Professional Board for Dietetics and Nutrition · 9/8/2016 · Professional Board for Dietetics...
Transcript of Professional Board for Dietetics and Nutrition · 9/8/2016 · Professional Board for Dietetics...
Additional information - Competencies for the new nutrition professional: 8 September 2016
Professional Board for Dietetics and Nutrition
ADDITIONAL INFORMATION ON THE TRAINING OF
THE ENTRY-LEVEL NEW NUTRITION
PROFESSIONAL FOR SOUTH AFRICA
8 September 2016
Feedback by 23 September 2016 (see page 4 for details)
Prepared by:
Prof E Wentzel-Viljoen PhD RD(SA); RNT(SA)
on behalf of the Professional Board for Dietetics and Nutrition
Additional information - Competencies for the new nutrition professional: 8 September 2016
TABLE OF CONTENTS
PREAMBLE .......................................................................................................................... 3
1 THE NEW NUTRITION PROFESSIONAL ............................................................... 3
2 BACKGROUND INFORMATION............................................................................. 4
3 PROCESS FOLLOWED TOWARDS THE DEVELOPMENT OF THE
COMPETENCIES OF THE DIETITIAN-NUTRITIONIST .......................................... 4
3.1 FIRST TASK TEAM – FEBRUARY 2012 TO FEBRUARY 2013 ........................................... 4
3.2 THE PROFESSIONAL BOARD – FEBRUARY 2013 TO FEBRUARY 2014 ......................... 5
3.3 SECOND TASK TEAM – FEBRUARY 2014 TO FEBRUARY 2015 ...................................... 6
3.4 THE PROFESSIONAL BOARD – FEBRUARY 2015 TO FEBRUARY 2016 ......................... 6
4 SCOPE OF THE DIETITIAN-NUTRITIONIST .......................................................... 7
5 COMPETENCIES OF THE ENTRY LEVEL DIETITIAN-NUTRITIONIST ................. 8
NUTRITIONAL AND OTHER BASIC SCIENCES ............................................................................. 10
5.1.1 Nutritional science ................................................................................................. 10
5.1.2 Food science and food safety ................................................................................ 11
5.1.3 Food systems (FAO definition) ............................................................................... 11
5.1.4 Social science, sociology, economic, and nutritional anthropology......................... 12
5.1.5 Communication ...................................................................................................... 12
5.1.6 Governance ........................................................................................................... 13
SCREENING / NEEDS ASSESSMENT / SITUATION ANALYSIS .................................................... 14
5.1.7 Nutrition assessment, evaluation and diagnosis..................................................... 14
5.1.8 Community/population assessment, evaluation and diagnosis ............................... 16
NUTRITION PLANNING, IMPLEMENTATION, MONITORING AND EVALUATION .......................... 18
5.1.9 Nutritional care for individuals ................................................................................ 18
5.1.10 Nutritional care at community / population levels ................................................... 19
5.1.11 Nutrition service delivery ........................................................................................ 20
5.1.12 Inter- and intra-sectorial support and co-ordination ................................................ 20
FOOD AND NUTRITION SECURITY ............................................................................................... 21
FOOD SERVICE SYSTEM .............................................................................................................. 22
Additional information - Competencies for the new nutrition professional: 8 September 2016
HEALTH PROMOTION, BEHAVIOUR CHANGE AND NUTRITION EDUCATION ............................ 23
5.1.13 Health promotion ................................................................................................... 23
5.1.14 Behaviour change .................................................................................................. 23
5.1.15 Nutrition Education ................................................................................................ 24
POLICIES, STRATEGIES AND GUIDELINES RELATED TO FOOD AND NUTRITION .................... 25
5.1.16 Policies .................................................................................................................. 25
5.1.17 Strategies .............................................................................................................. 25
5.1.18 Protocols, guidelines and standard operating procedures (SOPs) ......................... 25
5.1.19 Tenders specifications ........................................................................................... 25
5.1.20 Food labelling ........................................................................................................ 25
MANAGEMENT, LEADERSHIP AND ADVOCACY .......................................................................... 27
5.1.21 Management .......................................................................................................... 27
5.1.22 Leadership ............................................................................................................. 27
5.1.23 Advocacy ............................................................................................................... 28
RESEARCH ..................................................................................................................................... 29
5.1.24 Basic research ....................................................................................................... 29
5.2 CRITICAL CROSS-FIELD OUTCOMES / GRADUATE ATTRIBUTES ............................... 30
Additional information - Competencies for the new nutrition professional: 8 September 2016 3
PREAMBLE
At the Professional Board meeting held at the recent Nutrition Congress in Somerset-West
(3 September 2016) it was clear that there are major misconceptions, uncertainties, distrust
and incorrect information going around regarding the training of a new nutrition professional.
Accusations were made, not only at the Conference meeting, but also to individual members
of the Board and Task Teams. The perception of dietitians is that the training of the new
nutrition professional will not contain any or very little therapeutic nutrition or that it will be
‘watered down’, that the training will be of a substandard and not complying with
international standards. It also became clear that dietitians and nutritionists either do not
read documents or do not understand them, and do not go to the trouble of asking for
support or clarification at the resources at their disposal, such as universities and the
Professional Board for Dietetics and Nutrition
However, the majority of dietitians, nutritionists, public health nutritionists and other health
professionals support the change to train only one nutrition professional in the future and the
competencies as spelt out in the documentation.
The process was informed by a consultative process and decisions were made by either the
Task Teams or the full Professional Board comprising 10 members. All the documentation
was made available to all stakeholders and comments requested, discussed and decided
upon by the Professional Board.
The aim of this document is to provide a short version of the full process and the scope,
competencies and associated assessment criteria of the new nutrition professional as it
stands on 8 September 2016. The Board are currently awaiting the feedback from training
universities on the competencies and associated assessment criteria.
This document will be open for comments from any stakeholders other than universities, who
already have the documentation, until 23 September 2016 and should be communicated
directly to Prof SM Hanekom (Chair of the Professional Board for Dietetics and Nutrition) at
the following e-mail address: [email protected]
1 THE NEW NUTRITION PROFESSIONAL
The Professional Board approved the concept of a single general nutrition professional
cadre at entry level – starting from the needs of the population i.e. primary health care
perspective – and allows for advanced qualification(s) and accompanied registration to
address the tertiary level needs of the population.
The training of the new nutrition professional will be in line with the ‘NORMS AND
STANDARDS FOR DIETETIC PRACTICE IN SOUTH AFRICA’ that the National Department
of Health, Directorate: Nutrition is in the process of finalizing.
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Discussions around the name of the new nutrition professional and register (a third one in
addition to the current dietetic and nutritionist registers) are still on-going and will not be
addressed in this document.
