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close this bookManaging Successful Nutrition Programmes - Nutrition policy discussion paper No. 8 (UNSSCN, 1991, 152 p.)
View the document(introduction...)
View the document1. Drought Relief Programme (Human Relief), BOTSWANA
View the document2. National Nutrition and Holistic Care Programme (NNHCP), COSTA RICA
View the document3. Health and Social Development Programme (HSDP), COSTA RICA
View the document4. Institutional Support for Health and Nutrition, THE GAMBIA
View the document5. Improving Child Nutrition, Weaning Food Project, GHANA
View the document6. Integrated Child Development Services (ICDS), INDIA
View the document7. Tamil Nadu Integrated Nutrition Project (TINP), INDIA
View the document8. Family Nutrition Improvement (UPGK), INDONESIA
View the document9. Project COPACA, PERU
View the document10. Alternative School Nutrition Programme (ASNP), THE PHILIPPINES
View the document11. Pilot Food Price Subsidy Scheme, THE PHILIPPINES
View the document12. Barangay Integrated Development Approach for Nutrition Improvement of the Rural Poor (BIDANI), THE PHILIPPINES
View the document13. Joint WHO/UNICEF Nutrition Support Programme (JNSP), IRINGA REGION, TANZANIA
View the document14. Nutrition and Primary Health Care, THAILAND
View the document15. Community Based Nutrition Intervention, NORTH-EAST THAILAND
View the document16. Women, Infants and Children (WIC) Programme, U.S.A.
View the document17. Supplementary Food Production Programme (SFPP), ZIMBABWE

17. Supplementary Food Production Programme (SFPP), ZIMBABWE

Mrs J. Tagwireyi


· On a national scale, to encourage communities to work together in order to meet the demand for nutritious foods, particularly for young children.

· To promote the use of foods such as groundnuts, beans and vegetables in the diet.

· To promote community awareness of nutritional problems of children under-five years and to encourage community action to address these problems through self-reliance instead of depending on food handouts. To facilitate the inclusion of nutrition in the community's development plans.

· To assist in the identification of ways in which problems of malnutrition can be tackled through intersectoral action.

Duration: The programme was initiated on a pilot scale in 1981, and was evaluated in 1984 when recommendations for strengthening the programme were made. The programme has since expanded to cover most districts in the country with over 6,000 ongoing projects nationwide. These comprise programmes aimed at improving rainfed crops, vegetable gardens and small animal production.

Implemented by: The projects are implemented by intersectoral committees under the chairmanship of the Ministry of Agriculture with the Nutrition Unit performing secretariat functions. External support has been received from the Swedish International Development Agency (SIDA) through the Nutrition Unit in the Ministry of Health.





140 957


140 750


673 450


750 000


750 000


500 000


2 955 175

The external funds cover such costs as inputs, training, material production, evaluations and transport. The internal budget covers salaries for programme implementors, transport, and subsistence allowances.

Programme Components

· Management - Intersectoral management committees were set at all levels to ensure effective programme implementation. Training is a major element for the extension workers who are members of the management teams.

· Community Mobilization - This aims to increase awareness of nutrition and facilitates active participation in the programme.

· Nutrition Education - The programme emphasizes nutrition messages on appropriate food production and consumption habits, particularly for young children, through community participation in the food production project.

· Food Production - The SFPP was initiated to increase community self-reliance in production of nutritious foods for consumption by children and other family and community members. This is aimed at weaning the communities from dependency on food handouts, such as the Child Supplementary Feeding Programme. The SFPP promotes communal production of groundnuts, beans, vegetables and small livestock, i.e. rabbits and chickens. Communities also pool their resources, making the project affordable for interested communities.

· Appropriate Technologies - Technologies for food production, processing, preservation and preparation are developed to improve food and nutrition security at the community level.

· Child Supplementary Feeding - The programme ensures communal feeding of children under-five at a community based feeding point or preschool with a daily supplementary meal 5 days/week. The children's weight is also regularly monitored.

· Monitoring and Evaluation - The programme is monitored continuously and evaluated periodically to facilitate the design and implementation of future nutrition programmes. Operational research is a component of the programme which is still to be developed further. However, data collection has been augmented under the programme.

Most Successful Aspects

· The SFPP helped in the establishment of an intersectoral collaboration towards meeting nutrition goals. There is an active participation of keys sectors, such as Agriculture, Community Development, Local Government, and Education, in Nutrition projects. The SFPP is now integrated into the Agriculture Sector plans, indicating a level of involvement and support from agricultural extension work.

