Charitable Food Research Articles

Evaluation of USDA Foods Programs for households using nutrition guidelines for the charitable food system.

The United States Department of Agriculture (USDA) Foods programs for households (i.e., The Emergency Food Assistance Program (TEFAP), the Food Distribution Program on Indian Reservations (FDPIR), and the Commodity Supplemental Food Program (CSFP)) are designed to provide nutritious foods at no cost to income-eligible individuals in the U.S. To evaluate the nutritional quality of the foods available from three USDA Foods programs for households (i.e., TEFAP, FDPIR, and CSFP) according to the Healthy Eating Research (HER) Guidelines for the Charitable Food System. Review of the nutritional information of the foods available from USDA Foods programs for households. Using the HER Guidelines, foods were categorized into a three-tiered system (i.e., choose often/green; choose sometimes/yellow; choose rarely/red) based on levels of saturated fat, sodium, and added sugar per serving, and presence of whole grains. All unique foods available from TEFAP, FDPIR, and CSFP (N=152) for fiscal year 2022 were evaluated. Nutritional quality of the foods available from USDA Foods programs for households according to the HER Guidelines. Foods were ranked green, yellow, red, or not ranked. The proportion of foods in each HER Guidelines' rank was calculated across the three USDA Foods programs for households and by each program. The majority of USDA Foods were ranked green (57.2%) or yellow (35.5%). A small number of items were ranked red (3.3%) or were unranked condiments or cooking staples (3.9%). The USDA Foods available in the household programs were primarily fruits and vegetables; lean proteins; whole grains; and low-fat dairy products that were consistent with national dietary guidelines. There is some room for improvement, and adjustments in the specifications for certain items are recommended to further strengthen the nutritional value of the foods provided through these important federal programs.

Senior's Perceived Barriers to Accessing an Urban Charitable Food Assistance Program

Senior's Perceived Barriers to Accessing an Urban Charitable Food Assistance Program

PTFS03-05-23 Nutritional Quality, Level of Food Processing, and the Charitable Food System

PTFS03-05-23 Nutritional Quality, Level of Food Processing, and the Charitable Food System

Dietary risk of donated food at an Australian food bank: an audit protocol

BackgroundSufficient, safe and nutritious food is unattainable for many people experiencing severe food insecurity, putting them at dietary risk. Food banks, a growing part of the charitable food system (CFS), are the main source of food relief in developed countries. Donations of surplus, unsalable food from supermarkets, producers and manufacturers is the main source of the food supply, and this can be unpredictable, insufficient and inappropriate. The universal performance indicator of food-banking success is a weight-based measure, complemented by various initiatives to track the nutritional quality of food provided. There is currently no method that assesses the dietary risk of donated food related to nutrition and food safety. This protocol describes a method developed to identify and assess the dietary risk of donated food at an Australian food bank including the type, amount, nutrition quality, and food safety.MethodsAn audit of all food donated to a food bank servicing one Australian state was conducted over five consecutive days in May 2022. The audit process used a mobile device to take photographs of all incoming deliveries to the food bank. The images were manually annotated to document the type of food, product information (brand and product name, variety), the donor’s name, weight (kilograms), and date-marking details. Data was extracted from the photographs and assessed against pre-determined dietary risk criterion for food safety (date marking, damaged packaging, visible food spoilage) and nutrition quality according to the principles of the Australian Guide to Healthy Eating, and the NOVA classification of level of processing.DiscussionFifteen hundred images were required to assess the dietary risk of 86,050 kg of donated food. There were 72 separate donations, largely from supermarkets and food manufacturers. Data analysis will enable identification of dietary risk, particularly for nutrition quality and food safety. This is important given the absence of food regulation for CFS donations, and the vulnerability of the client group. This protocol highlights the need for more transparency and accountability from food donors, about the food they donate.

Pantry direct: A transformative supply chain for reducing food insecurity

AbstractThe food bank, a nonprofit, humanitarian organization, recovers charitable food donations from retail stores via collaborative relationships. We demonstrate that decentralized supply chains enable local partnerships and drive value creation via increased exchange of products and services that also better align with community needs. Our supply chain intervention resulted in a reduction in waste disposal costs for the retailer and a greater supply of food for the food bank. We study the private–public partnership (PPP) in retail food recovery in two successive phases. The first exploratory phase incorporates qualitative data from key informants at multiple Feeding America partners across the United States. The second phase was a researcher‐led supply chain intervention involving multiple stakeholders and executed with our partner food bank. Our intervention, Pantry Direct, represents a transition in the PPP to a decentralized, community network. It shifts the pickup responsibility for retail food recovery to a purely volunteer workforce at the pantry. Retail store management noticed lower pickup service reliability; however, more frequent interactions between food pantry volunteers and retail store employees improved communication, which overshadowed the limitations of the volunteer workforce. Owing to several factors, the gain in PPP performance was not universal. Among the five retail stores that participated in the supply chain intervention, two increased food donations and two others decreased food waste. The Pantry Direct model is transformative in the fight against food insecurity, as increased volume (and quality) of retail food donations enabled downstream pantries to provide end clients with more adequate, consistent, or appropriate access to food.

