Thesis (M. Tech. (Food Service Management, Dept. of Hospitality, Tourism and PR Management)--Vaal University of Technology / Introduction. Most of the children aged between five and 15 around the world live under difficult circumstances, which lead to a high dropout rate from school before the end of the secondary level. Most of them have poor nutrition, are undernourished and are exposed to a large range of harmful, parasitic and infectious diseases (Shariff et al, (2000:265). Purpose. The purpose of this investigation was to analyze the nutritional status of primary school children in Orange Farms informal settlement in terms of their nutritional needs in order to implement a school feeding programme and assess its impact on the nutritional status of these children. Methodology. A cross-sectional baseline survey was conducted two weeks before commencing with the school feeding programme. The measurements taken during this phase were socio-demographic and health by means of a questionnaire, as well as dietary intake and food consumption patterns by means of a quantified food frequency questionnaire and 24-hour recall, weight and height measurements. The anthropometric measurements included height and weight and the biochemical measurements included serum ferritin, C-reactive protein, total protein, albumin, vitamin B 12, folate, glucose, full blood count, haemoglobin, haematocrit, red blood cell count, mean cell volume, white blood cell count, vitamins A, E and zinc. A single matched "placebo" -controlled, parallel group, clinical trial of ten months followed in a randomly selected sample of 100 participants, 50 forming part of the control group receiving a fruit and 50 forming part of the experimental group receiving com-soy blend porridge. After the 10-month period, the same measurements for the baseline survey were repeated, except for the sociodemographic and health measurements. Results. Malnutrition, including under and over nutrition, remains a major problem among primary school children globally. This was also true in both the experimental and control school groups in this study where 18.6 percent, 34.9 percent and 4.7 percent were underweight, stunted and wasted especially in the experimental group compared to 9.1 percent severe underweight, and 9.1 per cent each for severe stunting and wasting in the control group at baseline. A mainly carbohydrate based diet was consumed with limited vegetable and animal protein intakes. The socio-demographic data indicated that household food insecurity contributed to the poor dietary intake of the sample, as the majority of the caregivers were unemployed in both groups. This was further confirmed by the limited monthly household income of less than R 1000 for a relatively large family size of up to 5 members in the control group compared to 5-10 household members in the experimental group. The implementation of a school feeding programme that included a nutritious and acceptable meal in the form of enriched corn-soy blend or a fruit as part of the programme, also proved to be a relatively easy and cost-effective way to address hunger in these primary schools. Furthermore, the dietary intake levels for both groups showed statistically significant improvements for various macro- and micronutrients when compared to DRis. Conclusion Although few statistically significant differences were observed between the groups with regard to dietary intake patterns, biochemical changes and nutritional status indices, positive changes were observed in both groups, indicating that any food provision may have a positive impact on undernourished children. The results of the intervention indicated an improvement in dietary intake which could result in an improved nutritional status, specifically related to micronutrients. However, the anthropometric indices and certain biochemical parameters showed significant improvements in both groups after the intervention. School feeding programmes are a good strategy for addressing malnutrition among primary school children if monitored effectively. However, it does not impact directly on household food security. A long-term clinical intervention trial is recommended to measure the impact of a food-based approach to address specific micronutrient deficiencies prevalent among children in these age groups. / National Research Foundation

South Africa ranks high among the developing countries with income inequality and household food insecurity is a major concern in the country. The overall objective of the study was to investigate access and practices, which lead to increasing household access to nutritious food by households. The students registered for the one-year course identified households in the Dysselsdorp settlement in the Western Cape, South Africa which they worked closely with in food gardening. Descriptive research methods were used to assess food access and identify the socio-economic and demographic variables for this study. Qualitative and quantitative methods were used to gather data, following the College of Agriculture and Environmental Sciences of the University of South Africa’s ethical protocol and guidelines. Data were collected in the middle and at the end of the coursework (mid-term and end-term). A semi-structured baseline questionnaire was used to interview households and to conduct focus group discussions with the students. The baseline questionnaire consisted of five sections, namely the socio-demographic information, food utilization, food availability, food accessibility and the living standards measurement scores. A stratified random sampling strategy was used to select 30 students to participate in the focus group discussions. The students identified