| Title: |
Public procurement for school meal programmes in Sub-Saharan Africa: nutritional outcomes, implementation challenges and programme enablers |
| 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; Université du Ghana = University of Ghana |
| Source: |
ISSN: 2504-3900 ; Proceedings ; 14. European Nutrition Conference (FENS 2023) ; https://hal.inrae.fr/hal-04297170 ; 14. European Nutrition Conference (FENS 2023), Nov 2023, Belgrade, Serbia. Proceedings, 91, MDPI, pp.51, 2023, ⟨10.3390/proceedings2023091051⟩. |
| Publisher Information: |
CCSD; MDPI |
| Publication Year: |
2023 |
| Subject Terms: |
Sub-Saharan Africa; Public procurement; School meal programme; [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition |
| Subject Geographic: |
Serbia |
| Time: |
Belgrade, Serbia |
| Description: |
International audience ; Background and Objectives: School-focused public food procurement and service policies (SPFPs) are increasingly being recognised as interventions that can improve the nutritional quality of food served in schools amidst growing overweight/obesity and persistent micronutrient deficiencies, stunting and wasting in sub-Saharan Africa (SSA). The review aims to investigate the impact of such policies on school food environments and nutritional outcomes of children/adolescents (5–18 y) in SSA and explore challenges and facilitators to implementing effective procurement. Methods: A mixed methods systematic review of studies in SSA published between 2012 and February 2023 was conducted. Studies were included if they reported on a publicly funded school meal (e.g., breakfast, lunch, snack, take home ration) and a nutritional (anthropometric, micronutrient deficiencies, food consumed) or food environment outcome. Quantitative findings were synthesised descriptively. Qualitative evidence was synthesized using an adapted eight-step school food system framework to guide coding (food production, wholesale & trading, transportation & storage, processing & distribution, food preparation, distribution to students, student-stakeholders and community involvement). This framework, along with infrastructure support domains, namely leadership, governance and monitoring/evaluation, guided categorisation of authors’ policy-related recommendations. Results: A total of 33 studies (26 qualitative, 7 quantitative) were included from nine SSA countries. Evidence from the quantitative studies was mixed and did not demonstrate any measurable impact of SPFPs on nutritional outcomes. In total, 53 implementation challenges, particularly in food distribution, food preparation and wholesale & trading, and 37 implementation facilitators, notably student stakeholders, community involvement and processing & distribution, were identified across the school food system. Infrastructure support and policy ... |
| Document Type: |
conference object |
| Language: |
English |
| DOI: |
10.3390/proceedings2023091051 |
| Availability: |
https://hal.inrae.fr/hal-04297170; https://hal.inrae.fr/hal-04297170v1/document; https://hal.inrae.fr/hal-04297170v1/file/2023_Liguori%20et%20al._Proceedings_Public%20procurement%20for%20school%20meal%20programmes.pdf; https://doi.org/10.3390/proceedings2023091051 |
| Rights: |
http://creativecommons.org/licenses/by/ ; info:eu-repo/semantics/OpenAccess |
| Accession Number: |
edsbas.986181C |
| Database: |
BASE |