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Abstract
Entry-level Malawian children (n = 226) aged 6–8 years from two public primary schools, one a participant in a national school feeding programme (FP), the other not, were investigated for differences in nutritional and cognitive status. Stunted growth (42%) and underweight (25%) were prevalent, with no significant differences between the schools, although the school attended was a significant predictor of mid-upper arm circumference. Previous attendance at a community-based childcare centre was significantly associated with lower body weight and height. There were no significant differences in memory, reversal learning and attention outcomes between the schools. These findings report no major significant difference in nutrition or cognitive statuses between the schools, and on this basis suggest that both schools were equally in need of FP participation. More inclusive interventions and broadening/review of FP participation criteria are recommended.
Acknowledgements
This study was supported by the Department for International Development in the UK through a Commonwealth scholarship granted to the first author. We thank Dr Kenneth Maleta, all study participants, Ministry of Education staff and Monice Kachinjika for their cooperation, support and technical assistance.
Declaration of interest The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.