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American Journal of Clinical Nutrition, Vol 67, 795S-797S, Copyright © 1998 by The American Society for Clinical Nutrition, Inc

REVIEW ARTICLES

When science and politics listen to each other: good prospects from a new school breakfast program in Peru

ER Jacoby, S Cueto and E Pollitt
Department of Pediatrics, Program of International Nutrition, University of California at Davis, 95616, USA.

This article provides an overview of a school breakfast program implemented in 1993 in the Peruvian Andes. The program, designed by the Instituto de Investigacion Nutricional in Lima and supported by the government of Peru, constitutes a clear departure from previous school feeding programs, which were heavily politicized and poorly documented. From the program's inception, nutritionists, managers, and social scientists have collaborated to produce a sound nutritional design, efficient distribution mechanisms, and effective evaluation methods. During the program's first year, controlled evaluations conducted in several Andean regions documented improved dietary intake and a significant decline in the prevalence of anemia. An educational evaluation also found improved verbal skills, higher school attendance, and lower dropout rates among recipients of the school breakfast. The results have prompted the Peruvian government to continue supporting the program, thus setting a new standard for the effective management of social expenditure in the context of economic adjustment.


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T. Greenhalgh, E. Kristjansson, and V. Robinson
Realist review to understand the efficacy of school feeding programmes
BMJ, October 27, 2007; 335(7625): 858 - 861.
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