Planning, implementing and evaluating a school nutrition project in China

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Planning, implementing and evaluating a school
nutrition project 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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Outline

• Introduction
• Childrens 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 Project Zhejiang
Province, Hangzhou and Wenzhou
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Project 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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Timeline

• April 2000
• Launching of project, initial training
• April 2001
• Mid-Term Evaluation
• April/May 2002
• Final Evaluation

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Children's Nutrition Status
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Childrens 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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Childrens 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 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 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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Interventions
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Interventions

• 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 from 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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Mid-Term Evaluation
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Strengths

• 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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Challenges

• 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 Steps
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Next 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 Information

• Carmen Aldinger, MPH
• Education Development Center, Inc.
• Health and Human Development Programs
• 55 Chapel Street, Newton, MA 02458 USA
• Tel. [phone] or 1-800-225-4276
• Fax [phone]
• Email caldinger_at_edc.org

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http//www2.edc.org/HHD/cal.asp

• School Nutrition Project in China Changes
  Attitudes, Habits

Web site report on Mid-Term Evaluation of the
China School Nutrition Project