Final report Report on the School Feeding Scheme (Nutrition) Survey Conducted in Catholic Schools Mark Potterton and Julie Dawjee Johannesburg, February 2004 Acknowledgements Thank you to the participants for their interest and willingness to share their ideas with us. Glynis Clacherty and Barbara MacGregor contributed to the development of the methodology used in this survey. Paul Jackson carried out the telephone survey. Kgetheng Matshai carried out the fieldwork. Thank you to Elzet Utley for her comments. Thank you to Marisa van Zyl for her support in developing the database, and to Daniel Ngomane and Damien Bartlett for capturing the data. Thanks too to Debbie Bartlett and Marisa van Zyl for their administrative support. This survey was funded by a grant from the Siyabhabha Trust. Contents Executive summary…………………………………………………………..3 Background and introduction………………………………………………..5 Literature overview……………………………………………………………5 Methodology………………………………………………………………….12 Results and findings The survey……………………………………………………………12 Case study……………………………………………………………18 Focus groups and drawings………………………………………...19 Conclusion and recommendations…………………………………………21 Appendixes……………………………………………………………………23 References……………………………………………………………………26 Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 2 EXECUTIVE SUMMARY The CIE HIV/AIDS and Gender Unit approached CIE Education Services towards the end of 2004 and asked for assistance in processing the data they had collected in a survey of school feeding schemes. Research over a number of years in the area of school feeding schemes shows a number of benefits of these schemes: School feeding schemes address short-term hunger and improving cognition Long distances that children walk to school can impact on nutrition Providing breakfast to disadvantaged learners can improve test scores School feeding programmes can improve short-term memory and increase problem-solving skills. School feeding schemes increase enrolments and improve attendance Children in poor health start school late in life or not at all Malnourished children complete fewer years at school than better nourished children School feeding programmes are associated with increased school enrolment, regular attendance, lower repetition and dropout rates. School feeding schemes address micronutrient deficiencies and improve learning Iron deficiency causes children to be listless, inattentive and uninterested Addressing iron deficiencies can improve IQ scores. School feeding schemes promote community participation Increase contact and communication between parents and teachers Raise the value of education in the community Community ownership can influence the success of the project. Data was collected in three main ways. A telephonic survey was carried out of all Catholic schools in the country and focus group interviews were conducted with children who benefit from feeding schemes. Children were also asked to draw pictures of what feeding schemes meant to them. 296 schools out of 342 Catholic schools responded to the telephonic questionnaire. 47,3% (140) of the schools surveyed have school feeding schemes operating in them. 52,7% (156) of the schools do not have school feeding schemes in place. There is overwhelming evidence that school feeding programmes improve attendance at school as well as the performance of disadvantaged learners. School feeding schemes can minimise the effects of malnutrition. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 3 Feeding schemes should operate on a daily basis. Feeding schemes should be extended to include all learners wherever possible. Schools should establish food gardens to grow their own food, and to teach appropriate food production methods. Appropriate menus need to be developed that meet the nutritional needs of the learners. Effective distribution and storage arrangements need to be found. Various food preparation options should be considered and community involvement needs to be encouraged. School feeding schemes need to be integrated with other school-based health interventions such as treating parasites. School feeding schemes menus should include fresh fruit and vegetables. Management issues such as shrinkage, storage, and preparation, reporting and so forth need to be addressed. Schools should network with local hospitals and clinics to keep up-to-date with issues around nutrition. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 4 Background and introduction The CIE HIV/AIDS and Gender Unit approached CIE Education Services towards the end of 2004 and asked for assistance in processing the data they had collected in a survey of school feeding schemes. Data was collected in three main ways. A telephonic survey was carried out of all Catholic schools in the country and focus group interviews were conducted with children who benefit from feeding schemes. Children were also asked to draw pictures of what feeding schemes meant to them. The findings of this survey are reported under the following headings: Literature overview Methods Results and discussion: - Telephonic survey - Focus groups and drawings Conclusion and recommendations. Literature overview The literature overview is divided into two sections, the first deals with the broader impact of poverty on education and the second deals with some critical issues around school feeding schemes. Poverty and education Poverty is still a major challenge in schools in the developing world. Poverty results in hunger and children don’t learn effectively if they are hungry. Malnourished children also have other problems that affect learning. The following quotation from UNICEF captures the situation well: One third of the developing world’s children suffer from protein-energy malnutrition. An estimated 250 000 children a year lose their eyesight because they lack vitamin A. At least 50 million children have impaired development because they lack iodine. Over half the pregnant women in the developing world suffer iron-deficiency anaemia. Millions of infants are exposed to illness, poor growth, and early death by the decline in breastfeeding. Approximately one third of the developing world’s children are underweight (UNICEF 1994: 6 – 7). Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 5 In trying to understand the gap in academic achievement between white, middle-class students and their lower class counterparts in American schools, Rothstein (2004: 106) argues that “low income and skin colour themselves don’t influence academic achievement, but the collection of characteristics that define social-class differences inevitably influences that achievement”. These characteristics include things like different ways of parenting, disciplining, communicating and expectations. In the South African context poorer parents are likely to spend more time travelling to work, at work and generally work longer hours. Many poor parents do not have formal jobs, which adds to the stress levels of the family. Rothstein (2004) also identifies other economic manifestations that impact on achievement of poor learners, these include: Poor vision because of health conditions Poor nutrition Less adequate paediatric health care Poor oral hygiene Inadequate housing for low income families Higher learner mobility It is also interesting here to look at Ruth Lupton’s (2004) article on the effect that a disadvantaged context can have on teaching. Lupton is concerned with schools in disadvantaged contexts in Britain; she argues that these contexts impact on the organisation and processes of schools. One of the areas of impact is the wide range of abilities within each school, which places additional demands on teachers. Teachers in these circumstances tend to make use of telling rather than writing. Worksheets and copying exercises were also used more regularly in these classes. Another area of impact in disadvantaged schools is material poverty. The lack of resources limits the range of extra-curricular activities. The assignment of homework had to be considered carefully as hardly any of the learners could be assumed to have learning resources like reference books or computers at home. Learners did not always arrive at lessons with basic equipment like pens or rulers, which meant that valuable lesson time was spent giving out or collecting stationery. In addition to these external factors, Lupton (2004) argues, poverty affects the emotional environment. The most distinctive feature of schools in disadvantaged areas according to Lupton was that these schools had a charged emotional environment. ‘The number of learners who were anxious, traumatised, unhappy, jealous, angry or vulnerable was reported to be much greater than in schools where parents were materially well off, less stressed Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 6 themselves and more able to secure a stable and comfortable environment for their children’ (Lupton 2004: 9). Teaching in these contexts was draining and demanded more on a personal level than just teaching a subject. Teachers often had to deal with trauma, conflict and tears, and found it hard not to feel attached or drawn in too closely. Schools with very poor learners tended to have low overall attendance rates. Parent involvement in meetings and other school activities was low. Other day-to-day issues for teachers included having to cajole learners to complete homework and return books and equipment to class. Lupton (2004) notes that all of these issues together resulted in an ‘unpredictable working environment’. Something could happen at any time and lessons could not be relied upon to go according to plan. Learner mobility also meant that it wasn’t clear how many learners would be at school on any day. In the South African context Harber and Davies (1997) noted that the following factors promoted learning in South African schools: Length of instructional programme School library activity Years of teacher training Textbooks and instructional material and learner feeding Harber and Davies (1997) also note that in South Africa school feeding programmes had remarkable results. They also show that worm infestation is a further concern, and that this has an impact on nutrient absorption. Poor concentration, slowness to catch up and memory loss are other effects of worm infestation. Barbarin and Richter (2001) note that the ability of South African families to meet the basic food needs of their children has been severely constrained. One in five African children experience significant hunger regularly and suffer from moderate malnutrition. The average income per household at the time of the study was R1 812 per year. 53% of the people live below the porverty line. School Feeding Schemes This section of the overview examines how feeding schemes can address the problem of hunger in schools. