| Title: |
How do publicly procured school meals programmes in sub-Saharan Africa improve nutritional outcomes for children and adolescents: a mixed-methods systematic review |
| Authors: |
Liguori, Julia; Osei-Kwasi, Hibbah Araba; Savy, Mathilde; Nanema, Silver; Laar, Amos; Holdsworth, Michelle |
| Contributors: |
Montpellier Interdisciplinary center on Sustainable Agri-food systems (Social and nutritional sciences) (UMR MoISA); Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad)-Institut de Recherche pour le Développement (IRD)-Centre International de Hautes Etudes Agronomiques Méditerranéennes - Institut Agronomique Méditerranéen de Montpellier (CIHEAM-IAMM); Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut Agro Montpellier; Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro); Loughborough University; University of Ghana, Department of Population, Family & Reproductive Health, School of Public Health, Accra, Ghana |
| Source: |
ISSN: 1368-9800. |
| Publisher Information: |
CCSD; Cambridge University Press (CUP) |
| Publication Year: |
2024 |
| Subject Terms: |
Public procurement; School meals; Food environment; Policies; Sub-Saharan; Africa; [SHS]Humanities and Social Sciences |
| Description: |
International audience ; This review aimed to (i) synthesise evidence of the impact of publicly procured school meals programmes on nutritional outcomes of children/adolescents (5–18 years) in sub-Saharan Africa and (ii) identify challenges and facilitators to implementing effective school meals programmes. Design: Mixed-methods systematic review ( n 7 databases). Nutritional outcomes assessed were anthropometrics (underweight, stunting, wasting, overweight/obesity), micronutrient deficiencies, food consumed and food environment. Qualitative findings were coded using a nine-step school food system framework: production of food, wholesale and trading, transportation and storage, processing and distribution, food preparation, distribution to students, student stakeholders, community involvement and infrastructure support . Setting: Sub-Saharan Africa. Participants: Children/adolescents (5–18 years), parents, school personnel and government officials. Results: Thirty-three studies (twenty-six qualitative, seven quantitative) from nine sub-Saharan African countries were included. Six studies found a positive impact of publicly procured school meals programmes on nutritional outcomes (wasting ( n 1), stunting ( n 3), underweight ( n 1), vitamin A intake ( n 1) and dietary diversity ( n 1)). Fifty-three implementation challenges were identified, particularly during food preparation (e.g. training, payment), distribution to students (e.g. meal quantity/quality/diversity, utensils) and infrastructure support (e.g. funding, monitoring, coordination). Implementation facilitators were identified ( n 37) across processing and distribution (e.g. programme coordination), student stakeholders (e.g. food preferences, reduced stigma) and community involvement (e.g. engagement, positive perceptions). Included policy recommendations targeted wholesale and trading , food preparation , student stakeholders and infrastructure support in nine, fifteen and twenty-five studies, respectively. Conclusions: As many challenges remain, ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/39422072; IRD: fdi:010092001; PUBMED: 39422072; WOS: 001337043500001 |
| DOI: |
10.1017/S1368980024001939 |
| Availability: |
https://hal.science/hal-04748360; https://hal.science/hal-04748360v1/document; https://hal.science/hal-04748360v1/file/Liguori%20et%20al.%202024_%20Systematic%20Reviewhow-do-publicly-procured-school-meals-programmes-in-sub-saharan-africa-improve-nutritional-outcomes-for-children-and-adolescents-a-mixed-methods-systematic-review.pdf; https://doi.org/10.1017/S1368980024001939 |
| Rights: |
info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.139BF168 |
| Database: |
BASE |