ABSTRACT
Background. South Africa (SA), as a middle-income country, faces the nutrition transition and associated double burden of undernutrition and obesity. School feeding programmes are one way of ensuring that malnutrition in children is addressed, but questions remain about whether they can address both undernutrition and obesity.Objectives. To compare the obesity and stunting outcomes for children receiving different combinations of school feeding programmes in a rural district of SA.Methods. The evaluation involved a comparative design that compared the stunting obesity levels of three groups of children. Group 1 received one lunch meal a day for a prolonged period, group 2 both lunch and breakfast, and group 3 had started receiving a daily lunch shortly before the commencementofthresearch.Results. Group 1 had stunting levels in line with the national average. Group 2 had lower stunting levels than those receiving only the lunch meal. Children from group 3 had lower stunting levels than groups 1 and 2. Rates of obesity and overweight were markedly different between the groups. Group 3 had very high rates of overweight and obesity above the national average of 28%. In contrast, group 1 had far lower rates of overweight and obesity, and group 2exhibited the lowest levels. There was a significant decrease in the percentage of learners classified as overweight in group 3 over the 6-month period, from 26.1% to 19.2%.Conclusion. One lunch meal a day is associated with positive outcomes in relation to rates of stunting and obesity, and the lowest rates of obesity were measured when a breakfast meal was added. The addition of a breakfast meal to a lunch feeding programme shows promise,but this requires further investigation to understand whether causal linkages exist
Subject(s)
Child Nutrition Disorders , Double Effect Principle , Growth Disorders , Obesity , Parish Nursing , South AfricaABSTRACT
Objetivo: Descrever o processo de implantação do programa "Enfermagem na Comunidade Fé" no Brasil. Síntese dos dados: Trata-se de um relato de experiência, realizada em 2011, sobre a implantação do programa "Enfermagem na Comunidade Fé" no Brasil. Inicialmente, estabeleceu-se uma parceria entre o Centro Universitário Adventista de São Paulo e o Church Health Center em Memphis. O currículo do Church Health Center foi traduzido, revisado e implementado em quatro módulos: espiritualidade, saúde holística, profissionalismo e comunidade. Foram realizados dois cursos. O primeiro, em 2013, contou com a participação de 34 enfermeiros em período integral. O segundo, oferecido em 2016, na modalidade semipresencial, teve 20 participantes. A implantação do programa foi efetiva, uma vez que possibilitou instrumentalizar enfermeiros com uma visão holística e capacidade reflexiva para atuarem em seus locais de origem, seja em hospitais e clínicas, seja nas comunidades de fé, como multiplicadores de uma prática humanitária que valoriza todas as dimensões do ser humano. Conclusão: O programa vem se consolidando no Brasil e poderá ser uma ponte para um melhor enfrentamento das dificuldades de saúde encontradas nas comunidades.
Objective: To describe the implementation process of Faith Community Nursing (FCN) program in Brazil. Data Synthesis: This is an experience report conducted in 2011 on the implementation of the "Faith Community Nursing" program in Brazil. Initially, a partnership between The Adventist University of São Paulo and the Church Health Center in Memphis was established. The Church Health Center curriculum was translated, revised and implemented in four modules: spirituality, holistic health, professionalism and community. Two courses were conducted. The first, in 2013, counted with the participation of 34 nurses in full-time. The second, offered in 2016, in blended form, had 20 participants. The implementation of the program has been effective as it enabled the nurses to be equipped to practice care for the whole person in a reflective way in their places of origin, whether in hospitals, clinics or in faith communities, as multipliers of a humanitarian practice that values all the dimensions of the human being. Conclusion: The program has been consolidated in Brazil and can be a bridge to better cope with the health problems encountered in communities.
Objetivo: Describir el proceso de implantación del programa "Enfermeras Parroquiales" en Brasil. Síntesis de los datos: Se trata de un relato de experiencia realizado en 2011 sobre la implementación del programa "Enfermeras Parroquiales" em Brasil. En principio se estableció una sociedad entre el Centro Universitario Adventista de São Paulo y el Church Health Center en Memphis. El currículo del Church Health Center fue traducido, revisado e implementado en cuatro módulos: la espiritualidad, la salud holística, el profesionalismo y la comunidad. Se realizaron dos cursos. El primero fue en 2013 y tuvo la participación de 34 enfermeros en período integral. El segundo ha sido en 2016 en la modalidad semipresencial y tuvo 20 participantes. La implantación del programa fue efectiva ya que posibilitó la orientación de los enfermeros para una visión más holística y capacidad reflexiva para la actuación en sus sitios de origen, sean los hospitales y clínicas o en las comunidades de fe como multiplicadores de uma práctica humana que valora todas las dimensiones del ser humano. Conclusión: El programa se ha consolidado en Brasil y podrá ser un puente para un mejor afrontamiento de las dificultades de salud encontradas en las comunidades