This intersectoral approach has strengthened the service offered to communities by extension workers with regard to food and nutrition and other PHC components.

· Community participation and awareness of nutrition issues has increased. An evaluation conducted in May 1989 indicated a high level of community participation in the project which augers well for the sustainability of the project. A number of projects have been sustained through community efforts, such as labour, implements and even cash contributions.

· Nutrition issues have been brought into the development arena at various levels. The recent evaluation indicated that this project had been discussed in development committee meetings at village, ward, district and provincial levels. The members were aware of the project and its objectives and supported it.

· This programme has created the appropriate climate to introduce a National Food and Nutrition Policy. The National Intersectoral Committee has already been mandated to initiate activities towards the development of a Food and Nutrition Policy. A cabinet paper will be tabled on the Food and Nutrition issue, in order to obtain cabinet mandate to proceed more vigorously with policy development.

Programme information on specific Workshop themes

Evaluation: In 1984, the SFPP pilot project was evaluated by a joint SIDA/Zimbabwe team to assess organizational aspects of the programme and the feasibility and effectiveness of the strategies adopted to implement the pilot project. Two thousand projects had been established under the pilot programme. The evaluation noted that the SFPP was beginning to integrate nutrition into the broader development process. It also noted the potential for the programme to address the problem of childhood malnutrition through intersectoral collaboration. A number of weaknesses in the planning and implementation of the programme were identified, chiefly:

· Limited planning with a lack of a detailed plan of operation with clearly defined goals.

· Lack of clear objectives and guidelines for programme implementation.

· Lack of clear definitions of roles of sectors in the programme.

· Inadequate organization and management skills on the part of programme implementors.

· Lack of a clear agricultural management structure to support the food production component of the programme.

· No clearly defined mechanism for monitoring the programme.

· Lack of coordinating structures at all levels to ensure the adequate input of the various sectors which needed to be involved in the programme.

· Criteria for each section of the target area and group was not often well understood. The target group was not clearly defined and this led to variation in targeting. In some cases the target group was the families of malnourished children and in other cases the whole community in an at-risk area.

This evaluation facilitated the National Nutrition Unit in restructuring the programme, paying particular attention to strengthening organizational and management structures and clarifying roles and responsibilities of the various sectors. A management handbook was developed along with a training strategy to ensure that all members of the intersectoral committees were fully appraised regarding the objectives of the programme and their roles within it.

In May 1989, the National Nutrition Unit undertook a process evaluation of the programme, with the general objective to improve and strengthen the SFPP programme to better identify and address the problem of malnutrition in Zimbabwe. Specific objectives were:

· To assess the extent to which targeting of vulnerable communities and malnourished children is occurring.

· To assess the extent of participation in SFPP at all levels.

· To examine the management of SFPP at all levels.

· To assess progress in integrating SFPP into ongoing planning activities of all sectors.

· To examine the extent to which SFPP projects actually focus on malnutrition as a problem in operational terms, including raising community awareness in nutrition.

· To examine ways in which SFPP projects could be self-sustaining.

· To determine ways in which SFPP could be monitored regularly.


ACC/SCN (1990). Women and Nutrition. United Nations, ACC/SCN State-of-the-Art Series: Nutrition Policy Discussion Paper No. 6. October 1990.

Anderson, M., Austin, J. Wray, J. and Zeitlin, M. (1981). Supplementary Feeding. In: Austin, J., Zeitlin, M. (eds.). Nutrition Intervention in Developing Countries: An Overview. Oelgeschlager, Gunn & Hain Publishers, Inc., Cambridge, USA.

Ashworth, A. and Feachem, R. (1985). Interventions for the Control of Diarrhoeal Diseases among young Children: Weaning Education, Bull. World Health Organization, 63 (6), pp 1115-1127.

Austin, J. and Zeitlin, F. (1981). Nutrition Intervention in Developing Countries: An Overview. Oegeschlager, Gunn & Hain Publishers, Inc., Cambridge, USA.

Beaton, G. and Ghassemi, H. (1982). Supplementary Feeding Programs for Young Children in Developing Countries. American Journal of Clinical Nutrition, 35, pp 864-916.

Beaton, G., Kelly, J., Martorell, R. and Mason, J. (1990). Appropriate Uses of Anthropometric Indices in Children. United Nations, ACC/SCN State-of-the-Art Series: Nutrition Policy Discussion Paper No. 7.

