Evaluation of a nutrition supplementation programme in the Northern Cape Province of South Africa

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dc.contributor.authorHendricks, MK
dc.contributor.authorle Roux, M
dc.contributor.authorFernandes, M
dc.contributor.authorIrlam, J
dc.date.accessioned2021-10-08T07:15:56Z
dc.date.available2021-10-08T07:15:56Z
dc.date.issued2003
dc.description.abstractAIM: This study aimed at assessing the effectiveness regarding implementation and impact of a take-home nutrition supplementation programme, the Protein Energy Malnutrition (PEM) Scheme, that targets malnourished pre-school children and pregnant and lactating women in the Northern Cape Province of South Africa. METHODOLOGY: In assessing implementation of the PEM Scheme, a cross-sectional descriptive study was undertaken over a 6-month period in the six regions of the Northern Cape Province. Interviews were conducted with programme managers and health personnel at clinics who were responsible for implementing the PEM Scheme. In assessing the impact of the PEM Scheme on growth, a retrospective review was done of the clinic records (including anthropometric data) of children enrolled in the PEM Scheme over a 1-year period. RESULTS: About 76% of the budget allocated to the PEM Scheme had been utilised over the 1-year period. The budget for the following financial year was based solely on food supplements purchased in the previous year. Coverage of malnourished pre-school children and eligible pregnant and lactating women for enrolment was estimated to be 50% and 60%, respectively. Eighty-five per cent of health facilities in the province participated in the PEM Scheme. Some of the main problems identified included: lack of training, inappropriate targeting of certain groups, incorrect application especially of discharge criteria for pregnant and lactating women, inadequate assessment for nutrition-related disease, inadequate nutrition counselling and no standardised monitoring. Of the 319 children enrolled over a year, the mean age was 16.2 (standard deviation 16.2) months, 41% had been low-birth-weight and 18% had been diagnosed with tuberculosis. Ten per cent of the children with a weight-for-age Z-score of <-2 moved into the normal Z-score range after being on the PEM Scheme for a mean duration of 8 months. There was an overall improvement in the weight-for-age Z-scores of 25% of the sample, with a significant difference between the mean weight-for-age Z-scores at enrolment and follow-up This was mainly related to significant improvement in the mean weight-for-age Z-scores of children <2 years. CONCLUSIONS: Numerous problems with the PEM Scheme have been identified which could have limited its impact. Recommendations are proposed for improving the effectiveness and impact of the PEM Scheme in the province.
dc.identifier.apacitationHendricks, M., le Roux, M., Fernandes, M., & Irlam, J. (2003). Evaluation of a nutrition supplementation programme in the Northern Cape Province of South Africa. <i>Public Health Nutrition</i>, 6(5), 174 - 177. http://hdl.handle.net/11427/34725en_ZA
dc.identifier.chicagocitationHendricks, MK, M le Roux, M Fernandes, and J Irlam "Evaluation of a nutrition supplementation programme in the Northern Cape Province of South Africa." <i>Public Health Nutrition</i> 6, 5. (2003): 174 - 177. http://hdl.handle.net/11427/34725en_ZA
dc.identifier.citationHendricks, M., le Roux, M., Fernandes, M. & Irlam, J. 2003. Evaluation of a nutrition supplementation programme in the Northern Cape Province of South Africa. <i>Public Health Nutrition.</i> 6(5):174 - 177. http://hdl.handle.net/11427/34725en_ZA
dc.identifier.issn1368-9800
dc.identifier.issn1475-2727
dc.identifier.ris TY - Journal Article AU - Hendricks, MK AU - le Roux, M AU - Fernandes, M AU - Irlam, J AB - AIM: This study aimed at assessing the effectiveness regarding implementation and impact of a take-home nutrition supplementation programme, the Protein Energy Malnutrition (PEM) Scheme, that targets malnourished pre-school children and pregnant and lactating women in the Northern Cape Province of South Africa. METHODOLOGY: In assessing implementation of the PEM Scheme, a cross-sectional descriptive study was undertaken over a 6-month period in the six regions of the Northern Cape Province. Interviews were conducted with programme managers and health personnel at clinics who were responsible for implementing the PEM Scheme. In assessing the impact of the PEM Scheme on growth, a retrospective review was done of the clinic records (including anthropometric data) of children enrolled in the PEM Scheme over a 1-year period. RESULTS: About 76% of the budget allocated to the PEM Scheme had been utilised over the 1-year period. The budget for the following financial year was based solely on food supplements purchased in the previous year. Coverage of malnourished pre-school children and eligible pregnant and lactating women for enrolment was estimated to be 50% and 60%, respectively. Eighty-five per cent of health facilities in the province participated in the PEM Scheme. Some of the main problems identified included: lack of training, inappropriate targeting of certain groups, incorrect application especially of discharge criteria for pregnant and lactating women, inadequate assessment for nutrition-related disease, inadequate nutrition counselling and no standardised monitoring. Of the 319 children enrolled over a year, the mean age was 16.2 (standard deviation 16.2) months, 41% had been low-birth-weight and 18% had been diagnosed with tuberculosis. Ten per cent of the children with a weight-for-age Z-score of <-2 moved into the normal Z-score range after being on the PEM Scheme for a mean duration of 8 months. There was an overall improvement in the weight-for-age Z-scores of 25% of the sample, with a significant difference between the mean weight-for-age Z-scores at enrolment and follow-up This was mainly related to significant improvement in the mean weight-for-age Z-scores of children <2 years. CONCLUSIONS: Numerous problems with the PEM Scheme have been identified which could have limited its impact. Recommendations are proposed for improving the effectiveness and impact of the PEM Scheme in the province. DA - 2003 DB - OpenUCT DP - University of Cape Town IS - 5 J1 - Public Health Nutrition LK - https://open.uct.ac.za PY - 2003 SM - 1368-9800 SM - 1475-2727 T1 - Evaluation of a nutrition supplementation programme in the Northern Cape Province of South Africa TI - Evaluation of a nutrition supplementation programme in the Northern Cape Province of South Africa UR - http://hdl.handle.net/11427/34725 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34725
dc.identifier.vancouvercitationHendricks M, le Roux M, Fernandes M, Irlam J. Evaluation of a nutrition supplementation programme in the Northern Cape Province of South Africa. Public Health Nutrition. 2003;6(5):174 - 177. http://hdl.handle.net/11427/34725.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Paediatrics and Child Health
dc.publisher.facultyFaculty of Health Sciences
dc.sourcePublic Health Nutrition
dc.source.journalissue5
dc.source.journalvolume6
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1079/PHN2003458
dc.subject.otherAdolescent
dc.subject.otherAdult
dc.subject.otherAnthropometry
dc.subject.otherChild
dc.subject.otherChild Nutrition Disorders
dc.subject.otherChild Nutritional Physiological Phenomena
dc.subject.otherChild, Preschool
dc.subject.otherCross-Sectional Studies
dc.subject.otherDietary Supplements
dc.subject.otherFemale
dc.subject.otherHealth Promotion
dc.subject.otherHumans
dc.subject.otherInfant
dc.subject.otherInfant, Newborn
dc.subject.otherLactation
dc.subject.otherMale
dc.subject.otherNutrition Policy
dc.subject.otherPregnancy
dc.subject.otherProgram Evaluation
dc.titleEvaluation of a nutrition supplementation programme in the Northern Cape Province of South Africa
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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