Background
Methods
Identifying relevant studies
Study selection
Data extraction
Results
Literature search
Excluded studies and reasons for exclusion
No | Authors | Year | Reasons of exclusion |
---|---|---|---|
1 | Appleby et al. [23] | 2019 | The study was a review and did not show the clear outcome |
2 | Keating et al. [24] | 2019 | The study was on integrating school health and nutrition program perception |
3 | Kim SS, Menon P, and Tadesse A. [25] | 2021 | The paper was a protocol |
4 | Okello et al. [26] | 2022 | The study was about fortified food |
5 | Blom SC. [27] | 2014 | The study did not have relevant outcome for this study |
6 | Belayneh et al. [28] | 2018 | The study was not about school feeding program |
7 | Destaw et al. [29] | 2021 | The study assessed baseline and did not assess the effect of school feeding |
Characteristics of included studies
Studies on nutritional impact
No | Authors | Year | Aims/objective of the study | Study design | Key findings on Nutritional impact |
---|---|---|---|---|---|
1 | Zenebe M, Gebremedhin S, Henry C J, and Regassa N. [30] | 2018 | To examine effects of SFP on dietary diversity, nutritional status and class attendance of school children | A school-based comparative cross-sectional study | SFP beneficiaries had higher mean values for dietary diversity score, body mass index for age (BAZ), and height for age (HAZ) |
2 | Ayehu SM and Sahile AT. [31] | 2021 | To assess the Body Mass Index and factors associated with School Absenteeism | Cross sectional | School feeding significantly increases average weight and BMI |
3 | Demilew YM, and Nigussie AA. [32] | 2020 | To compare the nutritional status of primary school students enrolled in schools with school feeding programs and in schools without school feeding programs and to identify associated factors | Cross-sectional study | School feeding significantly reduces thinness. However, higher prevalence of stunting was greater among students who ate lunch at school, albeit it was not significant after adjusting for the potential confounders Students who did not take meal at school were positively associated with thinness |
4 | Desalegn TA, Gebremedhi S, and Stoecker BJ. [38] | 2022 | To assess the effect of SFP on the anthropometric and haemoglobin status of school children | Prospective cohort study | School feeding does not have effects on weight, height and hemoglobin concentration |
5 | Destaw Z, et al,. [36] | 2022 | To investigate the nutritional quality and adequacy of school meals served to school-age children and adolescents | Lab based analysis | The caloric and nutritional contributions were generally less than two-thirds of the daily RNIsneeded from school meals, except that of fiber, thiamine, and calcium (for early adolescents), and iron |
6 | Mekuria, D.D., Alemu, Z.A. and Abaerei, A.A. [33] | 2021 | To explore the association between school meals program and a child’s nutritional status | A comparative cross-sectional study | Children attending schools without the school feeding program had greater rate of underweight and wasting |
7 | Lakew B. [39] | 2021 | To investigate the adequacy of meal macronutrients, dietary diversity, body composition, and the iron status of school children aged between 7–14 | A cross-sectional study | The overall body composition of the schoolchildren was not related to the meals served by the school food program Food variety and dietary diversity scores among schoolchildren fell short of the Food and Agriculture Organization's suggested levels |
8 | Mohammed H. [37] | 2018 | To compare nutritional status and associated factors in the selected primary schools children with or without school feeding program | A school based comparative cross sectional | There were no statistically significant differences in stunting and thinness among beneficiary and non beneficiary children |
9 | Mokonnen G. [34] | 2017 | To assess the impact of school feeding program on nutritional status and academic performance of children | A School based cross sectional and comparative perspective cohort study | School fed intervention reduced anemia |
10 | Tadesse K. [35] | 2018 | To evaluate the effect of school feeding programs on anemia and stunting levels among school feeding beneficiaries and on evaluating meals for adequacy in nutrient contribution | A Quasi Experimental Study | Anemia was lower in students in the school feeding program No difference on stunting Iron contribution from school meals was adequate for all age and sex groups except for girls in the age group of 10–14 years |
Studies on educational impact
No | Authors | Year | Aims/objective of the study | Study design | Key findings on Educational impact |
---|---|---|---|---|---|
1 | Ayehu SM and Sahile AT. [31] | 2021 | To assess the Body Mass Index and factors associated with School Absenteeism | Cross sectional | School feeding significantly reduces school absenteeism |
2 | Delbiso TD, Kotecho MG, Asfaw FM, and Fekadu Mulugeta. [43] | 2021 | To explore the effects of COVID-19 imposed interruption of the Addis Ababa school feeding program on students | Qualitative research | The school feeding program increases school attendance and in-class concentration and minimizes lateness and dropout rates |
3 | Desalegn TA, Gebremedhin S, Alemayehu FR, and Stoecker BJ. [44] | 2021 | To evaluate the effect of the SFP on class absenteeism and academic performance of primary school students (grade 5–8) | Prospective cohort study | Students not in SFP are twice as likely to miss classes and six times more likely to drop out of school |
4 | Desalegn TA, Gebremedhin S, and Stoecker BJ. [45] | 2022 | To explore the successes and challenges of the SFP | Exploratory qualitative study | Homegrown school feeding improves class attendance and academic performance |
5 | Destaw Z et al,. [40] | 2022 | To evaluate the impact of the Addis Ababa School Feeding Program (SFP) on educational outcomes | Single-group repeated measurement/longitudinal study design | SFP improved educational outcomes, teaching–learning environment, student enrollment, and attendance |
6 | Robert P, Markus F and Getinet H. [41] | 2017 | To investigate the relationship between providing school meals programmes and educational out-comes | Descriptive study | On-site school meals supplemented with take-home rations improve educational outcomes. Morning meals help students than those provided at the end of school |
