The barriers that women face when choosing food for their primary school children: A case study in the Western Cape Province, South Africa

Smit, Yolande; Kassier, Susanna Maria; Nel, Daan; Koen, Nelene

doi:10.7196/sajch.2017.v11i3.1292

Cited by 7 publications

(10 citation statements)

References 17 publications

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“…A list of potential attributes (i.e. characteristics or factors) was developed informed by qualitative [ 9 , 11 , 14 , 15 , 17 , 20 ] and quantitative literature [ 10 , 12 , 13 , 18 , 19 ]. Attributes were selected for inclusion if they were commonly raised influences or reported to have significant associations with child intake, as well as researcher expertise.…”

Section: Methodsmentioning

confidence: 99%

“…Many environmental factors influence food provision, such as the physical resources and social supports that prompt or inhibit food provision [8]. Physical resources such as cost, time, convenience and food availability have been reported as barriers to primary food providers providing healthy food choices to children [9][10][11][12][13][14][15]. Additionally, a recent review found young children's access to unhealthy foods was commonsly associated with higher children's snack intake, highlighting the importance of availability of snacks [16].…”

Section: Introductionmentioning

confidence: 99%

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Understanding the influence of physical resources and social supports on primary food providers’ snack food provision: a discrete choice experiment

Johnson

Golley

Zarnowiecki

et al. 2020

Int J Behav Nutr Phys Act

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Background Snack eating occasions contribute approximately a third of children’s energy intake, with approximately half of all unhealthy foods consumed during snack times. Therefore, it is critical to understand the drivers of primary food providers’ snack provision. The study aims were to determine the relative importance of physical resources and social supports when primary food providers are choosing snacks to provide to their child, and to investigate how these attributes differ in social versus non-social occasions, and between subgroups of primary food providers based on socio-economic position. Methods Primary food providers of three to seven-year olds completed an online discrete choice experiment, by making trade-offs when completing repeated, hypothetical choice tasks on the choice of snacks to provide to their child in: 1) non-social and 2) social condition. Choice tasks included two alternatives consisting of varying attribute (i.e. factor) levels, and an opt-out option. The order of conditions shown were randomized across participants. Multinomial logit model analyses were used to determine utility weights for each attribute. Results Two-hundred and twenty-five primary food providers completed the study, providing 1125 choice decisions per condition. In the non-social condition, the top three ranked attributes were type of food (utility weight 1.94, p < 0.001), child resistance (− 1.62, p < 0.001) and co-parent support (0.99, p < 0.001). In the social condition, top ranking attributes were child resistance (utility weight − 1.50, p < 0.001), type of food (1.38, p < 0.001) and co-parent support (1.07, p < 0.001). In both conditions, time was not a significant influence and cost was of lowest relative importance. Subgroup analyses revealed cost was not a significant influence for families from higher socio-economic backgrounds. Conclusions Type of food, child resistance and co-parent support were of greatest relative importance in primary food providers’ snack provision decision-making, regardless of social condition or socio-economic position. In designing future interventions to reduce unhealthy snacks, researchers should prioritize these influences, to better support primary food providers in changing their physical and social opportunity. Trial registration Australian New Zealand Clinical Trials Registry no. ACTR N12618001173280

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Understanding the influence of physical resources and social supports on primary food providers’ snack food provision: a discrete choice experiment

Johnson

Golley

Zarnowiecki

et al. 2020

Int J Behav Nutr Phys Act

View full text Add to dashboard Cite

show abstract

“…In South Africa, poverty varies from province to province due to large differences in economic structure (Serumaga-zake et al, 2005). The WCP is an urban district with diverse living conditions ranging from wealthy suburbs to underdeveloped informal urban and rural areas (Smit, Kassier, Nel, & Koen, 2017). After the new democratic government came into power in 1994 (post-apartheid), black South Africans migrated in large numbers, especially to areas where they had previously been denied the right to live and to areas from where had been forcibly removed during the apartheid period (Serumaga-zake et al, 2005).…”

Section: The Western Cape Province (Wcp) and Maraval Townshipmentioning

confidence: 99%

Barriers and Challenges to Service Delivery and Funding: A Case Study of a Nonprofit Organization in the Western Cape, South Africa

Martin-Howard

2019

J. Public Nonprof Aff.

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There is limited qualitative case research focusing on the underreported voices of black and coloured men and women employed at nonprofit organizations (NPOs) and living in underserved communities of South Africa. The purpose of this single case study, then, is to explore barriers and challenges to service delivery and funding at one specific NPO in South Africa’s Western Cape Province (WCP). To do so, I rely on observations and indepth semistructured interviews with 11 staff members. According to a majority of the staff, religion and race are the primary barriers that prevent the organization from achieving its goals and objectives. Moreover, they note that poverty and poor living conditions, child abandonment and neglect as a result of maternal alcohol abuse, and racial and cultural tensions are contextual challenges that inhibit organizational effectiveness. While these barriers and challenges are specific to this particular NPO, the contextual factors that staff identified are evident in other townships in the WCP. As such, the findings from this study add to the knowledge of NPOs in the WCP and provide insights into how to improve service delivery for low-income and underserved populations in the region.

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“…These adverse conditions have placed severe pressure on ordinary South Africans who are already struggling to meet their basic household needs (Labadarios, et al, 2011). The Western Cape Province (WCP) in SA, the location of this study, is an urban district with diverse living conditions ranging from wealthy suburbs to underdeveloped informal urban and rural areas (Smit et al, 2017). In the WCP, high levels of poverty exist (Klasen & Woolard, 2009), the province's broad unemployment rate stood at 25.5% in 2014, and these factors are the driving factor of multiple social ills (Western Cape Provincial Strategic Plan, 2015).…”

Section: Introductionmentioning

confidence: 99%

Health and Nutrition Interventions for Low-Income and Underserved Black and Coloured Mothers in South Africa: A Qualitative Case Study of a Community-Based Organization in the Western Cape

Martin-Howard

2019

Journal of Health and Human Services Administration

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Few empirical studies focus on the underreported voices of low-income and underserved Black and Coloured mothers that participate in community-based organizations (CBOs) in South Africa (SA). Perceptions about the impact of participation in a health and nutrition program on behavior change of 19 select women who received assistance from a CBO in the Western Cape Province (WCP) are presented. Based on findings from data collected in 2017, mothers expressed food insecurity and improved nutritional choices as the two main factors that impede healthy lifestyles and the positive outcomes of participation, respectively. Women expressed the need and value of the CBO in their township, cited the importance of obtaining food for themselves and their children, and described changes in nutritional behavior since joining the organization. Findings from this research adds to the knowledge of CBOs on health and nutrition interventions for low-income and underserved populations in SA and internationally.

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The barriers that women face when choosing food for their primary school children: A case study in the Western Cape Province, South Africa

Cited by 7 publications

References 17 publications

Understanding the influence of physical resources and social supports on primary food providers’ snack food provision: a discrete choice experiment

Understanding the influence of physical resources and social supports on primary food providers’ snack food provision: a discrete choice experiment

Barriers and Challenges to Service Delivery and Funding: A Case Study of a Nonprofit Organization in the Western Cape, South Africa

Health and Nutrition Interventions for Low-Income and Underserved Black and Coloured Mothers in South Africa: A Qualitative Case Study of a Community-Based Organization in the Western Cape

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