Dataset Information

P055 ‘Silver Lining’: Encouraging Outcomes and Perceived Best Practices for Child Nutrition Directors During COVID-19 Pandemic

ABSTRACT:

Background

COVID-19 pandemic school shutdowns impacted child food security. Resilient school meal programs are imperative to cope and persist through shocks and stressors.

Objective

To explore unforeseen positive outcomes and determine best practices during the COVID-19 pandemic for child nutrition directors in Mississippi (MS), Louisiana (LA), and West Virginia (WV).

Study Design, Setting, Participants

A semi-structured focus group discussion guide was developed based on the resilience capacity model (RCM). Four focus group discussions with child nutrition directors (n = 16) from MS, LA, and WV were conducted to elicit directors’ perceptions of encouraging outcomes during the COVID-19 pandemic and best practices for building resilient school meal programs.

Measurable Outcome/Analysis

The discussion guide was tested for content validation by subject experts and face validation by testing the guide in one focus group discussion session. The primary researcher developed a codebook based on the conceptual RCM. Two researchers independently reviewed and coded transcripts to assess interrater reliability. Predominant themes were identified using an inductive and deductive content analysis approach.

Results

Encouraging outcomes included acknowledgment of school nutrition staff as essential workers and recognition of child nutrition programs as important for child food security. Best practices recommended by child nutrition directors include effective communication and networking among all personnel from policymakers to staff involved in food preparation and distribution, revision of standard operating procedures to include disaster/pandemic related mitigation strategies, taking initiatives to improve school meal provision process, and emergency management training for everyone involved in school meal provision process. Director recommendations included: in-class food distribution, increased food storage, preparation, and distribution equipment, and developing a best practices policy document for each state with a comprehensive plan for emergency management situations.

Conclusions

Future emergency school nutrition policies should encourage efficient communication, revision of existing standard operating procedures, and implement training for all school nutrition personnel.

Funding

Achieving Equity Investment Grant 2021 (University of Mississippi)

SUBMITTER: Gupta K

PROVIDER: S-EPMC9260006 | biostudies-literature |

REPOSITORIES: biostudies-literature

ACCESS DATA

Similar Datasets

Project description:AimPromote safe breastfeeding during the pandemic.MethodsAll participants were encouraged to request safe breastfeeding education from their prenatal provider. Pregnant mothers received appropriate breastfeeding and COVID-19 safe breastfeeding education in line with the CDC's COVID-19 breastfeeding guidelines. Data were obtained from 39 mothers attending Nashville General Hospital pediatric well-baby clinics (Group I: from December 2019 to June 2020) and 97 pregnant women attending prenatal clinics (Group II: from July 2020 to August 2021).ResultsThe participants' ages ranged from 15 to 45 years, with a mean of 27.5 ± 6.2. The women in both groups were similar in age, education, employment, and breastfeeding experience. They were equally unlikely to use face masks at home even while receiving guests or holding their babies. Although 121 (89.0%) women claimed face mask use while shopping, the rate for never doing so was 7 (18.0%) vs. 8 (8.3%) (p < 0.006) for Groups I and II, respectively. Safe practices included limited outing (66 (48.5%)), sanitized hands (62 (45.6%)), restricted visitors (44 (32.4%)), and limited baby outing (27 (19.9%)), and 8 (8.3%) in Group II received COVID-19 vaccinations. About half described fair and accurate COVID-19 safe breastfeeding knowledge, but 22 (30.1%) of them claimed they received no information. Breastfeeding contraindication awareness for Groups I and II were as follows: cocaine = 53.8% vs. 37.1%, p < 0.06; HIV = 35.9% vs. 12.4%, p < 0.002; breast cancer = 17.9% vs. 16.5%; and COVID-19 with symptoms = 28.2% vs. 5.2%, p < 0.001. The information source was similar, with family, friends, and media accounting for 77 (56.6%) of women while doctors, nurses, and the CLC was the source for 21 (15.4%) women. Exclusive breastfeeding one month postpartum for Groups I and II was 41.9% and 12.8% (p < 0.006), respectively.ConclusionThe mothers were not more knowledgeable regarding breastfeeding safely one year into the COVID-19 pandemic. Conflicting lay information can create healthy behavior ambivalence, which can be prevented by health professionals confidently advising mothers to wear face masks when breastfeeding, restricting visitors and outings, and accepting COVID-19 vaccination. This pandemic remains an open opportunity to promote and encourage breastfeeding to every mother as the default newborn feeding method.