7 | Assefa M. [42] | 2022 | To investigate the challenges and impacts of primary school feeding | Descriptive survey research design | School feeding program promotes enrollment and lowers drop-out rates |
8 | Dheressa D K. [51] | 2011 | To investigate the impact of school feeding on school enrollment, class attendance, and student drop-out patterns among primary school children | A case study | The School Feeding Program did not significantly improve enrollment, attendance, or dropout rates |
9 | Aregawi F. [52] | 2012 | To evaluate the impact of school feeding program on student enrollment and dropout and describe constraints that hamper its effective implementation | Descriptive quantitative and qualitative | Student dropout rate was unaffected significantly by the school meal program |
10 | Seyoum IA. [53] | 2021 | To assess the effect of School Feeding School Input Supply Program on the school performance of primary public-school children | Quantitative evaluative and qualitative research approaches | The effects of the school feeding program on academic attainment and attendance rates were insignificant |
11 | Assefa E. [46] | 2015 | To investigate the impact of school feeding program on school performance specifically on students’ achievement Test score and students’ class attendance rates among primary school children | Experimental research design | There was no significant difference in achievement test scores There was significant difference in attendance rate |
12 | Gebreamlak B. [47] | 2018 | To assess the impact of school feeding program on school participation and dietary intake of children | Descriptive research design | Significant increase in attendance, improvement in learning interest, punctuality, participation in tutorials, advancement in participation in extracurricular and curricular activities |
13 | Guta A. [48] | 2014 | To assess effect of school feeding program on school enrollment, class attendance and drop-out | Community based comparative cross-sectional study | SFP improved enrollment, but no significant improvement on school attendance, and dropout rates |
14 | Mokonnen G. [34] | 2017 | To assess the impact of school feeding program on nutritional status and academic performance of children | A School based cross sectional and comparative perspective cohort study | High academic performance among the school feeding group No significant difference in rate of absenteeism, dropout and class repetition |
15 | Gallenbacher D I H. R. [49] | 2018 | To evaluate the effect of stopping a school feeding programme on access to education (enrollment, drop-out and attendance rates) and learning achievement (repeater rates) | A School based cross sectional and comparative perspective cohort study | School feeding phase increased dropout of girls, reduced attendance rate, and reduce class repetition. However, it significantly increases in male enrollment |
16 | Haile Y. [50] | 2019 | To explore the sustainability of school feeding program | Descriptive quantitative and qualitative | SFP raises student morale and educational aspirations, enhances enrollment and attendance, pastoral parents' understanding of and appreciation for education, and raises educational standards |
17 | Yohannes A. [54] | 2017 | To assess the effect of School Feeding Program on the school performance of primary public school children | A quantitative evaluative research approach and a quasi-experimental design | No significant impact of school feeding on academic achievement, attendance and children’s attention |
18 | Zenebe M, Gebremedhin S, Henry C.J, and Regassa N. [30] | 2018 | To examine the effects of SFP on dietary diversity, nutritional status and class attendance of school children | A school-based comparative cross-sectional study | Non beneficiaries of SFP missed substantially more school days on average |
School feeding on other variables
No | Authors | Year | Aims/objective of the study | Study design | Key findings on other variables |
---|---|---|---|---|---|
1 | Desalegn TA, Gebremedhin S, and Stoecker BJ. [45] | 2022 | To explore the successes and challenges of the SFP | Exploratory qualitative study | Local purchase of food or agricultural development (home-grown SFP) contribution in saving the parents’ money and time Lack of permanent clean water provision, delay in ration delivery, poor-quality food provision, inadequate amount of food allocated for the academic year, lack of necessary infrastructure for the program, and lack of training in sanitation and hygiene for cooks were among the major challenges identified in SFP |
2 | Sertse A. [55] | 2019 | To assess the overall situation of school feeding program in Government Elementary Schools | Qualitative study / focus group discussion | Obstacles of SFP • a lack of awareness • financial limitations, the fact that the amount of money allocated to feed one child does not take into account the current state of the market, • physical capital (the lack of feeding utensils, the feeding hall's lack of electricity, the lack of water • policy-related difficulties (no clear policy about administration of tax and payments for the poor women cooks • the participation of stakeholders is insignificant compared with the need of needy students) Even though the food varies from Monday to Friday, it does not include foods like milk, fruit, and other nourishing items |
3 | Haile Y and Ali A. [50] | 2019 | To explore the sustainability of school feeding program | Descriptive quantitative and qualitative | Difficulties, for implementation and sustainability • an increase in the number of students from year to year, a lack of community and government support, • lack of sectorial involvement, • lack of institutional and financial capacity • lack of independent SFP structures at various levels |
4 | Lakew B. [39] | 2021 | To investigate the adequacy of meal macronutrients, dietary diversity, body composition, and the iron status of school children aged between 7–14 | A cross-sectional study | Food variety and dietary diversity scores among schoolchildren fell short of the Food and Agriculture Organization's suggested levels |