Food Assistance Programs Research Articles

Prevalence of food insecurity amid COVID-19 lockdowns and sociodemographic indicators of household vulnerability in Harar and Kersa, Ethiopia

BackgroundThe COVID-19 pandemic was associated with widespread social disruptions, as governments implemented lockdowns to quell disease spread. To advance knowledge of consequences for households in resource-limited countries, we examine food insecurity during the pandemic period.MethodsWe conducted a cross-sectional study and used logistic regression to examine factors associated with food insecurity. Data were collected between August and September of 2021 through a Health and Demographic Surveillance System (HDSS) using a survey instrument focused on knowledge regarding the spread of COVID-19; food availability; COVID-19 related shocks/coping; under-five child healthcare services; and healthcare services for pregnant women. The study is set in two communities in Eastern Ethiopia, one rural (Kersa) and one urban (Harar), and included a random sample of 880 households.ResultsRoughly 16% of households reported not having enough food to eat during the pandemic, an increase of 6% since before the pandemic. After adjusting for other variables, households were more likely to report food insecurity if they were living in an urban area, were a larger household, had a family member lose employment, reported an increase in food prices, or were food insecure before the pandemic. Households were less likely to report food insecurity if they were wealthier or had higher household income.ConclusionsAfter taking individual and household level sociodemographic characteristics into consideration, households in urban areas were at higher risk for food insecurity. These findings suggest a need for expanding food assistance programs to more urban areas to help mitigate the impact of lockdowns on more vulnerable households.

Food Insecurity within a Public University and the Role of Food Assistance Programs Amid the Global Pandemic

Food insecurity (FI) is a pressing concern among university students in the United States, and the COVID-19 pandemic has exacerbated this issue. Providing food assistance for university students has become more challenging due to pandemic-related consequences and interventions. This study aims to (1) analyze social inequalities in FI among university students in a large public university during the pandemic, (2) investigate the association of their utilization of campus, community, and federal food assistance programs (FAPs) and FI, and (3) understand the barriers students face in accessing FAPs. Survey questionnaires were distributed to students to gather their socio-demographics, FI, and usage of FAPs. Logistic regression was utilized to assess the relationship between students’ FI and their use of FAPs. Among the surveyed students (n = 282), 33.7% reported experiencing FI. Higher FI rates were observed among socially vulnerable student groups, for example, non-Hispanic Black (62.5%) and Hispanic students (38.7%), compared with non-Hispanic White students (32.1%). FAPs had a limited influence on students’ FI due to low utilization. The primary barriers to FAPs were insufficient information, ineligibility, and social stigma. The findings suggest it is crucial to reduce barriers to using FAPs and develop targeted interventions for marginalized students to address inequalities in FI.

Food insecurity and suicidal behaviours among Bangladeshi university students: a multi-institutional cross-sectional study.

Suicidal behaviours among students pose a significant public health concern, with mental health problems being well-established risk factors. However, the association between food insecurity (FIS) and suicidal behaviours remains understudied, particularly in Bangladesh. This study aimed to investigate the relationship between FIS and suicidal behaviours among Bangladeshi university students. A cross-sectional survey using convenience sampling was conducted between August 2022 and September 2022. Information related to socio-demographics, mental health problems, FIS and related events and suicidal behaviours were collected. Chi-squared tests and multivariable logistic regression models, both unadjusted and adjusted, were employed to examine the relationship between FIS and suicidal behaviour. Six public universities in Bangladesh. This study included 1480 students from diverse academic disciplines. A substantial proportion of respondents experienced FIS, with 75·5% reporting low or very low food security. Students experiencing FIS had a significantly higher prevalence of suicidal ideation, plans and attempts compared with food-secure students (18·6% v. 2·8%, 8·7% v. 0·8% and 5·4% v. 0·3%, respectively; all P<0·001). In addition, students who have personal debt and participate in food assistance programmes had a higher risk of suicidal behaviours. This study highlights the association between FIS and suicidal behaviours among university students. Targeted mental health screening, evaluation and interventions within universities may be crucial for addressing the needs of high-risk students facing FIS.

Planting Seeds for Food Is Medicine: Pre-Implementation Planning Methods and Formative Evaluation Findings From a Multi-Clinic Initiative in the Midwest.

