“…This finding may be related to the fact that Zambia, like many countries, is currently struggling to improve health and education services within a context of limited resources. That is, early childhood education in these countries lack full government support and therefore may be costly, possibly drawing precious family or community resources from one sector (nutrition) to another (education) (Zuilkowski, Fink, Moucheraud, & Matafwali, 2012). Also, quality control and monitoring of early childhood facilities in Zambia are non-existent; while some preschools of high quality may offer a nutritional component (which have been found to increase BMI; Attanasio, Maro, & Vera-Hernández, 2013), others may not (Kaneneka, 2013; Matafwali & Munsaka, 2011; Zuilkowski et al, 2012).…”