1 00:00:05,840 --> 00:00:07,640 >>WELCOME TO THE SECOND WEBINAR 2 00:00:07,640 --> 00:00:09,280 IN THE LESSONS LEARNED FROM 3 00:00:09,280 --> 00:00:11,040 GLOBAL FOOD AND NUTRITION 4 00:00:11,040 --> 00:00:11,520 INSECURITY WEBINAR. 5 00:00:11,520 --> 00:00:15,720 I'M WITH THE NIH INTERNATIONAL 6 00:00:15,720 --> 00:00:17,160 CENTER. 7 00:00:17,160 --> 00:00:18,280 THIS SERIES BUILDS ON THE 8 00:00:18,280 --> 00:00:19,320 INVESTMENTS THE U.S. GOVERNMENT 9 00:00:19,320 --> 00:00:21,240 IS MAKING ON FOOD AND NUTRITION 10 00:00:21,240 --> 00:00:22,960 INSECURITY BOTH AT HOME AS WE 11 00:00:22,960 --> 00:00:23,840 SAW IN THE WHITE HOUSE 12 00:00:23,840 --> 00:00:25,120 CONFERENCE ON FOOD, NUTRITION 13 00:00:25,120 --> 00:00:26,800 AND HUNGER, AND ABROAD WITH THE 14 00:00:26,800 --> 00:00:29,320 RECENT PASSAGE OF THE GLOBAL 15 00:00:29,320 --> 00:00:30,080 MALNUTRITION PREVENTION AND 16 00:00:30,080 --> 00:00:30,960 TREATMENT ACT. 17 00:00:30,960 --> 00:00:32,480 THE SERIES HIGHLIGHTS THE 18 00:00:32,480 --> 00:00:33,960 INNOVATIVE RESEARCH PROJECTS ON 19 00:00:33,960 --> 00:00:35,320 NUTRITION AND FOOD SECURITY AND 20 00:00:35,320 --> 00:00:37,360 HEALTH OUTCOMES IN GLOBAL 21 00:00:37,360 --> 00:00:39,160 SETTINGS, AND IDENTIFIES LESSONS 22 00:00:39,160 --> 00:00:40,360 LEARNED AND OPPORTUNITIES FOR 23 00:00:40,360 --> 00:00:43,800 ADAPTATION IN THE U.S. AND OTHER 24 00:00:43,800 --> 00:00:44,480 CONTEXTS. 25 00:00:44,480 --> 00:00:46,800 IN OUR FIRST WEBINAR WE HAD AN 26 00:00:46,800 --> 00:00:49,280 OVERVIEW OF THE IMPACTS ACROSS 27 00:00:49,280 --> 00:00:51,080 THE WORLD IN VARIOUS AGE GROUPS 28 00:00:51,080 --> 00:00:52,920 AND SETTINGS INCLUDING THE 29 00:00:52,920 --> 00:00:53,880 CONNECTIONS TO CHRONIC AND 30 00:00:53,880 --> 00:00:55,360 INFECTIOUS DISEASES, AS WELL AS 31 00:00:55,360 --> 00:00:57,200 SPECIFIC EXAMPLES OF INNOVATIVE 32 00:00:57,200 --> 00:00:57,920 RESEARCH THAT PRESENT 33 00:00:57,920 --> 00:00:59,360 OPPORTUNITIES FOR TRANSLATION 34 00:00:59,360 --> 00:01:03,520 AND ADAPTATION. 35 00:01:03,520 --> 00:01:04,200 THE SECOND LOOKS AT THE ROLE 36 00:01:04,200 --> 00:01:05,720 THAT HOME, NEIGHBORHOOD AND 37 00:01:05,720 --> 00:01:06,800 COMMUNITY FOOD ENVIRONMENTS PLAY 38 00:01:06,800 --> 00:01:09,320 IN FOOD INSECURITY AND PROVIDE 39 00:01:09,320 --> 00:01:11,440 EXAMPLES OF EFFECTIVE FOOD 40 00:01:11,440 --> 00:01:12,600 ENVIRONMENT AND FOOD SYSTEM 41 00:01:12,600 --> 00:01:13,800 INTERVENTIONS ACROSS MULTIPLE 42 00:01:13,800 --> 00:01:16,320 REGIONS THAT ADDRESS EQUITY, 43 00:01:16,320 --> 00:01:17,760 ACCESS, DISPARITIES AND 44 00:01:17,760 --> 00:01:20,040 SUSTAINABILITY. 45 00:01:20,040 --> 00:01:21,600 WE'LL HEAR EXCITING RESEARCH 46 00:01:21,600 --> 00:01:23,760 EXAMPLES FROM LATIN AMERICA, THE 47 00:01:23,760 --> 00:01:24,880 CARIBBEAN, THE AMERICAS, EUROPE 48 00:01:24,880 --> 00:01:26,080 AND AFRICA. 49 00:01:26,080 --> 00:01:28,120 I'M THRILLED TO PARTNER WITH 50 00:01:28,120 --> 00:01:30,000 NIH'S OFFICE OF DISEASE 51 00:01:30,000 --> 00:01:32,080 PREVENTION, OFFICE OF NUTRITION 52 00:01:32,080 --> 00:01:32,640 RESEARCH, NATIONAL CANCER 53 00:01:32,640 --> 00:01:33,720 INSTITUTE, NATIONAL HEART, LUNG, 54 00:01:33,720 --> 00:01:35,040 BLOOD AND SLEEP INSTITUTE AND 55 00:01:35,040 --> 00:01:36,760 THE NATIONAL INSTITUTE FOR CHILD 56 00:01:36,760 --> 00:01:37,800 HEALTH AND HUMAN DEVELOPMENT AS 57 00:01:37,800 --> 00:01:40,720 WELL AS U.S. AID, CDC AND USDA 58 00:01:40,720 --> 00:01:43,760 TO DEVELOP THIS THREE-PART 59 00:01:43,760 --> 00:01:44,440 SERIES. 60 00:01:44,440 --> 00:01:46,520 WE WELCOME QUESTIONS FROM THE 61 00:01:46,520 --> 00:01:47,960 AUDIENCE FOR OUR PANEL 62 00:01:47,960 --> 00:01:48,680 DISCUSSION. 63 00:01:48,680 --> 00:01:49,920 PLEASE CLICK ON THE SEND LIVE 64 00:01:49,920 --> 00:01:51,560 FEEDBACK BUTTON DIRECTLY BELOW 65 00:01:51,560 --> 00:01:51,880 THE VIDEO. 66 00:01:51,880 --> 00:01:53,600 I WANT TO INTRODUCE OUR FIRST 67 00:01:53,600 --> 00:01:55,360 SPEAKER AND THE LEAD FOR THIS 68 00:01:55,360 --> 00:01:58,240 WEBINAR, PROFESSOR OF PUBLIC 69 00:01:58,240 --> 00:01:59,520 HEALTH NUTRITION AT THE 70 00:01:59,520 --> 00:02:06,520 UNIVERSITY OF GHANA. 71 00:02:06,520 --> 00:02:08,520 >>THANK YOU VERY MUCH, SUSAN, 72 00:02:08,520 --> 00:02:09,800 FOR YOUR KIND INTRODUCTION. 73 00:02:09,800 --> 00:02:13,400 I WOULD LIKE TO FROM THE ONSET 74 00:02:13,400 --> 00:02:16,240 EXPRESS MY SINCERE THANKS TO THE 75 00:02:16,240 --> 00:02:18,240 NIH AND OTHER PARTNERS FOR THE 76 00:02:18,240 --> 00:02:19,640 OPPORTUNITY TO CONTRIBUTE TO 77 00:02:19,640 --> 00:02:21,400 THIS VERY IMPORTANT CONVERSATION 78 00:02:21,400 --> 00:02:24,440 AS TO HOW YOU CAN LEVERAGE FOOD 79 00:02:24,440 --> 00:02:29,280 ENVIRONMENTS TO ASSURE FOOD 80 00:02:29,280 --> 00:02:29,800 SECURITY. 81 00:02:29,800 --> 00:02:32,240 AS AN INTRODUCTORY PRESENTATION, 82 00:02:32,240 --> 00:02:35,880 MY FRAMING PRESENTATION WHICH 83 00:02:35,880 --> 00:02:38,920 INTRODUCED FOOD ENVIRONMENT AS A 84 00:02:38,920 --> 00:02:40,680 CONCEPT -- DEFINITION OF 85 00:02:40,680 --> 00:02:43,720 PERSPECTIVES, TYPOLOGIES, BUT 86 00:02:43,720 --> 00:02:47,560 ALSO SUCH CONSTRUCTS COULD BE 87 00:02:47,560 --> 00:02:50,720 EXPLOITED AS A POLICY TOOL TO 88 00:02:50,720 --> 00:02:55,200 ASSURE FOOD SECURITY. 89 00:02:55,200 --> 00:02:58,400 THE CONCEPTS OF FOOD ENVIRONMENT 90 00:02:58,400 --> 00:02:59,880 ACTUALLY FIRST EMERGED IN 91 00:02:59,880 --> 00:03:01,800 ECOLOGY WHERE PRACTITIONERS AND 92 00:03:01,800 --> 00:03:03,200 RESEARCHERS WERE INTERESTED IN 93 00:03:03,200 --> 00:03:05,920 EXPLORING THE CONTEXT AND 94 00:03:05,920 --> 00:03:09,520 ATTRIBUTES OF FOOD CHAINS OF 95 00:03:09,520 --> 00:03:11,720 VARIOUS SPECIES AND ABUNDANCE OF 96 00:03:11,720 --> 00:03:15,960 FOOD SUPPLY OF DIFFERENT 97 00:03:15,960 --> 00:03:16,480 ECOSYSTEMS. 98 00:03:16,480 --> 00:03:18,600 SINCE THEN, THE CONCEPT HAS BEEN 99 00:03:18,600 --> 00:03:22,360 EXPANDED AND APPLIED IN PUBLIC 100 00:03:22,360 --> 00:03:24,080 HEALTH, WHERE INITIALLY IT WAS 101 00:03:24,080 --> 00:03:25,600 NARROWLY FOCUSED ON WHAT WE 102 00:03:25,600 --> 00:03:28,800 REFER TO TODAY AS -- 103 00:03:28,800 --> 00:03:33,160 ENVIRONMENTS AND NUTRITION 104 00:03:33,160 --> 00:03:37,200 ENVIRONMENT. 105 00:03:37,200 --> 00:03:42,880 IN 2010, THE CONCEPT WAS 106 00:03:42,880 --> 00:03:46,160 EXPANDED TO THE DEFINITION AS 107 00:03:46,160 --> 00:03:49,560 THE COLLECTIVE PHYSICAL ECONOMIC 108 00:03:49,560 --> 00:03:51,200 POLICY, OPPORTUNITIES AND 109 00:03:51,200 --> 00:03:52,360 CONDITIONS THAT INFLUENCE WHAT 110 00:03:52,360 --> 00:03:55,160 YOU AND I EAT AND, THEREFORE, 111 00:03:55,160 --> 00:03:59,200 OUR NUTRITIONAL HEALTH. 112 00:03:59,200 --> 00:04:00,480 CURRENTLY THERE ARE MULTIPLE 113 00:04:00,480 --> 00:04:02,600 DEFINITIONS AND PERSPECTIVES OF 114 00:04:02,600 --> 00:04:06,960 THE CONCEPT OF FOOD ENVIRONMENT. 115 00:04:06,960 --> 00:04:11,000 IN 2015, THEY FOCUSED ON THE 116 00:04:11,000 --> 00:04:12,200 AVAILABILITY, CONVENIENCE AND 117 00:04:12,200 --> 00:04:15,160 DESIRABILITY DIMENSIONS OF FOOD 118 00:04:15,160 --> 00:04:16,560 ENVIRONMENT. 119 00:04:16,560 --> 00:04:20,400 IN 2016, THE FAO RESEARCH OF THE 120 00:04:20,400 --> 00:04:21,600 AVAILABILITY AND ACCESSIBILITY 121 00:04:21,600 --> 00:04:25,360 DIMENSION BUT ALSO MORE 122 00:04:25,360 --> 00:04:27,080 IMPORTANTLY EMPHASIZE THE FACT 123 00:04:27,080 --> 00:04:28,160 THAT FOOD ENVIRONMENT DIFFER 124 00:04:28,160 --> 00:04:35,480 DEPENDING ON CONTEXT. 125 00:04:35,480 --> 00:04:38,440 IN 2017, DIMENSIONS OF FOOD 126 00:04:38,440 --> 00:04:40,520 ENVIRONMENT MAINTAINING THE 127 00:04:40,520 --> 00:04:42,160 AVAILABILITY, ACCESSIBILITY AND 128 00:04:42,160 --> 00:04:45,040 AFFORDABILITY DIMENSIONS 129 00:04:45,040 --> 00:04:48,480 PREVIOUSLY ARTICULATED. 130 00:04:48,480 --> 00:04:52,120 THEN THE SAME YEAR, IN 2017, THE 131 00:04:52,120 --> 00:04:53,440 HIGH LEVEL ASPECT ON FOOD 132 00:04:53,440 --> 00:05:01,680 SECURITY AND NUTRITION, ALSO 133 00:05:01,680 --> 00:05:04,080 TALKED ABOUT THE FACT THAT FOOD 134 00:05:04,080 --> 00:05:06,720 QUALITY AND FOOD -- OUGHT TO BE 135 00:05:06,720 --> 00:05:08,800 PART AND PARCEL OF A FOOD 136 00:05:08,800 --> 00:05:12,280 ENVIRONMENT IN TERMS OF AS A 137 00:05:12,280 --> 00:05:19,160 CONCEPT AND THEN DEFINITION. 138 00:05:19,160 --> 00:05:20,680 IN 2020, THEY ARGUED THAT FOOD 139 00:05:20,680 --> 00:05:24,080 ENVIRONMENT AS A CONCEPT TO BE 140 00:05:24,080 --> 00:05:24,960 OF PRACTICAL IMPORTANCE, WE 141 00:05:24,960 --> 00:05:28,040 OUGHT TO MOVE BEYOND JUST THE 142 00:05:28,040 --> 00:05:33,160 BUILT ENVIRONMENT FOCUSED ON -- 143 00:05:33,160 --> 00:05:37,880 TO INTRODUCE A NATURAL FOOD 144 00:05:37,880 --> 00:05:41,600 ENVIRONMENT AND -- OUGHT TO BE 145 00:05:41,600 --> 00:05:44,200 CONSIDERED, ESPECIALLY -- IN THE 146 00:05:44,200 --> 00:05:51,240 LOW AND MIDDLE INCOME COUNTRIES. 147 00:05:51,240 --> 00:05:56,080 SO WE TALK ABOUT FOOD DESERTS 148 00:05:56,080 --> 00:05:59,520 AND NUTRITIOUS FOOD, FOOD -- 149 00:05:59,520 --> 00:06:00,960 THAT DESCRIBE NEIGHBORHOOD WHERE 150 00:06:00,960 --> 00:06:10,040 AND HOW THE FOODS -- AND FOOD -- 151 00:06:10,040 --> 00:06:12,240 HOW NUTRITIOUS FOOD EXISTS AND 152 00:06:12,240 --> 00:06:14,000 IS AFFORDABLE. 153 00:06:14,000 --> 00:06:16,480 FROM THOSE NEGATIVE CONNOTATIONS 154 00:06:16,480 --> 00:06:17,600 OR DEPICTIONS OF FOOD 155 00:06:17,600 --> 00:06:20,320 ENVIRONMENT, THEY ARE CURRENTLY 156 00:06:20,320 --> 00:06:23,160 ALSO -- FOOD OASIS WHERE AN 157 00:06:23,160 --> 00:06:24,360 ENVIRONMENT IS CHARACTERIZED 158 00:06:24,360 --> 00:06:26,760 WITH ABUNDANCE OF HEALTHY AND 159 00:06:26,760 --> 00:06:28,200 NUTRITIOUS FOODS THAT ARE 160 00:06:28,200 --> 00:06:29,720 AFFORDABLE BUT ALSO CURRENTLY 161 00:06:29,720 --> 00:06:33,320 ARE FOOD HAVENS THAT DESCRIBE 162 00:06:33,320 --> 00:06:35,520 HEALTHY AND SUSTAINABLE FOOD 163 00:06:35,520 --> 00:06:35,800 ENVIRONMENT. 164 00:06:35,800 --> 00:06:37,600 GIVEN THAT WE LIVE IN A WORLD 165 00:06:37,600 --> 00:06:38,800 WHERE FISCAL HUMAN BEINGS LIKE 166 00:06:38,800 --> 00:06:42,960 YOU AND I ALSO HAVE -- IS JUST 167 00:06:42,960 --> 00:06:44,600 IMPORTANT THAT FOOD ENVIRONMENT 168 00:06:44,600 --> 00:06:46,600 ALSO EXPLOIT THAT, SO CURRENTLY 169 00:06:46,600 --> 00:06:50,800 WE TALK ABOUT -- FOOD 170 00:06:50,800 --> 00:06:56,440 ENVIRONMENT AS WELL IN DIGITAL 171 00:06:56,440 --> 00:06:56,680 SETTINGS. 172 00:06:56,680 --> 00:06:57,920 SO THE QUESTION IS WHAT HAVE ALL 173 00:06:57,920 --> 00:07:00,320 THESE GOT TO DO WITH FOOD AND 174 00:07:00,320 --> 00:07:02,960 NUTRITION SECURITY? 175 00:07:02,960 --> 00:07:04,920 ONE WAY WOULD BE TO REVIEW THE 176 00:07:04,920 --> 00:07:06,720 CONCEPT, DIMENSIONS AND 177 00:07:06,720 --> 00:07:07,920 APPLICATIONS OF FOOD SECURITY, 178 00:07:07,920 --> 00:07:09,760 BUT I'M NOT GOING TO DO THAT 179 00:07:09,760 --> 00:07:14,760 BECAUSE LAST WEEK OUR COLLEAGUES 180 00:07:14,760 --> 00:07:15,960 EXPLICITLY ADDRESSED THIS IN 181 00:07:15,960 --> 00:07:17,320 SESSION ONE OF THIS WEBINAR 182 00:07:17,320 --> 00:07:21,000 SERIES, AND SO TO CREATE THE 183 00:07:21,000 --> 00:07:24,280 DEFINITION WHEN WE TALK ABOUT 184 00:07:24,280 --> 00:07:25,640 FOOD SECURITY, WHAT WE MEAN IS 185 00:07:25,640 --> 00:07:26,840 THAT ALL PEOPLE AT ALL TIMES 186 00:07:26,840 --> 00:07:29,240 HAVE PHYSICAL, ECONOMIC, AND 187 00:07:29,240 --> 00:07:30,760 SOCIAL ACCESS TO SUFFICIENT, 188 00:07:30,760 --> 00:07:33,360 SAFE AND NUTRITIOUS FOOD THAT 189 00:07:33,360 --> 00:07:37,360 MEET THEIR DIETARY FOOD 190 00:07:37,360 --> 00:07:38,000 PREFERENCES AS WELL AS HEALTH 191 00:07:38,000 --> 00:07:38,200 NEEDS. 192 00:07:38,200 --> 00:07:41,000 AND THIS IS THE DEFINITION FROM 193 00:07:41,000 --> 00:07:43,560 THE WORLD FOOD SUMMIT IN 1996. 194 00:07:43,560 --> 00:07:50,440 SO THERE ARE MAJOR STAKEHOLDERS, 195 00:07:50,440 --> 00:07:51,200 MULTIPLE APPROACHES, MULTIPLE 196 00:07:51,200 --> 00:07:54,480 ENTRY POINT TO ADDRESSING THE 197 00:07:54,480 --> 00:07:55,720 PROBLEM OF FOOD INSECURITY 198 00:07:55,720 --> 00:07:56,240 CURRENTLY. 199 00:07:56,240 --> 00:08:01,160 SO TODAY WHAT WE AIM TO DO IS 200 00:08:01,160 --> 00:08:02,440 TO -- I HOPE TO CONVINCE YOU 201 00:08:02,440 --> 00:08:04,320 THAT FOOD ENVIRONMENT AS A 202 00:08:04,320 --> 00:08:06,960 CONCEPT COULD BE EXPLOITED AS AN 203 00:08:06,960 --> 00:08:10,280 ENTRY POINT OR A TOOL TO ASSURE 204 00:08:10,280 --> 00:08:14,720 FOOD AND NUTRITION SECURITY. 205 00:08:14,720 --> 00:08:15,600 THERE'S A LOT OF EVIDENCE THAT 206 00:08:15,600 --> 00:08:18,760 SHOWS THAT FOOD ENVIRONMENT 207 00:08:18,760 --> 00:08:23,680 CONSTRAIN AND SIGNAL CONSUMERS 208 00:08:23,680 --> 00:08:24,360 WHAT TO PURCHASE. 209 00:08:24,360 --> 00:08:28,200 WE ALSO KNOW FOOD ENVIRONMENT 210 00:08:28,200 --> 00:08:30,360 AFFECT CONSUMPTION OF HEALTHY 211 00:08:30,360 --> 00:08:31,560 FOOD, AVAILABILITY, 212 00:08:31,560 --> 00:08:32,880 AFFORDABILITY, CONVENIENCE, 213 00:08:32,880 --> 00:08:34,440 DESIRABILITY, PHYSICAL AND 214 00:08:34,440 --> 00:08:35,960 TEMPORAL ACCESS AS WELL AS 215 00:08:35,960 --> 00:08:39,440 FINANCIAL ACCESS OF HEALTHY OR 216 00:08:39,440 --> 00:08:41,640 UNHEALTHY FOOD, THEREFORE, IF 217 00:08:41,640 --> 00:08:43,400 YOU'RE ABLE TO EXPLOIT THE FOOD 218 00:08:43,400 --> 00:08:45,600 ENVIRONMENT TO EXPRESS THESE 219 00:08:45,600 --> 00:08:47,720 MULTIPLE DIMENSIONS THEN WE'RE 220 00:08:47,720 --> 00:08:53,880 CONTRIBUTING TO ENSURE FOOD AND 221 00:08:53,880 --> 00:08:55,080 IMPROVED NUTRITION. 222 00:08:55,080 --> 00:08:57,360 THERE ARE APPROACHES AND THEN 223 00:08:57,360 --> 00:08:58,480 THERE ARE INTERVENTIONS 224 00:08:58,480 --> 00:08:59,680 CURRENTLY BEING IMPLEMENTED IN A 225 00:08:59,680 --> 00:09:05,000 NUMBER OF SETTINGS. 226 00:09:05,000 --> 00:09:09,960 HALLADAY AND COLLEAGUES IN 227 00:09:09,960 --> 00:09:11,400 2019 -- GLOBALLY, SO 228 00:09:11,400 --> 00:09:13,480 INNOVATIONS, FOOD ENVIRONMENT -- 229 00:09:13,480 --> 00:09:14,680 TO SHIFT THE FOOD ENVIRONMENT 230 00:09:14,680 --> 00:09:21,240 WITH RESPECT TO FISCAL ACCESS, 231 00:09:21,240 --> 00:09:23,640 INNOVATIONS -- FOR EXAMPLE, 232 00:09:23,640 --> 00:09:27,360 MUNICIPALITIES, JURISDICTIONS, 233 00:09:27,360 --> 00:09:28,560 NATIONS -- ORDINANCES AND 234 00:09:28,560 --> 00:09:29,560 PLANNING INSTRUMENTS THAT WORK 235 00:09:29,560 --> 00:09:30,200 IN THESE DIRECTION. 236 00:09:30,200 --> 00:09:33,160 THEY CAN HAVE PHYSICAL MEASURES, 237 00:09:33,160 --> 00:09:34,680 FOR EXAMPLE, TAX EXEMPTION ON 238 00:09:34,680 --> 00:09:37,520 LAND USED FOR AGRICULTURAL 239 00:09:37,520 --> 00:09:37,840 PURPOSES. 240 00:09:37,840 --> 00:09:44,520 YOU CAN ALSO HAVE INNOVATIONS OR 241 00:09:44,520 --> 00:09:46,080 INTERVENTIONS THAT SEEK TO 242 00:09:46,080 --> 00:09:47,600 ENCOURAGE HOW THEY DESCRIBE 243 00:09:47,600 --> 00:09:51,280 CONSUMPTION OF UNHEALTHY FOOD OR 244 00:09:51,280 --> 00:09:53,480 ZONING LAWS, ZONING PERMITS AND 245 00:09:53,480 --> 00:09:55,120 LICENSES CAN BE USED. 246 00:09:55,120 --> 00:09:59,760 THERE ARE ALSO PHYSI FISCAL MEAS 247 00:09:59,760 --> 00:10:01,480 BEING DEPLOYED TO ENSURE THAT 248 00:10:01,480 --> 00:10:03,040 UNHEALTHY FOOD ARE MADE 249 00:10:03,040 --> 00:10:03,560 UNATTRACTIVE. 250 00:10:03,560 --> 00:10:07,480 SO ALL THESE ARE MULTIPLE 251 00:10:07,480 --> 00:10:08,600 INTERVENTIONS THAT WE CAN USE TO 252 00:10:08,600 --> 00:10:09,680 SHAPE OUR FOOD ENVIRONMENT TO 253 00:10:09,680 --> 00:10:15,200 ENSURE THAT THERE'S PHYSICAL 254 00:10:15,200 --> 00:10:19,200 ACCESS TO HEALTHY FOOD. 255 00:10:19,200 --> 00:10:21,600 USING HEALTHY FOOD PROCUREMENT 256 00:10:21,600 --> 00:10:23,560 MODALITIES, REINFORCING SUPPLY 257 00:10:23,560 --> 00:10:25,760 CHAINS, FACILITATING MOBILITY 258 00:10:25,760 --> 00:10:26,520 AND PUBLIC TRANSPORTATION, ALL 259 00:10:26,520 --> 00:10:32,920 OF THOSE ARE INTERVENTIONS OR 260 00:10:32,920 --> 00:10:35,160 OPPORTUNITIES USING FOOD 261 00:10:35,160 --> 00:10:36,160 ENVIRONMENT. 262 00:10:36,160 --> 00:10:37,360 INDEED IN ALL THESE, GOVERNMENT 263 00:10:37,360 --> 00:10:38,800 DO HAVE A ROLE AND THEY ALSO 264 00:10:38,800 --> 00:10:42,760 HAVE AN OPPORTUNITY. 265 00:10:42,760 --> 00:10:44,240 GOVERNMENTS EVERYWHERE -- TO 266 00:10:44,240 --> 00:10:46,440 PROMOTE, TO PROTECT AND THEN 267 00:10:46,440 --> 00:10:47,760 ASSURE HEALTH OF THEIR CITIZENS, 268 00:10:47,760 --> 00:10:52,120 AND WE HAVE ARGUED THAT IF 269 00:10:52,120 --> 00:10:54,520 GOVERNMENT -- A MIX OF -- AGENCY 270 00:10:54,520 --> 00:10:55,920 AS WELL AS HIGH AGENCY FOOD 271 00:10:55,920 --> 00:10:59,160 ENVIRONMENT POLICY MEASURES, FOR 272 00:10:59,160 --> 00:11:00,880 EXAMPLE, SEEK TO INFORM ON 273 00:11:00,880 --> 00:11:02,920 POWER, THOSE THAT GUIDE AND 274 00:11:02,920 --> 00:11:04,920 INFLUENCE THEIR POLICY MEASURES 275 00:11:04,920 --> 00:11:06,440 THAT INCENTIVIZE OR DESCRIBE 276 00:11:06,440 --> 00:11:08,840 CONSUMPTION OF UNHEALTHY FOOD, 277 00:11:08,840 --> 00:11:10,600 FOR EXAMPLE, SETTING TARGET FOR 278 00:11:10,600 --> 00:11:12,240 OPPOSITION OF PROCESSED FOOD 279 00:11:12,240 --> 00:11:15,520 RESTRICTING THE AVAILABILITY OF 280 00:11:15,520 --> 00:11:17,160 FOOD VIRMT TO PROMOTE FOODS THAT 281 00:11:17,160 --> 00:11:20,240 ARE KNOWN TO BE UNHEALTHY, HOW 282 00:11:20,240 --> 00:11:22,080 PUBLIC SECTOR SETTINGS IMPLEMENT 283 00:11:22,080 --> 00:11:24,040 CLEAR AND CONSISTENT POLICIES ON 284 00:11:24,040 --> 00:11:28,680 HEALTHY FOOD PROCUREMENT AND 285 00:11:28,680 --> 00:11:31,400 PROVISIONING, ALL POLICY 286 00:11:31,400 --> 00:11:32,280 INTERVENTIONS INCENTIVIZE 287 00:11:32,280 --> 00:11:33,560 CONSUMPTION OF UNHEALTHY FOOD 288 00:11:33,560 --> 00:11:34,480 BUT AT THE SAME TIME, HAVE THOSE 289 00:11:34,480 --> 00:11:36,680 THAT INSEPTEMBER ADVISE 290 00:11:36,680 --> 00:11:38,360 CONSUMPTION OF HEALTHY ONES. 291 00:11:38,360 --> 00:11:41,000 THEN FOOD ENVIRONMENT ACCESS THE 292 00:11:41,000 --> 00:11:44,160 ITEM IMMEDIATE DECISIONS THAT 293 00:11:44,160 --> 00:11:45,600 NEGATE THE IMPORTATION, THE 294 00:11:45,600 --> 00:11:48,800 PRODUCTION, THE PROCESSING, THE 295 00:11:48,800 --> 00:11:50,080 RETAIL MARKETING AND PURCHASE 296 00:11:50,080 --> 00:11:51,600 AND CONSUMPTION OF UNHEALTHY 297 00:11:51,600 --> 00:11:56,080 FOOD, AND, THEREFORE, LEADING TO 298 00:11:56,080 --> 00:11:58,960 MAKING UNHEALTHY FOOD 299 00:11:58,960 --> 00:12:01,560 UNAVAILABLE, UNATTRACTIVE AND 300 00:12:01,560 --> 00:12:02,000 UNAFFORDABLE. 301 00:12:02,000 --> 00:12:06,520 SO THERE IS VALUE IN EXPLOITING 302 00:12:06,520 --> 00:12:07,560 FOOD ENVIRONMENT TOWARDS 303 00:12:07,560 --> 00:12:09,440 ASSURING FOOD SECURITY. 