School feeding in low-income countries

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School feeding program in Malawi Food Help Malawi Africa.jpeg
School feeding program in Malawi

The World Bank defines school feeding programs as "targeted social safety nets that provide both educational and health benefits to the most vulnerable children, thereby increasing enrollment rates, reducing absenteeism, and improving food security at the household level." [1] In addition to enhancing access to food, these programs positively affect nutritional status, gender equity, and educational outcomes. This can contribute to the a country's overall advancement and human development.

Contents

While school meals are provided by governments of most high- and middle-income governments around the globe, the children who may benefit the most from school feeding programs often live in low-income countries that lack government-supported school meals. School feeding in low-income countries is typically initiated through funding from international organizations such as the United Nations World Food Programme, the World Bank, or national governments through programs such as the McGovern-Dole International Food for Education and Child Nutrition Program. However, some governments first establish their own school-feeding programs and later request assistance from these organizations. Many countries have also "graduated" from their dependence on foreign assistance by restructuring their programs to be country-led and self-supported. [2]

As of 2020, school feeding programs were present in at least 22 low-income countries and 33 lower-middle-income countries. However, these programs often have limited reach within each country, and the overall school feeding coverage the share of school-age children receiving meals tends to increase with income level. In low-income countries, 10% of children benefit from school feeding programs, compared with 27% in lower-middle-income countries, 30% in upper-middle-income countries, and 47% in high-income countries. [3] Although school feeding programs are widespread, they vary considerably in design, implementation, and evaluation. Consequently, literature reviews and studies frequently focus on only a few countries, since comparing programs across different contexts can be challenging.

Need for school feeding programs

According to the United Nations World Food Programme, 66 million primary school-age children go hungry daily, including 23 million in Africa alone. [4] Furthermore, 80% of these 66 million children live in just 20 countries. An additional 75 million school-age children do not attend school (55% of them girls), and 47% of these children live in sub-Saharan Africa. [5] The need to reduce hunger while increasing school enrollment is therefore evident. School feeding programs have been developed to address this multifaceted challenge.

Schools serve as primary locations for implementing health and education interventions. School feeding is one component of broader school health initiatives, which also include deworming, HIV/AIDS prevention and education, and life and health skills education. Overall, school feeding programs have been shown to directly improve the educational and nutritional status of participating children and indirectly impact the economic and social well-being of them and their families. [6] [7] Additionally, school feeding directly supports the Millennium Development Goals (MDGs) of reducing hunger by half, achieving universal primary education, and achieving gender parity in education by 2015. [8]

Types of school feeding programs

There are two main approaches to food distribution within school feeding programs: on-site meals and take-home rations. [4] On-site meals are served to children during the school day, such as morning porridge or nutrient-fortified biscuits. Take-home rations consist of basic food items, such as rice or cooking oil, given to families whose children regularly attend school. [4]

Although food items for school feeding programs can be imported into the country from anywhere in the world, many countries and organizations are expanding "home-grown school feeding," which requires that food be produced and procured domestically to the greatest extent possible. These programs provide improved nutrition and educational opportunities for children while benefitting smallholder farmers by offering access to a stable and predictable market. [9] [10] The New Partnership for Africa's Development (NEPAD) encouraged governments in Sub-Saharan Africa to adopt home-grown school feeding as a key intervention under the Comprehensive Africa Agriculture Development Programme (CAADP). Countries such as Côte d'Ivoire, Ghana, Kenya, Mali, and Nigeria currently participate in home-grown school feeding programs. [11]

Approaches to school feeding

Country involvement in school feeding programs

School feeding program in India Vrindavan SMS-518.jpg
School feeding program in India

According to the International Food Policy Research Institute, school feeding systems progress through five stages. The first stage includes programs largely dependent on external funding and implementation, while the fifth stage includes programs primarily funded and implemented by national governments. [12] Afghanistan and Sudan, for example, fall into the first stage, as their governments are unable to independently operate school feeding programs. In contrast, countries such as Chile and India are in the fifth stage and operate long-standing, country-led school feeding programs. Chile has provided school meals for more than 40 years through the Junta Nacional de Auxilio Escolar y Becas (National Board of School Aid and Scholarships), which uses centralized food production and distribution. [13] India has supported school feeding since 2001, when the constitutional right to food was recognized. [13] Countries in the intermediate stages, such as Kenya and Ecuador, possess some but not all of the necessary policies, financial resources, or institutional capacities to operate school feeding programs without external support.

