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

Stephane Verguet, Pratibha Gautam, Iman Ali,Arif Husain, Stefan Meyer,Carmen Burbano, Edward Lloyd-Evans, Margherita Coco, Martin Mphangwe, Albert Saka, Meseret Zelalem, Boitshepo Bibi Giyose, Zhihui Li,Agnes Erzse,Karen Hofman,Celine Giner, Sylvie Avallone, Heli Kuusipalo,Elizabeth Kristjansson,Linda Schultz,Donald A. P. Bundy,Noam Angrist

BMJ GLOBAL HEALTH(2023)

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摘要
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.
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Child health
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