scholarly journals Food Insecurity and Healthcare Utilization in Indonesia: Evidence from Indonesian National Household Surveys

2021 ◽  
Vol 30 ◽  
pp. 222-239
Author(s):  
Ririn Kuncaraning Sari ◽  
◽  
Dwini Handayani ◽  

Treatment for sicknesses in healthcare is a crucial determinant to improve health. In Indonesia, the unmet need for healthcare is common for people in the lower economic group. This study aims to examine how food insecurity affects outpatient care using the indicators of food insecurity to highlight individuals with high health risks and experiencing problems with limited resources. The data used in this study consisted of 159,236 individuals representing different age ranges from the 2017 National Socio-Economic Survey (SUSENAS) and the 2018 Village Potential Census (PODES). Data were analyzed using ivprobit to address bias due to the endogeneity in the food insecurity variables. The results indicate that a higher food insecurity score will increase the chances of not accessing modern healthcare for outpatient care when sick. Several variables like sex, types of residence, number of household members living together, access to healthcare, health insurance, social protection, and illness characteristic were also found to influence individual behavior in not utilizing modern healthcare for outpatient care. This study suggests that policymakers should pay attention to the utilization of modern healthcare, especially for outpatient care in groups experiencing food insecurity.

2021 ◽  
pp. 089011712110561
Author(s):  
Karen Strazza ◽  
Julia Jordan ◽  
Kate Ferriola-Bruckenstein ◽  
Heather Kane ◽  
John Whitehill ◽  
...  

Purpose This study describes how recipients of the Centers for Disease Control and Prevention funded Sodium Reduction in Communities Program (SRCP) worked with emergency food programs to improve access to healthy food to address chronic conditions. Design SRCP recipients partnered with emergency food programs to implement sodium reduction strategies including nutrition standards, procurement practices, environmental strategies, and behavioral economics approaches. Setting SRCP recipients and emergency food programs in Washington County and Benton County, Arkansas and King County, Washington. Subjects SRCP recipient staff, emergency food program staff, and key stakeholders. Measures We conducted semi-structured interviews with key stakeholders and systematic review of program documents. Analysis Data were analyzed using effects matrices for each recipient. Matrices were organized using select implementation science constructs and compared in a cross-case analysis. Results Despite limited resources, emergency food programs can implement sodium reduction interventions which may provide greater access to healthy foods and lead to reductions in health disparities. Emergency food programs successfully implemented sodium reduction interventions by building on the external and internal settings; selecting strategies that align with existing processes; implementing change incrementally and engaging staff, volunteers, and clients; and sustaining changes. Conclusion Findings contribute to understanding the ways in which emergency food programs and other organizations with limited resources have implemented public health nutrition interventions addressing food insecurity and improving access to healthy foods. These strategies may be transferable to other settings with limited resources.


Author(s):  
Hannah Lambie-Mumford

Chapter 3 sets out the key theories with which the book engages: food insecurity and the human right to food. Following on from a conceptualisation and definition of food insecurity, the right to food is introduced. Emphasis is placed on normative element of ‘adequacy and sustainability of food availability and access’ and on the state’s obligation to ‘respect, protect and fulfil the right to food’. Theories of ‘othering’ and ‘agency’ are employed to assess the social acceptability of emergency food systems as a means of acquiring food, and the power of providers to make sufficient food available through these systems and of potential recipients to access it. Theories of ‘care’ and ‘social protection’ are employed to explore the ways in which charitable providers are in practice taking responsibility for the duty to respect, protect and fulfil the right to food and how shifts in welfare policy are affecting need for this provision.


2021 ◽  
Vol 6 ◽  
Author(s):  
Rebekah Fox ◽  
Joshua Frye

According to the School Nutrition Association, nearly 100,000 schools serve free or reduced school lunches and breakfasts daily to approximately 34. 34 million students nationwide. However, as COVID-19 forced many schools to close, students who depended on the public schools to meet the majority of their nutritional needs faced an even larger battle with food insecurity. Recognizing this unmet need, and that food insecurity was intertwined with other needs within the community, the Crystal Bridges Museum of American Art and its satellite contemporary art space the Momentary, partnered with the Northwest Arkansas Food Bank and over 30 additional partner organizations to pivot their existing outreach services. In this case study, we identify lessons learned by Crystal Bridges that might be useful for other organizations who seek to foster meaningful engagement with the public, especially in times of crisis. Specifically, we focus on three main lessons: 1) how the museum created a plan to learn through the pivot in order to capture their own lessons, 2) how the members of the organization experienced a sense of coming together (congregation) during the pivot, and 3) how the organization planned to improve both internal and external communication.


