The Research Consortium for School Health and Nutrition is one of five initiatives of the : a convening of 100+ national governments committed to rebuilding, improving and scaling up the provision of school meals and complementary school health services by 2030. The Consortium was established at the request of the School Meals Coalition member states, who called for a global Research Consortium to provide independent, credible evidence to inform the design of equitable, efficient and cost-effective national school health and nutrition programmes.
The Research Consortium aims to respond to the research requests of the School Meals Coalition member states by building a holistic evidence base, covering all aspects of school health and nutrition research to inform decision-making. Research is currently focused in six areas: (i) identifying which school-based health interventions have the strongest evidence; (ii) determining the value-for-money of school health interventions and their impact on education outcomes; (iii) documenting good practices from national school meal programmes across high- and low-income countries; (iv) achieving consensus on the nutrition indicators to collect for school-age children and adolescents; (v) examining the relationship between school meals and diet, food systems and climate; and (vi) establishing a platform for early career researchers and youth who have an interest in school health and nutrition.
Read the Research Consortium's evidence-based white paper on "School Meals and Food Systems: Rethinking the consequences for climate, environment, biodiversity, and food sovereignty". Produced in collaboration with 164 contributors from 84 organizations worldwide.
What is the Research Consortium for School Health and Nutrition?
The Research Consortium for School Health and Nutrition is the research initiative of the , established at the request of the 100+ member states to provide policymakers with access to independent, robust, compelling, and actionable evidence on school health and nutrition, thus enabling them to develop well-informed national programmes following the COVID-19 pandemic. With a small secretariat based at the London School of Hygiene & Tropical Medicine, the Consortium operates as a global network of networks, guided by a ten-year independent research strategy on school health, to promote quality research and provide guidance on effective policymaking on school health and nutrition programming.
Establishing the Research Consortium: Timeline
April 2020 - The impact of COVID-19 on school-aged children
At the beginning of 2020, national school feeding programmes around the world delivered school meals to 388 million children each day in 161 countries, feeding more children than at any time in human history. By April that year, the COVID-19 pandemic had brought a decade of global progress in school nutrition programmes to a halt and resulted in a major education crisis, excluding 370 million children from their school meal, which was for many their only reliable meal of the day.
The situation highlighted the need for school health and nutrition programmes that are more inclusive, efficient, and resilient to ensure the health and well-being of school children, while providing a safety net, creating human capital, supporting national growth, and promoting economic development.
The country-led demand for the establishment of the School Meals Coalition
In this context, (now) more than 80 national governments, UN agencies, think tanks, and NGOs launched the international , pledging to drive actions that will urgently re-establish, improve, and scale-up school health and nutrition programmes to achieve the Sustainable Development Goals (SDGs) and ensure that every child has the opportunity to receive a nutritious meal at school by 2030. The School Meals Coalition is supported by an operational secretariat based at the UN World Food Programme, comprising four initiatives that were established at the request of the member states to assist with the scaling up of their national school meals programmes.
May 2021 - Launching a global Research Consortium for School Health and Nutrition
For the countries of the School Meals Coalition to successfully improve and scale up their national school health and nutrition programmes, they called for the establishment of a global Research Consortium to produce and assemble independent, credible evidence to fill knowledge gaps and equip them with the information needed to design successful programmes.
In May 2021, the Research Consortium for School Health and Nutrition was with a small Secretariat hosted by the London School of Hygiene & Tropical Medicine.
Watch the launch event
November 2021 - Endorsement from the United Nations
In a joint declaration published in November 2021, the leaders of the Food and Agriculture Organization (FAO), the UN Educational, Scientific and Cultural Organization (UNESCO), UNICEF, the World Food Programme (WFP), and the World Health Organization (WHO), committed to assisting the School Meals Coalition. Specifically, the letter declared its support for the establishing of a Research Consortium to assist the countries of the coalition in evidence-based decision-making on the health, nutrition, and wellbeing of their school-age children.
Global Communities of Practice
The Consortium鈥檚 strategic research agenda responds to the requests of the member states of the School Meals Coalition, with the aim of building a global evidence base on school health and nutrition over a 10-year period, until 2030.
With a lean operational Secretariat based at the London School of Hygiene & Tropical Medicine, the Research Consortium operates as a global network-of-networks, coordinating research through six Communities of Practice (CoPs) made up of researchers based at leading academic institutions all over the world.
Each Community of Practice focuses on a different research priority as identified by the School Meals Coalition member states. Read more about our Communities of Practice
National research hubs
In order to effectively respond to the specific research needs of the 100+ member states of the School Meals Coalition, the Research Consortium engages in-country experts to harness the unique expertise of those most familiar with the context in which the research is being conducted. Through these national research hubs, the Consortium is able to provide useful, contextually relevant, and appropriate guidance to the policymakers and parliamentarians of the School Meals Coalition.
Equitable partnerships
The success of the Consortium relies on equitable research partnerships with a broad range of public, private, and multilateral actors who share a commitment to improving child development, education and wellbeing. The Consortium, together with its Communities of Practice, follows equality, diversity and inclusion (EDI) principles by engaging partner institutions in discussions with prospective donors, leveraging virtual platforms for collaborations across geographies and disciplines, and recognizing contributions of all contributors in its publications.
The Research Consortium is a global network-of-networks of academic partners and institutions, coordinated by a small Secretariat hosted by the London School of Hygiene & Tropical Medicine. Research is carried out by Communities of Practice based at institutions all over the world.
Donald
Bundy
Professor of Epidemiology and Developmen
Linda
Schultz
SHN Consortium Senior Operations Lead
Kate
Morris
Communications Officer
Jasmine
Catmull
Communications Officer
Sarah Vickers
Georgia Crowley
Project Coordinator
Celine
Ophelders
Philanthropy Manager
The Research Consortium is facilitating collaboration between leading academic institutions, national governments, UN bodies and civil society to build independent evidence to inform effective policymaking on school health and nutrition. The Consortium is made up of six global Communities of Practice, which cover the following research areas: (i) Analytics & Metrics; (ii) Impact & Evidence; (iii) Good Examples; (iv) Nutrition Measurement; (v) Diet & Food Systems; and (vi) Early Career Researcher & Young Scientist Network.
Communities of Practice - Strategic focus areas
- Analytics & Metrics
The Analytics & Metrics Community of Practice (CoP) has been established to ensure that cross-sectoral evidence in the area of school health and nutrition is used effectively by both practitioners and policymakers. This CoP will support data collection, analysis, and the publication of results, initially focusing on:
- Quantifying benefits and returns of school health interventions in terms of Learning-Adjusted Years of Schooling (LAYS), starting with school meal programmes.
- Conducting economic evaluation assessments of the value for money, return on investment and equity and gender impact of school health interventions, with country-level analysis underway in six countries in Africa. This effort is working through the economic communities in the region (East African Community, Economic Community of West African States, and the Southern African Development Community) to establish a platform for economists across the region to lead similar analyses going forward.
The Analytics & Metrics CoP is a voluntary network of researchers and practitioners undertaking research and other projects related to school health and nutrition. Its objectives are the following:
- To provide assurance, in an advisory capacity only, that will maximise the quality and relevance of the research generated by its participants.
- To share data, knowledge and solutions with other participants who are engaged in mission-critical, strategic research that supports evidence-based decision-making for school health and nutrition programmes.
- To provide the opportunity for stakeholders, who may not otherwise be in contact with each other, to stimulate learning and promote collaboration between participants in an inclusive space, for example through establishing north-south and south-south partnerships, and facilitating networking between interested parties.
- To mobilise and sub-grant resources both for primary and secondary research in school health.
The Analytics & Metrics CoP will contribute to the relevance, impartiality and credibility of the research by bringing together a range of viewpoints and ensuring a transparent process.
The CoP invites interested participants to contact us to learn more on the research or how to contribute to this initiative.
Publications
Verguet S, Limasalle P, Chakrabarti A, Husain A, Burbano C, Drake L, Bundy DAP. Frontiers in Public Health 2020; 8:587048.
Contact Us
Co-Chairs:
- Noam Angrist, noam.angrist@bsg.ox.ac.uk
- St茅phane Verguet, verguet@hsph.harvard.edu
- Impact & Evidence
This Community of Practice (CoP) is updating a Cochrane/Campbell systematic review to assess the impact of school health and nutrition in the key education metrics that are used to select 鈥渟mart buys鈥 for the sector.
The Impact & Evidence CoP is a voluntary, network of researchers and practitioners undertaking research related to school health and nutrition. Its objectives are the following:
- To provide assurance, in an advisory capacity only, that will maximise the quality and relevance of the research generated by the Cochrane Review.
- To share knowledge and/or solutions with other members who are engaged in mission-critical, strategic research that supports evidence-based decision-making for school health and nutrition programmes.
- To provide the opportunity for stakeholders, who may not otherwise be in contact with each other, to stimulate learning and promote collaboration in an inclusive space, for example through establishing north-south and south-south partnerships.
The CoP will contribute to the relevance, impartiality and credibility of the research/evaluations by bringing together a range of viewpoints and ensuring a transparent process. It held its inaugural meeting in March 2021.