Farm to Food Bank: Exploring the Ties between Local Food Producers and Charitable Food Assistance☆

AbstractThis research explores the dependencies between community food security and local food movements. We use a mixed methods approach that includes: analysis of 2.97 million pounds of food bank donations from 296 organizations, network analysis of the local food system with 77 farms and 439 market connections, and 24 interviews with food bank donors and staff. We find strong ties between the food bank and local food producers, particularly producers that are organic and sell directly to the public. Nearly half the donating farms also sold to local markets; and together supplied the majority of locally produced food (296,090 pounds) distributed by the food bank. Yet, both movements operate within capitalist systems, even when the food is decommodified. Producer motivations for donating are not purely based on social responsibility to feed the hungry but also acknowledge the financial and marketing benefits of donating in terms of receiving tax credits, participating in procurement programs, and improving public relations. Our findings suggest that research and policy focused on local food systems or food security should consider such ties and their implications for growing or maintaining resulting practices.

Beyond Charity? Insights on the Upcycle Kitchen: A Food Rescue Work Integration Social Enterprise in Guelph, On

This research investigates a food rescue work integration social enterprise in Guelph, Ontario that upcycles surplus food into value-added products and meals. Charitable food aid organisations are widely criticised as stigmatising and ineffective by food insecurity and food waste scholars. We found that the Upcycle Kitchen’s social enterprise approach to food upcycling reduced the stigma associated with feeding rejected food to marginalised people, and the root of food insecurity (income inadequacy) is addressed through a training and employment program. This approach represents a compelling alternative to charity, and might affect waste and hunger policies through public advocacy and education.

Challenges to Food Charity Resilience During the COVID-19 Pandemic

ABSTRACT The coronavirus 2019 (COVID-19) pandemic caused many significant disruptions to the food system, including the charitable food sector. Using qualitative interviewing, this research draws from the experiences of food pantry staff and volunteers during the early months of the pandemic in the greater Buffalo, New York area. Participants describe the impacts of the COVID-19 pandemic on product acquisition, distribution, and other challenges. Buffalo food charity organizations adapted to these challenges and demonstrated how diversified food supply lines, strong interorganizational relationships, and federal food assistance programs could increase food charity organizations’ resilience to emergencies like pandemics in the future.

Food handlers’ knowledge, attitudes and self-reported practices regarding safe food handling in charitable food assistance programmes in the eThekwini District, South Africa: cross-sectional study

ObjectiveThis study aimed to assess food handlers’ knowledge, attitudes and self-reported practices towards safer donated foods.DesignThis cross-sectional study was conducted from January to May 2021.SettingThis study was conducted in the...

The charitable food system as a change agent.

The charitable food system as a change agent.

Policy approaches to nutrition-focused food banking in industrialized countries: a scoping review.

This review aims to synthesize the literature describing policy approaches to nutrition-focused food banking in industrialized countries, spanning the period 2000 to October 2021. The charitable food system provides food assistance to increasing numbers of people experiencing food insecurity in industrialized countries. Calls to improve the nutrition quality of foods provided by foods banks, pantries, and shelves have increased, yet little is known about the challenges faced when initiating policy in this setting. A protocol based on the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews Guidelines was developed and registered with Open Science Framework. Four electronic databases (MEDLINE [Ovid], Global Health, ProQuest, and Scopus) were searched for peer-reviewed articles published in English. A gray literature search was conducted using Google Advanced Search. Of 642 peer-reviewed articles screened, 15 were eligible for inclusion. In addition, 24 gray literature documents were included. These 39 papers were assessed against the Iron Triangle of Hunger Relief and the Campbell et al framework of organizational factors. Six themes were identified: (1) there is a moral imperative to take action to ensure the provision of appropriate and nutritious food for vulnerable clients; (2) nutrition policies are unlikely to be formalized; (3) the unpredictability of donated food is a barrier to providing healthy foods; (4) reliance on donations affects the sector's willingness to reduce the unhealthy inventory for fear of losing donors, and the challenges of managing donor relationships were emphasized; (5) organizational capacity (volunteer workforce, executive leadership support) must be considered; (6) the existing measure of success is a weight-based metric that does not support food banks' prioritizing of healthy foods. These, and other characteristics, were incorporated into an adapted framework. There is a need and opportunity for nutrition-focused food banking. A priority action area is the adoption of an outcome metric that is based on nutritional quality, to reorient the charitable food system.

