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School Feeding Programs Donald Bundy The World Bank APPG School Meals, London, UK March 4, 2014 Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Poverty: Percentage of population living in households with consumption or income per person below the poverty line The poverty line estimates use Purchasing Power Parity exchange rates. World Bank. http://iresearch.worldbank.org/PovcalNet/jsp/index.jsp Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Hunger: Percentage of population below the minimum level of dietary energy consumption (2002-05) The proportion of the population below the minimum level of dietary energy consumption, referred to as the prevalence of undernourishment, is the percentage of the population that is undernourished or food deprived. Figures are from latest available year. FAO. State of Food and Agriculture, 2007; FAO. State of Food Insecurity, 2008. Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Primary school completion rate (2000-06) Primary completion rate is the total number of students in grade 6 (excluding repeaters) divided by the total number of children of grade age. Figures are from latest available year. All data are from the UNESCO Institute for Statistics except for Australia, Canada, China, Japan, New Zealand, Sweden, Thailand, and the United Kingdom, which are from national data. UNESCO Institute for Statistic. http://stats.uis.unesco.org Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 School feeding: Country programs (2006-08) Category 1: Countries where school feeding is available in most schools, sometimes or always; Category 2: Countries where school feeding is available in some way and at some scale; Category 3: Countries where school feeding is available primarily in the most food insecure regions; Category 4: Countries where there is no school feeding. The sources, as detailed in the database link, are WFP data for low income and lower middle income countries and national data for the remaining countries. Partnership for Child Development. http://www.schoolsandhealth.org/Pages/SchoolNutritionFoodforEducation.aspx Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Children receiving school meals around the world Map from C. Burbano de Lara et al. State of School Feeding Worldwide. World Food Programme, 2013. Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 School Feeding as a Safety Net Appropriateness Relatively easy to scale in crisis Adequacy Good (>10% of HH income) Equity Moderate to Good (lowest where ED low) Cost-effectiveness Incentive compatibility Poor to Moderate (20-40% non-transfer costs) Good, could be Very Good Sustainability Good Dynamism Usually not Adapted from D. Bundy, C. Burbano, M. Grosh, A. Gelli, M. Jukes, and L. Drake. Rethinking School Health. World Bank, 2009. Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 EDUCATION: Quality of the evidence Enrolment Attendance Educational achievement Cognition School meals +++ (♀ effect) +++ +++ +++ Take-home rations +++ (♀ effect) +++ +++ ++ Fortified biscuits + ++ + ++ Dietary iron + +++ +++ +++ Deworming NA +++ ++ ++ Intervention + = evidence from quasi-experimental evaluation ++ = evidence from at least one RCT +++ = evidence from more than one RCT NA = not assessed Adapted from D. Bundy, C. Burbano, M. Grosh, A. Gelli, M. Jukes, and L. Drake. Rethinking School Health. World Bank, 2009. . Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 School feeding cost and outcomes Adapted from R. Galloway, E. Kristjansson, A. Gelli, U. Meir, F. Espejo, and D. Bundy. “School Feeding: Outcomes and Costs.” Food and Nutrition Bulletin. 30.2 (2009): 171-82. Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Multiple Impacts, Multiple Objectives • Social protection: income transfer, targeting, social safety net • Education: participation, learning & cognition • Health & nutrition: energy/micronutrients, spill-overs • Agriculture? H. Alderman and D. Bundy. “School Feeding Programs and Development: Are We Framing the Question Correctly?” World Bank Observer. 27.2 (2012): 204-21. Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Take up of School Meals in Primary School 100 90 Percentage of Students 80 70 60 50 40 30 20 10 0 No Subsidy Public Subsidy Free for All Data primarily from C. Harper, L. Wood, and C. Mitchell. “The Provision of School Food in 18 Countries.” School Food Trust. (2008). Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Coverage is 18% in poor countries compared to 49% in wealthier countries Low-Income Countries Lower-Middle-Income Countries C. Burbano de Lara et al. State of School Feeding Worldwide. World Food Programme, 2013. Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Targeting of School Meals C. Burbano de Lara et al. State of School Feeding Worldwide. World Food Programme, 2013. Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Annual Number of Teaching/School Days in Primary School, 2011 250 Number of Days 200 150 100 50 0 Number of Teaching Days per year, Primary (2011) Data primarily from OECD Education at a Glance 2013 and UNESCO "Teachers and Educational Quality: Monitoring Global Needs for 2015" (2006). Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Average Cost per Meal, 2008 9 8 7 USD, 2008 6 5 4 3 2 1 0 High Income Country Middle Income Country Low Income Country Data primarily from A. Gelli and R. Daryanani. “Are School Feeding Programs in Low Income Settings Sustainable?” (2013). Original data were annual costs, so totals were divided by 200 days to estimate average cost per school meal. Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Costs of School Feeding and Primary Education Per Child Chart from Aulo Gelli, Partnership for Child Development; International Food Policy Research Institute Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Ratio of Cost of School Feeding to Cost of Basic Education per Child Chart from Aulo Gelli, Partnership for Child Development; International Food Policy Research Institute Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Average Cost of a School Meal in current USD 8 7 6 USD, current 5 4 3 2 1 0 Cost per meal Data primarily from C. Harper, L. Wood, and C. Mitchell. “The Provision of School Food in 18 Countries.” School Food Trust. (2008). Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Average Cost of a School Meal in current USD 100 90 80 70 60 50 40 30 20 10 0 8 7 USD, current 6 5 4 3 2 No Subsidy Public Subsidy Free for All Japan Finland Sweden USA Hong Kong Scotland Northern Ireland France Brazil Wales England Italy Spain Ireland Canada 1 Australia Percentage of Students Take up of School Meals in Primary School 0 Cost per meal Data primarily from C. Harper, L. Wood, and C. Mitchell. “The Provision of School Food in 18 Countries.” School Food Trust. (2008). Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 School Nutrition Standards and Obesity Concerns Country Food-Based Standards or Guidelines Nutrient Based Standards or Guidelines England Scotland Wales Northern Ireland Ireland France Spain Italy Germany* Sweden Finland Hong Kong Japan Canada USA Australia Brazil Chile Ghana India South Africa* Kenya Light Green = Yes White = No *Has nutritional standards but not specified as food or nutrients based Data primarily from C. Harper, L. Wood, and C. Mitchell. “The Provision of School Food in 18 Countries.” School Food Trust. (2008). Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Government Concerned about Obesity Responses to Financial Crisis • Greece: philanthropies and government programs are providing school food, including take-home rations in targeted areas where children are living in food insecure families • Portugal: children living in municipalities worst affected by the financial crisis are receiving meals on school holidays • Spain: offering free, rather than subsidized, lunches to the 12,000 children eligible previously for low- cost meals D. Bundy and L. Schultz. “Next time it could be you: Why we should all care about International School Meals Day.” Investing in Health: News and Views in Healthy Development. Worldbank.org. March 2014. Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014 Responses to Financial Crisis • Scotland: in pilots, coverage increased from 53% to 75% of children in the first three years of school; target is that all children will have the option of a free meal by Jan 2015 • United States: in 2007, 59% of publicly provided school meals served to children who met the eligibility criteria for free/reduced price meals; by 2013 the proportion had increased to 70.5%. D. Bundy and L. Schultz. “Next time it could be you: Why we should all care about International School Meals Day.” Investing in Health: News and Views in Healthy Development. Worldbank.org. March 2014. Presentation by Donald Bundy to the All Party Parliamentary Group on School Meals, in London; March 4, 2014