Publications
Kristjansson E, Osman M, Dignam M, Labelle PR, Magwood O, Huerta Galicia A, Cooke-Hughes P, Wells GA, Krasevec J, Enns A, Nepton A, Janzen L, Shea B, Liberato SC, Garner JA, Welch V. . Cochrane Database of Systematic Reviews 2022, Issue 8. Art. No.: CD014794.
Contact Us
Chair: Elizabeth Kristjansson, kristjan@uottawa.ca
- Good Examples
School meal programmes are among the most ubiquitous social programming offered worldwide, however, there is little documentation as to how national programmes are organised, financed, and monitored.
The Good Examples Community of Practice (CoP) aims to assess and showcase the enabling factors in the design, implementation, and financing of large-scale and long-standing national school meal programmes, through the following activities:
- Coordinating with government partners to establish the enabling environment and operational structures that facilitate robust national school health programmes, based on lessons learned from both long-established programmes and those reaching the highest number of children.
- Organising the development of these case studies to build an evidence base on service delivery methodology and to facilitate more effective implementation of interventions targeted to school-age children and adolescents. There is particular interest in consolidating learnings from long established programmes, particularly among countries that are members of the Organisation for Economic Co-operation and Development (OECD), as well as from countries with the largest programmes such as Brazil, India, China, and South Africa.
- Considering the impact, challenges and lessons learnt from service delivery disruptions resulting from the COVID-19 pandemic and how governments can better design crisis-resilient school meal programmes.
Publications
All completed case studies of national school meals programmes can be found on the Research Consortium's publications page.
Events
Good Examples Spring Meeting, 16 May 2024
What can we learn from national school feeding programmes? In the spring meeting of our Good Examples Community of Practice, we heard presentations from six countries in Africa and Europe to see the diversity of school food organisation and best practices to encourage. This recording is available in English and French.
Good Examples Summer Meeting, 19 June 2023
Having formally launched in May 2022, the Good Examples Community of Practice held its first annual Summer Meeting in June 2023 to reflect on progress to date with developing case studies of the national school meals programmes of the countries of the School Meals Coalition. Representatives from countries who have completed a case study shared their insights on the process to provide advice and guidance to those who are planning to undertake the activity.
Launch of the France School Food Case Study, 4 September 2023
On 4 September 2023, the Good Examples CoP held a virtual event to formally launch its case study on the French school meals programme. Moderated by Professor Sylvie Avallone, Co-Chair of the Good Examples CoP and lead author on the case study, the event brought together the researchers who worked on the study to discuss the strengths, challenges and future direction of school meals in France.
Resources
Contact Us
Co-chairs:
Sylvie Avallone - sylvie.avallone@supagro.fr
Heli Kuusipalo - heli.kuusipalo@thl.fi
Coordinator:
Aurelie Fernandez (Aurelie.Fernandez@lshtm.ac.uk)
- Nutrition Measurement
Biomarkers of Nutrition for Development: Knowledge Indicating Dietary Sufficiency: The BOND-KIDS Project Community of Practice (CoP)
The Nutrition Measurement CoP, led by The Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the United States Department of Agriculture (USDA), the Research Consortium for School Health and Nutrition, and the Academy for Nutrition and Dietetics (AND) is using the Biomarkers of Nutrition for Development (BOND) platform to establish a common framework of nutritional indicators to monitor the nutritional status of school age children and adolescents. The framework will help develop, strengthen and evaluate efforts to meet nutritional needs and optimise outcomes.
This CoP comprises four Thematic Working Groups focusing on the following areas:
- Nutrition and biology/function;
- Factors in the external environment affecting nutrition of children and adolescents;
- Assessment of nutritional status and function; and
- Translational and implementation issues to be considered to support program development and evaluation
A Scientific Steering Committee (SSC) consisting of representatives of US Government agencies (USDA, CDC, USAID, NIH), UN agencies (WHO, UNICEF, WFP, FAO, UN Nutrition), and civil society has been constituted to provide organisational feedback and content oversight.
This effort will be carried out in phases, with the first phase to include the identification of what is known and where the gaps exist. This process will inform a detailed research agenda.
BOND-KIDS organisational structure Publications
Forthcoming
Contact Us
Co-chairs:
- Robert Akparibo - r.akparibo@sheffield.ac.uk
- R Gopinath (Gopi) - gopi@mssrf.res.in
- Bimbola Adesanmi - bustmamix@gmail.com
- Diet & Food Systems
The Diet & Food Systems Community of Practice was established in May 2023 to serve as a research and advisory body, as well as a networking platform, on issues related to school feeding, climate change, and food systems. In particular, its focus areas include agrobiodiversity and diets; climate-responsive approaches to school meals; food fortification and biofortification; fermented and preserved foods; food cultures and heritage; gender, youth, and social inclusion; and indigenous food systems.
Key projected outputs of this CoP include:
- White paper on school meals and climate change, modelling the carbon footprint of different school meal diets. (Timeline: Ongoing-Oct 2023)
- School feeding-food system global landscape analysis. Research support to conduct this analysis will be available from June 2023. (Timeline: June 2023-September 2023)
- Proposed side event on Food System Transformation through School Feeding at the UN Food Systems Stocktaking Moment in Rome (24-26 July 2023). A proposal has been submitted by PCD-Imperial College London with Rockefeller Foundation, SHN Research Consortium, FAO, WFP, AUDA and IDRC.
- Country level analysis evaluating specific food system transformation impact of school feeding. This will include a of review current evidence on the suggested focus areas (Timeline: TBD)
- Support national food system transformation pathways for eight countries in Africa by analysing, validating and applying CCHeFS (Catalyzing Change for Healthy and Sustainable Food Systems) project results and other relevant data. CCHeFS is a partnership co-funded by IDRC and the Rockefeller Foundation, with a current value of CAD23 million. Discussions with IDRC on supporting this work are ongoing. (Timeline: July 2023- Dec 2024)
Publications
Forthcoming
Contact Us
Co-Chairs:
- Samrat Singh - samrat.singh@imperial.ac.uk
- Gilbert Ngwaneh Miki - g.miki@pgr.reading.ac.uk
- Early Career Researcher & Young Scientist Network
This Community of Practice (CoP) is designed to provide a platform for early career scholars interested in pursuing a career related to school health and nutrition, to connect them with research training, mentorship, and other opportunities that will enable them to grow their research and communication skills. The CoP aims to provide the opportunity for early career scholars to support the ongoing research occurring within the Research Consortium and assist other CoPs with important advocacy efforts.
The Early Career Researcher & Young Scientist Network CoP is a voluntary network of early career scholars from around the world, with opportunities for all to participate regardless of time zones. The CoP will organize and host virtual events aligned to the varying career stages of its members. To that end, its objectives are the following:
- Cultivate the talent of individuals who have an emerging interest in school health and nutrition by providing visibility, a professional development network, and insight into the varied careers within the school health and nutrition sphere.
- Provide orientation opportunities for those who want to branch into different areas of school health and nutrition
- Provide the opportunity to contribute to the research of the Consortium鈥檚 other Communities of Practice and feedback on the Consortium鈥檚 research strategy.
- Provide a platform for early career scholars to collaborate on research, participate in seminars, and to be called upon by others for their expertise.
- Facilitate the cross-pollination of ideas, experiences, and mentorship among early career scholars to better reflect diverse insights in research priorities.
- Foster vertical mentorship opportunities to connect early career scholars with more senior researchers.
For the purposes of this CoP, we take a 鈥榮tage鈥 rather than 鈥榓ge鈥 approach. We define early career scholars as students and graduates up to 10 years post-graduation from their highest degree.
Contact Us
Chairs:
- Ana Carolina Ferreira de Siqueira - carolinafesiqueira@gmail.com
- Sophie Marie Kostelecky - sophie.kostelecky@gmail.com
School health and nutrition interventions are among the most ubiquitous social programmes worldwide, with one-in-two school children receiving a meal in school each day. However, school health and nutrition services go beyond school meals, with interventions defined as those which are routinely delivered through the school platform to improve the physical health, mental health, diet and nutritional status, and education outcomes of school-age children.
The latest evidence for some of the most common school health and nutrition interventions, summarized by experts from across the Research Consortium鈥檚 global network of academic and implementing partners, can be found below.
Discover the latest evidence on school health interventions
- Malaria Prevention and Treatment
Summary
Malaria undermines the health and education of school children. Education around malaria and bed net use are important components of health education and participatory methods can enhance update. Recent evidence shows malaria infection, related disease, and anaemia can be substantially reduced by the intermittent administration of a curative dose of antimalarial drugs (chemoprevention) in schools translating into improved education and decreased transmission.
