimas décadas, a transição nutricional e o envelhecimento populacional modificaram o perfil de morbimortalidade mundial, uma vez que houve aumento das doenças crônicas não transmissíveis. Aproximadamente, dois milhões de pacientes estão em tratamento dialítico no mundo e o crescimento anual desta população é de 6 a 7% ao ano. A hemodiálise é um procedimento que requer acompanhamento nutricional, uma vez que há intensas modificações no perfil da dieta a partir do seu início. A Educação Alimentar e Nutricional (EAN) pode ser utilizada como instrumento do nutricionista, já que auxilia na melhor compreensão das restrições alimentares associadas à doença, além de promover autonomia do indivíduo sobre suas escolhas. Trata-se de um ensaio clínico controlado, não-randomizado, desenvolvido no Centro de Hemodiálise do Hospital Universitário de Juiz de Fora (HU-UFJF). Os indivíduos foram divididos em Grupo Intervenção (GI) e Grupo Controle (GC), de acordo com os dias de frequência na hemodiálise. A partir desta divisão, foram realizadas as atividades de EAN com o GI, ao longo de dois meses, totalizando cinco atividades realizadas no ano de 2014. Os dados dos prontuários foram coletados para ambos os grupos, na Linha de Base (LB), no Pós-Intervenção Imediato (PII), avaliação realizada logo após o término da última intervenção e no Pós-Intervenção Tardio (PIT) , seis meses após a realização da última atividade, as quais correspondem as três avaliações dos pacientes deste estudo. As intervenções compreenderam atividades dinâmicas, visuais e lúdicas, que valorizaram a participação verbal dos pacientes bem como, a resolução de dúvidas relacionadas à alimentação e suas patologias. Observou-se, em relação aos exames bioquímicos, diminuição (p=0,036) do fósforo sérico no GI. Em longo prazo, estatisticamente, as intervenções não contribuíram para a melhora da alimentação dos indivíduos, tanto sob análise quantitativa quanto qualitativa. A partir dos achados neste estudo, constata-se a relevância das atividades de EAN no cuidado com o paciente em hemodiálise, demonstrando sua influência sobre modificações no perfil nutricional dos indivíduos. Ressalta-se ainda, que esse tipo de intervenção deve fazer parte da rotina dos centros de hemodiálise, para que as mudanças possam ser permanentes, resultando no aumento da qualidade de vida dos pacientes. / In the last decades, the nutritional transition and the aging of the population have modified the world morbidity and mortality profile, since there was an increase in chronic non-communicable diseases. Approximately two million patients are in dialysis treatment in the world and the annual growth of this population is of 6 to 7% per year. Hemodialysis is a procedure that requires nutritional monitoring, since there are intense modifications in the diet profile from the beginning. Food and Nutrition Education (EAN) can help in better understanding about the new eating patterns and the autonomy of the individual about their choices. This is a non-randomized, controlled clinical trial developed at the Hemodialysis (HD) Center of the University Hospital of the Federal University of Juiz de Fora (HU-UFJF). The subjects were divided into IG and CG, according to the days of frequency in the HD. Five nutritional interventions were performed on Fridays, for two months, in 2014. Data were collected for both groups in three moments: Baseline (BL), Post-Intervention Immediate (PII) (shortly after the end of the last intervention), and Post-Intervention Late (PIL) (six months after the last intervention). These correspond to the three evaluations of the patients in this study. The interventions realized were dynamic, visual and recreational, that valued the verbal participation of patients, as well as their solution of questions related to food and about their pathologies. On biochemical tests, there was a significant decrease (p = 0.036) of serum phosphorus in the IG. In long-term, statistically, the interventions did not contribute to an improvement of the feeding of these individuals. It is possible to verify the relevance of the interventions of FNE in the care of HD patients, demonstrating its influence on changing the nutritional profile of the individuals. This type of intervention should be part of the routine of the HD centers, so that the changes can be permanent, resulting in an increase of the quality of life of the patients.