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

Child health

Journal

BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275

Informations de publication

Date de publication:
18 Dec 2023
Historique:
received: 10 04 2023
accepted: 04 09 2023
medline: 20 12 2023
pubmed: 20 12 2023
entrez: 19 12 2023
Statut: epublish

Résumé

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.

Identifiants

pubmed: 38114237
pii: bmjgh-2023-012545
doi: 10.1136/bmjgh-2023-012545
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Stéphane Verguet (S)

Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA verguet@hsph.harvard.edu.

Pratibha Gautam (P)

Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA.

Iman Ali (I)

Tufts University, Medford, Massachusetts, USA.

Arif Husain (A)

World Food Programme, Rome, Italy.

Stefan Meyer (S)

World Food Programme, Rome, Italy.

Carmen Burbano (C)

World Food Programme, Rome, Italy.

Edward Lloyd-Evans (E)

World Food Programme, Rome, Italy.

Margherita Coco (M)

World Food Programme, Lilongwe, Malawi.

Martin Mphangwe (M)

World Food Programme, Lilongwe, Malawi.

Albert Saka (A)

Ministry of Education Science and Technology, Lilongwe, Malawi.

Meseret Zelalem (M)

Maternal, Child and Adolescent Health Lead Executive Officer, Ethiopia Ministry of Health, Addis Ababa, Ethiopia.

Boitshepo Bibi Giyose (BB)

FAO/AUDA-NEPAD (African Union Development Agency - New Partnership for Africa's Development), Johannesburg, South Africa.

Zhihui Li (Z)

Tsinghua Vanke School of Public Health, Beijing, China.

Agnes Erzse (A)

SAMRC Wits Centre for Health Economics and Decision Science PRICELESS SA, University of Witwatersrand School of Public Health, Johannesburg, South Africa.

Karen Hofman (K)

SAMRC Wits Centre for Health Economics and Decision Science PRICELESS SA, University of Witwatersrand School of Public Health, Johannesburg, South Africa.

Céline Giner (C)

Organization for Economic Cooperation and Development, Paris, France.

Sylvie Avallone (S)

QualiSud, Univ Montpellier, Institut Agro, CIRAD, Avignon Université, Université de La Réunion, Montpellier, France.

Heli Kuusipalo (H)

National Institute for Health and Welfare, Helsinki, Finland.

Elizabeth Kristjansson (E)

University of Ottawa, Ottawa, Ontario, Canada.

Linda Schultz (L)

Research Consortium for the School Meals Coalition, London School of Hygiene and Tropical Medicine, London, UK.

Donald A P Bundy (DAP)

Research Consortium for the School Meals Coalition, London School of Hygiene and Tropical Medicine, London, UK.

Noam Angrist (N)

University of Oxford, Oxford, Oxfordshire, UK.
Youth Impact, Gaborone, Botswana.

Classifications MeSH