scholarly journals Implementation of the Navajo fruit and vegetable prescription programme to improve access to healthy foods in a rural food desert

2020 ◽  
Vol 23 (12) ◽  
pp. 2199-2210
Author(s):  
Michael A Sundberg ◽  
Abigail C Warren ◽  
Joan VanWassenhove-Paetzold ◽  
Carmen George ◽  
Danya S Carroll ◽  
...  
Keyword(s):  
Healthy Foods ◽  
Fruit And Vegetable ◽  
Navajo Nation ◽  
Community Based ◽  
Community Needs ◽  
Programme Design ◽  
Dual Strategy ◽  
Flexible Adaptation ◽  
Assets Assessment ◽  
Broad Community

AbstractObjective:To utilise a community-based participatory approach in the design and implementation of an intervention targeting diet-related health problems on Navajo Nation.Design:A dual strategy approach of community needs/assets assessment and engagement of cross-sectorial partners in programme design with systematic cyclical feedback for programme modifications.Setting:Navajo Nation, USA.Participants:Navajo families with individuals meeting criteria for programme enrolment. Participant enrolment increased with iterative cycles.Results:The Navajo Fruit and Vegetable Prescription (FVRx) Programme.Conclusions:A broad, community-driven and culturally relevant programme design has resulted in a programme able to maintain core programmatic principles, while also allowing for flexible adaptation to changing needs.

scholarly journals Healthy eating: a matter of prioritisation by households or policymakers?

2021 ◽  
pp. 1-3
Author(s):  
Joreintje Dingena Mackenbach
Keyword(s):  
Decision Making ◽  
Healthy Eating ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Food System ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Healthy Foods ◽  
Fruit And Vegetable ◽  
Decision Making Processes

Abstract I reflect upon the potential reasons why American low-income households do not spend an optimal proportion of their food budgets on fruits and vegetables, even though this would allow them to meet the recommended levels of fruit and vegetable consumption. Other priorities than health, automatic decision-making processes and access to healthy foods play a role, but solutions for the persistent socio-economic inequalities in diet should be sought in the wider food system which promotes cheap, mass-produced foods. I argue that, ultimately, healthy eating is not a matter of prioritisation by individual households but by policymakers.

LGBTQ Community Needs and Assets Assessment of a Sexual Health Clinic: A Brief Report

2021 ◽  
Author(s):  
Lauren Mizock ◽  
Catelynn Kenner ◽  
Anna DiStefano ◽  
Michele Harway ◽  
Kathy Kaya ◽  
...  
Keyword(s):  
Sexual Health ◽  
Health Clinic ◽  
Community Needs ◽  
Assets Assessment

Exclusion by Design: Lack of Information about Community Participation in COVID-19-related Mobile Apps and its Relationship to Digital Health Disparities (Preprint)

2021 ◽  
Author(s):  
Muhammed Yassin Idris ◽  
Maya Korin ◽  
Faven Araya ◽  
Sayeeda Chowdhury ◽  
Humberto Brown ◽  
...  
Keyword(s):  
Community Participation ◽  
Mobile Health ◽  
Medical Information ◽  
Mobile Apps ◽  
Digital Health ◽  
Community Based ◽  
Health Technologies ◽  
Community Needs ◽  
App Development ◽  
Communities Of Color