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2017-09-05T19:01:34Z No. of bitstreams: 1 liviabotelhodasilva.pdf: 8120722 bytes, checksum: 750fa22b60b51e73fbc8076625e36499 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-09-06T11:35:21Z (GMT) No. of bitstreams: 1 liviabotelhodasilva.pdf: 8120722 bytes, checksum: 750fa22b60b51e73fbc8076625e36499 (MD5) / Made available in DSpace on 2017-09-06T11:35:21Z (GMT). No. of bitstreams: 1 liviabotelhodasilva.pdf: 8120722 bytes, checksum: 750fa22b60b51e73fbc8076625e36499 (MD5) Previous issue date: 2017-07-19 / Atualmente, observa-se um crescente interesse dos pesquisadores com relação ao Letramento em Nutrição (LN), que é definido como a capacidade do indivíduo de obter, processar e compreender informações básicas de nutrição e habilidades necessárias para tomar decisões alimentares saudáveis. Através da avaliação do LN, é possível a identificação da dificuldade do indivíduo em temas específicos da nutrição, o que, possivelmente, favoreceria as atividades de educação alimentar e nutricional. No entanto, no Brasil, não existe instrumento que avalie LN de maneira abrangente. Diante disso, o presente estudo objetivou a adaptação transcultural de um instrumento de avaliação do LN, desenvolvido originalmente para a população estadunidense. Na primeira etapa foram realizadas tradução e retrotradução por consenso e as adaptações conforme a realidade da população brasileira. A segunda etapa consistiu em validação de conteúdo, que foi realizada por um comitê de seis especialistas, sendo pelo menos um de cada região do Brasil. Logo após, na terceira etapa, foi avaliada a legibilidade, para identificação do nível de leitura do instrumento. E, por fim, na quarta etapa, foi realizado o pré-teste, para o qual foram selecionados usuários com doenças crônicas que foram submetidos a um questionário sociodemográfico, um teste de letramento em saúde (LS), e a uma avaliação cognitiva, além do teste de avaliação do LN para a população brasileira. Após adaptações, o instrumento foi considerado relevante pela maioria dos especialistas e apresentou-se adequado para 8ª a 9ª ano do ensino fundamental. No pré-teste, foram avaliados 30 usuários, dos quais 50% possuíam ensino fundamental incompleto. Foi observado LS inadequado em 60% e déficit cognitivo leve em 83,3%. O tempo médio de aplicação do instrumento foi de 50,57±15,45 minutos. Entre os usuários com LS inadequado, foi observado menor pontuação média no instrumento de avaliação do LN, com exceção do domínio “Medidas Caseiras”. Entre todos os usuários, o domínio “Grupos Alimentares” apresentou menor percentual médio de acertos. Conclui-se que o instrumento foi considerado relevante para a população brasileira, pela maioria dos especialistas, porém, diante do elevado percentual de nível fundamental incompleto, apresentado pelos usuários selecionados para o pré-teste, o presente instrumento apresentou um nível de dificuldade elevado para uma população com baixa escolaridade. Além disso, constitui-se uma limitação do presente estudo o longo tempo de aplicação do instrumento de avaliação do LN. Diante disso, observa-se a necessidade de maiores adaptações e ajustes, para que, após sua validação, o instrumento possa ser útil para atividades de educação alimentar e nutricional. / There is a growing interest among researchers regarding Nutrition Literacy (NL), which is defined as the individual's ability to obtain, process and understand basic nutrition information and skills which are necessary to make healthy eating decisions. Through NL evaluation, it is possible to identify the individual's difficulties in specific nutrition topics, which could favour food and nutritional education activities. However, in Brazil, there is no instrument that evaluates NL comprehensively. Therefore, the present study aimed at the cross-cultural adaptation of an NL evaluation instrument, originally developed for the US population. In the first stage, translation and back-translation were performed by consensus and the adaptations according to the reality of the Brazilian population. The second stage consisted of content validation, which was carried out by a committee of six experts, at least one from each region of Brazil. Then, in the third stage, readability was evaluated, to identify the reading level of the instrument. Finally, in the fourth stage, the pre-test was applied to selected subjects with chronic diseases, who were additionally submitted to a sociodemographic questionnaire, a health literacy test (HL), and a cognitive evaluation, in addition to the NL evaluation test for the Brazilian population. After adaptations, the instrument was considered relevant by the majority of specialists and suitable for 8th and 9th of elementary school. In the pre-test, 30 users were evaluated; 50% of them had incomplete elementary education. Inadequate HL was observed in 60% and mild cognitive deficit in 83.3%. The mean time of application of the instrument was 50.57 ± 15.45 minutes. The users with inadequate HL presented lower mean score in the NL evaluation instrument, except for the "Domestic Measures" domain. Among all users, the "Food Groups" domain had the lowest average percentage of correct answers. It is concluded that the instrument was considered relevant for the Brazilian population, by the majority of specialists, however, given the high percentage of users with incomplete elementary education selected for the pre-test, this instrument presented a high level of difficulty for a low educated population. In addition, a limitation of the present study is the long-time application of the NL evaluation instrument. In view of this, it is observed the need for greater adaptations and adjustments, so that, after its validation, the instrument may be useful for food and nutritional education activities.

