Browsing by Author "KIMWELE ANGELICA MUENI"

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    NUTRITIONAL APPRAISAL AND DEVELOPMENT OF A STRATEGIC MODEL TO ENHANCE THE IMPLEMENTATION OF HOME-GROWN SCHOOL-FEEDING PROGRAMME IN MAKUENI COUNTY, KENYA
    (TUK, 2024-09) KIMWELE ANGELICA MUENI
    ABSTRACT The Home-Grown School Feeding Programme (HGSFP) is an initiative to provide locally purchased food to schoolchildren. There is a body of literature on HGSFP, but not much on how successfully it is being implemented or how it influences children' dietary intake. Therefore, the objectives of this study; assessed differences in consumption of vitamin A and iron-rich foods, dietary diversity score, and nutritional status, of children in and not in schools implementing HGSFP, explored stakeholders’ roles and challenges in the implementation of HGSFP, then solicited their opinions on possible strategies to improve the HGSFP. A model to enhanced implementation of HGSFP in Makueni County was then developed. This study done in two phases. During phase I, cross- sectional concurrent mixed method approach was used to collect quantitative data and qualitative data. Phase II was the development of a model. A researcher-administered questionnaire to a random sample of 288 schoolchildren collected quantitative data. Responses from four Key Informant Interviews (KIIs) and six Focus Group Discussions (FGDs) with primary stakeholders of the HGSFP provided qualitative data. Quantitative data was collected using a 24-hour food frequency questionnaire with index child/caregivers on consumption of vitamin A, iron-rich foods, and individual dietary diversity. Analysis was done based on FAO (2010) guidelines and using Statistical Package for Social Science (Version 20.0). Fisher’s exact tests and independent t-tests were conducted to investigate differences of variables for children in and not in schools implementing HGSFP. Qualitative data from FGDS and KIIs was coded and organised into themes using Qualitative Data Analysis (QDA) Miner Lite software. Overall, there were no significant differences in the proportion of children in and not in schools implementing HGSFP who consumed vitamin A and iron-rich foods (75.7 % vs 69.4% and 22.9% vs 16.0% P = 0.635, respectively). A significant percentage (P<0.01) and a high proportion of children (33.4%) from HGSFP-implementing schools achieved minimum dietary diversity score (consumed foods from ≥ five (5) food groups), compared to (17.3%) those in schools without the feeding programme. Children in schools implementing HGSFP had significant (P<0.0001) higher rates of overweight and obesity (7.6%, 0.7% vs 16.7%, 6.9% respectively) and low rates of underweight and severe underweight (7.6%, 7.6% vs 2.8%, 1.4% respectively. School head teachers served as managers, accountants, and procurement officers in the implementation of HGSFP. Parents supported the implementation of HGSFP by providing cash, water and firewood. The school meal management committee served as the accounting and procurement officers in conjunction with the head teachers. A government representative supervised the operation of the feeding programme. As identified by stakeholders, the challenges facing the implementation of HGSFP in Makueni County were insufficient funding, lack of procurement experience, inadequate and low-quality food supply, selective programme coverage,and lengthy procurement procedures. 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on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to empowerment, increased funding and engagement of food producers suppliers on methods to increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. increase production and procurement of a variety food items for the HGSFP. The aforementioned findings were organised in a model with mechanisms to improve the diversity of school meals for schoolchildren. for schoolchildren.for schoolchildren. for schoolchildren. for schoolchildren. for schoolchildren. for schoolchildren. 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