乌干达学校供餐和营养方案的实施以及学校供餐对儿童推荐膳食津贴的贡献:挑战和机遇

Fungo Robert
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摘要

学龄儿童面临着一个复杂的成长和发育时期,这对他们的健康和生产力产生了显著影响。根据学校供餐和营养准则,对学校供餐计划进行了三个级别的评估:(i)进行了11次主要信息提供者访谈,(ii)进行了45次焦点小组讨论,以及(iii)使用24小时召回和食物频率问卷来评估225名学龄儿童的学校供餐的膳食和营养质量。同时实施了两种形式的喂养方案:父母主导和家庭种植。大约90%的学习者从2到4个食物组中选择食物。各类学校的儿童从学校膳食中获得的每日营养(能量、蛋白质、维生素A和铁)都低于最佳水平。在全国范围内,学龄儿童只能获得28%的能量需求、64%的蛋白质需求和42%的铁需求。学校供餐提供大约40- 50克;100%的维生素A, 40-62%的铁和30%的每日能量需求。为了改善学校供餐,需要加强协调和利益攸关方的参与,加强地方和社区的参与,改善学校膳食的营养成分,并促使利益攸关方改变他们对健康饮食的态度和做法。,关键词:教育,膳食质量,学校供餐,农业。
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Implementation of the school feeding and nutrition programmes in Uganda and the contribution of school meals to recommended dietary allowances (RDAs) of children: Challenges and opportunities
School going children face a complicated period of growth and development, remarkably affecting their health and productivity. School feeding programmes were assessed using three levels of assessment based on guidelines of school feeding and nutrition: (i) Conducting 11 key informant interviews, (ii) Conducting 45 focus group discussions and (iii) Using 24 h recall and food frequency questionnaires to evaluate the dietary and nutrient quality of school meals among 225 school going children. Two forms of feeding programmes: Parent led and home grown, were implemented concurrently. About 90% of the learners ate food items from 2 to 4 food groups. Children in all categories of schools had sub optimal daily nutrients (energy, proteins, vitamin A and iron) from school meals. Nationally, school children were only accessing 28% of their energy needs, 64% proteins requirements and 42% of iron requirements. School meals provide about 40-≥ 100% vitamin A requirements, 40-62% of iron requirements and about 30% daily energy requirements. In order to improve school feeding, there is need to enhance coordination and stakeholder engagement, strengthen local and community engagement, improve the nutrient content of school meals and engage stakeholders to change their attitudes and practices toward healthy eating.   Key words: Education, dietary quality, school feeding, agriculture.
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