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 7 Food aid has its origins in the disposal of surplus food in the post-World War II period. Food was distributed to parts of the world that still suffered from post war shortages. Since then the provision of food aid to improve food security has grown. A debate has developed globally as to whether feeding schemes at school actually make any difference at all. One view is that there is little evidence to suggest that school feeding programmes have a positive impact on nutrition for participating children. In some instances parents may provide less food at home, and the school simply replaces a home meal rather than complementing the home diet. However, there is some evidence that providing breakfast rather than lunch may address this problem. However there are also the arguments that in impoverished settings even small attempts are worthwhile. The other argument against school feeding is that children are only better able to learn with school feeding if the educational inputs are improved (World Bank 2005). The benefits in our view for providing food in impoverished communities outweigh the criticisms. One of the key advantages of school feeding programmes is that school attendance rates can improve (especially for girls) as parents motivate their children to attend schools. Tsang & Wheeler (1993) document that the problems of school quality are especially severe for learners from impoverished and economically disadvantaged backgrounds. In the rural areas of Thailand, for example, where learner malnutrition is high, the dropout rates between Grades 4 and 5 continue to be severe. Del Rosso (1999: 4-5) notes that school feeding programmes can: Alleviate hunger and increase the attention and concentration in learners and therefore improve learning. Motivate parents to send their children to school regularly and therefore reduce absenteeism and dropouts. Address micronutrient deficiencies like iron and iodine in school children. Improvements in nutrition can have an impact on cognition. Increase community involvement in schools especially where parents prepare and serve the meals (each of these is dealt with further in table 1). Del Rosso (1999: 9-27) identifies seven steps to develop school feeding programmes that improve education. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 8 1. Agree on a policy and objectives that focuses on how school feeding can improve education. Agree on what problems the feeding programme needs to address, who the programme will serve and which models are feasible. The following questions may be useful in developing a policy: Why do children come to school hungry? Are long distances between home and school a factor in hunger at school? Does hunger affect the children’s capacity to perform at school? What infrastructure is available for school feeding programmes? What human resources are available and used? Table 1 illustrates the positive impact that feeding schemes can make in schools. Table 1: An overview of the impact of school feeding programmes Address short-term hunger and Increase enrolments and improve improving cognition attendance Long distances that children walk to school can impact on nutrition Providing breakfast to disadvantaged learners can improve test scores School feeding programmes can improve short-term memory and increase problem solving skills Address micronutrient deficiencies and improve learning Promote community participation Iron deficiency causes children to be listless, inattentive and uninterested Addressing iron deficiencies can improve IQ scores Children in poor health start school late in life or not at all Malnourished children complete fewer years at school than better nourished children School feeding programmes are associated with increased school enrolment, regular attendance, lower repetition and dropout rates Increase contact and communication between parents and teachers Raise the value of education in the community Community ownership can influence the success of the project 2. Develop targeting criteria to reach high-risk children. Targeting is necessary to ensure that children who lack resources benefit from the school feeding programme. Targeting is especially necessary where there is a shortage of resources. The programme can be targeted by geographic area using a poverty map. Another approach that is used Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 9 is economic targeting. Here the household income is used as a measure to identify children. However, measuring household income is not that straightforward. In some countries gender has been used to target programmes. 3. Analyse and identify alternative financing options for school feeding programmes. These programmes are expensive. Besides the costs of the food itself, the costs associated with logistics, food management and control should also be considered. Other costs are associated with food losses either to spoilage or theft. Further issues related to the financing of feeding schemes are summarised in table 2. Table 2: Some financing and cost issues Food Aid Important source of support for school feeding programmes Private Sector Food Selection Management and distribution of food requires trained staff Private sector can include street vendors and local restaurants This approach can overcome the many difficulties of onsite preparation Quality control can be a challenge Certain foods are expensive e.g. milk The perishability of foods need to be taken into account Community Support Parents can take responsibility for some of the costs Links with parent association can be strengthened Sustainability Continued support is required to provide food for school children Food programmes can provide long-term impact on behaviour change 4. Develop appropriate guidelines for the ration composition and time of school meals. Analyse the nutrition and health needs of the children at the school and find out the communities ability to participate. 5. Identify potential bottlenecks in implementation. Once feeding programmes are in place, altering them can meet resistance. Blended foods and cereal flours can be prepared faster than whole grains. In Kenya for example traditional maize, beans, bread and vegetables was substituted with an early morning drink and biscuits and midday porridge. This cuts down preparation time from four hours to one hour. Additional logistical issues are highlighted in table 3. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 10 Table 3: The logistics of different school feeding models (adapted after del Rosso, 1999: 21) Model Infrastructure Required Staff requirements Meal options Feasibility of providing an early meal Issues On-site meal preparation (donated food) High High High (wide range of commodities possible) Medium (cooking time involved) On-site preparation of local food Medium Medium High (dependency on available local resources Medium (cooking time involved) Off-site preparation of local food Low Low Low High (if there are no transport issues) Sometimes difficult to control quality Local expertise needed Risk that the school meal replaces family meal Monotony of ration Difficult to reach inaccessible areas Inadequate amount of food to meet the nutrition deficit On-site prepared meal by local food vendors Low Medium Low (limited to local availability) Medium (cooking time involved) Sometimes difficult to control quality and hygiene Local expertise needed Need for local management knowledge Take-home coupons or cash or food in bulk Medium Medium No Meal No Meal No expected impact on learning Unclear now much food gets to the child High organisational requirements Logistical problems Risk that school meal replaces family meal 6. Develop monitoring systems that look at programme processes. Monitor the functioning and effectiveness of the school feeding programme. Ask questions like: How many children are reached? How many meals are served (calories delivered)? How much is spent on the various elements of the programme? 7. Find opportunities to integrate interventions. Integrate feeding schemes with other school-based health interventions for example, treating children for parasites can improve their appetites and the nutritional benefit of the food. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 11 Methodology The survey made use of telephonic interviews, focus groups, drawings and a case study. Each of these methods will be briefly discussed here and further details are contained in the relevant sections of this report. Telephonic interviews. A survey was drawn up in consultation with Glynis Clacherty. The survey covered issues like provision, extent, quality, effectiveness and need (See Appendix I). Focus group interviews. Focus group questions were designed to be nonthreatening for children. The questions encouraged discussion and allowed for a more in-depth understanding of issues (See Appendix II). Drawings. Children were asked to draw a picture of what the feeding scheme meant to them. Observation. A case study of one school was written up to provide an insight into a feeding scheme operating in one school Database An Access Database was developed for the data collected in the survey. The database can be used to create queries for any further planning exercises. Results and findings The survey 296 schools out of 342 Catholic schools responded to the telephonic questionnaire. This was an 87% response rate, which means that we can speak with a good authority on what is happening with regard to school feeding schemes across Catholic schools. 47,3% (140) of the schools surveyed have school feeding schemes operating in them. 52,7% (156) of the schools do not have school feeding schemes in place. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 12 Figure 1: Feeding schemes in Catholic schools 50 45 42 43 39 40 35 30 25 24 24 Feeding Scheme 23 No Feeding Scheme 20 20 15 15 13 11 9 10 7 7 7 5 5 3 2 2 MP NC 0 EC FS GP KZN LP NW WC A total of 48 284 learners were benefiting from feeding schemes in Catholic schools in 2004. In KwaZulu-Natal 21 465 learners benefited from feeding programmes, and that is almost two-thirds of all primary learners (KwaZuluNatal is the province where the highest numbers of Catholic schools are located). A further 21 schools in KwaZulu-Natal indicated that they still needed a feeding scheme. Table 4 illustrates how many schools in each of the provinces still require feeding schools to be established. Table 4: Number of schools in each province that need feeding schemes to be established Province EC FS GP KZN LP MP NC NW WC Number of schools 14 5 15 21 4 1 1 Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 6 6 13 Figure 2: Numbers of learners benefiting from feeding programmes by province 22641 21465 25000 20000 11381 12735 15000 No. Learners No. Learners fed by a feeding scheme 6052 5594 5569 1158 1158 2993 2073 3263 3086 1464 2339 5000 3231 4321 5078 10000 0 EC FS GP KZN LP MP NC NW WC 6 052 learners were fed in the Western Cape and 5 569 were fed in the Northern Cape. This means that the Northern Cape has the highest proportion of learners that benefit from feeding schemes. Figure 3: The need for school feeding schemes. 30 27 25 21 20 15 18 15 14 14 Need a feeding Scheme Don't need a feeding Scheme 10 10 5 5 6 4 4 5 6 3 1 1 1 1 MP NC 0 EC FS GP KZN LP NW WC Only 29 schools target their feeding to specific children. This means that the rest of schools allow all children to participate in feeding programmes. The Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 14 schools that target their feeding programmes use directives from the department of education, personal observation of need, and age to make their decisions to exclude. Only 50 schools responded to the question on the source funding for the feeding schemes. Just under half of the schools indicated that government supported the scheme. Mainly church-related groups funded the rest of the programmes. Figure 4: Schools receiving donations and the source of the donations 15 15 16 14 10 12 10 Total schools Government Private 8 8 Church CIE EAP/CSO 6 4 3 2 2 1 2 3 4 3 1 2 1 2 2 2 2 2 3 4 4 4 4 5 Unknown 0 EC FS GP KZN LP MP NC NW WC 116 schools responded to the question on the frequency of food deliveries. 