Feeding lines: Standing up in the neoliberal charitable food regime

This review explores the production and management of hunger under capitalism through the work of four scholars’ embeddedness with expanding feeding lines in rich but unequal countries of the Global North. We engage with their methodologies, placing the material and discursive infrastructures undergirding the explosion of charitable food networks within the rich literature on food and hunger in geography. Bringing Food Bank Nations, Feeding the Crisis, Feeding the Other, and A Mass Conspiracy to Feed People in conversation reveals the critical function that charitable food assistance plays in revaluing food waste on behalf of the corporate food regime and disciplining people navigating precarious life in urban spaces. We also highlight the possibilities that the fraught politics of the feeding line afford to scholar activists and activist scholars advancing movements for food justice, food sovereignty, and the right to food.

Perspectives of Food Insecurity and Service Delivery amongst Emergency Food Relief Clients in a Regional City in Victoria, Australia

This cross-sectional study examined the experiences of people accessing Emergency Food Relief (EFR) in the regional city of Ballarat, Victoria, Australia, including determinants, impacts of food insecurity, and service delivery recommendations. The forty-one item survey examined demographics, food security status (six-item adult US-Household Food Security Survey Module), food acquisition, use of charitable food services, and self-rated health. Adults n = 100 accessing meal programs and/or EFR services from three EFR organisations in 2018 were surveyed. Ninety-seven percent of participants received government social security payments. Food insecurity prevalence was 92% (USDA-HFSSM 6 item); of these, 63% were experiencing very low food security. Over half (54%) of households with children (n = 26) reported being sometimes unable to feed their children balanced meals and 50% indicated that they were not eating enough. Participants (47%) relied on EFR services for food between one and five years. Poor self-rated dental health was expressed by over 50% of participants and 97% indicated the importance for services to provide healthy food. Food insecurity prevalence was high and chronic among adults receiving EFR services in a large regional Australian city. Recipients’ poor dental health, chronicity of use of services for food assistance, and calls for healthier food suggest more was needed to secure pathways out of food insecurity. The chronicity of reliance on EFR is a concern. The results of this study are likely to be of interest to providers and funders of EFR, policy makers, academics, and client advocates. Whilst the provision of EFR is not a sustainable solution to the problem of food insecurity, scope exists to improve service delivery to uphold principles of dignity, choice, and access to nutritious food. Furthermore, this highlights that the key strategies to mitigate food insecurity lie beyond simply feeding people.

Navigating the Australian Welfare System for Those Relying on Emergency and Community Food Assistance

More than one in ten Australians live in poverty, with many relying on government provided support and emergency payments. These payments are insufficient to cover basic costs of living, and as a result, many people are forced to engage with emergency and community food assistance. The aim of this article is to explore the experiences of those who, despite being in receipt of an Australian welfare payment and engaged with the welfare system, rely on charitable food assistance for some or all of their weekly food supply. Interviews were conducted with seventy-eight people and were thematically analysed. The main findings of this study are the significant challenges faced by people who are on very low incomes when navigating the government-provided welfare and non-government charity systems and the insufficiency of the welfare system in providing income to meet basic costs of living.

Development and evaluation of the Food Bank Health and Nutrition Assessment.

Efforts to improve the nutritional quality and health promotion in the charitable food system have been undertaken. Though methods exist to track these efforts in terms of food banks' inventory, there are not research-tested tools to assess, monitor and influence policy, systems and environmental (PSE) changes. The study objective was to develop and evaluate a novel assessment tool that could be used to evaluate a food bank's efforts to improve the promotion of health and nutritious foods. The study had five phases: (1) initial development; (2) iterative review and revisions; (3) pilot testing; (4) content validity assessment and (5) inter-rater and test-retest assessment. The Food Bank Health and Nutrition Assessment (FB-HANA) was drafted after reviewing existing policies, nutrition-focused charitable food systems guidance and similar tools for food pantries. Midwestern United States. Eleven food banks. Stakeholders and pilot testers provided initial feedback to refine the FB-HANA's flow, ease of completion and collection of contextual information. External experts rated the FB-HANA and each of the eight objectives as content valid. A set of two assessments completed by twenty-six community-based professionals, employed by Extension and fourteen food bank staff across eleven food banks, supported moderate to excellent inter-rater and test-retest reliability for the FB-HANA overall and each of its objectives. Evidence suggests that the FB-HANA can be used by either food bank or community-based professionals, such as Extension staff, to provide a perspective on ways food banks promote health and nutrition through PSE approaches.

