Feeding Children and Maintaining Food Service Operations during COVID-19: A Mixed Methods Investigation of Implementation and Financial Challenges
The United States Department of Agriculture (USDA) National School Lunch and Breakfast Programs are critical for the health and food security of U.S. schoolchildren, but access to these programs was disrupted by COVID-19 pandemic-related school closures in spring 2020. While temporary policy changes...
Saved in:
Published in | Nutrients Vol. 13; no. 8; p. 2691 |
---|---|
Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Basel
MDPI AG
01.08.2021
MDPI |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | The United States Department of Agriculture (USDA) National School Lunch and Breakfast Programs are critical for the health and food security of U.S. schoolchildren, but access to these programs was disrupted by COVID-19 pandemic-related school closures in spring 2020. While temporary policy changes to the programs enabled school food authorities (SFAs) to pivot towards distributing meals throughout their communities instead of within school buildings, SFAs faced complex challenges during COVID-19 with minimal external support. This mixed methods study investigates the implementation and financial challenges experienced by twelve of the largest urban SFAs in the U.S. during COVID-19. We conducted semi-structured interviews with SFA leaders and analyzed alongside quantitative financial data. We found that SFAs reconfigured their usual operations with nearly no preparation time while simultaneously trying to keep staff from contracting COVID-19, accommodate stakeholders with sometimes competing priorities, and remain financially solvent. Because student participation was much lower than during regular times, and revenue is tied to the number of meals served, SFAs saw drastic decreases in revenue even as they carried regular operating costs. For future crises, disaster preparedness plans that help SFAs better navigate the switch to financially viable community distribution methods are needed. |
---|---|
AbstractList | The United States Department of Agriculture (USDA) National School Lunch and Breakfast Programs are critical for the health and food security of U.S. schoolchildren, but access to these programs was disrupted by COVID-19 pandemic-related school closures in spring 2020. While temporary policy changes to the programs enabled school food authorities (SFAs) to pivot towards distributing meals throughout their communities instead of within school buildings, SFAs faced complex challenges during COVID-19 with minimal external support. This mixed methods study investigates the implementation and financial challenges experienced by twelve of the largest urban SFAs in the U.S. during COVID-19. We conducted semi-structured interviews with SFA leaders and analyzed alongside quantitative financial data. We found that SFAs reconfigured their usual operations with nearly no preparation time while simultaneously trying to keep staff from contracting COVID-19, accommodate stakeholders with sometimes competing priorities, and remain financially solvent. Because student participation was much lower than during regular times, and revenue is tied to the number of meals served, SFAs saw drastic decreases in revenue even as they carried regular operating costs. For future crises, disaster preparedness plans that help SFAs better navigate the switch to financially viable community distribution methods are needed. |