304 00:12:09,440 --> 00:12:13,040 I'LL END HERE AND HAND IT OVER 305 00:12:13,040 --> 00:12:15,040 TO THE DISTINGUISHED PANEL OF 306 00:12:15,040 --> 00:12:20,400 EXPERTS WHO ARE GOING TO BE ON 307 00:12:20,400 --> 00:12:21,360 THE PRESENTATION FOR THE 308 00:12:21,360 --> 00:12:22,600 PRACTICE OF FOOD ENVIRONMENT, WE 309 00:12:22,600 --> 00:12:24,440 HE ARE GOING TO GIVE AS CONCRETE 310 00:12:24,440 --> 00:12:28,240 PRACTICAL EXAMPLE OF THE 311 00:12:28,240 --> 00:12:29,880 PRACTICE. 312 00:12:29,880 --> 00:12:32,960 SO LET ME INTRODUCE THE SPEAKERS 313 00:12:32,960 --> 00:12:34,280 WHO ARE GOING TO GIVE THOSE 314 00:12:34,280 --> 00:12:41,080 PRACTICAL EXAMPLES FROM THE 315 00:12:41,080 --> 00:12:42,240 DIFFERENT -- FIRST AN INSTRUCTOR 316 00:12:42,240 --> 00:12:43,920 IN THE SECTION OF GENERAL 317 00:12:43,920 --> 00:12:46,720 INTERNAL MEDICINE AT YALE SCHOOL 318 00:12:46,720 --> 00:12:53,760 OF MEDICINE. 319 00:12:53,760 --> 00:12:54,840 PROFESSOR FROM THE GEORGE 320 00:12:54,840 --> 00:12:57,120 WASHINGTON UNIVERSITY. 321 00:12:57,120 --> 00:12:58,600 AND CHARLOTTE GALLAGHER SQUIRES, 322 00:12:58,600 --> 00:13:02,600 A RESEARCHER AT THE CENTER FOR 323 00:13:02,600 --> 00:13:04,120 FOOD POLICY, UNIVERSITY OF 324 00:13:04,120 --> 00:13:04,560 LONDON. 325 00:13:04,560 --> 00:13:10,040 SO I'LL HAND OVER NOW TO THESE 326 00:13:10,040 --> 00:13:10,920 DISTINGUISHED SPEAKERS TO GIVE 327 00:13:10,920 --> 00:13:12,000 US PRACTICAL EXAMPLES FROM 328 00:13:12,000 --> 00:13:16,720 DIFFERENT CORNERS OF THE WORLD. 329 00:13:16,720 --> 00:13:21,000 OVER TO YOU. 330 00:13:21,000 --> 00:13:22,280 >>THANK YOU. 331 00:13:22,280 --> 00:13:32,800 I'M GOING TO SHARE MY SCREEN. 332 00:13:38,000 --> 00:13:38,480 GOOD MORNING. 333 00:13:38,480 --> 00:13:42,200 AS MENTIONED, I'LL BE TALKING TO 334 00:13:42,200 --> 00:13:43,880 YOU TODAY ABOUT PERCEPTIONS OF 335 00:13:43,880 --> 00:13:45,600 THE LOCAL FOOD ENVIRONMENT AND 336 00:13:45,600 --> 00:13:48,440 HOUSEHOLD FOOD INSECURITY. 337 00:13:48,440 --> 00:13:50,320 IN THE EASTERN CARIBBEAN 338 00:13:50,320 --> 00:13:53,800 OUTCOMES RESEARCH COHORT STUDY. 339 00:13:53,800 --> 00:13:57,640 TODAY I'M GOING TO DESCRIBE THE 340 00:13:57,640 --> 00:13:58,840 STUDY DESIGN, DISCUSS THE LOCAL 341 00:13:58,840 --> 00:13:59,800 FOOD ENVIRONMENT AND HOUSEHOLD 342 00:13:59,800 --> 00:14:03,000 FOOD INSECURITY, PROPOSE FUTURE 343 00:14:03,000 --> 00:14:07,440 DIRECTIONS, AND DISCUSS RESOURCE 344 00:14:07,440 --> 00:14:07,800 RECOMMENDATIONS. 345 00:14:07,800 --> 00:14:09,120 WE KNOW FROM THE LITERATURE THAT 346 00:14:09,120 --> 00:14:10,080 HOUSEHOLD FOOD INSECURITY IS 347 00:14:10,080 --> 00:14:13,280 ASSOCIATED WITH ALL FORMS OF 348 00:14:13,280 --> 00:14:14,920 MALNUTRITION, AS WELL AS 349 00:14:14,920 --> 00:14:16,200 INFECTIOUS AND NON-COMMUNICABLE 350 00:14:16,200 --> 00:14:16,680 DISEASES. 351 00:14:16,680 --> 00:14:19,400 THIS IS ALSO THE CASE IN THE 352 00:14:19,400 --> 00:14:20,960 COHORT, TODAY I'M GOING TO FOCUS 353 00:14:20,960 --> 00:14:22,800 ON RISK FACTORS FOR HOUSEHOLD 354 00:14:22,800 --> 00:14:25,520 FOOD INSECURITY. 355 00:14:25,520 --> 00:14:27,520 THE KEY MESSAGES TODAY ARE THAT 356 00:14:27,520 --> 00:14:28,680 PERCEIVED FOOD AVAILABILITY AND 357 00:14:28,680 --> 00:14:29,480 PERCEIVED FOOD QUALITY ARE 358 00:14:29,480 --> 00:14:33,400 ASSOCIATED WITH HOUSEHOLD FOOD 359 00:14:33,400 --> 00:14:34,480 INSECURITY, THAT WATER SECURITY 360 00:14:34,480 --> 00:14:35,960 SHOULD BE CONSIDERED PART OF THE 361 00:14:35,960 --> 00:14:37,000 LOCAL FOOD ENVIRONMENT, AND THAT 362 00:14:37,000 --> 00:14:38,760 THESE FINDINGS HAVE IMPLICATIONS 363 00:14:38,760 --> 00:14:40,520 FOR FOOD SECURITY AND HEALTH 364 00:14:40,520 --> 00:14:44,800 POLICY IN THE EASTERN CARIBBEAN 365 00:14:44,800 --> 00:14:45,240 REGION. 366 00:14:45,240 --> 00:14:49,480 THIS IS A COHORT STUDY DESIGNED 367 00:14:49,480 --> 00:14:50,800 TO FOLLOW OLDER ADULTS IN THE 368 00:14:50,800 --> 00:14:51,880 EASTERN CARIBBEAN. 369 00:14:51,880 --> 00:14:52,760 ITS PRIMARY PURPOSE IS TO 370 00:14:52,760 --> 00:14:53,960 MEASURE THE PREVALENCE AND 371 00:14:53,960 --> 00:14:55,520 INCIDENCE OF DIABETES, CANCER 372 00:14:55,520 --> 00:14:58,640 AND HEART DISEASE, AS WELL AS 373 00:14:58,640 --> 00:15:00,640 KNOWN AND POTENTIAL RISK FACTORS 374 00:15:00,640 --> 00:15:03,040 INCLUDING FOOD INSECURITY. 375 00:15:03,040 --> 00:15:04,960 ISLAND SITES INCLUDE THE TWO 376 00:15:04,960 --> 00:15:06,120 CARIBBEAN U.S. TERRITORIES OF 377 00:15:06,120 --> 00:15:08,200 PUERTO RICO AND THE U.S. VIRGIN 378 00:15:08,200 --> 00:15:11,440 ISLANDS, AS WELL AS BARBADOS AND 379 00:15:11,440 --> 00:15:12,560 TRINIDAD. 380 00:15:12,560 --> 00:15:13,800 ELIGIBILITY CRITERIA ARE LISTED 381 00:15:13,800 --> 00:15:16,720 ON THE LEFT-HAND SIDE OF THE 382 00:15:16,720 --> 00:15:16,920 SLIDE. 383 00:15:16,920 --> 00:15:20,680 IN TRINIDAD, PUERTO RICO AND 384 00:15:20,680 --> 00:15:22,720 BARBADOS, STRATIFIED 385 00:15:22,720 --> 00:15:24,040 MULTI-PROBABILITY SAMPLING FOR 386 00:15:24,040 --> 00:15:24,800 THE BASELINE COHORT. 387 00:15:24,800 --> 00:15:27,520 IN THE U.S. VIRGIN ISLANDS, 388 00:15:27,520 --> 00:15:29,160 SIMPLE RANDOM SAMPLING WAS USED 389 00:15:29,160 --> 00:15:31,360 ACROSS ST. THOMAS, ST. CROIX AND 390 00:15:31,360 --> 00:15:31,960 ST. JOHN. 391 00:15:31,960 --> 00:15:33,760 AFTER INFORMED CONSENT WAS 392 00:15:33,760 --> 00:15:34,640 OBTAINED, PARTICIPANTS WERE 393 00:15:34,640 --> 00:15:37,720 ASKED TO COMPLETE A HEALTH 394 00:15:37,720 --> 00:15:38,720 SURVEY, A CLINICAL ASSESSMENT 395 00:15:38,720 --> 00:15:40,360 AND PROVIDE A BLOOD SAMPLE FOR 396 00:15:40,360 --> 00:15:41,440 IMMEDIATE TESTING TO IDENTIFY 397 00:15:41,440 --> 00:15:45,480 MARKERS OF DISEASE. 398 00:15:45,480 --> 00:15:47,240 WE USE THE LATIN AMERICAN AND 399 00:15:47,240 --> 00:15:48,160 CARIBBEAN FOOD SECURITY SCALE 400 00:15:48,160 --> 00:15:50,200 AND SPECIFICALLY THE NINE-ITEM 401 00:15:50,200 --> 00:15:51,240 ADULT SUBSCALE TO MEASURE 402 00:15:51,240 --> 00:15:54,000 HOUSEHOLD FOOD INSECURITY IN THE 403 00:15:54,000 --> 00:15:54,440 COHORT. 404 00:15:54,440 --> 00:15:56,720 THE SCALE IS WIDELY KNOWN BY ITS 405 00:15:56,720 --> 00:15:58,920 SPANISH ACRONYM ELSA. 406 00:15:58,920 --> 00:16:01,680 THIS IS A HOUSEHOLD LEVEL 407 00:16:01,680 --> 00:16:02,440 EXPERIENTIAL FOOD SECURITY 408 00:16:02,440 --> 00:16:03,200 SCALE. 409 00:16:03,200 --> 00:16:06,280 THE ELCSA IS UNIQUELY ABLE TO 410 00:16:06,280 --> 00:16:07,680 DETECT ASPECTS OF FOOD 411 00:16:07,680 --> 00:16:09,560 INSECURITY INVOLVING DECREASED 412 00:16:09,560 --> 00:16:10,760 ACCESS TO A SUFFICIENT QUANTITY 413 00:16:10,760 --> 00:16:12,600 OR QUALITY OF FOOD. 414 00:16:12,600 --> 00:16:14,440 IT ALSO MEASURES THE ANXIETY AND 415 00:16:14,440 --> 00:16:17,000 UNCERTAINTY AROUND FOOD ACCESS. 416 00:16:17,000 --> 00:16:18,960 THE INDIVIDUAL ITEMS ARE LISTED 417 00:16:18,960 --> 00:16:20,920 HERE AND THE TIME FRAME BEING 418 00:16:20,920 --> 00:16:24,520 EXAMINES IS THE PAST 90 DAYS. 419 00:16:24,520 --> 00:16:27,480 OUR RASH MODELING INDICATED THE 420 00:16:27,480 --> 00:16:28,480 PSYCHOMETRIC PROBABILITIES OF 421 00:16:28,480 --> 00:16:29,240 THIS SCALE ARE EXCELLENT AND 422 00:16:29,240 --> 00:16:30,680 THAT ALL NINE ITEMS SHOULD BE 423 00:16:30,680 --> 00:16:35,600 USED. 424 00:16:35,600 --> 00:16:36,920 WE MEASURED PERCEPTIONS OF THE 425 00:16:36,920 --> 00:16:38,960 LOCAL FOOD ENVIRONMENT WITH FIVE 426 00:16:38,960 --> 00:16:39,600 QUESTIONS. 427 00:16:39,600 --> 00:16:41,480 THE TWO WE USED IN THIS ANALYSIS 428 00:16:41,480 --> 00:16:42,360 ARE HIGHLIGHTED HERE. 429 00:16:42,360 --> 00:16:44,120 ONE EACH FOR NEIGHBORHOOD FOOD 430 00:16:44,120 --> 00:16:46,080 AVAILABILITY AND FOOD QUALITY. 431 00:16:46,080 --> 00:16:47,520 SO THINKING ABOUT FOOD RESOURCES 432 00:16:47,520 --> 00:16:50,000 IN YOUR NEIGHBORHOOD, HOW OFTEN 433 00:16:50,000 --> 00:16:51,400 ARE LARGE SELECTION OF FRESH 434 00:16:51,400 --> 00:16:52,400 FRUITS AND VEGETABLES AVAILABLE 435 00:16:52,400 --> 00:16:53,960 IN YOUR NEIGHBORHOOD? 436 00:16:53,960 --> 00:16:55,480 AND HOW OFTEN ARE THE FRESH 437 00:16:55,480 --> 00:16:56,800 FRUITS AND VEGETABLES IN YOUR 438 00:16:56,800 --> 00:17:00,960 NEIGHBORHOOD OF HIGH QUALITY? 439 00:17:00,960 --> 00:17:02,040 THIS GRAPH IS SHOWING THE 440 00:17:02,040 --> 00:17:03,480 PREVALENCE OF HOUSEHOLD FOOD 441 00:17:03,480 --> 00:17:04,560 INSECURITY BY ISLAND AND LEVEL 442 00:17:04,560 --> 00:17:07,400 OF SEVERITY AT WAVE 1. 443 00:17:07,400 --> 00:17:08,920 THOSE WHO ARE MILDLY FOOD 444 00:17:08,920 --> 00:17:10,800 INSECURE ARE SHOWN IN PURPLE. 445 00:17:10,800 --> 00:17:12,120 MODERATE IN BLUE AND SEVERE IN 446 00:17:12,120 --> 00:17:14,320 GREEN. 447 00:17:14,320 --> 00:17:16,160 SO IF WE ADD UP THE PURPLE, BLUE 448 00:17:16,160 --> 00:17:18,360 AND GREEN BARS FOR EACH SITE AND 449 00:17:18,360 --> 00:17:20,520 OVERALL, WE CAN SEE THE PREF 450 00:17:20,520 --> 00:17:23,400 PREVALENCE OF ANY LEVEL OF FOOD 451 00:17:23,400 --> 00:17:25,000 INSECURITY AKLOSS ALL FOUR 452 00:17:25,000 --> 00:17:26,640 ISLAND SITES WAS 27.6%. 453 00:17:26,640 --> 00:17:28,280 THE PREVALENCE OF ANY HOUSEHOLD 454 00:17:28,280 --> 00:17:30,840 FOOD INSECURITY WAS HIGHEST IN 455 00:17:30,840 --> 00:17:32,560 TRINIDAD, AT 37.2%. 456 00:17:32,560 --> 00:17:34,320 FOLLOWED BY THE U.S. VIRGIN 457 00:17:34,320 --> 00:17:37,280 ISLANDS AT 33.5%. 458 00:17:37,280 --> 00:17:40,320 PUERTO RICO AT 22.9%, AND 459 00:17:40,320 --> 00:17:42,400 BARBADOS AT 21.4%. 460 00:17:42,400 --> 00:17:44,240 AS YOU CAN SEE HERE, THERE WAS 461 00:17:44,240 --> 00:17:46,880 ALSO IMPORTANT VARIABILITY 462 00:17:46,880 --> 00:17:48,240 ACROSS SITES REGARDING THE 463 00:17:48,240 --> 00:17:51,920 SEVERITY OF FOOD INSECURITY. 464 00:17:51,920 --> 00:17:53,560 AS MY COLLEAGUE HAS SHOWN, 465 00:17:53,560 --> 00:17:54,640 PERCEPTIONS OF THE LOCAL FOOD 466 00:17:54,640 --> 00:17:56,000 ENVIRONMENT ARE ASSOCIATED WITH 467 00:17:56,000 --> 00:17:58,680 FRUIT AND VEGETABLE INTAKE IN 468 00:17:58,680 --> 00:18:00,240 THE COHORT STUDY, AND THIS 469 00:18:00,240 --> 00:18:02,840 RELATIONSHIP IS MODIFIED BY FOOD 470 00:18:02,840 --> 00:18:03,240 INSECURITY. 471 00:18:03,240 --> 00:18:05,360 SO I EXPANDED UPON THIS ANALYSIS 472 00:18:05,360 --> 00:18:07,120 TO EXAMINE PERCEPTIONS OF THE 473 00:18:07,120 --> 00:18:08,680 LOCAL FOOD ENVIRONMENT AS A RISK 474 00:18:08,680 --> 00:18:09,760 FACTOR FOR FOOD INSECURITY IN 475 00:18:09,760 --> 00:18:12,040 THE COHORT. 476 00:18:12,040 --> 00:18:13,680 SO THE PRIMARY AIMS OF THIS 477 00:18:13,680 --> 00:18:15,880 ANALYSIS WERE TO UNDERSTAND HOW 478 00:18:15,880 --> 00:18:17,160 PERCEPTIONS OF THE LOCAL FOOD 479 00:18:17,160 --> 00:18:18,040 ENVIRONMENT ARE ASSOCIATED WITH 480 00:18:18,040 --> 00:18:21,480 FOOD INSECURITY AND TO EXAMINE 481 00:18:21,480 --> 00:18:22,360 WHETHER ACCESS TO SAFE WATER 482 00:18:22,360 --> 00:18:23,440 SHOULD BE CONSIDERED PART OF THE 483 00:18:23,440 --> 00:18:25,640 LOCAL FOOD ENVIRONMENT. 484 00:18:25,640 --> 00:18:29,160 WE USED MULTIVARIABLE ORDINAL 485 00:18:29,160 --> 00:18:30,200 LOGISTIC REGRESSION WITH DATA 486 00:18:30,200 --> 00:18:32,400 FROM THE FIRST WAVE TO MODEL THE 487 00:18:32,400 --> 00:18:34,800 PROBABILITY OF INCREASING OR 488 00:18:34,800 --> 00:18:35,680 WORSENING FOOD INSECURITY FROM 489 00:18:35,680 --> 00:18:38,000 MILD TO MODERATE TO SEVERE. 490 00:18:38,000 --> 00:18:39,320 PERCEPTIONS OF THE LOCAL FOOD 491 00:18:39,320 --> 00:18:40,720 ENVIRONMENT WERE MEASURED USING 492 00:18:40,720 --> 00:18:43,040 THE TWO VARIABLES WE DISCUSSED 493 00:18:43,040 --> 00:18:43,680 EARLIER. 494 00:18:43,680 --> 00:18:45,000 RESPONSES WERE DICHOTOMIZED SUCH 495 00:18:45,000 --> 00:18:46,640 THAT NEVER, RARELY OR SOMETIMES 496 00:18:46,640 --> 00:18:48,720 WAS COLLAPSED INTO ONE CATEGORY 497 00:18:48,720 --> 00:18:50,480 AND USUALLY OR ALWAYS WAS THE 498 00:18:50,480 --> 00:18:57,160 REFERENCE CATEGORY. 499 00:18:57,160 --> 00:18:59,480 WE FOUND FOOD AVAILABILITY 500 00:18:59,480 --> 00:19:00,600 INDEPENDENTLY PREDICTED 501 00:19:00,600 --> 00:19:02,120 HOUSEHOLD FOOD INSECURITY IN THE 502 00:19:02,120 --> 00:19:02,440 COHORT. 503 00:19:02,440 --> 00:19:03,960 THOSE WHO REPORTED POOR FRUIT 504 00:19:03,960 --> 00:19:06,240 AND VEGETABLE AVAILABILITY HAD 505 00:19:06,240 --> 00:19:08,240 43% INCREASED ODDS OF WORSENING 506 00:19:08,240 --> 00:19:11,280 FOOD INSECURITY COMPARED TO 507 00:19:11,280 --> 00:19:12,600 THOSE WHO REPORTED THAT FRESH 508 00:19:12,600 --> 00:19:13,800 FRUITS AND VEGETABLES ARE 509 00:19:13,800 --> 00:19:15,040 USUALLY OR ALWAYS AVAILABLE. 510 00:19:15,040 --> 00:19:16,200 WE CONTROLLED FOR ALL OF THE 511 00:19:16,200 --> 00:19:18,960 VARIABLES YOU SEE LISTED AT THE 512 00:19:18,960 --> 00:19:20,280 BOTTOM OF THIS TABLE. 513 00:19:20,280 --> 00:19:21,960 WHEN WE STRATIFIED THIS ANALYSIS 514 00:19:21,960 --> 00:19:23,680 BY SEX, WE FOUND THAT 515 00:19:23,680 --> 00:19:25,640 PERCEPTIONS OF LOCAL FRUIT AND 516 00:19:25,640 --> 00:19:27,040 VEGETABLE AVAILABILITY WAS 517 00:19:27,040 --> 00:19:28,920 ASSOCIATED WITH HOUSEHOLD FOOD 518 00:19:28,920 --> 00:19:30,120 INSECURITY AMONG WOMEN BUT NOT 519 00:19:30,120 --> 00:19:32,960 AMONG MEN. 520 00:19:32,960 --> 00:19:35,000 AMONG WOMEN, THOSE WHO REPORTED 521 00:19:35,000 --> 00:19:36,800 POOR FOOD AVAILABILITY HAD 65% 522 00:19:36,800 --> 00:19:38,320 INCREASED ODDS OF WORSENING 523 00:19:38,320 --> 00:19:39,400 HOUSEHOLD FOOD INSECURITY 524 00:19:39,400 --> 00:19:41,160 COMPARED TO THOSE WHO REPORTED 525 00:19:41,160 --> 00:19:42,600 THAT FRESH FRUITS AND VEGETABLES 526 00:19:42,600 --> 00:19:45,640 ARE USUALLY OR ALWAYS AVAILABLE. 527 00:19:45,640 --> 00:19:47,400 THE EFFECT ESTIMATE FOR MEN WAS 528 00:19:47,400 --> 00:19:50,320 NOT STATISTICALLY SIGNIFICANT. 529 00:19:50,320 --> 00:19:51,560 THOSE WHO REPORTED POOR FRUIT 530 00:19:51,560 --> 00:19:54,520 AND VEGETABLE QUALITY HAD 54% 531 00:19:54,520 --> 00:19:55,920 INCREASED ODDS OF WORSENING FOOD 532 00:19:55,920 --> 00:19:57,000 INSECURITY COMPARED TO THOSE WHO 533 00:19:57,000 --> 00:19:58,760 REPORTED THAT THE FRUIT AND 534 00:19:58,760 --> 00:20:00,160 VEGETABLE QUALITY WAS USUALLY OR 535 00:20:00,160 --> 00:20:03,240 ALWAYS HIGH. 536 00:20:03,240 --> 00:20:04,880 WHEN WE STRATIFIED THIS ANALYSIS 537 00:20:04,880 --> 00:20:06,760 BY SEX, WE FOUND THAT 538 00:20:06,760 --> 00:20:08,040 PERCEPTIONS OF LOCAL FRUIT AND 539 00:20:08,040 --> 00:20:08,840 VEGETABLE QUALITY WERE 540 00:20:08,840 --> 00:20:11,120 ASSOCIATED WITH HOUSEHOLD FOOD 541 00:20:11,120 --> 00:20:12,760 INSECURITY AMONG MEN NOW BUT NOT 542 00:20:12,760 --> 00:20:14,640 AMONG WOMEN. 543 00:20:14,640 --> 00:20:16,040 AMONG MEN, THOSE WHO REPORTED 544 00:20:16,040 --> 00:20:17,600 POOR FRUIT AND VEGETABLE QUALITY 545 00:20:17,600 --> 00:20:19,000 HAD TWO TIMES THE ODDS OF 546 00:20:19,000 --> 00:20:20,480 WORSENING HOUSEHOLD FOOD 547 00:20:20,480 --> 00:20:21,400 INSECURITY, COMPARED TO THOSE 548 00:20:21,400 --> 00:20:22,920 WHO REPORTED THAT FRESH FRUITS 549 00:20:22,920 --> 00:20:24,560 AND VEGETABLES ARE USUALLY OR 550 00:20:24,560 --> 00:20:27,360 ALWAYS OF HIGH QUALITY. 551 00:20:27,360 --> 00:20:28,200 THE EFFECT ESTIMATE FOR WOMEN 552 00:20:28,200 --> 00:20:29,720 WAS NOT STATISTICALLY 553 00:20:29,720 --> 00:20:30,280 SIGNIFICANT. 554 00:20:30,280 --> 00:20:32,240 SO BOTH FOOD AVAILABILITY AND 555 00:20:32,240 --> 00:20:34,200 FOOD QUALITY THEN INDEPENDENTLY 556 00:20:34,200 --> 00:20:35,640 AND SIGNIFICANTLY PREDICTED 557 00:20:35,640 --> 00:20:37,480 INCREASING LEVELS OF FOOD 558 00:20:37,480 --> 00:20:39,120 INSECURITY IN THIS SAMPLE, AND 559 00:20:39,120 --> 00:20:43,200 THIS ASSOCIATION WAS MODIFIED BY 560 00:20:43,200 --> 00:20:43,800 SEX. 561 00:20:43,800 --> 00:20:45,800 OUR SECOND AIM WAS TO EXAMINE 562 00:20:45,800 --> 00:20:47,120 WHETHER ACCESS TO SAFE WATER 563 00:20:47,120 --> 00:20:48,240 SHOULD BE CONSIDERED PART OF THE 564 00:20:48,240 --> 00:20:49,520 LOCAL FOOD ENVIRONMENT. 565 00:20:49,520 --> 00:20:51,600 WE FOUND THAT SOURCE OF POTABLE 566 00:20:51,600 --> 00:20:53,400 WATER IN THE HOUSEHOLD WHICH WAS 567 00:20:53,400 --> 00:20:54,680 USED AS A PROXY FOR WATER 568 00:20:54,680 --> 00:20:57,600 SECURITY WAS ALSO INDEPENDENTLY 569 00:20:57,600 --> 00:20:58,200 AND SIGNIFICANTLY ASSOCIATED 570 00:20:58,200 --> 00:20:59,920 WITH HOUSEHOLD FOOD INSECURITY. 571 00:20:59,920 --> 00:21:01,880 THOSE WHO DID NOT HAVE WATER 572 00:21:01,880 --> 00:21:04,600 PIPED DIRECTLY INTO THEIR HOME 573 00:21:04,600 --> 00:21:06,240 HAD 61% INCREASED ODDS OF 574 00:21:06,240 --> 00:21:08,160 WORSENING HOUSEHOLD FOOD 575 00:21:08,160 --> 00:21:09,320 INSECURITY COMPARED TO THOSE 576 00:21:09,320 --> 00:21:10,960 WITH WATER PIPED DIRECTLY INTO 577 00:21:10,960 --> 00:21:14,800 THEIR HOME. 578 00:21:14,800 --> 00:21:16,400 SO WHERE DO WE GO FROM HERE? 579 00:21:16,400 --> 00:21:18,160 IN COLLABORATION WITH LOCAL 580 00:21:18,160 --> 00:21:19,680 PARTNER, WE'RE CONTINUING TO USE 581 00:21:19,680 --> 00:21:22,760 DATA FROM THE ECHORN STUDY TO 582 00:21:22,760 --> 00:21:23,640 STRENGTHENING THE LOCAL FOOD 583 00:21:23,640 --> 00:21:24,400 ENVIRONMENT IN A REGION. 584 00:21:24,400 --> 00:21:25,880 FOR EXAMPLE, THE MINISTRY OF 585 00:21:25,880 --> 00:21:27,240 HEALTH IN BARBADOS IS INTERESTED 586 00:21:27,240 --> 00:21:29,880 IN USING ECHORN DATA TO INFORM 587 00:21:29,880 --> 00:21:32,160 THEIR NATIONAL NUTRITION POLICY. 588 00:21:32,160 --> 00:21:33,800 AS THE ANALYSIS PRESENTED TODAY 589 00:21:33,800 --> 00:21:35,560 HAS CONFIRMED, A SECOND AVENUE 590 00:21:35,560 --> 00:21:37,960 OF RESEARCH IS TO EXAMINE THE 591 00:21:37,960 --> 00:21:39,520 RELATIONSHIP BETWEEN WATER 592 00:21:39,520 --> 00:21:41,040 INSECURITY AND HOUSEHOLD FOOD 593 00:21:41,040 --> 00:21:41,760 INSECURITY. 594 00:21:41,760 --> 00:21:43,440 WATER SECURITY LIKE FOOD 595 00:21:43,440 --> 00:21:45,600 SECURITY HAS BEEN LINKED TO 596 00:21:45,600 --> 00:21:46,720 IMPORTANT NUTRITIONAL, PHYSICAL, 597 00:21:46,720 --> 00:21:48,800 MENTAL AND ECONOMIC WELL-BEING 598 00:21:48,800 --> 00:21:49,440 OUTCOMES. 599 00:21:49,440 --> 00:21:50,680 IT'S ASSOCIATED WITH AND HAS 600 00:21:50,680 --> 00:21:53,040 BEEN SHOWN TO BE A PRE-CURSOR TO 601 00:21:53,040 --> 00:21:55,040 FOOD INSECURITY. 602 00:21:55,040 --> 00:21:56,360 ALSO HOUSEHOLDS THAT EXPERIENCE 603 00:21:56,360 --> 00:21:57,960 BOTH WATER AND FOOD INSECURITY 604 00:21:57,960 --> 00:21:59,200 HAVE A HIGHER RISK OF THE DUAL 605 00:21:59,200 --> 00:22:02,560 BURDEN OF MALNUTRITION. 