School food choices in northern Benin skew heavily toward sugary, energy-dense snacks

Secondary school students in northern Benin described food environments that are easy to enter but hard to trust. In both urban Natitingou and rural Boukombe, adolescents reported a wide range of foods available within and around school grounds, yet most options were energy-dense, high in sugar, and poor in nutritional quality. Fruit and vegetables were rarely present, leaving students to navigate a setting that favors quick calories over balanced meals.

The pattern matters because adolescence is a period when dietary habits harden into lifelong routines. When school corridors, roadside vendors, and nearby stalls mainly offer sweets, fried items, and other inexpensive packaged foods, the school day becomes a repeated lesson in convenience rather than nutrition. Students in this study did not simply describe what was sold near their schools; they also evaluated whether those foods felt healthy, clean, and worth buying.

Students linked food quality with hygiene and vendor sanitation

Their judgments were not based on price alone. A central concern was hygiene, especially the cleanliness of food handlers and the sanitation of vending spaces. Participants perceived the school food environment as largely unhealthy, and they tied that perception directly to poor vendor practices and inadequate food hygiene. In a setting where meals are purchased informally rather than provided through a formal school feeding system, that concern carries direct public health weight.

The study was conducted in two municipalities in Atacora department, an area already burdened by malnutrition and food insecurity. Boukombe represented a rural setting and Natitingou an urban one, allowing the investigators to compare how students experience food access across different local contexts. Even with that contrast, the overarching picture remained consistent: students could find food, but not necessarily food that supported healthier eating.

Adolescents described a school food system shaped by proximity, autonomy, and limited oversight

At the secondary level in Benin, food provision depends on informal vendors located in and around schools. That makes the school setting more commercialized than the primary-school environment, where school feeding programs exist. It also places more responsibility on adolescents themselves, who have greater independence, stronger peer influence, and more opportunity to spend money on snacks during the school day.

Those conditions help explain why the food environment can shape behavior so strongly. If the nearest choices are sweet drinks, fried snacks, or other highly processed items, students are likely to select them repeatedly, especially when healthier alternatives are absent or scarce. The study’s qualitative design captured this reality through student speech rather than through an inventory of items alone. It gave voice to the people most exposed to the environment and most likely to carry its habits forward.

One clear message came through the focus group discussions: availability does not equal quality.

Urban access did not translate into healthier options

Students in the urban municipality described a broader supply of foods than those in the rural area, but the nutritional profile of that supply still leaned heavily toward unhealthy options. This is an important distinction for school health policy. Greater food variety around schools can create the appearance of choice, yet if that variety is dominated by sugar-rich and calorie-dense products, the environment may still push students toward poor dietary patterns.

The rural setting added another layer. Where food access is more limited, the choices that do exist may be even more dependent on local informal vendors, seasonal availability, and household purchasing power. In both places, fruit and vegetables were rarely available, which directly conflicts with dietary guidance intended to support adolescent growth, learning, and long-term disease prevention.

The findings fit a broader public health concern in Benin, where overweight and obesity are already present among school-going adolescents even as undernutrition and food insecurity persist. This coexistence of nutrition problems is common in settings undergoing rapid dietary transition. Schools sit at the center of that transition because students spend many hours there and make repeated food decisions during the day.

What students wanted from a healthier school environment

The study asked not only what students saw, but what they thought should change. Their perspectives pointed toward two practical priorities: healthier food availability and stronger hygiene standards. These are not abstract goals. They imply a school environment in which nutritious foods are easier to buy, safer to handle, and more visible than the sugar-heavy options that currently dominate many vendor stalls.

Policy action in this area would need to move beyond awareness campaigns alone. If schools continue to rely entirely on informal vendors, then any improvement strategy has to account for vendor training, sanitation enforcement, and the types of products allowed near students. A healthier school food environment would also need to make fruit and vegetables more accessible, not merely encourage students to seek them elsewhere.

The study’s qualitative approach is a strength because it centers adolescents’ lived experience, but it also leaves key questions open. The work does not measure intake, nutritional status, or how strongly students’ perceptions predict actual purchasing behavior. It also does not compare multiple schools within each municipality, which limits how far the findings can be generalized across northern Benin. Even so, the message is hard to miss: students are already reading their school food environment as unhealthy, and they are doing so in a region where malnutrition and food insecurity remain serious concerns.

Future research should connect these perceptions with dietary intake and health outcomes, and it should test whether changes in school vending practices can shift what students eat. For now, the clearest implication is local and immediate: any effort to improve adolescent nutrition in Benin has to include the students who live inside these food environments every day.


Reporting by Dr. A.R. Athira, MBBS for Medicine World Foundation, with additional data provided by PLOS ONE (Medicine).