2015 ◽  
Vol 7 (4) ◽  
pp. 668-687 ◽  
Author(s):  
Joanna Brzeska ◽  
Mousumi Das ◽  
Shenggen Fan

Purpose – The purpose of this paper is to identify the pathways through which social protection policies in China and India can address the key challenges facing poor, vulnerable, and disadvantaged groups under rapid transformation in both countries. Design/methodology/approach – This paper reviews the main social protection policies in China and India and analyzes the challenges that they are facing. This analysis is based on an evaluation of poverty and food security trends in both countries among vulnerable and disadvantaged groups followed by an overview of major experiences and gaps in social protection policies in the two emerging Asian giants. Findings – Improving the coverage and targeting of social protection systems is vital, and will require a multi-faceted reform portfolio that promotes more integrated and horizontally equitable systems. Emphasis should be placed on developing productive, cross-sectoral social protection programs that combine short-term social safety support with long-term tools to enhance productivity, paying special attention to nutrition, health, and human capital development. More efficient coverage and targeting should bridge the rural and urban divide and be grounded in transparent criteria and procedures that govern program implementation at all levels of the government. As both countries become more urbanized, social protection programs need to give equal attention to emerging food insecurity and nutrition issues within urban areas without detracting from food security and nutrition efforts in rural areas. Originality/value – Faced with a sizable population of undernourished and poor people, India and China have applied rather different approaches to address food insecurity. The originality and value of this paper lie in an in-depth parallel analysis of how China and India can better use their social protection systems to address food insecurity and undernutrition among poor, vulnerable, and disadvantaged groups.


2016 ◽  
Vol 89 ◽  
pp. 44-50 ◽  
Author(s):  
Rachel Loopstra ◽  
Aaron Reeves ◽  
Martin McKee ◽  
David Stuckler

Author(s):  
Agnieszka Poczta-Wajda

The problem of food insecurity of small-scale farms is often addressed in the literature, but there is a research gap with regard to food insecurity of small-scale farms in developed countries. This issue is important especially in countries with a fragmented agrarian structure, including Poland. Hence, this article aims to identify the level of food insecurity of small-scale farms in Poland and its determinants. It is based on a survey (710 questionnaires) distributed among small-scale farmers in Poland. The survey was conducted in 2018 and included the modified Household Food Insecurity Access Scale (HFIAS). According to the HFIAS algorithm, 56.5% of small-scale farms in Poland declared to be food secure, 23.5% of farms were classified as mild food insecure, 11.3% as moderate food insecure and 8.6% as severe food insecure. In order to find determinants of the level of food insecurity of small-scale farms, a zero-inflated Poisson regression model was used. Results revealed that farm households with an older manager, with children, with a higher disposable income per capita and using own products in the daily diet experienced a lower level of food insecurity. Farm households producing dairy cows and having five or more household members experienced higher food insecurity.


2017 ◽  
Vol 1 (01) ◽  
pp. 16
Author(s):  
Hefrizal Handra ◽  
Zamzami Zamzami

<p>This research is purposed to learn the behaviors of poor households in managing their income for buying cigarettes using data from the National Social Economic Survey of West Sumatera Province in 2013 using OLS method as a tool of analysis.<br />Results of the analysis show that the cigarette spending in percentage of income in smoker households in West Sumatera Province is very large, far larger than the percentage of spending for education and health. Household cigarette spending is influenced by income factors, cigarette prices, number of adult male household members, area of residence, age category of the household head, and education of the household head.</p><p>JEL Classification: D10, D31, P46<br />Keywords: Cigarette Spending, OLS Regression, Smoking Household, Taste Intervention</p>


2020 ◽  
Vol 16 (4) ◽  
pp. 509-518
Author(s):  
Misnaniarti Misnaniarti ◽  
Fenny Etrawati

Implementation of National Health Insurance is thought to be the cause ofincreasing number of visits to health facilities, especially in elderly peoplewho tend to be in sick. This study aims to analyze the outpatient utilizationby elderly in South Sumatera region. Study design was cross-sectional.Samples was elderly in South Sumatra (n = 2,833 people). Study done on2016, using data from Survei Sosial Ekonomi Nasional (Susenas) at 2015. Dataanalysis used chi-square test and multiple logistic regression. Based on thestudy known that outpatient utilization of elderly in all health facilitiesduring the past month amounted to 29.2%. Providers selected when elderlyneeded of outpatient treatment, most often visited to the doctor&#39;spractice/midwife&#39;s practice (46.2%), and puskesmas (24.2%). Elderly whohas private health insurance have a tendency was 1.9 times greater (OR=1.9)to utilize outpatient compared to elderly who do not have insurance. Itsconcluded that variables associated with outpatient care utilization are:health insurance membership (OR=1.9) and work activity (OR=1.5). It isrecommended for elderly to remain active in their activities so that they canrealize the healthy and active aging and reduce the sick visits to healthfacilities.


2017 ◽  
Vol 4 (2) ◽  
pp. 206-228 ◽  
Author(s):  
Brian C. Thiede ◽  
Scott R. Sanders ◽  
Daniel T. Lichter

The authors examine racial disparities in infants’ exposure to economic disadvantage at the family and local area levels. Using data from the 2008–2014 files of the American Community Survey, the authors provide an up-to-date empirical benchmark of newborns’ exposure to poverty. Large shares of Hispanic (36.5 percent) and black (43.2 percent) infants are born poor, though white infants are also overrepresented among the poor (17.7 percent). The authors then estimate regression models to identify risk factors and perform decompositions to identify compositional factors underlying between-race differences. Although more than half of the black-white poverty gap is explained by differences in family structure and employment, these factors account for less than one quarter of white-Hispanic differences. The results also highlight the unmet need for social protection among babies born to poor families lacking access to assistance programs and the safety net. Hispanic infants are particularly likely to be doubly disadvantaged in this manner. Moreover, large and disproportionate shares of today’s black (48.3 percent) and Hispanic (40.5 percent) babies are born into poor families and places with poverty rates above 20 percent. These results raise important questions about persistent and possibly growing racial inequality as America makes its way to a majority-minority society as early as 2043.


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