For the purpose of this document the term ‘dietitian-nutritionist’
will be used for the new nutrition professional
2 BACKGROUND INFORMATION
The registration of the dietetics profession with the HPCSA was promulgated in 1980 and
the first Professional Board for Dietetics was established in 1981 with Prof Elma Nel from the
then Natal University as the Chairperson. The first task of the Board was the development of
the minimum standards for the training of dietitians. Since then the competencies of the
dietitian have been revised by working groups in 1994 and in 2001. The most significant
development in the competencies of the dietitian during this period has been the extension
of the area of community nutrition from none in 1980, to about 5% in 1987 (then identified as
functions performed by Department of Health), to at least 25% in 2001.
After a long and interrupted process which started around 1980, momentum towards the
registration of a Nutritionist was gained again in 2000 with regular meetings and workshops
between 2000 and 2005 when the registration of this cadre was finally approved by the
Professional Board for Dietetics and documentation for promulgation prepared. The register
for nutritionists was eventually promulgated in the Government Gazette in 2008 with the
Grandfather clause registration process closing in March 2010.
Currently the training of both dietitians and nutritionists is of high quality and a number of
registered dietitians and nutritionists are working outside the country in for example the UK
and Australia.
3 PROCESS FOLLOWED TOWARDS THE DEVELOPMENT OF THE COMPETENCIES
OF THE DIETITIAN-NUTRITIONIST
Following is a short description and time-line of the processed followed up to date.
3.1 FIRST TASK TEAM – FEBRUARY 2012 TO FEBRUARY 2013
At a (stakeholder1) meeting of the Professional Board with all training institutions, National
Department of Health, nutrition provincial managers of all nine provinces, the South African
1 Stakeholders represented at these meetings include: with all training institutions, National
Department of Health, nutrition provincial managers of all nine provinces, the South African Defence
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Defence Force, the Association for Dietetics in South Africa (ADSA) and the Nutrition
Society of South Africa (NSSA) on 23 February 2012 it was recommended that a Task Team
be appointed to address the scopes and competencies for dieticians and nutritionists. The
following people were appointed:
• Prof E Wentzel-Viljoen (Chair of the Professional Board)
• Ms L Moeng (Chair of the Education Committee of the Board)
• Prof A Dannhauser (HESA representative on the Professional Board)
• Prof R Blaauw – Stellenbosch University
• Prof SM Hanekom – North-West University
• Mr D Matthews – Department of Health, Limpopo Province
• Prof R Swart – University of the Western Cape
• 1 Representative from ADSA
• 1 Representative from NSSA
The appointment and mandate of the Task Team was confirmed by the Education
Committee of the Professional Board meeting on 24 February 2012. Subsequent to the
appointment of the Task Team the Education Committee recommended that a facilitator be
appointed to facilitate the process. The meeting of the Task Team was held on 17 – 18
October 2012, at the HPCSA, Madiba Street, Pretoria.
The following people attended the meeting:
• Prof Edelweiss Wentzel-Viljoen (Convenor)
• Mrs Lynn Moeng
• Prof Grieta Hanekom (HESA representative on the Professional Board)
• Prof Reneé Blaauw (Stellenbosch University)
• Mr Daddy Matthews
• Prof Marius Smuts (Representative from the NSSA)
• Ms Berna Harmse (Representative from ADSA)
• Mr Emmanuel Chanza (Professional Board manager)
• Mr Sibusiso Nhlapho (Committee co-ordinator)
• The workshop facilitator: Prof Leon Coetsee
The Task Team reported back to the Professional Board with a Report dated 26 October
2012. This Report was tabled and discussed at the Stakeholder meeting of 27 February
2013.
3.2 THE PROFESSIONAL BOARD – FEBRUARY 2013 TO FEBRUARY 2014
From February 2013 to February 2014 the Professional Board considered and discussed the
comments received from stakeholders after the meeting of 27 February. In May 2013 the
Board resolved, based on the comments received, to mandate members of the Board to
conduct an in-depth situational analysis, to define a comprehensive framework for the
Dietetic and Nutrition Professions in South Africa. This situational analysis would include the
Force, the Association for Dietetics in South Africa (ADSA) and the Nutrition Society of South Africa (NSSA)
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following: Government (DoH, Agriculture, Social Development); NGOs; Human Resources
needs in the Republic of South Africa; Health Care System and policies; Higher Education
and Training Framework; Implications for registration, International trends; How to deal with
the current registers; Legal implications; Overview of the current registers; Defining of
conceptual framework on articulation; International comparisons.
3.3 SECOND TASK TEAM – FEBRUARY 2014 TO FEBRUARY 2015
The Situation Analysis Report of the Professional Board was tabled and discuss at the
(stakeholder) meeting of the Professional Board with the heads of training institutions and
provincial managers on 26 February 2014. At this meeting it was recommended that the First
Task Team be expanded to include wider stakeholder representation and that a staff
member of the University of Venda should also be included. The following people were
appointed to the Second Task Team:
• Prof R Blaauw – Stellenbosch University
• Prof SM Hanekom - Board member: HESA representative
• Ms C Julsing-Strydom - Representative of ADSA
• Mr D Matthews – Department of Health, Limpopo Province
• Ms V Mbhatsani – University of Venda
• Ms L Moeng - Board member: Chair of the Education Committee
• Ms P Sepoloane (Malibe) – National Department of Health
• Prof M Smuts - Representative of NSSA
• Ms Lenore Spies – Department of Health, KwaZulu-Natal
• Prof R Swart – Board member: Representing Nutritionists
• Mr G Tshitaudzi – Board member and National Department of Health
• Prof E Wentzel-Viljoen - Chair of the Professional Board and Chair of Task Team
The Second Task Team was mandated to further work on the existing situation analysis and
presents to the Board a comprehensive overview and a suggestion on the way forward.
During 2014 the Second Task Team obtained information from current and potential
employers of a nutrition professional, ADSA and NSSA on the perceived competencies
needed to function optimally in the different settings.
The findings and recommendations of the Second Task Team were contained in a separate
document named ‘THE ROLES AND COMPETENCIES OF THE NUTRITION
PROFESSION IN THE WELL-BEING OF THE SOUTH AFRICAN POPULATION’.
3.4 THE PROFESSIONAL BOARD – FEBRUARY 2015 TO FEBRUARY 2016
During this time the Board considered and discussed the feedback and comments received
from stakeholders and updated the competencies of the dietitian-nutritionist.
The term of office of the members of the Professional Board who initiated the process came
to an end and new members were appointed by the Minister of Health. The new Professional
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Board co-opted Prof Edelweiss Wentzel-Viljoen on 27 October 2015 to complete the
process.