Submitted by Aline Batista (alinehb.ufpel@gmail.com) on 2018-05-21T19:17:44Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertacao_Nathalia_Peter.pdf: 1305903 bytes, checksum: 070f31f199aed9111a707f86ce96794c (MD5) / Approved for entry into archive by Aline Batista (alinehb.ufpel@gmail.com) on 2018-05-21T20:15:27Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertacao_Nathalia_Peter.pdf: 1305903 bytes, checksum: 070f31f199aed9111a707f86ce96794c (MD5) / Approved for entry into archive by Aline Batista (alinehb.ufpel@gmail.com) on 2018-05-21T20:15:36Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertacao_Nathalia_Peter.pdf: 1305903 bytes, checksum: 070f31f199aed9111a707f86ce96794c (MD5) / Made available in DSpace on 2018-05-21T20:15:36Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Dissertacao_Nathalia_Peter.pdf: 1305903 bytes, checksum: 070f31f199aed9111a707f86ce96794c (MD5) Previous issue date: 2016-07-07 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / A transição nutricional no Brasil acontece nas zonas rurais e urbanas, porém, em velocidades distintas. Essas mudanças são pouco conhecidas devido aos dados insuficientes da literatura científica na região rural. O presente estudo teve como objetivo descrever a disponibilidade de alimentos no domicílio dos escolares no ensino fundamental da rede municipal de ensino da zona rural de Pelotas, RS. Foi realizado um estudo transversal, do tipo censo de base escolar, realizado com os pais/responsáveis de escolares matriculados no ensino fundamental das 21 escolas municipais da zona rural de Pelotas, RS. Para avaliação da disponibilidade domiciliar de alimentos, foi utilizado o questionário do Projeto EAT-III. As variáveis independentes incluídas dos pais/responsáveis foram sexo, idade, escolaridade, condição de trabalho, número de pessoas que moram no domicílio e local de aquisição dos alimentos. Todos os dados foram coletados através de questionário autoaplicado preenchido por 1126 pais/responsáveis. Observou-se que os alimentos in natura são mais disponíveis no domicílio e que os produtos ultraprocessados, em sua maioria, são adquiridos em comércios da zona urbana. A escolaridade apresentou relação direta com a disponibilidade de frutas, cereais, embutidos, suco artificial, congelados e guloseimas. Os aposentados são aqueles que possuem maior disponibilidade dos alimentos in natura ou minimamente processados e gorduras. Sobre o número de pessoas que moram no domicílio observou-se que todos os alimentos, com exceção das frutas, foram mais disponíveis nos locais com maior número de moradores. Os resultados demonstram maior acesso e presença de alimentos in natura nos domicílios, revelam que a aquisição de produtos ultraprocessados ocorre majoritariamente na zona urbana do município e aponta associação dos alimentos disponíveis com os fatores socioeconômicos da população estudada. / Nutritional transition in Brazil happens in rural and urban areas, but at different speeds. These changes are largely unknown due to insufficient data from the scientific literature in the countryside. This study aims to describe the household food availability from school in primary school teaching municipal rural area of Pelotas, RS. A cross-sectional, type census of school-based, conducted with parents of school children enrolled in primary school of 21 municipal schools in the rural area of Pelotas, RS. For assessment of household food availability, used questionnaire Project EAT-III. Independent variables included of parents were sex, schooling, working condition, number of residents and place of purchase of food. All data were collected through a self-administered questionnaire completed by 1,126 parents. It was observed that fruits and vegetables are more available at home and that ultraprocessados food mostly are purchased in supermarkets of urban area. Schooling presented a direct tendency with fruits, cereals, sausages, artificial juice, frozen and treats, revealing an important marker in food availability. The retirees are those with greater availability of food raw or minimally processed and fats. About number of residents observed that all foods, except fruits, were more availability in places with greatest number of residents. The results suggest greater acess to fruits and vegetables, and also the need to purchase ultraprocessados food in the urban area of city, in addition to showing association of food available to the socioeconomic factors of the population.

