Evaluation of the Implementation and Acceptability of the New Intercultural Guidelines in Chile's National School Feeding Program at A Rural School: A Pilot Quali-Quantitative Research.

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Introduction. Chile's School Feeding Program (PAE) is undergoing modifications in menu planning due to the country's epidemiological and sociocultural reality. The introduction of the native seaweed 'cochayuyo', increased legume consumption, and the elimination of refined flours and ultra-processed foods are some of the changes in the PAE under initiatives called 'Cocina del Mundo' and 'Cocina con Raices' (World Cuisine and Roots Cuisine). These efforts are based on promoting healthy and intercultural eating habits from early ages. However, the implementation and acceptability of these modifications may face obstacles due to the limited familiarity of these preparations among Chilean children and food handlers. Therefore, the aim of this study was to evaluate the implementation and acceptability of the new intercultural modifications of the PAE. Methods: A cross-sectional qualitative-quantitative study was conducted. To measure acceptability, the sample was defined by trays served over three days of lunch at a rural establishment in southern Chile. Visual methods were used to determine the percentage of salad, main course, and dessert consumed. Regarding implementation, lunch service was considered holistically, following the official program guidelines. Additionally, semi-structured interviews were conducted with six key stakeholders to complement quantitative measures. Results: Adequate implementation of the new guidelines (88%) was reported, with no significant differences between the days considered (p=0.857; p=0.923; and p=0.934). About acceptability (n=141), it was also adequate for dessert (100%), salads (79%), and main courses (65%). From the interviews, the perception of the initiative is positive but demands greater technical and cultural preparation for proper implementation among children and adolescents. Conclusions: According to the technical parameters established by the PAE, its new guidelines are implemented correctly in the evaluated establishment.