606 00:22:02,560 --> 00:22:05,760 WE PLAN ON ADDING THE H WISE 607 00:22:05,760 --> 00:22:07,840 SECURITY SCALE TO THE ECHORN 608 00:22:07,840 --> 00:22:11,640 COHORT STUDY IN WAVE 3, BOTH 609 00:22:11,640 --> 00:22:13,400 WATER AND FOOD SECURITY IN A 610 00:22:13,400 --> 00:22:14,840 LONGITUDINAL MANNER CAN PROVIDE 611 00:22:14,840 --> 00:22:15,720 IMPORTANT INFORMATION TO 612 00:22:15,720 --> 00:22:18,000 RESEARCHERS AND POLICY MAKERS TO 613 00:22:18,000 --> 00:22:20,280 INFORM LOCAL FOOD AND NUTRITION 614 00:22:20,280 --> 00:22:22,920 SECURITY POLICY. 615 00:22:22,920 --> 00:22:24,800 SO IN SUMMARY, THE LONGITUDINAL 616 00:22:24,800 --> 00:22:26,400 MEASUREMENT OF FOOD AND WATER 617 00:22:26,400 --> 00:22:27,960 INSECURITY IS IMPORTANT TO 618 00:22:27,960 --> 00:22:29,360 ESTABLISH PREVALENCE AND 619 00:22:29,360 --> 00:22:31,240 INCIDENCE AS BOTH ARE AFFECTED 620 00:22:31,240 --> 00:22:32,880 BY LOCAL FOOD ENVIRONMENTS, 621 00:22:32,880 --> 00:22:35,400 LOCAL ECONOMIES, AND LOCAL 622 00:22:35,400 --> 00:22:36,840 CLIMATIC EVENTS LIKE CLIMATE 623 00:22:36,840 --> 00:22:38,680 CHANGE FUELED NATURAL DISASTERS. 624 00:22:38,680 --> 00:22:40,640 I'M THINKING OF HURRICANES IRMA, 625 00:22:40,640 --> 00:22:44,920 MARIA AND FIONA, TO NAME A FEW. 626 00:22:44,920 --> 00:22:46,440 THESE DATA CAN BE USED TO INFORM 627 00:22:46,440 --> 00:22:47,680 FOOD AND NUTRITION SECURITY 628 00:22:47,680 --> 00:22:49,040 POLICY AS WELL AS DISASTER 629 00:22:49,040 --> 00:22:51,560 PREPAREDNESS POLICIES. 630 00:22:51,560 --> 00:22:53,600 OUR SECOND RECOMMENDATION IS TO 631 00:22:53,600 --> 00:22:54,600 EVALUATE PROGRAMS ADDRESSING 632 00:22:54,600 --> 00:22:56,400 FOOD AND WATER SECURITY AT THE 633 00:22:56,400 --> 00:22:58,800 LOCAL LEVEL USING EXPERIENCED 634 00:22:58,800 --> 00:23:00,560 BASED HOUSEHOLD FOOD INSECURITY 635 00:23:00,560 --> 00:23:03,400 SCALES AND DIETARY INTAKE 636 00:23:03,400 --> 00:23:04,160 MEASURES. 637 00:23:04,160 --> 00:23:05,240 IMPLEMENTATION AND IMPACT 638 00:23:05,240 --> 00:23:06,120 EVALUATIONS OF THESE PROGRAMS 639 00:23:06,120 --> 00:23:09,520 ARE ALSO NEEDED. 640 00:23:09,520 --> 00:23:11,040 THIRD, IT'S IMPERATIVE THAT WE 641 00:23:11,040 --> 00:23:13,120 BETTER UNDERSTAND THE IMPACT OF 642 00:23:13,120 --> 00:23:15,000 EXISTING COLONIAL AND 643 00:23:15,000 --> 00:23:16,400 NEOCOLONIAL RELATIONSHIPS ON THE 644 00:23:16,400 --> 00:23:17,280 LOCAL FOOD ENVIRONMENT. 645 00:23:17,280 --> 00:23:19,120 HOUSEHOLD FOOD INSECURITY AND 646 00:23:19,120 --> 00:23:21,000 HOW RESEARCH CAN BE USED TO 647 00:23:21,000 --> 00:23:23,160 ADDRESS OR CHANGE THE POWER AND 648 00:23:23,160 --> 00:23:24,840 BALANCES AND INEQUALITIES 649 00:23:24,840 --> 00:23:28,560 INHERENT IN THESE RELATIONSHIPS. 650 00:23:28,560 --> 00:23:30,400 FOR EXAMPLE, FREE TRADE 651 00:23:30,400 --> 00:23:31,400 AGREEMENTS AFFECT LOCAL FOOD 652 00:23:31,400 --> 00:23:33,160 SYSTEMS AND ALL ECHORN SITES ARE 653 00:23:33,160 --> 00:23:34,600 NET IMPORTERS OF FOOD, AS ARE 654 00:23:34,600 --> 00:23:38,960 MANY OF THE OTHER CARACOM 655 00:23:38,960 --> 00:23:40,480 COUNTRIES SO IT WILL REQUIRE A 656 00:23:40,480 --> 00:23:41,440 DEEP TRANSFORMATION OF THESE 657 00:23:41,440 --> 00:23:43,240 FREE TRADE AGREEMENTS AND OF 658 00:23:43,240 --> 00:23:47,520 LOCAL AGRICULTURAL SYSTEMS. 659 00:23:47,520 --> 00:23:48,280 FINALLY, OUR FOURTH 660 00:23:48,280 --> 00:23:49,120 RECOMMENDATION IS TO CONTINUE TO 661 00:23:49,120 --> 00:23:51,520 TEST THE USEFULNESS OF 662 00:23:51,520 --> 00:23:52,960 EXPERIENCE BASED FOOD INSECURITY 663 00:23:52,960 --> 00:23:54,360 MEASURES TO UNDERSTAND FOOD 664 00:23:54,360 --> 00:23:57,760 ENVIRONMENT INTERVENTIONS. 665 00:23:57,760 --> 00:24:00,280 SO THANK YOU TO THE ECHORN TEAM 666 00:24:00,280 --> 00:24:01,720 PICTURED HERE, TO THE NIH FOR 667 00:24:01,720 --> 00:24:03,120 THIS OPPORTUNITY, AND THANKS TO 668 00:24:03,120 --> 00:24:13,680 EACH OF YOU FOR LISTENING TODAY. 669 00:24:18,880 --> 00:24:19,760 >>THANK YOU SO MUCH. 670 00:24:19,760 --> 00:24:21,400 I THINK I WILL GO AHEAD AND TAKE 671 00:24:21,400 --> 00:24:23,600 THE LEAD FROM THERE. 672 00:24:23,600 --> 00:24:27,640 I'LL SHARE MY SCREEN. 673 00:24:27,640 --> 00:24:30,800 I'M AN ASSOCIATE PROFESSOR AT 674 00:24:30,800 --> 00:24:35,720 GEORGE WASHINGTON UNIVERSITY. 675 00:24:35,720 --> 00:24:37,160 TODAY I'M GOING TO BE TALKING 676 00:24:37,160 --> 00:24:39,880 ABOUT TWO STUDIES WHERE WE 677 00:24:39,880 --> 00:24:41,200 THOUGHT ABOUT LEVERAGING FOOD 678 00:24:41,200 --> 00:24:42,800 ENVIRONMENTS FOR FOOD AND 679 00:24:42,800 --> 00:24:45,560 NUTRITION SECURITY. 680 00:24:45,560 --> 00:24:47,680 ONE OF THEM IS IN LATIN AMERICA 681 00:24:47,680 --> 00:24:51,560 AND THE OTHER IS IN THE UNITED 682 00:24:51,560 --> 00:24:52,280 STAISSMENTS FIRST AND FOREMOST, 683 00:24:52,280 --> 00:24:54,120 I WANT TO SAY THAT THIS IS A 684 00:24:54,120 --> 00:24:55,560 TEAM EFFORT, ESPECIALLY FOR THE 685 00:24:55,560 --> 00:24:58,240 FIRST STUDY WITH REPRESENTATION 686 00:24:58,240 --> 00:25:01,000 FROM PUERTO RICO, MYSELF, COSTA 687 00:25:01,000 --> 00:25:03,720 RICA, BRAZIL, COLOMBIA, AND 688 00:25:03,720 --> 00:25:04,040 CHILE. 689 00:25:04,040 --> 00:25:07,360 AND FOR THE SECOND STUDY, IT'S 690 00:25:07,360 --> 00:25:09,200 HIGHLY DEPENDENT ON A COMMUNITY 691 00:25:09,200 --> 00:25:10,960 ADVISORY BOARD AND COMMUNITY 692 00:25:10,960 --> 00:25:16,280 ACADEMIC PARTNERSHIP WITH 693 00:25:16,280 --> 00:25:17,960 INVESTIGATORS AT GEORGE 694 00:25:17,960 --> 00:25:21,320 WASHINGTON UNIVERSITY AND AT 695 00:25:21,320 --> 00:25:22,200 HOPKINS. 696 00:25:22,200 --> 00:25:23,080 SO TODAY SPECIFICALLY, I'M GOING 697 00:25:23,080 --> 00:25:25,480 TO BE TALKING ABOUT THESE TWO 698 00:25:25,480 --> 00:25:27,240 STUDIES. 699 00:25:27,240 --> 00:25:28,760 THE FIRST ONE, WE USE MORE 700 00:25:28,760 --> 00:25:30,840 TRADITIONAL METHODS TO EXAMINE 701 00:25:30,840 --> 00:25:32,120 HOW SCHOOL FEEDING PROGRAMS IN 702 00:25:32,120 --> 00:25:33,760 DIFFERENT COUNTRIES IN LATIN 703 00:25:33,760 --> 00:25:35,000 AMERICA AND THE CARIBBEAN 704 00:25:35,000 --> 00:25:38,280 RESPONDED TO THE GLOBAL PANDEMIC 705 00:25:38,280 --> 00:25:41,120 OF COVID-19 TO MITIGATE FOOD AND 706 00:25:41,120 --> 00:25:41,680 NUTRITION INSECURITY. 707 00:25:41,680 --> 00:25:44,760 AND THE SECOND STUDY I WILL BE 708 00:25:44,760 --> 00:25:46,840 TAKING A SYSTEMS LENS TO JUST 709 00:25:46,840 --> 00:25:51,080 UNDERSTAND THE MORE COMPLEX 710 00:25:51,080 --> 00:25:52,280 SYSTEM, WHAT ARE THE FACTORS, 711 00:25:52,280 --> 00:25:56,240 HOW THEY INTERACT OVER TIME, AND 712 00:25:56,240 --> 00:26:00,480 WHAT PATTERNS ARE CREATED TO 713 00:26:00,480 --> 00:26:01,120 PUSH DIFFERENT COMMUNITIES 714 00:26:01,120 --> 00:26:02,320 TOWARDS DIFFERENT FOOD CHOICES. 715 00:26:02,320 --> 00:26:03,560 IN THIS PARTICULAR STUDY, I'M 716 00:26:03,560 --> 00:26:06,080 GOING TO BE EXAMINING SUGARY 717 00:26:06,080 --> 00:26:09,360 DRINKS AND TALKING ABOUT OUR 718 00:26:09,360 --> 00:26:10,600 FINDINGS REGARDING HOW PROVIDING 719 00:26:10,600 --> 00:26:12,520 A LOW COST WATER FILTER FOR USE 720 00:26:12,520 --> 00:26:15,480 AT HOME DECREASED SUGARY DRINK 721 00:26:15,480 --> 00:26:16,680 INTAKE IN THIS PARTICULAR 722 00:26:16,680 --> 00:26:19,520 COMMUNITY THAT WAS PREDOMINANTLY 723 00:26:19,520 --> 00:26:20,640 CENTRAL AMERICAN IMMIGRANT 724 00:26:20,640 --> 00:26:25,640 COMMUNITY IN THE UNITED STATES. 725 00:26:25,640 --> 00:26:26,960 SO AT THE BEGINNING OF THE 726 00:26:26,960 --> 00:26:29,600 PANDEMIC, STARTING WITH THE 727 00:26:29,600 --> 00:26:32,880 FIRST STUDY, THE WORLD FOOD 728 00:26:32,880 --> 00:26:35,040 PROGRAM, THE FOOD AGRICULTURE 729 00:26:35,040 --> 00:26:36,800 ORGANIZATION AND UNICEF ISSUED 730 00:26:36,800 --> 00:26:38,000 RECOMMENDATIONS ABOUT HOW TO 731 00:26:38,000 --> 00:26:40,520 MITIGATE THE EFFECTS OF THE 732 00:26:40,520 --> 00:26:41,960 PANDEMIC OVER FOOD AND NUTRITION 733 00:26:41,960 --> 00:26:44,760 OF SCHOOL CHILDREN. 734 00:26:44,760 --> 00:26:46,720 THEY RECOMMENDED THE USE OF KITS 735 00:26:46,720 --> 00:26:48,080 OR FOOD BASKETS NOW THAT THE 736 00:26:48,080 --> 00:26:50,040 SCHOOLS WERE CLOSED, OR FOOD 737 00:26:50,040 --> 00:26:51,560 VOUCHERS AND CASH IN ORDER TO 738 00:26:51,560 --> 00:26:53,520 CONTINUE TO SERVE THE FOOD AND 739 00:26:53,520 --> 00:26:55,240 NUTRITIONAL NEEDS OF VULNERABLE 740 00:26:55,240 --> 00:26:57,480 SCHOOL CHILDREN. 741 00:26:57,480 --> 00:26:58,440 THE RECOMMENDATION ALSO 742 00:26:58,440 --> 00:26:59,920 EMPHASIZED THAT THE CONTENT OF 743 00:26:59,920 --> 00:27:01,960 THE SCHOOL FEEDING SHOULD BE 744 00:27:01,960 --> 00:27:04,600 SIMILAR OR BETTER IN TERMS OF 745 00:27:04,600 --> 00:27:06,720 NUTRITIONAL CONTENT, THAT THAT 746 00:27:06,720 --> 00:27:07,960 PROVIDED REGULARLY AT SCHOOL, 747 00:27:07,960 --> 00:27:09,600 AND THAT IT SHOULD INCLUDE 748 00:27:09,600 --> 00:27:13,120 FRUITS AND VEGETABLES, WHEN 749 00:27:13,120 --> 00:27:14,560 POSSIBLE AND EMPHASIZING THE 750 00:27:14,560 --> 00:27:16,720 LOCAL PRODUCTS AND AVOIDING 751 00:27:16,720 --> 00:27:19,760 FOODS THAT WERE UNHEALTHY, FOR 752 00:27:19,760 --> 00:27:21,760 EXAMPLE, PREPACKAGED JUICES OR 753 00:27:21,760 --> 00:27:24,040 FOODS THAT CONTAINED ADDED 754 00:27:24,040 --> 00:27:27,880 SUGARS, SODIUM AND SATURATED 755 00:27:27,880 --> 00:27:30,920 FATS. 756 00:27:30,920 --> 00:27:32,360 SO WE WANTED TO DOCUMENT AND 757 00:27:32,360 --> 00:27:33,680 UNDERSTAND HOW THROUGHOUT LA TIP 758 00:27:33,680 --> 00:27:38,920 AMERICA AND THE CARIBBEAN THE 759 00:27:38,920 --> 00:27:40,120 COUNTRIES WERE FARING WITH THE 760 00:27:40,120 --> 00:27:41,320 CLOSING OF THE SCHOOLS AND 761 00:27:41,320 --> 00:27:43,080 CONTINUATION OF SCHOOL FEEDING 762 00:27:43,080 --> 00:27:43,720 PROGRAMS. 763 00:27:43,720 --> 00:27:45,800 WE CONDUCTED A RAPID COMPARATIVE 764 00:27:45,800 --> 00:27:47,000 POLICY ASSESSMENT THAT HAS BEEN 765 00:27:47,000 --> 00:27:48,560 PUBLISHED IN THE FOOD AND 766 00:27:48,560 --> 00:27:50,760 NUTRITION BULLETIN, SO I 767 00:27:50,760 --> 00:27:52,880 ENCOURAGE YOU TO SEARCH THAT 768 00:27:52,880 --> 00:27:54,960 REFERENCE BUT IN BRIEF, WE DID 769 00:27:54,960 --> 00:27:59,400 TWO PHASES OF DATA COLLECTION 770 00:27:59,400 --> 00:28:01,040 FOR 11 DIFFERENT COUNTRIES, 771 00:28:01,040 --> 00:28:04,960 ACTUALLY 10 COUNTRIES AND ONE 772 00:28:04,960 --> 00:28:09,240 CITY, BAY N IN ARGENTINA. 773 00:28:09,240 --> 00:28:13,160 WE DID A PUBLIC DOCUMENT SEARCH 774 00:28:13,160 --> 00:28:15,720 OF SITES OF THE GOVERNMENT AS 775 00:28:15,720 --> 00:28:16,560 WELL AS NEWSPAPERS AND SOCIAL 776 00:28:16,560 --> 00:28:19,080 MEDIA FOR ALL COUNTRIES, TRYING 777 00:28:19,080 --> 00:28:21,560 TO UNDERSTAND HOW THE PROGRAMS 778 00:28:21,560 --> 00:28:25,520 HAD BEEN MODIFIED AND WERE BEING 779 00:28:25,520 --> 00:28:25,800 IMPLEMENTED. 780 00:28:25,800 --> 00:28:28,920 IN ORDER TO CONFIRM AND 781 00:28:28,920 --> 00:28:30,000 TRIANGULATE THAT INFORMATION, WE 782 00:28:30,000 --> 00:28:32,520 ALSO CONDUCTED STAKEHOLDER 783 00:28:32,520 --> 00:28:34,440 SURVEYS WITH BOTH CLOSED AND 784 00:28:34,440 --> 00:28:36,440 OPEN-ENDED QUESTIONS USING 785 00:28:36,440 --> 00:28:41,680 SNOWBALL SAMPLING SURVEYS THAT 786 00:28:41,680 --> 00:28:42,600 WERE BROUGHT BACK TO US. 787 00:28:42,600 --> 00:28:44,320 THE IDEA WAS TO CONFIRM DATA 788 00:28:44,320 --> 00:28:45,760 FROM THE PUBLIC DOCUMENTS FROM 789 00:28:45,760 --> 00:28:48,280 PHASE ONE, TO OBTAIN INFORMATION 790 00:28:48,280 --> 00:28:49,000 REGARDING THE NUTRITIONAL 791 00:28:49,000 --> 00:28:51,000 CONTENT OF WHAT WAS ACTUALLY 792 00:28:51,000 --> 00:28:52,520 DELIVERED AND TO IDENTIFY 793 00:28:52,520 --> 00:28:54,160 BARRIERS AND FACILITATORS 794 00:28:54,160 --> 00:28:56,920 ACCORDING TO THE KEY 795 00:28:56,920 --> 00:28:57,560 STAKEHOLDERS PERSPECTIVE 796 00:28:57,560 --> 00:28:59,480 REGARDING THE IMPLEMENTATION OF 797 00:28:59,480 --> 00:29:00,200 THE MODIFICATIONS. 798 00:29:00,200 --> 00:29:04,800 WE SOUGHT TO OBTAIN 799 00:29:04,800 --> 00:29:06,320 REPRESENTATION FROM MOST OF THE 800 00:29:06,320 --> 00:29:12,040 COUNTRIES IN IN LA LATIN AMERICD 801 00:29:12,040 --> 00:29:15,480 CHOSE TO FINALLY DO WHERE IT WAS 802 00:29:15,480 --> 00:29:18,560 FEASIBLE, ARGENTINA, 803 00:29:18,560 --> 00:29:19,680 SPECIFICALLY BUENOS AIRES, EACH 804 00:29:19,680 --> 00:29:21,720 REGION OPERATES VERY 805 00:29:21,720 --> 00:29:24,680 DIFFERENTLY, BRAZIL, CHILE, 806 00:29:24,680 --> 00:29:28,160 COLOMBIA, COSTA RICA, MEXICO, 807 00:29:28,160 --> 00:29:30,280 ECUADOR, GUATEMALA, PERU, PUERTO 808 00:29:30,280 --> 00:29:36,720 RICO AND URUGUAY. 809 00:29:36,720 --> 00:29:38,800 THE COMMON THEMES WE FOUND IN 810 00:29:38,800 --> 00:29:39,920 MITIGATING NUTRITIONAL 811 00:29:39,920 --> 00:29:41,040 INSECURITY DURING THE PANDEMIC 812 00:29:41,040 --> 00:29:42,720 IS THAT ALL SCHOOL FEEDING 813 00:29:42,720 --> 00:29:44,400 PROGRAMS EVENTUALLY CONTINUED IN 814 00:29:44,400 --> 00:29:45,960 VARIOUS FORMS, AND THAT INCLUDED 815 00:29:45,960 --> 00:29:50,640 FOOD KITS, FOOD BASKETS, AS WELL 816 00:29:50,640 --> 00:29:53,360 AS IN SOME CASES FOOD VOUCHERS 817 00:29:53,360 --> 00:29:55,000 THAT WERE TO BE USED IN 818 00:29:55,000 --> 00:29:57,160 SUPERMARKETS. 819 00:29:57,160 --> 00:29:58,320 EITHER THE PARENTS WOULD COME 820 00:29:58,320 --> 00:30:01,000 AND PICK THEM UP, IN SOME CASES 821 00:30:01,000 --> 00:30:03,520 THE SCHOOL FEEDING PROGRAMS WERE 822 00:30:03,520 --> 00:30:05,160 OPENED TO OTHER POPULATIONS THAT 823 00:30:05,160 --> 00:30:07,400 WERE NOT JUST THE SCHOOL 824 00:30:07,400 --> 00:30:08,480 CHILDREN OR THE SCHOOL CHILDREN 825 00:30:08,480 --> 00:30:09,840 AND THEIR FAMILIES, AND THERE 826 00:30:09,840 --> 00:30:10,760 WAS CONTROVERSY ABOUT WHETHER 827 00:30:10,760 --> 00:30:12,200 THE SCHOOL FEEDING PROGRAMS IN 828 00:30:12,200 --> 00:30:15,000 SOME COUNTRIES WERE BEING USED 829 00:30:15,000 --> 00:30:16,840 TO FEED OTHER FAMILY MEMBERS AND 830 00:30:16,840 --> 00:30:18,720 WHETHER THAT SHOULD BE OR SHOULD 831 00:30:18,720 --> 00:30:23,240 NOT BE ACCEPTED. 832 00:30:23,240 --> 00:30:25,720 THE AGILITY TO ROLL OUT THOSE 833 00:30:25,720 --> 00:30:26,680 MODIFICATIONS HIGHLY DEPENDED 834 00:30:26,680 --> 00:30:28,680 AND VARIED ON A FEW THINGS THAT 835 00:30:28,680 --> 00:30:30,560 I'M GOING TO BE TALKING ABOUT. 836 00:30:30,560 --> 00:30:33,120 BUT JUST TO GIVE YOU A RANGE, 837 00:30:33,120 --> 00:30:34,280 CHILE WAS THE FIRST ONE TO GET 838 00:30:34,280 --> 00:30:38,360 STARTED WITH THE MODIFICATIONS, 839 00:30:38,360 --> 00:30:42,680 I GUESS IMPLEMENTING THE 840 00:30:42,680 --> 00:30:43,800 MODIFICATIONS, RATHER, AND IT 841 00:30:43,800 --> 00:30:44,800 TOOK MORE THAN ONE MONTH TO DO 842 00:30:44,800 --> 00:30:46,280 SO IN PUERTO RICO. 843 00:30:46,280 --> 00:30:48,720 ONE OF THE THINGS THAT EVERYBODY 844 00:30:48,720 --> 00:30:50,640 ALL ACROSS THE COUNTRY HAS 845 00:30:50,640 --> 00:30:52,320 MENTIONED WAS THAT THE UNIVERSAL 846 00:30:52,320 --> 00:30:53,720 LAWS THAT PROTECTED THE SCHOOL 847 00:30:53,720 --> 00:30:56,360 FEEDING PROGRAMS WERE A 848 00:30:56,360 --> 00:30:58,440 FACILITATING FACTOR IN BEING 849 00:30:58,440 --> 00:31:02,560 ABLE TO GO AHEAD WITH THE 850 00:31:02,560 --> 00:31:04,120 MODIFICATIONS AND IN SOME CASES, 851 00:31:04,120 --> 00:31:06,520 FOR EXAMPLE, IN COSTA RICA, THEY 852 00:31:06,520 --> 00:31:09,960 TALKED ABOUT HOW THAT UNIVERSAL 853 00:31:09,960 --> 00:31:14,640 LAW ALLOWED FOR INTERSECTIONAL 854 00:31:14,640 --> 00:31:16,480 COLLABORATION THAT INCREASED 855 00:31:16,480 --> 00:31:17,920 THEIR AJIBILITY OF RESPONDING TO 856 00:31:17,920 --> 00:31:20,240 THE NEEDS OF THE DIFFERENT 857 00:31:20,240 --> 00:31:20,640 POPULATIONS. 858 00:31:20,640 --> 00:31:22,200 BUT IN KEY, THERE WERE THREE 859 00:31:22,200 --> 00:31:24,800 DETERMINING FACTORS THAT WE 860 00:31:24,800 --> 00:31:31,800 FOUND THAT AFFECTED EAR AFFECT R 861 00:31:31,800 --> 00:31:33,480 FACILITATED OR BECAME BARRIERS. 862 00:31:33,480 --> 00:31:34,760 THE FIRST WAS THE AUTONOMY AND 863 00:31:34,760 --> 00:31:35,960 FINANCIAL RESOURCES IN ORDER TO 864 00:31:35,960 --> 00:31:38,920 REMAIN NIMBLE. 865 00:31:38,920 --> 00:31:40,760 SO FOR EXAMPLE, IN SOME OF THE 866 00:31:40,760 --> 00:31:44,560 COUNTRIES, A, AND TO BE SPECIFI, 867 00:31:44,560 --> 00:31:45,720 IN PERU, THE SCHOOL FEEDING 868 00:31:45,720 --> 00:31:48,120 PROGRAM WAS ADMINISTERED UNDER A 869 00:31:48,120 --> 00:31:49,560 MINISTRY THAT WAS DIFFERENT AND 870 00:31:49,560 --> 00:31:52,040 SEPARATE FROM THE MINISTRY OF 871 00:31:52,040 --> 00:31:55,000 EDUCATION, WHICH SEEMED TO HAVE 872 00:31:55,000 --> 00:31:56,440 BECOME A CHALLENGE FOR THEM TO 873 00:31:56,440 --> 00:31:57,800 RESPOND QUICKLY OR AS QUICKLY AS 874 00:31:57,800 --> 00:31:59,720 THEY WOULD HAVE WANTED TO THE 875 00:31:59,720 --> 00:32:06,360 NEEDS OF THEIR SCHOOL CHILDREN. 876 00:32:06,360 --> 00:32:07,920 THE IMPLEMENTATION, THE SECOND 877 00:32:07,920 --> 00:32:09,000 THING THAT WAS A STRONG FACTOR 878 00:32:09,000 --> 00:32:10,120 WAS COMMUNITY AND FAMILY 879 00:32:10,120 --> 00:32:11,840 ENGAGEMENT, INCLUDING TEACHERS, 880 00:32:11,840 --> 00:32:12,520 BEFORE AND DURING THE 881 00:32:12,520 --> 00:32:15,680 EMERGENCIES. 882 00:32:15,680 --> 00:32:17,880 SO ONE OF THE FACTORS THAT WAS 883 00:32:17,880 --> 00:32:21,480 MENTIONED HERE IS THAT URUGUAY 884 00:32:21,480 --> 00:32:23,120 AND GUATEMALA, FOR EXAMPLE, 885 00:32:23,120 --> 00:32:25,200 IDENTIFIED TEACHER AND PARENT 886 00:32:25,200 --> 00:32:27,160 ENGAGEMENT AS A STRENGTH, EVEN 887 00:32:27,160 --> 00:32:29,600 BEFORE THE PANDEMIC. 888 00:32:29,600 --> 00:32:32,400 PARENTS IN GUATEMALA ARE PART OF 889 00:32:32,400 --> 00:32:34,400 A LEGALLY RECOGNIZED 890 00:32:34,400 --> 00:32:35,600 ORGANIZATION THAT RECEIVES 891 00:32:35,600 --> 00:32:36,800 FINANCIAL RESOURCES TO PURCHASE 892 00:32:36,800 --> 00:32:38,320 AND DELIVER FOODS EVEN BEFORE 893 00:32:38,320 --> 00:32:39,960 THE PANDEMIC. 894 00:32:39,960 --> 00:32:45,240 AND, THEREFORE, DURING THE 895 00:32:45,240 --> 00:32:46,120 PANDEMIC THESE ORGANIZATIONS 896 00:32:46,120 --> 00:32:47,200 CONTINUED TO OPERATE AND 897 00:32:47,200 --> 00:32:51,920 PARTICIPATE AND WERE KEY TO THE 898 00:32:51,920 --> 00:32:54,080 SUCCESS OF THE IMPLEMENTATION. 899 00:32:54,080 --> 00:32:56,280 IN PUERTO RICO, LOW PARENT 900 00:32:56,280 --> 00:32:58,000 PARTICIPATION AND ABSENTEES FROM 901 00:32:58,000 --> 00:33:00,160 SCHOOL PERSONNEL WERE MENTIONED 902 00:33:00,160 --> 00:33:03,040 AS CHALLENGES TO THE 903 00:33:03,040 --> 00:33:03,600 IMPLEMENTATION OF THE 904 00:33:03,600 --> 00:33:04,320 MODIFICATION. 