1st Edition

Food Insecurity and Public Health

Edited By Louise Ivers Copyright 2015
    232 Pages 25 B/W Illustrations
    by CRC Press

    232 Pages 25 B/W Illustrations
    by CRC Press

    Affecting more than 800 million people, food insecurity is a global problem that runs deeper than hunger and undernutrition. In addition to the obvious impact on physical well-being, food insecurity can result in risky coping strategies, increased expenditures on medical costs or transportation, and mental health issues. A review of the concepts and impacts of food insecurity through the lens of public health, Food Insecurity and Public Health details the complex issue of food insecurity and explores its reach beyond economics and agronomics.

    The book guides you through the fundamentals, beginning with theory, and the challenges in measuring it, and moving on to the impact of food insecurity on health. The book details the implications of food insecurity on public health practice, including epidemiology and outcomes of diseases such as HIV, TB, and non-communicable diseases, and the specific impact on women’s health. It closes with case studies from the Navajo Nation, Kenya, and Southern Africa, offering the opportunity to learn from real-life successes and challenges.

    Each chapter also considers programs or interventions that have been used to attempt to address the issue, including a discussion of the US federal food stamps program. In truth, however, there continues to be a dearth of data on the ways in which programs can effectively address the problem of food insecurity at the household, community, or district level in either the short or long term—beyond, of course, the elimination of poverty, which is no doubt a root cause of the problem. The book gives you context for considering the links between food insecurity and health, and a framework for seeking integrated solutions to both problems.

    Food Security and Program Integration: An Overview
    Tony Castleman and Gilles Bergeron
    Food Insecurity and Health: A Conceptual Framework
    Sheri D. Weiser, Kartika Palar, Abigail M. Hatcher, Sera Young, Edward A. Frongillo, and Barbara Laraia
    Food Insecurity Measurement
    Jennifer Coates
    Nutrition, Food Security, Social Protection, and Health Systems Strengthening for Ending AIDS
    Divya Mehra, Saskia de Pee, and Martin W. Bloem
    Food Insecurity and Tuberculosis
    Cara S. Guenther and Louise C. Ivers
    Food Insecurity and Non-Communicable Diseases among the Poorest
    Gene Bukhman
    Food Insecurity: Special Considerations for Women's Health
    Jessica E. Teng, Kimberly A. Cullen, and Louise C. Ivers
    Understanding Food Insecurity in Navajo Nation through the Community Lens
    Dana Eldridge, Robyn Jackson, Shruthi Rajashekara, Emily Piltch, Mae-Gilene Begay, Joan VanWassenhove, Jacque Jim, Jonathan Abeita, LaJuanna Daye, Leroy Joe, Martha Williams, Maxine Castillo, Meria Miller-Castillo, Sherry Begaye, Vangie Tully, and Sonya Shin
    Overview of the Cost of Hunger in Africa—Executive Summary: Social and Economic Impact of Child Undernutrition in Egypt, Ethiopia, Swaziland, and Uganda
    UN Economic Commission for Africa; New Partnership of Africa's Development Planning and Coordinating Agency (NEPAD); Regional Integration Division (NRID)
    Integrating Nutrition Support for Food-Insecure Patients and Their Dependents into an HIV Care and Treatment Program in Western Kenya
    Joseph Mamlin, Sylvester Kimaiyo, Stephen Lewis, Hannah Tadayo, Fanice Komen Jerop, Catherine Gichunge, Tomeka Petersen, Yuehwern Yih, Paula Braitstein, and Robert Einterz


    Dr. Louise C. Ivers, MB, BCh, BAO, MPH, DTM&H is a medical doctor, and senior health and policy advisor for Partners In Health (PIH), an international nonprofit organization that provides direct health care and social services to poor communities around the world. She is trained in infectious diseases, tropical medicine, and public health and is also associate professor of global health and social medicine, and associate professor of medicine at Harvard Medical School in Boston. Dr. Ivers has spent her medical career to date implementing health programs and working to improve the delivery of health care in resource-poor settings through service and research. In addition to implementing primary health care, HIV, TB, and cholera programs, she has significant experience in coordination and implementation of disaster relief efforts.

    Based in Haiti from 2003 to 2012, she led the Partners In Health responses to hurricane-related flooding in 2008, a major earthquake in 2010, and an ongoing cholera epidemic in Haiti. Dr. Ivers has contributed to published articles on HIV/AIDS, food insecurity, post-disaster humanitarian response, and cholera treatment and prevention. She has served as a technical advisor to the World Health Organization and mentors Haitian and American physicians. She was previously clinical director and chief of mission for Partners In Health in Haiti. Through her decade of experience in Haiti, she gained programmatic and academic insights into the impact of food insecurity on health, and leads NIH-funded research on the topic.

    "This well-organized, comprehensive, readable collection analyzes the reciprocal relationship between food insecurity and negative health outcomes. The volume covers both communicable diseases, such as tuberculosis and AIDS, and non-communicable diseases (NCDs), e.g., diabetes and heart disease, in developed and developing countries. The first three essays do an excellent job of defining critical terms, establishing a theoretical framework for examining the bidirectional relationship between food insecurity and health, and identifying a system of metrics to quantify the various components of that relationship. The next four essays discuss the relationship of food insecurity to particular diseases, considering specific programs—food stamps in the US, programs for women, infants, and children—aimed at addressing these health issues. The final three chapters present case studies, one revealing the cost of hunger to education and productivity in Africa, another on a HIV treatment program in Kenya, and another revealing the rise of diabetes and other NCDs in the Navajo Nation as a result of the US government’s longtime disruption of traditional Navaho foodways. The disproportionate burden of food insecurity on women is a consistent theme, as is the need to address public health and food insecurity through an integrated approach that takes into account historical, social, cultural, and economic factors as well as medical and nutritional concerns."
    —D. M. Gilbert, Maine Maritime Academy (formerly), in CHOICE