Food is medicine (FIM) initiatives are an emerging strategy for addressing nutrition-related health disparities increasingly endorsed by providers, payers, and policymakers. However, food insecurity screening protocols and oversight of medically-tailored food assistance programs are novel for many healthcare settings. Here, we describe the pre-implementation planning processes used to successfully engage federally-qualified health centers (FQHCs) across Kansas to develop new FIM initiatives. A Kansas-based philanthropic foundation facilitated pre-implementation planning for FQHCs over 17 months across 3 stages: 1) Community inquiry, 2) FIM learning event with invitation for FQHC attendees to request pre-implementation funding, and 3) Pre-implementation planning workshops and application assignments for FQHC grantees to develop a FIM implementation grant proposal. We evaluated satisfaction and perceived utility of these pre-implementation planning activities via post-workshop surveys and qualitative comparisons of FIM design components from pre-implementation and implementation grant applications. All 7 FQHCs attending the learning event applied for and were awarded pre-implementation planning grants; 6 submitted an implementation grant application following workshop completion. FQHCs rated pre-implementation support activities favorably; however, most clinics cited limited staff as a barrier to effective planning. As compared to pre-implementation planning grant proposals, all FQHCs elected to narrow their priority population to people with pre-diabetes or diabetes with better articulation of evidence-based nutrition prescriptions and intervention models in their final program designs. In the midst of a nationwide FIM groundswell, we recommend that funders, clinic stakeholders, and evaluators work together to devise and financially support appropriate pre-implementation planning activities prior to launching new FIM initiatives.

THE EFFECT OF FOOD ACQUISITION OUTSIDE EXPENDITURES ON THE FOOD SECURITY OF CASSAVA (Manihot utilissima) FARMER HOUSE- HOLDS IN WONOGIRI REGENCY

As the standard of living increases, the orientation of food consumption shifts from fulfilling intake to fulfilling nutrition. The acquisition of sustenance by means other than farming and government aid can enhance nutritional satisfaction, increasing energy consumption as a measure of food security. This study aimed to assess the impact of food acquisition outside expenditure on the food security of cassava farmer households in Wonogiri Regency. The research was conducted in July 2022. The method of analysis was descriptive quantitative with purposive location determination. A representative sample of 80 households was chosen by applying the proportionate allocation formula. Data were collected using 2 x 24-hour Food Recall. The data analysis in this study focused on three key variables: income, the proportion of food spending, and the Wilcoxon test of energy consumption and food security among farmer households. These variables were examined before and after food acquisition from external sources. The results showed that the average monthly income of farmers was Rp4,985,487.00. The proportion of food expenditure amounted to 33.36 percent. Wilcoxon test showed a significant difference in energy consumption before and after food acquisition outside expenditure. The food security classification of cassava farmer households before the acquisition of food outside expenditure showed that 21.25 percent were classified as food secure, 15 percent were classified as food susceptible, 52.5 percent as food insecure, and 11.25 percent as severely food insecure. After the additional food outside expenditure, the food security classification increased, with 45 percent classified as food secure, 23.75 percent as food susceptible, 25 percent as food insecure, and 6.25 percent as severely food insecure. This finding demonstrates that food utilization from farming and the Non-Cash Food Assistance (Bantuan et al./BPNT) program positively impacts the food security conditions of cassava farmer households in Wonogiri Regency.

ADVANCING FOOD EQUITY AMONG OLDER ADULTS AND ADULTS WITH DISABILITIES IN THE US

Abstract Older adults and adults with disabilities face challenges related to food insecurity, defined as limited or uncertain access to adequate food due to economic and social conditions. Adults with disabilities have triple the risk of food insecurity than their peers and rates of food insecurity have been rising over the past two decades among older adults and food insecurity is known to be a risk factor for numerous adverse health outcomes. Despite knowledge of disparities, research is needed to identify and test strategies for addressing food insecurity disparities. This symposium will examine mechanisms that may contribute to food insecurity, including local food environments, vision impairment and access to the Supplemental Nutrition Assistance Program, which is the largest food assistance program in the U.S.. National data is used in all three studies to allow population-based inferences to be drawn from study findings. Results have potential to inform our understanding of food equity and advance data-driven policy and programmatic decisions.

