Women’s participation in the local food system and implications for their dietary quality in rural Northern Ghana: A qualitative study

Background Women’s activities within local food systems are linked with their dietary quality. Their ability to achieve a nutritious diet is often limited by socio-cultural norms, which have not been adequately studied. This study examined socio-cultural norms linked with rural food systems and their adverse effects on women’s diets. Methods The study was conducted in two rural communities, Yilkpene and Kpachilo, in Northern Ghana between May and July 2016. Sixteen key informant interviews (KII) with community and institutional leaders, and eleven focus group discussions (FGDs) with community members were used to explore the nature of the food system, (production, processing, distribution, preparation and consumption), and how it is influenced by socio-cultural norms. Transcribed interviews were coded and analysed thematically, using inductive reasoning. Results The components of the food system in both communities were constructed, primarily, around men. Quantities, quality, and varieties of produce, distribution/marketing, and intra-household allocation were strongly dominated by male perceptions and practices about access and ownership of productive resources, and roles and responsibilities of household members. Men dominated in the production of cereals, and legumes, while women mainly produced/harvested vegetables and fruits, and limited quantities of legumes that have low economic value. Men sell their produce at higher market prices, at urban markets; women rarely sell their vegetables; it is preserved and stored for home consumption. Women’s produce were often sold at farm gates or local markets at lower prices, for income to supplement household diets. Men are responsible for allocating staple foods used in the household for meal preparation to women; women are expected to provide other ingredients needed to accompany the supply of staple food provided by men. Although women prepare household meals, men receive lion’s share of nutrient-dense portions of meals. Conclusion The local food system is heavily dominated by gender-driven socio-cultural norms, which constitute a barrier to women achieving dietary adequacy. Interventions are needed to improve women’s diets; such interventions should deliberately address these culturally-established barriers, in contexts where subsistence farming is the main source of livelihood.

Improving Food Systems: A Participatory Consultation Exercise to Determine Priority Research and Action Areas in Viet Nam

With increased burden of malnutrition on global health, there is a need to set clear and transparent priorities for action in food systems at a global and local level. While priority settings methods are available for several adjacent domains, such as nutrition and health policies, setting priorities for food system research has not been documented and streamlined. The challenges involve food systems' multisector, multi-stakeholder and multi-outcome nature. Where data exists, it is not easy to aggregate data from across food system dimensions and stakeholders to make an informed analysis of the overall picture of the food system, as well as current and potential food system trade-offs to inform research and policy. Once research priorities are set, they risk staying on paper and never make their ways to concrete outputs and outcomes. In this paper, we documented and assessed the inclusive process of setting research priorities for a local food system, taking Vietnamese food systems as a case study. From this exercise, we examined how priority setting for food systems research could learn from and improve upon earlier priority setting research practices in other domains. We discussed the lessons for research and policies in local food systems, such as the need for a concrete follow-up plan accompanying the priority setting process.

The Drivers of Environmentally Sustainable Hospital Foodservices

Background: Hospital foodservices have the potential to positively contribute to the local food system and planetary healthcare. Understanding the factors contributing to the success of “exemplar hospitals” with environmentally sustainable foodservices gives an opportunity to reimagine foodservices and guide strategic planning. The aim of this study was to identify the drivers of sustainable hospital foodservices.Methods: For this qualitative multiple case study, purposive sampling was used to identify exemplar hospitals internationally. Semi-structured interviews were conducted with staff with extensive knowledge of their foodservices to explore the drivers of sustainable practices. Relevant documents provided background on the case. These documents and interview data were analyzed using the framework and thematic analysis.Findings: There were 21 participants from 14 hospitals recruited across nine countries. Sustainable foodservice practices included local and organic food procurement, gardens onsite, vegetarian menus, re-serving unopened portion-controlled items, traditional foods, and food waste composting. Four themes were identified: initiating drivers, supporting enablers, challenges, and influence. Initiating drivers that “sparked” sustainable practices included the values of individuals or the hospital (e.g., community, environmental, or religious values), logical solutions to a problem, or government requirements. Enablers that facilitated success included motivated individuals, dedicated personnel, supportive leadership, internal protocols, and perceived benefits. External enablers included being part of member organizations, government requirements, and learning from other hospitals. Exemplar hospitals had broader influence, including educating the hospital community, supporting other hospitals, and influencing government policies/targets. Common challenges were staff resistance and inadequate policy directive.Interpretation: These findings examine the successful international cases of sustainable hospital foodservices to provide a global overview to assist with strategic planning both within hospitals and within governing bodies.

Making Food-Systems Policy for Local Interests and Common Good

The unjust distribution of poor health outcomes produced via current United States food systems indicates the need for inclusive and innovative policymaking at the local level. Public health and environmental organizers are seeking to improve food environments from the ground up with locally driven policy initiatives but since 2010 have increasingly met resistance via state-government preemption of local policymaking power. This analysis seeks to understand how political actors on both sides of preemption debates use rhetorical argumentation. In doing so, we offer insights to the meaning-making process specific to food systems. We argue that advocates for local food-system innovations are forwarding understandings of food and community that contradict the policy goals they seek. We offer suggestions for local food and environmental advocates for adjusting their arguments.

