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The contributions of civil society to food security in the context of COVID-19: a qualitative exploration in Uruguay

Published online by Cambridge University Press:  16 August 2021

Gerónimo Brunet*
Affiliation:
Núcleo Interdisciplinario Alimentación y Bienestar, Espacio Interdisciplinario, Universidad de la República, Montevideo, Uruguay
Alejandra Girona
Affiliation:
Núcleo Interdisciplinario Alimentación y Bienestar, Espacio Interdisciplinario, Universidad de la República, Montevideo, Uruguay Escuela de Nutrición, Universidad de la República, Montevideo, Uruguay
Gabriela Fajardo
Affiliation:
Escuela de Nutrición, Universidad de la República, Montevideo, Uruguay
Valentina Iragola
Affiliation:
Núcleo Interdisciplinario Alimentación y Bienestar, Espacio Interdisciplinario, Universidad de la República, Montevideo, Uruguay
Leandro Machín
Affiliation:
Núcleo Interdisciplinario Alimentación y Bienestar, Espacio Interdisciplinario, Universidad de la República, Montevideo, Uruguay Centro de Investigación Básica en Psicología, Facultad de Psicología, Universidad de la República, Montevideo, Uruguay
Isabel Bove
Affiliation:
UNICEF Uruguay, Montevideo, Uruguay
Gastón Ares
Affiliation:
Núcleo Interdisciplinario Alimentación y Bienestar, Espacio Interdisciplinario, Universidad de la República, Montevideo, Uruguay Instituto Polo Tecnológico de Pando, Facultad de Química, Universidad de la República, Canelones, Uruguay
*
*Corresponding author: Email [email protected]
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Abstract

Objective:

The aim of this study was to explore and analyse the actions implemented by civil society to contribute to food security in the context of the COVID-19 outbreak in Uruguay, a high-income country in South America.

Design:

An exploratory systematic approach was used to identify the contributions of civil society to food security through reports in news websites and Facebook posts. Data were analysed based on content analysis following a deductive–inductive approach.

Setting:

Uruguay, Latin America.

Results:

A total of 1220 civil society organisations were identified, which developed two main actions to increase access to food among the Uruguayan population: food baskets and ‘community pots’ (also known as ‘common pots’). Most of the initiatives targeted citizens under socioeconomic vulnerability in the face of COVID-19, without specifying any specific requirement or population segment. Actions were mainly led by spontaneously organised community groups, and, to a lesser extent, by consolidated organisations. Interactions between organisations were identified. The foods provided by the organisations were mostly aligned with national dietary guidelines. Social media posts evidenced that the main challenge faced by organisations was related to the lack of funds or supplies.

Conclusions:

Results from this work suggest that the lack of funds or supplies poses challenges to the medium- and long-term contributions of civil society to food security and stresses the need for comprehensive governmental measures to guarantee food security amongst Uruguayan citizens.

Type
Research paper
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Nutrition Society

Introduction

The COVID-19 pandemic has led to the most important health, humanitarian, economic and social crisis the world has faced in recent times(Reference Hevia and Neumeyer1). The measures implemented to contain the pandemic have had a major impact on economic activity worldwide, leading to an increase in unemployment and a decrease in household income(2). One of the immediate consequences of the effects of COVID-19 on the economy is an increase in food insecurity(Reference Paslakis, Dimitropoulos and Katzman3,Reference Torero4) . According to the UN, the number of people living with acute hunger could have doubled in 2020, representing an additional 130 million people worldwide(5). This situation poses short- and long-term challenges for health and wellbeing and stress the need to implement strategies to secure access to food(Reference Butler and Barrientos6,Reference O’Hara and Toussaint7) .

