Reduce Food Insecurity Research Articles

Supplemental Nutrition Assistance Program and depressive symptoms among adults with low family income in the U.S.: The National Health and Nutrition Examination Survey 2011–2018

BackgroundThe Supplemental Nutrition Assistance Program (SNAP) has been established to reduce food insecurity. Limited evidence is available on SNAP participation status over time and depressive symptoms. We aimed to examine the associations of SNAP status over time among low-income individuals, with depressive symptoms in the U.S. MethodsNHANES participants aged ≥20 years of low family income from 2011 to 2018 with information available on depressive symptoms and SNAP use were included in analysis. Depressive symptoms were assessed using 9-item Patient Health Questionnaire (PHQ-9), and PHQ-9 score ≥ 10 is indicative of significant depressive symptoms. Multivariable linear and logistic regressions models were conducted to examine the associations of SNAP participation status over time (never receiving SNAP, receiving SNAP prior to >12 months ago, current receiving SNAP, receiving SNAP in the last 12 months but not currently) with depressive symptoms and significant depressive symptoms. ResultsCurrently receiving SNAP (beta (β) = 0.17, 95 % CI: 0.10, 0.25; odds ratio (OR) = 1.52, 95 % confidence interval (CI): 1.16, 2.00) and receiving SNAP in the last 12 months but not currently (β = 0.24, 95 % CI: 0.04, 0.43; OR = 1.83, 95 % CI: 1.16, 2.89) were associated with higher depressive symptoms and higher prevalence of significant depressive symptoms. LimitationsThe cross-sectional design precludes causal interpretation, and key variables were measured with self-report. ConclusionReceiving SNAP in the last 12 months was associated with higher levels of depressive symptoms among individuals with low family income. Improvement on diet quality may be important for reducing depressive symptoms among SNAP users.

Nutritional and Medicinal Contribution of Wild Fruit Plants in Ethiopia

Wild fruit plants are used by rural populations around the world, including Ethiopia, as supplemental foods to improve dietary diversity. Because wild fruits are inexpensive and widely accessible in rural regions, they can help prevent hunger or malnutrition and ensure food diversity. This review aims to give a summary of the most recent research on the nutritional value and potential medical benefits of wild fruits for rural households. Antioxidant-rich naturally-occurring compounds found in wild fruits help to reduce non-communicable diseases. These days, non-communicable diseases like cancer, chronic respiratory conditions, obesity, diabetes, and cardiovascular diseases are the world’s biggest health problems. These plants, which are grown widely throughout nearly all of Ethiopia, offer a number of health and nutritional benefits. Many ethnic groups use these fruits as a seasonal or emergency food source, which helps to reduce food insecurity.

Mobile money, food security and coping strategies in a post-conflict and fragile context: evidence from Burundi

PurposeAttaining the Sustainable Development Goal 2 (SDG2) of zero hunger continues to be a challenge in most parts of Sub-Saharan Africa. However, financial inclusion is seen as a potential pathway for reducing food insecurity among poor households. Mobile money is a financial inclusion instrument that is easily accessible to poor households and has the potential to increase the level of financial inclusion. This paper contributes to the literature by examining the determinants of mobile money adoption, its effects on household food security and the choice of coping strategies in Burundi, a post-conflict and fragile country.Design/methodology/approachUsing survey data that involved 860 households in Burundi, we adopted the Household Hunger Scale (HHS) developed under the Food and Nutrition Technical Assistance Project to measure household food security. We further employ the endogenous switching regression treatment effects model for ordered outcomes and the multivariate probit model to achieve our aims.FindingsThe results of our study reveal that the adoption of mobile money is influenced by factors such as gender, marital status, age, formal education, membership in a social network, area of residence and access to a tarred road network. Additionally, the food security status of a household was determined by marital status, formal education, social network membership, access to tarred roads, off-farm income, access to credit and land tenure security. We confirm that mobile money adoption has a significantly positive effect on the food security status of households with heterogeneity in gender and area of residence. We also find that mobile money adoption reduces the likelihood of households adopting consumption-related coping strategies.Practical implicationsThe promotion of mobile money should, therefore, be included in Burundi’s national food security policies.Originality/valueThis study contributes to the literature by providing empirical evidence on the effect of mobile money adoption on household food security and the choice of coping strategies in a post-conflict context.

Pilot study of a heart-healthy food box intervention for Native Americans with uncontrolled hypertension: methods and results from the Chickasaw Healthy Eating Environments Research Study.