Berg, A. (1987). Malnutrition: What can be Done? The World Bank. The John Hopkins University Press, Baltimore and London.

Bossert, J. (1990). Can They Get Along Without Us? Sustainability of Donor-Supported Health Projects in Central America and Africa. Social Science and Medicine, 30 (9), pp 1015-1023.

Cornia, G. (1987). Social Policymaking: Restructuring, Targeting, Efficiency. In: Cornia, G., Jolly, R. and Stewart, F. (eds.). Adjustment with a Human Face. UNICEF. Clarendon Press, Oxford, UK.

Cornia, G. (1987). Country Experience with Adjustment. In: Cornia, G., Jolly, R. and Stewart, F. (eds.), Adjustment with a Human Face. UNICEF. Clarendon Press, Oxford, UK.

Dapice, D. (1986). Preliminary Cost Analysis in the Tamil Nadu Integrated Nutrition Project. In: Berg, A. (1987). Malnutrition: What can be Done?, The World Bank. pp 124.

Drake, W., Miller, R. and Humphrey, M. (1980). Final Report (Vol. I): Analysis of Community-Level Nutrition Programmes. Office of Nutrition, U.S. Agency for International Development. Community Systems Foundation, Ann Arbor, Michigan.

Finsterbusch, K. and van Wicklin, W. (1987). The Contribution of Beneficiary Participation to Development Project Effectiveness. In: Public Administration and Development (Vol. 7). John Wiley, Chichester, UK.

Garcia, M. and Pinstrup-Andersen, P. (1987). The Pilot Food Price Subsidy Scheme in the Philippines: Its Impact on Income, Food Consumption, and Nutritional Status. International Food Policy Research Institute, Research Report 61.

Ghassemi, H. (1990) Women. Food and Nutrition - Issues in Need of a Global Focus. In: Women and Nutrition. United Nations, ACC/SCN Symposium Report, Nutrition Policy Discussion Paper No. 6.

Gillespie, S. (1990). Institution Building for Nutrition: Development of a Framework and Identification of Indicators for Evaluation. Food and Nutrition Bulletin, 12 (2), pp 103-105.

Halstead, S., Walsh, J., and Warren, K. (eds.) (1985). Proceedings of a Conference held at the Bellagio Conference Center in Bellagio, April 29 to May 3, 1985. The Rockefeller Foundation, New York.

Griffiths, M. (1988). Growth Monitoring - Making it a Tool for Education. Indian Journal of Pediatrics (Suppl), 55, pp S59-S66.

Gwatkin, D, Wilcox, J and Wray, J. (1980). Can Health and Nutrition Interventions Make a Difference?. Monograph No. 13, Overseas Development Council, Washington, D.C.

Habicht, J., Mason, J. and Tabatabai, H. (1984). Basic Concepts for the Design of Evaluation During Programme Implementation. In: Sahn, D, Lockwood, R and Scrimshaw, N. (eds.). Methods for the Evaluation of the Impact of Food and Nutrition Programmes. The United Nations University.

Heaver, R. (1989). Improving Family Planning, Health, and Nutrition Outreach in India: Experience from Some World Bank-Assisted Programs. World Bank Discussion Paper No. 59.

Hetzel, B. (1988). The Prevention and Control of Iodine Deficiency Disorders, ACC/SCN Nutrition Policy Discussion Paper No. 3.

Horwitz, A. (1987). Comparative Public Health: Costa Rica, Cuba and Chile. Food and Nutrition Bulletin, 9 (3), pp 19-29.

IFPRI (1988). Food Policy Statement No. 9, International Food Policy Research Institute, Washington DC, October 1988.

Kennedy, E. and Alderman, H. (1987). Comparative Analyses of Nutritional Effectiveness of Food Subsidies and Other Food-Related Interventions. International Food Policy Research Institute, Washington, D.C.

Kingston Project (1990). Alternative Management of Malnourished Children. Concept Report I. E.R.T.U. (Epidemiology Research and Training Unite of the Ministry of Health). Collaborative Project between the Tropical Metabolism Research Unit, University of the West Indies, Kingston, Jamaica and the Royal Tropical Institute, Amsterdam, The Netherlands.

Ljungqvist, B. (1988). The making of a Nutrition program. In: Hunger and Society, Volume 3: Causes and Strategies in Tanzania. Cornell International Nutrition Monograph Series, Number 19.

Lotfi, M. and Mason, J.B. (1989). Direct Intervention Programmes to Improve Infant and Child Nutrition, mimeo.