Audience | Academic |
Author | Kenney, Erica L Dai, Jane Bleich, Sara N Wilson, Katie Shen, Ye Fleischhacker, Sheila Mozaffarian, Rebecca S West, Jeremy Dunn, Caroline G |
AuthorAffiliation | 2 Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA 4 Health Resources and Services Administration, U.S. Department of Health and Human Services, Washington, DC 20201, USA 1 Department of Nutrition, Harvard TH Chan School of Public Health, 665 Huntington Ave, Boston, MA 02115, USA; rmozaffa@hsph.harvard.edu 3 Department of Health Policy and Management, Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA; cdunn@hsph.harvard.edu (C.G.D.); jdai@hsph.harvard.edu (J.D.); ye_shen@fas.harvard.edu (Y.S.); sbleich@hsph.harvard.edu (S.N.B.) 6 Georgetown University Law Center, 600 New Jersey Ave, NW, Washington, DC 20001, USA; sheilafly9@gmail.com 5 Urban School Food Alliance, 1612 K Street NW, Suite 200, Washington, DC 20006, USA; kwilson@urbanschoolfoodalliance.org (K.W.); jwest@urbanschoolfoodalliance.org (J.W.) |
AuthorAffiliation_xml | – name: 1 Department of Nutrition, Harvard TH Chan School of Public Health, 665 Huntington Ave, Boston, MA 02115, USA; rmozaffa@hsph.harvard.edu – name: 2 Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA – name: 3 Department of Health Policy and Management, Harvard TH Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA; cdunn@hsph.harvard.edu (C.G.D.); jdai@hsph.harvard.edu (J.D.); ye_shen@fas.harvard.edu (Y.S.); sbleich@hsph.harvard.edu (S.N.B.) – name: 4 Health Resources and Services Administration, U.S. Department of Health and Human Services, Washington, DC 20201, USA – name: 6 Georgetown University Law Center, 600 New Jersey Ave, NW, Washington, DC 20001, USA; sheilafly9@gmail.com – name: 5 Urban School Food Alliance, 1612 K Street NW, Suite 200, Washington, DC 20006, USA; kwilson@urbanschoolfoodalliance.org (K.W.); jwest@urbanschoolfoodalliance.org (J.W.) |
Author_xml | – sequence: 1 fullname: Kenney, Erica L – sequence: 2 fullname: Dunn, Caroline G – sequence: 3 fullname: Mozaffarian, Rebecca S – sequence: 4 fullname: Dai, Jane – sequence: 5 fullname: Wilson, Katie – sequence: 6 fullname: West, Jeremy – sequence: 7 fullname: Shen, Ye – sequence: 8 fullname: Fleischhacker, Sheila – sequence: 9 fullname: Bleich, Sara N |
BookMark | eNptkt9v2yAQx62p09p1fdlfgLSXqVI6MAbsPUyKsqWL1CoP-_GKMJwdIhsysKPt39hfXJxU6zINhIC7731OB_cyO3PeQZa9JviG0gq_cyOhuMx5RZ5lFzkW-Yzzgp79dT7PrmLc4mkILDh9kZ3TIo2SkYvs9xLAWNeixcZ2JoBDyhl0r6wb0pocS-8N-gJhbzWg9Q6CGqx3EZkxHOLW31cfZ6R6j-bo3v6EFAzDxpuIVm4PcbDtQY98g1b9roMeEvlgmRItrVNOW9Wl_KrrwLUQX2XPG9VFuHrcL7Nvy09fF59nd-vb1WJ-N9OM8GEmlGgw44bjite4YEaLmpZMMFVjnW5FXTQi55BXhBMwSVg1JS9KlRNTlgroZbY6co1XW7kLtlfhl_TKyoPBh1aqMFjdgdQghALBgQMUrK5qVjeMJYwhuqG5TqwPR9ZurHswOhUZVHcCPfU4u5Gt38uywITRKgHePgKC_zGmd5O9jRq6TjnwY5Q54xxTLESZpG_-kW79GFx6qknFijIXRf6kalUqwLrGp7x6gsq54Iyn_y9FUt38R5Wmgd7q1GmNTfaTgOtjgA4-xgDNnxoJllNDyqeGpA9DINKu |