Involvement of the World Food Programme

The United Nations World Food Programme (WFP) is the world's leading provider of school feeding resources, supporting approximately 22 million schoolchildren, about half of whom are girls, across 70 countries. The total financial contribution for these programs is nearly US$ 500 million per year. [4] In many cases, WFP works alongside governments, but in countries with corrupt or non-functional governments, it may operate independently or in partnership with non-governmental organizations (NGOs). WFP estimates that US$3.2 billion is needed each year to feed the world's 66 million hungry school-age children, approximately US$50 per child. [4]

WFP has been working with governments around the world for more than 45 years but is transitioning from a food-aid organization to a food-assistance organization, working to move away from "individual, isolated projects to more strategic and comprehensive approaches". [14] To foster government ownership of school feeding, WFP has established eight quality standards for designing and implementing sustainable programs:

Benefits of school feeding

Nutrition and food security

School meals have been shown to increase children's nutritional status by diversifying diets and improving micronutrient absorption. [15] By providing food that many children would otherwise lack, school feeding increases total caloric intake and reduces household food demand, thereby improving family food security. [16] Take-home rations can raise the nutritional status of entire households, not just school-age children. However, criticisms of school meals' nutritional impact stem from the belief that the benefits they provide are only temporary. Critics argue that school meals do not address the underlying causes of malnutrition, such as high food prices and inadequate food distribution systems that threaten food security. [17]

Education

Education is a key component of school feeding programs and global development, as more educated people generally enjoy greater opportunities, higher earnings, and improved quality of life. [18] School meals increase enrollment and attendance, reduce dropout rates, and improve cognitive performance and learning outcomes. [11] [19] Providing meals offsets both the financial and opportunity costs of schooling, encouraging families to send their children to school. [16] Additionally, the promise of food can motivate children to attend school. [20]

Gender equity

School feeding programs can increase gender equity in education, which supports broader social and economic equality. Girls' education is affected by gender-stereotyped curricula, safety concerns, cultural norms that undervalue girls' schooling, and inadequate school infrastructure. [20] Due to the combination of such barriers, girls are disproportionately affected by the direct and opportunity cost of schooling, which prevents girls from very poor households from attending school. [20] Opportunity costs for girls' education include lost time that would otherwise be spent doing household chores and care work. School feeding programs reduce the costs of sending girls to school, resulting in higher enrollment. [21] Furthermore, increased female literacy is linked to lower fertility rates, greater economic opportunity, and other markers of female empowerment.

Drawbacks and challenges to school feeding

While school feeding programs have a variety of positive impacts, they can also produce some unintended negative effects. For example, these programs can increase the cost of schooling by requiring communities provide firewood for cooking as well as other items such as fresh fruit, vegetables, and condiments. Additionally, school cooks are less likely to be remunerated in lower-income settings. [22] Communities are often expected to provide volunteers to cook these meals and maintain stores of all required food products, as well as kitchens and other essentials of meal provision. [11] As these needs and requirements increase, the net benefit of school feeding programs to a community may be reduced.

School feeding programs are highly context-specific, and each community's program must be designed based on demographics, geography, and other local conditions. For this reason, a variety of challenges can emerge in the creation and implementation of school feeding programs. A successful program requires that countries:

Because school feeding programs vary by community and require a great deal of planning, sustainability is a main point of concern for many countries. Governments are often limited by the demands placed on staff, resources, and infrastructure, and many have to rely on external financial and personnel support to continue programs over the long term.

Impacts of school feeding programs in low-income countries

Although school feeding produces a variety of expected outcomes, ongoing research seeks to better evaluate its effects in low-income settings. School feeding program results are often context-specific, but shared lessons from a variety of communities can inform broader assessments. Researchers at the International Food Policy Research Institute have critically assessed evidence from developing countries to define preliminary results of these programs. [24] These assessments found that the timing of meals is not critical to improving learning and cognition, and thus take-home rations can perform as well as in-school meals, and that in-school meals may even disrupt learning. [25] In some settings, take-home rations are more cost-effective than in-school meals, and the study argued that some country programs may be optimized by focusing resources on take-home rations. Additionally, it was found that in the study setting, school attendance improved learning more significantly than nutrition status improvements, but that school feeding programs encouraged attendance and still had a positive net result on education levels. A study by Patrick J. McEwan found no evidence that higher-calorie meals improve school enrollment or attendance. It also reported no positive effects on first-grade enrollment age, grade repetition, or fourth-grade test scores compared with average-calorie meals in Chile's national program. [26] Thus, McEwan's study suggested that Chilean policy, to produce significant positive results, should focus more on the nutritional composition of school meals rather than caloric content alone.