Application of Data Mining to Classify Receiving Social Assistance Using the Naïve Bayes Method

The application of Naïve Bayes in classifying potential recipients of Non-Cash Food Assistance (BPNT) in Grujugan Kidul Village was made to solve problems in the process of distributing non-cash food assistance programs that had not run optimally and had not been on target. The purpose of this study is to find out how the Naïve Bayes Algorithm is applied in classifying Non-Cash Food Assistance Recipients in Grujugan Kidul Village so as to obtain optimal results. The method used in this study is the Naïve Bayes classification method. The Naïve Bayes algorithm is proven to have good performance in predictions, and produces high accuracy values. The stages of data analysis were carried out based on the CRISP-DM method while the algorithm testing was carried out on the RapidMiner 9.10.001 software as a comparison between manual calculations and software calculations. The results of the accuracy in this study were 89.19% from 8:2 Comparison of 80% test data, 20% test data.

In Pursuit of Equitable Access in Federal Food and Nutrition Assistance Programs.

In Pursuit of Equitable Access in Federal Food and Nutrition Assistance Programs.

Lessons Learned From Applying a Monitoring and Evaluation Framework to Economic, Social, and Other Health Impacts of the COVID-19 Pandemic.

Individual and community-level COVID-19 mitigation policies can have effects beyond direct COVID-19 health outcomes, including social, behavioral, and economic outcomes. These social, behavioral, and economic outcomes can extend beyond the pandemic period and have disparate effects on populations. Public Health-Seattle & King County (PHSKC) built on the Centers for Disease Control and Prevention's community mitigation strategy framework to create a local project tracking near-real-time data to understand factors affected by mitigation approaches, inform decision-making, and monitor and evaluate community-level disparities during the pandemic. This case study describes the framework and lessons learned from PHSKC's collation, use, and dissemination of local data from 20 data sources to guide community and public health decision-making. Social, behavioral, economic, and health indicators were regularly updated and disseminated through interactive dashboards and products that examined data in the context of applicable policies. Data disaggregated by demographic characteristics and geography highlighted inequities, but not all datasets contained the same details; local surveys or qualitative data were used to fill gaps. Project outcomes included informing city and county emergency response planning related to implementation of financial and food assistance programs. Key lessons learned included the need to (1) build on existing processes and use automated processes and (2) partner with other sectors to use nontraditional public health data for active dissemination and data disaggregation and for real-time data contextualized by policy changes. This project provided programs and communities with timely, reliable data to understand where to invest recovery funding. A similar framework could position other health departments to examine social and economic effects during future public health emergencies.

Time-Trends in Food Insecurity Among US-Born and Foreign-Born Hispanic Adults by Language Use: An Analysis of National Health and Nutrition Examination Survey Data, 1999-2018

BackgroundHistorically, food insecurity prevalence has been higher in Hispanic households than in non-Hispanic White households. Food insecurity prevalence among Hispanic adults, US-born and foreign-born, may vary by language use. ObjectiveTo explore whether or not the relationship between language use and food insecurity varied over time (1999-2018) among US-born and foreign-born Hispanic adults. DesignTrends analysis and multivariable logistic regression modeling using pooled cross-sectional data. Participants and settingFifteen thousand sixty-two Hispanic adults participating in the United States National Health and Nutrition Examination Survey (1999-2018). Main outcome measuresFood insecurity prevalence, assessed with the US Household Food Security Survey Module. Statistical analysisUnadjusted food insecurity trends from 1999 to 2018 by language use (mostly English, both languages equally, or mostly Spanish) among US-born and foreign-born Hispanic adults were analyzed using piecewise-linear regression of log prevalence rates. Multivariable logistic regression models adjusted for sociodemographic characteristics and with an interaction term between language use and time were used to determine if odds of food insecurity among US-born and foreign-born Hispanic adults varied by language use between 1999 and 2018. ResultsHispanic adults’ food insecurity prevalence followed an upward linear trend from 1999 to 2018; this was significant for US-born mostly English-speakers (P < 0.001), US-born mostly Spanish-speakers (P = 0.013), and foreign-born mostly Spanish-speakers (P < 0.001). In fully adjusted logistic regression models, foreign-born Hispanic adults who spoke both languages equally (odds ratio 1.8, 95% CI 1.2 to 2.6) and those who spoke mostly Spanish (odds ratio 1.9, 95% CI 1.4 to 2.8) had significantly higher food insecurity odds, compared with mostly English-speakers. No variations in associations across time were observed between language use and food insecurity (interaction P value > 0.1). ConclusionsHispanic adults’ unadjusted food insecurity trends from 1999 to 2018 varied by language use. When adjusted for sociodemographic characteristics and compared with mostly English-speakers, food insecurity odds were significantly higher only among foreign-born Hispanic adults who spoke either both languages equally or mostly Spanish. Food assistance programs should linguistically adapt their services for Hispanic adults.