At the Professional Board meeting of 25 February 2016 with the stakeholders, the university
representatives requested that the associated assessment criteria is added to the
competencies. This was done by first updating the competencies based on decisions taken
at the meeting and by deleting duplications. The associated assessment criteria for each of
the competencies was added based on the current SGB documents for the training of
dietitians and nutritionists as well as other training documents (for example the Australian
and USA competencies), articles and books, to also keep international standards in mind
A small working group was formed to discuss and improve the competencies and
assessment criteria. The small working group met for two days at the University of the
Western Cape (25 and 26 July 2016). The small working group members were:
Prof Rina Swart (member of the Professional Board)
Dr Ernie Kunneke – UWC
Prof Reneé Blaauw – US
Ms Chantell Witten – NWU
Prof Edelweiss Wentzel-Viljoen – Duly co-opted to act on behalf of the Professional
Board
The working group also made suggestions on competencies that could be moved to the
post-graduate level for example a Masters/diploma/etc.
4 SCOPE OF THE DIETITIAN-NUTRITIONIST
The scope of the dietitian-nutritionist is formulated as:
Optimizing the nutritional well-being of individuals, groups, communities and the population
in different settings by:
Utilizing (critically appraise and apply) a comprehensive body of evidence-based food
and nutrition theory and principles
Assessing the nutritional status, food and nutrition situation(s) and concomitant health
risks of clients/patients, groups, communities and the population using relevant
methodologies
Advocating for the nutrition professionals, services and programmes
Conceptualizing, planning, implementing, managing, monitoring, evaluating and
documenting appropriate nutritional prescriptions for patients/clients with specific
nutritional needs
Conceptualizing, planning, implementing, managing, monitoring, evaluating and
documenting appropriate nutrition interventions programmes, nutrition policies,
strategies and guidelines for individuals, groups, communities and the population with
specific needs
Taking responsibility for using/applying/implementing appropriate nutrition policies,
strategies and guidelines
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Influencing the national food systems/environment to enable all individuals to have
access to affordable, nutritious and safe food
Applying information, communication, education and counselling skills and social
mobilizing to empower individuals/groups/communities/populations to change their
food/nutrition behaviour to make safe, healthy food choices to prevent nutrition-related
diseases and to improve quality of life
Planning and executing an effective food service system based on the specific food and
nutritional needs of the healthy and ill
Planning, implementing, managing, evaluating, monitoring and documenting procedures
and policies relating to human, financial, operational and other resources
Managing human, financial and other resources to ensure optimal and equitable delivery
of nutrition services at all levels of service delivery including PHC and population level
Conceptualizing, formulating, implementing and communicating nutrition related
research
Applying critical and creative thinking in working effectively within a multidisciplinary and
multisectoral environment, the community and stakeholders in contributing to the
personal, social and economic development of society in an ethical and professional
manner.
5 COMPETENCIES OF THE ENTRY LEVEL DIETITIAN-NUTRITIONIST
The competencies of the dietitian-nutritionist are based on the work done by the Second
Task Team (and include some of the current competencies of a dietitian and nutritionist) as
well as discussions with and comments received from stakeholders.
NOTE: The exit level outcomes and associated assessment criteria in this document refer to
that of an entry level dietitian-nutritionist and are not always in line with the scope of the
dietitian-nutritionist. In house training and experience will add to the development of the
dietitian-nutritionist to be able to deliver on the full scope, only after a period of time where
these additional development, experience and training took place.
The competencies are organised under the following domains:
Nutritional and other basic sciences
Screening / needs assessment / situation analysis
Nutrition planning, implementation, monitoring and evaluation
Food and nutrition security
Food service system
Health promotion, behaviour change and nutrition education
Policies, strategies and guidelines related to food and nutrition
Management, leadership and advocacy
Research
Critical cross-field outcomes / graduate attributes
The following practice areas are indicated in the document where it fits in
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Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
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COMPETENCIES OF THE ENTRY LEVEL DIETITIAN-NUTRITIONIST
After successful completion of the training the entry level dietitian-nutritionist should:
NUTRITIONAL AND OTHER BASIC SCIENCES
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
5.1.1 Nutritional science
Know and understand the science and principles of human
nutrition, the relationship between nutrients found in food and their
influence on human physiology, nutritional assessment and the
application to health
Understand other basic sciences (e.g. physiology, biochemistry,
microbiology, pathophysiology, pharmacology) for a better
understanding of the science of human nutrition and its relationship
with growth, development, health and ill-health and recovery
Understand the factors determining the nutrient requirements in
different stages of the life cycle
Understand the influence of different factors in promoting healthy
eating during the life-cycle
Have an understanding how to conduct in-depth cause analysis of
nutrition-related health issues based on appropriate conceptual
frameworks and scientific and contextual information
Understand factors contributing to nutritional well-being and the
multi-causality of nutritional problems (causal processes and risk
factors)
Demonstrate knowledge and understanding of basic human
physiology, metabolism, biochemistry, microbiology,
pathophysiology and pharmacology and how it relates to nutrition
and health
Discuss the relationship between nutrients found in food and their
influence on human physiology and metabolism
Make and motivate appropriate food choices to ensure good health
and prevent the onset of nutrition-related diseases
Critically analyse the factors determining the nutrient requirements
in the different stages of the life cycle
Describe and apply nutrient requirements during the different stages
of the life cycle
Promote healthy eating habits
Identify foods which are rich sources of specific nutrients and
classify foods in terms of nutrient contribution to the diet
Critically analyse and assess the causes, symptoms and
consequences of nutrient deficiencies and excess intake and
discuss prevention in terms of nutrition
Use conceptual frameworks and scientific and contextual
information to critically analyse in-depth the causes of nutrition-
related health issues
Describe the effect of disease on nutritional status by explaining the
underlying mechanisms
Identify and critically discuss the potential cause(s) of nutrition-
related health issues in individuals and groups based on the
nutritional assessment data
Critically analyse the contributing factors to nutritional well-being
and the multi-causality of nutritional problems
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
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NUTRITIONAL AND OTHER BASIC SCIENCES
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
5.1.2 Food science and food safety
Understand the science of food and the impact of food handling and
preparation methods on the nutritional value, quality and sensory
properties of food
Understand the principles of food technology, food preservation and
other processes and its impact on the nutritional value, quality, food
safety and sensory properties of food
Understand the role and optimal utilisation of organic foods and
genetically modified foods
Understand the role and optimal utilisation of functional foods and
nutrient and food supplements
Knowledge and advanced understanding of national and
professional regulations that govern the practice of food science,
food hygiene and food safety
Knowledge and informed understanding of the compendium of
additives used in food and as indicated on food labelling
Knowledge of the composition and role of carbohydrate, fat and
protein as a food ingredient and as a physiological component
Advanced knowledge and understanding of food quality standards
and procedures to monitor food standards with reference to
nutritional, sensory and microbiological aspects
Describe, discuss and give examples of the principles of food
production technology and ethical issues
Apply best practice in food hygiene and food safety
protocols/regulations
Give an evidence-based opinion on the role and optimal use of
organic and genetically modified foods
Critically discuss the role and use of food additives in food
processing and the possible impact on nutrition and health
Describe and discuss the effect of carbohydrate, fat and protein on
food during food production
Identify additives used in food preparation
Discuss and describe the principles of a sensory evaluation of food
products
Implement the food quality standards and procedures to monitor
standards with reference to nutritional, sensory and microbiological
aspects
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
5.1.3 Food systems (FAO definition)
Understand the globalization of food systems and the impact on
developing countries
Knowledge and advanced understanding of national and
professional regulations that govern food systems
Understand theories of development and changes in food systems
Understand the factors that drive changes in the food system
Understand the influence of the food system on food and nutrition
security
Understand indigenous knowledge in food, nutrition and
development
Critically discuss the impact of the globalization of food systems on
developing countries
Apply best practice of global and national protocols/regulations in
food system
Critically analyse the theories of development and changes in the
food system
Critically analyse the factors that drive changes in the food system
in the local context
Describe and discuss the influence of the food system on food and
nutrition security
Critically analyse the use of and contribution of indigenous
Community nutrition
Public health nutrition
Food service
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NUTRITIONAL AND OTHER BASIC SCIENCES
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
knowledge in food, nutrition and development
Critically evaluate/assess environmental impact on food supply,
nutrition and health
5.1.4 Social science, sociology, economic, and nutritional
anthropology
Know and understand the concepts of a rights-based approach to
human rights and the right to food
Understand the social, political and social context of nutrition
Understand the underlying economic and social conditions as
related to food and nutrition security
Understand the social and cultural, religious factors which
affect/influences food preferences, food acceptance, food
preparation and food habits and eating behaviour
Understand the influence of local conditions (ecological, social,
political and economic) on the adoption and effectiveness of various
nutrition-related programmes
Understand cultural and religious influences on food preferences,
acceptance, preparation, etc.
