ArticlePublic health nutrition2025
Implementing nutrition policy, system and environmental change strategies in a rural food pantry to improve nutrition security: contextual factors and outcomes.
Article in Public health nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo describe and evaluate nutrition-related policy, system and environmental (PSE) change strategies implemented in a rural, volunteer-run Georgia food pantry, exploring facilitators and barriers and changes in clients' perceptions of food distributed following implementation of nutrition-related PSE changes.
designThe mixed-methods evaluation used pre-post key informant interviews, client surveys and programme documents to assess implementation and outcomes of a nutrition policy and other PSE changes.
settingHancock County, Georgia.
participantsSurvey respondents were food pantry clients who completed surveys both in January 2021 and March 2022 (
resultsNutrition-related PSE changes included a nutrition policy, produce procurement partnerships and enhanced refrigeration; an awareness campaign and nutrition education were also conducted. Facilitators included the implementation approach (e.g., encouraging small steps and joint policy development), relationship formation and partnerships. Barriers were modest capacity (e.g., funding and other resources), staffing/volunteers and limited experience with food policy and procurement processes. Client surveys in 2021-2022 showed canned/dried foods as most commonly received, with significant (
conclusionsNutrition-related PSE changes in rural food pantries to improve the healthfulness of foods distributed require substantial resources, yet if sustained, may increase client access to healthy foods and improve diets.
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