CitedBy_id | crossref_primary_10_1080_19320248_2022_2136024 crossref_primary_10_31004_obsesi_v6i6_3401 crossref_primary_10_1016_j_pcl_2024_03_003 crossref_primary_10_1016_j_jand_2021_11_003 crossref_primary_10_3390_nu15071628 crossref_primary_10_1111_josh_13188 crossref_primary_10_1186_s12889_024_19107_3 crossref_primary_10_1111_josh_13365 crossref_primary_10_3389_fpubh_2023_1296620 crossref_primary_10_1016_j_cities_2023_104222 crossref_primary_10_3390_ijerph19105838 crossref_primary_10_3390_ijerph19137650 crossref_primary_10_1016_j_jneb_2024_04_008 crossref_primary_10_3390_ijerph19105991 crossref_primary_10_1016_j_jneb_2022_07_009 crossref_primary_10_1111_josh_13151 crossref_primary_10_3390_nu15173738 crossref_primary_10_1001_jamanetworkopen_2022_29514 crossref_primary_10_3390_nu15081868 crossref_primary_10_1080_1350293X_2024_2305410 |
Cites_doi | 10.1016/j.jand.2021.04.012 10.1093/ajcn/nqy284 10.1001/jamanetworkopen.2021.5262 10.1016/j.jand.2015.08.010 10.3390/nu13020670 10.1001/jama.2020.9517 10.1016/j.jeconom.2011.06.007 10.1177/0033354920959285 10.1186/1748-5908-4-50 10.1007/s11524-020-00476-0 10.1001/jamapediatrics.2015.3918 10.1186/1471-2288-13-117 10.1016/j.jneb.2020.09.018 10.1007/s13668-014-0116-0 10.1016/j.jand.2018.01.010 10.1377/hlthaff.2020.00133 10.2105/AJPH.2020.305743 10.1016/j.jneb.2020.10.021 10.1002/pam.22175 10.1016/j.amepre.2015.03.032 10.3390/nu13030911 10.1016/j.pmedr.2016.11.016 10.1056/NEJMp2005638 |
ContentType | Journal Article |
Copyright | COPYRIGHT 2021 MDPI AG 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2021 by the authors. 2021 |
Copyright_xml | – notice: COPYRIGHT 2021 MDPI AG – notice: 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2021 by the authors. 2021 |
DBID | AAYXX CITATION 3V. 7TS 7X7 7XB 88E 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR CCPQU COVID DWQXO FYUFA GHDGH K9. M0S M1P PIMPY PQEST PQQKQ PQUKI PRINS 7X8 5PM DOA |
DOI | 10.3390/nu13082691 |
DatabaseName | CrossRef ProQuest Central (Corporate) Physical Education Index Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials ProQuest Central ProQuest One Community College Coronavirus Research Database ProQuest Central Korea Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) PML(ProQuest Medical Library) Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
DatabaseTitle | CrossRef Publicly Available Content Database ProQuest Central Essentials ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) Coronavirus Research Database ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Central China ProQuest Hospital Collection (Alumni) Physical Education Index ProQuest Central ProQuest Health & Medical Complete Health Research Premium Collection ProQuest Medical Library ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest One Academic ProQuest Medical Library (Alumni) ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | Publicly Available Content Database CrossRef |
Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Anatomy & Physiology |