Understand the contribution of social determinants and social
inequalities to nutrition
Describe, discuss and apply the principles of a rights-based
approach, international and national declarations and what the right
to food requires our government to do
Identify and discuss the underlying economic and social conditions
as related to food and nutrition security
Critically analyse the influence of local conditions (ecological, social,
political and economic) on the adoption and effectiveness of various
nutrition-related programmes
Reflect on own culture, values and beliefs and their influence on
practice
Identify and describe cultural and religious influences on food
preferences, acceptance, preparation, eating behaviour etc. and
apply this knowledge and understanding to develop healthy and
appropriate meals/eating patterns
Assess and interpret patient/client/group food preferences using
appropriate interviewing skills or valid questionnaires
Critically discuss the contribution of social determinants and social
inequalities to nutrition
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
5.1.5 Communication
Have extensive knowledge and understanding of the principles and
basic theories of communication, the communication process,
inclusive of listening, speaking, interpretation and reading skills,
and the art and value of non-verbal communication
Understand the principles of how to communicate information,
ideas and opinions in well-structured arguments in the field of
health communication
Understand the factors that influence effective communication with
individuals and groups in different contexts
Understand the influence of cultural diversity on communication
Define and clarify concepts, theory and elements of communication
Explain the communication process, including how people listen,
talk and interpret messages
Display effective listening, speaking and writing skills in different but
specified contexts
Motivate the determinants, value and rules of effective interpersonal
communication
Differentiate between verbal and non –verbal communication and
motivate the role of each in the communication process
Critically discuss the art and value of non-verbal communication
Discuss classification and efficiency of communication channels
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
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NUTRITIONAL AND OTHER BASIC SCIENCES
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
skills
Understand the principles of appropriate basic writing style in
academic discourse, including the skill to do basic report writing
Understand the key elements to develop good communication
material
Understand how to effectively communicate using oral, written and
electronic media
Understand the principles and concepts of different strategies and
techniques in persuading, informing and educating the public on
nutrition (communication for behaviour change)
Understand the principles of ethical and responsible use of social
media
Demonstrate skills in using different communication techniques in
nutrition
Communicate clearly and concisely to a range of audiences using a
range of media.
Deliver a two minute persuading talk on a nutrition related topic
Deliver an informing and educating the public talk on a nutrition
related topic to different target groups
Develop appropriate information, education and communication
material for nutrition in different settings
Constructive participation in a nutrition communication programme
or campaign
5.1.6 Governance
Understand the functioning of the health system and development
structures in South Africa
Understand the goals and importance of nutrition policy
Describe and discuss the functioning of the health system and
development structures in South Africa
Experience the functioning of the health system and development
structures in South Africa
Identify and discuss where nutrition is covered in the different levels
of government
Describe and discuss the goals and importance of a nutrition policy
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
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After successful completion of the training the entry level dietitian-nutritionist should:
SCREENING / NEEDS ASSESSMENT / SITUATION ANALYSIS
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8 PRACTICE AREA
5.1.7 Nutrition assessment, evaluation and diagnosis
Know and understand the procedures and methodologies to assess
nutritional status and the concomitant health risk of clients/patients
and groups in communities/ institutions / schools by applying the
following parameters (only one or a combination): (WHO definition
of health)
Suggestion: Use S, A,B, C, D & E (environment/extra) and F for food
security as the full complement to assess nutritional status
Therapeutic nutrition
Community nutrition
o Screening (S) Perform appropriate screening techniques/protocol
Interpret the outcome of the screening and make correct
recommendations
Therapeutic nutrition
Community nutrition
Public health nutrition
o Anthropometric and body composition (A) Use the correct equipment, apply the correct techniques, and take
accurate measurements or correctly estimating length, height,
weight, head circumference, upper arm circumference, waist and
hip circumference, calf circumference, elbow width, and nutritionally
relevant skinfold thicknesses in children and adults
Critically interpret anthropometric measurements (in adults and
children) against relevant standards and propose interventions (if
relevant)
Measure or estimate body composition by means of various
practical techniques and correctly apply techniques and interpret the
results
Measure in a non-invasive method physical fitness and interpret the
results
Critically evaluate body composition analysis techniques by
describing the theoretical principles, uses and limitations of the
various techniques
Therapeutic nutrition
Community nutrition
o Biochemical (B) Critically evaluate and interpret biochemical measurements in
relation to nutritional status across the life-span in health and
disease states
Therapeutic nutrition
Community nutrition
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SCREENING / NEEDS ASSESSMENT / SITUATION ANALYSIS
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8 PRACTICE AREA
o Clinical (C) Identify and describe the symptoms and signs of nutritional
deficiencies
Describe and apply the basic concepts employed in the clinical
assessment of nutritional status
Establish, practice and demonstrate a holistic approach to the
clinical evaluation of nutritional status
Perform and interpret routine screening for blood pressure, urine:
glucose and minerals, finger prick: haemoglobin, glucose and
cholesterol
Therapeutic nutrition
Community nutrition
o Dietary (D) Discuss and describe the concept of quality assurance in the
development of dietary intake instruments (validity and
reproducibility) as applied in the development of such instruments
Identify and describe the most important sources of error in
assessment of dietary intake in terms of sampling bias, response
bias, coding errors, food composition data base, portion size,
memory, variation in intake, effect of survey method
Select the most appropriate instrument for assessing dietary intake
in individuals and groups taking in consideration age, gender,
literacy level, purpose, sample size, logistical matters
Develop and design instruments/tools (i.e. questionnaires) for
assessment of dietary intake making allowance for adequate
description of food items, time of ingestion, portions sizes and
frequency of intake
Assemble your own dietary assessment kit (every individual
student)
Apply techniques in assessing dietary intake of individuals and
groups
Discuss the value of various standard techniques used for
assessment of dietary intake by describing the characteristics, uses
and limitations of the different instruments
Convert household quantities to gram of food
Dietary analysis utilising the SA food composition tables computer
Therapeutic nutrition
Community nutrition
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 16
SCREENING / NEEDS ASSESSMENT / SITUATION ANALYSIS
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8 PRACTICE AREA
software programme
Critically analyse and interpret dietary intake data using appropriate
standards/reference intakes/ guidelines and scores
Make recommendations to improve dietary intake for individuals,
clients/patients and groups in communities/ institutions / schools
o Psycho-socio-demographic / Extra / Environment (E) Assess the psycho-socio-demographic status of individuals and
groups by identification and critical analysis of the indicators of
health, demographic and socio-economic status
Compile a community profile by incorporating all indicators of
health, demographic, governance and development structures and
socio-economic status
Therapeutic nutrition
Community nutrition
Public health nutrition