What Do Values Have to Do With It?: Resilience of Two Types of Farmers in Hawai‘i to the COVID-19 Pandemic

A history of agriculture and socio-cultural formation has led to a complex local food system in Hawai‘i. Customary agricultural systems built by Kānaka ‘Ōiwi (Indigenous Hawaiian) are now rested within a landscape filled with many different crops tended by farmers from a variety of ethnic backgrounds. Value systems dictating farming practices and crop selling decisions differ. In Hawai'i, values of food security or food sovereignty are of particular importance, especially as growing movements seek to increase local production and decrease the state's reliance on imported food in the wake of the COVID-19 pandemic. In this study, we systematically compare two different groups of farmers in Hawai'i and their values related to production and distribution. We then analyze the experiences of these two groups of farmers during the COVID-19 pandemic and their responses to them. The study is based on interviews with 22 Indigenous Kānaka ‘Ōiwi (IF) and Non-Indigenous local farmers (LF) from the island of O‘ahu. Ninety percent of IF say values associated with both food security and sovereignty drive their production and distribution decisions, while 75% of LF describe food security as the sole driver. Sixty percent of IF follow a non-profit economic model and emphasize cultural and educational values in their production decisions. LF follow profit-driven models and emphasize the influence the market has in their decisions. Prior to the COVID-19 pandemic, IF sold or donated the bulk of their crops to the local community through farm pickups, while restaurants were the primary buyers of LF crops. During the pandemic, the local community continues to be the primary recipient for IF, and due to the closure of many restaurants, LF have pivoted their sales to the community as well. Farmer interviews are augmented by three interviews with Hawai'i food system experts and relevant literature to suggest multiple pathways state agencies and local organizations could implement to support farmers from different backgrounds through COVID-19 and into the future.

Changes in food pricing and availability on the Navajo Nation following a 2% tax on unhealthy foods: The Healthy Diné Nation Act of 2014

Introduction In 2014, the Navajo Nation Healthy Diné Nation Act (HDNA) was passed, combining a 2% tax on foods of ‘minimal-to-no-nutritional value’ and waiver of 5% sales tax on healthy foods, the first-ever such tax in the U.S. and globally among a sovereign tribal nation. The aim of this study was to measure changes in pricing and food availability in stores on the Navajo Nation following the implementation of the HDNA. Methods Store observations were conducted in 2013 and 2019 using the Nutrition Environment Measurement Survey-Stores (NEMS-S) adapted for the Navajo Nation. Observations included store location, type, whether healthy foods or HDNA were promoted, and availability and pricing of fresh fruits and vegetables, canned items, beverages, water, snacks and traditional foods. Differences between 2013 and 2019 and by store type and location were tested. Results The matched sample included 71 stores (51 in the Navajo Nation and 20 in border towns). In 2019, fresh produce was available in the majority of Navajo stores, with 71% selling at least 3 types of fruit and 65% selling at least 3 types of vegetables. Compared with border town convenience stores, Navajo convenience stores had greater availability of fresh vegetables and comparable availability of fresh fruit in 2019. The average cost per item of fresh fruit decreased by 13% in Navajo stores (from $0.88 to $0.76) and increased in border stores (from $0.63 to $0.73), resulting in comparable prices in Navajo and border stores in 2019. While more Navajo stores offered mutton, blue corn and wild plants in 2019 compared to 2013, these changes were not statistically significant. Discussion The findings suggest modest improvements in the Navajo store environment and high availability of fruits and vegetables. Navajo stores play an important role in the local food system and provide access to local, healthy foods for individuals living in this rural, tribal community.

Recognising, Safeguarding and Promoting Food Heritage: Challenges and Prospects for the Future of Sustainable Food Systems

The safeguarding and promotion of food heritage are often considered as a possible way for achieving social and cultural sustainability objectives. This literature review investigates some of the dynamics underlying the heritagisation of food and explores the risks of this process. It focuses mainly on anthropological, geographical, and sociological publications. Overall, it aims to shed light on the strengths and limitations of food heritagisation regarding the improvement of the socio-cultural sustainability of the food system. The analysis highlights cross-cutting risks, namely the omission of tangible and intangible elements of the local food system, and the exclusion of key stakeholders from the recognition and institutionalisation of food heritage. The review highlights the strict interdependence between intangible and tangible elements during food heritagisation, and assesses how local and global interactions can activate and shape this process. It sheds light on the need to pay more attention to the factors, actors, and relationships underpinning the emergence and recognition of food and food-related elements as part of the local heritage.

Future Food Sustainability Can Be Traced Back into Local People’s Socio-Cultural Roots in Uttarakhand Himalaya, India

Sustainable food system ensures adequate and safe food supply in an eco-friendly manner. We assessed food sustainability perception and practices of local community through structured interviews in sub-alpine settlements of Uttarakhand Himalaya. Major perceived challenges towards food sustainability were identified using Rank-Based Quotient analysis. Association with various socio-demographic factors (e.g., age, gender, education, socio-economy, and socio-culture) was tested. An overall neutral perception (mean score 2.9) and moderately sustainable practices (mean score 3.1) were observed. Respondents with higher socio-cultural score showed more sustainable food sourcing practices and more positive social and economic sustainability perception, as well as higher participatory willingness. Female respondents were more dependent on sustainable food sources than the males. Education level influenced food quality choice. People identified higher food production cost as major economic constraint; while small landholdings and labor migration were main social challenges. Land and water management issues and climate uncertainty were the major environmental constraints. Socio-cultural exposure played significant role in ranking these sustainability constraints. We encourage direct involvement of socio-culturally active people and conducting extensive outreach programs for future sustainable local food system in vulnerable Himalayan valleys.