We sought to evaluate the acceptability and feasibility of a culturally tailored food box intervention for improving blood pressure (BP), food security and Body Mass Index (BMI) among Chickasaw Nation adults with uncontrolled hypertension. As part of the Chickasaw Healthy Eating Environments Research Study (CHEERS), we administered a group randomized pilot study in four tribal communities (two intervention, two control). Participants in the intervention communities received six heart-healthy food boxes, culturally tailored to traditional Chickasaw diet and current food context. Outcomes were measured over 6 months. We enrolled 262 participants, and 204 with complete data on key variables were included in the analysis. The food boxes were very popular, and we achieved high retention for follow-up data collection. Intervention community participants had 2.6 mmHg lower mean systolic BP and improved diet quality and BMI compared with control participants, although, as expected for a pilot study, the differences were not statistically significant. The culturally tailored diet intervention and randomized trial study design were acceptable and feasible for Chickasaw Nation adults with uncontrolled hypertension. Our findings support the value of tribal-food bank partnerships as a potential approach for reducing food insecurity and hypertension-related disparities in Native American communities.

Participant Experiences With the Healthy Food First Clinical Trial to Reduce Food Insecurity and Blood Pressure

Participant Experiences With the Healthy Food First Clinical Trial to Reduce Food Insecurity and Blood Pressure

WHO CONSUMES MORE BROKEN RICE GRAIN? EVIDENCE FROM RURAL AND URBAN CONSUMERS

The present study, in response to rising food prices, was conceived to find quantitative differences, particularly in broken rice consumption concerning the consumers' geographic (urban/rural) location. Four districts, namely Faisalabad, Sheikhupura, Kasur, and Toba Tek Singh were selected as a case study from central Punjab. Cross- sectional data collected randomly from 250 consumers of broken rice (100 from Faisalabad and 50 from each of the remaining districts with equal proportion of rural and urban households) was used to run a descriptive and non-parametric test of Mann-Whitney U-Test, an alternative test to student t-test. Descriptive statistics show that the average monthly income of the households was Rs. 73251, with an average monthly income of Rs. 63911 and Rs. 82667 for rural and urban households, respectively. The overall total rice consumption per household (11.2 Kg/month) comprised almost half (51%) of broken rice (5.71 Kg/month). Total rice consumption was comparatively more in urban households despite a non-significant difference. The Mann-Whitney U-test finds a highly significant difference in the consumption of broken rice for rural and urban households. The test further clarifies that rural consumers consumed more broken rice (6.38 Kg/month) than urban households (5.04 Kg/month). Comparatively, more consumption of whole rice in urban settings and broken rice in rural areas seem in line with their respective higher and lower income levels. As these research findings have important policy implications for ensuring household food security, there is a need to further validate findings for appropriate national-level policy using large country level data sets. Keeping in view the role of rice similar to wheat flour in reducing food insecurity, studies finding the relationships between household income and consumption of rice, including locally called pona, adware, tota, or mix type categories of broken rice, are suggested to deeply understand the consumer preferences for broken rice market in the country.

Vegetable consumption and diet diversity among households with and without vegetable gardens in Quezon city, Philippines

BackgroundDietary diversity is key in determining the quality of a person’s diet by including theconsumption of several food groups. Vegetable gardening is a holistic approach toproducing nutritious food and reducing food insecurity. Higher vegetable consumption isclosely associated with better diet quality and dietary diversity score.ObjectiveThis study aims to analyze the vegetable consumption and diet diversity of householdswith vegetable gardens and households without vegetable gardens.MethodsThe study used a quantitative method and a descriptive and inferential research design.Given the specific profile of respondents, purposive sampling was employed. However,quotas per profile were set. The data were collected using quantitative tools such as guidedquestionnaires and a 24-hour dietary recall questionnaire.ResultsThe majority of the gardeners were female, ages 54 to 64, mainly living in the Barangay UPcampus, with high school as their highest educational attainment. The non-gardenerswere Vegetable gardeners who earned less than ₱20,000 compared to the non-gardenerswho earned. Vegetable gardeners were likelier to meet the recommended vegetableconsumption and had a higher Dietary Diversity Score.ConclusionsThe respondents who met the recommended vegetable intake of three to five servings weremostly vegetable gardeners. Thus, vegetable gardening aids in increasing the vegetableconsumption of households because of the accessibility they have to nutritious foodscompared to households that do not practice home gardening.