The economic impact of COVID-19 pandemic in Latin America has been worse than in other regions of the world(Reference Burki8,Reference Callejas, Echevarría and Carrero9) . Structural problems undermined the capacity of the region to mitigate the negative effects of the pandemic, including inequality, labour informality, low average wage, as well as weaknesses in health and social protection systems(10,11) . Latin American welfare states have been historically weak and their social protection systems show several inequalities(12). Therefore, although governments implemented a series of measures to mitigate the negative economic and social effects of the pandemic(13), income loss in the region during 2020 reached 15 % for the occupied population and poverty rose from 30·5 % in 2019 to 33·7 % in 2020(11). This situation motivated the emergence of different solidarity actions from civil society to help vulnerable segments of the population(Reference Duque Franco, Ortiz and Samper14Reference Andion16).

Solidarity can be understood as the ability of members of a community to help and support each other(Reference Schiermer17). Tragedies or crisis situations (e.g. wars or natural disasters) motivate modern societies to express solidarity and develop collective efforts to share responsibility and relieve the negative impacts caused by these phenomena(Reference Alfirdaus, Hiariej and Adeney-Risakotta18). Social networks of the community are fundamental for creating and sustaining solidarity through the circulation of information and resources(Reference Hawdon and Ryan19). ‘Local interpersonal networks and interlocking institutions that serve the community and its members’ play a transcendent role as transmission channels of solidarity sentiments(Reference Hawdon and Ryan19). Civil society institutions constitute empirical expressions of the ideals of solidarity among a community(Reference Alexander20). These institutions are considered different from other spheres such as the State, the market or the family(Reference Alexander20).

Civil society has played a major role in Latin American countries, becoming a key expression of the crisis of representation in current democracies(Reference Sorj21). During the XXI century, civil society organisations have contributed to the enforcement of human rights related to violence, food insecurity, poverty and gender in Latin American countries(Reference Marín-Arangureny and González Jaramillo22). However, their agendas have been mainly oriented to the diffusion of information and advocacy with national states(Reference Marín-Arangureny and González Jaramillo22). Although their capacity to provide public goods is limited(Reference Sorj21), their efforts have been relevant during crisis situations(Reference Marín-Arangureny and González Jaramillo22). In response to the COVID-19 crisis, civil society organisations of Latin American and Caribbean countries have developed a repertoire of actions that have contributed to others developed by national and local governments(11,Reference Duque Franco, Ortiz and Samper14Reference Andion16) . However, research on the response of civil society to the food crisis generated by the COVID-19 pandemic is still scarce. An in-depth understanding of such response can contribute to articulate experiences and knowledge in order to enhance countries’ response to the short- and middle-term effects generated by different types of crises, such as natural tragedies or disasters.

Aim of the study and context

The aim of this study was to explore and analyse the actions implemented by civil society to contribute to food security in Uruguay in the context of the COVID-19 outbreak. In this study, civil society is defined as the part of the society distinct from government and commercial for-profit actors(Reference Alexander20).

Uruguay is a small high-income country located in South America, with approximately 3·5 million inhabitants. It stands out in the region due to high levels of human development, low poverty rate and the lowest rate of income inequality of the region(23,24) . In addition, Uruguay is considered as one of the most advanced countries of the continent in terms of welfare and has a highly developed social protection system(Reference Filgueira and Hernández25). This makes the analysis of the response of the Uruguayan civil society in the context of the COVID-19 pandemic an interesting case study.

The first cases of the outbreak of coronavirus (COVID-19) in Uruguay were confirmed on March 13th, 2020(26). Until November 2020, Uruguay managed to contain an exponential growth in COVID-19 cases without mandatory curfews or lockdowns(Reference Taylor27). The social distancing measures implemented by the Uruguayan government included closure of educational institutions, mass gathering cancellations, partial closure of workplaces and stay-at-home recommendations(Reference Roser, Ritchie and Ortiz-Ospina28).

