Large-scale school meal programs and student health: Evidence from rural China

Reducing urban-rural gaps in child health and nutrition is one of the most difficult challenges faced by many countries. This paper evaluates the impact of the Nutrition Improvement Program (NIP), a large-scale school meal program in rural China, on the health and nutritional status of compulsory ed...

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Autores principales: Wang, Jingxi, Hernandez, Manuel A., Deng, Guoying
Formato: Artículo preliminar
Lenguaje:Inglés
Publicado: International Food Policy Research Institute 2021
Materias:
Acceso en línea:https://hdl.handle.net/10568/143412
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author Wang, Jingxi
Hernandez, Manuel A.
Deng, Guoying
author_browse Deng, Guoying
Hernandez, Manuel A.
Wang, Jingxi
author_facet Wang, Jingxi
Hernandez, Manuel A.
Deng, Guoying
author_sort Wang, Jingxi
collection Repository of Agricultural Research Outputs (CGSpace)
description Reducing urban-rural gaps in child health and nutrition is one of the most difficult challenges faced by many countries. This paper evaluates the impact of the Nutrition Improvement Program (NIP), a large-scale school meal program in rural China, on the health and nutritional status of compulsory education students aged 6-16. We use data from multiple rounds of the China Health and Nutrition Survey between 2004-2015 and implement a quasi-experimental approach exploiting cross-county variations in program implementation. We find that NIP participation is, on average, associated with a higher height-for-age z-score in the order of 0.22-0.42 standard deviations. The impacts are larger among students in a better health condition but small or not significant among the most disadvantaged. We do not observe heterogeneous effects across several individual and household characteristics. We also do not find significant effects on Body Mass Index-for-age and weight-for-age z scores. The results suggest that NIP partially improved students’ health over the first years of implementation, but more support is needed to achieve broader impacts that effectively reach all vulnerable students. Several robustness checks support our findings.
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spelling CGSpace1434122025-12-09T21:37:13Z Large-scale school meal programs and student health: Evidence from rural China Wang, Jingxi Hernandez, Manuel A. Deng, Guoying child nutrition health school feeding nutrition children rural areas project evaluation Reducing urban-rural gaps in child health and nutrition is one of the most difficult challenges faced by many countries. This paper evaluates the impact of the Nutrition Improvement Program (NIP), a large-scale school meal program in rural China, on the health and nutritional status of compulsory education students aged 6-16. We use data from multiple rounds of the China Health and Nutrition Survey between 2004-2015 and implement a quasi-experimental approach exploiting cross-county variations in program implementation. We find that NIP participation is, on average, associated with a higher height-for-age z-score in the order of 0.22-0.42 standard deviations. The impacts are larger among students in a better health condition but small or not significant among the most disadvantaged. We do not observe heterogeneous effects across several individual and household characteristics. We also do not find significant effects on Body Mass Index-for-age and weight-for-age z scores. The results suggest that NIP partially improved students’ health over the first years of implementation, but more support is needed to achieve broader impacts that effectively reach all vulnerable students. Several robustness checks support our findings. 2021-03-01 2024-05-22T12:13:58Z 2024-05-22T12:13:58Z Working Paper https://hdl.handle.net/10568/143412 en https://hdl.handle.net/10568/160752 https://doi.org/10.2499/p15738coll2.133550 https://hdl.handle.net/10568/147004 https://doi.org/10.2499/p15738coll2.133777 Open Access application/pdf International Food Policy Research Institute Wang, Jingxi; Hernandez, Manuel A.; and Deng, Guoying. 2021. Large-scale school meal programs and student health: Evidence from rural China. IFPRI Discussion Paper 2009. Washington, DC: International Food Policy Research Institute (IFPRI). https://doi.org/10.2499/p15738coll2.134319.
spellingShingle child nutrition
health
school feeding
nutrition
children
rural areas
project evaluation
Wang, Jingxi
Hernandez, Manuel A.
Deng, Guoying
Large-scale school meal programs and student health: Evidence from rural China
title Large-scale school meal programs and student health: Evidence from rural China
title_full Large-scale school meal programs and student health: Evidence from rural China
title_fullStr Large-scale school meal programs and student health: Evidence from rural China
title_full_unstemmed Large-scale school meal programs and student health: Evidence from rural China
title_short Large-scale school meal programs and student health: Evidence from rural China
title_sort large scale school meal programs and student health evidence from rural china
topic child nutrition
health
school feeding
nutrition
children
rural areas
project evaluation
url https://hdl.handle.net/10568/143412
work_keys_str_mv AT wangjingxi largescaleschoolmealprogramsandstudenthealthevidencefromruralchina
AT hernandezmanuela largescaleschoolmealprogramsandstudenthealthevidencefromruralchina
AT dengguoying largescaleschoolmealprogramsandstudenthealthevidencefromruralchina