26 schools said that they had deliveries everyday and 10 said sometimes. Table 5 shows the frequency of delivery as a percentage. Table 5: Frequency of food deliveries Everyday 22,41% Once a week 6,89% Twice a week 8,62% Three times a week 16,37% Once a month 24,13% Sometimes 8,62% 140 respondents answered the question as to whether or not they were satisfied with the quality of the food they received. 70% were satisfied and 30% were dissatisfied. Some of the respondents did indicate reasons and these are captured in the discussion on the open-ended questions. Any future consideration with regard to the type of food being served will need to look at the preferences of learners more closely. Figure 5: Satisfaction levels with the quality of food received Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 15 35 33 30 25 20 18 17 Satisfied Unsatisfied 15 11 10 10 7 8 5 5 5 3 2 4 3 2 3 5 4 0 0 EC FS GP KZN LP MP NC NW WC The food being offered in programmes must be appropriate and palatable for the beneficiaries. Table 6 shows the types of food that were being provided in feeding schemes. Table 6:Types of food being provided in school feeding schemes (Note: Schools in each Rice Fruit Fish Soya Margarine Jam Milk/Milk Shakes Juice/ Energy Drinks Biscuits Vegetables Peanut Butter Soup Powder Mealie Meal Beans Samp Bread province do not receive the same type of food) Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga Northern Cape North West Western Cape The survey also gathered additional comments about feeding schemes from the schools. Some of the schools indicated that the amount of food given to children was not enough for the learners. Others indicated that the quality of food received was not always good. One school said that the margarine did not taste nice, and that the learners did not enjoy the juice. One respondent Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 16 complained that the feeding scheme food causes the learners to develop diarrhoea. A few of the respondents also said that the children did not like the soya. A few of the respondents mentioned the need for fresh fruit and vegetables. Many of the respondents said that having meat in the diet would be a good idea. Others said that the food was adequate and of a good quality, some schools also said that the food provided a balanced diet for children. All of the respondents were grateful that feeding schemes had been established at some schools. A number of organisations that were working in the area of school feeding were mentioned and commended for their good work. The St Vincent de Paul Society, Peninsula Feeding Scheme, Religious sisters, and the CIE EAP Project were named. One or two schools are also involved in offering food that has been donated by individuals. A few of the respondents complained about the lack of space in schools to store the food that was purchased in bulk. These respondents also complained about the lack of proper kitchen space to prepare food in. The sporadic nature of some of the feeding programmes was of some concern. There was also some uncertainty about the continued funding of some of the feeding schemes. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 17 Case Study: A caring school The St Gerard Majella Middle School is a Catholic school located in the rural area of Tihabane, near Rustenburg. There are 344 learners from grade seven to grade nine at the school. In 2004 the school had applied to the Catholic Institute of Education for a grant to establish a feeding scheme. The school managed to set up a full-scale programme, which was started in August 2004. Learners most in need, particularly orphaned children and those whose parents were unemployed were selected as the primary beneficiaries of the scheme. The school identified 190 such learners but they also wanted a policy of inclusion. The policy was that no child should be hungry at school and therefore any child who did not have food on any day would be given a meal at school. As a result of this inclusive policy there has been no stigma or discrimination against any children benefiting from the programme. The impact of the programme has been significant and both teachers and learners who were interviewed were all very positive about the impact. Teachers said that: Attendance had increased to 99% Learners demonstrated an increased ability to listen in class and their concentration had improved Children were not as aggressive and violent as before Learners appeared healthier, had gained weight and their hair and skin had shine Children were more lively, displayed more energy, were eager for the food They were more helpful and eager to help the teacher Learners were also taking responsibility to help with the feeding. The learners’ said that: The food was great It was like Mama’s food We never get a proper meal like this at home. The success of the programme can be attributed to good management. All expenses and income are carefully documented and stored. Meal plans are drawn up so that the amount of stock for each day is handed out according to plan. There is an inventory of all stock on hand and stock used. The school received assistance from the CIE in putting in place systems to efficiently manage the programme. According to the school the feeding programme has been a huge success and has improved the quality of life of the children. They intend to continue with the feeding scheme and are also seeking to extend it into the future. The Department of Education will be approached to provide and maintain the scheme. The school obtained a storage cupboard from the department of education and are working hard to have them commit to providing food. Key learning from this case study Hunger is a barrier to learning and learning wellness is linked to proper nutrition. Children who have eaten nutritious food perform better than children who are underfed or who have poor diets. