Evidence map›Paper›PMID 38114237›Full record

ArticleBMJ global health2023

Investing in school systems: conceptualising returns on investment across the health, education and social protection sectors.

Stéphane Verguet, Pratibha Gautam, Iman Ali, Arif Husain, Stefan Meyer, Carmen Burbano, Edward Lloyd-Evans, Margherita Coco, Martin Mphangwe, Albert Saka and 12 more

Abstract read
PubMed Publisher
In one paragraph

Article in BMJ global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Stéphane VerguetDepartment of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA verguet@hsph.harvard.edu.ORCID 0000-0003-4128-0849
Pratibha GautamDepartment of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA.
Iman AliTufts University, Medford, Massachusetts, USA.
Arif HusainWorld Food Programme, Rome, Italy.
Stefan MeyerWorld Food Programme, Rome, Italy.
Carmen BurbanoWorld Food Programme, Rome, Italy.
Edward Lloyd-EvansWorld Food Programme, Rome, Italy.
Margherita CocoWorld Food Programme, Lilongwe, Malawi.
Martin MphangweWorld Food Programme, Lilongwe, Malawi.
Albert SakaMinistry of Education Science and Technology, Lilongwe, Malawi.
Meseret ZelalemMaternal, Child and Adolescent Health Lead Executive Officer, Ethiopia Ministry of Health, Addis Ababa, Ethiopia.
Boitshepo Bibi GiyoseFAO/AUDA-NEPAD (African Union Development Agency - New Partnership for Africa's Development), Johannesburg, South Africa.
Zhihui LiTsinghua Vanke School of Public Health, Beijing, China.
Agnes ErzseSAMRC Wits Centre for Health Economics and Decision Science PRICELESS SA, University of Witwatersrand School of Public Health, Johannesburg, South Africa.ORCID 0000-0001-9303-9323
Karen HofmanSAMRC Wits Centre for Health Economics and Decision Science PRICELESS SA, University of Witwatersrand School of Public Health, Johannesburg, South Africa.
Céline GinerOrganization for Economic Cooperation and Development, Paris, France.
Sylvie AvalloneQualiSud, Univ Montpellier, Institut Agro, CIRAD, Avignon Université, Université de La Réunion, Montpellier, France.
Heli KuusipaloNational Institute for Health and Welfare, Helsinki, Finland.
Elizabeth KristjanssonUniversity of Ottawa, Ottawa, Ontario, Canada.
Linda SchultzResearch Consortium for the School Meals Coalition, London School of Hygiene and Tropical Medicine, London, UK.
Donald A P BundyResearch Consortium for the School Meals Coalition, London School of Hygiene and Tropical Medicine, London, UK.
Noam AngristUniversity of Oxford, Oxford, Oxfordshire, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

SchoolsStudentsChildCost-Benefit AnalysisEducational StatusHumansPublic PolicyChild health

Identifiers

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.