Understand how to integrate, analyse, classify (where appropriate)
and interpret nutritional assessment data to identify nutrition and
related health risks and problems
Summarise the nutritional status of patients/clients in health and
disease by integration and interpretation of all the relevant data
from the dietary, anthropometric, clinical, biochemical and socio-
economic assessments
Therapeutic nutrition
Community nutrition
Understand how to assess and predict types and severity of
nutrition-related health issues, based on the appropriate methods of
nutritional assessment, which may occur in individuals
Critically assess the type and severity of nutrition-related health
issues in individuals and communities for nutrition intervention Therapeutic nutrition
Understand how to integrate and diagnose, based on the
appropriate methods of nutritional assessment, the type and
severity of the nutritional disorder or special nutritional needs of
individual patients/clients
Compile and interpret a nutritional diagnosis based on the
integration of nutritional assessment data Therapeutic nutrition
Understand how to assess patient/client/group food preferences Describe and apply social and cultural factors which affect food
preferences and eating behaviour
Assess, analyse and interpret patient/client/group food preferences
using appropriate interviewing skills or valid questionnaires
Therapeutic nutrition
Community nutrition
5.1.8 Community/population assessment, evaluation and
diagnosis
Know and understand the principles and components of a
comprehensive nutrition situation analysis or community diagnosis
Know and understand to identify, characterize and prioritize
nutrition-related problems in different socio-economic, occupational,
Plan, conduct, compile, interpret and document a community
situation analysis and diagnosis
Critically assess and analyse the demographics, socioeconomic
features and services e.g. water & sanitation, PHC services etc.)
and the impact thereof on nutritional status and on the processes of
improving the nutritional status of the community
Community nutrition
Public health nutrition
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 17
SCREENING / NEEDS ASSESSMENT / SITUATION ANALYSIS
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8 PRACTICE AREA
age, cultural and religious groups in communities and populations
Understand that risk groups are vulnerable to malnutrition
Understand nutrition indicators relevant to health, development and
management systems and participate in operation of information
systems
Apply appropriate nutritional assessment techniques (A, B, C, D, E
& F)
Critically analyse the interrelationship between food, nutrition, food
systems and sociocultural determinants and health
Assess dietary intake as it apply to a community setting
Critically assess the type and severity of nutrition-related health
issues in communities for nutrition intervention, based on the
application of standard screening tools
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 18
After successful completion of the training the entry-level dietitian-nutritionist should:
NUTRITION PLANNING, IMPLEMENTATION, MONITORING AND EVALUATION
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
5.1.9 Nutritional care for individuals
Know and understand how to select, plan, implement, monitor,
evaluate and document appropriate nutrition care and
education for individual patients/clients with specific disease
conditions or special nutritional needs in different settings.
Know and understand that the patient/client should be
motivated to comply with the nutrition care plan and take
appropriate action after monitoring and evaluation, if needed
Understand that a holistic approach is needed to optimally
care for the patient/client
Understand that some patients could need home nutrition
support / supplementary feedings
Understand the concepts and principles of normal and
therapeutic menus based on a specific disease
Understand drug-nutrient interaction
Select, plan, implement, monitor, evaluate and document an appropriate
nutrition care and education plan for individual patients/clients with
specific disease conditions or special nutritional needs in different
settings
Prescribe appropriate enteral feeds for patients / clients
Collaborate with the different members of the health care team to select,
plan, implement and evaluate the nutrition care and education plan of
individual patients/clients with specific disease conditions or special
nutritional needs
Participate in multidisciplinary / interdisciplinary ward rounds /
discussions and provide nutritional recommendations for managing the
patient nutritionally
Promote and monitor patient/client compliance with the nutrition care
plan
Identify relevant patients and plan home nutrition support /
supplementary feeding
Provide home-based nutrition support (tube feeds and targeted
supplementary feeding for patients) by educating patients and monitoring
progress
Compile normal and therapeutic menus to comply with patient / client
and/or group nutritional needs and food preferences
Apply evidence-based dietary measures as part of managing patients
nutritionally, including critically ill patients and patients with multiple
diagnosis requiring complex medical care
Take drug-nutrient interaction into consideration when planning the
nutritional plan of a patient/client
Therapeutic nutrition
Food service
Public health nutrition
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 19
NUTRITION PLANNING, IMPLEMENTATION, MONITORING AND EVALUATION
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
5.1.10 Nutritional care at community / population levels
Understand the principles and concepts underlying the
process to conceptualise, plan, implement, monitor, evaluate
and document appropriate intervention strategies/
interventions to address nutrition and related health issues of
groups in communities and/or the population and to improve
wellness
Have integrated knowledge and clear understanding of the
concept, theory and end goals of community nutrition
programmes within national and international contexts;
Understand the factors for the success of nutrition
programmes
Understand how to engage and collaborate with relevant
stakeholders (multidisciplinary/ interdisciplinary/ inter- and
multi-sectoral) in the process to address nutrition and related
health problems of groups in communities and/or the
population
Understand how to facilitate and monitor community or public
participation in the selection, planning, implementation and
evaluation of appropriate intervention strategies
Understand how to adapt the intervention strategy/nutrition
care plan / food service based on feedback from continuous
monitoring of the quality of nutrition service delivery
Understand nutrition indicators relevant to health, development
and management systems and participate in operation of
information systems
Understand the referral system within the public health system
Understand the principles of providing support in a community
Have knowledge of support and developmental support
programmes in the community
Develop skills to reflect on the values, ethical conduct and
justifiability of decisions appropriate to the planning and
Define, clarify and critically analyse the underlying principles and
concepts of a nutrition strategy / intervention plan to address nutrition
problems and improve wellness
Conceptualise, design, implement, monitor, evaluate and document
appropriate intervention strategies to address nutrition and related health
issues of groups in communities and/or the public
Apply critical analytical thinking skills in the assessment of demographic
and socioeconomic features of a particular community
Measuring the effectiveness of programmes in improving nutrition of
individuals (for example, by checking the anthropometric measurements
of beneficiaries before enrolment to the programme and continued
monitoring progress)
Monitoring nutritional indices in the community and other levels of
governance
Collaborate with relevant stakeholders (multidisciplinary/
interdisciplinary/ inter- and multi-sectoral) to address nutrition and related
health problems of groups in communities and/or the public
Facilitate and monitor community or public participation in the selection,
planning, implementation and evaluation of appropriate intervention
strategies
Operationalize plans for nutrition and integrate within the provincial,
district and local authority contexts
Identify and recommend nutrition indicators to measure nutrition
performance and outcomes
Evaluate, analyse, interpret and act upon appropriate nutrition indicators
Critical analysis of the impact of nutrition intervention strategies on the
community’s health
Establish links and a referral system to community support groups and
health facilities
Provide technical support to support groups focusing on diseases of
lifestyle, breastfeeding, etc.
