Kara Shannon, Jocelyn Burridge, Brodus Franklin, Sheena Bhushan, Susan Hilsenbeck, Elena V Petrova, James N'Dow, Ibezimako Iwuh, Sharmila Anandasabapathy, Jeffrey P Wilkinson
Gambian Mothers Lack Obstetric Danger Sign Knowledge, But Educational Intervention Shows Promise
Annals of global health
healthy hungerfree kids act 2010 hhfka directed us department agriculture usda revise school meal standards increase healthy food offerings critical stakeholder implementation standards food service directors fsds sought examine fsds perspectives revised school meal standards gain insight successful implementation strategies semistructured interviews conducted fsds n 9 high schools achieved healthierus schools challenge smarter lunchrooms hussc sl status qualitative interview data team coded atlasti v7 analyzed principles constant comparative analysis fsds reported overall positive perceptions revised school meal standards potential impacts well improved fruit vegetable consumption despite initial challenges plate waste procurement whole grainrich products fast paced sodium targets implementation described complex ongoing processes time inservice trainings student acceptance changes improved findings directly relevant future reauthorization child nutrition act revisions implementation time line federal school meal standards related sodium whole grains flavored milk insights fsds strategies suggest time targeted technical assistance federal state local levels warranted