Evidence map›Paper›PMID 34444851›Full record

ArticleNutrients2021

Feeding Children and Maintaining Food Service Operations during COVID-19: A Mixed Methods Investigation of Implementation and Financial Challenges.

Erica L Kenney, Caroline G Dunn, Rebecca S Mozaffarian, Jane Dai, Katie Wilson, Jeremy West, Ye Shen, Sheila Fleischhacker, Sara N Bleich

Abstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Comparison of Missing School Meals among Public Schools: How Did New York State Do during COVID-19?International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Erica L KenneyDepartment of Nutrition, Harvard TH Chan School of Public Health, 665 Huntington Ave, Boston, MA 02115, USA.
Caroline G DunnDepartment of Health Policy and Management, Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA.
Rebecca S MozaffarianDepartment of Nutrition, Harvard TH Chan School of Public Health, 665 Huntington Ave, Boston, MA 02115, USA.
Jane DaiDepartment of Health Policy and Management, Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA.
Katie WilsonUrban School Food Alliance, 1612 K Street NW, Suite 200, Washington, DC 20006, USA.
Jeremy WestUrban School Food Alliance, 1612 K Street NW, Suite 200, Washington, DC 20006, USA.
Ye ShenDepartment of Health Policy and Management, Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA.
Sheila FleischhackerGeorgetown University Law Center, 600 New Jersey Ave, NW, Washington, DC 20001, USA.ORCID 0000-0001-6503-1439
Sara N BleichDepartment of Health Policy and Management, Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA.

Funding

Alabama Pregnancy Risk Assessment Monitoring SystemUR6DP000498 · DP · ALABAMA STATE DEPT OF PUBLIC HEALTH · PI MOLCHAN, CATHERINE · 2006 to 2010
$711k
NCCDPHP CDC HHS UR6 DP000498Robert Wood Johnson Foundation Prime Award No. 76655, Agreement no. 2833203
6 · The paper itself

Abstract

The United States Department of Agriculture (USDA) National School Lunch and Breakfast Programs are critical for the health and food security of U.S. schoolchildren, but access to these programs was disrupted by COVID-19 pandemic-related school closures in spring 2020. While temporary policy changes to the programs enabled school food authorities (SFAs) to pivot towards distributing meals throughout their communities instead of within school buildings, SFAs faced complex challenges during COVID-19 with minimal external support. This mixed methods study investigates the implementation and financial challenges experienced by twelve of the largest urban SFAs in the U.S. during COVID-19. We conducted semi-structured interviews with SFA leaders and analyzed alongside quantitative financial data. We found that SFAs reconfigured their usual operations with nearly no preparation time while simultaneously trying to keep staff from contracting COVID-19, accommodate stakeholders with sometimes competing priorities, and remain financially solvent. Because student participation was much lower than during regular times, and revenue is tied to the number of meals served, SFAs saw drastic decreases in revenue even as they carried regular operating costs. For future crises, disaster preparedness plans that help SFAs better navigate the switch to financially viable community distribution methods are needed.

Indexed as

ChildCOVID-19Financial StressFood InsecurityFood ServicesHumansMealsPandemicsSARS-CoV-2SchoolsSurveys and QuestionnairesUnited StatesUnited States Department of AgriculturecostsCOVID-19food insecurityimplementation strategiesschool food service authorityschool meals

Identifiers

PMID34444851
PMCPMC8401539

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.