Identify vulnerable individuals (children, orphans, women and /or elderly)
Community nutrition
Public health nutrition
Food service
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 20
NUTRITION PLANNING, IMPLEMENTATION, MONITORING AND EVALUATION
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
implementation of community nutritional programmes and the
management thereof to the benefit of target populations
and enrol them to appropriate programmes
Reflect on the values, ethical conduct and justifiability of decisions
appropriate to the planning and implementation of community nutritional
programmes and the management thereof to the benefit of target
populations
5.1.11 Nutrition service delivery
Have the skills to assess the need for nutrition services of
patients/clients/groups/institutions
Know and understand how to develop and implement nutrition
services (both at facility and community settings)
Know and understand how to monitor patient / client/ group/
institution satisfaction with nutrition service delivery
Identify the nutrition service needs of patients/ clients/ groups /institutions
Monitor patient/client/group satisfaction with nutrition service delivery
Support the implementation of nutrition services in institutionalized
patients/ clients/ groups
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
5.1.12 Inter- and intra-sectorial support and co-ordination
Understand the composition, protocols and working
relationships of the different sectors involved in nutrition
Build a good rapport with the different sectors involved in /
dealing with nutrition
Understand the principles and concepts of Private Public
Partnership (PPP)
Liaise with and provide technical support to relevant stakeholders at
various levels and sectors in the implementation of nutrition programmes
Initiate and strengthen Private Public Partnership, e.g. to create demand
and supply for nutritious foods
Provide technical support and monitor and evaluate nutritional services
provided in community centres (e.g. ECD centres, community nutrition
centres, old age homes, etc.)
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 21
After successful completion of the training the entry-level dietitian-nutritionist should:
FOOD AND NUTRITION SECURITY
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
Understand the concepts of food and nutrition security
Understand the pillars of food security namely availability,
accessibility, utilization and stability; the factors affecting them and
the consequences on communities and the population
Know and understand the national multi-sectoral policies on Food
and Nutrition Security (e.g. Dept of Social Development and the Dept
of Agriculture, forestry and fisheries)
Know how to develop and use appropriate tools to assess food and
nutrition security on a household and community level
Identify food and nutrition problems and factors influencing food and
nutrition security
Identify and understand the causes of food and nutrition insecurity at
household, community and national level
Understand the consequences of food and nutrition insecurity
Understand the principles and concepts of multi-sectoral approaches
(i.e. agriculture, water, sanitation, social development, etc) in
addressing food and nutrition insecurity
Understand the systems required as response mechanism to food
security, e.g. information management system, a centralized food
safety control system, food and nutrition risk management system,
agricultural research and technology development etc
Define and discussion he concepts of food and nutrition security
of individuals, groups, community and population
Develop and/or identify appropriate tools to measure food and
nutrition security on an individual, groups, community and
population level e.g. food balance sheets
Conduct food and nutrition security survey on individual,
household and community level
Critically discuss and analyse the implication of food and nutrition
security on the nutritional status of an individual, household, group
and community.
Critical describe and discuss the response mechanisms to food
and nutrition security
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 22
After successful completion of the training the entry-level dietitian-nutritionist should:
FOOD SERVICE SYSTEM
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
Understand the principles and concepts to plan, execute and
control food procurement, storage, production, distribution,
and consumption of the final food product
Understand the principles and procedures to develop
normal and therapeutic menus to comply with patient / client
and/or group nutritional needs and food preferences
Understand the principles and concepts to develop and
standardise normal and therapeutic recipes for specific
needs of patients/clients and/or groups in communities
Understand the production and management principles and
practices of large scale food production
Know the underlying principles and understand any rules,
regulations and legislations regarding food quality standards
as well as procedures to monitor food standards with
reference to nutritional, sensory and microbiological aspects
Know and understand the specifications for food preparation
areas, space and equipment needed for optimal work flow
and production based on the menu and purchasing and
production policies
Know and understand the factors/ specifications / etc
influencing food and nutritional product specifications
Understand the integration of the food service system in
nutrition service delivery in the private and public sectors, as
well as community settings
Know and understand to change the food service based on
feedback from continuous monitoring of the quality of
nutrition service delivery
Know and understand the specifications for poverty relief
and emergency feeding programmes e.g. food parcels
Critically discuss the principles and concepts of food service
Compile normal and therapeutic menus to comply with patient/client and/or
group needs
Plan, execute and control food procurement, storage, production,
distribution, and consumption of the final food product
Develop and standardise normal and therapeutic recipes for specific needs
of patients/clients and/or groups in institutions and communities
Establish food quality standards and procedures to monitor quality
assurance with reference to nutritional, sensory and microbiological
aspects
Compile food and nutritional product specifications
Interpret and apply specifications for food preparation areas, space and
equipment needed for optimal work flow and production based on the
menu and purchasing and production policies
Integrate the food service system in nutrition service delivery in the private
and public sectors, as well as community settings
Integrate management principles and quality assurance in the food service
system
Monitor patient/client/group satisfaction with food service system delivery
Perform a plate waste study in an institutional setting
Adapt the intervention strategy/nutrition care plan/food service based on
feedback from continuous monitoring of the quality of nutrition service
delivery
Plan and implement drop-in centres/soup kitchens (select food items and
plan the menu, purchasing of products and overseeing the programme
Design poverty relief programmes such as food parcel distributions to poor
households and for emergency situations
Evaluate poverty relief programmes such as food parcel distributions to
poor households and for emergency situations
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
After successful completion of the training the entry level dietitian-nutritionist should:
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 23
HEALTH PROMOTION, BEHAVIOUR CHANGE AND NUTRITION EDUCATION
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
5.1.13 Health promotion
Understand and apply the principles of health promotion
Have extensive knowledge and understanding of concepts,
theories/approach and developments related to the field of
health promotion
Have detailed knowledge and informed understanding of
strategies for health promotion in the private and public sector,
factors that influence the nature of, access to, and
effectiveness of health promotion
Knowledge and understanding of the critical elements that
underpin health promotion
Know and understand the global and national policies on
health promotion
Define Health Promotion fields of study
Critically discuss relevant theories/approaches and concepts,
development in the fields of health Promotion
Identify, evaluate and explain different intervention strategies and
approaches to health promotion in different health contexts
Explain the necessity of and the strategies for and health promotion
Critically discuss the global and national polices on health promotion and
offer advice for its enhancement
Identify and discuss factors that influence the nature of, access to, and
effectiveness of health promotion and solve health promotion case
studies using the critical elements of health promotion
Critically discuss the role of community profiles and mapping to inform
health promotion strategies
Develop a health promotion strategy based on the community needs
assessment/profile
Community nutrition
Public health nutrition
5.1.14 Behaviour change
Understand the concepts and different theories of behaviour
change communication (BCC)
Understand how to apply behaviour change communication in
nutrition