EISSN | 2072-6643 |
ExternalDocumentID | oai_doaj_org_article_ce77ae76e6ee45b9b5bf55d88d1cf32c A765644887 10_3390_nu13082691 |
GeographicLocations | United States--US |
GeographicLocations_xml | – name: United States--US |
GroupedDBID | --- 3V. 53G 5VS 7X7 88E 8FE 8FH 8FI 8FJ A8Z AADQD AAFWJ AAHBH AAWTL AAYXX ABUWG ACIWK ACPRK AENEX AFKRA AFRAH AFZYC ALIPV ALMA_UNASSIGNED_HOLDINGS APEBS ATCPS BBNVY BENPR BHPHI BPHCQ BVXVI CCPQU CITATION DIK E3Z EBD ECGQY EIHBH ESTFP EYRJQ F5P FYUFA GROUPED_DOAJ GX1 HCIFZ HMCUK HYE IAO ITC KQ8 LK8 M0K M1P M48 M7P MODMG M~E OK1 P2P P6G PGMZT PIMPY PQQKQ PROAC PSQYO RNS RPM TR2 UKHRP RIG 7TS 7XB 8FK AZQEC COVID DWQXO K9. PQEST PQUKI PRINS 7X8 5PM AFPKN |
ID | FETCH-LOGICAL-c516t-7a7f056d6096b045dc7b38575ab0c5dc4b4f726e29161ed6d69f8648a21d88ae3 |
IEDL.DBID | RPM |
ISSN | 2072-6643 |
IngestDate | Mon Oct 07 19:33:27 EDT 2024 Tue Sep 17 21:32:46 EDT 2024 Wed Dec 04 09:51:37 EST 2024 Thu Oct 10 20:00:10 EDT 2024 Tue Nov 19 21:41:50 EST 2024 Wed Nov 13 00:24:18 EST 2024 Fri Dec 06 09:04:43 EST 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 8 |
Language | English |
License | https://creativecommons.org/licenses/by/4.0 Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c516t-7a7f056d6096b045dc7b38575ab0c5dc4b4f726e29161ed6d69f8648a21d88ae3 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ORCID | 0000-0001-6503-1439 |
OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8401539/ |
PMID | 34444851 |
PQID | 2565482742 |
PQPubID | 2032353 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_ce77ae76e6ee45b9b5bf55d88d1cf32c pubmedcentral_primary_oai_pubmedcentral_nih_gov_8401539 proquest_miscellaneous_2566030778 proquest_journals_2565482742 gale_infotracmisc_A765644887 gale_infotracacademiconefile_A765644887 crossref_primary_10_3390_nu13082691 |
PublicationCentury | 2000 |
PublicationDate | 2021-08-01 |
PublicationDateYYYYMMDD | 2021-08-01 |
PublicationDate_xml | – month: 08 year: 2021 text: 2021-08-01 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | Basel |
PublicationPlace_xml | – name: Basel |
PublicationTitle | Nutrients |
PublicationYear | 2021 |
Publisher | MDPI AG MDPI |
Publisher_xml | – name: MDPI AG – name: MDPI |
References | Damschroder (ref_24) 2009; 4 Thomson (ref_3) 2019; 109 Kinderknecht (ref_15) 2020; 324 ref_36 ref_35 Gortmaker (ref_28) 2015; 49 ref_11 McLoughlin (ref_33) 2020; 97 ref_30 Lane (ref_23) 2020; 135 ref_19 Gundersen (ref_10) 2012; 166 Schwartz (ref_17) 2020; 39 Au (ref_16) 2018; 118 Dunn (ref_18) 2020; 382 Patten (ref_31) 2021; 121 Hecht (ref_37) 2020; 110 Liu (ref_12) 2021; 4 ref_25 McLoughlin (ref_34) 2020; 52 ref_22 Patten (ref_32) 2021; 53 Larson (ref_2) 2015; 4 ref_21 ref_20 Cullen (ref_6) 2017; 5 Johnson (ref_14) 2016; 170 ref_29 ref_27 ref_26 ref_9 ref_8 Kenney (ref_13) 2020; 39 Banfield (ref_1) 2016; 116 ref_5 ref_4 ref_7 |
