Food provision in early childhood development centres in Harare, Zimbabwe

Main Article Content

A Lewis
Y Smit
M Smit
D G Nel


Background. Poor nutrition practices result in malnutrition, a public health concern that affects a third of children globally. In Zimbabwe, ~27.6% of children under-5 years old are stunted. Some of these children spend long hours in early childhood development centres (ECDCs). Children can receive half to two-thirds of their daily food intake while in care, making ECDCs an ideal entry point to influence child nutrition positively. There are no specific nutrition guidelines for ECDCs in Zimbabwe.

Objective. The study aimed to investigate food provision at ECDCs of the Northern-Central District of Harare.
Methods. A descriptive, cross-sectional study with an analytical component was conducted in 15 ECDCs. Fifteen ECD managers (ECDMs) and 14 food handlers (FHs) were included in the study. An observational checklist allowed recording of food preparation and hygiene practices. The Dietary Diversity Score (DDS) of the menu was calculated using the Food and Agriculture Organisation (FAO) 9-group DDS sheet.
Results. Inadequate food storage facilities and food handling practices were observed. Staff had minimal nutrition-related training. Staff displayed a positive attitude towards their role in providing healthy meals. Barriers to serving healthy meals were inadequate funds, children’s food preferences, unrealistic parental expectations, and external factors. The mean DDS score for menus was 2.8. Meals consisted mainly of starchy items, legumes and meat, and lacked fruit and dairy items.
Conclusion. National guidelines can improve children’s dietary intake while in day care. In alignment with Sustainable Development Goals 2 and 3, food provision at ECDCs should be a priority.

Article Details

How to Cite
Food provision in early childhood development centres in Harare, Zimbabwe. (2022). South African Journal of Child Health, 16(4), 199-205.

How to Cite

Food provision in early childhood development centres in Harare, Zimbabwe. (2022). South African Journal of Child Health, 16(4), 199-205.


Kennedy GL. Evaluation of dietary diversity scores for assessment of micronutrient intake and food security in developing countries (doctoral thesis). Wageningnen: University of Wageningen; 2009. WebQuery/wurpubs/fulltext/14551#page=43 (accessed 27 November 2018).

UNICEF (United Nations Children’s Emergency Fund). Malnutrition. New York, NY: UNICEF; 2018. (accessed 28 June 2018).

UNICEF (United Nations Children’s Emergency Fund), WHO (World Health Organization), World Bank. Levels and Trends in Child Malnutrition; 2018. (accessed 26 October 2018).

Ministry of Health and Child Care Zimbabwe, Food and Nutrition Council. Zimbabwe National Nutrition Strategy 2014–2018; 2014. https://extranet. Nutrition%20Strategy.pdf (accessed 27 June 2018).

Fanzo J. The Nutrition Challenge in Sub-Saharan Africa. United Nations Development Programme. Working Paper 2012-012; 2012. https://www.undp. org/content/dam/rba/docs/Working Papers/Nutrition Challenge.pdf (accessed 18 May 2021).

Food and Nutrition Council. Zimbabwe national nutrition survey 2018. 2018 National

Nutrition Survey Report.pdf (accessed 14 November 2018).

Mujuru L. Zimbabwe mandates preschool, but untrained teachers and unlicensed schools abound. Glob Press J. 18 May 2018. https://

untrained-teachers-unlicensed-schools-abound/ (accessed 18 May 2021).

Mangwaya E, Blignaut S, Pillay SK. The readiness of schools in Zimbabwe for the implementation of early childhood education. S Afr J Educ 2016;36(1): 8.

Government of Zimbabwe. Ministry of Education, Sport, Arts and Culture. Statutory Instrument 106 of 2005. Harare: Government Printers; 2005.

Robson SM, Khoury JC, Kalkwarf HJ, Copeland K. Dietary intake of children attending full-time child care: What are they eating away from the child-care center? J Acad Nutr Diet 2015;115(9):1472-1478. jand.2015.02.029

McSweeney LA, Rapley T, Summerbell CD, Haighton CA, Adamson AJ. Perceptions of nursery staff and parent views of healthy eating promotion in preschool settings: An exploratory qualitative study. BMC Public Health 2016: 841.

Seward K, Finch M, Yoong SL, et al. Factors that influence the implementation of dietary guidelines regarding food provision in centre based childcare services: A systematic review. Prev Med 2017;105:197-205. ypmed.2017.09.024

Grady A, Seward K, Finch M, et al. Barriers and enablers to implementation of dietary guidelines in early childhood education centers in Australia: Application of the theoretical domains framework. J Nutr Educ Behav 2018;50(3):229-237.

Kennedy G, Ballard T, Dop M. Guidelines for measuring household and individual dietary diversity. 2013. docs/FAO-guidelines-dietary-diversity2011.pdf1 (accessed 2 August 2018).

SteynNP,NelJ,LabadariosD,MaunderEMW,KrugerHS.Whichdietarydiversity indicator is best to assess micronutrient adequacy in children 1 to 9 y? Nutrition 2014;30(1):55-60.

Maradzika J, Makwara IP, Chipunza S. Factors associated with stunting among children aged 0 to 59 months in Harare City, Zimbabwe. Int J Child Health Nutr 2016;5(1):31-44.

Benjamin-Neelon SE. Position of the Academy of Nutrition and Dietetics: Benchmarks for nutrition in child care. J Acad Nutr Diet 2018;118(7):1291-1300.

Ecker O, Nene M. Nutrition policies in developing countries: Challenges and highlights. Policy Note, October 2012. Washington, DC: International Food Policy Research Institute; 2012.

Dent C, Matwiejczy L, Fenton J, Kennett L, Mastersson N, McWhinnie JA. Guidelines for Food and Nutrition Policy in Child Care Centres. Adelaide: SA Child Care Nutrition Partnership; 2005. food_nutrition_policy_guidelines.pdf (accessed 5 September 2018).

Regional Overview of National School Food and Nutrition Programmes in Africa. Accra: Food and Agriculture Organization (FAO); 2018.

United Nations Children’s Emergency Fund (UNICEF). Early Childhood Development. the-key-to-a-full-and-productive-life.html (accessed 26 April, 2018).

United Nations System Standing Committee on Nutrition. Schools as a System to Improve Nutrition: A New Statement for School-Based Food and Nutrition Interventions. Discussion Paper, September 2017. Geneva: UNSCN; 2021. WEB.pdf (accessed 18 May 2021).

Breck A, Dixon LB, Khan LK. Comparison of planned menus and centre characteristics with foods and beverages served in New York City child-care centres. Public Health Nutr 2016;19(15):2752-2759. S1368980016000720

Benjamin Neelon SE, Copeland KA, Ball SC, Bradley L, Ward DS. Comparison of menus to actual foods and beverages served in North Carolina child-care centers. J Am Diet Assoc 2010;110(12):1890-1895. jada.2010.09.012

Dev DA, Garcia AS, Dzewaltowski DA, et al. Provider reported implementation of nutrition-related practices in childcare centers and family childcare homes in rural and urban Nebraska. Prev Med Reports 2019;17:101021.https://doi. org/10.1016/j.pmedr.2019.101021

Zaltz DA, Pate RR, O’Neill JR, Neelon B, Benjamin-Neelon SE. Barriers and facilitators to compliance with a state healthy eating policy in early care and education centers. Child Obes 2018;14(6):349-357 chi.2018.0077

Thorogood CR. Food provision challenges facing early childhood development centres in two Cape Town townships. (Master’s thesis.) University of the Western Cape; 2020. (accessed 27 July 2021).

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