The well-being of school children is a key determinant of their educational achievement.
Since the adoption of universal education as a United Nations sustainable development goal, the education sector has sought to strengthen education outcomes by improving traditional education inputs such as teacher training and textbooks.
It is now increasingly apparent that improving education outcomes will require a greater share of investments in the health and well-being of learners as well.
In November 2024, UNESCO celebrated the importance of learners’ well-being as a key theme at the Global Education Meeting in Fortaleza, Brazil.
This has been a long and thoughtful journey with its origins in the Education for All agenda and the launch of the FRESH (Focusing Resources on Effective School Health) Framework by UNESCO and partners at the World Education Forum in Dakar, Senegal in 2000.
Research studies increasingly show that appropriate health interventions can promote both student well-being and educational outcomes. Systematic reviews of school meals programs show their benefits to increasing education outcomes (see also Kristjansson et al., 2007).
UNESCO has led two reviews (Ready to learn and thrive and the 2025 Global Education Monitoring report on education and nutrition) that further summarize these conclusions.
For many governments, the COVID-19 pandemic further reinforced the importance of investing in learner well-being.
Well-intentioned school closures to help reduce disease transmission had the terrible collateral consequences of not only damaging education outcomes but also adversely affecting school children’s access to critical school-based support systems such as school meals.
This crisis galvanized government action worldwide to reinstate and improve support for school nutrition, including the creation of the School Meals Coalition.
With a current active membership of 109 countries, the Coalition has become one of the most successful country-driven multilateral initiatives in support of the well-being of schoolchildren.
High returns for learning
School-based health programs—such as those focused on school meals, deworming and malaria prevention—are important ways to support not only the health but also the education of children.
The education benefits achieved from health interventions when measured by global education metrics such as learning adjusted years of schooling (LAYS) suggest their impacts can also rank better than some of the most widely adopted reforms to improve learning (such as reducing the number of children in a classroom per teacher/class size):