References_xml | – ident: ref_7 – volume: 121 start-page: 1441 year: 2021 ident: ref_31 article-title: Disaster management and school nutrition: A qualitative study of emergency feeding during the COVID-19 pandemic publication-title: J. Acad. Nutr. Diet. doi: 10.1016/j.jand.2021.04.012 contributor: fullname: Patten – ident: ref_9 – ident: ref_30 – volume: 109 start-page: 127 year: 2019 ident: ref_3 article-title: Diet quality in a nationally representative sample of American children by sociodemographic characteristics publication-title: Am. J. Clin. Nutr. doi: 10.1093/ajcn/nqy284 contributor: fullname: Thomson – ident: ref_5 – ident: ref_26 – volume: 4 start-page: e215262 year: 2021 ident: ref_12 article-title: Trends in food sources and diet quality among US children and adults, 2003–2018 publication-title: JAMA Netw. Open. doi: 10.1001/jamanetworkopen.2021.5262 contributor: fullname: Liu – ident: ref_11 – volume: 116 start-page: 21 year: 2016 ident: ref_1 article-title: Poor adherence to US dietary guidelines for children and adolescents in the national health and nutrition examination survey population publication-title: J. Acad. Nutr. Diet. doi: 10.1016/j.jand.2015.08.010 contributor: fullname: Banfield – ident: ref_35 doi: 10.3390/nu13020670 – volume: 324 start-page: 359 year: 2020 ident: ref_15 article-title: Association of the healthy, hunger-free kids act with dietary quality among children in the US national school lunch program publication-title: JAMA doi: 10.1001/jama.2020.9517 contributor: fullname: Kinderknecht – volume: 166 start-page: 79 year: 2012 ident: ref_10 article-title: The impact of the national school lunch program on child health: A nonparametric bounds analysis publication-title: J. Econom. doi: 10.1016/j.jeconom.2011.06.007 contributor: fullname: Gundersen – ident: ref_21 – volume: 135 start-page: 728 year: 2020 ident: ref_23 article-title: leveraging implementation science in the public health response to COVID-19: Child food insecurity and federal nutrition assistance programs publication-title: Public Health Rep. doi: 10.1177/0033354920959285 contributor: fullname: Lane – volume: 4 start-page: 50 year: 2009 ident: ref_24 article-title: Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science publication-title: Implement. Sci. doi: 10.1186/1748-5908-4-50 contributor: fullname: Damschroder – volume: 97 start-page: 759 year: 2020 ident: ref_33 article-title: Addressing food insecurity through a health equity lens: A case study of large urban school districts during the COVID-19 pandemic publication-title: J. Urban Health. doi: 10.1007/s11524-020-00476-0 contributor: fullname: McLoughlin – volume: 170 start-page: e153918 year: 2016 ident: ref_14 article-title: Effect of the healthy hunger-free kids act on the nutritional quality of meals selected by students and school lunch participation rates publication-title: JAMA Pediatr. doi: 10.1001/jamapediatrics.2015.3918 contributor: fullname: Johnson – ident: ref_27 doi: 10.1186/1471-2288-13-117 – ident: ref_8 – ident: ref_25 – ident: ref_4 – ident: ref_29 – volume: 52 start-page: 1120 year: 2020 ident: ref_34 article-title: Feeding students during COVID-19-related school closures: A nationwide assessment of initial responses publication-title: J. Nutr. Educ. Behav. doi: 10.1016/j.jneb.2020.09.018 contributor: fullname: McLoughlin – volume: 4 start-page: 102 year: 2015 ident: ref_2 article-title: Barriers