Theses Doctoral

Exploring New York City Summer Meals Before and During the COVID-19 Pandemic: A Natural Experiment with Policy Implications and Recommendations

Harb, Amanda A.

Objective. The purpose of this study is to examine the relationship between the COVID-19-related waivers and the number of Summer Food Service Program (SFSP) meals served, accessibility of SFSP sites, and implementation of the SFSP sponsored by the Office of Food and Nutrition Service (OFNS) of the New York City Department of Education (NYC DOE).

Methods. This study is a convergent parallel mixed methods study. In the quantitative component, there are two research questions (“research question 1” and “research question 2”); the design is a non-experimental, one-group, completely within-subjects design; and the unit of analysis is NYC DOE geographic districts (n = 32).

Research question 1 is “Among NYC DOE geographic districts, was there a significant difference in the number of SFSP meals served during the summers when the COVID-19-related waivers were used compared to the summers without the waivers?”

Research question 2 is “Among NYC DOE geographic districts, was there a significant difference in the accessibility of SFSP sites during the summers when the COVID-19-related waivers were used compared to the summers without the waivers?” Both research questions 1 and 2 compare the first summer of the waivers (2020) to the six summers prior to the waivers (2014-2019) and the second summer of the waivers (2021) to the six summers prior to the waivers (2014-2019). In the qualitative component, there is one research question (“research question 3”); the methods consist of a document analysis of the policy memos for the waivers (n = 8) using the READ approach for document analysis of health policies.

Research question 3 is “What were the intended relationships between the COVID-19-related waivers and SFSP participation, site accessibility, and implementation according to the policy memos for the waivers?”

Data Analysis. For research question 1, the statistical tests are the repeated-measures analysis of variance (ANOVA) omnibus test and post-hoc analysis with Bonferroni adjustment. The primary outcome is the total number of SFSP meals served per student. For research question 2, the statistical tests are the repeated-measures ANOVA omnibus test and post-hoc analysis with the Bonferroni adjustment when the full sample is analyzed (n = 32), and the Friedman test and sign test with the Bonferroni adjustment when high poverty districts (n = 16), high non-White districts (n = 16), and high enrollment districts (n = 16) are analyzed. The primary outcome is the number of SFSP sites per 1,000 students. For research question 3, the analysis consists of deductive coding, inductive coding, and identification of themes.

Results. For research question 1, the results show a significant increase in the number of SFSP meals served per student during the first summer of the waivers compared to summers 2016-2019 (p ≤ 0.01). However, there were no significant differences in the number of SFSP meals served per student during the second summer of the waivers compared to summers 2014-2019. Among the secondary outcomes, there was a significant increase in the number of breakfast meals served in August per student during both the first and second summer of the waivers compared to summers 2014-2019 (p < 0.05). For research question 2, the results show a significant decrease in the number of SFSP sites per 1,000 students during the first summer of the waivers compared to summers 2014-2019 (p < 0.01). Similarly, there was a significant decrease during the second summer of the waivers compared to summers 2015-2019 (p < 0.01). For research question 3, the results show that the Meal Service Time Flexibility Waiver may address pre-pandemic barriers in the SFSP, but the Parent/Guardian Meal Pickup Waiver may cause implementation issues.

Conclusions. Among NYC DOE geographic districts, the waivers may increase the reach of breakfast meals served in August while decreasing the number of SFSP sites and making SFSP implementation easier. There is a need for a pilot study or more controlled study to establish causal relationships. Policymakers should consider making the Meal Service Time Flexibility Waiver and the Non-Congregate Feeding Waiver permanent flexibilities for summer meal programs.

Geographic Areas

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More About This Work

Academic Units
Behavioral Nutrition
Thesis Advisors
Koch, Pamela Ann
Degree
Ph.D., Columbia University
Published Here
May 31, 2023