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Mitigating childhood food insecurity during COVID-19: a qualitative study of how school districts in California's San Joaquin Valley responded to growing needs.
Jowell, Ashley H; Bruce, Janine S; Escobar, Gabriela V; Ordonez, Valeria M; Hecht, Christina A; Patel, Anisha I.
  • Jowell AH; Stanford University School of Medicine, Stanford, CA, USA.
  • Bruce JS; Pediatrics, Stanford University School of Medicine, 3145 Porter Drive, F110, Palo Alto, CA94304, USA.
  • Escobar GV; Pediatrics, Stanford University School of Medicine, 3145 Porter Drive, F110, Palo Alto, CA94304, USA.
  • Ordonez VM; Pediatrics, Stanford University School of Medicine, 3145 Porter Drive, F110, Palo Alto, CA94304, USA.
  • Hecht CA; Nutrition Policy Institute, University of California, Division of Agriculture and Natural Resources, Oakland, CA, USA.
  • Patel AI; Pediatrics, Stanford University School of Medicine, 3145 Porter Drive, F110, Palo Alto, CA94304, USA.
Public Health Nutr ; : 1-11, 2021 Jul 30.
Article in English | MEDLINE | ID: covidwho-2315806
ABSTRACT

OBJECTIVES:

To explore best practices and challenges in providing school meals during COVID-19 in a low-income, predominantly Latino, urban-rural region.

DESIGN:

Semi-structured interviews with school district stakeholders and focus groups with parents were conducted to explore school meal provision during COVID-19 from June to August 2020. Data were coded and themes were identified to guide analysis. Community organisations were involved in all aspects of study design, recruitment, data collection and analysis.

SETTING:

Six school districts in California's San Joaquin Valley.

PARTICIPANTS:

School district stakeholders (n 11) included food service directors, school superintendents and community partners (e.g. funders, food cooperative). Focus groups (n 6) were comprised of parents (n 29) of children participating in school meal programmes.

RESULTS:

COVID-19-related challenges for districts included developing safe meal distribution systems, boosting low participation, covering COVID-19-related costs and staying informed of policy changes. Barriers for families included transportation difficulties, safety concerns and a lack of fresh foods. Innovative strategies to address obstacles included pandemic-electronic benefits transfer (EBT), bus-stop delivery, community pick-up locations, batched meals and leveraging partner resources.

CONCLUSIONS:

A focus on fresher, more appealing meals and greater communication between school officials and parents could boost participation. Districts that leveraged external partnerships were better equipped to provide meals during pandemic conditions. In addition, policies increasing access to fresh foods and capitalising on United States Department of Agriculture waivers could boost school meal participation. Finally, partnering with community organisations and acting upon parent feedback could improve school meal systems, and in combination with pandemic-EBT, address childhood food insecurity.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Qualitative research / Randomized controlled trials Language: English Journal: Public Health Nutr Journal subject: Nutritional Sciences / Public Health Year: 2021 Document Type: Article Affiliation country: S1368980021003141

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Qualitative research / Randomized controlled trials Language: English Journal: Public Health Nutr Journal subject: Nutritional Sciences / Public Health Year: 2021 Document Type: Article Affiliation country: S1368980021003141