Overview of global burden
School-age children suffer an underappreciated burden of malaria with 500 million school-age children at risk of disease.1 Malaria in school children manifests as both acute clinical illness and chronic infections leading to school absences, decreased cognitive function, and lower educational achievement2鈥4. Because infection is also associated with lower socio-economic status and lower caregiver education levels, malaria widens the education gap both within malaria-endemic areas and between malaria-endemic and non-endemic areas. Furthermore, school-age children are an important reservoir of human-to-mosquito infection perpetuating malaria transmission and challenging malaria elimination efforts.5,6 Universal malaria interventions, such as bed nets and access to prompt diagnosis and treatment, are assumed to cover this age group. However, school-age children are the group least likely to benefit from these interventions.4,5 Thus, interventions specifically targeting this age group are needed.
Decreasing the burden of malaria in school children offers the opportunity improve student health and education as well decrease parasite transmission to younger children who are at higher risk of severe disease and malaria-related mortality. Ultimately, improved learning and decreased malaria transmission both lead to increases in human capital and economic gains.
The solution
In all malaria endemic areas, the foundation of malaria control in school children is built upon effective malaria education as a component of health curricula and improving school children鈥檚 access and utilization of universal malaria control interventions (bed nets and prompt, effective diagnosis and treatment). Health clubs, drama groups and other peer-to-peer participatory methods have been utilized to increase malaria related knowledge attitudes and practices.7
In areas with moderate to high malaria transmission, intermittent preventive treatment of malaria in school children (IPTsc) is recommended to further decrease the burden of disease.8 IPTsc, which is the administration of a full treatment course of an antimalarial medicine at regular intervals to treat and prevent malaria infections in children who are old enough to attend school, has demonstrated efficacy to decrease clinical malaria, infection and anemia.9 More limited but increasing evidence suggests IPTsc also improves cognition10,11 and decreases transmission11鈥13.
Latest guidance
- WHO. 2022.
- WHO. 2022.
- UNESCO. 2002.
Associated active organisations
Corresponding author
Lauren Cohee, Reader in Paediatrics and Child Health, Liverpool School of Tropical Medicine
Email: Lauren.Cohee@lstmed.ac.uk
References
- Menstrual Health
Summary
Menstrual health is an increasingly recognised public health issue1,2. There is growing consensus that multi-component interventions addressing physical and emotional aspects of menstrual health are needed to improve menstrual management3, and potentially also educational attainment, mental health problems, and quality of life among girls in school.
Overview of global burden
Menstrual health is defined as complete physical, mental, and social wellbeing in relation to the menstrual cycle4. Improving menstrual health is essential to meeting the Sustainable Development Goals for gender equality, good health, quality education, sustainable water and sanitation and related human rights5. Challenges to achieving good menstrual health among girls include inadequate puberty education and knowledge, lack of social support from teachers and peers, and insufficient access to appropriate products and water, sanitation and hygiene (WASH) infrastructure3. These psychosocial and physical challenges to menstrual health impact on girls鈥 ability to succeed and thrive mentally and physically within the school environment and beyond6,7. Menstrual health may also impact on educational outcomes but few intervention studies have evaluated this8.
The solution
Studies are evaluating sustainable, low-cost menstrual health interventions for secondary schools in Uganda, The Gambia and Tanzania respectively. These are multicomponent interventions which include some or all of the following components: puberty education, drama skit, provision of a menstrual kits/training, pain management, WASH improvements, creation of Menstrual Health Action Groups, Mother鈥檚 clubs and community meetings. We have completed the evaluation of MEGAMBO which showed no changes in school attendance whilst menstruation but positive changes on menstrual stress, social support, and menstrual KAP among Gambian schoolgirls. Following formative research9 and piloting10-13,we are currently evaluating MENISCUS intervention through a cluster-randomised trial in 60 secondary schools in Uganda (primary outcomes are educational performance and mental health symptoms). Similarly, the PASS-MHW project is evaluating the TWAWEZA intervention as a scalable comprehensive menstrual health intervention to be integrated into the government school system to improve menstrual health and psychosocial wellbeing for optimal school participation and performance of secondary school girls.14
Latest guidance
- UNICEF:
- World Bank:
- World Health Organisation:
- WHO/UNICEF Joint Monitoring Programme:
Associated active organisations
Youth ambassadors
Mandi Tembo (Mandikudza.Tembo@lshtm.ac.uk)
Mandi Tembo is a young Zimbabwean researcher with over 10 years working experience in sexual health research and advocacy. Currently, she is a Fogarty Fellow and PhD candidate at the London School for Hygiene and Tropical Medicine. Her work looks at the integration of menstrual health in SRH provision and investigates menstrual product choice and MH knowledge, practices, and perceptions among young women in Zimbabwe. She has published in the areas of HIV, adolescent health, gender transformation, and MHH. Mandi is also the founder of The Bleed Read 鈥 a virtual platform that comprehensively addresses and highlights all things menstrual health related.
Vishna Shah (Vishna.shah@lshtm.ac.uk)
Jennifer Rubli (jennifer@femmeinternational.org)
Corresponding author
Helen Weiss, Professor of Epidemiology, London School of Hygiene & Tropical Medicine
Email: helen.weiss@lshtm.ac.uk
References
- Physical Activity
Summary
Comprehensive approaches that combine built environment, education, and policy change. Two examples are School Wellness Integration Targeting Child Health (SWITCH庐) and the Physical Activity 4 Everyone (PA4E1) Programs.
Overview of global burden
Physical inactivity is a global public health concern;1,2 lack of activity is associated with risk for chronic disease such as overweight/obesity, diabetes, and cancer.3 Many studies have been conducted to examine prevalence in youth; researchers agree that children do not meet the recommended 60 minutes of moderate-to-vigorous physical activity per day, girls/females are less active than male counterparts, and physical activity behaviour declines with age.1 Unfortunately, children and youth in low-income situations are most at risk for physical inactivity due to issues of safety, cost, and issues with the built environment.4-6 Accordingly, schools provide an unmatched setting to reach children and provide safe opportunities for physical activity among other health behaviours. Building capacity in these systems is a worthwhile investment for facilitating behaviour change; these interventions are arguably more sustainable because of systemic change within school culture.
The solution
Both the SWITCH and PA4E1 interventions have been scaled up from prior successful efficacy trials,7-11 which were more costly, to implementation interventions whereby facilitation and training are provided to school professionals to implement a comprehensive program on their own.12-15 Both rely on a continuous cycle of training, implementation, and evaluation to facilitate continuous improvement over time. Both interventions comprise several key elements that make them successful: 1) education materials (e.g., curriculum); 2) teacher training through in-person/online professional development; 3) enacting school-level policies for activity promotion; 4) parent outreach; and 5) community engagement. As these interventions moved from efficacy to implementation and sustainability, the focus is predominantly on building and sustaining systems that promote physical activity.
Latest guidance
- WHO. 2018-2030.
- WHO. 2022.
- ISPAH. 2020.
- CDC. 2019.
Associated active organisations
Corresponding author
Gabriella M. McLoughlin, Assistant Professor, College of Public Health, Temple University, Philadelphia
Email: gabriella.mcloughlin@temple.edu
References
- Surgery and the First 8,000 Days of Life
Summary
While the development from child to adult spans the first 8,000 days (or 21 years) of life, much of the focus in global child health has been on the first 1,000 days of life (between conception and the 2nd birthday) with a neglect of surgical conditions within this age group and the next 7,000 days. To achieve universal health coverage for children in lower- and middle-income countries (LMICs), there is an urgent need to invest in surgical care within the first 8,000 days of life.
Overview of global burden
It is estimated that surgical conditions account for up to 30% of the global burden of disease, and this is more than the burden of malaria, tuberculosis and human immunodeficiency virus (HIV) combined. In low- and middle-income countries where children and adolescents make up about 50% of the population, there is a disproportionately higher burden of children鈥檚 surgical disease. In children and adolescents, surgery is vital in the management of surgically correctable congenital anomalies, life threatening injuries and burns, infections, cancers and a host of other conditions.
Congenital anomalies are responsible for 25.3-38.8 million disability adjusted life years (DALYs) worldwide and in 2019, ranked as the fifth leading cause of mortality in children under 5 years of age. In the same year, in children under 5 years of age, unintentional injuries accounted for 21.56 deaths per 100,000 and transport injuries 6.16 deaths per 100,000 while among children aged 5-14 years, unintentional injuries were responsible for 7.09 deaths per 100,000 and transport injuries 4.54 deaths per 100,000, ranking as the second and fourth leading cause of death within U5 and 5鈥14-year age groups respectively
In the management of cancers in children and adolescents, surgery plays key roles in diagnosis and definitive treatment. There are regional disparities in cancer incidence and survival with low development index countries having a 5-year survival as low as 20%. Children surgical infections and child and adolescent reproductive health problems requiring surgical intervention also contribute significantly to the burden of surgical diseases within the age group.
The increasing knowledge and awareness of the huge burden of surgical diseases in children and the role of surgery in improving the survival and quality of life in children have however not translated into inclusion of children鈥檚 surgery in public child health agenda, population-based strategies and interventions.
