title: The Evolution of School Health and Nutrition in the Education Sector 2000-2015 in sub-Saharan Africa.
abstract: OBJECTIVE
  To document the progression of school health and nutrition and its integration within the education sector in sub-Saharan Africa between 2000 and 2015.
  
  
  BACKGROUND
  School health and nutrition programs have contributed to "Education for All" objectives by helping ensure that children benefit from quality education and reach their educational potential.
  
  
  METHODS
  Analysis of education sector plans (ESPs) in terms of the Focusing Resources on Effective School Health (FRESH) framework and the World Bank Systems Approach for Better Education Results (SABER) School Health survey from a set of countries in sub-Saharan Africa.
  
  
  RESULTS
  Between 2000 and 2015, the presence and scope of school health and nutrition as reflected in the four FRESH pillars grew substantially in ESPs. Three of these pillars have large, upfront costs. The fourth pillar requires recurring annual budgetary allotments.
  
  
  CONCLUSIONS
  Governments clearly recognize that evidence-based, contextually designed school health and nutrition programs can contribute to education sector goals. Moving into the post-2015 era, these programs can also help draw the last 10% of children into school and enhance their readiness to learn.
authors.affiliation: Partnership for Child Development, Imperial College London , London , UK.
authors.forename: Bachir
authors.initials: B
authors.lastname: Sarr
authors.affiliation: Partnership for Child Development, Imperial College London , London , UK.
authors.forename: Meena
authors.initials: M
authors.lastname: Fernandes
authors.affiliation: Global Partnership for Education , Washington, DC , USA.
authors.forename: Louise
authors.initials: L
authors.lastname: Banham
authors.affiliation: Bill and Melinda Gates Foundation , Seattle, WA , USA.
authors.forename: Donald
authors.initials: D
authors.lastname: Bundy
authors.affiliation: United Nations Children's Fund , New York, NY , USA.
authors.forename: Amaya
authors.initials: A
authors.lastname: Gillespie
authors.affiliation: Partnership for Child Development, Imperial College London , London , UK.
authors.forename: Brie
authors.initials: B
authors.lastname: McMahon
authors.affiliation: Partnership for Child Development, Imperial College London , London , UK.
authors.forename: Francis
authors.initials: F
authors.lastname: Peel
authors.affiliation: Formerly World Health Organization , Geneva , Switzerland.
authors.forename: K C
authors.initials: KC
authors.lastname: Tang
authors.affiliation: World Bank , Washington, DC , USA.
authors.forename: Andy
authors.initials: A
authors.lastname: Tembon
authors.affiliation: Partnership for Child Development, Imperial College London , London , UK.
authors.forename: Lesley
authors.initials: L
authors.lastname: Drake
keywords: Millennium Development Goals; education objectives; policy analysis and decision making; school health and nutrition; sub-Saharan Africa