Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Nov 19;13(11):4145.
doi: 10.3390/nu13114145.

Local Value Chain Models of Healthy Food Access: A Qualitative Study of Two Approaches

Affiliations

Local Value Chain Models of Healthy Food Access: A Qualitative Study of Two Approaches

Kathleen Krzyzanowski Guerra et al. Nutrients. .

Abstract

Food value chains are increasingly recognized as more equitable alternatives to traditional supply chains and may represent a novel mechanism to achieve health equity at the local level. Country Fresh Stops (CFS) and Donation Station (DS) are two complementary programs that are part of a more robust value chain designed to support local agriculture in Appalachia Ohio. As the first study of these programs in the peer-reviewed literature, the objectives were to identify factors that facilitate or hinder the implementation of these two local value chain models of healthy food access and to identify the perceived impacts from the perspective of the sites implementing them. In-depth, semi-structured interviews were conducted with CFS (n = 7) and DS (n = 10) site representatives in January 2020. Template analysis was used to identify themes through a priori and inductive codes. Participants identified two primary facilitators: support from partner organizations and on-site program stewardship. Produce (and program) seasonality and mitigating food waste were the most cited challenges. Despite challenges, both CFS and DS sites perceive the models to be successful efforts for supporting the local economy, achieving organizational missions, and providing consumers with greater access to locally grown produce. These innovative programs demonstrate good feasibility, but long-term sustainability and impacts on other key stakeholders merit further investigation.

Keywords: Appalachia; community food security; food value chains; local food; qualitative research.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Country Fresh Stops and Donation Station: local value chain models for healthy food access. 1 CFI(Community Food Initiatives) supplements produce purchased from the Chesterhill Produce Auction with produce sold by regional farmers at the Athens Farmers Market. CFI also accepts donations of produce.
Figure 2
Figure 2
Programmatic logic model.
Figure 3
Figure 3
Site affiliate categorizations. 1 Pop-up sites included a school and a library.

References

    1. Beatty K., Hale N., Meit M., Heffernan M., Dougherty M., Rocha L., Ruane K., Kidwell G. Health Disparities Related to Obesity in Appalachia: Practical Strategies and Recommendations for Communities. The Appalachian Regional Commission; Washington, DC, USA: 2019. [(accessed on 5 May 2020)]. Available online: https://www.arc.gov/report/issue-briefhealth-disparities-related-to-obes...
    1. Miewald C., Holben D., Hall P. Role of a food box program in fruit and vegetable consumption and food security. Can. J. Diet. Pract. Res. 2012;73:59–65. doi: 10.3148/73.2.2012.59. - DOI - PubMed
    1. McCormack L.A., Laska M.N., Larson N.I., Story M. Review of the nutritional implications of farmers’ markets and community gardens: A call for evaluation and research efforts. J. Am. Diet. Assoc. 2010;110:399–408. doi: 10.1016/j.jada.2009.11.023. - DOI - PubMed
    1. Diamond A., Tropp D., Barham J., Muldoon M.F., Kiraly S., Cantrell P. Food Value Chains: Creating Shared Value to Enhance Marketing Success. United States Department of Agriculture Agricultural Marketing Service; Washington, DC, USA: 2014.
    1. Porter M.E., Kramer M.R. Creating shared value. Harvard Business Review. 2011. [(accessed on 10 October 2021)]. Available online: https://hbr.org/2011/01/the-big-idea-creating-shared-value.

Publication types