Study protocol: can a school gardening intervention improve children's diets?

BACKGROUND: The current academic literature suggests there is a potential for using gardening as a tool to improve children's fruit and vegetable intake. This study is two parallel randomised controlled trials (RCT) devised to evaluate the school gardening programme of the Royal Horticultural Society (RHS) Campaign for School Gardening, to determine if it has an effect on children's fruit and vegetable intake. METHOD/DESIGN: Trial One will consist of 26 schools; these schools will be randomised into two groups, one to receive the intensive intervention as "Partner Schools" and the other to receive the less intensive intervention as "Associate Schools". Trial Two will consist of 32 schools; these schools will be randomised into either the less intensive intervention "Associate Schools" or a comparison group with delayed intervention. Baseline data collection will be collected using a 24-hour food diary (CADET) to collect data on dietary intake and a questionnaire exploring children's knowledge and attitudes towards fruit and vegetables. A process measures questionnaire will be used to assess each school's gardening activities. DISCUSSION: The results from these trials will provide information on the impact of the RHS Campaign for School Gardening on children's fruit and vegetable intake. The evaluation will provide valuable information for designing future research in primary school children's diets and school based interventions. TRIAL REGISTRATION: ISRCTN11396528

Accelerating Action Against Child Labour

[Excerpt] The focus of this third Global Report on child labour under the follow-up to the ILO Declaration on Fundamental Principles and Rights at Work is about honouring the commitments made in 2006 with the adoption of a Global Action Plan. The Action Plan set out time-bound targets for the elimination of child labour. Important obligations and commitments were entered into by ILO constituents. Four years is a short time to ensure major change, but it does, however, permit the Organization to take stock and gauge progress. In particular we need to know whether the world is on track to meeting the target of eliminating all the worst forms of child labour by 2016. To this end, this Global Report adopts the same four-part structure as the two previous Reports. Part I presents a dynamic global picture, updating global trends introduced in the 2006 Global Report and setting out progress in the ratification of ILO standards. Part II reviews the progress made in implementing the Global Action Plan. From this review, Part III examines key challenges and gaps that remain and how these can be addressed. Finally, Part IV sets out an agenda to accelerate progress towards meeting the 2016 target

Household ownership and use of insecticide treated nets among target groups after implementation of a national voucher programme in the United Republic of Tanzania: plausibility study using three annual cross sectional household surveys.

OBJECTIVES: To evaluate the impact of the Tanzania National Voucher Scheme on the coverage and equitable distribution of insecticide treated nets, used to prevent malaria, to pregnant women and their infants. DESIGN: Plausibility study using three nationally representative cross sectional household and health facility surveys, timed to take place early, mid-way, and at the end of the roll out of the national programme. SETTING: The Tanzania National Voucher Scheme was implemented in antenatal services, and phased in on a district by district basis from October 2004 covering all of mainland Tanzania in May 2006. PARTICIPANTS: 6115, 6260, and 6198 households (in 2005, 2006, and 2007, respectively) in a representative sample of 21 districts (out of a total of 113). INTERVENTIONS: A voucher worth $2.45 ( pound1.47, euro1.74) to be used as part payment for the purchase of a net from a local shop was given to every pregnant woman attending antenatal services. MAIN OUTCOME MEASURES: Insecticide treated net coverage was measured as household ownership of at least one net and use of a net the night before the survey. Socioeconomic distribution of nets was examined using an asset based index. RESULTS: Steady increases in net coverage indicators were observed over the three year study period. Between 2005 and 2007, household ownership of at least one net (untreated or insecticide treated) increased from 44% (2686/6115) to 65% (4006/6198; P<0.001), and ownership of at least one insecticide treated net doubled from 18% (1062/5961) to 36% (2229/6198) in the same period (P<0.001). Among infants under 1 year of age, use of any net increased from 33% (388/1180) to 56% (707/1272; P<0.001) and use of an insecticide treated net increased from 16% (188/1180) to 34% (436/1272; P<0.001). After adjusting for potential confounders, household ownership was positively associated with time since programme launch, although this association did not reach statistical significance (P=0.09). Each extra year of programme operation was associated with a 9 percentage point increase in household insecticide treated net ownership (95% confidence interval -1.6 to 20). In 2005, only 7% (78/1115) of nets in households with a child under 1 year of age had been purchased with a voucher; this value increased to 50% (608/1211) in 2007 (P<0.001). In 2007, infants under 1 year in the least poor quintile were more than three times more likely to have used an insecticide treated net than infants in the poorest quintile (54% v 16%; P<0.001). CONCLUSIONS: The Tanzania National Voucher Scheme was associated with impressive increases in the coverage of insecticide treated nets over a two year period. Gaps in coverage remain, however, especially in the poorest groups. A voucher system that facilitates routine delivery of insecticide treated nets is a feasible option to "keep up" coverage

