Commonalities | Unique Features in Uzbekistan | Unique Features in Kyrgyzstan | |
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Key SNP intervention components | |||
Provision of meals | Provision of free standard meals. | School-aged children in schools managed by Agency for the Development of Presidential, Creativity and Specialized Schools under Cabinet of Ministers of the Republic of Uzbekistan initiative. | Students in grades 1–4 at the state and municipal schools. |
Restrictions/prohibitions on the sale of competitive foods in schools. | |||
Programs developed by the government in consultation with World Health Organization and other key country stakeholders (professional organizations, nongovernmental organizations). | |||
Main implementer | Sanitary-Epidemiological Welfare and Public Health Committee, an agency of the Ministry of Health. | Department of Education, an agency of the Ministry of Education and Science. | |
Meal provision | Mainly contracted out. | Contracted out for 74% of public schools and directly provided to 26% public schools. | |
Contract administration | By agency under the Ministry of Health through a competitive bidding process. | By Department of Education under the Ministry of Education and Science. | |
Current implementation strategies included as part of SNP | Provision of standard meals outsourced to contractors. Cost of meals covered by government. | Outsourcing of meals entails thorough selection, recruitment, training, monitoring and compensation to contractors through the Sanitary-Epidemiological Welfare and Public Health Committee. | The heads of local state administrations and local self-government bodies organize the purchase of food products in accordance with the legislation on public procurement. |
Key outcomes and mechanisms in Theories of Change | |||
SNP targets reduction of the incidence of noncommunicable diseases among children and adults. | |||
Long-term outcomes | Reduction in the prevalence of malnutrition among school-aged children at the population-level. | Improvement in metabolic measures. | Improvements in micronutrients and include reduction in the prevalence of anemia, folic acid and vitamin D deficiencies among school-aged children and adolescents. |
Intermediate outcomes |
Individual level: Changes in habitual consumption of target foods (including the nutrient and caloric standards) School level: improvements in nutritional practices and limited marketing of unhealthy foods in school settings. |
Community level:
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Policy Advocacy outcome | Readiness (human resources, technical, and financial capacity) of the Sanitary-Epidemiological Welfare and Public Health Committee under the Ministry of Health to implement the SNP. | Readiness (human resources, technical, and financial capacity) of the Department of Education under the Ministry of Education and Science to implement the SNP in cooperation with the Ministry of Health and technical support from development partners (World Food Programme and Mercy Corps). | |
Implementation outcomes |
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Implementation challenges |
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Key Theory of Change assumptions |
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