Implementation of Federal Waivers for Feeding Children in Early Care and Education During the COVID-19 Pandemic.
COVID-19
Child and Adult Care Food Program
child nutrition
food security
Journal
Journal of nutrition education and behavior
ISSN: 1878-2620
Titre abrégé: J Nutr Educ Behav
Pays: United States
ID NLM: 101132622
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
received:
25
02
2022
revised:
13
07
2022
accepted:
17
07
2022
entrez:
10
10
2022
pubmed:
11
10
2022
medline:
13
10
2022
Statut:
ppublish
Résumé
To capture Child and Adult Care Food Program (CACFP) state directors' experiences implementing federal waivers for feeding children in early care and education (ECE) settings during coronavirus disease 2019. Qualitative semistructured interviews. Virtual interviews with state CACFP directors. Child and Adult Care Food Program directors from 21 states from December 2020 to May 2021. Implementation of state-level waivers. Qualitative thematic analysis. State directors reported that the coronavirus disease 2019 waivers allowed ECE programs to continue feeding children despite being closed or having limited enrollment. The meal pattern, noncongregate feeding, parent/guardian meal pick-up, and monitoring waivers were most frequently used by states. Challenges included maintaining integrity to CACFP meal pattern requirements, addressing the limited capacity of ECE to produce and distribute noncongregate meals, and adapting technology for virtual reviews. Suggested improvements included streamlined communication from the US Department of Agriculture, standing waivers for emergencies, ongoing flexibilities for feeding children, and strategies to increase CACFP enrollment and reduce financial viability requirements for ECE. Results indicate the need for the US Department of Agriculture to consider issuing and extending waivers, increasing ECE participation in CACFP, and ensuring timely communication and guidance on waiver tracking.
Identifiants
pubmed: 36216442
pii: S1499-4046(22)00451-1
doi: 10.1016/j.jneb.2022.07.005
pmc: PMC9537749
pii:
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
925-938Subventions
Organisme : NIDDK NIH HHS
ID : P30 DK092926
Pays : United States
Informations de copyright
Copyright © 2022 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
Références
Public Health Nutr. 2021 Jul 30;:1-11
pubmed: 34325769
J Nutr Educ Behav. 2018 May;50(5):458-467
pubmed: 29478954
BMC Public Health. 2020 Jun 5;20(1):856
pubmed: 32503568
Early Child Res Q. 2013 Spring;28(2):325-336
pubmed: 23687405
Nutrients. 2021 Sep 09;13(9):
pubmed: 34579014
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
Am J Public Health. 2021 Jan;111(1):116-120
pubmed: 33211589
Prev Med Rep. 2017 Feb 08;6:33-37
pubmed: 28239540
J Nutr Educ Behav. 2018 May;50(5):441-450
pubmed: 29428828