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 18 Finally the greatest challenge to them is to ensure the continuation of the programme and they are committed to work tirelessly to make this happen, as they believe “no child will go hungry and all children will have access to food here.” Focus groups and drawings The beneficiaries of the programme were interviewed in eight schools to find out how they have experienced this programme, and what their feelings were with regard to the effect of hunger on their lives at school. The responses were from children ranging in ages eight to twelve years. The focus interview questions were posed as problem statements around a case of a child who lived with his mother and grandmother both of whom were unemployed. The purpose of getting learners to respond to a case was to depersonalise the issue of poverty so that they would feel comfortable talking about it. Questions about what kind of problems and challenges this particular boy would be faced with were asked and the children responded as follows: The boy would not always have food to eat Even the food he gets does not make him full and does not give him the energy he needs He will feel dizzy The learners then described some effects this would have on his learning: He cannot listen in class He would be disturbed because he will not get all the things required for school. He is not able to learn He will be thinking about home and the fact that there is no food at home His mother will feel bad that her child has gone from home without any food He will fantasize about his mother getting a “piece job’ that day He would have no writing material and he does not have a pen He will not pass if he does not get good food Learners were asked how they thought the boy in the story would have felt without having any food to eat, and responded: He hurts He will feel like no one cares Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 19 He will feel bad when he sees others eating His mother would like him to be like other children and have pocket money Sometimes he thinks it is his mother’s fault that he does not have food He is shy He is afraid others will laugh at him He is going to faint He feels empty He can get dizzy He could ask for food He might cry He can get short tempered He could get stomach ache He could get headaches He could just sleep when he is hungry He could get sad and even angry. He could steal not because he wants to but because he is hungry. Almost all said that the boy would not be able to concentrate and that he would be thinking only about food. He would not have energy. The other children would tease him and make him feel small. If he is hungry all the time he might stay away from school. The learners were also asked what would happen to the boy in the playground. They answered that the boy would be embarrassed, and that he would hide away somewhere in the school. Some respondents suggested that he would ask for food but that he might cry if no one shares it with him. All the children said that it was good to have a feeding scheme and most felt that all the children should benefit from the scheme. The reason they gave for this was that most children did not always have food to eat everyday and that although some of the parents were employed they did not earn enough to provide lunch everyday. Many did not like watching others go hungry. Also, many felt that sharing and eating together was good for them. Some suggested that only those in need should benefit. The respondents were read an article from a Sunday paper about two younger brothers who participated in the feeding scheme but the older brother refused the food. They were asked why they thought this boy would have refused to eat. The purpose of this was to illicit answers around the issue of stigma attached to the feeding scheme. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 20 Many of the children thought he did not eat so that his brothers could get more Some thought that maybe the food was not good Others thought that he was embarrassed to eat and that he was afraid that he would be laughed at Some thought that he was shy But all agreed that no matter what the reason was he should eat because otherwise he would suffer. Finally the respondents were asked to draw pictures that would tell the decision makers what their feelings were regarding the feeding scheme, and the two drawings below illustrate what they came up with. Figure 6: Children’s drawings All the drawings showed that the scheme was very good for them. Many of the drawings also had captions explaining that the meal they got at school was often the only meal they had and this gave them strength to work. Some also explained that they would have gone hungry for days without the scheme. Most of the children expressed the wish that the scheme be run for five not four days. Conclusion and recommendations There is overwhelming evidence that school feeding programmes improve attendance at school as well as the performance of disadvantaged learners. School feeding schemes can minimise the effects of malnutrition. Feeding schemes should operate on a daily basis. