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This thesis addresses multi-scale approaches for improving food security with nutritional health. It argues that four key themes: scale, nutrition, trade, and governance are not given adequate attention in food security and nutrition studies. A multi-scale framework links the overriding thematic structure, bridges gaps, and enriches analysis. It facilitates a blended approach of analysis for food security and nutrition studies, public policy, and critical geography. Nutrition is at the centre of the inquiry and addresses the triple burden of malnutrition: hunger, micronutrient malnutrition, and obesity. Nutrition is hampered by an incomplete understanding of dietary diversity. Trade and governance are complimentary and cover dynamic commodity exchanges which might develop along with improved programme delivery. At the structural core of the work are four research papers which interact with established and emergent food security indicators and data for: the international system, nations, Indian states, and districts within Karnataka. Each paper uses specific methodological tools which are most compatible with the unique characteristics of the relevant scale. The first paper applies benchmarking and compares international FAO food security indictors with the EIU and other best practice sources to argue for improved data. In order to inform malnutrition beyond hunger, the second paper inputs FAOSTAT national food balance sheet data into a dietary food supply model of key nutritional food groups for medium activity individuals. The third paper employs Indiastat data to construct a food potential model representative of major components of the Indian food system, and compares it with production information for pulse varieties for inclusion in the NFSA. The fourth paper creates a nutritional HDI, compares it against the production of cereals and pulses, and considers weather conditions. Results illustrate that the FAO does not give proper attention to including governance indicators or capturing dietary diversity beyond hunger. Food balance sheet data shows that the majority of the world lacks the proper supply of key food groups to sustain a medium activity lifestyle, with fruit & vegetable deficits equally present in developed and developing nations. In India, states with the lowest food potential are located in the north and east of the country while some neighbouring states contain pulse production advantages. Further opportunities exist to use digital technologies to improve the administration of the programme. Similarly, northern districts of Karnataka require more direct NFSA intervention while the southern and coastal districts have the potential for increased production and trade of pulses. Implications for this study are centred on the development of future food security and nutritional health studies, policy, and administration. When possible, food security and nutrition studies can broaden their conclusions by expanding their base of indicators and data to take into account multi-disciplinary information. Possibilities for richer studies are evident through the development of more robust governance and dietary diversity indicators. These could focus on measurable programme results and take into account the impact of food groups and nutritional supply on various types of malnutrition. Multi-scale analysis might inspire cross-boundary policy formulation and assist in the development and trade of food system resources. The administration of food security programmes might improve with further study and the use of technology as a tool for delivery. This thesis clarifies how multi-scale approaches to food security and nutrition can be advanced through conceptual, methodological, and empirical work combining critical engagement, data analysis, and public policy.

The potential role of local government in NSW to address public health nutrition issues has received encouraging reports. This treatise deals with the question of whether intersectoral collaboration theory is useful to assist development of a relationship with local government to develop food and nutrition policy. Intersectoral collaboration theory describes six conditions necessary for successful action: necessity, opportunity, capacity, relationships, planned action, and sustained outcomes. The project was a feasibility study carried out in a densely populated and multicultural local government area in Sydney�s southwest during April 1998. Eight Council employees and one elected representative were interviewed using the semi-structured questionnaire to collect a range of opinions and knowledge about Council�s involvement in a food and nutrition policy. Conceptual frameworks for the study included the Ottawa Charter and the food and nutrition system. Theoretical underpinning�s were provided by intersectoral collaboration theory and organisational change theory. Using intersectoral collaboration theory, analysis of the interviews revealed that participants were very concerned with conditions of necessity, opportunity and capacity to develop food and nutrition policy. Intersectoral collaboration theory correctly predicted that the action proposed would have to assist Council to achieve their core business, gain social and political support and be possible within the current economic environment and level of other resources available. Participants were not able to identify how a food and nutrition policy would meet these conditions and be feasible within the current capacity of the organisation, and therefore did not become fully engaged in the feasibility study. The health sector needs to develop arguments for local government involvement from their perspective. Organisational change within the heath sector is required to develop capacity for intersectoral partnerships, as an effective strategy to address public health nutrition issues.

Canadian scientific literature lacks quantitative information on school meals, which, in Can-ada, are not regulated by law and do not have any national nutritional standard. Nutritional stan-dards and guidelines are essential in evaluation and monitoring studies to maintainor im-proveschool meals quality. This research looked at the nutritional quality of meals served by some elementary schools running a school meal program administered by CHEP Good Food Inc., a non-profit organization, in Saskatoon, SK. Data collected from 1997 until 2006 were combined to those collected in the 2007/08 school-year. Lunches were compared to 1/3 Dietary Reference Intakes (DRI), and breakfasts and snacks, to ¼ DRI. Using one-sample t-tests and ANOVA, p< 0.05, we evaluated nutrients that were suggested to be below the standard. Sas-katchewans food-based standards were also used to evaluate food group content according to the Canadas Food Guide to Healthy Eating. On-site observations in selected schools shed light on childrens choices and plate waste. Focus groups with selected nutrition coordinators (NC) provided insight into their practices. Overall, lunches and breakfasts had a good nutrient profile but were low mainly in energy, vitamin E, potassium, and, in some years, folate and calcium, particularly for 9-13 year-olds. Findings suggested that snacks seem to be below the DRI stan-dards, but they can be an opportunity for nutrition education. We observed no clear or significant trend across the years. All meals offered good amounts of fruits and vegetables, grains, and dairy products. Plate waste was low and related to NCs practices. Analysis of the interviews exposed some possible explanations for the quantitative results and allowed some recommendations. Findings from this study provide support for future establishment of school meals nutritional standards and for possible changes and improvements of the program, and will enrich knowledge regarding school meals.

