1 School of Public Health & Health Systems, University of Waterloo, 200 University Avenue W., Waterloo, ON N2L 3G1, Canada.
2 Peel Public Health, Mississauga, ON, Canada.
Public Health Nutr. 2014 Jun;17(6):1245-54. doi: 10.1017/S136898001300150X. Epub 2013 Jun 17.
As part of a larger evaluation of school nutrition programmes (SNP), the present study examined programme coordinators' perceptions of strengths, weaknesses, opportunities and threats (SWOT) regarding their SNP and public health professionals' support.
Qualitative interviews were conducted with twenty-two of eighty-one programme coordinators who had completed a programme evaluation survey. Interviews followed a SWOT framework to evaluate programmes and assessed coordinators' perceptions regarding current and future partnerships with public health professionals.
The study was conducted in a large, urban region within Ontario.
The twenty-two coordinators who participated represented a cross-section of elementary, secondary, Public and Catholic schools.
SNP varied enormously in foods/services offered, how they offered them and perceived needs. Major strengths included universality, the ability to reach needy students and the provision of social opportunities. Major weaknesses included challenges in forming funding partnerships, lack of volunteers, scheduling and timing issues, and coordinator workload. Common threats to effective SNP delivery included lack of sustainable funding, complexity in tracking programme use and food distribution, unreliable help from school staff, and conflicts with school administration. Opportunities for increased public health professionals' assistance included menu planning, nutrition education, expansion of programme food offerings, and help identifying community partners and sustainable funding.
The present research identified opportunities for improving SNP and strategies for building on strengths. Since programmes were so diverse, tailored strategies are needed. Public health professionals can play a major role through supporting menu planning, food safety training, access to healthy foods, curriculum planning and by building community partnerships.
作为对学校营养计划（SNP）进行更全面评估的一部分，本研究考察了计划协调员对其 SNP 和公共卫生专业人员支持的优势、劣势、机会和威胁（SWOT）的看法。
对完成了方案评估调查的 81 名方案协调员中的 22 名进行了定性访谈。访谈遵循 SWOT 框架，以评估计划，并评估协调员对当前和未来与公共卫生专业人员合作的看法。
该研究在安大略省一个大型城市地区进行。
参加的 22 名协调员代表了小学、中学、公立和天主教学校的各个方面。
提供的食品/服务、提供方式以及感知需求方面的 SNP 差异巨大。主要优势包括普遍性、能够接触到有需要的学生以及提供社交机会。主要劣势包括在形成供资伙伴关系方面的挑战、缺乏志愿者、调度和时间安排问题以及协调员工作量大。有效 SNP 交付的常见威胁包括缺乏可持续供资、计划使用和食品分发的跟踪工作复杂、学校工作人员不可靠的帮助以及与学校行政部门的冲突。增加公共卫生专业人员援助的机会包括菜单规划、营养教育、扩大计划食品供应，以及帮助确定社区合作伙伴和可持续供资。
本研究确定了改善 SNP 的机会和利用优势的策略。由于计划差异很大，因此需要制定有针对性的策略。公共卫生专业人员可以通过支持菜单规划、食品安全培训、获得健康食品、课程规划以及建立社区伙伴关系，在 SNP 中发挥重要作用。
