Participant and Stakeholder Perceptions of the Food FARMacy Emergency Food Assistance Program for the Coronavirus Disease 2019 Pandemic: A Qualitative Study

J Acad Nutr Diet. 2024 Sep;124(9):1118-1133. doi: 10.1016/j.jand.2023.10.021. Epub 2023 Nov 4.

Abstract

Background: Food FARMacy is a clinical-community emergency food assistance program developed in response to food insecurity during the COVID-19 pandemic. Few qualitative studies have examined participant, and clinical and community stakeholder experiences with these food assistance programs.

Objective: To examine the motivations, experiences, and perceptions of Food FARMacy participants and program stakeholders.

Design: A qualitative study using in-depth interviews between March 2021 and July 2021.

Participants and setting: Twenty-four Food FARMacy participants and 10 program stakeholders in New York, NY (Manhattan, Brooklyn, and Queens) older than age 18 years were interviewed.

Statistical analyses performed: Interviews were recorded, transcribed, translated, and analyzed using thematic analysis. Participant and program stakeholder interviews were analyzed separately. Themes that were salient in both groups were combined for reporting.

Results: Both program participants and stakeholders perceived: pandemic-related demands combined with reduced resources motivated participation; convenience, safety, and ease of access facilitated program retention; participants valued fresh produce and diversity of foods; the program improved diet and health; minimizing food waste was a priority; and social cohesion was an unexpected program benefit. Two additional themes among only program stakeholders also were identified: aligned values, flexibility, and communication were key to successful partnerships; and trust between community partners and community members drove programmatic success.

Conclusions: Results suggest that a multisite clinical-community partnership to provide emergency food assistance in New York City can be leveraged to reduce barriers to healthy food access and address food insecurity during crises.

Keywords: COVID-19; Cross-sector collaboration; Food insecurity; Food pantry; Qualitative research.

MeSH terms

  • Adult
  • Aged
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • Female
  • Food Assistance*
  • Food Insecurity*
  • Food Supply
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • New York City
  • Pandemics
  • Qualitative Research*
  • SARS-CoV-2
  • Stakeholder Participation / psychology