title: Food service in long day care centres--an opportunity for public health intervention.
abstract: OBJECTIVE
  To determine the characteristics of long day care centre operations, food service management practices, and nutrition resources use and needs.
  
  
  METHODS
  In October 1996, all 330 long day care centres in Western Australia were surveyed by telephone to gather information to help develop strategies for food service improvement.
  
  
  RESULTS
  The response rate was 85%. An accreditation committee directed operations in 76% of centres. Most centres employed a cook with limited or no cooking training. Coordinators identified training needs for cooks that are specific to the National Childcare Accreditation Council's Quality Improvement and Accreditation System (QIAS) guidelines: food hygiene; nutritional and food requirements of children; menu planning; and multicultural cooking.
  
  
  CONCLUSIONS
  National standards for the quantification of foods to meet children's nutritional requirements in long day care would allow for consistency in educating child care workers, training cooks, and establishing and assessing government regulations and the QIAS guidelines. Nine recommendations for strategies to improve food service in long day care are presented.
  
  
  CONCLUSIONS
  There are two main messages for public health practitioners working to improve the quality of food served to children in long day care: the strong influence of the QIAS guidelines, and the need for specific nutrition recommendations.
authors.affiliation: School of Public Health, Curtin University of Technology, Western Australia. christina.pollard@health.wa.gov.au
authors.forename: C M
authors.initials: CM
authors.lastname: Pollard
authors.forename: J M
authors.initials: JM
authors.lastname: Lewis
authors.forename: M R
authors.initials: MR
authors.lastname: Miller
mesh_terms: D002648:Child; D002656:Child Day Care Centers / Q000458:organization & administration / Q000592:standards*; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D005260:Female; D005522:Food Services / Q000592:standards* / Q000639:trends; D017408:Guidelines as Topic; D006801:Humans; D008297:Male; D009749:Nutrition Surveys; D011634:Public Health / Q000379:methods; D011795:Surveys and Questionnaires; D014904:Western Australia