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 21 Feeding schemes should be extended to include all learners wherever possible. Schools should establish food gardens to grow their own food, and to teach appropriate food production methods. Appropriate menus need to be developed that meet the nutritional needs of the learners. Effective distribution and storage arrangements need to be found. Various food preparation options should be considered and community involvement needs to be encouraged. School feeding schemes need to be integrated with other school-based health interventions such as treating parasites. School feeding schemes menus should include fresh fruit and vegetables. Management issues such as shrinkage, storage, and preparation, reporting and so forth need to be addressed. Schools should network with local hospitals and clinics to keep up-to-date with issues around nutrition. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 22 Appendix 1: Survey of feeding schemes in catholic schools EMIS NUMBER _______________________________ SCHOOL NAME ________________________PROVINCE_________________________ TOTAL NUMBER OF LEARNERS IN THE SCHOOL _____ Grade _____ GRADE: Grade______ to A1. IS THERE A FEEDING SCHEME IN YOUR SCHOOL? (Please circle) YES NO 2. If NO YES 3. If NO Do you need a feeding scheme in your school? (Please circle) NO Do you have an outreach programme where your school feeds needy people? YES NO B. If YES We do have a feeding scheme then: 1. What days of the week are the children fed? (Please circle) Monday week Tuesday Wednesday Thursday Friday Every day of the 2. Is the feeding scheme available for all the children? (Please circle) YES NO 3. How many learners are fed? _________ 4. Is it available for certain children only? (Please circle) YES NO 5. Which grades? ____________________ 6. How did you determine the grades? ______________________________________________________________________ 7. Is it available for certain children only? (Please circle) YES NO 8. Which children? ______________________________________________________________________ 9. How did you identify them? ______________________________________________________________________ 10. Is your feeding scheme adequate? (Please circle) YES NO 11. Do you receive donations of money for the feeding scheme? (Please circle) YES NO 12. If YES Where does the money come from? (Please circle all that apply) Government Private Church Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 23 13. Do you receive donations of food for the feeding scheme? (Please circle) YES NO 14. If YES Where does the food come from? (Please circle all that apply) Government Private Church School families School Garden Other (Please specify) _________________________________________________________________ 15. If food comes from the Government, is sent by (Please circle all that apply) The Provincial Education Department The District Education Office 16. How often does the food arrive at the school? (Please circle) Every day month Three times a week Twice a week Twice a month Sometimes it does not come Once a 17. What sort of food do you receive? (Please circle those that apply) Samp Mealie Meal Vegetables Peanut Butter Beans Soup Powder Bread Biscuits Other: _______________________________________________________________________ 18. Does the food that you receive satisfy the hunger for those who receive it? (Please circle) YES NO 19. Are you satisfied with the quality of the food your school receives? (Please circle) YES NO 20. Does your school have a food garden to supplement school feeding? (Please circle) YES NO C. Do you have comments about the feeding scheme or the food that you receive? Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 24 Appendix 2: Summary of interview questions based on the case presented to learners A case study on Themba, a young boy who lived with his mother and grandmother both of whom are unemployed was presented to the children and the following questions were asked: What are the challenges that face children like Themba? What effect does hunger have on children like Themba? What do you feel about the feeding scheme at your school? How did you experience it? In addition the facilitators also explored the possible stigma attached to being part of a feeding scheme. Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 25 References De Carvalho, J. & Salay, E. (1996) The Nursery School, Feeding Programme in Campinas, Brazil, FAO. http://www.fao.org/es/esn/publications/fna/article accessed on 7 January 2005. Barbaran and Richter L. (2001) Mandela’s Children: Growing Up in PostApartheid South Africa. London: Routledge. Harber, C. & Davies, L. (1997) School Management and Effectiveness in Developing Countries. London: Cassell. Millar Del Rosso, J. (1999) School Feeding Programs: Improving Effectiveness and Increasing the Benefit to Education: A Guide for Program Managers. Partnership for Child Development. Sanders, D. (2003) Nutrition Literature Review. Johannesburg: Soul Buddies Shemilt, I.; Mugford, M.; Moffat, P.; Harvey, I.; Reading, R.; Shepstone, L. & Belderson, P. (2004) ‘A National Evaluation of School Breakfast Clubs: Where Does Economics Fit In?’. Child: Care, Health & Development, 30(5), 429 – 437. Schools and Health (2005) School Feeding / Food for Education Stakeholders’ Meeting. http://www.schoolsandhealth.org/school%20nutrition.htm accessed on 7 January 2005. Smith, B. (2005) Past experiences and needs for nutrition education: Summary and conclusions of nine case studies. http://www.fao.org/docrep/w3733E/w3733e02.htm Tsang, M.C. & Wheeler, C. (1993) ‘Local Initiatives and Their Implications for a Multi-level Approach to School Improvement in Thailand’. H. Levin & M. Lockheed, Effective Schools in Developing Countries. London: The Falmer Press. 108 – 129. World Food Programme (2004) Into School, out of Hunger. http//www.wfp.org/aboutwfp/introduction/school_feeding.html accessed on 7 January 2005 Report on the School Feeding (Nutrition) Survey Conducted in Catholic Schools 26