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Implementing an Integrated Nutrition Programme - Health Systems ...

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Develop criteria for perform<strong>an</strong>ce audit e.g. job<br />

descriptions<br />

Liaise with associated Professional Boards<br />

<strong>an</strong>d National office.<br />

Develop <strong>an</strong>d maintain intersectoral links.<br />

Co-ordinate <strong>an</strong>d h<strong>an</strong>dle tender contracts<br />

>R25 000.<br />

Develop <strong>Nutrition</strong> Education Promotion<br />

Strategy<br />

• <strong>Nutrition</strong> packages for nutrition <strong>an</strong>d<br />

breastfeeding week;<br />

• Key messages;<br />

• School <strong>Nutrition</strong> Education <strong>Programme</strong>s;<br />

• Lobby for donor funding;<br />

• BFHI<br />

Write monthly/quarterly reports to district<br />

m<strong>an</strong>ager <strong>an</strong>d/or Provincial office.<br />

Set opportunities for staff capacity building.<br />

Liaise with local NGO’s <strong>an</strong>d other<br />

Departments to co-ordinate <strong>an</strong>d disseminate<br />

nutrition information.<br />

Comment on draft policies.<br />

Represent nutritional component at<br />

m<strong>an</strong>agement <strong>an</strong>d intersectoral meetings.<br />

M<strong>an</strong>age <strong>an</strong>d approve tender contracts < R25<br />

000.<br />

Prepare proposals <strong>an</strong>d business pl<strong>an</strong>s of<br />

CBNP’s for funding.<br />

Org<strong>an</strong>ise <strong>an</strong>d conduct nutrition promotion<br />

activities <strong>an</strong>d campaigns.<br />

Incorporate <strong>an</strong>d strengthen nutrition education<br />

at clinics, schools <strong>an</strong>d community groups.<br />

Therapeutic <strong>Nutrition</strong> <strong>an</strong>d Food-service<br />

administration.<br />

Once the respective roles of the provincial <strong>an</strong>d district offices were defined, a process for<br />

decentralisation of budgetary control from provincial to district level was outlined.<br />

Step 1: Assessment of capacity in the districts.<br />

This included ensuring that adequate personnel was available to m<strong>an</strong>age the programme <strong>an</strong>d<br />

that there was adequate administrative support for fin<strong>an</strong>cial m<strong>an</strong>agement. In the Lower<br />

Or<strong>an</strong>ge, <strong>an</strong> administrator was seconded from the Education Department to m<strong>an</strong>age the<br />

PSNP.<br />

Step 2: Training in fin<strong>an</strong>cial m<strong>an</strong>agement<br />

Skills on fin<strong>an</strong>cial m<strong>an</strong>agement were tr<strong>an</strong>sferred to the district staff through a series of<br />

workshops given by the provincial department.<br />

Training included the payment process as well as adv<strong>an</strong>ce payment, re-imbursement <strong>an</strong>d<br />

control <strong>an</strong>d monitoring procedures.<br />

20

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