The relationship between policy and place: The role of school meals in addressing health inequalities
Jo Pike
Institute for Learning, University of Hull, United Kingdom
Derek Colquhoun
Institute for Learning, University of Hull, United Kingdom
PP: 50 - 60
Abstract
Healthy eating in schools is central to UK Government attempts to redress nutritional deficiencies and combat childhood obesity. However, there is little consideration of the local, contextual spatial factors that contribute to the ways in which particular policy initiatives are experienced at the school level.
This paper presents findings from an evaluation of the 'Eat Well Do Well' programme in Kingston-upon-Hull, UK: an innovative scheme providing free, healthy food to all primary school children. Data is presented from an ethnographic study of two case study schools illustrating how notions of 'spatiality' augment our understanding of the ways policy intention is mediated.
We consider the potential of primary school meals policy to address health inequalities using the concept of 'spatiality' to examine the interconnections between the aesthetic, temporal, social and spatial elements of school dining environments. We conclude optimistically, suggesting that an engagement by health policy developers with what we call the 'spatial imagination', might be useful in examining and developing factors that ensure the effectiveness of interventions addressing the determinants of ill health.
Keywords
health, sociology, children, school meals, space
References
Acheson D, Barker D, Chambers J, Drever F, Earwicker R, Graham H, Law C, Marmot M and Whitehead M (1998) Independent Inquiry into Inequalities in Health Report, The Stationery Offi ce, Norwich.
Blair T (2006) Our Nation's Future - Public Health (Public Lecture, 26 July). Available at http://www.pm.gov.uk/output/Page12060.asp [Date of access 11 December 2008].
Board of Education (1906) Education (Provision of Meals) Act, HMSO, London.
Caroline Walker Trust (1992) Nutritional Guidelines for School Meals: Report of an Expert Working Group, The Caroline Walker Trust, London.
Chang WC (2002) The meaning and goals of equity in health, Journal of Epidemiology and Community Health 56: 488-491.
Colquhoun D, Wright N, Pike J and Gatenby L (2008) Evaluation of Eat Well Do Well, Kingston Upon-Hull's School Meal Initiative, University of Hull, Kingston-upon-Hull.
Crawley H (2005) Eating Well At School, Caroline Walker Trust, Herts UK. Available at http://www.cwt.org.uk/publications.html [Date of access 11 December 2008].
Dahlgren G and Whitehead M (1991) Policies and Strategies to Promote Social Equity in Health, Institute for Futures Studies, Stockholm.
Department of Health (2003) Tackling Health Inequalities: A Programme For Action, Department of Health Publications, London.
Department of Health (2006) Community Health Profile for City of Kingston-upon-Hull. Available at http://www.communityhealthprofiles.info/profiles/hp2006/lo_res/00FA-HP2006.pdf [Date of access 11 December 2008].
Emmison M (2004) The conceptualization and analysis of visual data, in Silverman D (ed) Qualitative Research Theory, Method and Practice, Sage, London, pp.246-266.
Graham H (2004) Social determinants and their unequal distribution: Clarifying policy understandings, The Millbank Quarterly 82(1): 101-124.
Gregson N and Lowe M (1995) 'Home'-making: On the spatiality of daily social reproduction in contemporary middle-class Britain, Transactions of the Institute of British Geographers 20(2): 224-235.
Gustafsson U (2002) School meals policy: The problem with governing children, Social Policy and Administration 36(6): 685-697.
Harris B (1995) The Health of the Schoolchild: A History of the School Medical Service in England and Wales, Open University Press, Buckingham.
HM Treasury (2003) Every Child Matters, The Stationery Office, Norwich.
HM Treasury (2007a) PSA Delivery Agreement 12: Improve the Health and Wellbeing of Children and Young People, HMSO, London. Available at http://www.hm-treasury.gov.uk/d/pbr_csr07_psa12.pdf [Date of access 11 December 2008].
HM Treasury (2007b) PSA Delivery Agreement 9: Halve the Number of Children in Poverty by 2010-11, on the Way to Eradicating Child Poverty by 2020, HMSO, London. Available at http://www.hm-treasury.gov.uk/d/pbr_csr07_psa9.pdf [Date of access 11 December 2008].
Hull City Council (2004) Report to Cabinet, 20 July, Kingston-upon-Hull City Council, Kingston-upon-Hull.
Keith M and Pile S (1993) Introduction: The politics of place, in Keith M and Pile S (eds) Place and the Politics of Identity, Routledge, London, pp.1-22.
Linstead S (2006) Ethnomethodology and sociology: An introduction, The Sociological Review 54(3): 399-404.
Mayall B (1996) Children, Health and the Social Order, Open University Press, Buckingham.
Passmore S and Harris G (2004) Education, health and school meals: A review of policy changes in England and Wales over the last century, Nutrition Bulletin 29(3): 221-227.
Pickett K, Kelly S, Brunner E, Lobstein T and Wilkinson R (2005) Wider income gaps, wider waistbands? An ecological study of obesity and income inequality, Journal of Epidemiology and Community Health 59: 670-674.
Popay J, Williams G, Thomas C and Gatrell A (1998) Theorising inequalities in health: The place of lay knowledge, Sociology of Health and Illness 20(5): 619-644.
Schwarz M (2007) The influence of a verbal prompt on school lunch fruit consumption: A pilot study, International Journal of Behavioral Nutrition and Physical Activity 4: 6.
Welshman J (1997) School meals and milk in England and Wales, 1906-1945, Medical History 41: 6-29.
Wenzel E (1997) A comment on settings in health promotion, Internet Journal of Health Promotion. Available at http://www.ldb.org/setting.htm [Date of access 11 December 2008].
Whitehead M (1991) The concepts and principles of equity and health, Health Promotion International 6(3): 217-228.
Wilkinson R (1997) Socioeconomic determinants of health. Health inequalities: Relative or absolute material standards? British Medical Journal 314: 591-595.
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