School of Medical and Health Sciences, Edith Cowan University, Western Australia.
Public Health Advocacy Institute of Western Australia, Curtin University, Western Australia.
Aust N Z J Public Health. 2020 Apr;44(2):129-136. doi: 10.1111/1753-6405.12975. Epub 2020 Feb 26.
Food security refers to adequate physical, social and economic access to food and is regarded as a complex, 'wicked' issue. This research aimed to understand the perspectives of initiative leaders (stakeholders), regarding their project relating to food security and its possession of characteristics associated with system change to enhance food security.
Stakeholders (n=51) participated in semi-structured interviews that evaluated initiatives (n=52) against 36 desirable characteristics for system change. Transcripts were analysed using QSR NVivo and Wicked Lab's Tool for Systemic Change.
Community-based initiatives often harnessed the passion of local communities to enhance food security through awareness-raising activities and partnerships. Few initiatives created conflict to disrupt the current way of working. The largest 'window of opportunity' included better connection between government and community groups.
This novel contribution provided in-depth understanding of individual initiatives and patterns of working among the food security system in the South West region of Western Australia. Implications for public health: Recommendations to better foster connection between the government and community initiatives include: ensuring government worker responsibilities include task and indicator-related measures; and strengthening understanding of food security among community groups of staff and elected member roles within local government and the ways local government could be supported to harness community knowledge.
食品安全是指充足的物质、社会和经济条件来获取食物，被认为是一个复杂的、“棘手”的问题。本研究旨在了解倡议（利益相关方）的领导者对与食品安全相关的项目的看法，以及这些项目具有的与系统变革相关的特征，以增强食品安全。
利益相关方（n=51）参加了半结构化访谈，根据 36 个理想的系统变革特征对倡议（n=52）进行了评估。使用 QSR NVivo 和 Wicked Lab 的系统变革工具对转录本进行了分析。
以社区为基础的倡议通常利用当地社区的热情，通过提高认识活动和伙伴关系来增强食品安全。很少有倡议会制造冲突来破坏当前的工作方式。最大的“机会之窗”包括更好地连接政府和社区团体。
本研究对西澳大利亚州西南部地区食品安全系统中的个别倡议和工作模式进行了深入了解。对公共卫生的启示：更好地促进政府和社区倡议之间联系的建议包括：确保政府工作人员的职责包括任务和指标相关的措施；并加强对社区团体中工作人员和地方政府当选成员角色的食品安全的理解，以及地方政府如何能够得到支持来利用社区知识。
