Multisectoral government programs and household food insecurity: evidence from a longitudinal study in the semiarid area
- PDF / 849,177 Bytes
- 14 Pages / 595.276 x 790.866 pts Page_size
- 87 Downloads / 207 Views
ORIGINAL PAPER
Multisectoral government programs and household food insecurity: evidence from a longitudinal study in the semiarid area of northeast, Brazil Poliana de Araújo Palmeira 1
&
Ruben de Araújo Mattos 2
&
Rafael Pérez-Escamilla 3
&
Rosana Salles-Costa 4
Received: 27 March 2020 / Accepted: 17 August 2020 # International Society for Plant Pathology and Springer Nature B.V. 2020
Abstract Food insecurity (FI) is a major social and public health problem worldwide. Hence, it is crucial to understand the effects of different government programs on overcoming FI. The present population-based longitudinal cohort study aimed to evaluate the association between government programs and household FI among families in a municipality in a semiarid area in Northeast, Brazil. We collected data on 358 families (2011) at baseline and 326 at follow-up (2014). FI was measured with the Brazilian Household Food Insecurity Measurement Scale (EBIA). The access to 27 governmental programs was assessed. The association of 15 programs with FI was estimated using logistic regression models and corresponding marginal effects and predicted probabilities. About 24.5% of families who were food insecure in 2011 became food secure in 2014 and 37.4% of families remained food secure across time. More than 90% of families accessed at least one program at baseline, and during follow-up there was an increase in the number of programs received per family. Programs in the areas of health protection, food and water assistance, poverty reduction, and rural developmentwere associated with remaining food secure over time and overcoming FI between baseline and follow-up. In conclusion, access to diverse health, food and social government programs was related to reduced risk of FI. This evidence strongly supports the need to for multisectoral approaches to address the social determinants of health to confront FI. Keywords Food insecurity . Food security . Public Policies . Government programs
1 Introduction Food insecurity (FI) is a major social and public health problem (Pérez-Escamilla 2017), resulting from uncertainty or lack of access by families to sufficient safe and nutritious foods for Electronic supplementary material The online version of this article (https://doi.org/10.1007/s12571-020-01100-4) contains supplementary material, which is available to authorized users. * Poliana de Araújo Palmeira [email protected] 1
Center of Education and Health, Federal University of Campina Grande, Sítio Olho dágua da Bica, S/N, Cuité, Paraíba, Brazil
2
Department of Health Planning and Administration, Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil
3
Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, USA
4
Institute of Nutrition Josué de Castro, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
individuals to lead an active and healthy life (FAO 2009; Roncarolo and Potvin 2016; Gubert et al. 2017; Loopstra et al. 2015b). The
Data Loading...