My thesis examines food allocation and nutritional outcomes in a sample of 152 individuals in thirty-two households of sugarcane workers in the municipality of Gameleira, Northeast Brazil. Anthropometric data show that undernutrition and overnutrition coexist in the study population, and often within households – a consequence of the changes in diet and physical activity linked to the nutrition transition. Food allocation was examined using an indicator of the frequency of consumption of high status foods - non-staple foods which are considered more desirable than staples because they add variety and taste to an otherwise monotonous diet. I created an intra-household index of food allocation in order to observe each individual's consumption in relation to the average in his or her household at two seasonal points of the year. The sample was split into two groups, a group of more affluent households in which high status foods were eaten on the harvest and non-harvest dietary recalls, and a group of less affluent households in which no-one ate high status foods on the non-harvest recall. I found gender biases in the allocation of food in favour of men relative to women, and girls relative to boys, in the higher income group, but no gender biases in the group of less affluent households. In relation to age, I found biases in favour of children relative to adults in less affluent households, but not during seasonal shortage in the higher income households. The biases were greater in households with higher incomes, but lower in households in which women controlled some household income relative to households in which men controlled all income. I considered whether discriminatory behaviour underpins these biases, based largely on periods of observation in a sub-sample of six households, and concluded that food distribution operates as a powerful medium for the expression of differential status among men and women, but not among boys and girls, who have equal status in this population.

The topic of this diploma thesis is the feeding of soldiers of the Austro-Hungarian Army during the period of the First World War. The aim was to analyze this topic from the perspective of ordinary actors - soldiers and non-commissioned officers. The thesis is structured into six parts leaving aside the introduction and the conclusion. The first chapter treats some psychological aspects of the alimentation within the thematic scope of this thesis. The second part continues with text dedicated to the eating habits of the Czech society at the beggining of the 20th century being as the starting point of the cultural change, which was a draft to the army. It is followed by an introduction to the military environment while emphasis is placed on the social and emotional connotations of meals. The next part focuses on war fatigue and misery, which turned the ladder of moral and market values upside down and caused a deep transformation of society. The last chapter compares the different approaches to the resources inside of the Austro-Hungarian Army to the dietary standards of the allied and hostile armies, while focusing on the effect on the morale and companionship of soldiers. As for its sources, the thesis relies on the Czech written sources of personal nature from the Czech soldiers of the...

