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The
ziel orientierte projekt planung (ZOPP) procedure
André
Oelofse,
National Research Programme for Nutritional Intervention, Tygerberg,
W Cape
Werner Schultink, PhD
Siti Muslimuslimatun, MSc
GTZ SEAMEO TROPMED, Jakarta, Indonesia
S
A J Clin Nutr 2000 February Vol. 13 No 1. Supplement
The ZOPP methodology1
was developed and introduced by the German government, more specifically
by the German Ministry of Science (GTZ). The acronym means Objective
Orientated Project Planning (Ziel Orientierte Projekt Planung).
It is most commonly used in planning all phases of an intervention
project.
The product
of the ZOPPis a logical project framework consisting of a planning
matrix which depicts the basic structure of the project. Ideally,
a group of participants representing a variety of disciplines related
to the planned intervention are brought together for a 2 - 3 day
workshop. Participants form groups in which specific intervention
projects are discussed. An experienced facilitator leads the group
work and discussions. The procedure consists of two main aspects:1
- An analyses
phase
- A project
planning matrix.
Within each
of these there are three subcategories:
Analyses
- Problem
tree
- Objective
tree
- Alternative
tree.
Project planning
matrix
- Description
of overall goal, project purpose, results and main activities
- Indicators
and their means of verification of the overall goal, project purpose,
and results
- Assumptions
and their indicators.
Identification
of a core problem
The
first step of the group will be to identify a core problem. Thereafter
a cause-effect relationship can be constructed starting from the
core problem. In practice, the core problem is written on a card
and pinned to the top of a pin board by the facilitator. In a similar
way, the direct and indirect causes of the core problem are written
down on cards. These are collected by the facilitator, read out
loud and discussed before being pinned to the board. Only relevant
cards are pinned to the board. After sufficient contributions have
been made cards are ordered according to their importance and relevance
to the core problem. These are connected by lines to the core problem.
The cards should be numbered in a logical manner so as to know exactly
where they fit into the diagram. The problem tree will then be preserved
for the editor.
The
objective tree
The
objective tree is constructed in a similar manner. Possible solutions
to the core problem are identified and formulated positively by
the participants. Cards are again used in a similar manner as during
the construction of the problem tree and pinned to a board. The
objective tree is also preserved for the editor.
The
alternative tree
During
the alternative analyses the objective tree is discussed again considering
its feasibility, and if necessary an alternative tree is constructed.
The second phase of setting up a project planning matrix follows.
The matrix is set up in 4 rows and 4 columns. The first column contains
the following:
- Overall
goal
- Purpose
/ outcome of the project
- Results
/ outputs
- Activities.
All activities
which lead to results will be listed and all results necessary for
the achievement of the project purpose or outcome must be noted.
Assumptions
include external influences which increase the risk of problems
during the implementation of the project. These influences are normally
not under the control of the researcher. Components of the fourth
column contain assumptions for sustainability of the overall goal,
achievement of the overall goal and project purpose and obtaining
of the results. Assumptions should be monitored so as to adapt the
design of the project.
In the second
column indicators are identified for measuring the project goal,
purpose, results and activities. In column 3 the means of verification
of each indicator is specified.
The final step
of the ZOPPprocedure is to draw up an operational plan, including
a time frame for the implementation of activities and dates when
expected outputs and outcomes will be reached.
The ZOPP procedure
as applied at the urban nutrition action workshop (UNAW), Durban,
March 1999
Analyses
After
a plenary session where speakers from different research fields
gave an overview of nutritional issues in the urban setting 10 participants
commenced with the ZOPPprocedure. They were guided by facilitators.
After a few suggestions the group decided that the ‘High prevalence
of maternal malnutrition in urban areas’ should be the core
problem. Some participants active in this field elaborated on the
extent of the problem in South Africa Participants from neighbouring
countries confirmed that this was a very relevant and serious problem.
Participants then suggested major causes leading to the core problem
(Fig. 1). Of these, five were selected as the most relevant, namely
alcohol abuse, inadequate food intake, frequent illness, the role
of gender on reproductive health and poor child spacing. Underlying
these five major suggested causes of maternal malnutrition were
a whole host of secondary causes. It was clear that poverty and
food insecurity played an underlying role in many aspects of inadequate
food intake (Fig. 2). Although it was realised that poverty could
not be eradicated over a short period of time, the group emphasised
the importance of addressing the core problem irrespective of concurrent
poverty. The details of the causes at tertiary level are self explanatory
and can be seen in Fig. 2. The consequences of a high prevalence
of maternal malnutrition were subsequently worked out by the group.