Understand the theories and elements of a successful
public/mass communication strategy for nutrition
Advanced knowledge and in-depth understanding of the
techniques used in effective counselling
Critically analyse the concepts and theories of BCC
Identify, evaluate and explain different intervention strategies and
approaches to BCC in different health contexts
Plan a mass communication strategy on a selected topic
Use appropriate counselling skills to negotiate, and facilitate nutrition,
behaviour and lifestyle change and empower patients/ clients with self-
management skills
Therapeutic nutrition
Community nutrition
Public health nutrition
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 24
HEALTH PROMOTION, BEHAVIOUR CHANGE AND NUTRITION EDUCATION
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
5.1.15 Nutrition Education
Understand the basic principles, techniques and elements of
education and training (Grieta to assist) e.g. age, gender,
sensitive- and specific
Understand how to assess the training needs of individuals
and/or groups in nutrition (see also Management)
Knowledge and understanding on how to provide (plan,
organise, implement and evaluate) nutrition education/training
to individuals/groups in different settings
Understand the process and elements of facilitation
Assess the needs for education and training in nutrition for
individuals/groups
Provide (plan, organise, implement and evaluate) nutrition education/
training to individuals and or groups / other health professionals &
stakeholders using appropriate techniques in different settings
Translate key nutrition information/concepts in appropriate education
materials for nutrition counselling and education in different settings
Use and disseminate developed information, education and
communication material for nutrition in different settings (newsletters,
pamphlets, publications, public relations and audio-visual material)
Conduct a training session on a nutrition topic in different settings e.g.
Training personnel on Growth Monitoring
Demonstrate facilitation in a group setting on a nutrition topic
Use the FBDGs to educate an individual/ group/ community on healthy
eating practices and adapt within socio-economic-cultural contexts
Therapeutic nutrition
Community nutrition
Public health nutrition
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 25
After successful completion of the training the entry level dietitian-nutritionist should:
POLICIES, STRATEGIES AND GUIDELINES RELATED TO FOOD AND NUTRITION
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
5.1.16 Policies
Know and understand local, national and international
policies relevant to food and nutrition
Understand that policy in food and nutrition is a multi-
sectoral and multi-level process and outcome
Understand the process of policy development
Understand the process for policy legislation
Know and understand the difference between a legislated
and non-legislated policy
Know and understand how to apply and interpret food
nutrition policy and/or regulations in different settings
Understand the role of the nutrition professional in a multi-
stakeholder engagement process
Describe and discuss local, national and international policies relevant to
food and nutrition
Describe and discuss the multi-sectoral and multi-level process of policy
development
Describe the process of policy development and legislation
Differentiate between a legislated and non-legislated policy
Critically analyse and evaluate materials e.g. labels, adverts, etc. against
policies and regulations
Describe and discuss the role of the nutrition professional in a multi-
stakeholder engagement process
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
5.1.17 Strategies
Know and understand strategies relevant to food and
nutrition (local, national and international)
Understand how to translate food and nutrition strategies
into implementation guidelines
Critically analyse and select an appropriate food and nutrition strategy on
different levels
Develop implementation guides for food and nutrition strategies
Implement a selected strategy using the developed guide
Therapeutic nutrition Community nutrition
Public health nutrition
Food service
5.1.18 Protocols, guidelines and standard operating
procedures (SOPs)
Understand the aim, content and elements of protocols,
guidelines and SOPs
Understand how to adapt policies for local application
Develop a nutrition protocol
Develop implementation guidelines based on a nutrition policies/strategy
Develop a SOP for a selected protocol
Therapeutic nutrition Community nutrition
Public health nutrition
Food service
5.1.19 Tenders specifications
Have an in-depth knowledge and understanding of food
related tender specifications
Understand compliance monitoring of tender specifications
Develop tender specifications and evaluate alignment thereof with latest
literature
Facilitate and conduct compliance monitoring
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
5.1.20 Food labelling
Know and understand regulations that relate to the labelling
Design and construct a food label meeting all the appropriate regulations
Critically evaluate a food label in terms of nutritional information and health
Therapeutic nutrition
Community nutrition
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 26
POLICIES, STRATEGIES AND GUIDELINES RELATED TO FOOD AND NUTRITION
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
and advertising of foods
Understand the marketing of food-stuffs and the laws and
legislation thereof and nutrition-related claims and the
restrictions around these areas
and/or nutrition claims
Critically evaluate any advertising of foods
Formulate a complain about a food advertisement and food label to
appropriate stakeholders
Public health nutrition
Food service
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 27
After successful completion of the training the entry level dietitian-nutritionist should:
MANAGEMENT, LEADERSHIP AND ADVOCACY
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
5.1.21 Management
Know and understand the processes needed for
management using an appropriate system for
o Development of a business plan
o Human resource development and management
(including needs assessment)
o Financial management
o Time management
o Procurement (supply chain) management
o Operational management
o Programme management
o Project management
o Quality assurance management
Application of business management skills
Describe, interpret and apply human resource development and
management principles in a nutrition relevant setting
Prepare a budget in a nutrition relevant setting
Discuss the factors that influence cost control in a nutrition relevant
setting
Compile, implement, monitor, evaluate and document a business
plan/project in a nutrition relevant setting
Describe and discuss applicable legislation and policy (internal and
external) in management
Discuss and interpret quality assurance principles and systems
Apply quality assurance systems in a nutrition relevant setting
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
5.1.22 Leadership
Know and understand the theories and principles
underpinning various leadership styles and identify how
particular styles can be chosen as an effective approach to
suit the situation
Know and understand how to engage with stakeholders
Know and understand the principles and value of networking
and the value of networking
Know and understand the problem solving and decision-
making process/approach
Understand the principles/approaches/techniques of building
a team to function optimally
Understand the principles and value of emotional
intelligence
Understand the difference between the three negotiating
strategies: win-lose strategy, win-win strategy, and lose-lose
strategy
Understand the dispute process
Develop and maintain a credible professional role by commitment to
excellence in all areas of practice
Provide leadership at all levels of the health care system, coupled with a
strong sense of responsibility and accountability for the development and
improvement of nutrition services as an integral component of the health
system
Be proactive and focus on development of solutions to problems
Establish effective networks and strong alliances
List and discuss the benefits of leadership and management skills and
appreciate when each is more important than the other
Identify what is delegation and delegate using a case study
Realise that motivation comes from within
Explain some of the theories that inform our current understanding of
motivation
Link motivation to leadership style
Develop a negotiation tactic plan of action
Identify why people resist to change
Identify what can a leader do to engage people with change
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 28
MANAGEMENT, LEADERSHIP AND ADVOCACY
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
Make a case for resources and prioritization of nutrition
actions
Source: Burke R & Barron S. 2007. Project management
leadership. Building creative teams. Burke Publishing
Examine ideas about how change happens
Recognise what constitutes a conflict situation at the workplace and
recognise that conflict in the workplace can be a good thing
Identify strategies to deal with workplace conflict
Identify the key features of coaching and mentoring
Identify a mentor for yourself and plan a simple coaching or mentoring
session including feedback
Source: Burke R & Barron S. 2007. Project management leadership.
