Post on 01-Jan-2016
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Planning, implementing and Planning, implementing and evaluating a school nutrition evaluating a school nutrition
project in Chinaproject in China
Authors: Carmen Aldinger (HHD/EDC), Yu Sen-Hai (formerly WHO), Peter Glasauer (FAO)
Presenter: Phyllis Scattergood (HHD/EDC)
APHA Annual Meeting 2001, Atlanta, GA
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OutlineOutline
• Introduction
• Children’s nutrition status in Zhejiang Province, China
• Interventions based on WHO/FAO Document
• Results from Mid-term Evaluation
• Next Steps
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China/WHO School Nutrition ProjectChina/WHO School Nutrition ProjectZhejiang Province, Hangzhou and WenzhouZhejiang Province, Hangzhou and Wenzhou
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Project Goals and ObjectivesProject Goals and Objectives
• Overall Goals
• Improvement of Nutrition and Health Status
• Develop Model Health Promoting Schools
• Project Objectives
• Improvement of food intake and dietary behavior
• Introduce changes to win bronze medal
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TimelineTimeline
• April 2000 Launching of project, initial training
• April 2001Mid-Term Evaluation
• April/May 2002Final Evaluation
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School Policies
SchoolHealth
Education
HealthySchool
Environment
School HealthServices
Nutrition and Food Programs
Community &Family
Involvement& Outreach
Physical Exercise,Recreation
& Sport
Counseling& SocialSupport
Health Promotionfor School Staff
Courtesy of WHO Global School Health Initiative
How Can Health-Promoting SchoolsHow Can Health-Promoting SchoolsPromote Healthy Nutrition?Promote Healthy Nutrition?
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Children’s Nutrition StatusChildren’s Nutrition Status
• National 1992 Survey:– Inadequate nutrient intake, especially in rural areas– Protein: 88% RDA, Calcium: 38% RDA– Iron deficiency in primary school children: 13-
26%
• Hangzhou 1998 Survey:– Malnutrition: 22.5%– Overweight: 24.6%
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Children’s Nutrition Status (cont.)Children’s Nutrition Status (cont.)
• Many students do not eat breakfast– 22% of students feel hungry in late morning– 69% feel hungry sometimes
• Meeting participants identified as problems: – students do not eat breakfast– school lunches and vendor food are not always
nutritious
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Baseline SurveyBaseline Survey
• Conducted in May 2000
• Sample: – 2574 elementary students– 4275 middle school students– 661 teachers and staff– 1048 parents and guardians
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Baseline SurveyBaseline Survey
• General information
• Status of breakfast, lunch, supper
• Knowledge (nutrition knowledge and other health knowledge)
• Attitude
• Practice (children, teachers, parents)
• Body Mass Index
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InterventionsInterventions
• School health teams established in all pilot schools
• Training of teachers, cafeteria staff, students, and parents
• Providing relevant materials
• Drawing and essay competitions
• Multi-disciplinary interventions
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School Report Highlights School Report Highlights from Hangzhoufrom Hangzhou
• Jiubao Primary School: outreach to community
• Jiubao Middle School: opened to parents
• Sijiqing Primary School: nutritious recipes
• Chao Yang Middle School: addressed various components of HPS
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StrengthsStrengths
• Commitment and enthusiasm
• Various components of HPS addressed
• Nutrition education is combined with ‘daily teaching’
• Students learn by doing
• Students effectively influence their parents
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ChallengesChallenges
For schools:
• Increasing parent and community participation
• Creating simpler, effective materials
For us:
• Transmitting concept of action plan
• Language barrier
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Next StepsNext Steps
• Final Evaluation in Hangzhou,
April 2002
• Sustaining interventions in pilot schools
• Spreading experience in China and around the world
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Contact InformationContact Information
Carmen Aldinger, MPH
Education Development Center, Inc.
Health and Human Development Programs
55 Chapel Street, Newton, MA 02458 USA
Tel. 617-618-2362 or 1-800-225-4276
Fax 617-527-4096
Email caldinger@edc.org