Asunto(s)
COVID-19/etnología , Asistencia Alimentaria/organización & administración , Grupos Minoritarios/estadística & datos numéricos , Estudios Transversales , Etnicidad/estadística & datos numéricos , Inseguridad Alimentaria , Humanos , Pandemias , Grupos Raciales/estadística & datos numéricos , SARS-CoV-2 , Estados Unidos/epidemiologíaRESUMEN
Escalating demands for limited food supplies at America's food banks and pantries during the COVID-19 pandemic have raised ethical concerns underlying "first-come, first-served" distributions strategies. A series of model ethical principles are designed to guide ethical allocations of these resources to assure greater access among persons facing food insecurity.
Asunto(s)
Planificación en Desastres , Asistencia Alimentaria/ética , Guías como Asunto , Asignación de Recursos/ética , COVID-19/epidemiología , Urgencias Médicas , Asistencia Alimentaria/organización & administración , Abastecimiento de Alimentos , Humanos , Salud Pública , Asignación de Recursos/organización & administración , Estados UnidosAsunto(s)
COVID-19/psicología , Características de la Residencia/clasificación , Marginación Social/psicología , COVID-19/diagnóstico , COVID-19/epidemiología , COVID-19/virología , Asistencia Alimentaria/organización & administración , Humanos , Ciudad de Nueva York/epidemiología , Características de la Residencia/estadística & datos numéricos , SARS-CoV-2/aislamiento & purificación , Participación Social/psicología , Estudiantes de Medicina , VoluntariosAsunto(s)
COVID-19/epidemiología , COVID-19/prevención & control , Control de Infecciones/organización & administración , Modelos Organizacionales , Pandemias , COVID-19/transmisión , Redes Comunitarias/organización & administración , Redes Comunitarias/normas , Atención a la Salud/métodos , Atención a la Salud/organización & administración , Brotes de Enfermedades/prevención & control , Asistencia Alimentaria/organización & administración , Asistencia Alimentaria/normas , Humanos , India/epidemiología , Control de Infecciones/métodos , Sistemas de Apoyo Psicosocial , Administración en Salud Pública/métodos , Administración en Salud Pública/normas , SARS-CoV-2/fisiología , MigrantesAsunto(s)
COVID-19/epidemiología , Inseguridad Alimentaria/estadística & datos numéricos , Pobreza/estadística & datos numéricos , Organizaciones de Beneficencia/organización & administración , Asistencia Alimentaria/organización & administración , Humanos , Pandemias , Grupos Raciales/estadística & datos numéricos , SARS-CoV-2 , Estados Unidos/epidemiologíaRESUMEN
OBJECTIVE: To conduct a nationwide assessment of child nutrition administrative agencies' responses to meal service provision during coronavirus disease 2019-related school closures. DESIGN: Systematic coding of government websites (February-May 2020) regarding school meal provision in all 50 US states and the District of Columbia, 5 US territories, and the US Department of Interior Bureau of Indian Education. PARTICIPANTS: All US jurisdictions (Nâ¯=â¯57). VARIABLES MEASURED: Seven coding criteria were established to assess the strengths and weaknesses of jurisdictions' responses derived from emergency declarations, school closure announcements, and government websites on emergency school meals. ANALYSIS: Descriptive analyses. RESULTS: Most jurisdictions mentioned school meal provisions in school closure announcements (76.4%), provided easily interpretable information and/or maps about meal sites (57.9%), and included detailed information about school meal provisions in their coronavirus disease 2019 landing webpages (nâ¯=â¯26, 51%). Fewer provided updated and comprehensive implementation guidance (39.3%), referenced school closures in emergency declarations (37.5%), had clear communication/outreach to families (21.4%), or partnered with antihunger organizations (11.6%). CONCLUSIONS AND IMPLICATIONS: Understanding initial jurisdictions' approaches are critical to current and future emergency planning during school closures and reopening to help address food insecurity better, limit disease transmission, and prevent health disparities, particularly among at-risk populations.
