Mitigating Childhood Food Insecurity during COVID-19: A Qualitative Study of how School Districts in California's San Joaquin Valley Responded to Growing Needs.
Public health nutrition
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 was coded and themes were identified to guide analysis. Community organizations 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 co-operative). Focus groups (n=6) were comprised of parents (n=29) of children participating in school meal programs.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-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 capitalizing on USDA waivers could boost school meal participation. Finally, partnering with community organizations and acting upon parent feedback could improve school meal systems, and in combination with pandemic-EBT, address childhood food insecurity.
View details for DOI 10.1017/S1368980021003141
View details for PubMedID 34325769
- Virtual Exchange in Global Health: an innovative educational approach to foster socially responsible overseas collaboration INTERNATIONAL JOURNAL OF EDUCATIONAL TECHNOLOGY IN HIGHER EDUCATION 2021; 18 (1)
- A life-course model for healthier ageing: lessons learned during the COVID-19 pandemic LANCET HEALTHY LONGEVITY 2020; 1 (1): E9-E10
Health interventions among mobile pastoralists: A systematic review to guide health service design.
Tropical medicine & international health : TM & IH
OBJECTIVE: Mobile pastoralists are one of the last populations to be reached by health services and are frequently missed by health campaigns. Since health interventions among pastoralists have been staged across a range of disciplines but have not yet been systematically characterized, we set out to fill this gap.METHODS: We conducted a systematic search in PubMed/MEDLINE, Scopus, EMBASE, CINAL, Web of Science, WHO Catalog, AGRICOLA, CABI, ScIELO, Google Scholar, and grey literature repositories to identify records that described health interventions, facilitators and barriers to intervention success, and factors influencing healthcare utilization among mobile pastoralists. No date restrictions were applied. Due to the heterogeneity of reports captured in this review, data were primarily synthesized through narrative analysis. Descriptive statistical analysis was performed for data elements presented by a majority of records.RESULTS: Our search yielded 4,884 non-duplicate records, of which 140 eligible reports were included in analysis. 89.3% of reports presented data from sub-Saharan Africa, predominantly in East Africa (e.g. Ethiopia, 30.0%; Kenya, 17.1%). Only 24.3% of reports described an interventional study, while the remaining 75.7% described secondary data of interest on healthcare utilization. Only two randomized controlled trials were present in our analysis, and only five reports presented data on cost. The most common facilitators of intervention success were cultural sensitivity (n=16), community engagement (n=12), and service mobility (n=11).CONCLUSION: Without adaptations to account for mobile pastoralists' unique subsistence patterns and cultural context, formal health services leave pastoralists behind. Research gaps, including neglect of certain geographic regions, lack of both interventional studies and diversity of study design, and limited data on economic feasibility of interventions must be addressed to inform the design of health services capable of reaching mobile pastoralists. Pastoralist-specific delivery strategies, such as combinations of mobile and "temporary fixed" services informed by transhumance patterns, culturally acceptable waiting homes, community-directed interventions, and combined joint human-animal One Health design as well as the bundling of other health services, have shown initial promise upon which future work should build.
View details for DOI 10.1111/tmi.13481
View details for PubMedID 32881232
COVID-19: A Matter of Planetary, not Only National Health.
The American journal of tropical medicine and hygiene
The COVID-19 pandemic highlights the multidimensional and inseparable connection between human health and environmental systems. COVID-19, similar to other emerging zoonotic diseases, has had a devastating impact on our planet. In this perspective, we argue that as humans continue to globalize and encroach on our surrounding natural systems, societies must adopt a "planetary health lens" to prepare and adapt to these emerging infectious diseases. This piece further explores other critical components of a planetary health approach to societal response, such as the seasonality of disease patterns, the impact of climate change on infectious disease, and the built environment, which can increase population vulnerabilities to pandemics. To address planetary health threats that cross international borders, such as COVID-19, societies must practice interdependence sovereignty and direct resources to organizations that facilitate shared global governance, and thus can enable us to adapt and ultimately build a more resilient world.
View details for DOI 10.4269/ajtmh.20-0419
View details for PubMedID 32431286
- Ethnic identity, resilience, and well-being: a study of female Maasai migrants INTERNATIONAL JOURNAL OF PUBLIC HEALTH 2018; 63 (6): 703–11
- A new vision for global health leadership LANCET 2017; 390 (10112): 2536–37
The impact of megacities on health: preparing for a resilient future
LANCET PLANETARY HEALTH
2017; 1 (5)
View details for Web of Science ID 000525852500008