The Government of National Unity's (GNU) desire to eliminate socio-economic imbalances inherited from the apartheid era resulted in the creation ofthe Reconstruction and Development Programme (RDP) which outlines principles and strategies for development in key areas. One such area is nutrition; in this regard President Mandela enacted the Primary School Nutrition Programme (PSNP) to provide one third of the minimum daily food intake for primary school children, where the need existed. The PSNP was launched on the 1st of September 1994 following the announcement of the start of the programme by the President in his State of the Nation Address on 24 May 1994. Prior to the establishment of the PSNP, the National Nutrition and Social Development Programme (NNSDP) was addressing malnutrition, targeting pre-school children and pregnant and nursing mothers. Initiated without a carefully planned strategy and clearly defined roles for the national and provincial offices, the NNSDP and its successor, the PSNP were, and remain, far from successful. In 1996 the Health Systems Trust (HST) and the Department of Health (DoH) held a workshop intended to build a framework for evaluating the PSNP. The evaluation of the PSNP was prompted by the fact that direct nutrition interventions in South Africa account for about 7% of the public health budget which in monetary terms is a considerable amount. It remains dubious whether this money is being spent efficiently and appropriately. Further, the evaluation of the programme is a result of severe criticism from all fronts of society as fraud has become apparent in the various government departments within the provinces. In KwaZulu Natal, extensive fraud has occurred, where cases of non-existent schools and teachers have, for example, been discovered on the list of beneficiaries of the PSNP. The aim of this study is to form a component of the HST and DoH evaluation of the PSNP through investigating how the allocation of funding has been conducted in KwaZulu Natal, and, if this is found to be inappropriate, to provide recommendations for improved allocation . of funds. To find out more about allocation procedures in KwaZulu Natal, key informants from the Department of Health were interviewed and their responses were analysed to expose problems with the targeting and allocation of funding at the various levels of government. Further, data obtained from the KwaZulu Natal Department of Health in Durban were analysed using a sample taken from the final financial quarter ofthe year 1995/96. These data showed the amount of PSNP funds advanced to ,each school compared with the amount of funding which was accounted for, as per the procedures for the implementation of the programme. Judging from the results obtained, the use of allocated funds for the PSNP in KwaZulu Natal has not been successful in 80% of cases in the ten Magisterial Districts assessed. In educational terms, there may be a role for a programme such as the PSNP - providing pupils with enough food to enable them to be more alert and active in the school environment whereas in nutritional terms, this appears to be less the case. Improving nutrition status is much more feasible when programmes are targeted at the very young and pre-school children. Lack of targeting in KwaZulu Natal has contributed to limited success of the PSNP as a nutrition tool. In the light of the evaluation undertaken in this study, it is proposed that targeting younger, pre-school children is an attractive alternative for future nutrition-based interventions and more development-based approaches, rather than the "food hand-outs" which appear to characterise the PSNP. / Thesis (M.Env.Dev.)-University of Natal, Pietermaritzburg, 1997.

Measurement of household food insecurity is needed to identify the magnitude of food insecurity and assess the impact of development interventions. However, there is no commonly agreed measure of household food insecurity. While researchers continually experiment with new measures, the resultant measures are often complex and include numerous variables that still do not distinguish clearly between the food secure and the food insecure. This study set out to prepare a quick and convenient tool to measure household food security, using common household demographic and socio-economic variables commonly collected through a variety of household surveys. This has minimised data collection costs and assisted national food security units to continually measure and monitor household food insecurity. Food insecurity levels were estimated using data from a baseline survey conducted in a community in KwaZulu-Natal, South Africa. Food security was estimated using a number of measures, including food quantity (adequacy), dietary diversity, dietary quality, coping strategies employed and the Coping Strategies Index. The study found that household food availability varied across the two seasons over which data were collected. Only the percentile of sample households with adequate food intakes (one third of the samples) consumed enough food during the lean period when agricultural production was low. Households with inadequate food intakes also had consumed insufficient energy and lower micronutrient intakes during the period when agricultural produce was more abundant. Energy, iron and protein consumption was positively related to the consumption of adequate food. Energy intake was a relatively good indicator of protein and micronutrient intakes during the leaner period. Consumption of foods from three food groups, namely cereals, legumes and vegetables and fruits were necessary for adequate food intake. Cereals were the most important foods, forming the base of most meals, while fats and animal sourced foods were not widely consumed. Diversifying consumption through fruits and vegetables contributed significantly and positively to improved household food intakes. Household dietary diversity and dietary quality improved during the period of plenty. The application of coping strategies was strongly related to household food intake and diversity. Engaging in more coping strategies and having resultant higher Coping Strategy Index scores was strongly associated with household food inadequacy intakes and low food diversity scores. As expected, sampled households employed more coping strategies during the lean season. The strong and significant relationships between the Coping Strategies Index scores, the number of coping strategies practised by households and the household food intake indices (the Household Food Intake Index and Nutrient Adequacy Ratios) show that food intake is a strong indicator for household food security. The Household Food Insecurity Index and the Household Food Insecurity Scale were developed using 13 potential household demographic and socio-economic variables to identify the food-insecure households. The results of these two new measures were correlated with the results of the common measures reported above and found to be useful determinants of food security. The study found that while the Household Food Insecurity Index explained the influence of demographic and socio-economic variables in household food insecurity, the Household Food Insecurity Scale is more convenient in application (easy data management and computation process), and it is strongly related to the Coping Strategies Index scores. Both the Household Food Insecurity Scale and the Household Food Insecurity Index were useful tools to measure household food security and differentiate between food security and food insecure households in Embo Community. More research is recommended to further test the usefulness of the proposed measures in various settings. / Thesis (Ph.D.)-University of KwaZulu-Natal, Pietermaritzburg, 2010.