The role of indigenous and traditional foods in achieving food security in Africa: A bibliometric snapshot and farm-to-fork perspective

Abstract Foods that are produced and processed locally using some forms of traditional knowledge are important for achieving food and nutrition security in Africa. These food crops are generally nutritious, being rich in essential nutrients and bioactive food compounds necessary for health promotion. Additionally, most African indigenous food crops are better adapted to local growing conditions, fulfil economic needs and are highly resistant to abiotic and climate-induced stresses. Hence, the proper utilisation of locally grown and wild foods crops will help contribute to the improvement of food security, nutrition value, health, and income generation in the African continent. In this review, we focus not only on the determinants of food insecurity in Africa but also discuss the scope, nutrition, and health impact of some common locally grown foods in Africa. We also highlight some traditional processing methods for harnessing the value of these foods, as well as farming and economic/agribusiness practices that can be used to promote the cultivation of foods in an African context. In conclusion, we reiterate that the production and processing of sustainable, locally available foods is essential to providing long-term food security for Africa. There is, therefore, the need for empowerment of local farmers and increased investments in research as well as the formulation of national/regional policies that intend to reduce food insecurity with emphasis on indigenous sustainable food systems for improved access to locally available, nutritious, and healthy foods in Africa.

Can farmer organization membership improve household food security and nutrition? Evidence from Northern Ghana

AbstractWe examine the impact of farmer organization (FO) membership on food and nutrition security among rural rice farmers, using cross‐sectional data from a household survey from Ghana. We employ an endogenous switching regression (ESR) model to account for selection bias from observed and unobserved factors. Our findings show that participation in FOs significantly increases household dietary diversity by 10.56% and reduces food insecurity by 9.7%. The residualized quantile regression model results are consistent with the ESR model across both outcome variables. Policymakers should consider promoting FO membership as a strategy to enhance food and nutrition security among smallholders in developing countries.

Effect of coping strategies on household food insecurity in Pakistan amid global economic crisis

AbstractFood insecurity tends to be more prevalent amid crises. Several households employ various coping strategies to soften the crisis's financial impact and access adequate food for consumption. This study investigates the impact of various coping strategies on household food insecurity in Pakistan. The study endeavours to identify a more effective coping strategy for reducing food insecurity amid an economic crisis. The study uses nationally represented data surveyed to ‘evaluate the socio‐economic impact of a pandemic on the well‐being of people’. We applied the Ordered Logit and Inverse Probability Weighting model to estimate the aftermath of coping strategies on food insecurity levels. The study's findings suggest that a household that used coping strategies amid crisis is a vulnerable household and more likely to have food insecurity status. Moreover, the study suggests that the coping strategies’ extent (quantity) is positively associated with the likelihood of food insecurity. Finally, the study's aftermath suggests that amongst the different coping strategies, the erosive coping strategy has a lower likelihood of incidence of food insecurity than other strategies. However, within the erosive coping strategies, a household sold real estate asset has less likelihood of being food insecure than other erosive coping strategies. Moreover, spending savings or investments and liquidating real estate are crucial in determining the household's food security status amid the crisis. The study's key findings put forth some potential policy implications related to strategies that can hedge against the crisis and promote resilience in the face of food insecurity.

Impact of cash assistance on food insecurity: a snapshot from Rohingya camps during COVID-19

ABSTRACT Collaborating with the United Nations High Commissioner for Refugees (UNHCR), World Food Program (WFP), and NGOs, the Bangladesh Government implemented cash assistance programs for Rohingya refugee households facing exacerbated food insecurity because of the COVID-19 pandemic. This study investigates the impact of a cash assistance program on alleviating the food insecurity experienced by Rohingya migrants during the pandemic. Additionally, this study explores potential variations of the impact of cash assistance with reference to vulnerability levels based on gender and income inequality. These findings indicate a significant reduction in food insecurity among Rohingya migrants who received cash assistance. However, further analysis reveals that cash assistance is not effective in ensuring the food security of comparatively more vulnerable households headed by women and households with no earning members. This policy implication underscores the need to restructure, redesign, and reconsider the features of cash assistance programs to enhance the welfare of refugee households across all levels of vulnerability.

Can health financing programmes reduce food insecurity in a developing country?