three or four households, which they worked closely with and those households were purposively selected for the baseline interviews. vi Data were analyzed using the Statistical Package for Social Sciences programme (IBM SPSS 24). Descriptive statistics (mean, frequencies and standard deviation) were used to compare the data. The 24-hour recall and 7 days food frequency recall was used to assess the household food consumption patterns. Qualitative data were recorded, transcribed, then themes and connections were used to explain the data and correlated with the objectives of the study. The socio-demographic data showed that most of the respondents were above 50 years old and they had an average number of 5.2 members. Thirty-one percent (31%) of the household heads had reached grade 8 to 12 in school, while 69% were those who had not gone to school and completed up to grade 7. Majority of the households relied on social grants as a source of income. The amount of money spent on food by the households in a month was between 0-R500 (63%) and 37% spent above R500 on food. Women participated more in food-related activities than men and the gardening activities were shared by the members of the households. The HDDS is a qualitative method for food consumption, which reflects household access to a variety of foods. The HDDS consists of food groups that the household has consumed over the past 24-hours and it is calculated based on the 12 food groups from the food consumed which are summed up; the mean score is used to determine diet diversity (Swindale & Bilinsky, 2006). The findings in this study is that the average HDDS increased from 5.6 to 6.4, which is above the recommended cut-off point for dietary quality (Steyn et al., 2006). Both the 24-hour recall and 7 days food frequency reported a high consumption of carbohydrates and meat, and less consumption of other food groups such as milk, vii eggs, fruits and vegetables were noted. The households relied on a variety of coping strategies such as asking for food from family or neighbours, depending on charity/grants, finding other sources of food and collecting wild food. All the households grew their own fruits, vegetables and crops. However, livestock production was practiced by 10% of the participating households. The households used preservation methods such as keeping food in a dry place (26), sun drying (38), canning (6), freezing (53) and refrigeration (11) to keep and store vegetables. The Living Standard Measurement (LSM) is a tool which focuses on household access to services and facilities (Faber et al., 2017). Household characteristics range from level 1 up to level 10, and a score from 1 to 4 are considered to be poor and lack access to services, while scores above 5 have improved access to resources and services. The LSM results of the households indicates that they have improved access to services as all the households scored above five. All the households, had access to land with water, electricity and toilet facilities in the yard. The major constraints experienced by the households were insufficient water, theft, pests, plant diseases and livestock which destroyed the crops. It is recommended that the government provide programmes aimed at developing communities, promoting healthy eating and food production. Workshops on nutrition education should be continuous and focus on basic sanitation, food hygiene. Income generation small-scale businesses, crop production, and livestock rearing will assist in alleviating hunger and unemployment. These initiatives could be extended to other areas of the country as a way to improve food security. / Life and Consumer Sciences / M.C.S.

DEd (Curriculum Studies) / College students in Zimbabwe were facing many challenges in adopting proper dietary patterns which promote learning. This study sought to establish the impact of Socio-Economic factors and dietary patterns in particular on the academic performance of college students in Zimbabwe. The study established challenges that were faced by college students in making choices of dietary patterns that promote learning. Factors that influence choice of dietary patterns for college students were established in this study. The case study was Joshua Mqabuko Nkomo Polytechnic College in Zimbabwe with a population of 206 students and a sample of 102 participants was purposively selected. A mixed-methods research, using quantitative and qualitative approaches was employed and questionnaires, interviews, observation and document analysis were used to collect data. Findings are presented from both questionnaire and interview data in combination, with interview data playing the role of supplementing quantitative findings and probing detailed information. Quantitative data was analysed using the IBM SPSS Version 23.0 while qualitative data was coded into themes and synthesised into quantitative data to support or refute quantitative data. Research indicates that diet quality and overall health status of college students are among the prominent factors which contribute to poor student academic performance worldwide. The experiences and perceptions held by the college students and cooks were investigated. The main study findings showed that if students follow proper dietary patterns they may perform well in their studies since relationship between nutrition and academic work lies on the notion that a healthy body is able to maintain a healthy mind, which suggests that certain risk factors for a physically ill-health are also risk factors for cognitive impairment. This study made recommendations for dietary patterns that promote learning in academic domains. It also developed a model valuable for dietary patterns. / `