The interruption of economic activities and the reduction of the demand of goods and services caused a severe economic crisis in the country(Reference Capurro, Deagosto and Ferro29). This situation occurred in a context of reduced economic growth, increased unemployment and limited fiscal space after an unprecedented 15-year period of economic growth(Reference Brum and De Rosa3032). The Uruguayan government adopted a series of measures aimed at mitigating the economic and social negative effects derived from the COVID-19 pandemic in the country, which can be sorted into four major groups: (i) cash transfers and distribution of foods and hygiene products, (ii) measures to sustain employment levels and to alleviate losses in household income, (iii) measures to guarantee sufficient stocks of foods and hygiene products at reasonable prices and (iv) other measures to mitigate the effects of COVID-19 pandemic on economic activity (e.g. soft loans to the private sector, defer payments and discounts of taxes and utility services)(Reference Brunet, Girona and Fajardo33). However, these measures had a positive but limited effect on mitigating the poverty strike(Reference Brum and De Rosa30).

Methods

The study had an exploratory design aimed at systematically identifying the contributions of civil society to food security in the context of COVID-19 by studying news websites and social media posts.

News websites

News reports were retrieved through a hand search using Google with the search words ‘solidaridity’ and ‘coronavirus’ (‘solidaridad’ and ‘coronavirus’ in Spanish). A total of 96 news reports detailing contributions of the Uruguayan civil society to food security in the context of COVID-19 and published on Uruguayan news websites between March 13th (detection of the first cases of COVID-19 in Uruguay) and July 20th, 2020 were retrieved. A master list of organisations from the civil society was created.

Social media

Using the master list of organisations identified in the news websites, a search for Facebook accounts was performed using the search tool considering the name of the organisations as keywords. For each Facebook account, all the content posted from the detection of the first cases of COVID-19 in Uruguay (March 13th, 2020) until August 1st, 2020 was extracted. Only posts related to contributions to food security were considered. Snowball sampling was used to identify additional organisations from the Facebook posts. A search for Facebook accounts of the identified organisations was performed. This procedure was repeated until no new organisations appeared.

Data extraction and analysis

News reports and Facebook posts were analysed using a deductive–inductive approach(Reference Krippendorff34). A deductive approach was used to select the topics of interest, which defined the data to be extracted from the reports and Facebook posts. The following information was extracted (if available) by one of the authors: (i) name of the civil society organisation, (ii) type of organisation, (iii) description of the actions implemented to increase access to food, (iv) target population, (v) planning and development of the actions and (vi) challenges faced by the organisations.

Within each of the topics (with the exception of topic i), the extracted information was analysed using an inductive approach. Codes were generated inductively for each topic as they emerged from the news reports and Facebook posts. The coding was performed by the author who extracted the data and revised by a second researcher. Three meetings between the researchers were held to revise the coding and to resolve disagreements by consensus. Food products identified in the reports and Facebook posts were analysed using the NOVA food classification system(Reference Monteiro, Cannon and Lawrence35).

Descriptive statistics were used to summarise the information related to two of the topics: type of organisation and actions implemented to contribute to food security. The rest of the information was qualitatively analysed.

Results

A total of 1220 civil society organisations that developed actions to increase access to food among the Uruguayan population were identified in the news reports and Facebook posts. Fifty-one percent of the organisations corresponded to community groups, i.e. informal or semi-formal groups of citizens organised at the level of families, neighbourhoods or educational institutions. Most of those organisations were created as a response to the economic crisis generated by COVID-19. The rest of the organisations corresponded to non-governmental organisations (11 %), sport and social clubs (10 %), after-school clubs for children and adolescents (8 %), trade unions (7 %), educational institutions (5 %), faith-based organisations (5 %), cultural centres (3 %) and political organisations (1 %). These previously established organisations developed new lines of actions to contribute to food access in the context of COVID-19.

Characteristics of the actions implemented to increase access to food

The identified organisations implemented two main actions to increase access to food: distribution of food baskets and community pots or common pots (‘ollas populares’ in Spanish). Food baskets were distributed by 76 % of the organisations. Examples of the baskets provided by the organisations are shown in Fig. 1. According to the Facebook posts, the baskets mainly consisted of minimally processed foods, culinary ingredients and processed foods, such as rice, flour, maizemeal, lentils, oil, dried pasta, powdered milk and canned vegetables. Some of the posts evidenced that a minority of the organisations delivered baskets that also included fresh fruits and vegetables. In addition, the food baskets of one of the organisations included ultra-processed products (cookies, crackers and chocolate), as exemplified in Fig. 1 (right bottom corner). This organisation was created by a group of private companies, four of which produced ultra-processed products.