“A [food] policy without product isn't much good”: Challenges initiating nutrition policy in the charitable food system

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Hunger Bonds: Boundaries and Bridges in the Charitable Food Provision Field

Building on a field perspective, this article adopts a relational approach that lets us make sense of food charities’ interconnections, relationships and social positioning. I analyse how food charities working with different models of provision do boundary work and resolve the cognitive dissonance arising from simultaneously competing and collaborating. Making use of several semi-structured interviews, I illustrate how Trussell Trust food banks, independent food banks and pantries’ directors mark symbolic boundaries when illustrating their models of provision vis-a-vis other models (e.g. pantries vs food banks) but build symbolic bridges when discussing the ultimate ends of charitable food provision. This strategy lets them resolve the tension arising from two contradictory stances and is representative of what I call ‘hunger bonds’: relationships of cooperation and mutual help that also permit positional returns to be obtained and strategically advance a specific vision of the field order.

Dietary Intake of Women from Two Australian Cities Living in Poverty

ABSTRACT This study assessed the quantity and quality of food consumed by Australian Capital Territory and Perth women living in poverty from July to October 2017. Sixty-six women, recruited through charitable food organizations, participated in one-on-one interviews and 24-hr dietary recall. Overall, diet quality was poor. Daily energy intakes ranged between 96 kJ-11450 kJ. 75% of women consumed below the minimum energy requirement for their age. Daily serve recommendations and Estimated Average Requirements for calcium, iron and potassium were not met. Urgent action is needed from government, health, food, and community sectors to address the ongoing challenges faced by women experiencing food insecurity.

Empty Houses, Loose Dogs, and Engaged Citizens: Lessons Learned From Community Participatory Data Collection in Rural Areas.

Rural surveys tend to oversample easy to reach populations, which can misrepresent community health needs. To achieve baseline data reflective of the communities served by the high obesity program (HOP), an innovative evaluation plan was created to prioritize equity and reflect the whole community. Principles of Community-Based Participatory Research (CBPR) were used to guide instrument development, research protocols, and data collection. A random sample of addresses created with United States Postal Service records provided a representative list of addresses in three HOP counties in Louisiana. Local data collectors were recruited to go door to door at the selected addresses to collect in-person surveys (N = 682; response rate of 84%). Over a quarter of participants reported using the charitable food system and walking for transportation at least weekly. Collecting door to door data in rural communities presents unique challenges, including abandoned properties, inaccurate address records, loose dogs, and at times, racial tensions and houses far removed from public roads. Lessons learned include the importance of local knowledge, adapting protocols to fit local conditions, and community awareness of the survey. Health practitioners need confidence when they are making data-based decisions about interventions, and one way to provide this confidence is to collect data from a true cross-section of the community. With a plan and in partnership with community members, a probability sample is feasible to collect in rural communities.

95 Prevalence and Characterization of Food Insecurity in a Canadian Paediatric Emergency Department

Abstract Background Food insecurity (FI), defined as inadequate or insecure access to food, is a key determinant of child health. FI is associated with a number of adverse physical, psychological and developmental health outcomes and increased emergency department (ED) use. The COVID-19 pandemic has exacerbated financial hardship faced by many families with an unprecedented rise in use of charitable food programs. Objectives We sought to determine the prevalence of FI among pediatric ED visits during the COVID-19 pandemic, compare this to pre-pandemic rates, and describe associated risk factors. Design/Methods From September to December 2021, families presenting to a tertiary Canadian paediatric ED were asked to complete a survey screening for FI with a validated two-item questionnaire, along with socio-demographic and child health information. Results were compared to data collected in 2012. Multivariable logistic regression was used to measure associations with FI. Results In 2021, 26% (n=173/665) of families identified as food insecure compared to 22.7% in 2012 (n=146/644), which was not statistically different (3.3%, 95% CI [-1.4%, 8.1%]). When the definition of FI is expanded to include use of charitable food assistance, the prevalence increased to 29.2%. In univariate analysis, FI was significantly associated with lack of primary care, caregivers born outside of Canada, status other than Canadian citizenship, having a child with a chronic medical condition, having financial strain related to medical expenses and reason for the ED visit being the child’s chronic condition. In multivariable analysis, only having more children in the home (OR 1.19, 95% CI [1.01, 1.41]), financial strain from medical expenses (OR 5.31, 95% CI [3.45, 8.18]) and lack of primary care access (OR 1.27, 95% CI [1.08, 1.51]) remained independent predictors of FI. Approximately half (48.5%) of food insecure families reported use of food charity, most commonly food banks (31.7%), while one-quarter (26%) received help from family or friends. Food insecure families indicated their preferred means of support in hospital would be free/low cost meals and financial assistance with medical expenses. Conclusion Greater than one in four families attending a Canadian tertiary pediatric ED screened positive for FI. FI was independently associated with lack of access to primary care, financial strain related to medical expenses, and greater number of children in the household. Further research is necessary to examine the effect of support interventions for families admitted to medical care facilities and financial support for chronic conditions.