系统性审查:COVID-19政策灵活性对SNAP和WIC计划成果的影响
Mayra Crespo-Bellido1, Gabby Headrick2, Miguel Ángel López1
1Center for Nutrition and Health Impact, Omaha, NE, United States.
Advances in nutrition (Bethesda, Md.)
|December 22, 2024
概括
在补充营养援助计划 (SNAP) 和妇女,婴儿和儿童特别补充营养计划 (WIC) 中的COVID-19政策灵活性改善了入学和福利使用. 虽然参与者发现灵活性是有益的,但沟通挑战影响了充分利用.
科学领域:
- 公共卫生政策 公共卫生政策
- 营养援助计划 营养援助计划
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19公共卫生紧急情况 (PHE) 促使粮食援助计划的政策发生了重大变化.
- 补充营养援助计划 (SNAP) 和妇女,婴儿和儿童特别补充营养计划 (WIC) 实施了灵活性来解决经济困难.
- 了解这些紧急灵活性对计划访问,入学和利用的影响至关重要.
研究的目的:
- 系统地审查和综合有关COVID-19政策灵活性在SNAP和WIC的影响的新兴文献.
- 探索对计划访问,入学/留学,福利利用和参与者认知的影响.
- 识别潜在的好处,挑战,并为未来的计划改进提供信息.
主要方法:
- 在2023年11月,2024年2月和2024年8月进行了系统的文献搜索,遵循JBI和PRISMA指南.
- 包括2020-2024年的同行评审文章,重点关注COVID-19 PHE期间的SNAP和WIC政策灵活性.
- 利用JBI关键评估工具,评估37篇符合条件的文章中存在偏见的风险.
主要成果:
- 政策灵活性通过实现远程服务和减少行政负担,增加了SNAP和WIC的入学/保留率.
- 福利增强导致购买偏好的食品 (SNAP) 的增加,以及更多的水果/蔬菜 (WIC) 获取.
- 参与者普遍认为灵活性是有益的,尽管他们注意到与供应商和参与者沟通的挑战.
结论:
- 在SNAP和WIC中,COVID-19相关的政策灵活性在关键计划成果中显示出显著的改善.
- 解决沟通缺口对于最大限度地发挥这些灵活性对参与者和供应商的好处至关重要.
- 调查结果为未来的计划改进和潜在的长期监管调整提供了宝贵的见解.
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