Background/Context: Mozambique has made progress over the past decade in improving both the nutrition and literacy of its population. Nevertheless, rates of illiteracy and malnutrition remain high, particularly in rural areas and among women. In most provinces in Mozambique, schools are overcrowded, student/teacher ratios are high, and reading and…

Purpose/Objectives: This study investigates the effect of meal component changes by the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) on school lunch quality and consumption in elementary school students, grade 2-5 before and after the HHFKA guidelines were implemented in July 2012 using the Healthy Eating Index. Methods: In Spring 2012, before…