Mason, J., Habicht, J-P., Tabatabai, H. and Valverde, V. (1984). Nutritional Surveillance. World Health Organization, Geneva.

Mata, L. and Rosero, L. (1988). National Health and Social Development in Costa Rica: A Case Study of Intersectoral Action. Pan American Health Organization, Technical Paper No. 13.

McGuire, J. and Popkin, B. (1990). Beating the Zero Sum Game: Women and Nutrition in the Third World. In: Women and Nutrition. United Nations, ACC/SCN Symposium Report: Nutrition Policy Discussion Paper No. 6.

Oakley, P. (1991). Projects with People: The Practice of Participation in Rural Development. The International Labour Office, Geneva.

Quinn, V., Cohen, M., Mason, J. and Kgosidintsi, B. (1988). Crisis-proofing the Economy: The Response of Botswana to Economic Recession and Drought. In: Cornia, G., Jolly, R. and Stewart, F. (eds.). Adjustment with a Human Face: Ten Country Case Studies (Vol. II). UNICEF. Clarendon Press, Oxford.

Rifkin, S. (1985). Health Planning and Community Participation. World Health Forum, 7, pp 156-162.

Rifkin, S., Muller, F. and Bichmann, W. (1988). Primary Health Care: On Measuring Participation. Social Science and Medicine, 26 (9), pp 931-940.

Shekar, M. (1989). The Tamil Nadu Integrated Nutrition Programme: A Review of the Project with Special Emphasis on the Monitoring and Information System. Paper prepared for the Rockefeller Foundation and the Cornell Food and Nutrition Policy Programme.

Shekar, M., Habicht, J-P., Latham, M. (1989). Positive and Negative Deviance in a Developing Country - A Study in the Context of the Tamil Nadu Integrated Nutrition Policy Program. Unpublished.

Shrimpton, R. (1989). Community Participation in Food and Nutrition Programmes: An Analysis of Recent Governmental Experiences. Cornell Food and Nutrition Policy Program.

Swaminathan, M. (1987). Non-Invasive Parameters for Field Monitoring and Evaluation: Their Sensitivity, Specificity and Cost. In: Gopaldas, T. and Seshadri, S. (eds.). Nutrition Monitoring and Assessment. Oxford University Press, New Delhi.

The Government of the United Republic of Tanzania, the World Health Organization, and the United Nations Children's Fund (1989). The Joint WHO/UNICEF Nutrition Support Programme in Iringa, Tanzania: 1983 -1988 Evaluation Report.

Timmons, R., Miller, R. and Drake, W. (1983). Targeting: A Means to Better Intervention, Report submitted to USAID, Community Systems Foundation, Ann Arbor, Mich., USA.

Tomkins, A. and Watson, F. (1989). Malnutrition and Infection: A Review, ACC/SCN State-of-the-Art Series, Nutrition Policy Discussion Paper No. 5.

Underwood, B. (1983). Nutrition Intervention Strategies in National Development. Some Elements of Successful Nutrition Strategies. The Nutrition Foundation (monograph).

USDA (1990). The Savings in Medicaid Costs for Newborns and their Mothers from Prenatal Participation in the WIC Program, Vol. 1., United States Department of Agriculture, Food and Nutrition Service.

Walt, G., Perera, M. and Heggenhougen, K. (1989). Are Large-Scale Volunteer Community Health Worker Programmes Feasible? The Case of Sri Lanka. Social Science and Medicine, 29 (5), pp 599-608.

West, K.P. and Sommer, A. (1987). Delivery of Oral Doses of Vitamin A Deficiency and Nutritional Blindness, Nutrition Policy Discussion Paper No. 2.

World Bank (1989). Feeding Latin America's Children, Human Resources Division, Technical Department, Latin America and the Caribbean Region, the World Bank.

Yambi, W, Jonsson, U. and Ljungqvist, B. (1989). The Role of Government in Promoting community-Based Nutrition Programs: Experience from Tanzania and Lessons for Africa. PEW/Cornell Lecture Series on Food and Nutrition Policy. Division of Nutritional Sciences, Cornell University, Ithaca, New York.

Yee, V. and Zerfas, A. (1987). Issues in Growth Monitoring and Promotion (Summary) In: Information packet: Growth Monitoring. Clearinghouse on Infant Feeding and Maternal Nutrition, American Public Health Association International Health Programs, Washington D.C.

Zaman, W. (1984). Public Participation in Development and Health Programs: Lessons from Rural Bangladesh. University Press of America, Lanham, New York, London.

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