Canadian scientific literature lacks quantitative information on school meals, which, in Can-ada, are not regulated by law and do not have any national nutritional standard. Nutritional stan-dards and guidelines are essential in evaluation and monitoring studies to maintainor im-proveschool meals quality. This research looked at the nutritional quality of meals served by some elementary schools running a school meal program administered by CHEP Good Food Inc., a non-profit organization, in Saskatoon, SK. Data collected from 1997 until 2006 were combined to those collected in the 2007/08 school-year. Lunches were compared to 1/3 Dietary Reference Intakes (DRI), and breakfasts and snacks, to ¼ DRI. Using one-sample t-tests and ANOVA, p< 0.05, we evaluated nutrients that were suggested to be below the standard. Sas-katchewans food-based standards were also used to evaluate food group content according to the Canadas Food Guide to Healthy Eating. On-site observations in selected schools shed light on childrens choices and plate waste. Focus groups with selected nutrition coordinators (NC) provided insight into their practices. Overall, lunches and breakfasts had a good nutrient profile but were low mainly in energy, vitamin E, potassium, and, in some years, folate and calcium, particularly for 9-13 year-olds. Findings suggested that snacks seem to be below the DRI stan-dards, but they can be an opportunity for nutrition education. We observed no clear or significant trend across the years. All meals offered good amounts of fruits and vegetables, grains, and dairy products. Plate waste was low and related to NCs practices. Analysis of the interviews exposed some possible explanations for the quantitative results and allowed some recommendations. Findings from this study provide support for future establishment of school meals nutritional standards and for possible changes and improvements of the program, and will enrich knowledge regarding school meals.

Purpose: To evaluate implementation and impact of school nutrition policy (SNP) using a qualitative case study approach. Sample/Setting: participants (n=79) from two elementary schools and one secondary school within one school division in Winnipeg, Manitoba consented to participate. Methods: Perceptions of teachers, parents, administrators, students, custodians, education assistants, and food service operators were explored using observations, interviews and focus groups. Results: Implementation and impact varied between schools. Common barriers include: negative attitudes, inadequate school and community resources and ineffective communication. Major impacts include changes to; food sales and nutrition awareness. Conclusions: Impacts of the SNP have been noted however, barriers need to be addressed to provide schools the best opportunity for success. Each key informants group provided useful insights into implementation and impact of SNP. Implications: This study demonstrates the importance of considering multiple perspectives when evaluating SNP. Results will be useful to policy makers to inform future SNP efforts.

Purpose: To evaluate implementation and impact of school nutrition policy (SNP) using a qualitative case study approach. Sample/Setting: participants (n=79) from two elementary schools and one secondary school within one school division in Winnipeg, Manitoba consented to participate. Methods: Perceptions of teachers, parents, administrators, students, custodians, education assistants, and food service operators were explored using observations, interviews and focus groups. Results: Implementation and impact varied between schools. Common barriers include: negative attitudes, inadequate school and community resources and ineffective communication. Major impacts include changes to; food sales and nutrition awareness. Conclusions: Impacts of the SNP have been noted however, barriers need to be addressed to provide schools the best opportunity for success. Each key informants group provided useful insights into implementation and impact of SNP. Implications: This study demonstrates the importance of considering multiple perspectives when evaluating SNP. Results will be useful to policy makers to inform future SNP efforts.

The potential role of local government in NSW to address public health nutrition issues has received encouraging reports. This treatise deals with the question of whether intersectoral collaboration theory is useful to assist development of a relationship with local government to develop food and nutrition policy. Intersectoral collaboration theory describes six conditions necessary for successful action: necessity, opportunity, capacity, relationships, planned action, and sustained outcomes. The project was a feasibility study carried out in a densely populated and multicultural local government area in Sydney�s southwest during April 1998. Eight Council employees and one elected representative were interviewed using the semi-structured questionnaire to collect a range of opinions and knowledge about Council�s involvement in a food and nutrition policy. Conceptual frameworks for the study included the Ottawa Charter and the food and nutrition system. Theoretical underpinning�s were provided by intersectoral collaboration theory and organisational change theory. Using intersectoral collaboration theory, analysis of the interviews revealed that participants were very concerned with conditions of necessity, opportunity and capacity to develop food and nutrition policy. Intersectoral collaboration theory correctly predicted that the action proposed would have to assist Council to achieve their core business, gain social and political support and be possible within the current economic environment and level of other resources available. Participants were not able to identify how a food and nutrition policy would meet these conditions and be feasible within the current capacity of the organisation, and therefore did not become fully engaged in the feasibility study. The health sector needs to develop arguments for local government involvement from their perspective. Organisational change within the heath sector is required to develop capacity for intersectoral partnerships, as an effective strategy to address public health nutrition issues.

Thesis (Ph.D.)--Indiana University, 2005. / Includes bibliographical references (leaves 79-90).

Thesis (M.F.C.S.)--Bowling Green State University, 2008. / Document formatted into pages; contains vii, 77 p. : 1 map. Includes bibliographical references.