Asunto(s)
COVID-19 , Asistencia Alimentaria , Inseguridad Alimentaria , Servicios de Alimentación/organización & administración , Instituciones Académicas , Adolescente , Niño , Asistencia Alimentaria/legislación & jurisprudencia , Asistencia Alimentaria/organización & administración , Humanos , SARS-CoV-2RESUMEN
The COVID-19 pandemic continues to cause uncertainty to Uganda's food security among underprivileged households. The Corona virus Response Team inaugurated a relief food distribution campaign, ensuing from the countrywide COVID-19 lockdown to counter the rising food insecurities in many urban and rural poor households. However, the relief response campaign has received a lot of critics from both rural and urban communities who were planned as the beneficiaries. Three months into the COVID-19 pandemic the population reports; delays in the distribution, poor quality supplies, arrests and continued restrictions, slow paced distribution among household, and a negative impact on the health care system. As a learning from the current experience, we recommend; a multisectoral engagement, better planning, a decentralized food distribution, and formulation of clear food distribution guidelines to guide the future responses. Use of mobile cash transfers to reach out to the food insecure households can support local economies and lower the cost on middlemen and interrelated corruption.
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Betacoronavirus , Infecciones por Coronavirus/epidemiología , Asistencia Alimentaria , Abastecimiento de Alimentos , Pandemias , Neumonía Viral/epidemiología , COVID-19 , Composición Familiar , Asistencia Alimentaria/economía , Asistencia Alimentaria/organización & administración , Asistencia Alimentaria/estadística & datos numéricos , Abastecimiento de Alimentos/economía , Abastecimiento de Alimentos/estadística & datos numéricos , Humanos , Colaboración Intersectorial , Población Rural , SARS-CoV-2 , Uganda/epidemiología , Poblaciones VulnerablesAsunto(s)
Asistencia Alimentaria/organización & administración , Servicios de Alimentación/organización & administración , Abastecimiento de Alimentos , Política de Salud , Betacoronavirus , COVID-19 , Infecciones por Coronavirus , Asistencia Alimentaria/legislación & jurisprudencia , Abastecimiento de Alimentos/legislación & jurisprudencia , Humanos , Comidas , Pandemias , Neumonía Viral , Población Rural , SARS-CoV-2 , Instituciones Académicas , Estados Unidos , Poblaciones VulnerablesAsunto(s)
Infecciones por Coronavirus , Asistencia Alimentaria/organización & administración , Ciencia de la Implementación , Pandemias , Neumonía Viral , Adolescente , COVID-19 , Niño , Preescolar , Asistencia Alimentaria/economía , Servicios de Alimentación/economía , Abastecimiento de Alimentos , Humanos , Política Nutricional , Salud Pública , Instituciones Académicas , Estados UnidosRESUMEN
Reduced access to school meals during public health emergencies can accelerate food insecurity and nutritional status, particularly for low-income children in urban areas. To prevent the exacerbation of health disparities, there is a need to understand the implementation of meal distribution among large urban school districts during emergencies and to what degree these strategies provide equitable meal access. Our case study of four large urban school districts during the COVID-19 pandemic aims to address these knowledge gaps. Guided by the Getting to Equity (GTE) framework, we conducted a mixed-methods study evaluating emergency meal distribution and strategy implementation in four large urban school districts (Chicago Public Schools, Houston Independent School District, Los Angeles Unified School District, and New York City Department of Education). We gathered data from school district websites on (1) meal service and delivery sites and (2) district documents, policies, communication, and resources. Using qualitative coding approaches, we identified unique and shared district strategies to address meal distribution and communications during the pandemic according to the four components of the GTE framework: increase healthy options, reduce deterrents, build on community capacity, and increase social and economic resources. We matched district census tract boundaries to demographic data from the 2018 American Community Survey and United States Department of Agriculture food desert data, and used geographic information systems (GIS) software to identify meal site locations relative to student population, areas of high poverty and high minority populations, and food deserts. We found that all districts developed strategies to optimize meal provision, which varied across case site. Strategies to increase healthy options included serving adults and other members of the general public, providing timely information on meal site locations, and promoting consumption of a balanced diet. The quantity and frequency of meals served varied, and the degree to which districts promoted high-quality nutrition was limited. Reducing deterrents related to using inclusive language and images and providing safety information on social distancing practices in multiple languages. Districts built community capacity through partnering with first responder, relief, and other community organizations. Increased social and economic resources were illustrated by providing technology assistance to families, childcare referrals for essential workers, and other wellness resources. Geospatial analysis suggests that service locations across cities varied to some degree by demographics and food environment, with potential gaps in reach. This study identifies strategies that have the potential to increase equitable access to nutrition assistance programs. Our findings can support (1) ongoing efforts to address child food insecurity during the pandemic and (2) future meal provision through programs like the Summer Food Service Program and Seamless Summer Option. Future research should further examine the rationale behind meal site placement and how site availability changed over time.