Addressing Food Poverty and Hunger: Public Health Initiatives

 
Hunger alleviation, tackling food poverty or
challenging the determinants of poverty:
What can Public Health do?
Tony Cooke
Head of Health Improvement
Kirklees Public Health
 
Food poverty is…
“the inability to afford or to have access to food to
make up a healthy diet”
 
(Department of Health)
 
“Food poverty is worse diet, worse access, worse
health, higher percentage of income on food, and less
choice from a restricted range of foods.”
(Tim Lang, Professor of Food Policy at City University,
London)
Lower
consumption of
fruit and veg and
a higher intake
of fats, sugars +
salt. Problems
with overweight
and
underweight
Space for
preparing and
eating as a family
Lack of
cooking in
the home.
Families
rarely sit
down
together to
eat a meal
Access to
affordable
healthy food
Less opportunity for physical
activity and large number of
takeaways in deprived areas .
Food poverty and diet of
people on low incomes
Low income and less
healthy  eating
behaviours
Food budget will often be
reduced before other
household outgoings
Lack of cooking skills
& confidence
Food behaviour linked to other
health behaviours: physical activity
,alcohol, smoking
Lack of exposure
to sunlight = Vit D
deficiency
Irregular
meal times
Lack of
cooking
utensils
Shift work and
irregular hours
Psycho-social
stress and
stigma
 
Population wide people are eating less
nutritious food
Starker inequalities in income, stark
inequalities in diets and food skills
In Kirklees lower income groups less
confident at cooking from scratch
‘Bad’ food can cost less per calorie
It is also more accessible/profitable
 
Increased numbers accessing food banks
Increased under nutrition
Increase in numbers overweight and obese
 
Perfect
 
storm
 
Child Poverty
 
Working age Poverty
 
Pensioner Poverty
20,840
42,800
22,040
Poverty in Kirklees
Cost of living increases
2008 - 2012
Annual benefits uprating
2008 - 2012
Annual benefits uprating
2013 onwards
average loss per
affected
household/individual
£3,480
average loss per
affected
household/individual
£810
The biggest losers
Some households and individuals,
notably sickness and disability
claimants, will be hit by several
different elements of the reforms.
 
Discussions in Kirklees…
 
All people in poverty are at risk of food poverty but
individual circumstances are different
Some people are more resilient
Some have stronger communities/social capital
Some grow their own food or have an allotment
 
Benefit sanctions are an exception
Most people on benefits do not attend food
banks but most people sanctioned do
Increasing numbers are sanctioned
 
The Kirklees response:
Proportionate universalism
 
Narrative for change: 
the food charter and strategy
 
A population level approach where possible
 
Food for Life Partnership in schools to improve quality and uptake of meals
Silver catering award provider supplies food to all but one Kirklees school
Projects to increase food growing across Kirklees
National Child Measurement Programme
Healthy Choice Award targets take-aways and restaurants
Recycling and food waste projects
Better procurement promotes more local jobs
 
Targeted services where necessary
 
40 growing sites in areas of multiple deprivation, focus on social housing, disabilities,
LTCs
Settings based approach to target hospitals, early years and care settings, using FFLP
and development of similar standards to support sustainable food
Food banks+ i.e. skills training, cook and eat sessions and (planned) growing sites
 
 
 
Questions for consideration
 
Do we need to make a clear distinction between hunger, food poverty and
poverty?
Should we focus on alleviation of hunger, improvements to diet/nutrition
or both?
How to engage with public health teams to address food poverty?
How can public health engage other partners to address food poverty?
What are the consequences of food poverty?
Which areas can public health address? Focus on low / medium input,
high impact
Can local authorities develop systematic strategies to address health
inequalities including food poverty and poverty more generally
How can they join wider lobbying efforts around poverty and its impact
What action can you commit to taking forward when you get back to your
City/town?
What’s happened is
that the level of income
inequality has been
increasing. And by that
we mean that the very
rich have been getting
more and more money,
and people lower down,
have been getting less.
 