See also

References

  1. "World Bank Group - International Development, Poverty, & Sustainability". World Bank. Retrieved 2024-06-19.
  2. Bundy, Donald. "Rethinking School Feeding" (PDF). The World Bank. Retrieved 18 March 2013.
  3. "Global Report of School Meal Programs Around the World". GCNF. Retrieved 2024-06-19.
  4. 1 2 3 4 5 "School Meals". World Food Programme. 2009. Retrieved 18 March 2013.
  5. "Education". The World Bank. 2013. Retrieved 18 March 2013.
  6. Wang, Dongqing; Shinde, Sachin; Young, Tara; Fawzi, Wafaie W (2021-09-04). "Impacts of school feeding on educational and health outcomes of school-age children and adolescents in low- and middle-income countries: A systematic review and meta-analysis" (PDF). Journal of Global Health. 11: 04051. doi:10.7189/jogh.11.04051. ISSN   2047-2978. PMC   8442580 . PMID   34552720.
  7. Snilstveit B, Stevenson J, Menon R, Phillips D, Gallagher E, Geleen M, Pastorello MG, Eyers J. (2016). The Impact of Education Programmes on Learning and School Participation in Low- and Middle- Income Countries. London: International Initiative for Impact Evaluation (3ie).
  8. "Millennium Development Goals". The United Nations. 2013. Retrieved 18 March 2013.
  9. "Global Home Grown School Feeding". The Partnership for Child Development. 2013. Retrieved 18 March 2013.
  10. "WFP Home Grown School Feeding" . Retrieved 18 March 2013.
  11. 1 2 3 Masset, Edoardo and Aulo Gelli. (2013). "Improving community development by linking agriculture, nutrition and education: design of a randomised trial of "home-grown" school feeding in Mali". Trials. 14: 55. doi: 10.1186/1745-6215-14-55 . PMC   3599668 . PMID   23433395.
  12. Bundy, Donald (2009). "Rethinking School Feeding - Directions in Development Paper" (PDF). International Food Policy Research Institute. Retrieved 1 April 2013.
  13. 1 2 Winch, Rachel. (2011). "International Approaches to School Feeding" (PDF). US Food Aid and Security. Retrieved 1 April 2013.
  14. 1 2 "New Approach and Quality Standards". World Food Programme. 2013. Retrieved 8 April 2013.
  15. Adelman, Sarah; Gilligan, Daniel O; Konde-Lule, Joseph; Alderman, Harold (2019-04-01). "School Feeding Reduces Anemia Prevalence in Adolescent Girls and Other Vulnerable Household Members in a Cluster Randomized Controlled Trial in Uganda". The Journal of Nutrition. 149 (4): 659–666. doi:10.1093/jn/nxy305. ISSN   0022-3166. PMC   6461720 . PMID   30926996.
  16. 1 2 Lawson, Ty M. (2012). "Impact of School Feeding Programs on Educational, Nutritional, and Agricultural Development Goals" (PDF). Michigan State University. Retrieved 18 March 2013.
  17. Tomlinson, Mark (2007). "School Feeding in East and Southern Africa: Improving Food Sovereignty or Photo Opportunity?" (PDF). Regional Network for Equity in Health in Southern Africa. Retrieved 18 March 2013.
  18. "Do School Feeding Programs Help Children?" (PDF). The World Bank. 2012. Retrieved 18 March 2013.
  19. Aurino, Elisabetta; Gelli, Aulo; Adamba, Clement; Osei-Akoto, Isaac; Alderman, Harold (January 2023). "Food for Thought?: Experimental Evidence on the Learning Impacts of a Large-Scale School Feeding Program". Journal of Human Resources. 58 (1): 74–111. doi:10.3368/jhr.58.3.1019-10515R1. hdl: 10044/1/85339 . ISSN   0022-166X. S2CID   102338636.
  20. 1 2 3 Ahmed, Touseef; et al. (2007). "Food for Education Improves Girls' Education: The Pakistan Girls' Education Programme" (PDF). Schools and Health. Retrieved 18 March 2013.
  21. Gelli, Aulo (2015-05-20). "School Feeding and Girls' Enrollment: The Effects of Alternative Implementation Modalities in Low-Income Settings in Sub-Saharan Africa". Frontiers in Public Health. 3: 76. doi: 10.3389/fpubh.2015.00076 . ISSN   2296-2565. PMC   4440399 . PMID   26052509.
  22. Global Child Nutrition Foundation (GCNF). 2022. School Meal Programs Around the World: Results from the 2021 Global Survey of School Meal Programs. GCNF: Seattle.
  23. "Scaling Up School Feeding". The World Bank and World Food Programme. 2012. Retrieved 31 March 2013.
  24. Adelman, Sarah; Daniel Gilligan; Kim Lehrer (2008). How Effective Are Food for Education Programs? A Critical Assessment of the Evidence from Developing Countries (PDF). International Food Policy Research Institute. Archived from the original (PDF) on 14 May 2014. Retrieved 13 April 2013.
  25. Gilligan, Daniel (2009). "How Effective Are School Feeding Programs?" (PDF). International Food Policy Research Institute. Retrieved 13 April 2013.
  26. McEwan, Patrick (February 2013). "The impact of Chile's school feeding program on education outcomes" (PDF). Economics of Education Review. 32: 122–139. doi:10.1016/j.econedurev.2012.08.006 . Retrieved 13 April 2013.