905 00:33:04,320 --> 00:33:06,760 AND FINALLY, CLEAR NUTRITIONAL 906 00:33:06,760 --> 00:33:08,960 GUIDELINES ABOUT WHAT FOODS AND 907 00:33:08,960 --> 00:33:12,240 BEVERAGES ARE ALLOWED IN THE 908 00:33:12,240 --> 00:33:16,840 SCHOOL FEEDING PROGRAMS WERE A 909 00:33:16,840 --> 00:33:19,480 KEY BARRIER IN SOME PLACES. 910 00:33:19,480 --> 00:33:20,960 DEFINITELY A KEY FACILITATOR IN 911 00:33:20,960 --> 00:33:24,160 OTHER COUNTRIES EXCEPT THAT 912 00:33:24,160 --> 00:33:25,160 THERE WAS ALSO THE CONCERN THAT 913 00:33:25,160 --> 00:33:27,200 THEY WERE NOT BEING MONITORED, 914 00:33:27,200 --> 00:33:28,840 EVEN THOUGH THERE WERE CLEAR 915 00:33:28,840 --> 00:33:30,080 GUIDELINES THAT WERE NOT 916 00:33:30,080 --> 00:33:34,440 NECESSARILY BEING MONITORED AS 917 00:33:34,440 --> 00:33:35,440 NEEDED DURING THE PANDEMIC. 918 00:33:35,440 --> 00:33:36,960 SO WHAT WE FOUND IN LOOKING AT 919 00:33:36,960 --> 00:33:38,280 THE NUTRITIONAL CONTENT IS THAT 920 00:33:38,280 --> 00:33:40,880 IN SOME COUNTRIES, DESSERTS, 921 00:33:40,880 --> 00:33:43,080 SWEETS, SUGARY BEVERAGES, SUGAR 922 00:33:43,080 --> 00:33:47,240 AND SALT IN PACKETS WERE 923 00:33:47,240 --> 00:33:48,560 PROVIDED TO STUDENTS' FAMILIES 924 00:33:48,560 --> 00:33:49,760 SUGGESTING THAT THE ESTABLISHED 925 00:33:49,760 --> 00:33:50,520 GUIDELINES WERE NOT BEING 926 00:33:50,520 --> 00:33:50,760 FOLLOWED. 927 00:33:50,760 --> 00:33:53,320 IN OTHER COUNTRY, CLEAR 928 00:33:53,320 --> 00:33:56,680 GUIDELINES ABOUT RESTRICTING 929 00:33:56,680 --> 00:33:59,760 SUGAR CONTENT WERE ACTUALLY NOT 930 00:33:59,760 --> 00:34:00,720 ESTABLISHED. 931 00:34:00,720 --> 00:34:02,480 NOW, CLEAR GUIDELINES ON WHAT 932 00:34:02,480 --> 00:34:05,560 FOODS TO PROVIDE ARE CRITICAL, 933 00:34:05,560 --> 00:34:07,520 BECAUSE IN PREVIOUS EMERGENCIES, 934 00:34:07,520 --> 00:34:09,600 WHEN THESE GUIDELINES DID NOT 935 00:34:09,600 --> 00:34:12,760 EXIST, THE FOOD ASSISTANCE WAS 936 00:34:12,760 --> 00:34:15,400 SATURATED WITH CALORIE-RICH, 937 00:34:15,400 --> 00:34:16,360 NUTRIENT-POOR FOODS, AND EVEN 938 00:34:16,360 --> 00:34:18,000 THOUGH PEOPLE HAVE FOOD TO EAT, 939 00:34:18,000 --> 00:34:19,080 THEIR NUTRITION ACTUALLY 940 00:34:19,080 --> 00:34:20,640 SUFFERS. 941 00:34:20,640 --> 00:34:21,960 POTENTIALLY EXACERBATING RISK 942 00:34:21,960 --> 00:34:24,680 FACTORS FOR DIET-RELATED CHRONIC 943 00:34:24,680 --> 00:34:25,440 DISEASES. 944 00:34:25,440 --> 00:34:27,960 FOOD PREPARATIONS MAY ALSO HAVE 945 00:34:27,960 --> 00:34:29,080 LEVERAGED THE VULNERABILITY OF 946 00:34:29,080 --> 00:34:30,360 GOVERNMENTS DURING THE EMERGENCY 947 00:34:30,360 --> 00:34:32,200 TO BOOST SALES OF ULTRA 948 00:34:32,200 --> 00:34:33,760 PROCESSED PRODUCTS DURING THE 949 00:34:33,760 --> 00:34:35,720 PANDEMIC, AS OTHERS HAVE 950 00:34:35,720 --> 00:34:36,400 DOCUMENTED. 951 00:34:36,400 --> 00:34:38,600 AND THESE FOODS TEND TO BE 952 00:34:38,600 --> 00:34:40,320 SHELF-STABLE AND CAN BE 953 00:34:40,320 --> 00:34:41,960 PRE-PACKAGED FOR INDIVIDUAL 954 00:34:41,960 --> 00:34:42,960 CONSUMPTION DURING EMERGENCY 955 00:34:42,960 --> 00:34:43,920 RESPONSES WITHOUT AN ASSESSMENT 956 00:34:43,920 --> 00:34:45,880 ON HOW THEY MEET THE ESTABLISHED 957 00:34:45,880 --> 00:34:47,760 NUTRITIONAL GUIDELINES. 958 00:34:47,760 --> 00:34:50,160 AND SO IT IS IMPORTANT THAT 959 00:34:50,160 --> 00:34:53,600 DURING THE PANDEMIC SOME SCHOOL 960 00:34:53,600 --> 00:34:54,440 FEEDING PROGRAMS WERE BEING 961 00:34:54,440 --> 00:34:56,520 LEVERAGED TO COMPLEMENT EXISTING 962 00:34:56,520 --> 00:34:57,520 WHOLE COMMUNITY FEEDING EFFORTS. 963 00:34:57,520 --> 00:35:06,560 FOR EXAMPLE, IN MEXICO, AND IN 964 00:35:06,560 --> 00:35:08,760 PERU, ALSO USED AS RESOURCES 965 00:35:08,760 --> 00:35:11,480 REDIRECTED TO FEED OTHERS BEYOND 966 00:35:11,480 --> 00:35:12,720 SCHOOL CHILDREN IN PUERTO RICO 967 00:35:12,720 --> 00:35:13,800 AS WELL. 968 00:35:13,800 --> 00:35:16,440 SO WHILE WE USE THESE 969 00:35:16,440 --> 00:35:18,040 TRADITIONAL METHODS AND WE WERE 970 00:35:18,040 --> 00:35:19,360 ABLE TO IDENTIFY THE FACTORS 971 00:35:19,360 --> 00:35:20,800 THAT ARE AVAILABLE, I ALSO WANT 972 00:35:20,800 --> 00:35:24,200 TO PUSH US TO THINK ABOUT 973 00:35:24,200 --> 00:35:25,400 SYSTEMS THINKING AND USING 974 00:35:25,400 --> 00:35:27,040 SYSTEMS APPROACHES TO UNDERSTAND 975 00:35:27,040 --> 00:35:29,880 NOT JUST WHAT ARE THE FACTORS, 976 00:35:29,880 --> 00:35:31,080 BUT WHAT ARE THE 977 00:35:31,080 --> 00:35:32,720 INTERCONNECTIONS ACROSS TIME OF 978 00:35:32,720 --> 00:35:34,680 THESE FACTORS AND WHAT ARE THE 979 00:35:34,680 --> 00:35:36,120 PATTERNS THAT ARE EMERGING IN 980 00:35:36,120 --> 00:35:38,200 ORDER TO AFFECT FOOD AND 981 00:35:38,200 --> 00:35:40,800 NUTRITION SECURITY. 982 00:35:40,800 --> 00:35:42,040 I TRIED TO DO SOMETHING LIKE 983 00:35:42,040 --> 00:35:43,400 THIS WITH THE FINDINGS THAT WE 984 00:35:43,400 --> 00:35:44,320 HAD FROM THE TRADITIONAL 985 00:35:44,320 --> 00:35:46,400 RESEARCH METHODS. 986 00:35:46,400 --> 00:35:47,920 SO FROM THE SCHOOL FEEDING 987 00:35:47,920 --> 00:35:49,640 PROGRAM, AUTONOMY AND FINANCIAL 988 00:35:49,640 --> 00:35:51,000 SUPPORT DEFINITELY SEEMED TO 989 00:35:51,000 --> 00:35:53,480 IMPACT THE AGILITY TO ACQUIRE 990 00:35:53,480 --> 00:35:57,760 AND DISTRIBUTE FOODS GENERALLY, 991 00:35:57,760 --> 00:35:59,080 BUT ESPECIALLY EMPHASIZED DURING 992 00:35:59,080 --> 00:35:59,720 THE PANDEMIC. 993 00:35:59,720 --> 00:36:01,560 COMMUNITY AND FAMILY ENGAGEMENT 994 00:36:01,560 --> 00:36:03,240 SUPPORTED THAT AGILITY 995 00:36:03,240 --> 00:36:04,320 PREPANDEMIC, AND AFTER THE 996 00:36:04,320 --> 00:36:04,600 PANDEMIC. 997 00:36:04,600 --> 00:36:06,400 DURING THE PANDEMIC, THESE 998 00:36:06,400 --> 00:36:09,680 SYSTEMS WERE OVERBURDENED. 999 00:36:09,680 --> 00:36:12,080 THE NUTRITIONAL GUIDELINES, HIGH 1000 00:36:12,080 --> 00:36:14,960 QUALITY NUTRITIONAL FOOD IS WHAT 1001 00:36:14,960 --> 00:36:15,720 AFFECTS NUTRITIONAL QUALITY OF 1002 00:36:15,720 --> 00:36:16,000 FOODS. 1003 00:36:16,000 --> 00:36:17,680 WE ALSO HAD OTHER FACTORS 1004 00:36:17,680 --> 00:36:19,000 AFFECTING HERE THAT I WOULD HAVE 1005 00:36:19,000 --> 00:36:20,200 LIKED TO UNDERSTAND A LITTLE 1006 00:36:20,200 --> 00:36:21,280 MORE, LIKE FOR EXAMPLE, THE 1007 00:36:21,280 --> 00:36:23,520 PROCUREMENT OF FOODS AND THE 1008 00:36:23,520 --> 00:36:25,040 FACT THAT DURING THE PANDEMIC, 1009 00:36:25,040 --> 00:36:26,840 IT WAS IMPOSSIBLE TO PROCURE 1010 00:36:26,840 --> 00:36:30,680 FOODS THAT WERE FRESH OR HIGHLY 1011 00:36:30,680 --> 00:36:32,680 CHALLENGED, AND THAT SEEMED TO 1012 00:36:32,680 --> 00:36:34,200 ALSO AFFECT AND OVERBURDEN THE 1013 00:36:34,200 --> 00:36:35,280 SYSTEM AND AFFECT THE 1014 00:36:35,280 --> 00:36:36,360 NUTRITIONAL QUALITY OF FOODS. 1015 00:36:36,360 --> 00:36:38,400 SO I'M GOING TO MOVE ON TO THE 1016 00:36:38,400 --> 00:36:42,280 SECOND STUDY, WHERE WE USE A 1017 00:36:42,280 --> 00:36:43,800 SYSTEMS APPROACH AND SHOW YOU 1018 00:36:43,800 --> 00:36:45,240 HOW THINKING ABOUT SYSTEMS 1019 00:36:45,240 --> 00:36:48,000 DYNAMICS CAN HELP US UNCOVER 1020 00:36:48,000 --> 00:36:52,360 OTHER NON-TRADITIONAL POTENTIAL 1021 00:36:52,360 --> 00:36:56,280 POLICY LEADERS A AS WELL. 1022 00:36:56,280 --> 00:36:58,360 THIS IS A COMMUNITY ACADEMIC 1023 00:36:58,360 --> 00:36:59,440 PARTNERSHIP WHERE THE COMMUNITY 1024 00:36:59,440 --> 00:37:02,720 WANTED TO ADDRESS SUGARY DRINK 1025 00:37:02,720 --> 00:37:03,080 INTAKE. 1026 00:37:03,080 --> 00:37:06,880 IT IS PREDOMINANTLY IN THE 1027 00:37:06,880 --> 00:37:08,200 GREATER WASHINGTON, D.C. 1028 00:37:08,200 --> 00:37:08,960 METROPOLITAN AREA IN THE UNITED 1029 00:37:08,960 --> 00:37:11,040 STATES, WE STARTED DOING FOCUS 1030 00:37:11,040 --> 00:37:14,400 DWREUGROUPS AND IN DEPTH INTERV, 1031 00:37:14,400 --> 00:37:15,840 SO FORMATIVE WORK TO UNDERSTAND 1032 00:37:15,840 --> 00:37:17,960 HOW WE COULD ADDRESS THE ISSUE 1033 00:37:17,960 --> 00:37:18,800 OF SUGARY DRINKS. 1034 00:37:18,800 --> 00:37:21,200 THIS ASPECT OF WATER EMERGED 1035 00:37:21,200 --> 00:37:22,760 QUITE DISTINCTLY ACROSS ALL OF 1036 00:37:22,760 --> 00:37:23,840 OUR FORMATIVE WORK. 1037 00:37:23,840 --> 00:37:27,880 AND YOU CAN READ THE QUOTES HERE 1038 00:37:27,880 --> 00:37:30,640 ABOUT HOW THESE MOTHERS IN THIS 1039 00:37:30,640 --> 00:37:31,840 PARTICULAR CASE MOTHERS WERE 1040 00:37:31,840 --> 00:37:35,000 TALKING ABOUT WATER SECURITY. 1041 00:37:35,000 --> 00:37:36,280 THEY OPENED THE TAP AND THE 1042 00:37:36,280 --> 00:37:37,720 WATER CAME OUT YELLOW AND THEY 1043 00:37:37,720 --> 00:37:40,120 SAID SHOULD I DRINK IT OR NOT? 1044 00:37:40,120 --> 00:37:44,120 AND THEY ALSO RECEIVED VISITS, 1045 00:37:44,120 --> 00:37:46,480 THIS HAPPENED NOT JUST IN D.C. 1046 00:37:46,480 --> 00:37:48,240 BUT IT HAS BEEN DOCUMENTED 1047 00:37:48,240 --> 00:37:49,200 ELSEWHERE IN THE UNITED STATES 1048 00:37:49,200 --> 00:37:50,320 FROM WATER FILTER COMPANIES THAT 1049 00:37:50,320 --> 00:37:52,720 SEEM TO BE PREDATORS ON THESE 1050 00:37:52,720 --> 00:37:53,760 COMMUNITIES, AND IMMIGRANT 1051 00:37:53,760 --> 00:37:55,440 COMMUNITIES IN GENERAL, TELLING 1052 00:37:55,440 --> 00:37:58,720 THEM THAT THE TAP WATER IS NOT 1053 00:37:58,720 --> 00:37:59,400 GOOD. 1054 00:37:59,400 --> 00:38:02,440 ABANDOAND THAT THEY SHOULD USE A 1055 00:38:02,440 --> 00:38:03,720 FILTER SO THAT THEIR CHIRP DO 1056 00:38:03,720 --> 00:38:04,080 NOT GET SICK. 1057 00:38:04,080 --> 00:38:07,800 IN AN EFFORT TO DECREASE SUGARY 1058 00:38:07,800 --> 00:38:09,360 DRINK INTAKE AND NOT TO SELL 1059 00:38:09,360 --> 00:38:11,760 WATER FILTERS, WE DECIDED TO 1060 00:38:11,760 --> 00:38:13,720 PROVIDE WATER FILTER PITCHERS, 1061 00:38:13,720 --> 00:38:15,480 LOW COST WATER FILTER PITCHER, 1062 00:38:15,480 --> 00:38:17,120 ALONG WITH AN EDUCATIONAL 1063 00:38:17,120 --> 00:38:18,840 HANDS-ON CURRICULUM DURING AN 1064 00:38:18,840 --> 00:38:22,920 INTD VENGS THINTERVENTION WE TEA 1065 00:38:22,920 --> 00:38:23,880 RANDOMIZED CONTROL TRIAL. 1066 00:38:23,880 --> 00:38:25,400 THESE STUDYS HAVE BEEN PUBLISHED 1067 00:38:25,400 --> 00:38:29,320 ELSEWHERE BY OUR STUDENTS, AND 1068 00:38:29,320 --> 00:38:31,400 YOU CAN SEE THE REFERENCES DOWN 1069 00:38:31,400 --> 00:38:33,280 BELOW, BUT WHAT WE FOUND IS THAT 1070 00:38:33,280 --> 00:38:38,080 THE GROUPS THAT RECEIVED THE 1071 00:38:38,080 --> 00:38:39,640 WATER FILTER PITCHER INCREASED 1072 00:38:39,640 --> 00:38:41,960 THEIR WATER INTAKE AND 1073 00:38:41,960 --> 00:38:43,480 SIMULTANEOUSLY REDUCED THE 1074 00:38:43,480 --> 00:38:45,760 SUGARY DRINK INTAKE. 1075 00:38:45,760 --> 00:38:49,160 WHETHER THAT WAS CONSCIOUSLY OR 1076 00:38:49,160 --> 00:38:49,800 UNCONSCIOUSLY. 1077 00:38:49,800 --> 00:38:52,640 IS SO THAT HELPED US -- I GUESS 1078 00:38:52,640 --> 00:38:54,080 IT MADE US WONDER WHAT ELSE WE 1079 00:38:54,080 --> 00:38:56,920 WERE MISSING IN THE LARGER 1080 00:38:56,920 --> 00:38:58,000 PICTURE, AND HOW COULD WE 1081 00:38:58,000 --> 00:39:02,720 SUPPORT THESE FAMILIES GOING 1082 00:39:02,720 --> 00:39:04,920 FORWARD AND WE DECIDED TO DO A 1083 00:39:04,920 --> 00:39:06,560 COMMUNITY PARTICIPATORY SYSTEMS 1084 00:39:06,560 --> 00:39:09,720 DYNAMIC MODELING, WHERE IF I 1085 00:39:09,720 --> 00:39:11,040 WANTED TO DRAW THIS, IF WE 1086 00:39:11,040 --> 00:39:12,560 WANTED TO DO THE ACTUAL 1087 00:39:12,560 --> 00:39:15,200 INTERVENTION, WE WOULD BYPASS 1088 00:39:15,200 --> 00:39:16,640 TRUSTED INFRASTRUCTURE AND FOCUS 1089 00:39:16,640 --> 00:39:19,280 ON TAP WATER CONSUMPTION, WHICH 1090 00:39:19,280 --> 00:39:20,480 INFLUENCES SUGARY DRINK 1091 00:39:20,480 --> 00:39:21,160 CONSUMPTION. 1092 00:39:21,160 --> 00:39:22,920 THIS IS A METHOD THAT IS USED 1093 00:39:22,920 --> 00:39:26,360 WITH DIFFERENT STAKEHOLDERS OF 1094 00:39:26,360 --> 00:39:27,600 VARIOUS EXECUTORS THAT THE 1095 00:39:27,600 --> 00:39:28,240 COMMUNITY LIVES IN. 1096 00:39:28,240 --> 00:39:30,360 AND YOU CAN SEE THAT THERE ARE 1097 00:39:30,360 --> 00:39:34,600 VARIOUS REINFORCING FACTORS. 1098 00:39:34,600 --> 00:39:35,840 I AM JUST GOING TO HIGHLIGHT 1099 00:39:35,840 --> 00:39:37,200 THAT IT HELPS US THINK BEYOND 1100 00:39:37,200 --> 00:39:40,280 THE TRADITIONAL INTERVENTION 1101 00:39:40,280 --> 00:39:42,040 POINT TO IDENTIFY WITH THEM IN A 1102 00:39:42,040 --> 00:39:43,240 PARTICIPATORY MANNER, AND BY 1103 00:39:43,240 --> 00:39:45,880 THEM, I MEAN THE ACTUAL FAMILIES 1104 00:39:45,880 --> 00:39:47,200 THAT ARE AFFECTED BY THESE, BUT 1105 00:39:47,200 --> 00:39:49,920 ALSO THE PROVIDERS OF SERVICES, 1106 00:39:49,920 --> 00:39:52,680 ABOUT WHAT COULD BE INNOVATIVE 1107 00:39:52,680 --> 00:39:56,720 APPROACHES IN THE SYSTEMS 1108 00:39:56,720 --> 00:39:58,040 THEMSELVES, ARE THEY EASY OR 1109 00:39:58,040 --> 00:39:59,800 HARD TO DO, AND DO THEY HAVE ANY 1110 00:39:59,800 --> 00:40:00,920 IMPACT ON EQUITY. 1111 00:40:00,920 --> 00:40:02,960 SO YOU CAN SEE THREE IDEAS THAT 1112 00:40:02,960 --> 00:40:05,960 EMERGED FROM THESE DISCUSSIONS, 1113 00:40:05,960 --> 00:40:07,040 A FEW OF THEM THAT ARE ALREADY 1114 00:40:07,040 --> 00:40:10,000 HAPPENING SO THEY ARE EASY TO 1115 00:40:10,000 --> 00:40:12,760 DO, AND PIPING REPLACING WHICH 1116 00:40:12,760 --> 00:40:16,680 IS DIFFICULT D TO DO BUT 1117 00:40:16,680 --> 00:40:17,440 WASHINGTON, D.C. IS ALREADY 1118 00:40:17,440 --> 00:40:18,920 DOING THIS, SO WE'RE WONDERING 1119 00:40:18,920 --> 00:40:20,520 WHETHER THAT CAN BE LEVERAGED TO 1120 00:40:20,520 --> 00:40:22,080 AFFECT SUGARY DRINK CONSUMPTION 1121 00:40:22,080 --> 00:40:22,960 THAT ALSO AFFECTS DIETARY 1122 00:40:22,960 --> 00:40:23,280 QUALITY. 1123 00:40:23,280 --> 00:40:24,600 SO IN SUMMARY, THERE'S STILL A 1124 00:40:24,600 --> 00:40:28,120 LOT TO BE UNPACKED ON WHAT ARE 1125 00:40:28,120 --> 00:40:29,200 THESE FACTORS IN THE 1126 00:40:29,200 --> 00:40:30,200 ENVIRONMENT, WHAT ARE THE 1127 00:40:30,200 --> 00:40:31,320 INTERACTIONS AND PATTERNS, BUT 1128 00:40:31,320 --> 00:40:33,920 WE HAVE A GREAT OPPORTUNITY WITH 1129 00:40:33,920 --> 00:40:36,640 RESEARCH METHODS THAT WE ALREADY 1130 00:40:36,640 --> 00:40:38,960 HAVE TO LEVERAGE THOSE AND 1131 00:40:38,960 --> 00:40:41,200 LEVERAGE THE MOMENTUM TO 1132 00:40:41,200 --> 00:40:43,560 ESTABLISH A COMMON GROUND FOR 1133 00:40:43,560 --> 00:40:45,080 DISCUSSION AND PROBLEM SOLVING 1134 00:40:45,080 --> 00:40:47,040 ACROSS SECTORS THAT TYPICALLY 1135 00:40:47,040 --> 00:40:50,440 ARE NOT TALKING ABOUT NUTRITION 1136 00:40:50,440 --> 00:40:54,080 SECURITY, SO WE CAN SEE HOW 1137 00:40:54,080 --> 00:40:55,840 NUTRITION SECURITY ESTABLISHES A 1138 00:40:55,840 --> 00:40:58,480 SYSTEMS THINKING CAPACITY ACROSS 1139 00:40:58,480 --> 00:41:00,640 STAKEHOLDERS TO PUSH NUTRITION 1140 00:41:00,640 --> 00:41:02,080 SECURITY FORWARD ACROSS 1141 00:41:02,080 --> 00:41:03,280 MUNICIPAL WATER PROVIDERS, FOR 1142 00:41:03,280 --> 00:41:03,880 EXAMPLE. 1143 00:41:03,880 --> 00:41:08,440 AND WE CAN RELY ON THE INGENUITY 1144 00:41:08,440 --> 00:41:10,200 AND CONTEXT EXPERTISE OF THESE 1145 00:41:10,200 --> 00:41:11,960 STAKEHOLDERS THAT ARE NOT 1146 00:41:11,960 --> 00:41:13,360 TRADITIONALLY REPRESENTED IN 1147 00:41:13,360 --> 00:41:14,600 RESEARCH, IN PUBLIC HEALTH 1148 00:41:14,600 --> 00:41:16,120 NUTRITION OR IN FOOD 1149 00:41:16,120 --> 00:41:17,800 INTERVENTIONS, TO IDENTIFY 1150 00:41:17,800 --> 00:41:19,640 OUTSIDE OF THE BOX INTERVENTION 1151 00:41:19,640 --> 00:41:21,640 OR LEVER POINTS, AND THAT ALSO 1152 00:41:21,640 --> 00:41:25,320 INCREASES THE OWNERSHIP OF THAT 1153 00:41:25,320 --> 00:41:26,320 PROBLEM SOLVING FOR THEM TO 1154 00:41:26,320 --> 00:41:29,720 FOLLOW THROUGH. 1155 00:41:29,720 --> 00:41:30,360 THANK YOU VERY MUCH. 1156 00:41:30,360 --> 00:41:32,760 HERE IS MY EMAIL, AND MY TWITTER 1157 00:41:32,760 --> 00:41:34,320 HANDLE. 1158 00:41:34,320 --> 00:41:44,520 THANK YOU. 1159 00:41:52,240 --> 00:41:54,560 >>HI, EVERYONE. 1160 00:41:54,560 --> 00:41:55,440 THANKS, URI. 1161 00:41:55,440 --> 00:42:02,080 I THINK I'M SHARING NOW. 1162 00:42:02,080 --> 00:42:04,000 SO THANK YOU SO MUCH FOR HAVING 1163 00:42:04,000 --> 00:42:05,520 ME TODAY TO SPEAK. 1164 00:42:05,520 --> 00:42:09,920 I'M DELIGHTED TO BE HERE. 1165 00:42:09,920 --> 00:42:11,000 I'M GOING TO BE PRESENTING 1166 00:42:11,000 --> 00:42:13,520 FINDINGS FROM A STUDY I 1167 00:42:13,520 --> 00:42:16,480 CONDUCTED WITH COLLEAGUES FROM 1168 00:42:16,480 --> 00:42:17,440 THE CENTER FOR FOOD POLICY AS 1169 00:42:17,440 --> 00:42:19,640 PART OF OUR WORK IN THE U.K.'S 1170 00:42:19,640 --> 00:42:21,960 OBESITY POLICY RESEARCH UNIT, 1171 00:42:21,960 --> 00:42:23,200 WHERE WE PROVIDE EVIDENCE TO THE 1172 00:42:23,200 --> 00:42:25,120 DEPARTMENT OF HEALTH TO INFORM 1173 00:42:25,120 --> 00:42:27,000 THEIR PUBLIC HEALTH AGENDA. 1174 00:42:27,000 --> 00:42:28,640 AND TODAY I'M HOPING TO 1175 00:42:28,640 --> 00:42:32,600 INTRODUCE THE VALUE OF THE LIVED 1176 00:42:32,600 --> 00:42:33,800 EXPERIENCE RESEARCH AND ALSO 1177 00:42:33,800 --> 00:42:34,880 RESULTS OUR STUDY FOUND USING 1178 00:42:34,880 --> 00:42:37,000 THIS APPROACH ABOUT THE NEXUS 1179 00:42:37,000 --> 00:42:39,480 BETWEEN FINANCIAL INSECURITY AND 1180 00:42:39,480 --> 00:42:44,720 FOOD ENVIRONMENT. 1181 00:42:44,720 --> 00:42:46,080 SO WHAT IS LIVED EXPERIENCE 1182 00:42:46,080 --> 00:42:46,520 RESEARCH? 1183 00:42:46,520 --> 00:42:48,560 THIS APPROACH USES IN DEPTH 1184 00:42:48,560 --> 00:42:49,760 METHODS TO INVESTIGATE PEOPLE'S 1185 00:42:49,760 --> 00:42:51,760 DAILY REALITIES. 1186 00:42:51,760 --> 00:42:54,600 AS AN ENTRY POINT FOR 1187 00:42:54,600 --> 00:42:56,160 UNDERSTANDING HOW FOOD AND FOOD 1188 00:42:56,160 --> 00:42:57,880 SYSTEMS ARE EXPERIENCED IN DAILY 1189 00:42:57,880 --> 00:42:58,200 LIFE. 1190 00:42:58,200 --> 00:43:02,280 ALSO TO UNDERSTANDING HOW WIDE A 1191 00:43:02,280 --> 00:43:03,920 SYSTEM'S SHAPE HOW WE ENGAGE 1192 00:43:03,920 --> 00:43:05,360 WITH FOOD ENVIRONMENTS, 1193 00:43:05,360 --> 00:43:07,560 INCLUDING ECONOMIC SYSTEMS, 1194 00:43:07,560 --> 00:43:09,640 CULTURAL, URBAN, FOOD EDUCATION 1195 00:43:09,640 --> 00:43:13,040 AND HEALTH. 1196 00:43:13,040 --> 00:43:15,000 THIS CAN HELP US ANSWER 1197 00:43:15,000 --> 00:43:18,280 QUESTIONS LIKE HOW DO PEOPLE 1198 00:43:18,280 --> 00:43:19,520 FEEL ABOUT THIS ASPECT OF THE 1199 00:43:19,520 --> 00:43:20,240 FOOD ENVIRONMENT? 1200 00:43:20,240 --> 00:43:22,320 WHAT ARE THE SOCIAL DIMENSIONS 1201 00:43:22,320 --> 00:43:24,640 WHICH SHAPE THIS POPULATION'S 1202 00:43:24,640 --> 00:43:28,240 EXPERIENCE OF FOOD AND FOOD 1203 00:43:28,240 --> 00:43:28,560 ENVIRONMENT? 