Changes in food purchase, consumption and handling during COVID-19 pandemic among single person households.

As a new type of consumer subject in the market that was formerly dominated by multiple person families, single households are driving the change in the buying structure. Food purchase activities have undergone significant changes since the outbreak of the COVID-19. The objective of this study was to assess and compare variations in food consumption, purchase and handling during the COVID-19 pandemic between single person households (SPH) and multiple person households. A cross-sectional study conducted among 211 individuals in communities in Harris and Waller Counties, Texas. Sociodemographic, food purchase, food consumption and food handling activities during the COVID-19 pandemic were assessed with a validated COVID-19 Nutrition questionnaire. Non-Hispanic Black participants constituted 42.6%, and 28.4% were Hispanics. Participants were made up of mostly aged 18-24 years (39.3%), 47.9% single household composition, 30.4% in full time employment, and 29.1% partook in food assistance programs. A large proportion of them had never used grocery pickup services, online grocery shopping and a farmers' market. During the COVID-19 pandemic, majority of the participants used more of large supermarkets, restaurant/fast food, and online grocery but food consumption seemed to remain the same for the majority of participants. For beverages, majority of participants consumed more water, less soda, and no alcohol. There was a significant association between single person household and higher restaurant/fast foods purchase. Many of the participants reported weight gain and less physical activity during the pandemic. Restaurant meal purchases was more prevalent in single-person families. The results from the study have the potential to contribute to how public policy officials, food service, and health authorities forecast how different categories of consumers will react in pandemics and may be used to inform area-specific alleviation strategies to minimize the impact of the COVID-19 pandemic and future events.

Causes of Iron Deficiency Anemia in Children Less Than 12 Years Old at Cooper University Hospital and Their Response to Intravenous Iron Replacement

Title of project: Causes of iron deficiency anemia in children less than 12 years old at Cooper University Hospital and their response to intravenous iron Background: Iron deficiency anemia (IDA) is the most common type of anemia in children. Even among industrialized countries like the US, IDA affects many children. Serious adverse outcomes can occur in children with IDA including, cognitive and motor neurodevelopmental delays which may be irreversible. While poor oral intake tends to be the focus of screening and preventative measures, additional causes of IDA include malabsorption from gastrointestinal abnormalities, medications that decrease iron absorption, parasitosis, genitourinary loss, and blood loss. Menorrhagia is a common cause of IDA among adolescents. The average age of menarche for adolescent girls is 12.43 years. Therefore, on data evaluation for the cause of IDA among patients aged 1-21, menstrual bleeding was overrepresented. Objective: This sub-analysis of a single center retrospective chart review analyzed the causes of IDA among children less than 12 years of age at Cooper University Hospital and their response to intravenous iron treatment. Methods: Data on all patients 1-12 years old who received intravenous iron infusions at Cooper University Hospital for IDA between 2016 and 2021 was analyzed. Descriptive statistics on the etiology of IDA and paired t-tests comparing pre-infusion hematologic parameters (hemoglobin, RDW, RBC, MCV, iron, ferritin, TIBC, percent saturation) to post-infusion values were conducted. Results: From the 150 patients included in the original study, 26 patients were 12 years of age or younger. The causes of IDA among these patients included inadequate dietary intake (65.4%), inflammatory bowel disease (15.4%), menorrhagia (15.4%) and one patient with factor II deficiency (3.8%). These patients required between one to eleven infusions to return to normal lab values. When comparing pre-infusion to post-final infusion lab values, there was significant improvement in all values (ferritin, iron, hemoglobin, MCV and RBCs) except total iron binding capacity, RDW and percent saturation. Discussion: Inadequate dietary intake was the most common cause of IDA in children less that 12 years old treated at Cooper University Hospital. Other causes included inflammatory bowel disease, menorrhagia and factor II deficiency. In contrast, the most common cause of IDA in children 12 and older was menorrhagia. Childhood food insecurity has been linked to IDA among low-income patients in the United States. Despite food assistance programs and adequate dietary education, patients continue to remain iron deficient. The current first-line therapy at Cooper University Hospital is oral iron supplementation. However, many patients fail the oral iron trial due to non-adherence, children spitting up or refusing to take the medication, and gastrointestinal side effects. Many pediatric patients in our clinic population are on NJ state insurance which requires a failed oral iron therapy trial prior to qualifying for coverage of intravenous iron. Yet, in a previous retrospective study completed in our clinic, intravenous iron has proven to be effective and safe, with fewer side effects and better adherence. For many patients, especially infants and toddlers, intravenous iron may provide a quicker cure for IDA, preventing irreversible neurodevelopmental delays. We propose that treatment with oral iron and intravenous iron should both be considered for first-line therapies and should be a shared decision between parents and providers.