Michael Marmot, 2013
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Public Health plays a crucial role in combating food poverty by addressing factors such as lack of access to healthy food, inadequate cooking skills, and economic limitations. Issues like irregular work schedules, limited nutritious food choices, and stigma associated with food insecurity further contribute to the challenge. By focusing on interventions such as promoting healthy eating habits, improving food access, and advocating for policy changes, Public Health can make significant strides in alleviating hunger and improving food security in communities.

  • Food Poverty
  • Public Health
  • Hunger Alleviation
  • Health Inequality
  • Nutritious Food

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  1. Hunger alleviation, tackling food poverty or challenging the determinants of poverty: What can Public Health do? Tony Cooke Head of Health Improvement Kirklees Public Health

  2. Food poverty is the inability to afford or to have access to food to make up a healthy diet (Department of Health) Food poverty is worse diet, worse access, worse health, higher percentage of income on food, and less choice from a restricted range of foods. (Tim Lang, Professor of Food Policy at City University, London)

  3. Shift work and irregular hours Lack of cooking skills & confidence Low income and less healthy eating behaviours Less opportunity for physical activity and large number of takeaways in deprived areas . Space for preparing and eating as a family Lack of exposure to sunlight = Vit D deficiency Lack of cooking utensils Access to affordable healthy food Irregular meal times Psycho-social stress and stigma Lack of cooking in the home. Families rarely sit down together to eat a meal Lower consumption of fruit and veg and a higher intake of fats, sugars + salt. Problems with overweight and underweight Food behaviour linked to other health behaviours: physical activity ,alcohol, smoking Food budget will often be reduced before other household outgoings Food poverty and diet of people on low incomes

  4. Increased numbers accessing food banks Increased under nutrition Increase in numbers overweight and obese Perfect storm Population wide people are eating less nutritious food Starker inequalities in income, stark inequalities in diets and food skills In Kirklees lower income groups less confident at cooking from scratch Bad food can cost less per calorie It is also more accessible/profitable

  5. 20,840 21% 42,800 Child Poverty 16% 22,040 Working age Poverty 33% Pensioner Poverty Poverty in Kirklees

  6. Cost of living increases 2008 - 2012 27% 25% 18% Minimum Income basket Food Energy Annual benefits uprating 2008 - 2012 Annual benefits uprating 2013 onwards 2.2% 2.2% 1% Work related benefits uprating Disabled people and pensioners uprating Universal uprating

  7. The biggest losers bn Some households and individuals, notably sickness and disability claimants, will be hit by several different elements of the reforms. 5.0 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 Incapacity Benefits Tax Credits 1% up-rating of most working-age benefits Housing Benefit reforms average loss per affected household/individual 810 average loss per affected household/individual 3,480

  8. Discussions in Kirklees All people in poverty are at risk of food poverty but individual circumstances are different Some people are more resilient Some have stronger communities/social capital Some grow their own food or have an allotment Benefit sanctions are an exception Most people on benefits do not attend food banks but most people sanctioned do Increasing numbers are sanctioned

  9. The Kirklees response: Proportionate universalism Narrative for change: the food charter and strategy A population level approach where possible Food for Life Partnership in schools to improve quality and uptake of meals Silver catering award provider supplies food to all but one Kirklees school Projects to increase food growing across Kirklees National Child Measurement Programme Healthy Choice Award targets take-aways and restaurants Recycling and food waste projects Better procurement promotes more local jobs Targeted services where necessary 40 growing sites in areas of multiple deprivation, focus on social housing, disabilities, LTCs Settings based approach to target hospitals, early years and care settings, using FFLP and development of similar standards to support sustainable food Food banks+ i.e. skills training, cook and eat sessions and (planned) growing sites

  10. Questions for consideration Do we need to make a clear distinction between hunger, food poverty and poverty? Should we focus on alleviation of hunger, improvements to diet/nutrition or both? How to engage with public health teams to address food poverty? How can public health engage other partners to address food poverty? What are the consequences of food poverty? Which areas can public health address? Focus on low / medium input, high impact Can local authorities develop systematic strategies to address health inequalities including food poverty and poverty more generally How can they join wider lobbying efforts around poverty and its impact What action can you commit to taking forward when you get back to your City/town?

  11. Whats happened is that the level of income inequality has been increasing. And by that we mean that the very rich have been getting more and more money, and people lower down, have been getting less. Michael Marmot, 2013

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