The solution
Incorporating education of teachers and students on common surgical conditions in school health programmes and immediate steps taken on early detection of such conditions will improve awareness of the conditions and availability of care, and ultimately significantly reduce delayed presentation with improved outcomes. Focused training on preventive measures against intentional and unintentional injuries is a strategy that can reduce the burden of injuries. Additionally, a checklist to screen for potential neglected congenital anomalies has also been shown to be effective. An important surgical infection in LMICs is typhoid ileitis leading to perforation. Education on hygienic practices and improving sanitary conditions with focus on waste disposal and handling and processing of food and drinks will help reduce the prevalence of this condition. These solutions need to be contextualized to the school environment ensuring that the children are active participants in the educational activities and not passive recipients.
Latest guidance
- Global Initiative for Children's Surgery, 2021.
- Global Initiative for Children's Surgery, 2019.
- Global Initiative for Children's Surgery.
Associated active organisations
Corresponding author
Justina Seyi-Olajide, Consultant Paediatric Surgeon, Lagos University Teaching Hospital, Lagos, Nigeria
Email: justinaseyiolajide@yahoo.com
Doruk Ozgediz. Professor of Surgery, Director, Center for Health Equity in Surgery and Anesthesia, University of California, San Francisco; Chair, Global Initiative for Children鈥檚 Surgery
Email: doruk.ozgediz@ucsf.edu
References
- Vision and Eye Health
Summary
Poor vision in children has been associated with lower levels of educational attainment across a range of settings.1-6 Many conditions can cause poor vision in children, and most are preventable or treatable: up to 95% of children with poor vision need little more than a pair of glasses to improve their sight.7-13
Overview of global burden
Over 450 million children have poor vision globally5,14-16, with the highest prevalence in South Asia, Southeast Asia and Western Sub-Saharan Africa. Children with vision loss in low- and middle-income countries (LMICs) are up to five times less likely to be in formal education,6 and poor vision has been shown to severely impact educational outcomes,1,2,17,18 contribute to low self-esteem3 and future socio-economic potential.4 While there are many conditions can cause poor vision in school-aged children, most are preventable or treatable. Without vision screening children will not be able to gain access to the treatment or rehabilitation they need. This will have a lasting impact on educational attainment and learning, affecting their life chances and quality of life. School-based vision screenings provide a unique opportunity to provide comprehensive eye health services to more than 700 million children throughout the world,19 but eye health is typically omitted from school health interventions, particularly in LMICs.20
The solution
School eye health programmes are cost effective,21 and their benefits can be large. Simply screening children for poor vision and providing eyeglasses to those who need them can make a major difference. The Lancet Commission5 reported spectacles to be one of the most effective health interventions for children. Not only have they been found to reduce the chance of failing a class by 44% (p<0路01),18 they improving educational performance, with effect sizes at least as large as other health interventions.1,2,17,18,22 School-based vision screening will also allow the detection of other eye conditions requiring attention, and ensure that the children affected are referred promptly for treatment. Comprehensive school eye health programmes also include health education and promotion that can lead to positive social behaviour change. These programmes also support inclusive education for children with irreversible vision impairment, ensuring that the potential of every child is unlocked, leaving no one behind. School-based vision screening will amplify sector-wide investments to support quality education (SDG4), efforts to reduce poverty and hunger, and enabling work (SDGs 1, 2, and 8).23
Latest guidance
- WHO. 2022.
- WHO. 2021.
- WHO. 2019.
- IAPB. 2019.
Associated active organisations
Further reading
- , Center for Global Development, June 2024
- , NIH, Dec 2023
Corresponding author
Graeme MacKenzie, Director, Riemann Ltd
Email: graeme.mackenzie@riemannltd.com
References
Upcoming events
To hear about our latest events, please sign up to our newsletter .
Past events
2024
- Annual Showcase 2024
Between 24 and 27 September 2024, the Research Consortium held our second Annual Showcase, 'A New Understanding Of School Meals'.
While school meals are already well-understood by many countries as an effective way of ensuring vulnerable children do not go hungry, more recent evidence points towards their unique power to provide benefits that go far beyond the school canteen 鈥 with the potential to enhance overall child health and wellbeing, improve education outcomes, boost economic development, drive sustainable food systems transformation, influence healthier lifelong dietary habits, and much more.
With four exciting sessions, this year鈥檚 Showcase takes you on a tour of the emerging evidence around school meals, with thought leaders from across our global research network sharing the latest insights on how the evidence landscape is evolving to inform a new understanding of school meals as more than just a plate of food.
- July 2024
Nutrition CoP: 'Nutrition and the Next 7,000 Days: The Importance of Quality Evidence', 31 July
It is well understood that good nutrition during the first 1,000 days of life is critical for an infant's physical and cognitive development. But what happens after that? Emerging evidence shows that the "next 7,000 days" - from early childhood through to late adolescence - are of equal importance if a child is to reach their full potential. It is during this time that children are educated, go through puberty, and establish habits and behaviour patterns that can stay with them for life.
This webinar from our Nutrition Community of Practice explored what we know so far about the role of nutrition during the next 7,000 days - and why it is critical to prioritize quality evidence to support children to flourish, both at school and beyond.
Diet & Food Systems: Transforming Food Systems Through School Gardens, 5 July
Part of a series about planet-friendly approaches to school meals programming, this session explored how school gardens can provide a unique opportunity for children to pick up essential skills and practical knowledge around food systems, health, and the environment 鈥 equipping them to take their learning back to their homes and communities, and to make well-informed decisions throughout their life to drive transformation towards a healthier planet.
- May 2024
Good Examples: Spring Meeting, 16 May
What can we learn from national school feeding programs? In the spring meeting of our Good Examples Community of Practice, we heard presentations from six countries in Africa and Europe to see the diversity of school food organisation and best practices to encourage. This recording is available in English and French.
Diet & Food Systems: Food system challenges for Home-Grown School Feeding programmes: Supply-side factors, 2 May
Co-hosted the Diet & Food Systems Community of Practice, Wasafiri, and the Ministry of General Education in Zambia, this webinar presented examples of food system challenges for Home-Grown School Feeding programmes (HGSFPs), focusing on upstream sub-systems鈥 of homegrown school feeding programmes as a pathway for sustainable food production, improved climate resilience, gender and inclusivity.
- April 2024
Analytics & Metrics: 'School Meals Impact: Gathering Evidence from Ethiopia and India', 24 April
Discover what the Research Consortium's Analytics & Metrics Community of Practice are learning about the impact of investing in the school meals programmes in Ethiopia and India.
- March 2024
Diet and Food Systems: 'Aquatic foods in school meals', 25 March
Co-hosted by the Research Consortium鈥檚 Diet & Food Systems Community of Practice, FAO and WorldFish, this webinar presents an overview of the important role that aquatic foods play in school feeding, as well as some of the international research projects and programmes demonstrating their effectiveness.
- January 2024
'School Meals & Food Systems: Building a Community of Practice', 24 January
In its first webinar of the year, the Diet & Food Systems Community of Practice shared an update on the white paper on 'School Meals and Food Systems: Rethinking the consequences for climate, environment, biodiversity and food sovereignty', detailing plans for how the Community of Practice will support countries to take the paper's insights forward and implement planet-friendly school meals programmes. A discussion was also had about key priorities for the Community of Practice moving forward.
2023
- The Research Consortium at COP28, December 2023
'Nourishing the Planet, Sustaining Futures', hosted by the School Meals Coalition, 8 Dec
The School Meals Coalition鈥檚 flagship COP28 event saw Research Consortium Director Professor Donald Bundy discuss the white paper鈥檚 key insights on how governments can harness the power of school meals towards a healthier future for both people and planet. Kenya then became one of the first countries to announce its intention to take the insights forward, stating its commitment to providing nourishing, planet-friendly meals to 10 million children by 2030, an increase from the current 2.3 million children being reached.
'School Meals and Food Systems: Rethinking the consequences for climate, environment, biodiversity, and food sovereignty', hosted by the Research Consortium at the RewirED Summit, 8 Dec
The Research Consortium hosted its own session at the Dubai Cares RewirED Summit, in which the white paper鈥檚 editorial team shared the background and approach to producing the paper, including a presentation from Professor Marco Springmann (EAT Lancet/LSHTM) on his analysis of the potential health and environmental impacts of planet-friendly school meals programmes across different income settings. Penholder Dr Silvia Pastorino (LSHTM) shared how governments can create both immediate and long-term change through the design of planet-friendly school meals programmes.
H.E. Conrad Omalikeh Sackey, Minister of Basic & Senior Secondary Education, Sierra Leone, then discussed how Sierra Leone plans to use the paper鈥檚 insights to develop a planet-friendly school feeding model moving forwards.
'Little Fish, Big Impact', hosted by the Aquatic Blue Food Coalition, 10 Dec
In this session hosted by the Aquatic Blue Food Coalition, Professor Donald Bundy discussed the white paper鈥檚 insights on the potential of school food menus high in aquatic foods for driving sustainable food systems transformation globally.
'Beans for Accelerating Change in Africa', hosted by the SDG2 Beans is How Campaign, 10 Dec
In the Research Consortium鈥檚 final session of the week, the white paper鈥檚 penholder Dr Silvia Pastorino joined a panel at the 鈥楤eans for Accelerating Change in Africa鈥 event hosted by the SDG2 Beans is How Campaign. Dr Pastorino discussed the evidence sumarized in the white paper about beans and pulses on school food menus.
