Author:
Wang Dongqing,Fawzi Wafaie W.
Abstract
Abstract
Background
School feeding programs are beneficial for the physical, mental, and psychosocial development of school-age children and adolescents, particularly those in low- and middle-income countries (LMICs). While school feeding programs are ubiquitous in LMICs, the specific benefits of school feeding programs are unclear. The aim of this systematic review and meta-analysis is to evaluate the impacts of school feeding programs on the educational and health outcomes of children and adolescents in LMICs.
Methods
Rigorously designed interventional studies on the impacts of school feeding on nutritional and health outcomes of children and adolescents receiving primary or secondary education in LMICs will be included. The following information sources were used to identify relevant published or unpublished studies: MEDLINE, EMBASE, CINAHL, the Cochrane Library, and governmental or organizational websites. The risk of bias of randomized and non-randomized studies will be assessed using the Cochrane Risk of Bias tool and the ROBINS-I tool, respectively. Two reviewers will independently conduct the selection of studies, data extraction, and assessment of the risk of bias. A narrative synthesis of all the included studies will be provided. Meta-analyses will be performed whenever appropriate. Heterogeneity of effects will be assessed by I2, subgroup analyses, and meta-regression. The certainty of evidence for each outcome will be assessed using the Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) approach.
Discussion
The design and implementation of school feeding programs in LMICs should be based on the understanding of the benefits of such programs. This work will provide a crucial evidence base for the educational and health benefits of school feeding on children and adolescents in LMICs.
Systematic review registration
This protocol was submitted for registration with the International Prospective Register of Systematic Reviews (PROSPERO) on November 18, 2019 (registration number: pending).
Publisher
Springer Science and Business Media LLC
Reference45 articles.
1. Bundy D, Silva Nd, Horton S, Jamison DT, Patton GC, Schultz L, et al. Re-imagining school feeding: a high-return investment in human capital and local economies. 2018.
2. Plaut D, Thomas M, Hill T, Worthington J, Fernandes M, Burnett N. Getting to education outcomes: reviewing evidence from health and education interventions. Child and Adolescent Health and Development 3rd edition: The International Bank for Reconstruction and Development/The World Bank; 2017.
3. Food and Agriculture Organization (FAO). Nutrition guidelines and standards for school meals: a report from 33 low and middle-income countries. Rome: FAO; 2019.
4. Adelman S, Gilligan D, Lehrer K. How effective are food for education programs?: a critical assessment of the evidence from developing countries: Intl Food Policy Res Inst; 2008.
5. Bundy D, Burbano C, Grosh ME, Gelli A, Juke M, Drake L. Rethinking school feeding: social safety nets, child development, and the education sector: The World Bank; 2009.