1204 00:43:28,560 --> 00:43:29,680 AND HOW IS THIS INTERVENTION OR 1205 00:43:29,680 --> 00:43:31,000 POLICY EXPERIENCED IN THE 1206 00:43:31,000 --> 00:43:32,840 CONTEXT OF THIS POPULATION'S 1207 00:43:32,840 --> 00:43:36,040 DAILY LIFE? 1208 00:43:36,040 --> 00:43:37,880 AND WE DO THIS RESEARCH IN THE 1209 00:43:37,880 --> 00:43:39,960 CONTEXT OF ENGLAND, WHERE THERE 1210 00:43:39,960 --> 00:43:44,960 ARE SIGNIFICANT INEQUALITIES IN 1211 00:43:44,960 --> 00:43:46,880 ILL HEALTH, SUCH AS OBESITY, SO 1212 00:43:46,880 --> 00:43:50,040 THIS RECENT DATA FOUND THAT NOW, 1213 00:43:50,040 --> 00:43:51,920 SINCE COVID, 1 IN 3 CHILDREN 1214 00:43:51,920 --> 00:43:53,640 LIVING IN THE MOST DEPRIVED 1215 00:43:53,640 --> 00:43:55,320 NEIGHBORHOODS IN ENGLAND ARE 1216 00:43:55,320 --> 00:43:57,600 LIVING WITH OBESITY. 1217 00:43:57,600 --> 00:44:00,680 AND THIS IS MORE THAN TWO TIMES 1218 00:44:00,680 --> 00:44:02,800 THE PREVALENCE AMONGST CHILDREN 1219 00:44:02,800 --> 00:44:05,400 IN LEAST DEPRIVED AREAS. 1220 00:44:05,400 --> 00:44:08,680 AND FOOD I INSECURITY ALSO FOLLS 1221 00:44:08,680 --> 00:44:10,000 THE SAME SOCIAL GRADIENT WITH 1222 00:44:10,000 --> 00:44:11,720 THOSE ON LOW INCOMES MUCH MORE 1223 00:44:11,720 --> 00:44:13,640 LIKELY TO BE FOOD INSECURE, AND 1224 00:44:13,640 --> 00:44:15,680 IT'S THE EXPERIENCES OF THOSE ON 1225 00:44:15,680 --> 00:44:18,240 LOW INCOMES I'M GOING TO BE 1226 00:44:18,240 --> 00:44:19,080 FOCUSING ON TODAY. 1227 00:44:19,080 --> 00:44:22,280 SO IN THIS CONTEXT IN ENGLAND 1228 00:44:22,280 --> 00:44:24,600 AND TO COVID, AND WE REALLY 1229 00:44:24,600 --> 00:44:26,440 WANTED TO UNDERSTAND HOW COVID 1230 00:44:26,440 --> 00:44:29,080 AND ITS IMPACTS ON DAILY LIFE 1231 00:44:29,080 --> 00:44:31,280 WERE SHAPING FAMILY'S FEELINGS 1232 00:44:31,280 --> 00:44:33,240 ABOUT EXPERIENCE OF AND 1233 00:44:33,240 --> 00:44:35,320 ENGAGEMENT WITH FOOD AND FOOD 1234 00:44:35,320 --> 00:44:35,640 ENVIRONMENTS. 1235 00:44:35,640 --> 00:44:36,760 IN PARTICULAR, WE WANTED TO 1236 00:44:36,760 --> 00:44:38,400 UNDERSTAND HOW THIS DIFFERED 1237 00:44:38,400 --> 00:44:39,600 ACROSS SOCIOECONOMIC AND 1238 00:44:39,600 --> 00:44:40,640 DEMOGRAPHIC GROUPS. 1239 00:44:40,640 --> 00:44:42,240 AND FINALLY, WE WANTED TO DRAW 1240 00:44:42,240 --> 00:44:44,240 OUT LEARNINGS FOR MORE EFFECTIVE 1241 00:44:44,240 --> 00:44:47,280 AND EQUITABLE OBESITY PREVENTION 1242 00:44:47,280 --> 00:44:53,720 POLICY GOING FORWARD BEYOND 1243 00:44:53,720 --> 00:44:54,160 COVID. 1244 00:44:54,160 --> 00:45:03,960 AROUND WE CONDAND WE CONDUCTED L 1245 00:45:03,960 --> 00:45:05,040 STUDY, THREE TIMES OVER A YEAR, 1246 00:45:05,040 --> 00:45:06,760 IN WINTER 2020, WHEN ENGLAND WAS 1247 00:45:06,760 --> 00:45:09,080 STILL IN LOCAL LOCKDOWN, IN 1248 00:45:09,080 --> 00:45:10,200 SPRING 2021 AS WE WERE 1249 00:45:10,200 --> 00:45:11,960 RE-OPENING AND AT THE END OF 1250 00:45:11,960 --> 00:45:14,240 2021, AS WE WERE BEGINNING TO 1251 00:45:14,240 --> 00:45:15,680 SEE VARIOUS INCREASES IN THE 1252 00:45:15,680 --> 00:45:18,520 COST OF LIVING. 1253 00:45:18,520 --> 00:45:20,920 PARTICIPANTS TOOK PART IN REMOTE 1254 00:45:20,920 --> 00:45:22,920 INTERVIEWS OVER THE PHONE OR ON 1255 00:45:22,920 --> 00:45:26,080 ZOOM, AND ALSO TO PHOTOS, 1256 00:45:26,080 --> 00:45:28,360 RECORDED DIARIES AND FOOD MAPS 1257 00:45:28,360 --> 00:45:31,040 OF RELATED EXPERIENCES. 1258 00:45:31,040 --> 00:45:32,360 WE RECRUITED FROM THREE CASE 1259 00:45:32,360 --> 00:45:34,360 STUDY AREAS REPRESENTING 1260 00:45:34,360 --> 00:45:37,400 METROPOLITAN, RURAL, COASTAL, 1261 00:45:37,400 --> 00:45:41,000 AND URBAN GEOGRAPHIES. 1262 00:45:41,000 --> 00:45:43,080 SO I'M GOING TO TALK ABOUT HOW 1263 00:45:43,080 --> 00:45:45,080 FINANCIAL INSECURITY DIRECTLY 1264 00:45:45,080 --> 00:45:46,600 SHAPED HOW PEOPLE ENGAGED WITH 1265 00:45:46,600 --> 00:45:48,480 FOOD ENVIRONMENTS IN OUR STUDY 1266 00:45:48,480 --> 00:45:50,920 TO UNDERMINE NUTRITION. 1267 00:45:50,920 --> 00:45:53,640 I'M ALSO GOING TO TALK ABOUT TWO 1268 00:45:53,640 --> 00:45:55,600 WIDER CONTEXTS WHICH OFTEN OCCUR 1269 00:45:55,600 --> 00:45:57,200 ALONGSIDE FINANCIAL INSECURITY, 1270 00:45:57,200 --> 00:46:01,320 WHICH WERE HIGHLIGHTED AND 1271 00:46:01,320 --> 00:46:02,080 ACCELERATED DURING COVID. 1272 00:46:02,080 --> 00:46:12,600 SO ONE OF THESE IS TIME POVERTY 1273 00:46:18,760 --> 00:46:21,120 AND SCARCITY OF SOCIAL, 1274 00:46:21,120 --> 00:46:27,360 WELL-BEING AND LEISURE 1275 00:46:27,360 --> 00:46:28,000 OPPORTUNITIES. 1276 00:46:28,000 --> 00:46:29,760 FOOD SHOPPING WAS RELENTLESS AND 1277 00:46:29,760 --> 00:46:32,680 TIME INTENSIVE, INVOLVING 1278 00:46:32,680 --> 00:46:34,120 MEMORIZING PRICES AND SHOPPING 1279 00:46:34,120 --> 00:46:35,240 ACROSS MULTIPLE STORES TO GET 1280 00:46:35,240 --> 00:46:36,240 THE BEST DEALS. 1281 00:46:36,240 --> 00:46:37,960 IT INVOLVES PRIORITIZING 1282 00:46:37,960 --> 00:46:40,600 QUANTITY OVER QUALITY OF FOOD, 1283 00:46:40,600 --> 00:46:42,480 AS PARENTS VERY SENSIBLY HAD 1284 00:46:42,480 --> 00:46:44,360 CONCERNS AROUND HAVING ENOUGH 1285 00:46:44,360 --> 00:46:45,680 FOOD, AND THESE CAME BEFORE 1286 00:46:45,680 --> 00:46:46,960 HEALTH. 1287 00:46:46,960 --> 00:46:49,480 THEY ALSO INVOLVED UTILIZING 1288 00:46:49,480 --> 00:46:51,560 PROMPTS, DISCOUNTS AND 1289 00:46:51,560 --> 00:46:52,920 PROMOTIONS IN THE SUPERMARKET IN 1290 00:46:52,920 --> 00:46:54,520 AN ATTEMPT TO BUY MORE FOOD FOR 1291 00:46:54,520 --> 00:46:55,080 LESS. 1292 00:46:55,080 --> 00:46:58,880 SO THINGS LIKE BUY ONE GET ONE 1293 00:46:58,880 --> 00:47:00,560 FREE, MULTI-OFFERS IN THE U.K., 1294 00:47:00,560 --> 00:47:02,640 MAJORITY OF WHICH ARE FOODS HIGH 1295 00:47:02,640 --> 00:47:06,360 IN SALTS, FATS AND SUGARS AND 1296 00:47:06,360 --> 00:47:07,480 PACKAGED CONFECTIONARY FOODS. 1297 00:47:07,480 --> 00:47:08,920 THIS IS A QUOTE FROM CLAIRE, A 1298 00:47:08,920 --> 00:47:10,640 SINGLE MOM WHOSE LOW INCOME HAD 1299 00:47:10,640 --> 00:47:12,080 FAILED TO KEEP UP WITH 1300 00:47:12,080 --> 00:47:13,520 INCREASING COST OF HER RENT AND 1301 00:47:13,520 --> 00:47:14,840 BILLS SINCE COVID. 1302 00:47:14,840 --> 00:47:16,440 SHE'S TRYING TO CUT HER FOOD 1303 00:47:16,440 --> 00:47:18,000 BUDGET TO AFFORD THESE COSTS, 1304 00:47:18,000 --> 00:47:22,960 AND SHE TALKS ABOUT HOW THE FOOD 1305 00:47:22,960 --> 00:47:24,840 ENVIRONMENT TRICKED HER TO BUY 1306 00:47:24,840 --> 00:47:26,320 MORE THAN SHE WOULD OTHERWISE, 1307 00:47:26,320 --> 00:47:29,000 THINGS LIKE READY MADE MEALS, 1308 00:47:29,000 --> 00:47:30,640 PREMADE PIZZAS AND CONFECTIONARY 1309 00:47:30,640 --> 00:47:33,040 FOODS. 1310 00:47:33,040 --> 00:47:37,280 BUT I BROADER CONTEXT ASSOCIATED 1311 00:47:37,280 --> 00:47:38,720 WITH FINANCIAL DEPRIVATION WHICH 1312 00:47:38,720 --> 00:47:40,280 WERE HIGHLIGHTED IN COVID. 1313 00:47:40,280 --> 00:47:41,800 FAMILIES ACROSS THE INCOME 1314 00:47:41,800 --> 00:47:43,120 SPECTRUM SPOKE ABOUT THE 1315 00:47:43,120 --> 00:47:44,960 CHALLENGE OF NOT BEING ABLE TO 1316 00:47:44,960 --> 00:47:47,160 ACCESS SOCIAL WELL-BEING AND 1317 00:47:47,160 --> 00:47:49,160 LEISURE ACTIVITY IN LOCKDOWN. 1318 00:47:49,160 --> 00:47:50,600 PARENTS FELT ANXIOUS AND GUILTY 1319 00:47:50,600 --> 00:47:53,720 THAT CHILDREN WERE MISSING OUT 1320 00:47:53,720 --> 00:47:55,960 ON THE FUN AND -- THAT THESE 1321 00:47:55,960 --> 00:47:56,880 OPPORTUNITIES USUALLY PROVIDED. 1322 00:47:56,880 --> 00:48:00,440 IN THIS CONTEXT, FOOD BECAME AN 1323 00:48:00,440 --> 00:48:01,360 ACCESSIBLE MEANS OF TREAT AND 1324 00:48:01,360 --> 00:48:02,640 REWARD. 1325 00:48:02,640 --> 00:48:04,120 SAYING YES TO CHILDREN'S 1326 00:48:04,120 --> 00:48:05,880 REQUESTS FOR JUNK FOOD PROVIDED 1327 00:48:05,880 --> 00:48:07,680 PARENTS WITH A SOLUTION AND WAY 1328 00:48:07,680 --> 00:48:09,160 TO FULFILL HOUSEHOLD WELL-BEING 1329 00:48:09,160 --> 00:48:13,000 NEEDS WHEN OTHER MEANS WERE 1330 00:48:13,000 --> 00:48:13,880 INACCESSIBLE. 1331 00:48:13,880 --> 00:48:15,920 NICOLE'S QUOTE HERE ILLUSTRATE 1332 00:48:15,920 --> 00:48:17,240 THIS WHEN SHE SPEAKS ABOUT, IN 1333 00:48:17,240 --> 00:48:18,600 LOCK DOWN, YOU'RE SO RESTRICTED 1334 00:48:18,600 --> 00:48:19,800 IN MANY DIFFERENT AREAS OF LIFE, 1335 00:48:19,800 --> 00:48:20,680 AND FOOD IS SOMETHING WHERE YOU 1336 00:48:20,680 --> 00:48:30,400 CAN TREAT YOURSELF WITH. 1337 00:48:30,400 --> 00:48:33,040 BEYOND LOCKDOWNS, FOR SOME 1338 00:48:33,040 --> 00:48:34,240 FAMILIES WE SPOKE TO, THIS 1339 00:48:34,240 --> 00:48:36,400 CONTEXT OF RESTRICTION EXISTED 1340 00:48:36,400 --> 00:48:37,440 BEYOND THIS CONTEXT BECAUSE OF 1341 00:48:37,440 --> 00:48:38,880 NOT BEING ABLE TO AFFORD OR 1342 00:48:38,880 --> 00:48:41,280 ACCESS SOCIAL WELL-BEING AND 1343 00:48:41,280 --> 00:48:42,640 LEISURE OPPORTUNITIES IN LOCAL 1344 00:48:42,640 --> 00:48:43,600 AREAS. 1345 00:48:43,600 --> 00:48:45,520 SO LEILA WAS A SINGLE MOTHER OF 1346 00:48:45,520 --> 00:48:47,480 TWO WHO LOST SIGNIFICANT INCOME 1347 00:48:47,480 --> 00:48:49,640 POST COVID FROM HER SMALL 1348 00:48:49,640 --> 00:48:50,120 BUSINESS. 1349 00:48:50,120 --> 00:48:51,280 AND HERE SHE WAS SPEAKING TO ME 1350 00:48:51,280 --> 00:48:52,920 ABOUT HOW SHE COULDN'T AFFORD 1351 00:48:52,920 --> 00:48:54,920 CINEMA TRIPS AND BOWLING FOR THE 1352 00:48:54,920 --> 00:48:55,680 KIDS ANYMORE. 1353 00:48:55,680 --> 00:48:56,880 SHE FEELS THAT HER KIDS ARE 1354 00:48:56,880 --> 00:49:01,200 MISSING OUT, BUT TAKEAWAYS NEAR 1355 00:49:01,200 --> 00:49:02,720 HER PROVIDED A SOLUTION TO THIS. 1356 00:49:02,720 --> 00:49:04,440 WHEN YOU'RE IN THE MOMENT, YOU 1357 00:49:04,440 --> 00:49:07,560 FEEL EMOTI EMOTIONALLY LIKE, YEU 1358 00:49:07,560 --> 00:49:08,760 SHOULD DO THIS BECAUSE THEY 1359 00:49:08,760 --> 00:49:09,960 DESERVE IT. 1360 00:49:09,960 --> 00:49:11,480 AND THE SECOND CONTEXT THAT WAS 1361 00:49:11,480 --> 00:49:13,600 BOTH HIGHLIGHTED AND ACCELERATED 1362 00:49:13,600 --> 00:49:15,880 BY COVID IN THIS TIME IS TIME 1363 00:49:15,880 --> 00:49:17,240 POVERTY. 1364 00:49:17,240 --> 00:49:19,160 THIS WASN'T JUST ABOUT THE 1365 00:49:19,160 --> 00:49:22,600 MINUTES IN A DAY PEOPLE HAD 1366 00:49:22,600 --> 00:49:23,040 FOOD. 1367 00:49:23,040 --> 00:49:24,680 THERE WAS ALSO THE AUTONOMY 1368 00:49:24,680 --> 00:49:25,760 PEOPLE HAD OVER THOSE MINUTES 1369 00:49:25,760 --> 00:49:27,640 AND THIS WAS GROWING POST COVID 1370 00:49:27,640 --> 00:49:30,280 AS SOME PEOPLE MOSTLY ON HIGH 1371 00:49:30,280 --> 00:49:31,240 INCOMES MOVED TO WORKING FROM 1372 00:49:31,240 --> 00:49:33,920 HOME AND HAD MORE FLEXIBILITY TO 1373 00:49:33,920 --> 00:49:37,640 FIT FOOD WORK AROUND WORK, WHILE 1374 00:49:37,640 --> 00:49:39,840 OTHER PEOPLE WE SPOKE TO WERE 1375 00:49:39,840 --> 00:49:42,360 WORKING IN KEY WORKER ROLES, 1376 00:49:42,360 --> 00:49:46,080 WORKING OUT THE HOME, AND LESS 1377 00:49:46,080 --> 00:49:47,320 AUTONOMY OVER THEIR WORKING 1378 00:49:47,320 --> 00:49:48,640 HOURS AND THOSE TENDED TO BE 1379 00:49:48,640 --> 00:49:50,080 THOSE ON LOW INCOMES. 1380 00:49:50,080 --> 00:49:51,400 AND IT WAS ALSO ABOUT THIS 1381 00:49:51,400 --> 00:49:52,120 OBJECTIVE EXPERIENCE OF THOSE 1382 00:49:52,120 --> 00:49:52,480 MINUTES. 1383 00:49:52,480 --> 00:49:54,000 SO THOSE WHO WORKED OUT THE HOME 1384 00:49:54,000 --> 00:49:57,520 ON THEIR FEET ALL DAY CAME HOME 1385 00:49:57,520 --> 00:49:58,880 FEELING EXHAUSTED WHILE THOSE 1386 00:49:58,880 --> 00:50:00,840 WORKING FROM HOME HAD MORE 1387 00:50:00,840 --> 00:50:02,240 ENERGY IN THE EVENINGS FOR ALL 1388 00:50:02,240 --> 00:50:05,560 THE WORK THAT GOES INTO 1389 00:50:05,560 --> 00:50:06,760 PREPARING MEALS. 1390 00:50:06,760 --> 00:50:11,800 COLLECT BLI THESE TIME POVERTY 1391 00:50:11,800 --> 00:50:12,800 CAPACITY FOR PREPARING AND 1392 00:50:12,800 --> 00:50:14,120 REALLY IMPORTANTLY FEEDING 1393 00:50:14,120 --> 00:50:15,560 FAMILY HEALTHY FOODS, SO ALL THE 1394 00:50:15,560 --> 00:50:17,080 WORK THAT GOES INTO MAKING SURE 1395 00:50:17,080 --> 00:50:19,040 KIDS SIT DOWN AND ACTUALLY EAT 1396 00:50:19,040 --> 00:50:20,640 THOSE FOODS. 1397 00:50:20,640 --> 00:50:25,000 AND THIS CONTEXT, FAST FOOD AND 1398 00:50:25,000 --> 00:50:26,760 PALATABLE FOOD THAT CHILDREN 1399 00:50:26,760 --> 00:50:28,320 WILL RELIABLY EAT AND ENJOY 1400 00:50:28,320 --> 00:50:31,920 PROVIDED A SOLUTION, AND AZARI 1401 00:50:31,920 --> 00:50:33,520 HERE TALKS ABOUT THE SOLUTION, 1402 00:50:33,520 --> 00:50:35,440 WHEN IT'S A TAKEOUT FOR A FACT 1403 00:50:35,440 --> 00:50:36,440 YOU KNOW THEY'LL SIT DOWN AND 1404 00:50:36,440 --> 00:50:38,280 EAT IT, HEALTHY COSTS MORE AND 1405 00:50:38,280 --> 00:50:39,840 IS SO MUCH EASIER AND CHEAPER TO 1406 00:50:39,840 --> 00:50:41,200 ORDER A COUPLE OF BURGERS AND 1407 00:50:41,200 --> 00:50:45,640 GET IT OVER AND DONE WITH. 1408 00:50:45,640 --> 00:50:47,640 SO TOGETHER THESE FINDINGS SHOW 1409 00:50:47,640 --> 00:50:50,520 THAT LOW INCOME ONLY RESTRICTED 1410 00:50:50,520 --> 00:50:52,360 ACCESS TO HEALTHY FOOD BUT ALSO 1411 00:50:52,360 --> 00:50:53,680 CREATED A SITUATION IN WHICH 1412 00:50:53,680 --> 00:50:54,840 UNHEALTHY FOOD WAS OFTEN THE 1413 00:50:54,840 --> 00:50:56,480 MOST SENSIBLE AND LOGICAL 1414 00:50:56,480 --> 00:50:59,400 SOLUTION FOR PARENTS. 1415 00:50:59,400 --> 00:51:00,920 WHEN MANAGING FOOD SHOPPING ON A 1416 00:51:00,920 --> 00:51:02,360 TIGHT BUDGET, ASPECTS OF THE 1417 00:51:02,360 --> 00:51:03,560 FOOD ENVIRONMENT LIKE DISCOUNTS 1418 00:51:03,560 --> 00:51:06,640 AND OFFERS WERE USED TO MAKE 1419 00:51:06,640 --> 00:51:07,280 MONEY GO FURTHER. 1420 00:51:07,280 --> 00:51:09,800 WHEN EXPERIENCING TIME POVERTY, 1421 00:51:09,800 --> 00:51:11,440 FAST FOOD AND PREPARED MEALS 1422 00:51:11,440 --> 00:51:12,560 PROVIDED A QUICK MEAL THAT THEIR 1423 00:51:12,560 --> 00:51:15,520 CHILDREN WOULD EAT WITHOUT FUSS. 1424 00:51:15,520 --> 00:51:16,520 WHEN SOCIAL AND LEISURE 1425 00:51:16,520 --> 00:51:19,680 ACTIVITIES WERE INACCESSIBLE, 1426 00:51:19,680 --> 00:51:21,560 JUNK, SNACK AND COMFORT FOODS 1427 00:51:21,560 --> 00:51:23,640 PROVIDED A CHEAP WAY TO MEET 1428 00:51:23,640 --> 00:51:24,520 HOUSEHOLD, EMOTIONAL AND SOCIAL 1429 00:51:24,520 --> 00:51:25,040 NEEDS. 1430 00:51:25,040 --> 00:51:26,520 AND THE PARENTS WE SPOKE TO 1431 00:51:26,520 --> 00:51:27,640 DIDN'T SIMPLY RESPOND TO THE 1432 00:51:27,640 --> 00:51:29,480 AVAILABILITY OF FOOD AND ITS 1433 00:51:29,480 --> 00:51:32,320 PRICE, ALTHOUGH THIS WAS VERY 1434 00:51:32,320 --> 00:51:33,880 IMPORTANT, BUT THEY ALSO 1435 00:51:33,880 --> 00:51:35,320 CREATIVELY DEVELOPED FOOD 1436 00:51:35,320 --> 00:51:37,800 PRACTICES TO MANAGE NON-FOOD 1437 00:51:37,800 --> 00:51:39,480 CHALLENGES, IN PARTICULAR, TIME 1438 00:51:39,480 --> 00:51:41,680 POVERTY AND LACK OF ACCESS TO 1439 00:51:41,680 --> 00:51:43,560 SOCIAL AND LEISURE ACTIVITIES IN 1440 00:51:43,560 --> 00:51:46,960 THEIR LOCAL COMMUNITIES. 1441 00:51:46,960 --> 00:51:49,200 SO BUYING SNACK FOODS, FAST 1442 00:51:49,200 --> 00:51:50,880 FOODS, FREEZER FOODS AND 1443 00:51:50,880 --> 00:51:52,000 ENERGY-DENSE FOODS HELPED 1444 00:51:52,000 --> 00:51:53,520 RESOLVE THESE CHALLENGES. 1445 00:51:53,520 --> 00:51:54,840 EVEN THOUGH PARENTS WERE VERY 1446 00:51:54,840 --> 00:51:56,840 AWARE THAT MANY OF THESE FOODS 1447 00:51:56,840 --> 00:52:00,320 WERE NOT IDEAL NUTRITIONALLY. 1448 00:52:00,320 --> 00:52:02,760 WHAT DOES THIS MEAN FOR 1449 00:52:02,760 --> 00:52:04,680 LEVERAGING FOOD ENVIRONMENT AND 1450 00:52:04,680 --> 00:52:05,400 FOOD SECURITY? 1451 00:52:05,400 --> 00:52:07,480 IT TELLS US WE NEED TO TAKE A 1452 00:52:07,480 --> 00:52:08,720 WHOSE SYSTEMS APPROACH IN 1453 00:52:08,720 --> 00:52:09,840 DEVELOPING OUR SOLUTIONS, 1454 00:52:09,840 --> 00:52:10,920 ALTERING WHAT IS AVAILABLE AND 1455 00:52:10,920 --> 00:52:12,000 ACCESSIBLE IN THE FOOD 1456 00:52:12,000 --> 00:52:14,080 ENVIRONMENT IS A FIRST AND VERY 1457 00:52:14,080 --> 00:52:15,520 CRUCIAL STEP, BUT WE COULD ALSO 1458 00:52:15,520 --> 00:52:18,280 THINK ABOUT LOOKING AT WHETHER 1459 00:52:18,280 --> 00:52:19,680 ENGAGING WITH THESE PARTS OF THE 1460 00:52:19,680 --> 00:52:20,440 FOOD ENVIRONMENT REALLY MAKE 1461 00:52:20,440 --> 00:52:22,320 SENSE IN THE CONTEXT OF PEOPLE'S 1462 00:52:22,320 --> 00:52:24,800 EVERYDAY LIVES. 1463 00:52:24,800 --> 00:52:26,560 AND LIVED EXPERIENCE RESEARCH 1464 00:52:26,560 --> 00:52:28,840 AND APPROACHES TO RESEARCH ARE A 1465 00:52:28,840 --> 00:52:30,840 GREAT TOOL TO BE ABLE TO DO THIS 1466 00:52:30,840 --> 00:52:36,720 KIND OF WORK, AND I'LL SHARE IN 1467 00:52:36,720 --> 00:52:38,080 THE CHAT A BRIEFING WE'VE 1468 00:52:38,080 --> 00:52:38,320 PRODUCED. 1469 00:52:38,320 --> 00:52:39,880 THANK YOU SO MUCH FOR LISTENING 1470 00:52:39,880 --> 00:52:42,120 AND FOR NIH FOR HAVING ME. 1471 00:52:42,120 --> 00:52:44,480 I'LL HAND OVER TO THE NEXT 1472 00:52:44,480 --> 00:52:51,360 SPEAKER. 1473 00:52:51,360 --> 00:52:58,680 >>THANK YOU VERY MUCH. 1474 00:52:58,680 --> 00:52:59,240 MUCH, CHARLOTTE. 1475 00:52:59,240 --> 00:53:01,120 NOW TO GIVE YOU AN AFRICAN 1476 00:53:01,120 --> 00:53:04,160 EXAMPLE, I'LL PRESENT TO YOU HOW 1477 00:53:04,160 --> 00:53:06,160 IMPLEMENTATION OF FOOD 1478 00:53:06,160 --> 00:53:10,440 ENVIRONMENTS RESEARCH IN 1479 00:53:10,440 --> 00:53:12,280 GHANA -- INFORMED ADVOCACY, BUT 1480 00:53:12,280 --> 00:53:17,120 ALSO DEMAND FOR FOOD-BASED 1481 00:53:17,120 --> 00:53:17,400 POLICY. 1482 00:53:17,400 --> 00:53:18,360 FOR THOSE OF YOU WHO ALREADY 1483 00:53:18,360 --> 00:53:21,440 KNOW ABOUT GHANA, IT IS A 1484 00:53:21,440 --> 00:53:26,160 RELATIVELY YOUNG COUNTRY 1485 00:53:26,160 --> 00:53:27,480 BATTLING MULTIPLE -- MONITORING 1486 00:53:27,480 --> 00:53:29,160 CURRENTLY AND LOCATED IN THE 1487 00:53:29,160 --> 00:53:30,000 WEST COAST OF AFRICA. 1488 00:53:30,000 --> 00:53:32,800 AND SO CURRENTLY, FOOD 1489 00:53:32,800 --> 00:53:36,040 INSECURITY IS A MAJOR PROBLEM IN 1490 00:53:36,040 --> 00:53:39,040 GHANA. 1491 00:53:39,040 --> 00:53:45,720 MALNUTRITION IS A PROBLEM BUT 1492 00:53:45,720 --> 00:53:47,040 ALSO CURRENTLY -- DEPICTED THE 1493 00:53:47,040 --> 00:53:49,320 TRAJECTORY OF OVERWEIGHT AND 1494 00:53:49,320 --> 00:53:55,520 OBESITY AMONG GHANA WOMEN, 1495 00:53:55,520 --> 00:53:58,440 SKYROCKETED TO 40% WHEN LAST WE 1496 00:53:58,440 --> 00:53:59,960 HAVE THE STUDY CONDUCTED IN 1497 00:53:59,960 --> 00:54:00,400 GHANA. 1498 00:54:00,400 --> 00:54:07,800 SO THIS IS A PROBLEM. 1499 00:54:07,800 --> 00:54:11,240 AS WE'RE ALSO CONCERNED AS 1500 00:54:11,240 --> 00:54:12,680 PUBLIC HEALTH PRACTITIONERS, 1501 00:54:12,680 --> 00:54:13,680 RESEARCHERS AND ADVOCATES. 1502 00:54:13,680 --> 00:54:16,040 SO WE WANTED TO CONTRIBUTE TO 1503 00:54:16,040 --> 00:54:20,080 ADDRESSING THIS PROBLEM THROUGH 1504 00:54:20,080 --> 00:54:21,280 DEVELOPMENT OF EFFECTIVE PUBLIC 1505 00:54:21,280 --> 00:54:24,240 POLICY MEASURES. 1506 00:54:24,240 --> 00:54:25,720 WE WERE SOON REMINDED OF THE 1507 00:54:25,720 --> 00:54:28,400 FACT THAT THERE WERE SEVERAL 1508 00:54:28,400 --> 00:54:29,360 LONG-STANDING CHALLENGES THAT 1509 00:54:29,360 --> 00:54:32,360 NEEDED TO BE ADDRESSED. 1510 00:54:32,360 --> 00:54:33,800 SO SUCH LONG-STANDING CHALLENGES 1511 00:54:33,800 --> 00:54:42,400 RELATED TO DATA -- POLICY FOCUS, 1512 00:54:42,400 --> 00:54:44,040 INERTIA, POLICY COHERENCE NEEDED 1513 00:54:44,040 --> 00:54:44,800 TO BE ADDRESSED. 1514 00:54:44,800 --> 00:54:46,520 SO AS IS OFTEN SAID IN GHANA, IF 1515 00:54:46,520 --> 00:54:54,080 YOU ATTEMPT TO DO -- SOMETHING 1516 00:54:54,080 --> 00:54:54,960 WRONG WHEN THE TIME IS WRONG. 1517 00:54:54,960 --> 00:54:56,600 WE HAD TO TAKE A STEP BACK AND 1518 00:54:56,600 --> 00:55:01,480 SPEND SOME TIME GENERATING 1519 00:55:01,480 --> 00:55:03,240 EVIDENCE, CURATED EVIDENCE AND 1520 00:55:03,240 --> 00:55:05,640 AVAILED TO RESEARCHERS, POLICY 1521 00:55:05,640 --> 00:55:12,280 MAKERS AND CIVIL SOCIETY 1522 00:55:12,280 --> 00:55:14,680 ORGANIZATIONS 1523 00:55:14,680 --> 00:55:22,600 THE EVIDENCE WE GENERATED, WE 1524 00:55:22,600 --> 00:55:23,880 SUBMITTED WIDELY THE EVIDENCE 1525 00:55:23,880 --> 00:55:25,240 WITHIN GHANA, BUT ALSO 1526 00:55:25,240 --> 00:55:29,640 INTERNATIONALLY AS WELL. 1527 00:55:29,640 --> 00:55:31,680 SOME OF THE IMPORTANT -- THAT 1528 00:55:31,680 --> 00:55:33,880 CAME FROM THIS WAS A SCORECARD 1529 00:55:33,880 --> 00:55:35,640 THAT WE GENERATED. 1530 00:55:35,640 --> 00:55:38,160 AS MOST SCORE CARDS DO, WE USED 1531 00:55:38,160 --> 00:55:40,160 THIS TO NAME AND SHAME, BUT ALSO 1532 00:55:40,160 --> 00:55:43,120 IN THIS CASE, WE USED THIS TO -- 1533 00:55:43,120 --> 00:55:44,000 AND PRAISE. 1534 00:55:44,000 --> 00:55:47,720 SO WHERE GHANA WAS DOING WELL, 1535 00:55:47,720 --> 00:55:49,280 WE LET GOVERNMENT AND OTHER -- 1536 00:55:49,280 --> 00:55:50,480 KNOW AND WHERE IT WASN'T DOING 1537 00:55:50,480 --> 00:55:52,440 WELL, WE LET THEM KNOW THERE WAS 1538 00:55:52,440 --> 00:55:59,920 A NEED TO INTRODUCE INTERVENTION 1539 00:55:59,920 --> 00:56:02,120 OR SKILL TOWARDS ADDRESSING 1540 00:56:02,120 --> 00:56:09,480 THESE MAJOR PROBLEMS. 1541 00:56:09,480 --> 00:56:12,640 ANOTHER INITIATIVE, WE AIMED TO 1542 00:56:12,640 --> 00:56:18,000 PROVIDE MEASUREMENTS, 1543 00:56:18,000 --> 00:56:19,560 EVALUATION, ACCOUNTABILITY AND 1544 00:56:19,560 --> 00:56:21,080 LEADERSHIP SUPPORT FOR THOSE IN 1545 00:56:21,080 --> 00:56:26,160 GHANA WHO WERE INTERESTED IN 1546 00:56:26,160 --> 00:56:26,960 ADDRESSING THESE PROBLEMS. 1547 00:56:26,960 --> 00:56:29,520 SO A SECOND OPPORTUNITY WERE 1548 00:56:29,520 --> 00:56:31,360 PROVIDED AS RESOURCES TO 1549 00:56:31,360 --> 00:56:33,080 GENERATE POLICY IMPACTING OR 1550 00:56:33,080 --> 00:56:34,720 POLICY INFLUENCING EVIDENCE. 1551 00:56:34,720 --> 00:56:36,520 EVIDENCE RELATED TO THAT WHICH 1552 00:56:36,520 --> 00:56:38,400 IS BEING ADVERTISED OR MARKETED 1553 00:56:38,400 --> 00:56:43,640 ON GHANAIAN TELEVISION, FOOD 1554 00:56:43,640 --> 00:56:45,080 ADVERTISING IN GHANA, AND THE 1555 00:56:45,080 --> 00:56:46,560 NUTRITION QUALITY OF THOSE 1556 00:56:46,560 --> 00:56:47,600 FOODS. 1557 00:56:47,600 --> 00:56:50,480 WE ALSO ASSESSED -- AND 1558 00:56:50,480 --> 00:56:54,080 THEREFORE CONSUMED IN GHANA AT 1559 00:56:54,080 --> 00:57:00,680 RETAIL OU OUTLEATHELET, POLICIED 1560 00:57:00,680 --> 00:57:07,720 PROGRAMS THAT SEEK TO -- IN 1561 00:57:07,720 --> 00:57:08,320 SCHOOLS. 1562 00:57:08,320 --> 00:57:11,240 WE PRODUCED OR BOUGHT SOME 1563 00:57:11,240 --> 00:57:12,440 TECHNICAL ACADEMIC AND COMPILED 1564 00:57:12,440 --> 00:57:14,360 THEM INTO WHAT YOU SEE HERE. 1565 00:57:14,360 --> 00:57:17,640 INSTEAD OF FOOD ENVIRONMENT IN 1566 00:57:17,640 --> 00:57:23,680 THE GREATER ACCRA REGION OF 1567 00:57:23,680 --> 00:57:24,440 GHANA. 1568 00:57:24,440 --> 00:57:25,160 ASSESSMENT AND RECOMMENDATIONS 1569 00:57:25,160 --> 00:57:28,080 TO VARIOUS STAKEHOLDERS. 1570 00:57:28,080 --> 00:57:31,240 BEYOND PRODUCING TECHNICAL 1571 00:57:31,240 --> 00:57:32,200 REPORT ACADEMIC -- AND 1572 00:57:32,200 --> 00:57:35,560 SUBMITTING THEM, WE ALSO USED 1573 00:57:35,560 --> 00:57:38,200 THOSE EVIDENCE TO ENGAGE 1574 00:57:38,200 --> 00:57:38,960 MULTIPLE STAKEHOLDERS. 1575 00:57:38,960 --> 00:57:42,520 AS YOU CAN SEE HERE, WE ENGAGE 1576 00:57:42,520 --> 00:57:47,400 DOCUMENT MINISTRIES -- WE ENGAGE 1577 00:57:47,400 --> 00:57:48,880 ACADEMICS FROM WITHIN GHANA, 1578 00:57:48,880 --> 00:57:49,760 AFRICA AND INTERNATIONALLY. 1579 00:57:49,760 --> 00:57:52,720 WE ALSO ENGAGED SOCIETY 1580 00:57:52,720 --> 00:57:54,560 ORGANIZATION AND UN AGENCIES AS 1581 00:57:54,560 --> 00:57:55,320 WELL. 1582 00:57:55,320 --> 00:58:01,240 THROUGH THIS ENGAGEMENT, THE 1583 00:58:01,240 --> 00:58:03,560 ENGAGEMENT FACILITATED COMMUNITY 1584 00:58:03,560 --> 00:58:05,760 UNDERSTANDING OF THE NEED FOR 1585 00:58:05,760 --> 00:58:07,320 POLICIES LIKE WHAT WE'RE TALKING 1586 00:58:07,320 --> 00:58:11,160 ABOUT TO BE IMPLEMENTED. 1587 00:58:11,160 --> 00:58:12,880 INDEED IT FACILITATES THAT WE 1588 00:58:12,880 --> 00:58:14,920 DEVELOP A SERIES OF POLICY 1589 00:58:14,920 --> 00:58:17,200 BRIEFS, AND THESE POLICY BRIEFS 1590 00:58:17,200 --> 00:58:19,080 ARE COMMUNICATED TO THE MINISTRY 1591 00:58:19,080 --> 00:58:22,680 OF HEALTH, AND WHERE I'M HAPPY 1592 00:58:22,680 --> 00:58:24,120 TO HAVE A VERY POSITIVE RESPONSE 1593 00:58:24,120 --> 00:58:26,120 FROM THE MINISTRY. 1594 00:58:26,120 --> 00:58:28,320 SO SOMETIME IN SEPTEMBER 2021, 1595 00:58:28,320 --> 00:58:31,840 THE MINISTRY CONVENED A 1596 00:58:31,840 --> 00:58:33,320 CONSULTIVE MEETING WITH KEY 1597 00:58:33,320 --> 00:58:36,840 STAKEHOLDERS IN GHANA TO AGREE 1598 00:58:36,840 --> 00:58:41,440 ON THE MODALITIES TO -- 1599 00:58:41,440 --> 00:58:43,680 IMPLEMENT POLICIES THAT CAN 1600 00:58:43,680 --> 00:58:44,920 CONTRIBUTE TO IMPROVE THE 1601 00:58:44,920 --> 00:58:46,880 GHANAIAN FOOD ENVIRONMENT. 1602 00:58:46,880 --> 00:58:53,600 AND SO IN MARCH 2022, WITH 1603 00:58:53,600 --> 00:58:58,840 FUNDING FROM THE FOUNDATION, WE 1604 00:58:58,840 --> 00:59:02,920 GOT THE HD4HL PROJECT LAUNCHED 1605 00:59:02,920 --> 00:59:04,160 WHICH AIMS TO ENSURE THAT 1606 00:59:04,160 --> 00:59:06,000 GHANAIANS HAVE A HEALTHIER DIET. 1607 00:59:06,000 --> 00:59:08,160 AS WE KNOW, HAVING A HEALTHY 1608 00:59:08,160 --> 00:59:09,280 DIET WOULD LEAD TO HEALTHIER 1609 00:59:09,280 --> 00:59:13,280 LIVES. 1610 00:59:13,280 --> 00:59:20,280 THE HD4HL PROJECT TO DEVELOP A 1611 00:59:20,280 --> 00:59:23,720 FIT FOR -- SYSTEM AND THEN USE 1612 00:59:23,720 --> 00:59:26,000 THIS SYSTEM TO APPLY IN A NUMBER 1613 00:59:26,000 --> 00:59:27,760 OF FOOD BASED POLICYS THAT WE 1614 00:59:27,760 --> 00:59:33,600 HAVE REFERRED TO AS DOUBLE DD IN 1615 00:59:33,600 --> 00:59:34,920 THAT THOSE POLICIES HAVE THE 1616 00:59:34,920 --> 00:59:39,600 POTENTIAL TO ADDRESS -- FOR 1617 00:59:39,600 --> 00:59:42,080 YEARS BUT ALSO THE CURRENT RISE 1618 00:59:42,080 --> 00:59:50,080 IN OBESITY AND DISEASE. 1619 00:59:50,080 --> 00:59:53,320 SO BOTH -- AGAINST A POLICY 1620 00:59:53,320 --> 00:59:59,480 MESSAGE IN THE PACKAGE. 1621 00:59:59,480 --> 01:00:00,840 PUBLIC FOOD PROW KEURMT POLICIES 1622 01:00:00,840 --> 01:00:02,680 IS BEING CONSIDERED, FISCAL 1623 01:00:02,680 --> 01:00:10,080 POLICIES ARE INCLUDED, BUT ALSO 1624 01:00:10,080 --> 01:00:10,600 RESTRICTIONS. 1625 01:00:10,600 --> 01:00:12,440 IF THESE POLICIES -- THEY WOULD 1626 01:00:12,440 --> 01:00:16,200 CONTRIBUTE TO IMPROVING GHANAIAN 1627 01:00:16,200 --> 01:00:21,240 FOOD ENVIRONMENT, AND THUS HOW 1628 01:00:21,240 --> 01:00:22,480 FOOD -- INCREASED CONSUMPTION 1629 01:00:22,480 --> 01:00:24,080 WHICH DO HAVE SIGNIFICANT IMPACT 1630 01:00:24,080 --> 01:00:26,640 ON HEALTH AND NUTRITION 1631 01:00:26,640 --> 01:00:29,840 OUTCOMES. 1632 01:00:29,840 --> 01:00:31,280 BEYOND JUST TRANSLATING THE 1633 01:00:31,280 --> 01:00:34,680 RESEARCH THAT WE HAVE DONE AND 1634 01:00:34,680 --> 01:00:39,480 THEN HAVING THEM IMPLEMENTED 1635 01:00:39,480 --> 01:00:40,960 POLICIES TO BE IMPLEMENTED, WE 1636 01:00:40,960 --> 01:00:45,000 ARE INTERESTED IN SCALING AND 1637 01:00:45,000 --> 01:00:47,000 UNSCALING -- SO TO DO THESE, WE 1638 01:00:47,000 --> 01:00:50,800 CREATED A PLATFORM REFERRED TO 1639 01:00:50,800 --> 01:00:52,600 AS THE AFRICA FOOD ENVIRONMENT 1640 01:00:52,600 --> 01:00:53,240 RESEARCH NETWORK. 1641 01:00:53,240 --> 01:00:55,880 THE PLATFORM PROVIDES 1642 01:00:55,880 --> 01:01:00,280 OPPORTUNITY FOR FOOD ENVIRONMENT 1643 01:01:00,280 --> 01:01:03,680 PRACTITIONERS FROM WITHIN THE 1644 01:01:03,680 --> 01:01:05,640 REGION, AFRICAN REGION BUT ALSO 1645 01:01:05,640 --> 01:01:10,520 FROM WITHIN GLOBAL -- 1646 01:01:10,520 --> 01:01:11,720 RESEARCH -- RELATED DIRECTLY OR 1647 01:01:11,720 --> 01:01:19,000 INDIRECTLY TO AFRICA KRNTING TOA 1648 01:01:19,000 --> 01:01:20,920 CONTRIBUTING TO THIS ENGAGEMENT. 1649 01:01:20,920 --> 01:01:22,880 CONVENED THE FIRST FOOD 1650 01:01:22,880 --> 01:01:24,280 ENVIRONMENT RESEARCH NETWORK 1651 01:01:24,280 --> 01:01:25,240 MEETING IN 2020. 1652 01:01:25,240 --> 01:01:28,280 THAT MEETING DELIBERATIONS LED 1653 01:01:28,280 --> 01:01:30,840 TO THE IDENTIFICATION OF 1654 01:01:30,840 --> 01:01:34,320 RESEARCH PRIORITIES THAT AFRICA 1655 01:01:34,320 --> 01:01:36,320 HAS COULD IMPLEMENT, AND ONCE 1656 01:01:36,320 --> 01:01:37,640 IMPLEMENTED, COULD CONTRIBUTE TO 1657 01:01:37,640 --> 01:01:39,120 IMPROVING FOOD ENVIRONMENT IN 1658 01:01:39,120 --> 01:01:41,560 THE REGION. 1659 01:01:41,560 --> 01:01:43,920 WE HAVE THE SECOND AFRICA FOOD 1660 01:01:43,920 --> 01:01:45,760 ENVIRONMENT RESEARCH MEETING IN 1661 01:01:45,760 --> 01:01:47,640 2021, AND SOMETIME IN 2023, WE 1662 01:01:47,640 --> 01:01:49,400 ARE PLANNING TO HAVE THE THIRD 1663 01:01:49,400 --> 01:01:57,200 MEETING. 1664 01:01:57,200 --> 01:01:58,440 SO THESE ARE SOME OF THE 1665 01:01:58,440 --> 01:01:59,200 APPROACHES AND INTERVENTIONS 1666 01:01:59,200 --> 01:02:02,840 THAT WE HAVE BEEN ABLE TO APPLY, 1667 01:02:02,840 --> 01:02:04,280 FOOD ENVIRONMENT RELATED 1668 01:02:04,280 --> 01:02:06,960 RESEARCH IN THEM. 1669 01:02:06,960 --> 01:02:10,520 THOSE WHO HAVE SUPPORTED THIS 1670 01:02:10,520 --> 01:02:13,280 FINANCIALLY TOWARD US 1671 01:02:13,280 --> 01:02:16,680 IMPLEMENTING THESE -- POLICY, 1672 01:02:16,680 --> 01:02:17,560 THE ROCKEFELLER FOUNDATION AS I 1673 01:02:17,560 --> 01:02:20,560 NOTED EARLIER, IDRC CANADA, THE 1674 01:02:20,560 --> 01:02:22,720 BILL AND MELINDA GATES ARE 1675 01:02:22,720 --> 01:02:24,360 PROVIDING INITIAL FUNDING FOR 1676 01:02:24,360 --> 01:02:25,560 STUDIES THAT HAVE BEEN PRESENTED 1677 01:02:25,560 --> 01:02:28,080 TODAY BUT ALSO IMPACTED THAT 1678 01:02:28,080 --> 01:02:29,560 WHICH WE ARE DOING TODAY. 1679 01:02:29,560 --> 01:02:31,840 AND CURRENTLY WE HAVE MINISTER 1680 01:02:31,840 --> 01:02:36,720 OF HEALTH MEETING THE -- 1681 01:02:36,720 --> 01:02:38,920 PROJECT, GHANA IS KRBTDING TO 1682 01:02:38,920 --> 01:02:41,040 THIS, AND OTHER GOVERNMENTS AS 1683 01:02:41,040 --> 01:02:42,880 WELL AS CIVIL SOCIETY COALITION. 1684 01:02:42,880 --> 01:02:46,960 SO I WILL END HERE, AND HAND THE 1685 01:02:46,960 --> 01:02:49,960 FLOOR TO PROCEED. 1686 01:02:49,960 --> 01:02:53,400 THANK YOU. 1687 01:02:53,400 --> 01:02:56,760 >>WOW, THANK YOU SO VERY MUCH, 1688 01:02:56,760 --> 01:03:00,680 AMOS, SEFA, URI AND CHARLOTTE 1689 01:03:00,680 --> 01:03:06,760 FOR AN INCREDIBLY IMPACTFUL AND 1690 01:03:06,760 --> 01:03:08,200 COMPLEMENTARY SET OF SESSIONS 1691 01:03:08,200 --> 01:03:09,280 ILLUSTRATING CASE STUDIES FROM 1692 01:03:09,280 --> 01:03:12,040 DIFFERENT PART OF THE WORLD, 1693 01:03:12,040 --> 01:03:14,800 INCLUDING SUB-SAHARAN AFRICA, 1694 01:03:14,800 --> 01:03:16,120 LATIN AMERICAN AND CARIBBEAN 1695 01:03:16,120 --> 01:03:19,920 REGION AS WELL AS IN EUROPE 1696 01:03:19,920 --> 01:03:23,480 REPRESENTED BY THE U.K. IN THIS 1697 01:03:23,480 --> 01:03:24,240 INSTANCE. 1698 01:03:24,240 --> 01:03:26,120 I WANT TO THANK EACH AND ALL OF 1699 01:03:26,120 --> 01:03:27,840 YOU FOR STAYING ON TIME SO THAT 1700 01:03:27,840 --> 01:03:30,760 WE CAN NOW GET GOING WITH WHAT I 1701 01:03:30,760 --> 01:03:34,600 HOPE WILL BE A VERY EXCITING 1702 01:03:34,600 --> 01:03:36,760 PANEL DISCUSSION OR INTERACTION. 1703 01:03:36,760 --> 01:03:39,640 AND BEFORE I DO THAT, I WOULD 1704 01:03:39,640 --> 01:03:46,120 LIKE TO INTRODUCE TO 1705 01:03:46,120 --> 01:03:46,720 DISTINGUISHED PANELISTS THAT 1706 01:03:46,720 --> 01:03:49,360 WILL ALSO BE ASKED TO RESPOND TO 1707 01:03:49,360 --> 01:03:51,120 THESE PRESENTATIONS FROM THE 1708 01:03:51,120 --> 01:03:55,720 U.S. PERSPECTIVE, AND THESE ARE 1709 01:03:55,720 --> 01:03:57,160 DIANE HARRIS WHO IS A SENIOR 1710 01:03:57,160 --> 01:03:58,720 HEALTH SCIENTIST AND TEAM LEAD 1711 01:03:58,720 --> 01:04:00,880 WITH HEALTHY FOOD ENVIRONMENT 1712 01:04:00,880 --> 01:04:06,160 INITIATIVE AT THE CDC, AND ALSO 1713 01:04:06,160 --> 01:04:08,640 TANYA, PROGRAM DIRECTOR FROM THE 1714 01:04:08,640 --> 01:04:10,240 HEALTH BEHAVIOR RESEARCH BRANCH 1715 01:04:10,240 --> 01:04:11,440 AT THE NATIONAL CANCER 1716 01:04:11,440 --> 01:04:13,520 INSTITUTE. 1717 01:04:13,520 --> 01:04:16,080 AND WITHOUT ANY FURTHER ADO, YOU 1718 01:04:16,080 --> 01:04:17,040 ARE NOT GOING TO BE SURPRISED 1719 01:04:17,040 --> 01:04:19,080 THAT THE FIRST QUESTION IS IF 1720 01:04:19,080 --> 01:04:22,560 YOU CAN SHARE WITH THE AUDIENCE 1721 01:04:22,560 --> 01:04:26,120 BASED ON YOUR OWN PRESENTATIONS, 1722 01:04:26,120 --> 01:04:27,160 YOUR OWN EXPERIENCES, WHAT HAVE 1723 01:04:27,160 --> 01:04:29,320 YOU LEARNED FROM TODAY'S WEBINAR 1724 01:04:29,320 --> 01:04:33,400 IN TERMS OF LESSONS THAT CAN BE 1725 01:04:33,400 --> 01:04:35,920 SHARED ACROSS COUNTRIES, ACROSS 1726 01:04:35,920 --> 01:04:37,680 BORDERS, ACROSS WORLD REGIONS 1727 01:04:37,680 --> 01:04:40,000 WITH REGARDS TO WAYS TO IMPROVE 1728 01:04:40,000 --> 01:04:44,640 FOOD SYSTEMS IN -- ACROSS THE 1729 01:04:44,640 --> 01:04:47,040 DIFFERENT SETTINGS THAT YOU HAVE 1730 01:04:47,040 --> 01:04:51,480 ALL VERY NICELY ADDRESSED? 1731 01:04:51,480 --> 01:04:54,880 SO WHO WANTS TO GO FIRST? 1732 01:04:54,880 --> 01:04:59,560 >>I AM HAPPY TO START US OFF. 1733 01:04:59,560 --> 01:05:02,040 I THINK ONE COMMON THEME THAT WE 1734 01:05:02,040 --> 01:05:06,160 SEE ACROSS IS THIS QUALITATIVE 1735 01:05:06,160 --> 01:05:08,920 FORMATIVE ASPECT, AND THAT IS 1736 01:05:08,920 --> 01:05:10,080 GIVING THE VOICES TO THE 1737 01:05:10,080 --> 01:05:11,600 PARTICIPANTS THEMSELVES ABOUT 1738 01:05:11,600 --> 01:05:15,800 THEIR LIVED EXPERIENCES IN ORDER 1739 01:05:15,800 --> 01:05:19,160 TO IDENTIFY WHAT COULD BE LEVERS 1740 01:05:19,160 --> 01:05:20,840 OR INTERVENTIONS OR POLICIES AT 1741 01:05:20,840 --> 01:05:23,600 THE SYSTEMS LEVEL. 1742 01:05:23,600 --> 01:05:25,360 AND THE OTHER COMMON THEME THAT 1743 01:05:25,360 --> 01:05:30,520 I SEE IS ALMOST LIKE A PARADIGM 1744 01:05:30,520 --> 01:05:31,720 SHIFT ABOUT TAKING NUTRITION 1745 01:05:31,720 --> 01:05:33,080 OUTSIDE OF THE WORLD OF 1746 01:05:33,080 --> 01:05:34,480 NUTRITION AND RELATING TO WHAT 1747 01:05:34,480 --> 01:05:37,600 IS HAPPENING ELSEWHERE BEYOND 1748 01:05:37,600 --> 01:05:39,920 US, AND IT'S GOING TO TAKE THE 1749 01:05:39,920 --> 01:05:42,640 WORLD OF NUTRITIONISTS AND 1750 01:05:42,640 --> 01:05:45,160 PEOPLE WORKING WITH FOOD TO BE 1751 01:05:45,160 --> 01:05:47,200 ABLE TO CREATE THOSE BRIDGES AND 1752 01:05:47,200 --> 01:05:49,040 RELATE THEIR WORK TO OTHERS THAT 1753 01:05:49,040 --> 01:05:50,920 MAY NOT SEE THE LINKS SO 1754 01:05:50,920 --> 01:05:54,240 CLEARLY. 1755 01:05:54,240 --> 01:05:55,480 >>THANK YOU VERY MUCH FOR A 1756 01:05:55,480 --> 01:05:58,440 VERY THOUGHTFUL RESPONSE, URI. 1757 01:05:58,440 --> 01:06:01,400 AND IN THIS CONTEXT, I ANY TIME 1758 01:06:01,400 --> 01:06:03,320 WAKED TO ASK YOU, TANYA, IN 1759 01:06:03,320 --> 01:06:04,800 TERMS OF YOUR INSTITUTE IN THE 1760 01:06:04,800 --> 01:06:06,480 U.S., WHAT STRATEGIES ARE YOU 1761 01:06:06,480 --> 01:06:09,680 USING EVEN THAT YOU GIVE GRANTS, 1762 01:06:09,680 --> 01:06:12,560 YOU AWARD GRANTS TO COMMUNITY 1763 01:06:12,560 --> 01:06:16,760 BAITCOMMUNITY-BASED APPROACHES R 1764 01:06:16,760 --> 01:06:18,080 FOOD SECURITY AND SYSTEMS, WHAT 1765 01:06:18,080 --> 01:06:19,800 YOU HEAR TODAY RESONATES WITH 1766 01:06:19,800 --> 01:06:24,280 WHAT YOU WOULD CONSIDER 1767 01:06:24,280 --> 01:06:25,880 INNOVATIVE USEFUL APPROACHES FOR 1768 01:06:25,880 --> 01:06:29,920 THE U.S. TO ENHANCE THE FOOD 1769 01:06:29,920 --> 01:06:30,160 SYSTEMS? 1770 01:06:30,160 --> 01:06:33,320 >>SO THANKS SO MUCH TO SUSAN 1771 01:06:33,320 --> 01:06:34,360 FOR INVITING ME TO PARTICIPATE 1772 01:06:34,360 --> 01:06:35,920 IN THIS WEBINAR, AND I JUST WANT 1773 01:06:35,920 --> 01:06:36,920 TO SAY THAT ALL OF THE 1774 01:06:36,920 --> 01:06:39,160 PRESENTATIONS WERE OUTSTANDING. 1775 01:06:39,160 --> 01:06:41,480 SO I'D LIKE TO JUST GIVE A 1776 01:06:41,480 --> 01:06:44,640 PERSPECTIVE FROM NIH, SO JUST TO 1777 01:06:44,640 --> 01:06:47,440 MENTION THAT NIH IS VERY MUCH 1778 01:06:47,440 --> 01:06:49,960 INTERESTED AND THIS AREA OF 1779 01:06:49,960 --> 01:06:53,680 RESEARCH AND 2021, WE HELD A 1780 01:06:53,680 --> 01:06:57,360 WORKSHOP TITLED FOOD INSECURITY, 1781 01:06:57,360 --> 01:06:58,560 NEIGHBORHOOD FOOD ENVIRONMENT 1782 01:06:58,560 --> 01:06:59,560 AND NUTRITION HEALTH 1783 01:06:59,560 --> 01:07:00,640 DISPARITIES, THE STATE OF THE 1784 01:07:00,640 --> 01:07:02,480 SCIENCE, AND IT BROUGHT TOGETHER 1785 01:07:02,480 --> 01:07:04,960 A DIVERSE GROUP OF RESEARCHERS, 1786 01:07:04,960 --> 01:07:06,800 PRACTITIONERS AND POLICY MAKERS, 1787 01:07:06,800 --> 01:07:07,960 PEOPLE WHO HAVE EXPERTISE IN THE 1788 01:07:07,960 --> 01:07:12,560 SOCIAL AND BEHAVIORAL SCIENCES 1789 01:07:12,560 --> 01:07:14,120 AND WE ALSO HAVE FEDERAL 1790 01:07:14,120 --> 01:07:15,920 PARTNERS SUCH AS USDA AND CDC 1791 01:07:15,920 --> 01:07:18,320 THAT WERE INVOLVED IN THIS 1792 01:07:18,320 --> 01:07:18,800 WORKSHOP. 