On increasing the contribution of locally produced fresh foods to school meals in the Caribbean

The rising prevalence of childhood overweight and obesity within the Caribbean is a major public health and policy concern because obese children are at risk of developing non-communicable diseases (NCDs) later in life. Throughout the Caribbean Community (CARICOM), children are consuming unhealthy diets, characterized by energy-dense, processed and ultra-processed foods, sugar sweetened beverages, and limited quantities of fruits and vegetables. Community-based school meal programmes (SMPs) have been identified as useful vehicles to address unhealthy eating among children, and “farm-to-school” approaches have the potential to increase the availability of locally grown nutritious produce, while supporting local agriculture and reducing the region’s reliance on food imports. This paper seeks to better understand the barriers to enhancing community-based school feeding value-chains in the CARICOM, by focusing on the Eastern Caribbean Island of Nevis where there is an interest in developing farm-to-school value chains. Using key informant interviews combined with focus groups with actors along the local food value chain, we identify the following barriers to an effective community-based SMP: a lack of communication and an absence of contractual agreements between local farmers and the SMP administration; generally low levels of child acceptance of school meals containing fresh vegetables; and limited intersectoral coordination and collaboration among SMP stakeholders and local farmers. Using social network analysis, we further discuss limitations in group organization and coordination among local farmers and opportunities for SMP improvement. The results point to the need for more integrative public policy development and greater community engagement to coordinate and strengthen the farm-to school approach to school feeding.