Abstract：
To investigate the effects of providing a daily healthy school snack on children\'s nutritional, social and educational outcomes and explore stakeholders\' perceptions of an emergency school feeding programme (SFP).
Convergence triangulation mixed-methods study design. Associations were examined between receiving the school feeding intervention and children\'s outcomes using multivariable regression models. Quantitative data were complemented with interviews and focus group discussions with parents and staff.
In vulnerable communities in Lebanon, the World Food Programme has implemented an emergency SFP targeting Lebanese (attending morning sessions) and Syrian refugee children (attending afternoon sessions) in public schools.
Children from ten intervention schools (morning n 403; afternoon n 379) and ten matched control schools (morning n 399; afternoon n 401), as well as twenty-nine parents and twenty-two school staff members.
Diet diversity was higher in intervention schools as compared with control with a significantly higher consumption of dairy products, nuts and fruit in both sessions. Child-reported food insecurity experience was lower in children attending the afternoon session of intervention v. control schools. The SFP intervention was associated with higher school engagement and sense of school community in the morning session only. While the SFP was significantly associated with higher attendance for children in afternoon sessions only, it was significantly associated with school retention of children in both sessions.
A daily healthy snack potentially acts as an incentive to improve children\'s nutritional outcomes, school engagement, sense of belonging, equality between students and improvement in children\'s attendance and retention in public schools.
Convergence triangulation mixed-methods study design. Associations were examined between receiving the school feeding intervention and children\'s outcomes using multivariable regression models. Quantitative data were complemented with interviews and focus group discussions with parents and staff.
In vulnerable communities in Lebanon, the World Food Programme has implemented an emergency SFP targeting Lebanese (attending morning sessions) and Syrian refugee children (attending afternoon sessions) in public schools.
Children from ten intervention schools (morning n 403; afternoon n 379) and ten matched control schools (morning n 399; afternoon n 401), as well as twenty-nine parents and twenty-two school staff members.
Diet diversity was higher in intervention schools as compared with control with a significantly higher consumption of dairy products, nuts and fruit in both sessions. Child-reported food insecurity experience was lower in children attending the afternoon session of intervention v. control schools. The SFP intervention was associated with higher school engagement and sense of school community in the morning session only. While the SFP was significantly associated with higher attendance for children in afternoon sessions only, it was significantly associated with school retention of children in both sessions.
A daily healthy snack potentially acts as an incentive to improve children\'s nutritional outcomes, school engagement, sense of belonging, equality between students and improvement in children\'s attendance and retention in public schools.
摘要：
调查提供每日健康学校零食对儿童营养的影响，社会和教育成果，并探索利益相关者对紧急学校供餐计划(SFP)的看法。
收敛三角混合方法研究设计。使用多变量回归模型检查接受学校供餐干预和儿童结局之间的关联。与父母和工作人员的访谈和焦点小组讨论补充了定量数据。
在黎巴嫩的脆弱社区，世界粮食计划署在公立学校实施了针对黎巴嫩人(参加上午课程)和叙利亚难民儿童(参加下午课程)的紧急SFP。
来自十所干预学校（上午n403；下午n379）和十所配对对照学校（上午n399；下午n401）的儿童，以及二十九名家长和二十二名学校工作人员。
与对照组相比，干预学校的饮食多样性更高，乳制品消费量明显更高，坚果和水果在两个会议。参加下午干预与控制学校的儿童报告的粮食不安全经历较低。SFP干预仅在上午课程中与高中参与度和学校社区意识有关。虽然SFP与仅在下午课程中儿童出勤率较高密切相关，这与两个课程中儿童的学校保留率显著相关.
每日健康的零食可能会激励儿童改善营养，学校参与,归属感,学生之间的平等和儿童在公立学校的出勤率和保留率的提高。
收敛三角混合方法研究设计。使用多变量回归模型检查接受学校供餐干预和儿童结局之间的关联。与父母和工作人员的访谈和焦点小组讨论补充了定量数据。
在黎巴嫩的脆弱社区，世界粮食计划署在公立学校实施了针对黎巴嫩人(参加上午课程)和叙利亚难民儿童(参加下午课程)的紧急SFP。
来自十所干预学校（上午n403；下午n379）和十所配对对照学校（上午n399；下午n401）的儿童，以及二十九名家长和二十二名学校工作人员。
与对照组相比，干预学校的饮食多样性更高，乳制品消费量明显更高，坚果和水果在两个会议。参加下午干预与控制学校的儿童报告的粮食不安全经历较低。SFP干预仅在上午课程中与高中参与度和学校社区意识有关。虽然SFP与仅在下午课程中儿童出勤率较高密切相关，这与两个课程中儿童的学校保留率显著相关.
每日健康的零食可能会激励儿童改善营养，学校参与,归属感,学生之间的平等和儿童在公立学校的出勤率和保留率的提高。