Despite the devastating effects of out-of-pocket healthcare expenditures on households' financial outlays, which potentially stifle household resources needed for food consumption, the health financing program-food insecurity nexus is yet to receive much needed attention in the literature. This study makes a significant contribution by investigating the effect of health financing program, conceptualised as membership of a National Health Insurance Scheme, on household food insecurity using the food insecurity experience scale (FIES) and several quasi-experimental methods. Using data from the seventh round of the Ghana Living Standards Survey, our endogeneity-corrected results indicate that membership of a health financing program can contribute to reduction in household food insecurity. The results are robust to alternative conceptualisations of food insecurity and different quasi-experimental methods. The effect of health financing programme membership on food insecurity is more pronounced among urban and female-headed households. Our findings further point to household savings as an important channel through whichmembership ofhealth financing program reduces food insecurity.

Food for cancer health equity: The impact of a culturally tailored food voucher intervention on food insecurity among Latinx patients with cancer.

1544 Background: Food insecurity disproportionately impacts immigrant, low-income, and racial and ethnic minorities with cancer. In our prior qualitative work, Latinx and multiethnic patients with food insecurity emphasized the importance of culturally tailored food assistance interventions that could minimize stigma and maintain self-efficacy and autonomy. In collaboration with Latinx patients and community partners in Monterey County, California, we co-developed a culturally tailored food voucher intervention. In this study, we conducted a pilot of the intervention among multiethnic and Latinx patients with cancer and tested the impact on food insecurity and health-related quality of life. Methods: We recruited low-income, racial and ethnic minority adults >18 years of age who screened positive for food insecurity using the 2-item Hunger Vital Sign while receiving cancer treatment in a clinic in Monterey County, CA between July 2023 until August 2023. All participants who consented to participate received $40 monthly grocery store gift cards redeemable at a variety of local retailers for 6 months in addition to usual care provided by trained community health workers who assisted with other health-related social needs. We conducted validated surveys at baseline (time of enrollment) and 6-month follow-up (post-intervention) assessing demographics, food behaviors, food insecurity, and health-related quality of life. We compared pre- and post-intervention proportions with food insecurity using McNemar's tests and change in health-related quality of life using paired t-tests. Results: Of the 30 study participants enrolled, 27 (90%) were Latinx; 24 (80%) spoke Spanish as their preferred language; 16 (53%) had advanced (stage 3 or 4) cancer; 12 (40%) were retired or unemployed; 10 (33%) were disabled; 20 (67%) reported a household income <$35,000 USD. Of the 26 (87%) participants who completed post-intervention surveys, the proportion with food insecurity decreased from 100% to 65% (95% CI 0.60-0.77; p=0.01); 100% adhered to recommended treatment; and health-related quality of life scores increased by 8 points from 71.9 +/-16.1 to 79.5+/- 10.5 (p=0.02) from baseline. Conclusions: This culturally tailored food voucher intervention was associated with reductions in food insecurity and improvements in health-related quality of life among low-income Latinx patients with cancer. This intervention may represent an effective approach to overcome food insecurity in Latinx and multiethnic patients with cancer.

Meta-QTL and Candidate Gene Analyses of Agronomic Salt Tolerance and Related Traits in an RIL Population Derived from Solanum pimpinellifolium.

Breeding salt-tolerant crops is necessary to reduce food insecurity. Prebreeding populations are fundamental for uncovering tolerance alleles from wild germplasm. To obtain a physiological interpretation of the agronomic salt tolerance and better criteria to identify candidate genes, quantitative trait loci (QTLs) governing productivity-related traits in a population of recombinant inbred lines (RIL) derived from S. pimpinellifolium were reanalyzed using an SNP-saturated linkage map and clustered using QTL meta-analysis to synthesize QTL information. A total of 60 out of 85 QTLs were grouped into 12 productivity MQTLs. Ten of them were found to overlap with other tomato yield QTLs that were found using various mapping populations and cultivation conditions. The MQTL compositions showed that fruit yield was genetically associated with leaf water content. Additionally, leaf Cl- and K+ contents were related to tomato productivity under control and salinity conditions, respectively. More than one functional candidate was frequently found, explaining most productivity MQTLs, indicating that the co-regulation of more than one gene within those MQTLs might explain the clustering of agronomic and physiological QTLs. Moreover, MQTL1.2, MQTL3 and MQTL6 point to the root as the main organ involved in increasing productivity under salinity through the wild allele, suggesting that adequate rootstock/scion combinations could have a clear agronomic advantage under salinity.

Food insecurity and use of electronic vapor products among high school students.