Evaluation of a measles vaccine campaign by oral-fluid surveys in a rural Kenyan district: interpretation of antibody prevalence data using mixture models

We evaluated the effectiveness of a measles vaccine campaign in rural Kenya, based on oral-fluid surveys and mixture-modelling analysis. Specimens were collected from 886 children aged 9 months to 14 years pre-campaign and from a comparison sample of 598 children aged 6 months post-campaign. Quantitative measles-specific antibody data were obtained by commercial kit. The estimated proportions of measles-specific antibody negative in children aged 0–4, 5–9 and 10–14 years were 51%, 42% and 27%, respectively, pre- campaign and 18%, 14% and 6%, respectively, post-campaign. We estimate a reduction in the proportion susceptible of 65–78%, with ~85% of the population recorded to have received vaccine. The proportion of ‘weak’ positive individuals rose from 35% pre-campaign to 54% post-campaign. Our results confirm the effectiveness of the campaign in reducing susceptibility to measles and demonstrate the potential of oral-fluid studies to monitor the impact of measles vaccination campaigns

Earned Income Tax Credit: Lessons Learned

Highlights lessons from the foundation's tax preparation campaign to encourage low-income workers to file for the EITC, including lessons in engaging policy makers, improving the quality of services, using innovative strategies, and building partnerships

Shaping a Healthier Generation: Successful State Strategies to Prevent Childhood Obesity

Provides an overview of the socioeconomic and environmental risk factors and costs of childhood obesity. Presents examples of state policies to prevent the epidemic by promoting healthy behaviors in child care, school, community, and healthcare settings

State of the World's Fathers: 2015

Fathers' involvement in their children's lives has been linked to higher cognitive development and school achievement, better mental health for boys and girls, and lower rates of delinquency in sons. Studies in multiple countries have shown that fathers' interaction is important for the development of empathy and social skills in sons and daughters.The SOWF report states that to achieve full gender equality and maximum wellbeing for children, we must move beyond rigid, limiting definitions of fatherhood and motherhood. This is not just a question of encouraging men to be nurturing and caring but rather an issue of social and economic justice. The report states that changes are needed in policies, in systems and institutions, among service providers, within programming and within data collection and analysis efforts. A lack of supportive policies such as paternity leave for new fathers helps cause an imbalance between mothers and fathers. This causes women to miss out on opportunities for work and income, children to miss out on having an involved father, and men to miss out on the positive benefits of involved fatherhood

Why Are Young Children Missed So Often in the Census?

Analyzes data on the high net undercount of children, examines contributing factors and consequences, and considers prospects for the 2010 census. Makes recommendations for child advocacy groups and nonprofits, including partnering with the Census Bureau

Interactive Food and Beverage Marketing: Targeting Children and Youth in the Digital Age

Looks at the practices of food and beverage industry marketers in reaching youth via digital videos, cell phones, interactive games and social networking sites. Recommends imposing governmental regulations on marketing to children and adolescents

Tilling the Field: Lessons about Philanthropy's Role in School Discipline Reform

Anyone concerned about how the futures of millions of children are jeopardized because of discipline practices that unfairly exclude students from U.S. public schools will be heartened by this story about how transformative change can happen.It's a story of how students and parents, civil rights advocates, academics, policymakers and government came together -- with help from philanthropy -- to advance reform.The linchpin was a four-year, $47 million school discipline reform initiative that Atlantic launched in 2010 to promote policies and practices that would keep vulnerable children in school and on track to graduate and go on to college, rather than on the path to prison.We hope this report will be useful to all who might benefit from our experience:For funders -- to inform strategic choices going forward, to anticipate future challenges, and to consider potentially powerful responses.For grantee and government partners -- to celebrate successes as well as to consider options for refining strategies and tactics going forward.For students of movements that protect the vulnerable -- to understand the complex arc of advocacy as shaped by intentional strategies and tactics as well as history and on-the-ground realities.KEY INSIGHTS1. When philanthropy and the public sector work together, a foundation's role should be more than just paying for a government-initiated project. Philanthropic leaders can add value by helping to define a shared goal and develop a structure for ongoing dialogue and decision making. 2. Philanthropy can help create opportunities for policy change through a strategic combination of investments designed to (re)frame the problem, identify and lift up viable policy alternatives, and apply pressure for change. 3. Grassroots organizing by parents and young people can play a major role in advancing changes to local and national educational policy -- and that impact is amplified when grassroots movements receive philanthropic support