NON-CASH FOOD ASSISTANCE (BPNT) DISTRIBUTION STRATEGY BY DISTRICT SOCIAL WELFARE WORKERS IN TERNATE CITY

Non-cash food assistance (BPNT) is a government program in the form of food assistance provided monthly to beneficiary families (KPM) accompanied by District Social Welfare Workers. The BPNT program has reached 514 districts and cities in Indonesia, one of which is in Ternate City. The data analysis method used in this study is qualitative descriptive. Descriptive qualitative is a method used to explore findings in the field. The results showed 3,504 Beneficiary Families (KPM) for the Non-Cash Food Assistance Program (BPNT) spread across 78 urban villages in 8 sub-districts for Ternate City. The results indicators of the BPNT program have helped KPM reduce daily expenses so that the income obtained can be used to meet other needs. With the increasing number of needs that KPM can meet, it is indirectly a sign of increasing their social welfare. Therefore, the BPNT program can be said to have a major impact on poverty alleviation efforts in the city of Ternate.

EVALUASI BANTUAN PANGAN NON TUNAI DI KECAMATAN CERME KABUPATEN GRESIK

This research aims to determine the level of success of the Non-Cash Food Assistance Program (BPNT) in Cerme District, Gresik Regency. The research method used in this research is qualitative descriptive research. The research focus of this study is to describe the evaluation of the Non-cash Food Assistance Program (BPNT) in Cerme District, Gresik Regency. Data collection techniques in this research include interviews, observation, documentation and literature study. The data sources used are primary and secondary data sources. The results of research on the Evaluation of the Non-Cash Food Assistance Program (BPNT) in Cerme District, Gresik Regency, namely: that the BPNT program is useful in helping meet their economic needs even though the assistance provided is not commensurate with their food needs until the following month and assistance from last year was given alternately in the form of goods or given in cash. This is because the BPNT program plays a more or less significant role in meeting their daily needs, and also provides them with sufficient relief in meeting the food needs of underprivileged communities. Based on the conclusions, the Non-Cash Food Assistance Program (BPNT) in Cerme District, Gresik Regency, can be said to be quite successful.

The distributional impact of SNAP on dietary quality

AbstractThe Supplemental Nutrition Assistance Program (SNAP) is the nation's largest domestic food and nutrition assistance program for low‐income Americans. Recent studies that examined the effect of SNAP on dietary quality focus on the average effects. Using the USDA's 2012 National Household Food Acquisition and Purchase Survey (FoodAPS) and an unconditional quantile estimator, we examine the distributional impacts of SNAP on dietary quality as measured by Healthy Eating Index‐2010 (HEI‐2010). To identify the differential impacts of SNAP across the distribution of dietary quality, we exploit exogenous variation in state's maximum weekly unemployment insurance benefits and state outreach spending per capita as instrumental variables. We find that SNAP has no significant impact on households’ dietary quality on average. However, for households with initially low‐to‐intermediate dietary quality, SNAP participation reduces their HEI scores by over 17% or more than 7 points out of a total score of 100. The negative impacts of SNAP on these HEI quantiles are mainly driven by an increased acquisition of empty calories.