Background: Studies have shown that food insecurity is associated with electronic vapor products (EVP) use in adults; however, an understanding of this relationship in adolescents is needed to inform prevention efforts in this age group. Aim: Examine the relationship of food insecurity with EVP use patterns, frequency and source of acquisition in high school students. Methods: This cross-sectional study used Youth Risk Behavior Survey (YRBS) 2019 data from states that incorporated the YRBS' optional food insecurity question. The data included 42,154 high school students with complete information on food insecurity and two EVP-related questions. Responses to EVP-related questions identified "ever users," "current users," "former users," "current dual EVP-cigarette users," and assessed "frequency of EVP use among current users" and "source of EVP acquisition." Logistic regression examined associations of food insecurity with EVP-related outcomes. Results: The proportion of high school students who ever used EVP was 48.3% and the proportion of food-insecure students was about 12%. Food security status significantly differed by race/ethnicity of students, such that the proportion of food insecure students classified as "non-Hispanic White" was lower than the proportion of food secure students classified as "non-Hispanic White." Food insecurity was significantly associated with greater odds of ever EVP use (odds ratio (OR) = 1.75; 95% confidence interval (CI) = (1.55, 1.96)), current EVP use (OR = 2.07; 95% CI = (1.80, 2.37); using never users as reference category) and current dual use of EVP and cigarettes (OR = 2.91; 95% CI = (2.38, 3.55)). Food insecurity also was associated with greater odds of current EVP use (OR = 1.54; 95% CI = (1.28, 1.84)) when former users were used as reference category. In current users, food insecurity was related to greater odds of daily EVP use (OR = 1.40; 95% CI = (1.14, 1.70)) compared to occasional use. Conclusions: Study findings imply that efforts targeting prevention/cessation of EVP use should consider reducing food insecurity in high school students.

Influence of Small-Scale Irrigation on Livelihoods of Rural Farm Households in the Case of Legehida District, Ethiopia.

Irrigation development, particularly small-scale irrigation, is one of the most important projects for improving agricultural productivity in a country's rural communities. The extent to which small-scale irrigation has improved household livelihoods in Ethiopia's rural areas is not widely recognized. As a result, research on the influence of small-scale irrigation on farmers' livelihoods in the Legehida district will be sought. The study took a "with" and "without" strategy, comparing farmers who used irrigation against those who did not. For analysis, both quantitative and qualitative data were employed. The survey's respondents were chosen using a random sample approach from both irrigation users and nonuser households. Quantitative data for the study were collected from randomly selected 241 farm households, of which 113 were users and 128 were nonusers, using a semistructured questionnaire. Accordingly, the propensity score matching model was employed to examine the impacts of small-scale irrigation on farmers' livelihoods. The logit model result indicates that cultivated land size, off-farm income, education level, family size, dependency ratio, total livestock unit, and distance to the nearest agricultural extension office/FTC are determinant factors in determining whether to practice irrigation when other factors remain constant. The impact of irrigation on a household's income and food security (in terms of daily calorie intake) was evaluated using a propensity score matching model. The result shows that a positive and significant impact on farmers who use small-scale irrigation has increased the daily calorie intake and annual income of households by 244.162 kilocalories and 5234.258 ETB, respectively, as compared to nonirrigation users. This shows that households that participate in small-scale irrigation activities have a higher annual income and food security status than comparable groups. In general, the study recommends that to reduce food insecurity and the socioeconomic problems of rural households, irrigation farming is one of the viable solutions; therefore, the government and nongovernmental organizations should extensively focus on the enhancement of small-scale irrigation infrastructure, policies, strategies, and extension services to increase productivity, income, and livelihood improvement in rural households.

Beyond minimum wage: Broader employment policies can significantly affect food insecurity.

Although many have investigated the impacts of minimum wage on a broad array of health outcomes, innovative policies surrounding broader employment policies have largely not been studied. To that end, this paper contributes in three ways. First, it discusses the rise in precarious employment. Then, it turns to the current federal framework of employment policies, namely minimum wage. Finally, it explores what a broader definition of employment policies could include and how future studies could use state, county, and municipal policymaking in this space to investigate ways in which they might contribute to reducing food insecurity and in turn, improve health outcomes.