The end result of a reduced developmental potential and a high increase
in susceptibility to chronic diseases of lifestyle are serious and
demand action on the core problem level.
Project
planning matrix
After
completion of the analyses phase of the core problem, a project
planning matrix was developed by the group (Table I). It was decided
that the main outcome of the project should be to reduce the prevalence
of maternal malnutrition. This would hopefully give rise to a reduction
in infant mortality and low birth weight, which was set as the ultimate
goal of the project. To achieve the purpose of the project it was
agreed that an improved food intake among women and a reduced incidence
of infectious disease were paramount. The group identified nutrition
education and food fortification as the two main activities to achieve
the results set out. The next step was to identify indicators to
achieve what was set out in the goals and objective section of the
matrix. Thereafter it was necessary to identify opposite methodology
to measure the indicators. The pros and cons of a host of indicators
were discussed. Only those perceived as very relevant and practical
were included. Cost was also discussed and indeed played a role
in the final selection of indicators. Time constraints prevented
the group from setting up a timetable for such a project.
Table I. Project planning matrix
| Goal/objectives
|
Indicators
|
Means
of verification |
Importants
assumptions |
| Goal |
|
|
|
| To
reduce infant mortality and low birth weight from present
level |
Purpose
Reduced
prevalence of maternal malnutrition |
Target
group: women aged 15 - 30 yrs living in urban Durban
for 5 yrs
Subgroup: children born to pregnant women in target
group during 5-year period. |
|
|
| |
Indicators
Maternal
nutritional status: increased intake of Fe, vitamin
C, folate to more or equal to RDI
Infant
outcome: reduce LBW babies due to NTDS, and infant
mortality
Achieve
‘normal’ serum level of Hb and retinol |
Quantified
food frequency for 0, 2.5, and 5 years
Blood
sampling
Birth
weight
Presence
of NTDs |
|
| Results |
| Improved
quality of food intake among women |
Increased
total micro + macro nutrient intakes by 50% from baseline
values relative to RDA over 5 yrs among urban women
of childbearing age |
Diet
intake analysis by means of repeated 24-h recalls
Biochemical
indices, specifically folic acid, ferritin, Hb, PCV,
vit A, Zn
Anthropometry:
skinfolds at 4 sites, weight, height
Clinical
observations: skin, eyes, hair |
The
women are presently meeting their nutrient requirement
for pregnancy |
| Reduced
incidence of infectious diseases |
Reduced
incidence of
Diarrhoea by 60%
TB by 1/3
ARI by 50%
STDs by 50% |
Diarrhoea
- clinical records
TB - cross sectional survey
HIV - longitudinal study
ARI - clinical records |
All
pregnant women attend antenatal care clinics Centralised
data system Accurate self reporting Accurate diagnosis
No food poisoning epidemic |
Activities
Setting
up educational programme on food habits and usage based
on factual nutritional data (also for vendors)
Integrate
and stimulate options for food fortification (staple
food) |
| Fe
= iron; RDI - recommended daily intake; LBW = low birth
weight; NTD = neural tube defect; Hb = haemoglobin;
RDA= recommended daily allowance; PCV = packed cell
volume; Zn = zinc; TB = tuberculosis; ARI = acute respiratory
infection; STD = sexually transmitted disease. |
|
Conclusions
The
workshop was most successful. All participants were enthusiastic
and optimistic about their own research questions and how they could
apply the ZOPPprocedure to their work. The ZOPP’s ability
to create a cohesive group from different disciplines is a unique
feature and ensures a thorough discussion on research topics. It
assists in preventing unnecessary mistakes after the project has
already started. Applied within a community setting it creates a
wonderful opportunity to get different groups in a community working
together on a common problem
Participants:
C Witton (SASA, Durban), S Kassier (Dietician Natal Technikon, Durban),
F Kona (ROCHE Pharmaceuticals), J Jagwar (FOODS Botswana), M Grindlay
(UNIFOODS, Durban), G Shapiro (Dietician, Johannesburg), N Bradley
(Nestlé, Durban), P Love (Dietician, Durban), Professor D
Isak (Department of Human Nutrition, University of Ibadan, Nigeria),
X Mbhenyane (Department of Nutrition, University of the North).
References
-
Gross R. Guidelines for an Urban Nutrition Action Workshop. Document
distributed to all subscribers to South East Asian Journal of
Tropical Medicine and Public Health.
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