Innovative Approaches to Addressing Food Insecurity: A Systematic Review of Public Health Strategies
Ziyad Hegazy1, Marwan Fakhry1, Ahmed Sherif1, Mahmoud Elsayed1, Omar Hafez1
1MME Foundation
Objective:
This review evaluates innovative public health strategies to combat food insecurity,focusing on community-driven interventions and health outcomes
Background:
Food insecurity affects millions; this review evaluates innovative, community-driven strategies to improve access
Design/Methods:
A comprehensive search across databases like Cochrane and JSTOR identified studies from 2000 to 2024 on public health interventions for food insecurity, emphasizing innovative and community-based approaches. Qualitative data were analyzed using NVivo software to assess effectiveness,focusing on improvements in food access, dietary quality, and food sovereignty.
Results:
The review included 45 studies that explored a variety of public health strategies aimed at alleviating food insecurity. Among the most effective approaches were community gardens, mobile food pantries, and urban agriculture initiatives. These strategies significantly improved food access, with an odds ratio (OR) of 1.75 (95% CI: 1.40-2.10) for increased access to food resources. Additionally, these interventions led to a marked improvement in dietary quality, with participants reporting an average increase of 2.2 servings of fruits and vegetables per day (MD = 2.2 servings; 95% CI: 1.80-2.60). Notably, community engagement in these initiatives also correlated with enhanced food sovereignty, empowering individuals and communities to have greater control over their food sources.The analysis highlighted that strategies involving active community participation were particularly successful in addressing food insecurity. These interventions not only provided immediate relief but also fostered long-term sustainability by promoting local food production and distribution. Mobile food pantries, for example, increased food access in underserved areas, while community gardens not only improved dietary intake but also strengthened social ties and community resilience.
Conclusions:

Innovative public health strategies involving community participation show great promise in addressing food insecurity. This review emphasizes the need for tailored, sustainable approaches in public health planning. Future research should aim to scale effective interventions and assess their long-term impact on food security and overall health outcomes in diverse communities.

10.1212/WNL.0000000000212216
Disclaimer: Abstracts were not reviewed by Neurology® and do not reflect the views of Neurology® editors or staff.