The effects of climate extreme events on selected food crop yields in Sub-Saharan Africa

The agricultural sector is essential for economic growth. However, agricultural performance can be limited by factors such as climatic risks. This paper aims to analyse the effect of climate extreme events on selected food crop yield in sub-Saharan Africa (SSA). The study uses data from the Food and Agriculture Organisation (FAO) database for maize, rice, and sorghum yields. Also, we used data obtained from the International Disaster Database of the Centre for Research on the Epidemiology of Disasters (CRED) for floods and droughts over the period 1990–2020. The data were analysed based on the Fully Modified Ordinary Least Squares (FMOLS). The results showed that climate extreme events negatively affected maize, rice and sorghum yields. Also, the findings showed that floods and droughts in past years negatively influence current yields of maize, rice and sorghum. Moreover, agricultural labour force, fertilizer and financial development are the main transmission channels through which floods and droughts can affect maize, rice and sorghum yields. The study concludes by recommending that policies aimed at promoting climate change adaptation measures as well as agricultural insurance could make the agriculture sector more resilient to climate extreme events and in turn that could improve agricultural productivity and reduce food insecurity.

Promoting Ecosystem Conservation and Food Security through Sustainable Harvesting of Edible Caterpillars in Kanchibiya District, Zambia

Insects play a vital role in enhancing food security and improving the livelihoods of rural communities. This study focused on the identification of caterpillar harvesting practices in Zambia, particularly in Chief Kopa’s village, Kanchibiya District, Muchinga Province, where the caterpillars of Gynisa maja and Gonimbrasia belina play a crucial role in food security. A mixed-methods approach was employed, utilizing face-to-face interviews and self-administered questionnaires to capture both qualitative and quantitative insights. Quantitative data, including caterpillar harvesting amounts and correlations with tree destruction, underwent statistical analyses, including ANOVA and post-hoc Tukey's HSD tests. The Chi-square test explored gender distribution across research sites. Qualitative data from open-ended questions during interviews underwent thematic analysis. The study sampled 100 respondents from six areas, and the results revealed significant differences in caterpillar harvesting amounts among villages. Post-hoc tests identified specific pairwise differences. The findings indicated that traditional harvesting methods persisted, with limited adherence to rules. A significant positive correlation was observed between caterpillar harvesting practices and evolving trends such as increased harvesting intensity, changes in harvesting methods, and environmental impact and tree destruction (p=0.001, r=0.917). The study contributed valuable insights into past caterpillar harvesting practices, proposing conservation strategies for enhanced food security and sustainability. The study proposes a multifaceted approach to balance ecosystem conservation with food security in Kanhaiya District, emphasizing the importance of sustainable caterpillar harvesting. Recommendations include developing community-based sustainable harvesting guidelines, such as rotational zones and harvest limits, alongside education programs to raise ecological awareness. It advocates for diversifying livelihoods and food sources to lessen dependence on caterpillars, ensuring gender-inclusive participation in these initiatives. Monitoring and further research are essential to adapt strategies effectively. These measures aim to preserve the ecosystem, ensuring the caterpillar's role in food security and offering socioeconomic benefits by fostering community resilience and reducing food insecurity vulnerabilities

Improving Maternal Health and Birth Outcomes Through FreshRx: A Food-Is-Medicine Intervention.

Food insecurity has far-reaching consequences for health and well-being, especially during pregnancy and postpartum periods. This study examines a food-is-medicine approach that aimed to reduce food insecurity, maternal stress, depression, anxiety, preterm labor, and low birthweight. Pre-post interventional study of FreshRx: Nourishing Healthy Starts, a pregnancy focused food-is-medicine program led by a local hunger relief organization and obstetrics department. St. Louis, Missouri, a Midwestern U.S. city with higher-than-average infant mortality, low birthweight, and preterm birth rates. Participants (N = 125) recruited from a local obstetrics clinic had pregnancies earlier than 24weeks gestation; spoke English; and were enrolled in Medicaid. At baseline, 67.0% reported very low food security and none reported high food security, while 34.7% indicated depressive symptoms. FreshRx included weekly deliveries of fresh food meal kits, nutrition counseling and education, care coordination, and supportive services. 18-Question U.S. Household Food Security Survey, Edinburgh Postnatal Depression Scale, birthweight, gestational age. Single arm pre-post analysis. Average gestational age of 38.2weeks (n = 84) and birthweight of 6.7 pounds (n = 81) were higher than rates for the general population in the area. For study participants who completed a sixty-day post-partum assessment, 13% (n = 45) indicated maternal depression (P < .01). Food-is-medicine interventions may be an efficient, effective, and equitable tool for improving birth and maternal health outcomes.