to equity in nutritional health for US children and adolescents: A review of the literature publication-title: Curr. Nutr. Rep. doi: 10.1007/s13668-014-0116-0 contributor: fullname: Larson – volume: 118 start-page: 1474 year: 2018 ident: ref_16 article-title: Eating school meals daily is associated with healthier dietary intakes: The healthy communities study publication-title: J. Acad. Nutr. Diet. doi: 10.1016/j.jand.2018.01.010 contributor: fullname: Au – volume: 39 start-page: 1122 year: 2020 ident: ref_13 article-title: Impact of the healthy, hunger-free kids act on obesity trends publication-title: Health Aff. (Millwood) doi: 10.1377/hlthaff.2020.00133 contributor: fullname: Kenney – volume: 110 start-page: 1405 year: 2020 ident: ref_37 article-title: Impact of the community eligibility provision of the healthy, hunger-free kids act on student nutrition, behavior, and academic outcomes: 2011–2019 publication-title: Am. J. Public Health. doi: 10.2105/AJPH.2020.305743 contributor: fullname: Hecht – volume: 53 start-page: 2 year: 2021 ident: ref_32 article-title: School nutrition professionals’ employee safety experiences during the onset of the COVID-19 pandemic publication-title: J. Nutr. Educ. Behav. doi: 10.1016/j.jneb.2020.10.021 contributor: fullname: Patten – volume: 39 start-page: 376 year: 2020 ident: ref_17 article-title: Let them eat lunch: The impact of universal free meals on student performance publication-title: J. Policy Anal. Manag. doi: 10.1002/pam.22175 contributor: fullname: Schwartz – volume: 49 start-page: 102 year: 2015 ident: ref_28 article-title: Cost effectiveness of childhood obesity interventions: Evidence and methods for CHOICES publication-title: Am. J. Prev. Med. doi: 10.1016/j.amepre.2015.03.032 contributor: fullname: Gortmaker – ident: ref_36 doi: 10.3390/nu13030911 – volume: 5 start-page: 82 year: 2017 ident: ref_6 article-title: The contribution of the USDA school breakfast and lunch program meals to student daily dietary intake publication-title: Prev. Med. Rep. doi: 10.1016/j.pmedr.2016.11.016 contributor: fullname: Cullen – ident: ref_19 – ident: ref_22 – volume: 382 start-page: e40 year: 2020 ident: ref_18 article-title: Feeding low-income children during the COVID-19 pandemic publication-title: N. Engl. J. Med. doi: 10.1056/NEJMp2005638 contributor: fullname: Dunn – ident: ref_20 |
SSID | ssj0000070763 |
Score | 2.4347522 |
Snippet | The United States Department of Agriculture (USDA) National School Lunch and Breakfast Programs are critical for the health and food security of U.S.... |
SourceID | doaj pubmedcentral proquest gale crossref |
SourceType | Open Website Open Access Repository Aggregation Database |
StartPage | 2691 |
SubjectTerms | Agricultural economics Analysis Coronaviruses costs COVID-19 Elementary school students Emergency preparedness Food and nutrition food insecurity Food security Food supply implementation strategies Investigations Meals Methods Mixed methods research Operating costs Revenue School buildings School closures School districts school food service authority School lunches School lunchrooms, cafeterias, etc school meals Students |
SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Nb9QwELVQT1wQUBCBgoxAcIq6dhw74bYsRAWp9EJRb5Y_xqKHJhW7K8Hf4Bcz_tiygQMXjomdxMnM2O9F4zeEvPSxMpqDUHvLRC2A-9raIOo-kglwvPM2Jch-kifn4uNFe7FX6ivmhGV54Pzhjh0oZUBJkACitb1tbWhb33WeudBwl2bfBd8jUxn4KiToTdYjbZDXH49bFpVZZM9mK1AS6v97Ov4zRXJvzRnukjsFLNJlHuQ9cgvG--RwOSJRvvpBX9GUvpn-ix-Sn0Neh-iqbM-mZvT0FIn_JheBoMM0eVrmBnp2Ddn2a5p3KtLV2ZcP72rWv6FLenr5HfDiVF16Tfe0OKaRToEmSeGrsmspP2jYKXfg80t5lvUDcj68_7w6qUvBhdq1TG5qZVRAQOQl8hqLWM87ZZtYwtPYhcMjYUVQXAJHTMnAY8c-dFJ0hjM0iIHmITkYpxEeEYqoMSCWWFhpmijq10EfwCBgcB1TeLeKvNgZQV9nXQ2NfCSaSv82VUXeRvvc9Iha2OkEeoguHqL_5SEVeR2tq2PEoi2dKRsPcKBR-0ovFWJaZKmdqsjRrCdGmps37_xDl0hfa4SMbZRSFbwiz2-a45Uxe22EaZv6yDiZqq4iauZXszebt4yXX5PaNwYNrkr94__xKZ6Q2zzm5KQExiNysPm2hacIqjb2WYqfX38TJF0 priority: 102 providerName: Directory of Open Access Journals – databaseName: Coronavirus Research Database dbid: COVID link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELagvXDhVRCBgoxAcErbvOyEC1oWooJUeqGoN8uPMaxQnaWblYCfwS9m7DjbpkgcOO7aWTubzzPfOONvCHlufGU0DTY1KivTEnKTKmXLtPHBBOi8NiokyH5khyflh9PqNG64rWJa5WgTg6E2nfZ75PvomisvWVnmr5ffU181yr9djSU0rpPtAqkDInx7fvz5_dvNLktQs2HFoEtaYHy_79aZV2hhTTbxREGw_2-zfDVV8pLvaW8RMc56SDn5trfu1Z7-dUXQ8f9v6za5GWkpnQ04ukOugbtLdmYOQ_Kzn_QFDYmiYQd-h_xuB49H5_EgOJXO0CO5cP1QboK2XWdotEL0eAkDylZ0OBNJw5-XZs0rOqNHix-AF4c61it6SfWjc7SzNIgXn8XzUcNA7agRguPHQjCre-SkffdpfpjG0g6pxsfUp1xyi9TLMIygFLJKo7kqfLFQqQ40fipVaXnOIEf2moHBjo2tWVnLPDN1LaG4T7Zc5-ABochPLbKWA8Vk4eUDa2gsSKQmus44_lpCno2PWSwHBQ-BkY8Hg7gAQ0LeeARsenjV7fBFd_5FxEUsNHAugTNgAGWlGlUpW1U4IZNpW-Q41EuPH-FtA6JFy3jEASfqVbbEjCN7xni45gnZnfTENa2nzSNaRLQpK3EBlYQ83TT7K32enINuHfowb7Z5nRA-Qe7kzqYtbvE16Irj8kT_1zz89-CPyI3c5_WEJMhdstWfr-ExErNePYmr7w_Lyj55 priority: 102 providerName: ProQuest – databaseName: Scholars Portal Open Access Journals dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV1Lb9QwELaqcuGCgIIIFGQEglOgedkJEkLLwqogLb2wqLfIj3FZiTplH1L7N_jFzDhOaQoHjontOLsz4_kmmvmGseeWOqMZcKnVWZmWkNtUa1emDQUTYPLa6pAg-0UcLsrPx9XxDhv6d8Y_cP3P0I76SS1WP16d_7x4hwb_liJODNlf-21GpCuCithv5OgRKbVrHmF-D4MlhutFz056bcnIHwXa_r8P5-sJk1c80Ow2uxWhI5_0sr7DdsDfZXsTj2Hz6QV_wUMyZ_hKvsd-zXqvxKexWJsrb_lcLf2mbwnBZ11neTwp-NEZ9Jqw5n3dIp8effv0Ic2aN3zC58tzwMWh1_SaX2Hm6DzvHA8Ew6exhqnfaDbweOD-sVnL-h5bzD5-nR6msf1CaqpMbFKppEN4ZAVGORqRnzVSF9TQU-kDg1elLp3MBeSIMDOwOLFxtShrlWe2rhUU99mu7zw8YBwxpENkcaCFKojir4bGgUL4YOpM4tMS9mwQQnvWs2y0GJ2QqNo_okrYe5LP5Qxixg43utVJGw2tNSClAilAAJSVbnSlXVXhC9nMuCLHrV6SdFvSKJSlUbEMAV-UmLDaiUSEizFrLRO2P5qJdmfGw4N-tIPatgggKyJWLfOEPb0cppWUy-ah24Y5go5WWSdMjvRq9MvGI375PXB_owmhj2oe_sfTH7GbOSXghGzFfba7WW3hMSKojX4SzOM32loeEQ priority: 102 providerName: Scholars Portal |
Title | Feeding Children and Maintaining Food Service Operations during COVID-19: A Mixed Methods Investigation of Implementation and Financial Challenges |
URI | https://www.proquest.com/docview/2565482742 https://search.proquest.com/docview/2566030778 https://pubmed.ncbi.nlm.nih.gov/PMC8401539 https://doaj.org/article/ce77ae76e6ee45b9b5bf55d88d1cf32c |