Esta tese apresentou como objetivo geral investigar e capacitar professores na cidade de Petrolina-PE em parceria com a Secretaria Municipal de Educação, mediante uma proposta que levasse em consideração a realidade local para o ensino a respeito da temática alimentação e nutrição na disciplina Ciências, por meio de uma ação de oficinas temáticas, com base na perspectiva Ciência-Tecnologia-Sociedade (CTS). A pesquisa teve como proposta a de averiguar o perfil, os conhecimentos prévios e a percepção dos professores de ciências dos anos finais do Ensino Fundamental a respeito da importância do tema alimentação e nutrição, além de investigar como eles ensinam tal temática e que materiais pedagógicos utilizam. A pesquisa ocorreu entre os anos de 2015 e 2016 e apresenta caráter essencialmente qualitativo. Utilizamos a pesquisa-ação como metodologia, com vistas a interligar conhecimento e a ação, buscando informações sobre situações reais, e como método optamos por utilizar a Análise de Conteúdo, no intuito de melhor analisar o material coletado. Os professores investigados, apesar de reconhecerem a importância de ensinar temáticas relacionadas à alimentação e nutrição, poucos atuam de forma a construir e desenvolver atividades que acrescentem e melhorem o desenvolvimento dos estudantes Os resultados da pesquisa indicam que o tema da alimentação e nutrição merece maior destaque entre os conteúdos de ensino de ciências reservados para o nível fundamental da educação básica. Mediante a investigação realizada, pudemos observar como os professores, após a intervenção da pesquisa, construíram uma melhor compreensão e sentiram-se melhor capacitados para ministrar a temática sobre alimentação e nutrição abordada no curso. A partir dessa visão, ressaltamos que o incentivo dado ao profissional, ao perceber a discussão de temas sociocientíficos, utilizando a metodologia da pesquisa-ação e baseados na perspectiva CTS, fez com que as professoras e os professores despertassem a visão sobre a importância de se ter essas metodologias como aliadas no processo de ensino e de aprendizagem, o que colabora tanto em seu crescimento profissional quanto pessoal, e pode servir como estímulo para inúmeras possibilidades de ressignificação da sua prática pedagógica. / This thesis presented a general objective to investigate and train teachers in the city of Petrolina-PE in partnership with the Municipal Department of Education, by means of a proposal that takes into account the local reality for teaching about the theme of food and nutrition in the discipline of science , through an action of thematic workshops, based on the CTS perspective. The research had the purpose of investigating the profile, the previous knowledge and the perception of science teachers of the final years of Elementary School regarding the importance of the theme of food and nutrition, besides investigating how they teach this subject and what pedagogical materials use. The research occurred between 2015 and 2016 and is essentially qualitative. We use action research as methodology, with a view to linking knowledge and action, seeking information about real situations, and as a method we chose to use Content Analysis in order to better analyze the material collected. The teachers investigated, while recognizing the importance of teaching food and nutrition issues, few act in a way to build and develop activities that add to and improve student development The results of the research indicate that the theme of food and nutrition deserves greater prominence among the contents of science education reserved for the fundamental level of basic education. Through the research carried out we can observe how the teachers, after the intervention of the research, built a better understanding and felt better able to minister the thematic about food and nutrition addressed in the course. Based on this view, we emphasize that the incentive given to the professional, when perceiving the discussion of socio-scientific topics, using the methodology of action research and based on the CTS perspective, caused the teachers and teachers to raise the vision about the importance of having these methodologies as allies in the teaching and learning process, which collaborates both in their professional and personal growth, and can serve as a stimulus for numerous possibilities of reframing their pedagogical practice.

This study forms part of a broader school-based intervention project focused on the promotion of healthy nutrition-related practices, physical health and the socio-emotional functioning of primary school children in resource-constrained communities in South Africa. The initial intervention was offered to Grade 1 to 3 learners at two schools situated in Gauteng. The purpose of the current study is to explore the needs and expectations of the parents whose children have been involved in the broader research project, with regard to the guidance they require on healthy food, nutrition and lifestyle behaviour. As a next phase of the broader project, the findings of my study will inform the development of a parent-guidance intervention for the parents of the learners in the participating schools. I integrated the Parental Involvement Process model and Ecological Systems theory in compiling a conceptual framework that guided me in undertaking my research. I utilised interpretivism as epistemology and followed a qualitative approach. I implemented a case study design utilising Participatory Reflection and Action (PRA) principles in generating data with 22 parent participants who were purposively selected. For data generation and documentation, I used PRA-based workshops, observation-as-context-of-interaction, field notes, reflective journaling and audio-visual techniques. Following inductive thematic analysis, four themes and related sub-themes emerged in relation to potential topics for food and nutrition-related guidance; guidance on physical activity and fitness; guidance required for supporting the psycho-social wellbeing of children, and suitable modes of delivery for a parent guidance intervention. Based on the findings of this study, I can conclude that parents from the two communities were motivated to support the health and wellbeing of their children and families; however, some structural and psychological barriers prevented them from adopting healthy lifestyle behaviour and parenting practices. To this end, the parent participants identified specific areas that they require additional support and guidance in, based on their unique life circumstances. Furthermore, parents identified mobile technology as potential suitable way in which guidance can be offered, in combination with parent workshops and information pamphlets. / Dissertation (MEd)--University of Pretoria, 2019. / Educational Psychology / MEd / Unrestricted

M. Tech. (Department of Hospitality, Tourism and PR Management, Faculty of Human Sciences), Vaal University of Technology / The purpose of this study was to determine the contribution of the National School Nutrition Programme (NSNP) has made on the total nutrient intake of Kagiso learners. This was done by investigating the nutrient intake of school children participating in the NSNP (experimental group) and comparing this to the nutrient intake of learners participating in the tuck-shop or lunch box (control group) from one school. The research methodology was undertaken in two phases, namely phase one; planning and phase two; data collection and analysis. The following measuring methods were applied; socio-demographics, household food insecurity assessment scale, anthropometry measurements, food frequency questionnaires (FFQ), 24-hour recall and the observation of the NSNP during the school lunch breaks. Anthropometry measurements were analysed according to the World Health Organization standards (WHO 2008), socio-demographics, and household food insecurity assessment scale and FFQ were captured on an Excel spreadsheet by the researcher and analysed using the Statistical Package for Social Sciences (SPSS) version 22.0 for descriptive statistics such as frequencies, standard deviations and confidence intervals. An expediency sample of 160 primary school children aged 6-13 years, including girls (n=84) and boys (n=76) and 106 caregivers were recruited into the study. The results showed that majority of caregivers (59%) completed secondary level education, followed by 39% with primary level or college completion (2%). The employment rate in the Kagiso households of the sampled group was low with 20% of caregivers being unemployed. Out of the 76% of the employed caregivers, 26% were permanently employed and 51% were temporarily employed with contract work and piece jobs. The highest monthly income (42%) was between R1000-R3000 and the lowest (38%) was less than R1000 with only R101-R200 to spend on food per week. The food insecurity status of Kagiso learners showed that 44% of school children were food secure, and 56% were food insecure – of these, 29% experienced hunger. Heightfor-age, weight-for-age and BMI-for-age were measured for all of the 160 children. The group was categorized as follows; school children participating in the NSNP (n=59) and children using the tuck-shop foods (n=35) and lunch box (n=66). The nutritional status of Kagiso learners from the sampled group showed that more boys were stunted (13%) and wasted (12%) while of the girls, 30% were at risk of being overweight, with only 2% reported to be overweight. The majority of boys reported to be stunted and wasted were from the NSNP group and the girls reported to be overweight or at risk of being overweight were from the tuck-shop group. Thus, the learners from the lunchbox had optimum growth status when compared to the other two groups. The respondents consumed a mainly high carbohydrate diet with a low consumption of vegetable and fruits. The results from the Food Variety Score (FVS) revealed a low individual mean (2.25±1.57) in the legume and nuts group, followed by a medium individual mean (7.9±2.81) in the fruits and other juices group, 7.16±2.68 in the vegetable group, and lastly, the highest individual mean (9.26±3.04) in the cereal, roots and tubers diversity. The results from the top 20 popular food items ranked as follows; maize meal stiff (1st), maize meal porridge (5th), white rice (6th), white bread (7th) brown bread (9th), potato fries (12th), breakfast cereal (13th) and samp and beans (14th). Cabbage (15th) and pumpkin (20th) were the most popular vegetables and there were no fruits within the top 20 popular list of food items. The Nutrient Adequacy Ratio (NAR) of the NSNP (n=59) meals was below the 1/3 (33.3%) and 30% dietary requirements for lunch meals. This was very evident regarding vitamin A (16.85%), energy kilojoules (23.78%), calcium (18%), folate (26.72%), zinc (15.71%), dietary fiber (25.71%) and iodine (4.65%). Iron (38.98%) was slightly above the 1/3 and 30% dietary intake, but there were a high percentage (61%) of respondents who did not meet the EARs of 5.9mg for iron. The results revealed an inadequate contribution by the NSNP to the nutrient intake of Kagiso learners. The poor intake of folate, vitamin A and dietary fiber in this sampled group is linked to the low consumption of vegetable and fruits. Results from this observational study showed that a majority of respondents do not participate in the NSNP when they do not have their own eating utensils. Respondents also revealed that the NSNP meals caused allergies such as skin rash while some mentioned diarrhea as the cause of not eating meals from the NSNP. Hence, a larger percentage (41%) of school children preferred to participate in the lunch box rather than in the NSNP (37%). The high prevalence of inadequate nutrient intake and the poor nutritional status of Kagiso learners in the sampled group, is an indication that strict monitoring of dietary measures needs to be implemented and continuously evaluated to ensure that positive nutritional results are obtained by the NSNP across South Africa

