Health
WHO Urges Global Overhaul of School Food to Combat Childhood Obesity
With one in 10 children worldwide now living with obesity, the World Health Organization (WHO) is calling on governments to improve school meals and create healthier eating environments. The UN health agency released new guidance encouraging countries to adopt a “whole-school approach” to food, ensuring that meals, snacks, and drinks served at school and in surrounding environments are nutritious.
The recommendations come amid what the WHO describes as a “double burden” of malnutrition. While childhood obesity is rising globally, undernutrition continues to affect millions of children in other regions. In 2025, approximately 188 million school-aged children and adolescents, or one in 10, were living with obesity. This marks the first time the number of obese children has overtaken those who are underweight. Childhood obesity significantly increases the risk of developing diabetes, cancer, heart disease, stroke, and other chronic illnesses later in life.
“The food children eat at school, and the environments that shape what they eat, can have a profound impact on their learning, and lifelong consequences for their health and well-being,” WHO Director-General Dr Tedros Adhanom Ghebreyesus said. “Getting nutrition right at school is critical for preventing disease later in life and creating healthier adults.”
Currently, an estimated 466 million children worldwide receive school meals. However, the WHO notes that data on the nutritional quality of these meals remains limited. “Childhood overweight and obesity remain alarmingly high and continue to threaten the health of current and future generations,” said Kremlin Wickramasinghe, who focuses on nutrition, physical activity, and obesity issues at WHO Europe.
The WHO’s new guidelines recommend that schools set clear standards to increase the availability and consumption of healthy foods and beverages while restricting unhealthy options high in sugar, salt, and unhealthy fats. The agency also encourages “nudging” strategies, such as changing the way food is displayed, priced, or presented to influence healthier choices among students.
According to the WHO Global database on the Implementation of Food and Nutrition Action, 104 countries had some form of school food policy as of October 2025. Nearly three-quarters of these countries implemented mandatory standards for school meals, but fewer than half restricted the marketing of unhealthy foods to children.
The guidance was developed by an international panel of experts through an evidence-based process and is part of the WHO’s broader strategy to create healthier food environments for young people. Officials hope that by improving school nutrition, countries can reduce childhood obesity rates, support overall child development, and reduce the long-term burden of chronic diseases globally.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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