- November 2023
'How to Write a Winning Grant Application' by the Early Career Researcher & Young Scientist Network, 14 Nov
With insights from across the Research Consortium鈥檚 global network of academics and scholars, this session by the Early Career Researcher & Young Scientist Network was an opportunity to hear from those on both sides of the grant award process for practical advice and useful insights on how to write a winning application.
- October 2023
Research Consortium for School Health and Nutrition Annual Showcase, virtual, 3-5 Oct
Between 3 and 5 October 2023, the Research Consortium for School Health and Nutrition held its inaugural Annual Showcase. With six virtual sessions across three days, the Showcase was an opportunity for the Consortium to share its key findings on the design, cost, implementation and impact of school meals from across all six of its global Communities of Practice throughout the last year. Taking place two weeks ahead of the annual School Meals Coalition Ministerial Meeting in Paris, the Annual Showcase provided an in-depth insight into everything we know about effective school meals programming to date.
Global Forum for Adolescents by the Partnership for Maternal, Child and Adolescent Health (PMNCH), 12 Oct
On 12 October, the Research Consortium co-lead a session at the Global Forum for Adolescents (GFA) on the intersection between education and nutrition and the power of effective school-based nutrition programmes for adolescents to achieve their full potential. More information to follow.
- September 2023
5th Congress Hidden Hunger, Stuttgart, Germany, 4-6 September
Research Consortium director Professor Bundy holds a position on the Scientific Advisory Board of the 5th Annual Congress on Hidden Hunger hosted by the University of Hohenheim in Stuttgart, Germany.
The focus of the three-day congress is to promote dialogue between scientists, researchers, policy makers and representatives of non-governmental organizations (NGOs), civil society, the general public and the private sector, as well as other stakeholders and interested parties. Following his keynote speech at the Online Pre-Symposium in November, Professor Bundy will chair a session onsite at the congress in September 2023.
Launch of case study on France's national school meals programme, 4 September
As part of the work of the Research Consortium's "Good Examples" Community of Practice of documenting the school meals programmes of the member states of the School Meals Coalition, the CoP members are due to launch the French case study on 4th September.
France's experience in the field of school meal has been described in terms of implementation (coverage, type of menus, programme costs) and public policies. The authors of this case study will share with the audience the good practices, the innovative initiatives as well as the challenges to be met.
A question and answer session with the audience will follow. These discussions will serve as a prelude to the debates that will take place at the interministerial meetings organised by the School Meals Coalition from 18 to 19 October in Paris. A simultaneous translation from French into English will be available.
- May 2023
LAUNCH: Early Career Researcher & Young Scientist Network, 4 May
On Thursday 4 May the Research Consortium launched its newest Community of Practice: the Early Career Researcher & Young Scientist Network. The Network aims to cultivate the talent of young people interested in entering the field of school health and nutrition research, by providing skills workshops, networking opportunities, and ways to contribute to the Research Consortium's research outputs. In this interactive launch event, we were joined by two brilliant guests who both work in a different area of school health and nutrition. Our guests will share their personal career journeys, providing insights and advice on how to pursue a career in the field.
- June 2023
On Monday 19 June, the Research Consortium for School Health and Nutrition鈥檚 Good Examples Community of Practice (CoP) held its first Summer Meeting: an opportunity to reflect on progress to date in documenting examples of best practice in school meals programming from around the world.
Open to anyone interested in the documentation of school meals programmes globally, the meeting was a chance for those who have completed national case studies on their country鈥檚 school meals programme to share their insights on both the successes and challenges of the process, with the aim of providing guidance to countries seeking to develop their own case studies.
2022
- January 2022
Strengthening evidence on the benefits of school health and nutrition interventions to inform policy action and investment priorities, LSHTM Seminar organised by the School-Based Interventions Interest Group, 26th January
LSHTM staff and collaborators participated in this seminar introducing the School Meals Coalition, the Research Consortium for School Health and Nutrition, and the work of the Consortium's Communities of Practice. Three key areas of research were explored during the seminar: (i) value-for-money of school meals; (ii) the effect of school food on learning-adjusted years of schooling; and (iii) the current evidence and impact of school health interventions.
Watch the
Public Meeting hosted by the Coalition for Health School Food, Canada, 27th January
Professor Bundy presented on behalf of the Research Consortium and provided an update on global evidence for school food programmes.
Watch the
- February 2022
OECD Webinar: How to Make Better Policies for School Meals, 10th February
Following on from the report the OECD鈥檚 Trade and Agriculture Directorate is now focusing on how to overcome evidence gaps in food systems to support policy makers around the world develop better policies for food systems. School meal programmes are included as part of a deep dive on food assistance programmes in OECD countries. As a knowledge partner to the UNFSS process the OECD has convened a webinar to discuss school meal programmes within OECD states. Professor Bundy presented on the launch of the School Meals Coalition, the Research Consortium, and the efforts of the Good Examples Community of Practice to document lessons learned from long-standing national school meal programs.
Watch the
Global Initiative for Children鈥檚 Surgery, US, 20th February
Professor Bundy presented to a global audience of surgeons on the opportunities for intervention within the first 8,000 days of life, with an emphasis on preventable disability among children and adolescents. Professor Bundy also provided a forward look to the fourth edition of the Disease Control Priorities and the vision to include an emphasis on the life-course within this publication.
University of Oxford International Health & Tropical Medicine - Presentation to MSc students on multi-sectoral benefits of school meals programmes and the role of the School Meals Coalition, 23rd February
Professor Bundy presented to the University of Oxford International Health & Tropical Medicine MSc students on the multi-sector benefits of school meals programmes and the role of the School Meals Coalition with supporting governments to re-establish and scale school meal programs in response to the COVID-19 pandemic.
- March 2022
Biomarkers of Nutrition for Development 鈥 Knowledge Indicating Dietary Sufficiency (BOND-KIDS) workshops; 4th, 11th, 18th and 25th March
BOND-KIDS is a global partnership, led by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD/NIH), the Research Consortium for School Health and Nutrition, USDA-Foreign Agriculture Service (USDA/FAS) and Academy of Nutrition and Dietetics (AND), that aims to describe factors affecting health and nutrition in school-aged children and to guide assessment of nutrition programs. A series of public workshops took place throughout March to discuss the research of the four working groups.
Watch all four event recordings below:
- 鈥 Nutrition and Biology 鈥 Friday 4 March
- 鈥 Environment 鈥 Friday 11 March
- 鈥 Assessment 鈥 Friday 18 March
- 鈥 Translation and Implementation 鈥 Friday 25 March
LSHTM Environmental Health Group Seminar, 9th March
LSHTM's Environmental Health Group hosted a seminar featuring three presentations on school-based WASH studies, followed by a presentation on the work of the Research Consortium for School Health and Nutrition.
Pakistan Nutrition and Dietetics Society 2nd International Conference in Karachi, 10th-13th March
The Research Consortium for School Health and Nutrition and the hosted a workshop focusing on investing in the next 8,000 days, as part of the Pakistan Nutrition and Dietetics Society 2nd International Conference in Karachi.
Transitioning to a sustainable food system and delivering on the SDGs 鈥 The potential of school meals, EURGAGRI/CIRAD conference, 21st March
The and (Centre de coop茅ration internationale en recherche agronomique pour le d茅veloppement) co-hosted a conference bringing together European academics and stakeholders to discuss the benefits of school feeding programmes for children, as well as for societies and local economies. Professor Bundy provided an update on the global picture of school feeding and presented the roles of the School Meals Coalition and Research Consortium for School Health and Nutrition in this context.
- April 2022
Regional School Feeding Forum, Barranquilla, Colombia, 5th-7th April
Representatives from the Research Consortium and School Meals Coalition took part in a high-level panel alongside ECLAC, IFPRI and INSP (the Mexican National Institute of public health) to discuss school feeding as a game changer for human capital development.
Sustainable School Food: Global Challenges, Local Solutions, Barcelona, 28th April
Representatives from the Research Consortium presented at the virtual conference, hosted by Catalan NGO Fundesplai. The conference explored different countries and realities in order to see how they are reacting to shared challenges regarding school food programmes: minimising waste, reducing the consumption of animal proteins and increasing the consumption of fresh and local foods.
- May 2022
Bergen Centre for Ethics and Priority Setting (BCEPS) meeting in Bergen, 2nd-4th May 2022
The Research Consortium team took part in the to discuss collaboration and ways forward to promote fair and efficient priority setting in national health systems.
Healthy and Climate-Friendly School Food: Coming soon to a place near you? World Food Summit side event, Bergen, 5th May 2022
Representatives from the Research Consortium spoke at this Danish World Food Summit side event about the different approaches to school feeding in the Nordic region and the transition to greater public engagement in school health and nutrition.
National Consultation on School Meals Programme, Pakistan, 10th May 2022
Professor Bundy, Director of the Research Consortium for School Health and Nutrition, delivered the keynote speech at the National Consultation on School Meals Programme, convened by the Government of Pakistan with support from WFP. He discussed the multi-benefits of school meals programmes for overall child health and nutrition, education, wellbeing, and economic development.