The poor in South Africa encounter many obstacles that impact negatively on their wellbeing. These include high rates of unemployment and a lack of financial and material resources. The poor living in informal settlements dwell in conditions that have an adverse impact on family health, due to malnutrition and food insecurity. Post 1994, many poverty alleviation programmes, including the Integrated Food and Nutrition Programme (IFNP) sought to improve the lives of the poor. The objective of the IFNP was to address poverty in Kungwini by increasing household food and income to enable poor households to attain a better standard of living. The purpose of this research is to evaluate whether the IFNP had achieved its objective to reduce poverty in Kungwini and whether programme implementation was effective. Social development, a process of planned social change to promote the well-being of the population, including economic development, formed the theoretical base for the research study. Social development aims to link the promotion of human welfare and economic development, and to make development socially relevant. Policies and programmes such as the IFNP aim to enhance people’s welfare and contribute to economic development. The literature study included the impact of global and national poverty on poor households in terms of poverty levels and unemployment. Gender discrimination and the social marginalization of vulnerable groups which include children, the youth, the aged and the disabled poor, social justice for the poor and the gap between the formal and informal sectors informed the research process. The crucial need for collaborative partnerships to address poverty issues is stressed, including the involvement of the poor in policy processes that impact on their wellbeing and the importance of reviewing policy implementation processes through regular programme evaluation. Poverty challenges include skills development for employment; food security; and policy reforms to ensure effective service delivery. Appropriate skills development should be identified in consultation with the poor. It is imperative that policy makers are equipped with adequate policy development skills to develop stakeholder participation. Efficient communication between relevant departments and community organisations will maintain the collaborative partnership. Public policy implementation and project management remain inter-dependent processes. Public poverty policies are based on the specific Department’s focus. Consequently, fragmented services are rendered by various public sectors, targeting the similar beneficiaries. The IFNP is evaluated against essential policy requirements to create an enabling service delivery environment and programme coordination. This includes good governance, transparency, public participation, and sustainable policy implementation. Achieving a balance between effective service delivery; adequate resources, and efficient monitoring and evaluation processes highlight the principles of successful poverty policies. Evaluation research with a combined qualitative and quantitative research approach was utilized to gather data to evaluate the impact of the IFNP to reduce poverty in Kungwini. The collective case study design was used for the qualitative research and data was collected through focus group interviews. A questionnaire was the data collection method for the quantitative research. The research results indicated that the IFNP’s objective to address poverty in Kungwini required interactive participation from relevant departments and community organisations. The collaborative partnership is essential to address poverty effectively. Research findings include the need to equip the poor with relevant skills for the job market, or to develop their own businesses. Youth mentoring is essential to enable the youth to pursue future goals. Small scale farmers should be trained with improved farming methods. Access to financial institutions and trading markets would improve the economic circumstances of the informal sector. Collaborative partnerships with a range of stakeholders, including the poor, would ensure effective service delivery through shared responsibilities. Service delivery should be based on achievable goals and effective communication strategies. Public policy developers require adequate policy development knowledge and policy implementation skills to ensure cost-effective policy processes. The research recommendations indicate that the Integrated Model is more cost effective than the Organizational Model to reduce poverty as it includes stakeholder involvement in policy development and policy advocacy. Maintaining communication between relevant departments and community organizations remain key policy requirements. Ensuring personnel training in practical project management skills is an essential policy necessity. Appropriate skills development should be identified in consultation with the poor. Efficient communication between relevant departments and community organizations will maintain the collaborative partnership. Policy implementation processes should be regularly reviewed to address policy constraints. Personnel training include policy and practical project management skills to ensure transparency and cost-effective service delivery. Addressing policy constraints through alternative policy options will ensure programmes are on track to achieve policy goals and objectives. / Thesis (DPhil)--University of Pretoria, 2011. / Social Work and Criminology / unrestricted

