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Investing in school systems: conceptualising returns on investment across the health, education and social protection sectors.
Verguet, Stéphane; Gautam, Pratibha; Ali, Iman; Husain, Arif; Meyer, Stefan; Burbano, Carmen; Lloyd-Evans, Edward; Coco, Margherita; Mphangwe, Martin; Saka, Albert; Zelalem, Meseret; Giyose, Boitshepo Bibi; Li, Zhihui; Erzse, Agnes; Hofman, Karen; Giner, Céline; Avallone, Sylvie; Kuusipalo, Heli; Kristjansson, Elizabeth; Schultz, Linda; Bundy, Donald A P; Angrist, Noam.
Afiliación
  • Verguet S; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA verguet@hsph.harvard.edu.
  • Gautam P; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA.
  • Ali I; Tufts University, Medford, Massachusetts, USA.
  • Husain A; World Food Programme, Rome, Italy.
  • Meyer S; World Food Programme, Rome, Italy.
  • Burbano C; World Food Programme, Rome, Italy.
  • Lloyd-Evans E; World Food Programme, Rome, Italy.
  • Coco M; World Food Programme, Lilongwe, Malawi.
  • Mphangwe M; World Food Programme, Lilongwe, Malawi.
  • Saka A; Ministry of Education Science and Technology, Lilongwe, Malawi.
  • Zelalem M; Maternal, Child and Adolescent Health Lead Executive Officer, Ethiopia Ministry of Health, Addis Ababa, Ethiopia.
  • Giyose BB; FAO/AUDA-NEPAD (African Union Development Agency - New Partnership for Africa's Development), Johannesburg, South Africa.
  • Li Z; Tsinghua Vanke School of Public Health, Beijing, China.
  • Erzse A; SAMRC Wits Centre for Health Economics and Decision Science PRICELESS SA, University of Witwatersrand School of Public Health, Johannesburg, South Africa.
  • Hofman K; SAMRC Wits Centre for Health Economics and Decision Science PRICELESS SA, University of Witwatersrand School of Public Health, Johannesburg, South Africa.
  • Giner C; Organization for Economic Cooperation and Development, Paris, France.
  • Avallone S; QualiSud, Univ Montpellier, Institut Agro, CIRAD, Avignon Université, Université de La Réunion, Montpellier, France.
  • Kuusipalo H; National Institute for Health and Welfare, Helsinki, Finland.
  • Kristjansson E; University of Ottawa, Ottawa, Ontario, Canada.
  • Schultz L; Research Consortium for the School Meals Coalition, London School of Hygiene and Tropical Medicine, London, UK.
  • Bundy DAP; Research Consortium for the School Meals Coalition, London School of Hygiene and Tropical Medicine, London, UK.
  • Angrist N; University of Oxford, Oxford, Oxfordshire, UK.
BMJ Glob Health ; 8(12)2023 12 18.
Article en En | MEDLINE | ID: mdl-38114237
ABSTRACT
Public policies often aim to improve welfare, economic injustice and reduce inequality, particularly in the social protection, labour, health and education sectors. While these policies frequently operate in silos, the education sphere can operate as a cross-sectoral link. Schools represent a unique locus, with globally hundreds of millions of children attending class every day. A high-profile policy example is school feeding, with over 400 million students worldwide receiving meals in schools. The benefits of harmonising interventions across sectors with a common delivery platform include economies of scale. Moreover, economic evaluation frameworks commonly used to assess policies rarely account for impact across sectors besides their primary intent. For example, school meals are often evaluated for their impact on nutrition, but they also have educational benefits, including increasing attendance and learning and incorporating smallholder farmers into corporate value chains. To address these gaps, we propose the introduction of a comprehensive value-for-money framework for investments toward school systems that acknowledges the return to a common delivery platform-schools-and the multisectoral returns (eg, education, health and nutrition, labour, social protection) emerging from the rollout of school-based programmes. Directly building on benefit-cost analysis methods, this framework could help identify interventions that yield the highest gains in human capital per budget expenditure, with direct implications for finance ministries. Given the detrimental impact of COVID-19 on schoolchildren and human capital, it is urgent to build back stronger and more sustainable welfare systems.
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Texto completo: 1 Colección: 01-internacional Asunto principal: Instituciones Académicas / Estudiantes Límite: Child / Humans Idioma: En Revista: BMJ Glob Health Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Asunto principal: Instituciones Académicas / Estudiantes Límite: Child / Humans Idioma: En Revista: BMJ Glob Health Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos