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| Name | Class |
|---|---|
| Makerere University | OTHER |
| World Bank | OTHER |
| United Nations World Food Programme (WFP) | OTHER |
| UNICEF |
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School feeding programs provide students meals conditional on school attendance, which can have impacts on school participation, cognition and learning, and nutritional outcomes. Although the literature on impacts of school feeding programs is substantial, high quality studies with evaluation designs that provide causal impact estimates are relatively few. Thus program impacts on educational, cognitive and nutritional outcomes are not well-understood, particularly in a field setting. Nutritional impacts in particular are questionable, which may be a result program design. Most studies provide only small transfers to children and examine average macro-nutrient effects of the transfer on the treated children, thus it is not surprising that detection of nutritional gains has been minimal.
This study is a cluster-randomized evaluation of a school feeding program administered by the World Food Programme in the Northern Ugandan Districts of Lira and Pader. The program provides substantially larger food rations than most programs (representing 1/3 of children's daily caloric needs and 99% of iron intake requirements).
The key research objectives are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| In School Feeding | Experimental |
| |
| Take Home Rations | Experimental |
| |
| Control | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| In School Feeding | Other | The intervention provides meals consisting of 1049 kcals of energy, 32.6 gm protein, and 24.9 gm fat per child per school day and meet at least two thirds of the child's daily vitamin and mineral requirements, including 99 percent of iron requirements. SFP delivers these nutrients in the form of a fortified corn-soy porridge around mid-morning and beans and maize meal or rice at lunch. |
| Measure | Description | Time Frame |
|---|---|---|
| Mothers' and Children's Nutritional Status | 15 months |
| Measure | Description | Time Frame |
|---|---|---|
| Cognitive Performance | 15 months | |
| School achievement | 15 months | |
| School Participation |
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Inclusion Criteria:
Exclusion Criteria:
-
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| Name | Affiliation | Role |
|---|---|---|
| Marie Ruel, PhD | IFPRI | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lira District | Lira | Uganda | ||||
| Pader District |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30926996 | Derived | Adelman S, Gilligan DO, Konde-Lule J, Alderman H. School Feeding Reduces Anemia Prevalence in Adolescent Girls and Other Vulnerable Household Members in a Cluster Randomized Controlled Trial in Uganda. J Nutr. 2019 Apr 1;149(4):659-666. doi: 10.1093/jn/nxy305. |
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| ID | Term |
|---|---|
| D044342 | Malnutrition |
| D000740 | Anemia |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| OTHER |
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|
| Take Home Rations | Other | The rations provided in the intervention are equal in size and composition to the food received in the in-school feeding intervention, but are provided to households once per month. |
|
| 15 months |
| Pader |
| Uganda |