Evidence map›Paper›PMID 42021226›Full record

ArticleBMC public health2026

Food Improvement Goals in Schools (FIGS I): a qualitative evaluation of a whole-school approach to healthy food provision in primary schools.

Natalia Concha, Maria Bryant, Carol Dezateux, Katy Scammell, Rab Brownell, Mathilda O'Donoghue, Pratima Singh, Meredith K D Hawking

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Natalia ConchaCentre for Primary Care, Wolfson Institute of Population Health, Queen Mary University of London, 58 Turner Street, London, E1 2AB, UK. n.concha-arango@qmul.ac.uk.
Maria BryantThe Hull York Medical School and Department of Health Sciences, University of York, York, YO10 5DD, UK.
Carol DezateuxCentre for Primary Care, Wolfson Institute of Population Health, Queen Mary University of London, 58 Turner Street, London, E1 2AB, UK.
Katy ScammellPublic Health Division, London Borough of Tower Hamlets, 160 Whitechapel Road, London, E1 1BJ, UK.
Rab BrownellHealthy Lives, London Borough of Tower Hamlets, 160 Whitechapel Road, London, E1 1BJ, UK.
Mathilda O'DonoghueCentre for Public Health and Policy, Wolfson Institute of Population Health, Queen Mary University of London, 58 Turner Street, London, E1 2AB, UK.
Pratima SinghCentre for Public Health and Policy, Wolfson Institute of Population Health, Queen Mary University of London, 58 Turner Street, London, E1 2AB, UK.
Meredith K D HawkingCentre for Primary Care, Wolfson Institute of Population Health, Queen Mary University of London, 58 Turner Street, London, E1 2AB, UK.

Funding

Barts Charity for REAL Child Health MGU0419UK Prevention Research Partnership MR/S037527/1
6 · The paper itself

Abstract

backgroundFree school meals offer a crucial safety net for children facing poverty and food insecurity. In the London Borough of Tower Hamlets in England, where over half of local children experience poverty, child-centred policies like universal free school meals have been implemented to support all children, regardless of family income. Despite World Health Organization recommendations for whole-school approaches to food, many schools have yet to implement them. The Food Improvement Goals in Schools I study, funded by ActEarly, evaluated the “Fantastic Food in Schools” programme, aiming to improve whole-school approaches to healthy food, including universal free school meals, in Tower Hamlets’ primary schools.

methodsInformed by material, relational and symbolic factors, we explored how food provision and interventions were perceived and practiced in six primary schools. A focused ethnography was conducted over 210 h across seven months in 2023, involving observations of interventions, sharing lunches with children and over 100 informal conversations. We carried out semi-structured interviews with 16 staff, 20 parents and 12 mini-groups with 43 children, using creative methods. Data were analysed thematically and interpreted through panels with community researchers.

resultsUniversal free school meals were perceived to promote equity and health, particularly given the UK cost-of-living crisis. Child-centred interventions engaged children and families, encouraging healthy eating at school and at home. Schools served as spaces to explore food’s cultural significance, helping navigate the complexities of children’s preferences, familiarity, identities, healthier eating and needs in a diverse community. School menus improved, given collaborative efforts from catering services and kitchen staff. Yet, resource challenges and growing parental expectations to address systemic issues like food insecurity highlight the need for greater funding and policy-based support.

conclusionsUniversal free school meals and whole-school approaches to food can enable equitable cultural inclusion in diverse, urban areas like Tower Hamlets, supporting Sustainable Development Goal 2: Zero Hunger. However, these initiatives require increased funding and targeted financial incentives for schools to implement them effectively. Local authorities need the backing of educational policy to prioritise and secure the necessary resources to promote healthy eating and ensure equitable access to nutritious food for all children.

Indexed as

Food ServicesSchoolsAnthropology, CulturalChildEnglandFemaleGoalsHumansInterviews as TopicLondonMaleProgram EvaluationQualitative ResearchChildrenElementary schoolsFee school mealsFocussed ethnographyFood insecurityHealth inequalitiesQualitative evaluationSchool food improvementUniversal free school mealsWhole-school approaches to food

Identifiers

PMID42021226
PMCPMC13235117

What OpenQuestion holds

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LicenceCC BY
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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.