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The General Office of the State Council of China promulgated the National Nutrition Program 2017–2030 in 2017 to guide the people to improve their food supply and nutritional intake. This study uses qualitative and quantitative information which are analyzed to estimate the change in people’s food purchases following the implementation of the National Nutrition Program 2017–2030, and puts forward measures that should be taken by the competent authorities and stakeholders. We use the translog revenue function of the food industry, and based on the data of listed companies of Chinese food enterprises from 2015 to 2020, and this study find that the National Nutrition Program 2017–2030 has had a positive impact on people’s food purchases, and the impact is more obvious in people’s food purchases from large food manufacturers. Finally, we also provide regulators with public policy implications, and provide food manufacturers with development suggestions.

High levels of child malnutrition in developing countries contribute to mortality and have long-term consequences for children’s cognitive development and earnings as adults. Recent impact evaluations show that many different interventions have had an impact on children’s anthropometric outcomes (height, weight, and birth weight), but there is no simple answer to the question “What works?” to address the problem. Similar interventions have widely different results in different settings, owing to differences in local context, the causes and severity of malnutrition, and the capacity for program implementation.Impact evaluations of programs supported by the Bank, which are generally large-scale, complex inter-ventions in low-capacity settings, show equally variable results. The findings confirm that it should not be assumed that an intervention found effective in a randomized medical setting will have the same effects when implemented under field conditions. There are many robust experimental and quasi-experimental methods for assessing impact under difficult circumstances often found in field settings.The relevance and impact of nutrition impact evaluations could be enhanced by collecting data on service delivery, demand-side behavioral outcomes, and implementation processes to better understand the causal chain and what part of the chain is weak, in parallel with impact evaluations. It is also important to understand better the distribution of impacts, particularly among the poor, and to document better the costs and effectiveness of interventions.High levels of child malnutrition in developing countries are contributing to mortality and present long-term consequences for the survivors. An estimated 178 million children under age 5 in developing countries are stunted (low height for age) and 55 million are wasted (low weight for height). Malnutrition makes children more susceptible to illness and strongly affects child mortality. Beyond the mortality risk in the short run, the developmental delays caused by undernutrition affect children’s cognitive outcomes and productive potential as adults. Micronutrient deficiencies—vitamin A, iron, zinc, iodine, for example—are also common and have significant consequences. Progress in reducing malnutrition has been slow: More than half of countries are not on track to achieve the Millennium Development Goal of halving the share of children who are malnou-rished (low weight for age) by 2015. The food price and financial crises are making achievement of this goal even more elusive.

SUMMARYThe National School Nutrition Programme (NSNP) is one of the government’s social justice and equity initiatives to provide learners in poor schools with nutritious meals that will enable them to progress academically. The programme is funded from the Conditional Grant managed by National Treasury. However, during the COVID-19 pandemic in 2020, schools closed intermittently, and government suspended the NSNP indefinitely. The Minister of Education announced that when schools reopen, the NSNP will be restored. Conditions over time improved and schools reopened. However, the Department of Basic Education (DBE) reneged on their promise to reinstate the NSNP. This sparked public outcry. Interest groups such as Equal Education, Equal Education Law Centre, and SECTION27 took the Minister of Education to court for violating the constitutional and statutory duties. The outcome of this case had dire consequences for all stakeholders. Using qualitative research within an interpretivist paradigm, we critically analyse the court case between Education Law Centre and Others v The Minister of Education. We also undertake an empirical study in Mpumalanga and Limpopo provinces. Six school leaders (five principals and one deputy principal) are interviewed to determine their experiences and perceptions of measures taken when NSNP was suspended during the COVID-19 pandemic. Three themes emerge, namely the ramifications of COVID-19 on poor parents and children: the schools’ inability to provide nutritious meals to children, and creative ways to help needy children from malnutrition and starvation. Findings reveal that some schools were unable to feed learners, due to financial constraints and lack of capacity, while others found innovative ways to provide learners with nutritious meals.