Measuring Success: What makes an effective school feeding programme? - Analytics & Metrics COP, 30th May 2022
The Research Consortium for School Health & Nutrition hosted its first seminar with its Analytics & Metrics Community of Practice (COP) on the effective measurement of school health and nutrition programmes globally.
Representatives from the Ethiopian and Malawi governments, the African Union, the World Food Programme, Harvard University, the University of Oxford, and the London School of Hygiene and Tropical Medicine provided insights on the most meaningful evidence and metrics for measuring the impact of school meals around the world.
- June 2022
Good Food For All - The Bean Challenge, OmVed Gardens, London, 13th-14th June 2022
Representatives from the Research Consortium attended an advocacy event held by Good Food For All, an inititative of the SDG2 Advocacy Hub, on increasing the global consumption of beans as a way of addressing world hunger.
School Health & Nutrition: What does the evidence tell us? - Impact & Evidence COP, 23rd June 2022
The Research Consortium for School Health & Nutrition's Impact & Evidence Community of Practice (COP) shared recent progress on their Cochrane Collaboration Systematic Review of School Meals and School Health, including insights from across the Global South.
Launch of FAO 'School Food Global Hub', 23rd June 2022
On 23 June 2022, Research Consortium Director Professor Bundy spoke at the launch of the 'School Food Global Hub', established by the FAO, Federal Ministry of Food and Agriculture of Germany, and the School Meals Coalition.
The hub enables the sharing of evidence, best practices and lessons learned on school feeding, to enhance the global dialogue around the need and potential of improving the quality of school food and food education, therefore strengthening school programmes around the world.
- August 2022
CASE Europe Annual Conference, Glasgow, 30th August
Professor Bundy delivered the opening keynote speech at the , Europe's leading conference geared towards fundraising, advancement and alumni relations within higher education. Under the this year's theme of 'reimagine', Professor Bundy's session was titled: 'Caring for 1.5 billion lost children: How universities have helped reimagine a worldwide recovery from the COVID-19 pandemic'.
- September 2022
School Food Webinar, University of Copenhagen, 21st September
The University of Copenhagen's Department of Geosciences and Nature Management held a school food webinar in September, attended by the Danish Food Minister, MR Rasmus Prehn. Professor Bundy shared the achievements of the Research Consortium to date.
Early Career & Youth Network Focus Groups, 28th September
To help inform the development of a new academic Community of Pratice (COP), the Early Career & Youth Network, the Research Consortium held two virtual focus groups on 28th September. The Early Career & Youth Network aims to elevate youth voices and cultivate talent within the field of school health and nutrition research, providing young people and early career researchers with access to a network of academics with shared interests, as well as the opportunity contribute to the Consortium鈥檚 overall research strategy and outputs.
The focus groups were open to any early career researcher or young person interested in the field of school health and nutrition research, who would like to help shape the COP's strategic priorities. For the purposes of this COP, early career researcher is defined as anyone who is up to 7 years post-graduate. Youth is defined as being between 15-24 years old.
- October 2022
Implementation and evaluation of comprehensive school-based health services: Two innovative programmes in Zimbabwe and Zambia | LSHTM School-Based Interventions Special Interest Group, 10th October
The LSHTM School-Based Interventions Special Interest Group 鈥 a collaboration between the Research Consortium for School Health and Nutrition and the MARCH Centre 鈥 held a webinar on the implementation and evaluation of school-based health services, spotlighting two innovative programmes in Zimbabwe and Zambia. This session explored how comprehensive school-based health interventions can address some of the major health challenges faced by school-age children in low- and middle-income settings.
Representatives from , a multi-partner initiative involving researchers from LSHTM based in Zimbabwe, discussed their work into providing routine health and well-being check-ups for young people to improve the prevention, early identification and treatment of key health issues. This was followed by a talk from representatives from , an initiative based in Zambia focused on keeping children healthy through school-based interventions to optimize their ability to learn and ultimately reach their full potential. The session concluded with a Q&A featuring Malalu Mulundika, Director of School Health and Nutrition for the Government of Zambia.
School Meals Coalition Week, 10th-14th October
The first ever School Meals Coalition (SMC) Week took place from 10-14 October 2022, one year after the formation of the Coalition by more than 70 national governments at the UN Food Systems Summit 2021. It celebrated the activities of the School Meals Coalition and its partners to date, coming at a time when school meals programmes are needed more than ever 鈥 with 153 million school children facing acute food insecurity according to new data from 82 countries released by WFP. The Research Consortium will hold two sessions to share the evidence it has generated so far on school health and nutrition programmes in the year since the Coalition's formation.
Research Consortium Update 1: What is the case for investment in school meals and school health?
This session is the first of two related updates from the Research Consortium for School Health and Nutrition, describing research during the first year of the School Meals Coalition. This first session focused on making the investment case for national school health and nutrition programmes, and started with a keynote from Nobel Laureate Michael Kremer, Professor of Economics at the University of Chicago, on understanding the economics of school-based health interventions. This was complemented by perspectives from across the Consortium鈥檚 global network-of-networks, including on how it is co-creating value-for-money research studies with SMC countries and engaging with innovative partners with exceptional global reach and national coverage, including the IAPB and the Global Schistosomiasis Alliance (GSA), to support the health and wellbeing of school-age children. The session demonstrated how the Research Consortium鈥檚 network-building approach is allowing it to meet the scale of the challenges that countries face as they rebuild from COVID-19, particularly through alignment with the School Meals Coalition鈥檚 Sustainable Financing Initiative to develop innovative financial solutions.
Research Consortium Update 2: What are we learning from national programmes in school health and nutrition?
In the second of two updates from the Research Consortium for School Health and Nutrition, this session provided an overview of the evidence generated on school health and nutrition programmes in practice in the year since the Coalition鈥檚 formation. The Consortium presented progress to date on the ongoing Cochrane Systematic Review, the first since 2007 on the impact of school meals on the physical and psychological wellbeing of school children. It then shared insights on the use of the new education metric, Learning Adjusted Years of Schooling (LAYS), for deepening our understanding of how school-based health interventions can improve education outcomes, complemented by inputs from the across Consortium鈥檚 network on malaria and neglected tropical disease (NTD) interventions in schools. The Consortium also shared progress in developing case studies to document practice of national school meals programmes in all member countries, to launch the new Good Examples Community of Practice. Finally, the session provided an insight into how the Consortium works closely with the School Meals Coalition鈥檚 new Data & Monitoring Initiative to evaluate the impact and efficiency of school health and nutrition programmes around the world.
School Meals Coalition Ministerial Meeting, Helsinki, 18th October
Following the School Meals Coalition Week, SMC hosted its first ever Ministerial Meeting in Helsinki: a convening of the 12 ministers who sit on the SMC Taskforce to establish priorities and strategic direction of the Coalition.
- November 2022
The Superpowers of School Meals, Westminster, London, 8th November
During UK School Meals Week 2022, Professor Bundy spoke to MPs at the House of Parliament at the 'Superpowers of School Meals' event, hosted by the Food Foundation, School Food Matters, Bite Back 2030, Chefs in Schools and the NEU on behalf of the School Food Review Working Group network.
Professor Bundy presented the current international context around school meals, providing an overview of the ongoing action towards universal school meals coverage by the 70+ countries of the School Meals Coalition and the lessons learned about policy and programming worldwide since the COVID-19 pandemic.
Deadline 2030: Unlocking Action on Sanitation (World Toilet Day), London, 15th November
Professor Bundy contributed to a panel discussion at this World Toilet Day event hosted by Unilever, where they asked the question: has sanitation had its moment?
鈥淚mpacts of COVID-19 on catering in all day-care centers and schools鈥 Digital Symposium, University of Hohenheim, Germany, 16th November
Professor Bundy contributed to this online Symposium hosted by the organisers of the Hidden Hunger Congress, with a special focus on the COVID-19 pandemic and the implications on school feeding. The Symposium came ahead of the anticipated in March 2023.
UK Case Study Launch, Finnish Ambassador's Residence, London, 17th November
On 17th November, the Research Consortium's Good Examples Community of Practice, together with WFP UK, formally launched its case studies into the current status of school meals in the four UK devolved nations, developed by interlocutors from the respective nations. Hosted by the Finnish Ambassador at his London residence, the event was also an opportunity to launch the Finnish case study.
- December 2022
Exploring causal mechansims in process evaluation of two whole school interventions, LSHTM School-Based Interventions Special Interest Group, 7th December
In our second seminar of the academic year, LSHTM's School-Based Interventions Special Interest Group - a collaboration between the Research Consortium and LSHTM's MARCH Centre - shared two examples of causal mechanisms in evaluating whole school interventions.
