title: Enhancing Linkages Between Healthy Diets, Local Agriculture, and Sustainable Food Systems: The School Meals Planner Package in Ghana.
abstract: Interventions that enhance linkages between healthy diets and local agriculture can promote sustainable food systems. Home-grown school feeding programs present a promising entry point for such interventions, through the delivery of nutritious menus and meals.
  
  
  
  To describe the adaptation of the School Meals Planner Package to the programmatic and environmental reality in Ghana during the 2014 to 2015 school year.
  
  
  
  Guided by a conceptual framework highlighting key considerations and trade-offs in menu design, an open-source software was developed that could be easily understood by program implementers. Readily available containers from markets were calibrated into "handy measures" to support the provision of adequate quantities of food indicated by menus. Schools and communities were sensitized to the benefits of locally sourced, nutrient-rich diets. A behavior change communication campaign including posters and songs promoting healthy diets was designed and disseminated in schools and communities.
  
  
  
  The School Meals Planner Package was introduced in 42 districts in Ghana, reaching more than 320 000 children. Monitoring reports and feedback on its use were positive, demonstrating how the tool can be used by planners and implementers alike to deliver nutritious, locally-sourced meals to schoolchildren. The value of the tool has been recognized at the highest levels by Ghana's government who have adopted it as official policy.
  
  
  
  The School Meals Planner Package supported the design of nutritious, locally sourced menus for the school feeding program in Ghana. The tool can be similarly adapted for other countries to meet context-specific needs.
authors.affiliation: Partnership for Child Development (PCD), School of Public Health, Imperial College London, London, UK meenaf@gmail.com.
authors.forename: Meenakshi
authors.initials: M
authors.lastname: Fernandes
authors.affiliation: PATH, Washington, DC, USA.
authors.forename: Rae
authors.initials: R
authors.lastname: Galloway
authors.affiliation: Partnership for Child Development (PCD), School of Public Health, Imperial College London, London, UK.|International Food Policy and Research Institute (IFPRI), Washington, DC, USA.
authors.forename: Aulo
authors.initials: A
authors.lastname: Gelli
authors.affiliation: Partnership for Child Development (PCD), School of Public Health, Imperial College London, London, UK.|Global Child Nutrition Forum, Seattle, Washington, DC, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Mumuni
authors.affiliation: Partnership for Child Development (PCD), School of Public Health, Imperial College London, London, UK.
authors.forename: Salha
authors.initials: S
authors.lastname: Hamdani
authors.affiliation: Partnership for Child Development (PCD), School of Public Health, Imperial College London, London, UK.
authors.forename: Josephine
authors.initials: J
authors.lastname: Kiamba
authors.affiliation: Ghana Health Service, Accra, Ghana.
authors.forename: Kate
authors.initials: K
authors.lastname: Quarshie
authors.affiliation: Independent public health nutrition expert.
authors.forename: Rita
authors.initials: R
authors.lastname: Bhatia
authors.affiliation: Partnership for Child Development (PCD), School of Public Health, Imperial College London, London, UK.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Aurino
authors.affiliation: Partnership for Child Development (PCD), School of Public Health, Imperial College London, London, UK.
authors.forename: Francis
authors.initials: F
authors.lastname: Peel
authors.affiliation: Partnership for Child Development (PCD), School of Public Health, Imperial College London, London, UK.
authors.forename: Lesley
authors.initials: L
authors.lastname: Drake
mesh_terms: D000293:Adolescent; D000383:Agriculture; D002648:Child; D002675:Child, Preschool; D000072001:Diet, Healthy / Q000379:methods*; D005260:Female; D005869:Ghana; D006801:Humans; D008297:Male; D062407:Meals; D008612:Menu Planning / Q000379:methods*; D012574:Schools
keywords: menu design; nutrition programming; nutrition-sensitive agriculture; school feeding; sustainable food systems