This report presents the findings of an operations research study conducted to assess the implementation of the Government of Bangladesh's National Nutrition Services Program (NNS) and to identify the achievements, determine the bottlenecks that adversely impact these achievements, and highlight potential solutions to ensure smooth delivery of the program. A mixed methods research approach was used to evaluate five major domains of the program: management and support services; training and capacity development; service delivery; monitoring and evaluation, and; exposure to interventions. The study found that the overall NNS effort is an ambitious, but valuable approach to support nutrition actions through an existing health system with diverse platforms. The results indicate that although the maintenance of strong and stable leadership of NNS is an essential element to ensure integrated and well-coordinated comprehensive service delivery for the line directorate, the current arrangement is unable to ensure effective implementation and coordination of NNS. Focusing on some of the critical challenges related to leadership and coordination in the first instance, and on embedding a small core set of interventions into well-matched (for scale, target populations, and potential for impact) health system delivery platforms is most likely to help achieve scale and impact. Strategic investments in ensuring transparency, engaging available technical partners for monitoring and implementation support, and not shying away from other potential high coverage outreach platforms like some NGO platforms also could prove fruitful. Moreover, although the Government of Bangladesh, and the health system in particular, must lead the effort to deliver for nutrition, it is clear that development partners who have expressed a commitment to nutrition must coordinate their own activities and provide the support that can deliver on nutrition's potential for Bangladesh.

In this paper, we critically analyse the National School Nutrition Programme (NSNP) for learners during school breaks in South Africa, focusing on evaluating the NSNP's adherence to the core principles of the Convention on the Rights of the Child (CRC) as well as the right to education captured in the CRC. The paper employed a desktop research methodology, examining the CRC and numerous scholarly articles, legislation, case law, policy reports, and governmental documents. The results suggest that the NSNP demonstrate efficacy in upholding learners' rights by means of respect, protection, and promotion during academic periods yet exhibit inadequacy during non-academic intervals. The absence of explicit provisions for uninterrupted nutritional assistance during school breaks within the NSNP may hinder the realisation of learners' fundamental rights to adequate nourishment. In addition, it can be observed that the NSNP did not provide clear directives that promote the active participation of learners in decision-making processes related to their nutritional welfare during school breaks. The results above highlight the necessity of implementing a thorough child rights-based approach within the NSNP to guarantee the observance, safeguarding, advancement, and realisation of learners' rights in line with the CRC core provisions throughout all seasons.

This paper examines how public food procurements contributes to sustainable rural livelihoods through local sourcing of school food, what has become known as ‘home-grown’ school feeding. Specifically, it draws on in-depth interviews to explore the contributions and challenges of using local farmers as suppliers for South Africa’s National School Nutrition Programme (NSNP) using the case of the Eastern Cape Province, the country’s poorest province. The study found that participating schools in rural areas benefit from local sourcing by way of using fresh vegetables in preparing meals thanks to the utilisation of a decentralised catering model in the Eastern Cape Province. Consequently, there is evidence of farmers participating in NSNP food market earning additional income and growing more vegetables on more land in some cases. However, even though the Eastern Cape Province uses a decentralised procurement model, it has no clear-cut programme to optimise the benefits of local sourcing for NSNP. It only ‘encourages’ schools to buy vegetables grown locally. This calls for pragmatism on the side of government to, through creative procurement and initiatives such as the Agri-Parks, use NSNP as a tool for making the South African food system more inclusive, drive down rural poverty and realise sustainable rural development.

This report presents the findings of an operations research study conducted to assess the implementation of the Government of Bangladesh’s National Nutrition Services Program (NNS) and to identify the achievements, determine the bottlenecks that adversely impact these achievements, and highlight potential solutions to ensure smooth delivery of the program. A mixed methods research approach was used to evaluate five major domains of the program: management and support services; training and capacity development; service delivery; monitoring and evaluation, and; exposure to interventions. The study found that the overall NNS effort is an ambitious, but valuable approach to support nutrition actions through an existing health system with diverse platforms. The results indicate that although the maintenance of strong and stable leadership of NNS is an essential element to ensure integrated and well-coordinated comprehensive service delivery for the line directorate, the current arrangement is unable to ensure effective implementation and coordination of NNS. Focusing on some of the critical challenges related to leadership and coordination in the first instance, and on embedding a small core set of interventions into well-matched (for scale, target populations, and potential for impact) health system delivery platforms is most likely to help achieve scale and impact. Strategic investments in ensuring transparency, engaging available technical partners for monitoring and implementation support, and not shying away from other potential high coverage outreach platforms like some NGO platforms also could prove fruitful. Moreover, although the Government of Bangladesh, and the health system in particular, must lead the effort to deliver for nutrition, it is clear that development partners who have expressed a commitment to nutrition must coordinate their own activities and provide the support that can deliver on nutrition’s potential for Bangladesh

