{"id":109,"date":"2013-09-14T10:46:08","date_gmt":"2013-09-14T17:46:08","guid":{"rendered":"http:\/\/www.ocf.berkeley.edu\/~diphs\/?p=109"},"modified":"2014-04-15T17:20:12","modified_gmt":"2014-04-16T00:20:12","slug":"socap2013-global-hiv-us-food-systems-common-challenges","status":"publish","type":"post","link":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/socap2013-global-hiv-us-food-systems-common-challenges\/","title":{"rendered":"SOCAP2013: Global HIV & US food systems, common challenges"},"content":{"rendered":"

(cross-post from Gobee blog<\/a>)<\/p>\n

On Day 2 of SOCAP2013, I attended\u00a0two<\/a>\u00a0panels<\/a>\u00a0 to learn about food,\u00a0but came away with a realization that we\u2019re dealing with identical problems in global HIV treatment and US food systems. (HIV treatment is on my mind because of our work with\u00a0CHAI<\/a>\u00a0on OptimizeARV.)<\/p>\n

Some big parallels I observed yesterday:<\/p>\n

NEGOTIATED INCENTIVES ARE NOT ENOUGH.\u00a0Although the state of Maryland gives a 5% price preference for locally grown food, the\u00a0Responsible Purchasing Network<\/a>\u00a0found that the broadline distributors operating in the state were not even aware of this advantage. This problem was more prevalent in global health a couple years ago, but countries are increasingly accessing globally negotiated ceiling prices for HIV drugs.<\/p>\n

POOLED PURCHASING ISN\u2019T YET WITHIN REACH.\u00a0Sarah Fritschner of\u00a0Louisville Farm to Table<\/a>\u00a0is a part of\u00a0School Food Focus<\/a>, a a group that brings together 30 of the largest school districts in the US to pool expertise and buying power to make school lunches healthier, more local, and more sustainable. We\u2019re not yet to the point of inter-country exchanges and pooled purchasing in the global HIV treatment, but this is similarly on the horizon.<\/p>\n

SUPPLY SIDE IS NOT THE PROBLEM.\u00a0One of the hardest decisions that\u00a0Haile Johnston had to make was stepping away from a school district that was not really interested in the nutrition agenda of\u00a0Common Market<\/a>. \u201cGenerating demand within institutions\u201d is the hard part, he said, not managing supply side issues. We\u2019re fortunate to be piggybacking OptimizeARV on CHAI\u2019s ongoing work to get governments to buy into cost-effectiveness as a goal.<\/p>\n

PROCUREMENT POLICY CAN SPUR DEMAND.\u00a0A\u00a0representative of the\u00a0LA Food Policy Council<\/a>\u00a0described how a procurement policy change was needed to make LAUSD commit to \u201cgood food purchasing.\u201d In HIV, it\u2019s clear that procurement policy has been a powerful \u2013 but not always positive \u2013 tool for influencing access to treatment.<\/p>\n

LEAVING CHOICE ON THE TABLE IS KEY.\u00a0Anim Steel\u2019s organization Real Food Generation encourages organizations like colleges to commit to purchase\u00a020% \u201creal food.\u201d While they have a very clear definition of\u00a0real food<\/a>, they leave the choice of how to achieve that 20% target to the organizations. (Also worth noting that one of the major foodservice providers in the US has already has committed to doing 20% across the board.)\u00a0CHAI has similarly encouraged countries to pursue cost-effectiveness, but is not in the business of dictating specific choices to countries. We\u2019re working hard to preserve that framework of choice with OptimizeARV.<\/p>\n

Aside from lessons that we may pull in to our OptimizeARV work, I had one big takeaway: we need to think less literally when translating innovations between global and domestic markets. There may be opportunities that link completely unrelated sectors.<\/p>\n

(I already broke\u00a0the 1000 character rule<\/a>.)<\/p>\n","protected":false},"excerpt":{"rendered":"

After attending two SOCAP2013 food panels, I realized that we\u2019re dealing with identical problems in global HIV treatment and US food systems. <\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[17,12,15,16],"_links":{"self":[{"href":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/wp-json\/wp\/v2\/posts\/109"}],"collection":[{"href":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/wp-json\/wp\/v2\/comments?post=109"}],"version-history":[{"count":5,"href":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/wp-json\/wp\/v2\/posts\/109\/revisions"}],"predecessor-version":[{"id":316,"href":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/wp-json\/wp\/v2\/posts\/109\/revisions\/316"}],"wp:attachment":[{"href":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/wp-json\/wp\/v2\/media?parent=109"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/wp-json\/wp\/v2\/categories?post=109"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/innovate.studentorg.berkeley.edu\/index.php\/wp-json\/wp\/v2\/tags?post=109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}