Building creative teams. Burke Publishing
5.1.23 Advocacy
Know and understand the definition, theories, elements and
process of advocacy
Understand the difference between advocacy and lobbying
Understand what is social mobilisation and how to bring
together all feasible and practical inter-sectoral social
partners and allies and across the food system
Understand the challenges and opportunities of advocacy
Understand the process of using advocacy in effecting policy
formulation
Know and understand nutrition programmes that were
developed based on advocacy, for example SUN movement;
1000days movement
Define and critically analyse the theories, elements and process of
advocacy
Differentiate between advocacy and lobbying
Critically analyse a relevant advocacy programme/plan/movements and
identify the basic elements and process
Plan an advocacy programme to incorporate nutrition objectives into
development projects
Plan and implement nutrition-related campaigns
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 29
After successful completion of the training the dietitian-nutritionist should:
RESEARCH
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
PRACTICE AREA
5.1.24 Basic research
Understand and apply the principals of nutrition-related research
Understand and apply the principles of epidemiology of nutrition
Assess, critically review and apply relevant scientific information, in
order to identify research needs in the public health sector
Exposure to and/or participation in all aspects of the research process
using an evidence-based approach
o Conduct a literature survey/review to identify the research problem
o Formulate the research question
o Formulate aim(s) and objective(s)
o Formulate a hypothesis
o Understand and describe relevant methodologies i.e. quantitative
and/or qualitative including
Study design
Study population and sampling approach
Relevant methods
Quality control issues i.e. validity, reliability, trustworthiness
Data analysis approach
Understand and describe ethical issues
Participation in data gathering and/or exposure to an existing data set
Understand and apply data coding and data capturing
Presentation and dissemination of results
o Oral and written research paper report/scientific manuscript
Understand and describe the principle of conducting a systematic
review and meta-analysis
Understand how to critique a scientific (or lay?) publication
Compose a literature review on any nutrition-related topic,
critically evaluating and integrating using an evidence-based
approach
Correctly use and apply the FULL research process (using
quantitative and qualitative methodology)
Critically discuss and evaluate the findings of the research
study, integrate with similar studies and translate
Critically evaluate the findings of the research
Plan and present a scientific presentation for academic
purposes
Compose a research report and/or scientific manuscript
Describe and/or perform and interpret a systematic review and
meta-analysis
Critique a scientific (or lay?) manuscript/article
Therapeutic nutrition
Community nutrition
Public health nutrition
Food service
Additional information - Competencies for the new nutrition professional: 8 September 2016 Page 30
After successful completion of the training the entry-level dietitian-nutritionist should:
5.2 CRITICAL CROSS-FIELD OUTCOMES / GRADUATE ATTRIBUTES
EXIT LEVEL OUTCOMES ASSOCIATED ASSESSMENT CRITERIA
NQF LEVEL 5 - 8
Understand how to identify and solve problems using responsible decision making
processes, based on critical and creative thinking
Understand team dynamics and how to work effectively with others as a member of a
team (composed of the social, behavioural and health sciences/professions), group,
organisation and community
Understand how to organise and manage oneself and one’s activities demonstrating
accountability and responsibility
Understand how to communicate effectively using visual, mathematical and/or
language skills in the modes of oral and/or written persuasion
Know and understand and how to use science and technology effectively and
critically, showing responsibility towards the environment and health of others
Understand the world as a set of related systems by recognising that problem-solving
contexts do not exists in isolation
Understand your own value system and the responsibility towards the society at large
Understand the concepts and principles of ethical and professional behaviour and
conduct
Understand the importance and how to perform self-evaluation and maintain and
expand professional competence
Understand what a value system for nutrition work (tolerance and sensitivity for
different attitudes and values) means and how to apply it
Understand the principles of a human rights framework (embracing processes that
lead to community capacity development) and ensure ethical and professional
standards of conduct
Critically discuss the scope of the dietetics, nutritionist and dietitian-nutritionist
professions, their practices, and their regulatory bodies
Always act in accordance with professional and ethical requirements
Comprehend and apply standards of practice and ethics, as well as professional
conduct in the clinical and community set-up as well as in food service systems.
Comprehend and apply the principles of human rights in a nutrition context, in the
clinical and community set-up as well as in food service systems
Participate and work effectively in a team, group, organisation and community
Manage and organise his/her self and his/her activities, responsibly and effectively
Collect, analyse, organise and critically evaluate information
Communicate effectively using visual, mathematical and/or language skills in the
modes of oral and/or written presentation.
Be cultural and aesthetic sensitivity in dealings with clients, colleagues and
communities.
Solve problems in various contexts.
Act ethical and professional in the clinical and community set-up, as well as in food
service systems and in research
Value the principle life-long learning and on-going competency
Compile a learning portfolio on outcomes achieved
Perform self-evaluation and maintain and expand professional competence
Develop a value system for nutrition work (tolerance and sensitivity for different
attitudes and values).
Operate within a human rights framework (embracing processes that lead to
community capacity development) and ensure ethical and professional standards of
conduct.
Work effectively within organisational structure
Contribute to the full personal development and the social and economic development
of the society at large