Targeting School Feeding Programs at Vulnerable Sub-Groups

NCT ID: NCT01261182

Last Updated: 2010-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

2083 participants

Study Classification

INTERVENTIONAL

Brief Summary

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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:

1. Impact on the treated: Assess the effectiveness of the program at improving nutritional status, education and cognitive and learning outcomes for school-age children, with particular attention to the anemia status of older school-age girls .
2. Impact on untreated but nutritionally vulnerable sub-groups: Assess the effectiveness of the program at reducing anemia prevalence in mothers and younger siblings.
3. Optimal program design: Assess the differential impacts of a program in which children are fed at school compared with one in which they are given dry rations to bring home.

Detailed Description

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Conditions

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Malnutrition Cognition

Keywords

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Malnutrition School feeding Infant nutrition Mother's nutrition Fortified food Anemia Cluster randomized controlled trials Effectiveness Impact evaluation studies Uganda

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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In School Feeding

Group Type EXPERIMENTAL

In School Feeding

Intervention Type 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.

Take Home Rations

Group Type EXPERIMENTAL

Take Home Rations

Intervention Type 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.

Control

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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In School Feeding

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.

Intervention Type OTHER

Take Home Rations

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.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* School age children

Exclusion Criteria

\-
Minimum Eligible Age

6 Years

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Makerere University

OTHER

Sponsor Role collaborator

World Bank

OTHER

Sponsor Role collaborator

United Nations World Food Programme (WFP)

OTHER

Sponsor Role collaborator

UNICEF

OTHER

Sponsor Role collaborator

International Food Policy Research Institute

OTHER

Sponsor Role lead

Responsible Party

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IFPRI

Principal Investigators

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Marie Ruel, PhD

Role: PRINCIPAL_INVESTIGATOR

IFPRI

Locations

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Lira District

Lira, , Uganda

Site Status

Pader District

Pader, , Uganda

Site Status

Countries

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Uganda

References

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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.

Reference Type DERIVED
PMID: 30926996 (View on PubMed)

Other Identifiers

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WB-7135830

Identifier Type: -

Identifier Source: org_study_id