BACKGROUND : The National School Nutrition Programme (NSNP) provides meals to schools in low-income areas in South Africa, implemented by the Department of Basic Education (DBE) with food safety monitored by Municipal Health Services. AIM : To assess compliance of school kitchens with general hygiene requirements (R638 of 2018) and detect food pathogens on food contact surfaces using amplified metagenomics. SETTING : The study was conducted in quintile 1 and 2 primary schools in Vryheid, KwaZulu-Natal. METHODS : A quantitative cross-sectional study assessed the safety compliance of food preparation and storage areas in 33 primary schools against national legislation standards. Fifteen samples of food contact surfaces were collected from four schools and analysed using Illumina sequencing to identify prevalent bacterial genera. RESULTS : None of the schools possessed a Certificate of Acceptability. Significant structural issues include poor pest control, inadequate sanitary facilities, a lack of food safety training and inadequate waste management. Taxonomic analysis revealed several dominant bacterial genera, including Pseudomonas, Stenotrophomonas, Acinetobacter and Pantoea, indicating potential routes for food contamination and subsequent risks for foodborne illnesses. CONCLUSION : The study highlighted critical inadequacies in food preparation and storage areas requiring urgent intervention to ensure safe meal preparation. It emphasised the need for improved food safety monitoring and compliance in schools in low-income areas. Next-generation sequencing (NGS) techniques identified a broad spectrum of pathogens, offering a robust method for assessing environmental hygiene. CONTRIBUTION : This study provides insights into food safety risks in the NSNP, informing policies and interventions to improve food safety and reduce foodborne illnesses in schools.

Although breakfast consumption is widely considered to be an important component of a healthy lifestyle, few UK studies have examined differences in nutrient intakes between breakfast consumers and breakfast skippers among children and adolescents. We investigated associations between breakfast skipping in 4–18-year-olds and their nutrient intakes using data from the UK’s National Diet and Nutrition Survey Rolling Programme. Dietary data were derived from 4-d estimated food diaries of 802 children aged 4–10 years and 884 children aged 11–18 years (1686 in total). Daily nutrient intakes of children with different breakfast habits were compared by one-way ANCOVA adjusting for relevant covariates (sex, age, ethnicity, equivalised household income and BMI). Within-person analysis was carried out on children with an irregular breakfast habit (n 879) comparing nutrient intakes on breakfast days with those on non-breakfast days using repeated measures ANCOVA. We observed that the overall nutritional profile of the children in terms of fibre and micronutrient intake was superior in frequent breakfast consumers (micronutrients: folate, Ca, Fe and I (P<0·01)) and, for the 4–10 years age group, on breakfast days (micronutrients: folate, vitamin C, Ca and I (P<0·01)). Also, significantly higher proportions of breakfast-consuming children met their reference nutrient intakes of folate, vitamin C, Ca, Fe and I compared with breakfast skippers (χ 2 analysis, P<0·001). Our study adds to the body of data linking breakfast consumption with higher quality dietary intake in school-age children, supporting the promotion of breakfast as an important element of a healthy dietary pattern in children.

School feeding schemes have been implemented in various schools across the globe to improve the nutritional welfare of learners. The purpose of this study was to identify possible nutritional benefits or deficiencies of the foodstuffs served in the South African National School Nutrition Programme in the Free State Province (South Africa). Representative meal samples were collected from randomly selected schools and the nutrient content of meals was determined. The results were measured against nutrient-based standards for an average school lunch for individuals aged 7-10 and 11-18 years. The meals did not meet the nutrient standards for carbohydrate and energy contents for either age group. Protein standards were met by 90% of meals for individuals aged 7-10 years and by 40% for those aged 11-18 years. Only 10% of meals met the standards for calcium and zinc, while 80% and 30% met the iron standards for those aged 7-10 years and 11-18 years, respectively. The lipid and vitamin C contents were within standards. The implementation of proper storage and food preparation procedures may assist in preserving the quality of nutrients.