2021
- May 2021 - Virtual launch of the Global School Health and Research Consortium
Read the annotated agenda of the launch of the global Research Consortium for School Health and Nutrition
Read the research priorities identified at the symposium of the global Research Consortium for School Health and Nutrition
Full recordings of the Launch and Symposium:
Launch event
Symposium event
- July 2021
Seventh International Conference on Poverty Reduction and Child Development, Beijing (Government of China and China Development Research Foundation) - 24th July
The conference established the factors that allowed China to declare the End of Absolute Poverty in December 2020. Professor Bundy spoke on a panel focused on child nutrition and food safety under the COVID-19 pandemic, and on the outcome of the 100 year 鈥淐ompulsory Education Students Nutrition Programme鈥.
Food Systems Pre-Summit, Rome (UN Food agencies; planning for the UN Food Systems Summit, New York City, September) - 26th - 28th July
The UN World Food Programme convened governments, agencies, and academia to solidify commitments for the School Meals Coalition, which was launched at the UN Food Systems Summit in September 2021.
Global Education Summit, hybrid virtual/in-person conference - 28th - 29th July
The Global Partnership for Education hosted a featuring 70 presentations as part of the Financing GPE 2021-2025 campaign.
- August 2021
Annual Conference on Ensuring Food and Nutrition Security, M S Swaminathan Research Foundation, Chennai: from the originators of the Green Revolution - 9th August
Professor Bundy presented the keynote on nutrition security policies that support women and children.
- September 2021
Foreign, Commonwealth and Development Office (FCDO Health Network Brunch): School as a platform for sexual and reproductive health and rights interventions - 2nd September
At the invitation of the FCDO, Professors Donald Bundy and Aoife Doyle presented on the role of health/gender policies to promote adolescent girls鈥 retention in secondary schools.
UN Food Systems Summit, New York City, 23rd September
The UN Secretary-General convened the with the aim of maximizing the co-benefits of a food systems approach across the entire 2030 Agenda and meeting the challenges of climate change. The School Meals Coalition was launched alongside the Summit.
- October 2021
LACA, Birmingham, the annual meeting of the UK-wide professional body representing school nutrition services; 550 organisations including local authorities, schools, academies, institutions and the private sector - 13th October
Professor Bundy gave the keynote presentation on the global impact of school meal service interruptions as a result of the COVID-19 pandemic.
World Food Day - 16th October
In celebration of World Food Day, the World Food Programme UK Office, together with the Research Consortium for School Health and Nutrition and the Chefs鈥 Manifesto, hosted an event to develop and strengthen the network of school feeding stakeholders in the UK.
All Party Parliamentary Group on School Food Meeting, House of Commons, London - 21st October
Professor Bundy provided an update on the structure, 10-year agenda and roles of the Global Research Consortium for School Health and Nutrition.
Sowing the Seeds of a Movement, UK, 26th October
The World Food Programme, OmVed Gardens, and the Research Consortium on School Health and Nutrition hosted a diverse group of individuals working in the area of school food in the UK to exchange experiences and lessons learned.
- November 2021
UK National School Meals Week 2021, 8th-12th November
OmVed Gardens, the Research Consortium for School Health and Nutrition, and the World Food Programme, UK jointly authored an opinion piece in celebration of the UK National School Meals Week, entitled School Food: What Have we Learned from the UK鈥檚 115 Years of Experience.
Lecture series on nutrition organised by World Food Programme LAC Region and Economic Policy Research Institute, Panama, 11th November
Professor Bundy lectured on school meals, their reach, and impact across Latin America as part of a professional development training course designed for the World Food Programme LAC Region staff.
Universal Provision of Free School Meals, Scotland, 17th November
Scotland has committed to extend universal provision of free school meals to all children in primary schools. The Scottish Poverty and Inequity Research Unit convened global school meal experts to reflect on early progress in delivering this in Scotland and we learn from wider work to extend school meal provision across the globe. Professor Bundy presented an overview of international work to on the universal provision of school meals. The full recording can be accessed .
French School Feeding Network, France, 18th November
The French School Feeding Network invited researchers to present their research experience on school feeding to its network members, with a focus on 鈥淢a cantine autrement鈥 in Montpellier and "Cantine 茅galit茅" in Paris and its ramifications in Madagascar and India. Researchers discussed the success factors, barriers, and impacts of school catering projects.
Bilateral Meetings with UN Agencies, Italy, 22nd-26th November
The Secretariat of the Consortium organised bilateral meetings with Rome-based UN agencies, including the World Food Programme, the International Fund for Agriculture Development, and with the Food and Agriculture Organisation.
Coalition for Healthy School Food, Canada, 24th November
Professor Bundy joined a panel focused on big picture insights for implementing a school food programme in Canada. His intervention provided a global lens to school meal programs.
Nutrition During the Next 7,000 Days of Life: Middle Childhood and Adolescence, Side Event of the Nutrition for Growth Summit, Japan, 29th November
This event brought together the government of Finland, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), the Research Consortium for School Health & Nutrition, the United Nations Children鈥檚 Fund (UNICEF), the United States Department of Agriculture (USDA) and the World Food Programme (WFP) to discuss how practitioners can address the nutritional needs of school-age children and adolescents.
- December 2021
Seminar in Nutrition and Global Health. Hosted by the Harvard T.H. Chan School of Public Health, USA, 6th December
Professor Bundy presented how the COVID-19 pandemic has changed how countries care for the world鈥檚 schoolchildren, and how the pandemic has prompted a rethinking of the 鈥渘ext 7000 days鈥 in a young person鈥檚 life. Watch his presentation .
Nutrition for Growth Summit, Japan, 7th-8th December
The flagship N4G Summit was hosted by the Government of Japan in December 7-8, 2021. The event convened a cross-section of stakeholders to announce final financial and policy commitments and chart the path toward 2030 with concrete recommendations to the global community.
RewirED Summit, United Arab Emirates, 12th-14th December
RewirED 鈥 a global platform to rewire education for a prosperous and sustainable future 鈥搃s organized by Dubai Cares, in partnership with Expo 2020 Dubai and in close coordination with the UAE Ministry of Foreign Affairs and International Cooperation. On 14 December, Professor Bundy presented on the Research Consortium at a high-level investor鈥檚 roundtable and also moderated a session on financing approaches non-state actors utilize to finance school health and nutrition interventions. Watch the videos and .
10th Anniversary of the Nutrition Improvement Plan, hosted by the China Development Research Foundation, China, 18th December
The theme of this conference was Investing in Child Nutrition for Healthy Future with a focus on the achievement of China鈥檚 Nutrition Improvement Plan for Rural Students in Compulsory Education. Professor Bundy presented as part of the Child Nutrition and Rural Vitalisation plenary.
Latest news, opinions, and updates from across the Research Consortium for School Health and Nutrition.
Consultation on nutrition during the first 8,000 days in India, October 2024
As part of National Nutrition Month, celebrated each September across India, MSSRF hosted a consultation on nutrition during the first 8,000 days of life. Despite Tamil Nadu鈥檚 pioneering Integrated Child Development Services (ICDS) programme, whereby children aged 0-6 receive supplementary nutrition, immunization, health check-ups, and preschool education, a dual burden of undernutrition and overnutrition persists in the state. Experts from different sectors made several policy recommendations to improve the nutrition of school-age children and adolescents, including strengthening school meals programmes and leveraging new technologies to develop solutions for nutritional assessment and interventions.
Advancing the nutrition of school-age children and adolescents in Africa, October 2024
The 9th African Nutrition Conference took place in Cape Coast, Ghana on 8 October. Organised by the Consortium鈥檚 Nutrition Community of Practice, the regional symposium highlighted the latest evidence on the importance of nutrition beyond the first 1,000 days of life. The meeting showcased case studies on the impact and value-for-money of school feeding initiatives in Africa. The participants agreed on the urgent need for an Africa-specific Community of Practice focused on the health and nutrition of school-age children and adolescents.
A New Understanding of School Meals: More Than Just a Plate of Food?
Write-up: 2024 Annual Showcase | SEPTEMBER 2024
Between 24-27 September 2024, the Research Consortium for School Health and Nutrition hosted its second Annual Showcase, under the theme: 鈥A New Understanding of School Meals鈥.&苍产蝉辫;
As the Research Consortium鈥檚 annual flagship event, the Showcase takes place online each year ahead of the Ministerial Meeting of the School Meals Coalition, with the goal of sharing the key insights emerging from ongoing research into the multisectoral impacts of prioritizing the health and wellbeing of school-age children.
This year鈥檚 Showcase brought together leaders from across the Research Consortium鈥檚 global academy of 900+ experts from 90+ countries to share how the evidence landscape is rapidly evolving to inform a new understanding of school meals as far more than just a plate of food.
While school meals have a long history of being recognized by governments as an effective way of ensuring the most vulnerable children do not go hungry, new data is now revealing that prioritizing the health and wellbeing of school-age children can have benefits that go far beyond the school canteen 鈥 contributing to improved education outcomes, boosting economic development, child wellbeing, gender equity and food systems transformation.
Taking place as four exciting sessions across four days, the 2024 Annual Showcase began with a tour of the evidence landscape, with representatives from across the Consortium鈥檚 six Communities of Practice sharing the latest data on what we know about the wide-ranging impacts of investing in the health and wellbeing of school-age children.