UNSTRUCTURED The rate and scale of transmission of COVID-19 overwhelmed healthcare systems worldwide, particularly in under-resourced communities of color that already faced a high prevalence of pre-existing health conditions. One way the health ecosystem has tried to address the pandemic is by creating mobile apps for telemedicine, dissemination of medical information, and disease tracking. As these new mobile health tools continue to be a primary format for healthcare, more attention needs to be given to their equitable distribution, usage, and accessibility. In this viewpoint collaboratively written by a community-based organization and a health app development research team, we present results of our systematic search and analysis of community engagement in mobile apps released between February and December 2020 to address the COVID-19 pandemic. We provide an overview of apps’ features and functionalities but could not find any publicly available information regarding whether these apps incorporated participation from communities of color disproportionately impacted by the pandemic. We argue that while mobile health technologies are a form of intellectual property, app developers should make public the steps taken to include community participation in app development. These steps could include community needs assessment, community feedback solicited and incorporated, and community participation in evaluation. These are factors that community-based organizations look for when assessing whether to promote digital health tools among the communities they serve. Transparency about the participation of community organizations in the process of app development would increase buy-in, trust, and usage of mobile health apps in communities where they are needed most.

scholarly journals The Nutritional Quality of Lunch Meals Eaten at Danish Worksites

Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1518 ◽  
Author(s):  
Anne Lassen ◽  
Pia Knuthsen ◽  
Anette Bysted ◽  
Elisabeth Andersen
Keyword(s):  
Gender Differences ◽  
Energy Density ◽  
Nutritional Quality ◽  
Vegetable Intake ◽  
Fruit And Vegetable Intake ◽  
Healthy Foods ◽  
Fruit And Vegetable ◽  
Nutritional Environment ◽  
Macronutrient Distribution

Monitoring the nutritional environment is important to help inform future initiatives to improve access to healthy foods. The objective was to examine the nutritional quality of lunch meals eaten at 15 worksite canteens and then to compare with results from a study conducted 10 years before. The duplicate-portion-technique with subsequent chemical analysis was used to quantify 240 customers’ lunch intake. Estimated mean energy intake was 2.1 MJ/meal (95% confidence interval (CI): 1.9 to 2.4 g/meal) and estimated energy density 599 kJ/100 g (95% CI 550 to 653 kJ/100 g). Energy density of the male participants’ meals were significantly higher compared with the female participants’ meals (+55 kJ/100 g, 95% CI: +12 to +98 kJ/100 g, p = 0.012), whereas no gender differences were found in macronutrient distribution or fruit and vegetable intake. Compared to the study conducted 10 years before several significant changes were observed, including an increase in mean estimated intake of fruit and vegetables (+38 g/meal, 95% CI: 19 to 57 g/meal, p < 0.001) and a decrease in energy density (−76 kJ/100 g, 95% CI: −115, −37 kJ/100 g, p < 0.001). In conclusion, this study suggests an equalization of gender differences in fruit and vegetable intake and a possible improvement in the nutritional quality of canteen lunch meals over a 10-year period.

scholarly journals Peran Gerakan “Sewu-Sewu” dalam Pembangunan Desa dengan Berbasis Gotong –Royong

2020 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Muhammadun Muhammadun
Keyword(s):  
Physical Development ◽  
Survey Method ◽  
Structured Interviews ◽  
Community Based ◽  
Mutual Cooperation ◽  
Community Needs ◽  
Public Facilities ◽  
Self Help ◽  
Surrounding Environment ◽  
Distribution Process

