Working as a community food worker: Voices from the inside

Abstract

Aims: Community food worker (CFW) is one of the new roles that were proposed in the 2004 White Paper Choosing Health: Making Healthier Choices Easier. CFWs are recruited from local communities and generally operate in areas characterized by extreme social deprivation. The aim of this paper is to illuminate the experience of being a CFW in the context of working in a relatively new non-professional role.

Methods: As part of an ongoing evaluation of a CFW scheme in the north west of England, a qualitative interview and two focus groups were conducted with CFWs. Thematic analysis of the data was undertaken.

Results: Emergent issues faced by these new practitioners include: the nature of their role; quantifying success; working with other health professionals; skills and knowledge; and strategies used to work with communities.

Conclusion: This study has highlighted some pertinent and previously unreported issues related to the experience of being a CFW, raising questions about their assimilation into the public health workforce and their use in delivering effective public health interventions without further integration.

Keywords

community food worker evaluation integration experience

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References

Department of Health. Choosing Health: Making Healthy Choices Easier. London: The Stationery Office, 2004

Kennedy LA , Milton B. , Bundred P. Lay food and health worker involvement in community nutrition and dietetics in England: Roles, responsibilities and relationships with professionals. Journal of Human Nutrition and Dietetics 2008; 21: 210-224

Lehmann U. , Sanders D. Community Health Workers: What Do We Know About Them? Geneva: World Health Organization, 2007

Kennedy LA , Milton B. , Bundred P. Lay food and health worker involvement in community nutrition and dietetics in England: Definitions from the field. Journal of Human Nurition and Dietetics 2008; 21(3): 196-209

British Psychological Society Health Psychology Team. Improving Health: Changing Behaviour. NHS Health Trainer Handbook. London: Department of Health, 2008

South J. , Woodward J. , Lowcock D. New beginnings: Stakeholder perspectives on the role of health trainers. The Journal of the Royal Society for the Promotion of Health 2007; 127(5): 225-230

McKee M.

What can health services contribute to the reduction of inequalities in health?

Scandinavian Journal of Public Health 2002 ; 30: 54-58

Darzi. High Quality Care for All. London: The Stationery Office, 2008

Jivan S. , Horsley K. , Bayliss E. Engaging Hard-to-Reach Groups in Primary Health Care. London: Social Action for Health, 2005

10.

Sure Start. Improving the Employability of Parents in Sure Start Local Programmes. National Research Report No6. Nottingham : Department for Education and Skills, 2004

11.

Coote A. , Allen J. , Woodhead D. Finding Out What Works: Understanding Complex, Community-Based Initiatives . London: King’s Fund, 2004

12.

Marmot M. A social view of health and disease. In: Heller T , Muston R , Sidell M , Lloyd C , editors. Working for Health. London: Open University/Sage Publications, 2001

13.

Wanless D. Securing Good Health for the Whole Population: Final Report. London: The Stationery Office, 2004

14.

Cross-Government Obesity Unit , Department of Health & Department of Children, Schools and Families. Healthy Weight: Health Lives: A Cross-Government Strategy for England. London: Cross-Government Obesity Unit, 2008

15.

Netherwood M.

Will health trainers reduce inequalities in health?

British Journal of Community Nursing 2007; 12(10): 463-468

16.

South J. , Meah A. , Branney P. People in Public Health. Expert Hearings: A Summary Report. Leeds: Centre for Health Promotion Research, Leeds Metropolitan University, 2009

17.

Smith D. The Food Leaders Scheme. Paper presented at XII International Home Economics & Consumer Studies Research Conference. Liverpool, 1992

18.

Whitehead M. Tackling inequalities: A review of policy initiatives. In: Benzeval M , Judge K , Whitehead M , editors. Tackling Inequalities for Health: An Agenda for Action. London: Kings Fund, 1996

19.

Visram S. , Drinkwater C. Health Trainers: A Review of the Evidence. Northumbria University: Newcastle, 2005

20.

Birmingham Community Nutrition and Dietetic Department. Birmingham Food Net Evaluation Report. Birmingham: Birmingham Community Nutrition and Dietetic Department, 2005

21.

Barbour RS , Kitzinger J. Developing Focus Group Research: Politics, Theory and Practice. London: Sage Publications, 1999

22.

Jinks AM , Daniels R. Workplace health concerns: A focus group study. Journal of Management in Medicine 1999; 13(2): 95-104

23.

Tashakkori A. , Teddlie C. Mixed Methodology - Combining Qualitative and Quantitative Approaches. London: Sage Publications, 1998

24.

Gomm R. , Needham G. , Bullman A. Evaluating Research in Health and Social Care. London: Open University/Sage Publications, 2000

25.

Tones K. Health promotion: The empowerment imperative. In: Scriven A , Orme J , editors. Health Promotion. Professional Perspectives. Basingstoke : Palgrave, 2001

26.

Dugdill L. , Coffey M. , Coufopoulos A. , Byrne K. , Porcellato L.

Developing new community health roles: Can reflective learning drive professional practice?

Reflective Practice 2009; 10(1): 121-131