Volume | 13 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3fb9MwELa28cILAgYiMCojEDxlnRPHdnjrysJA6jYhhvoWxb-gEnWqtZXg3-Av5uw4o4E3-pAqtR27ujv7u-juO4ReaV8ZTRmbakloSk2mUyktTUvvTBiVCS1DgOwFO7-mH-fFfA8VfS5MCNpXcnHsvi-P3eJbiK1cLdW4jxMbX82m8Bww1HK8j_bh-N1x0TvMy8E3zzsq0hxc-rHbEk_KwkpfFian8BEFGZxDga7_303570DJnZOnuo_uRciIJ93SHqA94x6iw4kDd3n5E7_GIYgzvB0_RL-q7jTC05ikjRun8Qzc_01XCgJXbatx3CHw5cp0GrDGXb4inl5--fAuJeVbPMGzxQ8Dg0ON6TXeYeRoHW4tDsTCy5i71E1U9fwdMH8s0rJ-hK6rs8_T8zSWXUhVQdgm5Q23AIs0A-9GAuLTisvcF_Js5ImCOyqp5RkzGSBLYjR0LK1gVDQZ0UI0Jn-MDlzrzBOEATtaQBQnkjW5p_YTprSmAdigBOHwtAS97IVQrzp2jRq8Ei-1-o_UEnTq5XPbwzNihx_am6911ItaGc4bw5lhxtBClrKQtihgQZoom2cw1Rsv3drbLchSNTH9ABbqGbDqCQdkC5oheIKOBj3B3tSwudePOtr7ugbgWHhCVZol6MVtsx_pY9icabehD_NbKhcJ4gO9GvyzYQuYQOD8jir_9L9HPkN3Mx-OE2IXj9DB5mZrngOe2sgRWNGcj9Cd07OLq0_wHTRtFN5OwPX9nMB1RsUo2Nlv5r0p8w |
link.rule.ids | 230,314,727,780,784,864,885,2102,2221,12056,21388,24318,27924,27925,31719,31720,33744,33745,38516,43310,43805,43895,53791,53793,73745,74302,74412 |
linkProvider | National Library of Medicine |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Nb9MwGLagO8CFr4HIGGAEglO25ctOuKBSqDpYt8uGdrP8CdU0pyypBPwMfjGvHadbhsSBY2OndprH74f7-nkQeqWcMprUJlYiyeNcpyoWwuRx5ZIJLdNSCV8ge0hmJ_mn0-I0bLg1oayyt4neUKtauj3yXXDNhaOszNN3y--xU41y_64GCY2baMOpeBcjtDE5-rL_Yb3L4tlsSNbxkmaQ3-_aVeIYWkiVDDyRJ-z_2yxfL5W84numdxHrZ92VnJztrFqxI39dI3T8_8e6h-6EsBSPOxzdRze0fYA2xxZS8vOf-DX2haJ-B34T_Z52Hg9PwkFwzK3Cc76wbSc3gad1rXCwQvhoqTuUNbg7E4n9jxcn1Vs8xvPFDw03ex3rBl9h_agtrg325MXn4XxUN9C05wiB8YMQTPMQnUw_Hk9mcZB2iGWRkDamnBoIvRSBDEpAVKkkFZkTC-ViT8KnXOSGpkSnEL0mWkHHypQkL3maqLLkOnuERra2-jHCEJ8aiFr2BOGZow8sdWU0h9BElgmFb4vQy_41s2XH4MEg83FgYJdgiNB7h4B1D8e67S_UF19ZWMRMakq5pkQTrfNCVKIQpihgQiqRJkthqDcOP8zZBkCL5OGIA0zUsWyxMYXoGfLhkkZoe9AT1rQcNvdoYcGmNOwSKhF6sW52d7o6Oavrle9DnNmmZYToALmDJxu22MU3zysOyxP8X7X178Gfo1uz4_kBO9g__PwE3U5djY8viNxGo_ZipZ9CkNaKZ2El_gHukkFp |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELZgKyEuvAoipYARCE5pm5edcEHLlqgF2nKgqDfLT1hVdZYmKwE_g1_M2HG2TZE4cNzYWTubzzPfeMffIPRCucpoUptYiSSPc52qWAiTx5ULJrRMSyV8guwh2TvO358UJ2HDrQ1plYNN9IZaNdLtkW-Day6cZGWevll8j13VKPfvaiihcR2tUfDr6QStzY6-7O-udlm8mg3Jel3SDOL7bbtMnEILqZKRJ_KC_X-b5aupkpd8T30bsWHWfcrJ6dayE1vy1xVBx_9_rDvoVqCleNrj6C66pu09tD61EJKf_cQvsU8U9Tvw6-h33Xs8PAsHwTG3Ch_wue36chO4bhqFgxXCRwvdo6zF_ZlI7H-8OKle4yk-mP_QcLOvY93iS6ofjcWNwV68-Cycj-oHqgeNEBg_FIJp76Pj-t3n2V4cSjvEskhIF1NODVAvRSCCEsAqlaQic8VCudiR8CkXuaEp0Smw10Qr6FiZkuQlTxNVllxnD9DENlY_RBj4qQHWsiMIz5x8YKkrozlQE1kmFL4tQs-H18wWvYIHg8jHgYFdgCFCbx0CVj2c6ra_0Jx_ZWERM6kp5ZoSTbTOC1GJQpiigAmpRJoshaFeOfwwZxsALZKHIw4wUaeyxaYU2DPEwyWN0OaoJ6xpOW4e0MKCTWnZBVQi9GzV7O50eXJWN0vfhzizTcsI0RFyR082brHzb15XHJYn-L9q49-DP0U3Pu3W7OP-4YdH6GbqUnx8PuQmmnTnS_0YOFonnoSF-AeASEEC |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Feeding+Children+and+Maintaining+Food+Service+Operations+during+COVID-19%3A+A+Mixed+Methods+Investigation+of+Implementation+and+Financial+Challenges&rft.jtitle=Nutrients&rft.au=Kenney%2C+Erica+L&rft.au=Dunn%2C+Caroline+G&rft.au=Mozaffarian%2C+Rebecca+S&rft.au=Dai%2C+Jane&rft.date=2021-08-01&rft.eissn=2072-6643&rft.volume=13&rft.issue=8&rft_id=info:doi/10.3390%2Fnu13082691&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2072-6643&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2072-6643&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2072-6643&client=summon |