Abstract
School feeding programmes are a critical social protection tool in sub-Saharan Africa, yet their nutritional quality is often limited. The mandatory fortification of staple foods, such as maize flour, presents a potential policy lever to enhance micronutrient delivery through these schemes. This working paper assesses the policy adoption process and evaluates the nutritional impact of integrating fortified maize flour into government-led school meal programmes within a specific provincial context. A mixed-methods case study was conducted, combining policy document analysis, key informant interviews with provincial and district-level officials, and a comparative analysis of micronutrient intake estimates from school meals prepared with fortified versus unfortified flour. Policy implementation was fragmented, with only an estimated 40% of schools in the studied districts consistently receiving fortified flour due to procurement irregularities. Where utilised, the fortified flour increased the estimated daily intake of vitamin A and iron for schoolchildren by 18% and 22%, respectively, against baseline meal composition. While fortified flour demonstrates significant potential to improve micronutrient delivery, systemic bottlenecks in procurement and supply chain governance substantially limit its effective adoption and equitable reach within existing school feeding frameworks. Strengthen provincial-level monitoring and compliance mechanisms for fortification policy within public food procurement. Develop targeted training and resource allocation for district education offices to manage fortified commodity supply chains effectively. food fortification, school feeding, nutrition policy, implementation science, Zambia, micronutrients This paper provides novel empirical evidence on the sub-national governance challenges that mediate the translation of national fortification policy into tangible nutritional outcomes within a school feeding context.