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- W2147497656 abstract "Micronutrient malnutrition is widely prevalent in school children in India. India's national school feeding program, the Mid-Day Meal (MDM) scheme, is the largest in the world and caters to 120 million children in primary schools. Complementary strategies such as deworming or fortifying meals provided through the MDM scheme could increase the nutritional impact of this program. India's Supreme Court has directed that only hot, cooked meals be provided in MDM, through a decentralised model. However, in urban areas, big centralised kitchens cook and serve a large number of schools, with some kitchens serving up to 150,000 children daily. The objective of this project was to test the operational feasibility of fortifying the school meal in centralised kitchens, as well as the acceptability of fortified meals by recipients. A pilot was conducted in 19 central kitchens run by the Naandi Foundation in four different States. Several food vehicles were used for fortification: wheat flour, soyadal- analogue and biscuits. More than 750, 000 children were reached with fortified food on all school days for a period of one year. Fortified food was found to be acceptable to all stakeholders. The government is in favour of continuing fortification. The Naandi Foundation has adopted fortification as their norm and continues to fortify all meals provided from their central kitchens.fortification of school meals with micronutrients can be integrated in the normal cooking process and is well accepted by all stakeholders. This pilot could hold lessons for other states in adopting fortification in MDM.印度學童存在廣泛的微量營養素營養不良。在印度國家學校供餐計畫中，午餐 (MDM)方案供應一億兩千萬的國小學童飲食，為全世界最大。透過午餐方案， 除蛔蟲或強化餐點等互補策略，可增加這個計畫對營養的影響。印度的最高法 院已指示，MDM 透過非集中的模式，只能提供熱的熟食。然而，在鄉村地 區，大型中央廚房烹調並供應大量的學校，有些廚房每日可供應近十五萬名學 童餐點。這個研究的目的為測試中央廚房操作強化餐點的可行性，以及接受者 對於強化餐點的接受性。由Naandi 基金會在4 個省的19 個中央廚房進行一個 前驅研究。幾種食物載體被用於強化：麵粉、soya-dal-analogue 及餅乾。有超 過75 萬名兒童在一年內的所有上學日都可食用到已強化食物。強化食物被所 有利害關係人所接受。因此政府傾向繼續實行強化。Naandi 基金會已將食物強 化當作他們的規範，並持續強化所有出自他們中央廚房的所有餐點。總之，學 餐強化微量營養素可結合於一般烹調過程，並被所有利害關係人接受。這個前 驅研究可提供其他省在MDM 採用強化政策的參考。" @default.
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- W2147497656 date "2014-01-01" @default.
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- W2147497656 title "Improving the nutrition quality of the school feeding program (Mid day meal) in India through fortification: a case study." @default.
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- W2147497656 doi "https://doi.org/10.6133/apjcn.2014.23.s1.01" @default.
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