Targeting School Feeding Programs at Vulnerable Sub-Groups

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01261182
Recruitment Status : Completed
First Posted : December 16, 2010
Last Update Posted : December 16, 2010
Makerere University
World Bank
United Nations World Food Programme (WFP)
Information provided by:
International Food Policy Research Institute

December 14, 2010
December 16, 2010
December 16, 2010
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Mothers' and Children's Nutritional Status [ Time Frame: 15 months ]
Same as current
No Changes Posted
  • Cognitive Performance [ Time Frame: 15 months ]
  • School achievement [ Time Frame: 15 months ]
  • School Participation [ Time Frame: 15 months ]
Same as current
Not Provided
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Targeting School Feeding Programs at Vulnerable Sub-Groups
Study of School Feeding Programs' Impact on Anemia Status in Pre-adolescent Girls and Other Vulnerable Household Members in a Cluster-Randomized Trial in Uganda

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.
Not Provided
Not Applicable
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
  • Malnutrition
  • Cognition
  • Other: 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.
  • 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.
  • Experimental: In School Feeding
    Intervention: Other: In School Feeding
  • Experimental: Take Home Rations
    Intervention: Other: Take Home Rations
  • No Intervention: Control
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*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Same as current
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Inclusion Criteria:

  • School age children

Exclusion Criteria:

Sexes Eligible for Study: All
6 Years to 13 Years   (Child)
Not Provided
Contact information is only displayed when the study is recruiting subjects
Not Provided
Not Provided
Marie Ruel/Director, IFPRI
International Food Policy Research Institute
  • Makerere University
  • World Bank
  • United Nations World Food Programme (WFP)
Principal Investigator: Marie Ruel, PhD IFPRI
International Food Policy Research Institute
December 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP