Methods: Catholic Relief Services (CRS) implemented FFE from 2014-2016 serving 212 schools in Totonicapán. Repeated cross-sectional data were collected by external researchers from all 3rd and 6th grade students from randomly selected schools in 2014 (n=74 schools, n=2,387children), 2015 (n=120 schools, n=3,833 children), and 2016 (n=120 schools, n=3,624 children). Literacy was measured using a 30-item Spanish reading comprehension and scored from 0% to 100% correct. Other covariates included were gender (1=Female; 0=Male), and whether the child spoke K’iche’ (1=Yes; 0=No). One- and two-way analyses of variance (ANOVA) tests were employed to examine changes in literacy over time, between boys and girls, and between K’iche’ speaking and non-K’iche’ speaking children, using Welch’s test to account for unequal variances. Additional information was collected on child enrollment and attendance over time. Parent focus groups (n=20) were conducted at randomly selected schools related to program effectiveness and sustainability.
Results: Overall, the mean of literacy achievement increased over time from 17.97% (SD=14.51%) at baseline to 24.32% (SD=12.73) at midterm to 31.78% (SD=13.24%) at endline (p<.001 for all). No statistically significant differences emerged between males and females. Increasing disparities were identified for indigenous children – no statistically significant difference occurred at baseline, but Non-K’iche’ speaking children scored 1.92% higher at midterm (p<.001) and 4.79% higher at endline (p<.001). Focus groups revealed that parents believe the FFE provides a safety net in terms of food provision for children and also results in greater child attendance, but that sustainability remains a problem for communities should USDA remove support. Child enrollment declined steadily with 3.6% fewer children attending school in 2015 (vs. 2014) and 4.6% fewer in 2016 (vs. 2015), reflecting a national trend in Guatemala.
Conclusions and Implications: The results of this study show that children have made substantial gains in literacy since FFE implementation, although disparities exist in gains made between K’iche’ and non-K’iche’ children. As a result of this study, CRS is increasing its focus on bilingual education training for teachers, and is conducting a barriers analysis to explore reasons for decreasing school enrollment. Future research should follow children longitudinally to measure changes in literacy alongside program implementation.