D. Tech. (Department of Tourism and Hospitality Management, Faculty of Human Sciences) Vaal University of Technology. / The elderly in Nigeria are used to consuming foods that are inadequate in providing the required amount of nutrients for a healthy living due to uninformed food choices and dietary food intake habits. The main objective of this study was to determine the impact of the developed food and nutrition guidelines on the dietary behaviour of the elderly in Ondo West city Ondo, Nigeria. The developed food and nutrition guidelines were used to generate a training manual for the caregivers’ in order to apply and disseminate the correct information about food nutrients and food choices to the elderly through the knowledge acquired in the nutrition education training programme by the caregivers. A baseline study was conducted making use of the measuring instruments namely, socio-demographic questionnaire, 24-hour recall, food frequency questionnaire completed by the elderly attending the old people’s home and a nutrition knowledge questionnaire to test the nutrition knowledge of the caregivers. The methodology for the study was in six phases: Phase 1: is about the baseline survey, involving the training of fieldworkers, administering and completing questionnaires: Socio-demographic, 24-hour recall, food frequency questionnaire (FFQ), by the elderly and the nutrition knowledge questionnaire (NKQ) by the caregivers. Phase 2: It involved the planning and development of food and nutrition guidelines for the caregivers of the elderly. Phase 3: This phase is about the training of the caregivers by the researcher, making use of the developed training manual with information sourced from the developed food and nutrition guidelines. Phase 4 was about the intervention programme in the study, i.e. the nutrition education programme (NEP) using information from guidelines of USA, Europe, New Zealand, South Africa, Nigeria and adapted FAO framework. Phase 5 was about the evaluation of the study, involving the completion of the nutrition knowledge questionnaire (NKQ), by the caregivers on post-test assessment after intervention, conducting observation and group interview. Phase 6 involved determining the impact of the food and nutrition guidelines and conducting a post-test making use of the research instruments, 24-hour recall, and food frequency questionnaires (FFQ) with the main objective drawn and followed up by the conclusion and recommendations in the study. A content analysis of both the observation and focus group discussion resulted in compliance with the food and nutrition guideline specifications and a remarkable improvement on food preparation skills and performance of the old people’s homes’ personnel. The main findings in the study revealed that consistent and, full compliance, with effective implementation of the food and nutrition guidelines would improve the older people’s dietary behaviour and food consumption patterns. The NEP did not improve the knowledge of the caregivers at the expected rate and level because of the low-level basic scientific background of the caregivers. The socio-demographic questionnaire revealed that 61.7% of those researched were females and 38.3% males with an average age between 60 and 65 years; 54% were married with a household income between N20001- N50000 and majority of them spending between N10001-N15000 on two meals (40%) and three meals (30%). The result from 24-hour recall and the food frequency (FFQ) questionnaires indicated that, the intake of energy, calcium and fiber were below the recommended daily allowance (RDA), while protein and carbohydrate were higher, with an emphasis on starchy foods. The nutrition knowledge questionnaire (NKQ) identified the need for higher level of food and nutrients by the caregivers in their responsibility to the elderly, for improvement in their healthy dietary habits as indicated in the four sections of NKQ results (A, B, C and D). The consumption of fruits and vegetables were impressively high, after the intervention compared to before. Moreover, there was a drastic reduction in the consumption of carbohydrate-sourced food items, fat, sugar and salt as informed by the developed guidelines. Conclusively, the study was able to establish a reliable basis on the improvement of nutrient based dietary intake with the effective utilisation of available information in the guidelines. Also, awareness was created for the elderly to improve their eating habits through the exposure of the caregivers to training on nutrition knowledge. The researcher recommended an in-house organized refresher programme which should take place periodically and consistently on the information in the developed nutrition guidelines along with encouraging the personnel in the handling of foods (caregivers, chefs, cooks) for effective implementation.