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A free lunch or a walk back home? The school food environment and dietary behaviours among children and adolescents in Ghana

Author

Listed:
  • Meenakshi Fernandes

    (Partnership for Child Development Imperial College London, Department of Infectious Diseases)

  • Gloria Folson

    (University of Ghana Noguchi Memorial Institute for Medical Research (NMIMR))

  • Elisabetta Aurino

    (Partnership for Child Development Imperial College London, Department of Infectious Diseases)

  • Aulo Gelli

    (International Food Policy and Research Institute (IFPRI))

Abstract

Food environments can play important roles in shaping nutrition and health outcomes. One such environment that has potential to affect youth is the school food environment. In contrast to higher-income countries, however, there is a critical evidence gap on the role of school food environments on children and adolescents in low- and middle-income countries. This mixed-methods study contributes to filling this gap by investigating the role of school food environments on dietary behaviours of children and adolescents in Ghana. It draws on data from household and school questionnaires as well as focus group discussions collected as part of the baseline for an impact evaluation of the Ghana School Feeding Programme (GSFP). Multi-level regression models were fitted with random intercepts at the individual, household and community levels. Excerpts from the focus group discussions provided a deeper understanding of quantitative findings. Children and adolescents who received free school meals provided by the GSFP or who lived further away from school were less likely to go home for lunch. More than half of sampled schools reported offering foods for sale by independent vendors, the most common being meals followed by confectionery, fruit and sugar-sweetened beverages. Predictors of bringing money to school to buy food included non-receipt of free school meals, adolescence, greater commuting distance from home, household asset score, and urban location. Policy efforts focusing on the school food environment may contribute to healthy dietary behaviours for children and adolescents with positive impacts over the lifecourse.

Suggested Citation

  • Meenakshi Fernandes & Gloria Folson & Elisabetta Aurino & Aulo Gelli, 2017. "A free lunch or a walk back home? The school food environment and dietary behaviours among children and adolescents in Ghana," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 9(5), pages 1073-1090, October.
    • Handle: RePEc:spr:ssefpa:v:9:y:2017:i:5:d:10.1007_s12571-017-0712-0
    DOI: 10.1007/s12571-017-0712-0
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    References listed on IDEAS

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    1. Harold Alderman & Donald Bundy, 2012. "School Feeding Programs and Development: Are We Framing the Question Correctly?," The World Bank Research Observer, World Bank, vol. 27(2), pages 204-221, August.
    2. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    3. Gelli, Aulo & Hawkes, Corinna & Donovan, Jason & Harris, Jody & Allen, Summer L. & de Brauw, Alan & Henson, Spencer & Johnson, Nancy L. & Garrett, James & Ryckembusch, David, 2015. "Value chains and nutrition: A framework to support the identification, design, and evaluation of interventions:," IFPRI discussion papers 1413, International Food Policy Research Institute (IFPRI).
    4. Kubik, M.Y. & Lytle, L.A. & Hannan, P.J. & Perry, C.L. & Story, M., 2003. "The Association of the School Food Environment with Dietary Behaviors of Young Adolescents," American Journal of Public Health, American Public Health Association, vol. 93(7), pages 1168-1173.
    5. Donald Bundy & Carmen Burbano & Margaret Grosh & Aulo Gelli & Matthew Jukes & Lesley Drake, 2009. "Rethinking School Feeding Social Safety Nets, Child Development, and the Education Sector," World Bank Publications - Books, The World Bank Group, number 2634.
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    Cited by:

    1. Deda Ogum-Alangea & Richmond N O Aryeetey & Heewon L Gray & Amos K Laar & Richard M K Adanu, 2020. "Basic school pupils’ food purchases during mid-morning break in urban Ghanaian schools," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-13, September.

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