| Autor: |
Estradé, Michelle, Alarcon Basurto, Samantha Grace, McCarter, Abbegayle, Gittelsohn, Joel, Igusa, Takeru, Zhu, Siyao, Poirier, Lisa, Gross, Susan, Pardilla, Marla, Rojo, Martha, Lombard, Kevin, Haskie, Henry, Clark, Veronica, Swartz, Jacqueline, Mui, Yeeli |
| Zdroj: |
Nutrients; Mar2023, Vol. 15 Issue 5, p1210, 11p |
| Abstrakt: |
Native American populations experience highly disproportionate rates of poor maternal-child health outcomes. The WIC program aims to safeguard health by providing greater access to nutritious foods, but for reasons not well understood, participation in many tribally-administered WIC programs has declined to a greater extent compared to the national average decline in participation over the last decade. This study aims to examine influences on WIC participation from a systems perspective in two tribally-administered WIC programs. In-depth interviews were conducted with WIC-eligible individuals, WIC staff, tribal administrators, and store owners. Interview transcripts underwent qualitative coding, followed by identifying causal relationships between codes and iterative refining of relationships using Kumu. Two community-specific causal loop diagrams (CLDs) were developed and compared. Findings from interviews in the Midwest yielded a total of 22 factors connected through 5 feedback loops, and in the Southwest a total of 26 factors connected through 7 feedback loops, resulting in three overlapping themes: Reservation and Food Store Infrastructure, WIC Staff Interactions and Integration with the Community, and State-level Administration and Bureaucracy. This study demonstrates the value of a systems approach to explore interconnected barriers and facilitators that can inform future strategies and mitigate declines in WIC participation. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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