1793 01:07:18,800 --> 01:07:20,520 THE PURPOSE OF THE WORKSHOP WAS 1794 01:07:20,520 --> 01:07:22,240 TO EXAMINE THE STATE OF THE 1795 01:07:22,240 --> 01:07:23,560 SCIENCE AND KNOWLEDGE GAPS AS 1796 01:07:23,560 --> 01:07:28,320 RELATES TO THE FOOD ENVIRONMENT 1797 01:07:28,320 --> 01:07:29,680 >>Dr. Anderson: FOOD 1798 01:07:29,680 --> 01:07:36,120 INTO ADDRESS THE GAPS THAT ARE N 1799 01:07:36,120 --> 01:07:38,600 THE FIELD, AS WELL AS TO PROVIDE 1800 01:07:38,600 --> 01:07:40,080 EVIDENCE-BASED OR TO REVIEW 1801 01:07:40,080 --> 01:07:43,440 EVIDENCE-BASED LINKS AS IT 1802 01:07:43,440 --> 01:07:46,800 RELATES TO INTERVENTION AND 1803 01:07:46,800 --> 01:07:48,320 IMPLEMENTATION STRATEGIES. 1804 01:07:48,320 --> 01:07:49,360 TO IMPROVE THE FOOD ENVIRONMENT 1805 01:07:49,360 --> 01:07:50,680 AND TO UNDERSTAND AND ADDRESS 1806 01:07:50,680 --> 01:07:54,040 FOOD INSECURITY. 1807 01:07:54,040 --> 01:07:55,120 SO AS A RESULT OF THAT, THE 1808 01:07:55,120 --> 01:07:56,760 WORKSHOP AND THE RESEARCH GAPS 1809 01:07:56,760 --> 01:07:59,480 THAT WERE IDENTIFIED, WE AT NIH 1810 01:07:59,480 --> 01:08:02,440 DEVELOP A NOSI, A NOTICE OF 1811 01:08:02,440 --> 01:08:05,000 SPECIAL INTEREST, AND IT'S 1812 01:08:05,000 --> 01:08:07,080 TITLED STIMULATING RESEARCH TO 1813 01:08:07,080 --> 01:08:09,000 UNDERSTAND AND ADDRESS HUNGER, 1814 01:08:09,000 --> 01:08:13,880 FOOD AND NUTRITION INSECURITY SO 1815 01:08:13,880 --> 01:08:17,000 WE ARE ENCOURAGING RESEARCHERS 1816 01:08:17,000 --> 01:08:18,200 TO SUBMIT THEIR RESEARCH IF 1817 01:08:18,200 --> 01:08:20,240 THEY'RE INTERESTED IN FUNDING, 1818 01:08:20,240 --> 01:08:21,720 IF THEY FOCUS ON DEVELOPMENT AND 1819 01:08:21,720 --> 01:08:24,560 TESTING OF INNOVATIVE 1820 01:08:24,560 --> 01:08:25,000 INTERVENTIONS, NATURAL 1821 01:08:25,000 --> 01:08:27,600 EXPERIMENTS TO ADDRESS FOOD 1822 01:08:27,600 --> 01:08:28,520 INSECURITY AND NEIGHBORHOOD 1823 01:08:28,520 --> 01:08:29,720 LEVEL ACCESS AND AFFORDABILITY 1824 01:08:29,720 --> 01:08:34,480 OF HEALTHY FOODS TO UNDERSTAND 1825 01:08:34,480 --> 01:08:37,080 MECHANISMS AND PATHWAYS TWOOD 1826 01:08:37,080 --> 01:08:40,160 FOOD INSECURITIES AND 1827 01:08:40,160 --> 01:08:42,680 NEIGHBORHOOD FOOD ENVIRONMENTS, 1828 01:08:42,680 --> 01:08:43,640 CARDIOVASCULAR DISEASE, DIABETES 1829 01:08:43,640 --> 01:08:45,080 AND SOME TYPE OF CANCERS, AND TO 1830 01:08:45,080 --> 01:08:48,960 DEVELOP AND VALIDATE TOOLS TO 1831 01:08:48,960 --> 01:08:49,720 MEASURE NUTRITION AND FOOD 1832 01:08:49,720 --> 01:08:50,320 INSECURITY. 1833 01:08:50,320 --> 01:08:52,040 SO IF YOU'RE INTERESTED, I'M 1834 01:08:52,040 --> 01:08:53,240 SURE SUSAN CAN GET THAT 1835 01:08:53,240 --> 01:08:55,800 INFORMATION OUT TO EVERYONE, BUT 1836 01:08:55,800 --> 01:08:59,560 I JUST WANT TO HIGHLIGHT THIS 1837 01:08:59,560 --> 01:09:05,600 NOSI IS NOT-OD-22-135. 1838 01:09:05,600 --> 01:09:07,800 SO NIH IS VERY MUCH INTERESTED 1839 01:09:07,800 --> 01:09:11,440 IN THIS AREA OF RESEARCH AND WE 1840 01:09:11,440 --> 01:09:12,400 ENCOURAGE THOSE WHO ARE WORKING 1841 01:09:12,400 --> 01:09:15,800 IN THIS AREA TO APPLY FOR 1842 01:09:15,800 --> 01:09:16,760 FUNDING AND YOU WOULD SEE WHEN 1843 01:09:16,760 --> 01:09:22,320 YOU LOOK AT THIS NOSI THAT THERE 1844 01:09:22,320 --> 01:09:26,040 ARE MANY INSTITUTES AND ICs 1845 01:09:26,040 --> 01:09:27,120 AND OFFICES THAT ARE 1846 01:09:27,120 --> 01:09:28,360 PARTICIPATING, AND YOU CAN CALL 1847 01:09:28,360 --> 01:09:29,720 AND CONTACT THEM TO DISCUSS WITH 1848 01:09:29,720 --> 01:09:34,600 THEM YOUR RESEARCH AREAS. 1849 01:09:34,600 --> 01:09:35,800 AND WHAT YOU'RE INTERESTED IN 1850 01:09:35,800 --> 01:09:36,800 STUDYING. 1851 01:09:36,800 --> 01:09:38,320 >>THANK YOU SO VERY MUCH, 1852 01:09:38,320 --> 01:09:38,960 TANYA. 1853 01:09:38,960 --> 01:09:40,600 THIS IS A GREAT ANNOUNCEMENT, 1854 01:09:40,600 --> 01:09:41,640 THE ONE THAT WAS JUST MADE. 1855 01:09:41,640 --> 01:09:43,040 SO ONE FOLLOW-UP QUESTION, IS 1856 01:09:43,040 --> 01:09:49,080 THIS OPEN FOR FOREIGN COUNTRIES 1857 01:09:49,080 --> 01:09:50,720 AS WELL OR ONLY U.S. BASED? 1858 01:09:50,720 --> 01:09:53,080 >>IT OPEN TO FOREIGN COUNTRIES, 1859 01:09:53,080 --> 01:09:55,400 AND SUSAN'S OFFICE, FOGARTY, IS 1860 01:09:55,400 --> 01:09:56,360 ALSO A SPONSOR. 1861 01:09:56,360 --> 01:09:57,520 >>GREAT. 1862 01:09:57,520 --> 01:09:59,160 SO WHAT WOULD YOU APPLY FOR, 1863 01:09:59,160 --> 01:10:00,600 WHAT WOULD YOU PROPOSE BASED ON 1864 01:10:00,600 --> 01:10:02,760 THAT WONDERFUL RESEARCH THAT YOU 1865 01:10:02,760 --> 01:10:06,240 HAVE DONE TO FIGURE OUT 1866 01:10:06,240 --> 01:10:09,200 STRUCTURAL BARRIERS FACILITATORS 1867 01:10:09,200 --> 01:10:15,720 TO IMPROVE OR REALLY ALLOW FOR 1868 01:10:15,720 --> 01:10:18,360 PEOPLE TO ENJOY A HEALTHIER AND 1869 01:10:18,360 --> 01:10:26,120 EASIER TO ACCESS FOOD 1870 01:10:26,120 --> 01:10:26,720 ENVIRONMENTS? 1871 01:10:26,720 --> 01:10:28,240 WHAT WOULD YOU THINK CHARLOTTE 1872 01:10:28,240 --> 01:10:30,240 THAT WOULD ALLOY FOR AN 1873 01:10:30,240 --> 01:10:31,760 ATTRACTIVE SUBMISSION, WHAT TYPE 1874 01:10:31,760 --> 01:10:32,880 OF INTERVENTIONS WOULD YOU LIKE 1875 01:10:32,880 --> 01:10:38,000 TO PROPOSE OR SHARE WITH US? 1876 01:10:38,000 --> 01:10:39,600 >>WELL THE RESEARCH WE'RE 1877 01:10:39,600 --> 01:10:40,560 ACTUALLY PLANNING ON DOING NEXT 1878 01:10:40,560 --> 01:10:43,160 IS USING CO-CREATE METHODS, SO 1879 01:10:43,160 --> 01:10:45,800 THIS IS KIND OF AN ELEMENT OF 1880 01:10:45,800 --> 01:10:46,880 LIVED EXPERIENCE RESEARCH. 1881 01:10:46,880 --> 01:10:49,040 IT KIND OF WHAT YOU ALREADY 1882 01:10:49,040 --> 01:10:50,240 SPOKE ABOUT, WORKING WITH 1883 01:10:50,240 --> 01:10:53,040 COMMUNITIES THEMSELVES IN THE 1884 01:10:53,040 --> 01:10:54,160 DEVELOPMENT OF RESEARCH AND ALSO 1885 01:10:54,160 --> 01:10:58,200 IN THE DEVELOPMENT OF 1886 01:10:58,200 --> 01:11:02,200 INTERVENTIONS, AND YEAH, SO 1887 01:11:02,200 --> 01:11:02,920 THERE'S ONE LOCAL AREA YOU'RE 1888 01:11:02,920 --> 01:11:05,160 GOING TO BE FOCUSING ON IN 1889 01:11:05,160 --> 01:11:06,640 LONDON, AND THEY'RE ENGAGING 1890 01:11:06,640 --> 01:11:08,320 COMMUNITY MEMBERS IN A SERIES OF 1891 01:11:08,320 --> 01:11:09,920 CO-CREATE WORKSHOPS, LOOKING AT 1892 01:11:09,920 --> 01:11:14,200 THE ASSETS THAT LOCAL COMMUNITY 1893 01:11:14,200 --> 01:11:17,600 HAS AND HEALTHY EATING AND 1894 01:11:17,600 --> 01:11:19,760 HEALTH ASSET, AND LOCAL COUNCIL 1895 01:11:19,760 --> 01:11:20,640 WORKING WITH COMMUNITY MEMBERS 1896 01:11:20,640 --> 01:11:23,560 TO BUILD ON THESE ASSETS. 1897 01:11:23,560 --> 01:11:26,280 IN A VERY PARTICIPATORY 1898 01:11:26,280 --> 01:11:27,280 COLLABORATIVE WAY. 1899 01:11:27,280 --> 01:11:28,440 SO I'M REALLY INTERESTED IN 1900 01:11:28,440 --> 01:11:30,080 THOSE METHODS MOVING FORWARD. 1901 01:11:30,080 --> 01:11:31,640 AND THEN THE FOCUS OF THE 1902 01:11:31,640 --> 01:11:33,800 RESEARCH REALLY COMES FROM THE 1903 01:11:33,800 --> 01:11:35,080 COMMUNITIES THEMSELF, WHAT 1904 01:11:35,080 --> 01:11:37,360 INTERVENTIONS THEY SEE AS 1905 01:11:37,360 --> 01:11:39,800 IMPORTANT AND RELEVANT TO THEIR 1906 01:11:39,800 --> 01:11:40,920 EXPERIENCES. 1907 01:11:40,920 --> 01:11:43,160 >>WHICH REMINDS ME OF THE 1908 01:11:43,160 --> 01:11:46,960 WONDERFUL METHODOLOGY THAT URI 1909 01:11:46,960 --> 01:11:48,960 APPLIED IN WASHINGTON, D.C. TO 1910 01:11:48,960 --> 01:11:51,440 CO-CREATE THE WATER FILTER 1911 01:11:51,440 --> 01:11:52,440 INTERVENTION, WHICH I THINK IS 1912 01:11:52,440 --> 01:11:52,960 BRILLIANT. 1913 01:11:52,960 --> 01:11:54,800 SO CAN YOU TELL US A LITTLE BIT 1914 01:11:54,800 --> 01:11:57,320 MORE ABOUT THAT METHODOLOGY, 1915 01:11:57,320 --> 01:11:58,440 URI, HOW DOES IT WORK? 1916 01:11:58,440 --> 01:12:01,040 SEEMS LIKE A COMPLEX OF -- 1917 01:12:01,040 --> 01:12:01,800 SYSTEMS KIND OF THINKING. 1918 01:12:01,800 --> 01:12:04,640 >>YES, THE LAST PAPER -- SORRY, 1919 01:12:04,640 --> 01:12:07,440 THE LAST STUDY IS USING 1920 01:12:07,440 --> 01:12:09,600 COMMUNITY PARTICIPATORY SYSTEMS 1921 01:12:09,600 --> 01:12:10,720 DYNAMIC MODELING BUT IT VERY -- 1922 01:12:10,720 --> 01:12:12,960 IF YOU'RE FAMILIARIZED WITH 1923 01:12:12,960 --> 01:12:14,600 ALMOST FOCUS GROUP DISCUSSIONS, 1924 01:12:14,600 --> 01:12:17,920 IN DEPTH INTERVIEWS, IT WILL 1925 01:12:17,920 --> 01:12:22,280 SEEM VERY INTUITIVE TO YOU 1926 01:12:22,280 --> 01:12:23,800 BECAUSE IT IS BASICALLY 1927 01:12:23,800 --> 01:12:27,800 IDENTIFYING FROM DIFFERENT 1928 01:12:27,800 --> 01:12:29,120 SECTORS, IN OUR CASE WE WANTED 1929 01:12:29,120 --> 01:12:30,200 TO UNDERSTAND HOW TO BETTER 1930 01:12:30,200 --> 01:12:31,400 SUPPORT THE HOMES IN MAKING 1931 01:12:31,400 --> 01:12:34,600 EASIER DECISIONS. 1932 01:12:34,600 --> 01:12:35,760 KNOWING THAT POTENTIALLY TAP 1933 01:12:35,760 --> 01:12:37,920 WATER AND MISTRUST IN TAP WATER 1934 01:12:37,920 --> 01:12:40,000 WHICH GOES BEYOND THIS COMMUNITY 1935 01:12:40,000 --> 01:12:43,720 COULD HAVE BEEN A PROBLEM, HOW 1936 01:12:43,720 --> 01:12:47,720 DO WE BETTER ENTICE THEM OR 1937 01:12:47,720 --> 01:12:49,760 MOTIVATE THEM SINCE EVERYBODY 1938 01:12:49,760 --> 01:12:51,000 SEEMS TO HAVE THE EDUCATION 1939 01:12:51,000 --> 01:12:52,400 ASPECT OF UNDERSTANDING, EXCEPT 1940 01:12:52,400 --> 01:12:55,800 FOR THE JUICES, 100% JUICE WAS 1941 01:12:55,800 --> 01:12:57,200 CONFUSING WITH FRUIT FLAVORED 1942 01:12:57,200 --> 01:12:58,000 JUICE, ET CETERA. 1943 01:12:58,000 --> 01:13:01,160 BUT THAT'S ANOTHER TOPIC. 1944 01:13:01,160 --> 01:13:04,320 SO HERE WE USE THE FOCUS GROUP 1945 01:13:04,320 --> 01:13:05,120 DISCUSSIONS TO IDENTIFY WHAT 1946 01:13:05,120 --> 01:13:09,320 WERE THE SECTORS THAT THESE 1947 01:13:09,320 --> 01:13:12,120 FAMILIES TOUCH ON, 1948 01:13:12,120 --> 01:13:12,800 TRANSPORTATION, MUNICIPAL WATER 1949 01:13:12,800 --> 01:13:14,000 THAT THEY TALK ABOUT AND THAT 1950 01:13:14,000 --> 01:13:15,960 THEY INTERACT WITH. 1951 01:13:15,960 --> 01:13:20,520 AND THAT SUPPORT THESE HOMES IN 1952 01:13:20,520 --> 01:13:23,600 THESE COMMUNITIES WA AND WE INVD 1953 01:13:23,600 --> 01:13:26,440 FIVE DIFFERENT SECTORS INTO 1954 01:13:26,440 --> 01:13:28,040 THESE WORKSHOPS CALLED GROUP 1955 01:13:28,040 --> 01:13:30,800 MODEL BUILDING. 1956 01:13:30,800 --> 01:13:34,200 WE HAD TWO DIFFERENT WORKSHOPS, 1957 01:13:34,200 --> 01:13:35,680 SORRY, TWO-DAY WORKSHOP, RATHER. 1958 01:13:35,680 --> 01:13:40,280 IT A SERIES OF FACILITATED AND 1959 01:13:40,280 --> 01:13:41,840 GUIDED DISCUSSIONS WHERE 1960 01:13:41,840 --> 01:13:44,960 BASICALLY IT GIVES THE EXCUSE 1961 01:13:44,960 --> 01:13:46,600 FOR SECTORS TO BE ABLE TO SPEAK 1962 01:13:46,600 --> 01:13:47,880 TO EACH OTHER WHEN THEY 1963 01:13:47,880 --> 01:13:48,960 OTHERWISE MAYBE WOULD NOT HAVE 1964 01:13:48,960 --> 01:13:51,920 HAD THE EXCUSE TO COLLABORATE IN 1965 01:13:51,920 --> 01:13:55,400 THIS WAY FOR ACTIVE PROBLEM 1966 01:13:55,400 --> 01:13:56,840 SOLVING, ESPECIALLY IN THINKING 1967 01:13:56,840 --> 01:13:58,560 ABOUT NUTRITION OR SUGARY DRINK 1968 01:13:58,560 --> 01:13:59,760 INTAKE IN THIS PARTICULAR CASE, 1969 01:13:59,760 --> 01:14:01,160 AND SO YOU CAN IMAGINE WE HAD A 1970 01:14:01,160 --> 01:14:05,760 BIT OF RESISTANCE FROM SOME 1971 01:14:05,760 --> 01:14:06,840 INVITEES SAYING I DON'T WORK 1972 01:14:06,840 --> 01:14:08,600 WITH SUGARY DRINKS, I DON'T KNOW 1973 01:14:08,600 --> 01:14:11,200 WHY I'M BEING INVITED. 1974 01:14:11,200 --> 01:14:12,480 OR PEOPLE SAYING I DON'T WORK 1975 01:14:12,480 --> 01:14:14,240 WITH WA TE I DON'T KNOW WHY I'M 1976 01:14:14,240 --> 01:14:15,000 BEING INVITED. 1977 01:14:15,000 --> 01:14:16,400 SO THAT CONVERGENCE OF SECTORS 1978 01:14:16,400 --> 01:14:20,000 IS REALLY WHAT GROUP MODEL 1979 01:14:20,000 --> 01:14:21,400 BUILDING -- WHY IT'S SO RICH AND 1980 01:14:21,400 --> 01:14:24,320 WHY WE'RE ABLE TO COMBINE THEY 1981 01:14:24,320 --> 01:14:25,240 THEMSELVES WORK IN SMALL GROUPS 1982 01:14:25,240 --> 01:14:26,960 TO COME UP WITH THESE MODELS 1983 01:14:26,960 --> 01:14:29,120 THAT IDENTIFY FACTORS, THERE'S A 1984 01:14:29,120 --> 01:14:30,120 REFERENCE PROBLEM AND THEN THEY 1985 01:14:30,120 --> 01:14:33,640 SEE HOW THOSE FACTORS AFFECT 1986 01:14:33,640 --> 01:14:34,600 EACH OTHER OVER TIME. 1987 01:14:34,600 --> 01:14:36,760 WE CAN STILL UNPACK A WHOLE LOT 1988 01:14:36,760 --> 01:14:38,440 MORE, BUT THE FIRST WORKSHOPS 1989 01:14:38,440 --> 01:14:39,480 ARE FROM THEIR PERSPECTIVE. 1990 01:14:39,480 --> 01:14:41,760 I WANT TO EMPHASIZE THAT THIS IS 1991 01:14:41,760 --> 01:14:42,240 QUALITATIVE. 1992 01:14:42,240 --> 01:14:44,040 SO IT IS FROM THEIR PERSPECTIVE, 1993 01:14:44,040 --> 01:14:46,360 WHAT THEY CONSIDER IS IMPORTANT. 1994 01:14:46,360 --> 01:14:50,080 IF THAT CAN BE QUANTIFIED LATER 1995 01:14:50,080 --> 01:14:52,240 ON AND COULD BE USED AS MODEL 1996 01:14:52,240 --> 01:14:54,840 THAT CAN BE TIED, CALIBRATED 1997 01:14:54,840 --> 01:14:55,920 WITH QUANTITATIVE DATA AS WELL. 1998 01:14:55,920 --> 01:14:58,560 >>I THINK THAT BOTTOM LINE IS 1999 01:14:58,560 --> 01:14:59,920 THAT THIS METHODOLOGY LED TO A 2000 01:14:59,920 --> 01:15:04,760 HE DID SIGN OF A QUITE EFFECTIVE 2001 01:15:04,760 --> 01:15:06,760 INTERVENTION, WHICH I AT THE END 2002 01:15:06,760 --> 01:15:08,560 OF THE DAY, I THINK THAT 2003 01:15:08,560 --> 01:15:10,840 TRANSLATES VERY NICELY ACROSS 2004 01:15:10,840 --> 01:15:14,440 COUNTRIES, THAT BRINGS ALL GROUP 2005 01:15:14,440 --> 01:15:17,160 BASED MODELING, CBPR AND SO ON. 2006 01:15:17,160 --> 01:15:21,400 SO LET ME MOVE ON TO SEFA, 2007 01:15:21,400 --> 01:15:24,000 BEFORE WE CONCLUDE WITH A ROUND 2008 01:15:24,000 --> 01:15:29,160 ON THE BIG PICTURE TOPIC RELATED 2009 01:15:29,160 --> 01:15:30,920 TO WHAT DO ALL OF THESE MEANS 2010 01:15:30,920 --> 01:15:32,520 FOR COUNTRY LEVEL COMPREHENSIVE 2011 01:15:32,520 --> 01:15:36,040 POLICIES TO IMPROVE FOOD 2012 01:15:36,040 --> 01:15:37,160 SECURITY AND THAT PART OF THE 2013 01:15:37,160 --> 01:15:38,000 DISCUSSION, OF COURSE I WILL 2014 01:15:38,000 --> 01:15:42,000 START WITH AMOS AND DIANE, AS I 2015 01:15:42,000 --> 01:15:43,000 THINK THEY BOTH HAVE A LOT TO 2016 01:15:43,000 --> 01:15:44,760 SHARE WITH US. 2017 01:15:44,760 --> 01:15:51,280 SO S E SEFA, ESSENTIALLY THE 2018 01:15:51,280 --> 01:15:52,360 AUDIENCE WANTS TO KNOW THE DATA 2019 01:15:52,360 --> 01:15:54,440 HAS BEEN COLLECTED WITH ECHORN 2020 01:15:54,440 --> 01:15:55,960 VERY CLEAR FINDINGS YOU HAVE, 2021 01:15:55,960 --> 01:15:57,160 EVERYBODY UNDERSTANDS, SO WHAT'S 2022 01:15:57,160 --> 01:15:57,600 NEXT? 2023 01:15:57,600 --> 01:15:59,800 HOW HAS THAT DATA BEEN USED OR 2024 01:15:59,800 --> 01:16:01,920 WILL BE USED TO ACTUALLY 2025 01:16:01,920 --> 01:16:04,040 INFLUENCE FOOD POLICY, FOOD 2026 01:16:04,040 --> 01:16:06,200 SYSTEMS POLICIES IN THE 2027 01:16:06,200 --> 01:16:07,720 CARIBBEAN, AT LEAST IN THE 2028 01:16:07,720 --> 01:16:08,800 COUNTRIES WHERE ECHORN IS 2029 01:16:08,800 --> 01:16:10,560 WORKING RIGHT NOW? 2030 01:16:10,560 --> 01:16:13,160 >>THANK YOU, RAFAEL, FOR THE 2031 01:16:13,160 --> 01:16:13,400 QUESTION. 2032 01:16:13,400 --> 01:16:17,080 SO AS I MENTIONED EARLIER, ONE 2033 01:16:17,080 --> 01:16:18,280 OF THE THINGS THAT ECHORN IS NOW 2034 01:16:18,280 --> 01:16:19,640 DOING IS WORKING WITH THE 2035 01:16:19,640 --> 01:16:21,440 MINISTRY OF HEALTH IN BARBADOS, 2036 01:16:21,440 --> 01:16:23,400 THEY'RE INTERESTED IN LOOKING AT 2037 01:16:23,400 --> 01:16:27,880 OUR NUTRITION RELATED DATA TO 2038 01:16:27,880 --> 01:16:29,160 HELP INFORM THEIR NATIONAL 2039 01:16:29,160 --> 01:16:29,600 NUTRITION POLICY. 2040 01:16:29,600 --> 01:16:31,120 SO THIS IS A REALLY EXCITING 2041 01:16:31,120 --> 01:16:32,760 OPPORTUNITY TO PROVIDE 2042 01:16:32,760 --> 01:16:34,000 COUNTRY-LEVEL DATA TO THE 2043 01:16:34,000 --> 01:16:35,320 MINISTRY OF HEALTH IN BARBADOS 2044 01:16:35,320 --> 01:16:38,320 TO HELP INFORM THE POLICIES THAT 2045 01:16:38,320 --> 01:16:43,640 THEY WILL THEN PRODUCE. 2046 01:16:43,640 --> 01:16:45,040 I ALSO WANT TO HIGHLIGHT THE 2047 01:16:45,040 --> 01:16:49,440 WORK OF MANY LOCAL OR REGIONAL 2048 01:16:49,440 --> 01:16:50,600 ORGANIZATIONS IN THE CARIBBEAN 2049 01:16:50,600 --> 01:16:53,160 AS WELL. 2050 01:16:53,160 --> 01:16:55,120 THESE GROUPS ARE KIND OF ON THE 2051 01:16:55,120 --> 01:16:56,000 VANGUARD, ON THE LEADING EDGE OF 2052 01:16:56,000 --> 01:17:01,440 SOME OF THESE FOOD POLICIES, FOR 2053 01:17:01,440 --> 01:17:05,360 EXAMPLE, THE HEALTHY CARIBBEAN 2054 01:17:05,360 --> 01:17:06,240 COALITION, COMMUNITY AND COMMON 2055 01:17:06,240 --> 01:17:06,480 MARKET. 2056 01:17:06,480 --> 01:17:07,880 THE HEALTHY CARIBBEAN COALITION 2057 01:17:07,880 --> 01:17:09,280 IS WORKING ON A NUMBER OF LOCAL 2058 01:17:09,280 --> 01:17:10,560 FOOD ENVIRONMENT INITIATIVES 2059 01:17:10,560 --> 01:17:12,320 DESIGNED TO ADDRESS THINGS LIKE 2060 01:17:12,320 --> 01:17:13,720 CHILDHOOD OBESITY, FRONT OF 2061 01:17:13,720 --> 01:17:16,480 PACKAGE LABELING AND BACKYARD 2062 01:17:16,480 --> 01:17:19,520 GARDENING TO NAME JUST A FEW. 2063 01:17:19,520 --> 01:17:21,560 AND CARE COM IS WORKING ON 2064 01:17:21,560 --> 01:17:24,760 PROMOTING REGIONAL FOOD SECURITY 2065 01:17:24,760 --> 01:17:26,040 THROUGH LOCAL AGRICULTURE AND 2066 01:17:26,040 --> 01:17:27,800 SUSTAINABLE DEVELOPMENT 2067 01:17:27,800 --> 01:17:28,640 INITIATIVES AMONG MANY OTHERS. 2068 01:17:28,640 --> 01:17:30,040 SO I THINK OUR RESEARCH FINDINGS 2069 01:17:30,040 --> 01:17:34,120 CAN BE USED TO HELP INFORM THIS 2070 01:17:34,120 --> 01:17:34,320 WORK. 2071 01:17:34,320 --> 01:17:37,160 >>THANK YOU SO VERY MUCH, SEFA. 2072 01:17:37,160 --> 01:17:39,880 THIS IS A PERFECT SEGUE FOR THE 2073 01:17:39,880 --> 01:17:41,840 QUESTION THAT I HAVE FOR AMOS 2074 01:17:41,840 --> 01:17:44,480 AND DIANE. 