Department of Public Health, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5117, South Africa.
Department of Laboratory Medicine, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5117, South Africa.
Int J Environ Res Public Health. 2021 Dec 31;19(1):432. doi: 10.3390/ijerph19010432.
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.
全球范围内，非传染性疾病（NCDs）在 2016 年导致了 4100 万人死亡，其中大多数发生在中低收入国家。这些疾病的发病率上升是由于不健康、低质量和不平衡的饮食，导致超重和肥胖。国家学校营养计划（NSNP）的设立是为了规范向学童出售的食品。本研究旨在确定学校管理团队对 NSNP 与生活方式疾病发展之间关系的看法。2016 年，在东开普省弗里尔山采用焦点小组讨论的方法，对 16 名有目的选取的学校管理团队成员进行了现象学定性研究。使用 Tesch 的八阶段主题分析方法对叙述性数据进行了分析。数据分析揭示了两个主题（NSNP 和供应商系统）和六个子主题。NSNP 被认为为儿童的食品安全做出了重大贡献，从而提高了学习成绩。然而，需要对 NSNP 进行重新设计，通过改善预算和在菜单中纳入早餐来控制 NCD 风险因素。目前供应商系统的实施并没有支持减少 NCD 风险因素。需要改进供应商系统指南的实施。