On the second day, the conversation turned to the implications of this evidence for policy, exploring the growing recognition of school meals within mainstream guidance for meeting policy objectives across several sectors, including public health, education, agriculture, and social protection.
The third day was an opportunity to hear from the countries who are harnessing the evidence to implement innovative, cost-effective, sustainable school meals programs 鈥 including perspectives from the two largest programmes in the world: Brazil and India.
Finally, in the concluding session, the conversation turned to the future, exploring what still must be done if we are to fill the remaining evidence gaps to meet the School Meals Coalition鈥檚 mission of ensuring every child can have a healthy meal at school by 2030.
Reflecting on the event, Research Consortium Director Professor Donald Bundy remarked: 鈥淥ur third Showcase week demonstrated the growing global momentum around school health and nutrition. We were thrilled to see our highest ever turnout of attendees from more than 75 countries, and honoured hear from the world-class experts from across our Global Academy on the wide-reaching benefits of investing in the health and wellbeing of schoolchildren everywhere. It is inspiring to see so many countries committed to transforming school meals into a force for change.鈥
If you missed any sessions or want to watch them back, you can find all the鈥. You can also download the speakers鈥欌.
Expanding universal school feeding programs in sub-Saharan Africa, October 2024
A new commentary from our Analytics & Metrics Community of Practice critically reflects on some of the major implementation challenges for the expansion of school feeding to universal levels in low- and middle-income countries. This report has come out of a meeting organised by the Community of Practice, 'School Health and Nutrition Research including Value-for-Money of National Programs', which took place in Gaborone, Botswana in July 2023 (pictured above).
There is still an unacceptably large proportion of malnourished children and adolescents globally, especially in sub-Saharan Africa. Different forms of malnutrition are directly implicated in limitations of access to and performance in school, which has a major human capital impact, particularly among young adolescent girls and within the world鈥檚 poorest countries. In this context, the strengthening of national school feeding programmes can represent a unique opportunity to mitigate this enormous dual education, food insecurity and malnutrition gap.
The paper puts particular emphasis and gives concrete illustrations on the context of southern Africa.
鈥楪ood Examples鈥 hosts regional case study writing workshop, Bangkok, July 2024
Between 16 and 18 July, the Good Examples Community of Practice (CoP) held a regional writing workshop in Bangkok, Thailand, to support countries in the South East Asia region currently undertaking a case study of their national school meals programme.
Convened under the leadership of L鈥檌nstitut Agro Montpellier, the workshop was attended by academics from leading research institutions in four Asian countries (Bangladesh, Cambodia, Sri Lanka, and Thailand), along with colleagues from the World Food Programme Regional Bureau Bangkok (WFP RBB), the WFP Sri Lanka country office, and the Research Consortium鈥檚 Analytics & Metrics Community of Practice.
Over the course of three days, participants had the opportunity to share progress in the development of their respective case studies, learn from each other鈥檚 successes, and exchange ideas around common challenges. Alongside writing support, the workshop also aimed to foster closer relationships between actors working on school health and nutrition in the Asia region, with the view of strengthening the regional school meals network and facilitating improved peer-to-peer learning between neighbouring countries.
It comes after the first Good Examples regional writing workshop in Benin earlier this year for countries undertaking case studies in the Africa region, and will be followed by equivalent session in Latin America in the coming months.
The Good Examples Community of Practice aims to support every country of the School Meals Coalition to produce a case study of its national school meals programme. For further information, please contact aurelie.fernandez@lshtm.ac.uk or sylvie.avallone@supagro.fr.
School meals in times of war: Ukraine launches national school meals case study, July 2024
On 18 July, the Office for the First Lady of Ukraine convened an event in Kyiv to launch a by the Research Consortium for School Health and Nutrition on Ukraine鈥檚 national school meals programme.
The event, which was hosted by Ukraine鈥檚 School Nutrition Reform Office 鈥 an initiative jointly launched by the First Lady and the Government of Ukraine in 2020 to strengthen school meals provision in the country 鈥 saw some 300 participants come together to reflect on Ukraine鈥檚 progress in improving the coverage and quality of its school meals throughout the last four years. Contributors included Ukraine鈥檚 Minister of Health, Deputy Minister of Education, and Deputy Minister for the Economy, as well as several academic, UN, and diplomatic partners.
Central to the discussions were the results of the 鈥樷 developed by the Research Consortium鈥檚 Good Examples Community of Practice in partnership with the School Nutrition Reform Office, National Foodservice Association, UNICEF, WHO Ukraine, and WFP. The study documents how Ukraine鈥檚 school meals programme is organized, funded and monitored, and identifies best practices and areas for continued strengthening 鈥 such as establishing culinary hubs to train employees of school food programmes using newly developed materials and curricula.
In the time since the School Nutrition Reform Office was launched, Ukraine has faced both the outbreak of COVID-19 and ongoing conflict 鈥 both of which continue to have drastic negative impacts on the health, wellbeing, and education of its children. Recognizing the need for urgent action, Ukraine announced in October 2023 that it would join the School Meals Coalition, renewing momentum towards its National School Nutrition Reform Strategy.
Since then, the Research Consortium for School Health and Nutrition has worked closely with the School Nutrition Reform Office to provide evidence and guidance in support of scaling up the national programme towards universal coverage, meaning every child in Ukraine would receive a nutritious meal at school. Alongside the national case study, members of the Research Consortium led on the development of a recent which charts the path towards universal coverage during times of war.
In his opening remarks at the event, Research Consortium Director Professor Donald Bundy said: 鈥淪chool meals have a long and well-documented history of deployment by governments in response to social shocks and conflict, as seen in Finland, Sweden, and Japan following World War II. By providing every child with access to a reliable, nutritious meal, countries experiencing conflict can not only address the hunger and food insecurity faced by many families today, but can also give children the best chance of fulfilling their learning potential, helping them to flourish tomorrow.鈥
To read more about the event, please visit:
"Good Examples" Community of Practice hosts school meals case study workshop in Benin, January 2024
Between 23 and 26 January 2024, the Research Consortium鈥檚 Good Examples Community of Practice (CoP) held a writing workshop in Cotonou, Benin, for countries in the region seeking to developing a case study on their national school meals programme.
With funding from the French Ministry of Agriculture and Food Sovereignty, and under the leadership of L鈥檌nstitut Agro Montpellier, the workshop saw participants from L鈥檌nstitut Agro and from Benin, Togo, and Senegal share their diverse experiences in managing school meals programmes in their respective territories.
The event brought together a variety of stakeholders, including university professors, representatives from research centers, national agencies for school food management, and development associations. This diversity facilitated the exchange of complementary and constructive experiences.
After two days鈥 work dedicated to each case study, the third day focused on reflecting on potential research partnerships arising from this collective exchange. The results of the case studies will be published during the year 2024.
Further regional case study writing workshops in Europe, Asia, and Latin America are due to take place throughout the year. Stay informed by signing up to the Research Consortium's newsletter .
Find out more about the Good Examples Community of Practice here.
The Research Consortium presents white paper on school meals as a vehicle for food systems transformation at COP28, Dubai, Dec 2023
In December 2023, the Research Consortium for School Health and Nutrition attended the COP28 Climate Conference in Dubai, UAE, where it presented the key insights from its evidence-based white paper on .
Led by a research team based at the London School of Hygiene & Tropical Medicine, in collaboration with 167 experts from 84 organisations worldwide, the white paper uses original mathematical modelling analyses and more than 40 case studies to estimate the potential impact of school meals policy changes on both health and the environment across different income settings.
Currently, food systems are responsible for a third of all human-induced greenhouse gas (GHG) emissions: meaning the very food systems that keep us alive are also contributing to environmental catastrophe. School meals programmes, as one of the largest subsections of the global public food system, with more than 400 million children receiving a meal at school each day, could hold enormous potential to drive transformation towards healthier, more sustainable, and more equitable food systems globally. This is because, despite their vast global coverage, school meals programmes are overwhelmingly financed and managed at the national level, meaning the policy levers lie in the hands of governments 鈥 giving them a unique opportunity to effect significant change quickly and at scale.
The white paper brings together the existing evidence from around the world on how strategic policy changes to national school meals programmes could have significant positive consequences for both people and the planet, finding that the greatest effects come from changes in the following four priority areas: menu design, energy use, waste management, and food education. It also explores the potential of these short-term policy changes to drive longer-term shifts in agricultural and procurement practices towards more ecologically sustainable farming systems.
These policy insights were presented by members of the white paper鈥檚 coordination team for discussion at four events across the course of the COP28 climate conference in Dubai in December 2023. At the School Meals Coalition鈥檚 flagship session 鈥楴ourishing the Planet, Sustaining Futures鈥 鈥 the first dedicated school meals session in COP history 鈥 Kenya became the first country to announce its intention to take the insights forward, declaring its commitment to provide nourishing, planet-friendly meals to 10 million children by 2030: an increase from the current 2.3 million children being reached. This was soon followed by commitments from Sierra Leone and Rwanda, who announced their own plans to implement planet-friendly policies when scaling up their national school meals programmes.
Catch up on all four of the Research Consortium鈥檚 COP28 sessions here.