Participant and Stakeholder Perceptions of the Food FARMacy Emergency Food Assistance Program for the Coronavirus Disease 2019 Pandemic: A Qualitative Study

BackgroundFood FARMacy is a clinical-community emergency food assistance program developed in response to food insecurity during the COVID-19 pandemic. Few qualitative studies have examined participant, and clinical and community stakeholder experiences with these food assistance programs. ObjectiveTo examine the motivations, experiences, and perceptions of Food FARMacy participants and program stakeholders. DesignA qualitative study using in-depth interviews between March 2021 and July 2021. Participants and settingTwenty-four Food FARMacy participants and 10 program stakeholders in New York, NY (Manhattan, Brooklyn, and Queens) older than age 18 years were interviewed. Statistical analyses performedInterviews were recorded, transcribed, translated, and analyzed using thematic analysis. Participant and program stakeholder interviews were analyzed separately. Themes that were salient in both groups were combined for reporting. ResultsBoth program participants and stakeholders perceived: pandemic-related demands combined with reduced resources motivated participation; convenience, safety, and ease of access facilitated program retention; participants valued fresh produce and diversity of foods; the program improved diet and health; minimizing food waste was a priority; and social cohesion was an unexpected program benefit. Two additional themes among only program stakeholders also were identified: aligned values, flexibility, and communication were key to successful partnerships; and trust between community partners and community members drove programmatic success. ConclusionsResults suggest that a multisite clinical-community partnership to provide emergency food assistance in New York City can be leveraged to reduce barriers to healthy food access and address food insecurity during crises.

Enhancing Indigenous Food Sovereignty and Community Health Through the Karuk Agroecosystem Resilience Initiative: We Are Caring for It: xúus nu'éethti.

Indigenous communities in the United States experience some of the highest rates of food insecurity and diet-related diseases despite an abundance of food assistance programs and other public health interventions. New approaches that center Indigenous perspectives and solutions are emerging and urgently needed to better understand and address these challenges. This Practice Note shares lessons learned from ongoing collaboration between the Karuk Tribe and University of California, Berkeley researchers and other partners to assess and enhance food sovereignty among Tribes and Tribal communities in the Klamath River Basin. Through two participatory research and extension projects, we demonstrate the importance of centering Indigenous knowledge to strengthen research findings and identify more culturally appropriate solutions to community identified food access, health, and ecosystem challenges. Key findings suggest that approaches to food sovereignty and community health must emanate from the community, be approached holistically, reflect community values and priorities, and center Indigenous land stewardship.

A Mixed-Methods Study of Perceived Implementation Challenges for WIC Online Ordering and Transactions.

Federal food assistance programs are working towards online grocery shopping. Online ordering in Special Supplemental Nutrition Program for Women, Infants and Children (WIC) is emerging following successful implementation in Supplemental Nutrition Assistance Program (SNAP). To identify anticipated challenges, potential solutions, and expected costs of WIC online ordering. Cross-sectional, mixed-methods, web-based, survey research. Data were collected from December 2020 to January 2021. Purposeful and snowball sampling included WIC stakeholders involved in developing processes and systems required for WIC online ordering. Respondents represented diverse geographic areas, levels of intraorganizational authority, and WIC benefit card types. The research team used a rapid analysis and lean coding approach to identify emergent themes from open-ended survey responses. Descriptive statistics were used to describe the distribution of responses across themes and stakeholder types. Respondents (n= 145) described 812 anticipated challenges within 20 themes grouped into five topic areas: rules and regulations; shopping experience; security, confidentiality, fraud, and WIC State agency processes; training, assistance, and education; and equitable access and buy-in. Addressing anticipated regulatory issues were among the few concrete potential solutions described. The two most frequent costs reported were increased staff time and start-up and ongoing technology costs. This study identified several, critical anticipated challenges and considerations that will help prepare WIC state agencies for opportunities to expand online ordering to WIC participants.

An Examination of Food Insecurity within Connecticut’s Public University System

ABSTRACT This secondary analysis examined the differences in food security, knowledge of eligibility for food assistance programs, and access to food programming across students attending two- and four-year public postsecondary institutions in the state of Connecticut. This study found two-year college students experienced a higher prevalence of food insecurity and were also more aware of their eligibility for SNAP than students attending four-year institutions. Additionally, all institutions provided students with an on-campus food pantry. Further research is needed to understand differences in food security and opportunities to address student barriers to the use of available resources to support food security.

The Non-Cash Food Assistance Program (BPNT) Policy is being Implemented in Gegesik Wetan through E-warung

The Non-Cash Food Assistance Program (BPNT) Policy is being Implemented in Gegesik Wetan through E-warung