Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Front Public Health. 2024 Sep 20;12:1436760. doi: 10.3389/fpubh.2024.1436760. eCollection 2024.
Food insecurity is a complex societal problem that disproportionately impacts households with children and those led by minoritized populations, with negative impacts on health across the life course. System to Achieve Food Equity adapted the learning systems model, used to address similarly complex problems, to tackle food insecurity at a neighborhood level. SAFE, born out of the COVID-19 pandemic, leverages a family-centered, community-based, cross-sector network fundamentally aimed at changing the food system so that all children in Cincinnati have the food they need to thrive. Through the following principles, Community-Led Network, Co-Production with Community, Equitable Sustainability, Learning to Learn Together, Distributing Leadership and Power, and Shared Data and Governance, SAFE has grown to over 300 individuals and 100 organizations, funded 9 novel interventions, distributed over 270,000 meals, and created a collaborative of motivated like-minded stakeholders. Future work includes improved data collection and sharing, support for increased stakeholder engagement and greater distribution of leadership and power, advocacy for policy change, refining measurement tools of network maturity for community settings, and collaboration with other efforts that contribute to food security indirectly.
食品安全是一个复杂的社会问题,不成比例地影响到有儿童的家庭和少数族裔群体领导的家庭,对整个生命周期的健康都有负面影响。实现食品安全平等的系统采用了学习系统模型,用于解决类似的复杂问题,在社区层面解决食品安全问题。SAFE 是在 COVID-19 大流行期间诞生的,它利用以家庭为中心、以社区为基础、跨部门的网络,从根本上致力于改变食品系统,使辛辛那提的所有儿童都能获得茁壮成长所需的食物。通过以下原则,社区领导的网络、与社区共同生产、公平可持续性、共同学习、分配领导力和权力,以及共享数据和治理,SAFE 已经发展到 300 多人和 100 多个组织,资助了 9 项新的干预措施,分发了超过 27 万份餐食,并创建了一个由志同道合的利益相关者组成的合作组织。未来的工作包括改进数据收集和共享,支持增加利益相关者的参与度和更大程度地分配领导力和权力,倡导政策变革,为社区环境完善网络成熟度的衡量工具,以及与其他间接促进食品安全的努力合作。