This research was conducted by observing the location to see how the community looks for alternative policies that can help solve the problem of limited development funds in the surrounding environment, and finally to explore and understand sewu-sewu activities as a way to generate community-based development funds. This study used a survey method with direct observation, structured interviews and tested the validity of the data using source triangulation. The results showed that the provision of public goods (public facilities) can be realized through mutual cooperation which is reflected in sewu-sewu activities. This activity includes regulation and management in which there is a money collection process, distribution process and a process of managing sewu-sewu collection. The implementation of this activity is carried out in RW. 4 villages of Karang Asem, Luwemunding District, Majalengka Regency. Through the implementation of this activity, it can increase the independence of a community to be able to provide community needs, one of which is in the form of physical development through community self-help. Abstrak Penelitian ini dilakukan dengan pengamatan ke lokasi untuk melihat bagaimana cara masyarakat dalam mencari alternatif kebijakan yang dapat membantu memecahkan masalah keterbatasan dana pembangunan di lingkungan sekitar, dan akhirnya menggali serta memahami kegiatan sewu-sewu sebagai suatu cara untuk menghasilkan dana pembangunan yang berbasis komunitas. Penelitian ini menggunakan metode survei dengan observasi langsung, wawancara terstruktur dan menguji keabsahan data menggunakan triangulasi sumber. Hasil penelitian menunjukkan bahwa penyediaan barang publik (fasilitas umum) dapat di wujudkan melalui gotong royong yang tercermindalam kegiatan sewu-sewu. Kegiatan ini meliputi pengaturan dan pengurusan yang didalamnya terdapat proses pengumpulan uang, proses pendistribusian dan proses pengelolaan hasil pengumpulan sewu-sewu. Pelaksanaan kegiatan ini dilakukan di RW. 4 desa Karang Asem Kecamatan Luwemunding Kabupaten Majalengka. Melalui pelaksanaan kegiatan ini, dapat meningkatkan kemandirian suatu komunitas warga untuk dapat menyediakan kebutuhan komunitas yang salah satunya berupa pembanguna fisik melalui swadaya masyarakat.    

scholarly journals Implementing Population-wide Mass Media Campaigns: Key Driving Factors to Meet Global Recommendations on Fruit and Vegetable Consumption

2021 ◽  
Author(s):  
Sirinya Phulkerd ◽  
Sasinee Thapsuwan ◽  
Aphichat Chamratrithirong ◽  
Rossarin Soottipong Gray ◽  
Umaporn Pattaravanich ◽  
...  
Keyword(s):  
Mass Media ◽  
Vegetable Consumption ◽  
Binary Logistic Regression Analysis ◽  
Sociodemographic Characteristics ◽  
Fruit And Vegetable ◽  
Community Based ◽  
Thai Population ◽  
Media Campaigns ◽  
Minimum Requirement ◽  
Recommended Level

Abstract Background While the influence of implementation of mass media and community-based campaigns has been evident elsewhere, this information has been notably absent in Thailand. This study aimed to investigate the association between implementation of mass media campaigns (MMC) and community-based campaigns (CBC) for increased fruit and vegetable (FV) consumption to meet the global recommended level in the Thai population. Methods The sample was obtained from a nationally-representative, longitudinal household survey of the Thai population, Wave1 (2018) and Wave2 (2019). The study applied a multi-stage sampling design to obtain a sample of persons age 15 years or older. Face-to-face interviews were conducted with 3,010 respondents who successfully participated in both Wave1 and Wave2 surveys. Information on FV consumption, exposure to Government MMC, ThaiHealth MMC including social marketing (MMSMC) and CBC, and sociodemographic characteristics were collected. Binary logistic regression analysis was used to investigate the association between implementation of those campaigns and increased FV consumption compared to the recommended level. Results Of the total respondents, only 11.3% had higher FV consumption and also met the minimum requirement. Respondents who lived in rural areas, were farmers, and grew FV at home had the highest probability of increased FV consumption. Exposure to the MMC and CBC was also associated with an increase in FV consumption. Above all, those who had exposure to the MMSMC, who reported either having high level of perception (OR=1.832, 95% CI 1.259-2.666) or ever heard or seen (OR=1.770, 95% CI 1.264-2.479) or heard and seen (OR=1.698, 95% CI 1.131-2.550) campaign information were more likely to have a substantial increase in FV consumption and meeting/exceeding the recommended level than those who were not exposed to these campaigns. Other associated factors include education, occupation and physical activity. Conclusions Implementation of MMSMC can help the population meet the global recommended level of FV consumption. MMC and CBC should also be promoted together with support systems to increase their intensity to a level that can increase population FV consumption to meet the recommended level. Sociodemographic characteristics should be taken into account, and targeted media is needed to effectively reach specific sub-groups of the population.

Sign in / Sign up

Export Citation Format

Share Document