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. 2021 Sep 1;13(9):3078. doi: 10.3390/nu13093078

Table 2.

Acceptability, Challenges and Barriers Towards Healthy Eating at School (Intervention Arms 1 and 2 *).

School Managements (Principal or Assistant Principal) Canteen Operators Convenient Shop Operators Teachers
Acceptability of this programme -noticed some changes in canteen and convenience shop
-noticed more vegetables sold in canteen
-noticed healthier food options in convenience shop.
-noticed that students start to change eating habit
-students have their own food preferences
-students like selected vegetables and fruits
-school give full support
-students have their own food preferences
-start to sell fruits in convenience shop
-buying behaviour changes due to availability of food in convenience shop
-acceptance in changes of non-sweetened beverages
-good programme/learn a lot
-good to have detailed guideline for healthy school
-students suggest more healthy foods to sell
-notice little changes in canteen and convenience shop
(e.g., less unhealthy food and fruits sold in canteen and convenience shop)
-good programme/full support
-convenience shop has both healthy and non-healthy option
Challenges during intervention -students can still buy unhealthy food outside school
-students worried of other perception if drink plain water
-students dislike healthy beverages
-students did not like vegetables
-lack of students’ understanding of healthy food
-students’ usual eating habit (lack of vegetables and fruits)
-not see many changes due to short duration
-cost of food preparation
-sales drop when stop selling energy-dense foods
-students can still get energy-dense, fast food outside of school
-canteen try to stop selling junk foods, but shops still sell it.
-limited variety of food to sell (cannot sell fresh foods)
-clashes with canteen in terms of food/beverages to sell
-students still prefer sweets beverages/unhealthy foods
-students can still buy junk food outside of school
-healthy choice of food is expensive
-drop in sales
-lack of vegetables in canteen (students dislike vegetables)
-students still like energy-dense foods
-canteen and convenience shop still sell unhealthy food
-lack of students’ understanding on healthy eating
Barriers for future implementation -students hard to accept vegetables
-students can still buy unhealthy food outside school
-students only buy what they like to eat; mostly unhealthy foods
-lack of health awareness of students
-unhealthy dietary intake since young
-high cost of preparing healthy food
-facing loss if fully sell healthy food
-students’ preferences on healthy food intake, need to educate them
-education on healthy food
-limitation of type of food sold in convenience shop -lack of understanding on healthy foods (from students and canteen operators)
-limited choice of healthy foods
-lack of health awareness of students
Suggestions to improve healthy eating -encourage continuation of this programme
-implementation should involve everyone, not only school canteen
-consider students’ food acceptance (preference? to change eating habit
-prepay meals for students
-healthy food intervention should start early (primary school/home)
-focus on obese students
-focus on foods that are good for students’ energy and wellbeing
-subsidise healthy foods
-teacher’s responsibility to develop healthy environment
-continue programme/healthy campaign
-continue collaboration school and canteen
-teacher’s responsibility to develop healthy environment
-healthy food campaign

* Intervention-1: Training only. Intervention 2: Training and meals subsidy.