2075 01:17:44,480 --> 01:17:46,120 SO AT THE END OF THE DAY, WE ALL 2076 01:17:46,120 --> 01:17:50,280 UNDERSTAND BASED ON THE 2077 01:17:50,280 --> 01:17:52,000 CONSENSUS DEFINITION OF FOOD 2078 01:17:52,000 --> 01:17:54,080 SECURITY AND NUTRITION SECURITY 2079 01:17:54,080 --> 01:17:59,120 AND SO ON THAT ADDRESSING IT 2080 01:17:59,120 --> 01:18:01,080 REQUIRES MULTICOMPONENT, 2081 01:18:01,080 --> 01:18:03,240 MULTILEVEL, MULTI-SECTORAL 2082 01:18:03,240 --> 01:18:06,280 INTERVENTIONS WITH STRONG 2083 01:18:06,280 --> 01:18:07,840 ENGAGEMENT FROM -- SOCIETY AND 2084 01:18:07,840 --> 01:18:10,120 INTERNATIONAL AGENCIES AND ON 2085 01:18:10,120 --> 01:18:12,960 AND ON, IT IS VERY IMPRESSIVE TO 2086 01:18:12,960 --> 01:18:14,280 THINK, ONE, WHAT AMOS PRESENTED 2087 01:18:14,280 --> 01:18:19,600 TO US AS TO HOW SYSTEMATIC, HOW 2088 01:18:19,600 --> 01:18:20,920 COMPREHENSIVE THE HEALTHY 2089 01:18:20,920 --> 01:18:22,200 FOOMEDZ POLICY FROM GHANA IS, 2090 01:18:22,200 --> 01:18:25,480 AND DIANE WHO KNOWS A LOT ABOUT 2091 01:18:25,480 --> 01:18:28,200 THE NEW WHITE HOUSE NATIONAL 2092 01:18:28,200 --> 01:18:30,960 STRATEGY ON NUTRITION, HUNGER 2093 01:18:30,960 --> 01:18:32,040 AND HEALTH AND THE DIFFERENT 2094 01:18:32,040 --> 01:18:33,360 PILLARS THAT IT HAS. 2095 01:18:33,360 --> 01:18:35,320 SO I WANTED TO ASK YOU, MAYBE 2096 01:18:35,320 --> 01:18:38,240 YOU CAN GO FIRST, AMOS AND DIANE 2097 01:18:38,240 --> 01:18:41,520 CAN FOLLOW ON YOUR RESPONSE AS 2098 01:18:41,520 --> 01:18:43,480 TO WHAT WERE THE KEY INGREDIENTS 2099 01:18:43,480 --> 01:18:45,880 TO ACTUALLY -- TO BEGIN WITH THE 2100 01:18:45,880 --> 01:18:47,280 STAKEHOLDERS TO AGREE TO TALK 2101 01:18:47,280 --> 01:18:50,160 WITH EACH OARL AND THEN FOR 2102 01:18:50,160 --> 01:18:54,640 ACTUALLY ENDING UP WITH A VERY, 2103 01:18:54,640 --> 01:18:56,600 VERY COMMON SENSE, AND WHAT IT 2104 01:18:56,600 --> 01:18:58,240 SEEMS TO BE COULD BE A VERY 2105 01:18:58,240 --> 01:19:02,560 IMPACTFUL APPROACH TO IMPROVING 2106 01:19:02,560 --> 01:19:04,920 FOOD AND NUTRITION SECURITY AND 2107 01:19:04,920 --> 01:19:08,160 FOOD SYSTEMS IN GHANA, FOR 2108 01:19:08,160 --> 01:19:09,480 EXAMPLE, ARE THERE ANY GAPS? 2109 01:19:09,480 --> 01:19:12,840 TODAY WE SAW THAT VERY -- 2110 01:19:12,840 --> 01:19:14,680 BETWEEN WATERHOUSE HOLD SECURITY 2111 01:19:14,680 --> 01:19:16,880 AND HOUSEHOLD -- SECURITY IS 2112 01:19:16,880 --> 01:19:18,160 WATER PART OF EITHER THE 2113 01:19:18,160 --> 01:19:22,360 NATIONAL STRATEGIES INVOLVED IN 2114 01:19:22,360 --> 01:19:23,360 GHANA AND THE U.S. 2115 01:19:23,360 --> 01:19:26,080 AND IF NOT, WHAT CAN BE DONE TO 2116 01:19:26,080 --> 01:19:28,920 PUT IT INTO THE AGENDA, YOU 2117 01:19:28,920 --> 01:19:30,000 THINK IT DESERVES A PLACE. 2118 01:19:30,000 --> 01:19:32,080 SO THE FLOOR IS YOURS, AMOS, AND 2119 01:19:32,080 --> 01:19:35,720 THEN DIANE, PLEASE. 2120 01:19:35,720 --> 01:19:40,280 >>THANK YOU VERY MUCH, RAF. 2121 01:19:40,280 --> 01:19:44,000 AS TO WHAT IS IT WE HAVE 2122 01:19:44,000 --> 01:19:45,240 LEARNED, WHAT IS IT WE ALREADY 2123 01:19:45,240 --> 01:19:47,360 KNOW AND WHAT IS IT WE NEED TO 2124 01:19:47,360 --> 01:19:49,560 KNOW, AND, THEREFORE, DO, WE 2125 01:19:49,560 --> 01:19:51,680 HAVE OVER THE YEARS LEARNED A 2126 01:19:51,680 --> 01:19:52,280 LOT. 2127 01:19:52,280 --> 01:19:56,320 AND THAT WHICH WE HAVE LEARNED 2128 01:19:56,320 --> 01:19:58,520 BEEN WORK THAT RESEARCHERS HAVE 2129 01:19:58,520 --> 01:20:02,120 DONE BUT ALSO WORK THAT 2130 01:20:02,120 --> 01:20:03,560 PRACTITIONERS -- ARE DOING OR 2131 01:20:03,560 --> 01:20:07,560 ARE UNABLE TO DO. 2132 01:20:07,560 --> 01:20:08,560 THAT RESEARCHERS HAVE 2133 01:20:08,560 --> 01:20:09,640 IDENTIFIED. 2134 01:20:09,640 --> 01:20:11,040 SO TO BEGIN TO ANSWER THAT 2135 01:20:11,040 --> 01:20:13,160 QUESTION AS TO WHAT ARE THE GAPS 2136 01:20:13,160 --> 01:20:16,440 AND WHAT ARE THE PRIORITIES IN 2137 01:20:16,440 --> 01:20:18,360 SET AREAS IN COUNTRIES LIKE 2138 01:20:18,360 --> 01:20:20,320 U.S., GHANA, OTHERS NEED TO 2139 01:20:20,320 --> 01:20:22,000 ADDRESS, I THINK IT WOULD BE 2140 01:20:22,000 --> 01:20:23,960 IMPORTANT FOR US NOT TO JUST 2141 01:20:23,960 --> 01:20:26,000 FOCUS ON WHAT WE DO NOT KNOW, IT 2142 01:20:26,000 --> 01:20:31,600 IS IMPORTANT FOR US TO ALSO 2143 01:20:31,600 --> 01:20:36,320 SHARE WHAT WE ALREADY KNOW AND 2144 01:20:36,320 --> 01:20:38,360 AN IMPORTANT EXERCISE GIVEN 2145 01:20:38,360 --> 01:20:41,640 STAKEHOLDERS FROM ALL OVER THE 2146 01:20:41,640 --> 01:20:42,960 WORLD, AFRICA, LATIN AMERICA, 2147 01:20:42,960 --> 01:20:44,680 CARIBBEAN, U.S., EUROPE, TO 2148 01:20:44,680 --> 01:20:46,640 SHARE WHAT WE ALREADY KNOW AND 2149 01:20:46,640 --> 01:20:54,320 FROM SHARING, WE SHOULD BE ABLE 2150 01:20:54,320 --> 01:20:55,840 TO LEARN AND DO CROSS 2151 01:20:55,840 --> 01:20:57,360 FERTILIZATION. 2152 01:20:57,360 --> 01:20:58,680 BUT BEYOND WHAT WE KNOW, WHAT WE 2153 01:20:58,680 --> 01:21:00,200 NEED TO DO, THIS LEADS TO THE 2154 01:21:00,200 --> 01:21:02,080 QUESTION OF HOW DID WE GET TO 2155 01:21:02,080 --> 01:21:03,720 WHERE WE ARE NOW, FOR EXAMPLE, 2156 01:21:03,720 --> 01:21:07,520 IN GHANA. 2157 01:21:07,520 --> 01:21:11,240 THIS IS A VERY COMPLEX AND 2158 01:21:11,240 --> 01:21:13,560 SOMETIMES VERY EMOTIVE DEBATE. 2159 01:21:13,560 --> 01:21:15,960 FOOD SYSTEMS, FOOD ENVIRONMENT. 2160 01:21:15,960 --> 01:21:20,360 BECAUSE THEY ARE MUCH DIFFERENT 2161 01:21:20,360 --> 01:21:20,960 INTERESTS. 2162 01:21:20,960 --> 01:21:25,640 TO MAKE A HEADWAY, WHICH 2163 01:21:25,640 --> 01:21:27,520 REQUIRE -- MULTI-STAKEHOLDER 2164 01:21:27,520 --> 01:21:30,600 ENGAGEMENT, ENGAGEMENT DONE IN A 2165 01:21:30,600 --> 01:21:36,040 WAY THAT THE NEEDS OF THE TSH 2166 01:21:36,040 --> 01:21:43,360 ARE RECOGNIZED, SO IN OUR CASE, 2167 01:21:43,360 --> 01:21:47,120 IT WASN'T CONDUCTING RESEARCH 2168 01:21:47,120 --> 01:21:49,040 AND -- THE SAME RESEARCHERS WERE 2169 01:21:49,040 --> 01:21:52,200 ENGAGED IN POLICY MAKING, 2170 01:21:52,200 --> 01:21:54,720 ENGAGED IN PROGRAMS AND 2171 01:21:54,720 --> 01:21:55,600 PREVENTION, CIVIL SOCIETY 2172 01:21:55,600 --> 01:21:55,960 ORGANIZATION. 2173 01:21:55,960 --> 01:21:58,160 AS ARE NOTED, WE EVEN HAD U.N. 2174 01:21:58,160 --> 01:21:59,240 AGAINST US. 2175 01:21:59,240 --> 01:22:04,040 SO HAVING THAT COLLECTIVE OF 2176 01:22:04,040 --> 01:22:06,080 STAKEHOLDER WHO HAVE INTEREST IN 2177 01:22:06,080 --> 01:22:07,520 IMPROVING FOOD ENVIRONMENT AND, 2178 01:22:07,520 --> 01:22:10,600 THEREFORE, THEIR OWN HEALTH, IT 2179 01:22:10,600 --> 01:22:12,440 MADE THINGS A LITTLE EASIER. 2180 01:22:12,440 --> 01:22:14,200 THAT DOESN'T MEAN THERE HAVEN'T 2181 01:22:14,200 --> 01:22:15,720 BEEN CHALLENGES AND THOSE 2182 01:22:15,720 --> 01:22:16,720 CHALLENGES THAT HAVE BEEN 2183 01:22:16,720 --> 01:22:18,240 EXPERIENCED ELSEWHERE AS NOTED 2184 01:22:18,240 --> 01:22:20,320 FROM LATIN AMERICA, FROM EUROPE 2185 01:22:20,320 --> 01:22:22,960 AND AFRICA, WERE ALSO BUT I 2186 01:22:22,960 --> 01:22:29,160 THINK ONE -- IS IMPORTANT 2187 01:22:29,160 --> 01:22:30,600 ENGAGEMENT WITH MULTIPLE 2188 01:22:30,600 --> 01:22:31,560 STAKEHOLDERS, WHOSE VOICES OUGHT 2189 01:22:31,560 --> 01:22:33,800 TO BE HEARD, IRRESPECTIVE OF HOW 2190 01:22:33,800 --> 01:22:34,400 WEAK THEY ARE. 2191 01:22:34,400 --> 01:22:36,880 >>THANK YOU SO VERY MUCH, AMOS. 2192 01:22:36,880 --> 01:22:39,760 DIANE, THE FLOORT IS YOURS. 2193 01:22:39,760 --> 01:22:48,800 >>THANK YOU, DR. RAFAEL 2194 01:22:48,800 --> 01:22:49,240 ESCAMILLA. 2195 01:22:49,240 --> 01:22:52,840 THE PRESENTATIONS WERE WONDERFUL 2196 01:22:52,840 --> 01:22:54,800 AND MANY OF THE THEMES I'VE 2197 01:22:54,800 --> 01:22:56,040 HEARD WERE MUCH IN ALIGNMENT 2198 01:22:56,040 --> 01:22:58,880 WITH THE KIND OF WORK WE DO AT 2199 01:22:58,880 --> 01:23:00,400 CDC, AND WORK WITH STATES AND 2200 01:23:00,400 --> 01:23:04,240 COMMUNITIES IN THE U.S. IN ORDER 2201 01:23:04,240 --> 01:23:06,640 TO APPLY POLICY SYSTEMS AND 2202 01:23:06,640 --> 01:23:07,720 ENVIRONMENTAL CHANGE STRATEGIES 2203 01:23:07,720 --> 01:23:10,480 TO MAKE CHANGES IN FOOD 2204 01:23:10,480 --> 01:23:15,040 ENVIRONMENTS, AND REALLY 2205 01:23:15,040 --> 01:23:19,120 HONORING THE COMMUNITY'S INPUT 2206 01:23:19,120 --> 01:23:23,160 IN MOVING TOWARDS THESE CHANGES. 2207 01:23:23,160 --> 01:23:25,400 SPECIFICALLY, WE WANTED TO 2208 01:23:25,400 --> 01:23:26,720 HIGHLIGHT WHAT YOU MAY HAVE BEEN 2209 01:23:26,720 --> 01:23:29,760 HEARING ABOUT IN THE NEWS, THE 2210 01:23:29,760 --> 01:23:33,720 WHITE HOUSE CONFERENCE ON HUNGER 2211 01:23:33,720 --> 01:23:36,120 AND NUTRITION, AND THEN THE 2212 01:23:36,120 --> 01:23:37,440 SUBSEQUENT BIDEN HARRIS 2213 01:23:37,440 --> 01:23:38,760 ADMINISTRATION STRATEGY ON 2214 01:23:38,760 --> 01:23:39,840 HUNGER, NUTRITION AND HEALTH. 2215 01:23:39,840 --> 01:23:44,880 AS YOU MAY HAVE KNOWN EARLIER IN 2216 01:23:44,880 --> 01:23:45,640 2022, PRESIDENT BIDEN ANNOUNCED 2217 01:23:45,640 --> 01:23:48,120 HE WOULD POST THE FIRST WHITE 2218 01:23:48,120 --> 01:23:49,680 HOUSE CONFERENCE ON HUNGER, 2219 01:23:49,680 --> 01:23:50,520 NUTRITION AND HEALTH. 2220 01:23:50,520 --> 01:23:52,640 THE FIRST ONE THAT WAS HELD IN 2221 01:23:52,640 --> 01:23:53,400 OVER 50 YEARS. 2222 01:23:53,400 --> 01:23:57,320 THE FIRST ONE HAD LED TO MAJOR 2223 01:23:57,320 --> 01:23:57,880 POLICY CHANGE. 2224 01:23:57,880 --> 01:23:59,280 SOME OF THE NUTRITIONAL 2225 01:23:59,280 --> 01:24:02,240 ASSISTANCE PROGRAMS THAT WE KNOW 2226 01:24:02,240 --> 01:24:07,240 ARE EFFECTIVE AND WORK TO HELP 2227 01:24:07,240 --> 01:24:12,280 END -- OR TO REDUCE AND DECREASE 2228 01:24:12,280 --> 01:24:13,040 FOOD AND NUTRITION SECURITY IN 2229 01:24:13,040 --> 01:24:13,680 THE U.S. 2230 01:24:13,680 --> 01:24:19,840 SO IT WAS TIME TO HOLD ANOTHER 2231 01:24:19,840 --> 01:24:20,680 CONVENING AND THANKFULLY 2232 01:24:20,680 --> 01:24:21,480 PRESIDENT BIDEN STEPPED UP TO 2233 01:24:21,480 --> 01:24:26,160 PUT THIS TOGETHER. 2234 01:24:26,160 --> 01:24:27,360 THE PROCESS INCLUDED MANY 2235 01:24:27,360 --> 01:24:30,400 GOVERNMENT AGENCIES AND THERE'S 2236 01:24:30,400 --> 01:24:32,160 BEEN FEDERAL INTERAGENCY WORK 2237 01:24:32,160 --> 01:24:34,680 GROUPS THAT HAVE WORKED SINCE 2238 01:24:34,680 --> 01:24:36,320 THE SPRING AND THEY'VE HELD 2239 01:24:36,320 --> 01:24:37,960 LISTENING SESSIONS WITH FOLKS 2240 01:24:37,960 --> 01:24:39,480 FROM ALL DIFFERENT SECTORS, 2241 01:24:39,480 --> 01:24:41,120 INCLUDING PEOPLE THAT ARE IN THE 2242 01:24:41,120 --> 01:24:43,080 COMMUNITIES AND WHO HAVE THE 2243 01:24:43,080 --> 01:24:45,400 LIVED EXPERIENCES WITH HUNGER 2244 01:24:45,400 --> 01:24:47,880 AND LACK OF ACCESS TO FOODS. 2245 01:24:47,880 --> 01:24:49,880 SO THOSE WERE REALLY IMPORTANT 2246 01:24:49,880 --> 01:24:54,240 PROCESSES THAT HELPED IT FORM 2247 01:24:54,240 --> 01:24:56,720 THE ACTION PLAN THAT WAS THEN 2248 01:24:56,720 --> 01:24:57,120 DEVELOPED. 2249 01:24:57,120 --> 01:25:00,240 THERE WAS ALSO A PORTAL ON THE 2250 01:25:00,240 --> 01:25:03,400 WEBSITE WHERE ANYBODY FROM 2251 01:25:03,400 --> 01:25:04,720 ANYWHERE COULD SUBMIT THEIR 2252 01:25:04,720 --> 01:25:05,440 IDEAS AND RECOMMENDATIONS. 2253 01:25:05,440 --> 01:25:08,840 AND ALL OF THESE WERE INTEGRATED 2254 01:25:08,840 --> 01:25:12,920 THEN INTO THE ACTION PLAN WHICH 2255 01:25:12,920 --> 01:25:14,120 WAS RELEASED JUST BEFORE THE 2256 01:25:14,120 --> 01:25:16,840 CONFERENCE WHICH WAS HELD IN 2257 01:25:16,840 --> 01:25:17,960 SEPTEMBER. 2258 01:25:17,960 --> 01:25:20,880 CONCURRENTLY WITH THAT, THE CDC 2259 01:25:20,880 --> 01:25:23,800 FOUNDATION HAS BEEN WORKING WITH 2260 01:25:23,800 --> 01:25:24,920 THE WHITE HOUSE IN ORDER TO 2261 01:25:24,920 --> 01:25:31,360 ENCOURAGE COMMITMENTS FROM 2262 01:25:31,360 --> 01:25:32,720 DIFFERENT SECTORS, COMMITMENTS 2263 01:25:32,720 --> 01:25:33,920 THAT ARE WITHIN THEIR LANE IN 2264 01:25:33,920 --> 01:25:36,720 ORDER TO TACKLE HUNGER AND 2265 01:25:36,720 --> 01:25:38,360 REDUCE RELATED DISEASES AND 2266 01:25:38,360 --> 01:25:38,920 DISPARITIES. 2267 01:25:38,920 --> 01:25:42,400 AT THE LAST RELEASE, THOSE 2268 01:25:42,400 --> 01:25:44,360 COMMITMENTS ARE WORTH NOW 2269 01:25:44,360 --> 01:25:47,240 $8 BILLION OF INDUSTRY AND OTHER 2270 01:25:47,240 --> 01:25:48,360 COMMITMENTS IN ORDER TO TACKLE 2271 01:25:48,360 --> 01:25:49,840 HUNGER. 2272 01:25:49,840 --> 01:25:53,040 SO ULTIMATELY WITH ALL OF THIS 2273 01:25:53,040 --> 01:25:54,440 INPUT, THE NATIONAL STRATEGY ON 2274 01:25:54,440 --> 01:25:56,440 HUNGER, NUTRITION AND HEALTH WAS 2275 01:25:56,440 --> 01:25:57,200 RELEASED. 2276 01:25:57,200 --> 01:25:58,840 IT HAS FIVE PILLARS, IT'S 2277 01:25:58,840 --> 01:25:59,800 AVAILABLE ON THE WHITE HOUSE 2278 01:25:59,800 --> 01:26:02,080 SITE. 2279 01:26:02,080 --> 01:26:03,760 THE GOAL IS TO END HUNGER AND 2280 01:26:03,760 --> 01:26:06,280 INCREASE HEALTHY EATING AND 2281 01:26:06,280 --> 01:26:08,960 PHYSICAL ACTIVITY BY 2030. 2282 01:26:08,960 --> 01:26:11,520 SO FEWER AMERICANS EXPERIENCE 2283 01:26:11,520 --> 01:26:12,720 DIET-RELATED DISEASE WHILE 2284 01:26:12,720 --> 01:26:14,160 REDUCING RELATED HEALTH 2285 01:26:14,160 --> 01:26:15,240 DISPARITIES. 2286 01:26:15,240 --> 01:26:17,480 THE FIVE PILLARS ARE -- MANY OF 2287 01:26:17,480 --> 01:26:20,040 THE TYPES OF APPROACHES THAT 2288 01:26:20,040 --> 01:26:21,160 YOU'VE HEARD THROUGHOUT THIS 2289 01:26:21,160 --> 01:26:21,800 PRESENTATION TODAY. 2290 01:26:21,800 --> 01:26:23,320 SO THINGS LIKE IMPROVING FOOD 2291 01:26:23,320 --> 01:26:28,440 ACCESS AND AFFORDABILITY, 2292 01:26:28,440 --> 01:26:29,360 INTEGRATING NUTRITION AND 2293 01:26:29,360 --> 01:26:30,480 HEALTH, EMPOWERING ALL CONSUMERS 2294 01:26:30,480 --> 01:26:31,840 TO MAKE AND HAVE ACCESS TO 2295 01:26:31,840 --> 01:26:33,600 HEALTHY CHOICES, SUPPORTING 2296 01:26:33,600 --> 01:26:36,760 PHYSICAL ACTIVITY FOR ALL, AND 2297 01:26:36,760 --> 01:26:37,760 ENHANCING NUTRITION AND FOOD 2298 01:26:37,760 --> 01:26:40,600 SECURITY RESEARCH. 2299 01:26:40,600 --> 01:26:43,600 THE NATIONAL STRATEGY THEN IS 2300 01:26:43,600 --> 01:26:46,600 REALLY PROVIDING A ROAD MAP NOT 2301 01:26:46,600 --> 01:26:48,240 ONLY FOR AGENCIES ACROSS THE 2302 01:26:48,240 --> 01:26:51,400 FEDERAL GOVERNMENT TO WORK 2303 01:26:51,400 --> 01:26:53,960 TOGETHER AND TO CREATE NEW 2304 01:26:53,960 --> 01:26:54,800 OPPORTUNITIES IN ORDER -- AND 2305 01:26:54,800 --> 01:26:58,720 NEW PROGRAMS, NEW POLICIES IN 2306 01:26:58,720 --> 01:27:01,840 ORDER TO ADDRESS HUNGER, BUT 2307 01:27:01,840 --> 01:27:03,040 THERE'S ALSO A CALL TO ACTION, 2308 01:27:03,040 --> 01:27:05,200 AND LIKE I MENTIONED FOR THE 2309 01:27:05,200 --> 01:27:06,280 COMMITMENTS, FOR THE PRIVATE 2310 01:27:06,280 --> 01:27:09,680 SECTOR, FOR LOCAL, STATE, 2311 01:27:09,680 --> 01:27:11,440 TRIBAL, TERRITORY GOVERNMENTS, 2312 01:27:11,440 --> 01:27:12,680 PHILANTHROPY, CIVIL SOCIETY AND 2313 01:27:12,680 --> 01:27:15,160 OTHER PARTNERS TO ENGAGE IN THIS 2314 01:27:15,160 --> 01:27:15,840 WORK. 2315 01:27:15,840 --> 01:27:18,000 SO HOPEFULLY BY ALL OF US 2316 01:27:18,000 --> 01:27:20,920 WORKING TOGETHER, WE'LL CREATE 2317 01:27:20,920 --> 01:27:23,520 MORE OPPORTUNITIES TO ADDRESS 2318 01:27:23,520 --> 01:27:27,560 THE PERSISTENT HUNGER AND LACK 2319 01:27:27,560 --> 01:27:32,800 OF ACCESS TO FOOD WHICH IS STILL 2320 01:27:32,800 --> 01:27:34,080 INDEMIC IN THE UNITED STATES AS 2321 01:27:34,080 --> 01:27:35,120 IT IS IN OTHER COUNTRIES. 2322 01:27:35,120 --> 01:27:36,000 >>THANK YOU. 2323 01:27:36,000 --> 01:27:36,880 THIS IS FANTASTIC. 2324 01:27:36,880 --> 01:27:41,120 AS YOU CAN ALL IMAGINE WHAT 2325 01:27:41,120 --> 01:27:42,080 DIANA SHALL DESCRIBE THE 2326 01:27:42,080 --> 01:27:44,160 NATIONAL STRATEGY AND THE TEAM 2327 01:27:44,160 --> 01:27:49,960 IS DOING ACTUALLY FUNDING SOUND 2328 01:27:49,960 --> 01:27:51,160 RESEARCH AND EVALUATIONS THAT 2329 01:27:51,160 --> 01:27:53,640 ARE POLICY RELEVANT TO ACTUALLY 2330 01:27:53,640 --> 01:27:57,320 MOVE THIS TYPE OF POLITICAL WILL 2331 01:27:57,320 --> 01:28:00,360 INTO ACTUAL EFFECTIVE PROGRAMS 2332 01:28:00,360 --> 01:28:03,320 AND INTERVENTIONS IS IN MANY 2333 01:28:03,320 --> 01:28:06,480 WAYS A VERY POWERFUL WAY TO MOVE 2334 01:28:06,480 --> 01:28:06,840 FORWARD. 2335 01:28:06,840 --> 01:28:10,640 SO THANK YOU TO EACH AND ALL OF 2336 01:28:10,640 --> 01:28:11,080 YOU. 2337 01:28:11,080 --> 01:28:12,400 THANK YOU TO THE DISTINGUISHED 2338 01:28:12,400 --> 01:28:12,720 AUDIENCE. 2339 01:28:12,720 --> 01:28:15,240 I HOPE WE MET YOUR EXPECTATIONS. 2340 01:28:15,240 --> 01:28:18,240 WE COVERED FROM WORLD POLICIES 2341 01:28:18,240 --> 01:28:20,720 TO PROGRAMS ALL THE WAY TO 2342 01:28:20,720 --> 01:28:24,440 COMMUNITY ENGAGEMENT WORK. 2343 01:28:24,440 --> 01:28:25,640 SO THAT THE COMMUNITIES 2344 01:28:25,640 --> 01:28:27,480 THEMSELVES FROM NOW ON ARE A 2345 01:28:27,480 --> 01:28:32,400 VERY CENTRAL PART OF SHAPING UP 2346 01:28:32,400 --> 01:28:33,960 ANY ATTEMPTS TO IMPROVE THEIR 2347 01:28:33,960 --> 01:28:36,240 FOOD SYSTEMS THROUGH POLICIES 2348 01:28:36,240 --> 01:28:39,000 AND PROGRAMS WITHOUT LEAVING 2349 01:28:39,000 --> 01:28:39,440 ANYONE BEHIND. 2350 01:28:39,440 --> 01:28:41,240 THANK YOU SO MUCH. 2351 01:28:41,240 --> 01:28:43,360 IT BEEN A PLEASURE, AND I WANT 2352 01:28:43,360 --> 01:28:45,760 TO TURN THE WEBINAR BACK TO 2353 01:28:45,760 --> 01:28:45,960 SUSAN. 2354 01:28:45,960 --> 01:28:52,120 >>LET ME JUST ECHO RAFA'S 2355 01:28:52,120 --> 01:28:53,440 THANKS FOR THE SPEAKERS JOINING 2356 01:28:53,440 --> 01:28:53,840 US. 2357 01:28:53,840 --> 01:28:54,960 THIS WAS AN AMAZING DISCUSSION. 2358 01:28:54,960 --> 01:28:56,280 I THINK IT HIGHLIGHTS THE WORK 2359 01:28:56,280 --> 01:28:57,440 THAT'S TAKING PLACE AROUND THE 2360 01:28:57,440 --> 01:28:58,800 WORLD AND EMPHASIZES THE KIND OF 2361 01:28:58,800 --> 01:29:03,160 COMMON AREAS OF INTEREST AND 2362 01:29:03,160 --> 01:29:03,920 FOCUS, BUT WHILE ALSO 2363 01:29:03,920 --> 01:29:06,080 CONSIDERING THE SORT OF 2364 01:29:06,080 --> 01:29:06,640 INDIVIDUAL CONTEXT. 2365 01:29:06,640 --> 01:29:11,120 I THINK IF THIS SPARKS ANY 2366 01:29:11,120 --> 01:29:12,640 IDEAS, I URGE YOU TO LOOK AT THE 2367 01:29:12,640 --> 01:29:16,240 NOSI. 2368 01:29:16,240 --> 01:29:17,680 THIS REALLY HIGHLIGHTS THE 2369 01:29:17,680 --> 01:29:18,400 RELEVANT FUNDING OPPORTUNITIES 2370 01:29:18,400 --> 01:29:22,280 IN THIS AREA FROM 11 NIH ICOs. 2371 01:29:22,280 --> 01:29:25,760 SO JUST TO MENTION RECORDING OF 2372 01:29:25,760 --> 01:29:27,440 TODAY'S SESSION AND ALL THE 2373 01:29:27,440 --> 01:29:28,400 WEBINARS WILL BE POSTED AFTER 2374 01:29:28,400 --> 01:29:28,840 THE SERIES. 2375 01:29:28,840 --> 01:29:30,360 I HOPE YOU CAN JOIN US FOR OUR 2376 01:29:30,360 --> 01:29:31,160 THIRD AND FINAL WEBINAR. 2377 01:29:31,160 --> 01:29:33,880 THIS WILL TAKE PLACE ON MONDAY, 2378 01:29:33,880 --> 01:29:34,960 NOVEMBER 21ST, AT 3:00 P.M. 2379 01:29:34,960 --> 01:29:36,440 IT'S ON USING IMPLEMENTATION 2380 01:29:36,440 --> 01:29:37,920 SCIENCE TO ADDRESS FOOD AND 2381 01:29:37,920 --> 01:29:42,920 NUTRITION INSECURITY, LED BY DRE 2382 01:29:42,920 --> 01:29:45,440 UNIVERSITY OF SOUTH CAROLINA AND 2383 01:29:45,440 --> 01:29:49,520 THE SOCIETY FOR FOOD SCIENCE AND 2384 01:29:49,520 --> 01:29:51,400 IMPLEMENTATION. 2385 01:29:51,400 --> 01:29:52,600 IT WILL PROVIDE EXAMPLES OF 2386 01:29:52,600 --> 01:29:54,000 GLOBAL FOOD INSECURITY 2387 01:29:54,000 --> 01:29:55,320 INNOVATION THAT'S BEEN ADAPTED 2388 01:29:55,320 --> 01:29:56,760 ACROSS SETTINGS, AND I REALLY 2389 01:29:56,760 --> 01:29:58,280 HOPE THAT YOU'RE ABLE TO JOIN 2390 01:29:58,280 --> 01:29:59,120 US. 2391 01:29:59,120 --> 01:30:03,120 THANK YOU, EVERYONE. 2392 01:30:03,120 --> 00:00:00,000 >>THANK YOU, SUSAN.