Fig. 1 Images of food baskets distributed by Uruguayan civil society organisations in the context of COVID-19, retrieved from the Facebook accounts of the organisations

Sixty-two percent of the identified organisations were responsible for community pots or common pots, which can be regarded as self-managed popular dining rooms. Community pots consisted of improvised food service facilities, located at sport clubs, cultural centres, houses or even on the street, that provided free hot meals and snacks to the most vulnerable population. They were positioned as the main symbol of the civil society response to COVID-19 in the media news reports. As exemplified in Fig. 2, most community pots prepared meals on stainless-steel pots over a stove or a fire of woods. Stews and pasta were the most common meals provided by community pots. In addition, some organisations also provided breakfast and afternoon snack, which mainly consisted of milk and bread. In most cases, people attending community pots took plastic containers to take the meal, whereas other organisations provided disposable containers to beneficiaries.

Fig. 2 Images of community pots organised by Uruguayan civil society organisations in the context of COVID-19, retrieved from the Facebook accounts of the organisations

Fifteen percent of the identified organisations were not in direct contact with the beneficiaries. Instead, they acted as nexus between organisations. They were mainly in charge of receiving donations from citizens, companies or other civil society organisations, which were then distributed to other organisations in direct contact with beneficiaries. It is worth highlighting that some of these organisations received donations of ultra-processed products from food companies (e.g. soda, crackers, cookies, chocolates), as exemplified in Fig. 3.

Fig. 3 Images of donations of ultra-processed products received by Uruguayan civil society organisations in the context of COVID-19 from a food bank

Target population

The information posted on Facebook evidenced that most of the organisations did not target their actions to any specific segment of the population. Instead, actions were targeted at any citizen who needed assistance in the context of COVID-19. Organisations used social media to disseminate information about their actions to potential beneficiaries, as exemplified in the following quotes taken from Facebook posts:

‘Important. Families who have received baskets and that still need support: Please contact us at (cell phone number) to ask for the benefit in June’

‘Today one of our neighbors will organize the afternoon snack. Pastries, cookies, etc. You are all invited’

‘Tomorrow, the community pot changes its schedule due to the demonstrations. On Thursday 4th, we’ll receive you at 11:30. Bring your container. We’ll be waiting for you at (address)’.

Only 18 % of the organisations targeted their actions towards specific segments of the population, such as families with children and adolescents, elderly, immigrants or homeless people. Most of those organisations were established before COVID-19 and incorporated specific lines of actions to address the challenges faced by their target population in the context of the outbreak.

Planning and development of the actions

Facebook posts evidenced interactions between organisations and the existence of networks, which provided synergy to the actions. Several organisations acted as nexus between organisations, whereas other organisations jointly distributed food baskets or organised community pots. Networks of community pots were identified in several neighbourhoods of the capital city, Montevideo, which enabled the exchange of foods and other relevant inputs.

Funding of the organisations for the food baskets and community pots was based on donations and, to a lesser extent, their own funds. Donations were mainly obtained from citizens, although references to companies, international organisations, other civil society organisations, the national government and local governments were also identified. Some organisations requested donations of specific products (e.g. ‘We receive donations of onion, pepper, tomato sauce, lentils, beans, flour and eggs’ or ‘Collaborate by donating oil, sugar, salt, fat, baking powder or cleaning products’), whereas others requested any kind of donations (e.g. ‘Second round of collection of foods and cleaning products. We will use everything we collect to prepare baskets for the families with children and adolescents that participate in our activities’ or ‘Sponge cake? Cookies? Scones? Bread? What is your specialty? Be part of this initiative by bringing something home-made for this Wednesday’). Reliance on donations of foods introduced variations to the content of the food baskets provided by the organisations and the dishes prepared in the community pots.

The organisations developed a large range of strategies to raise funds or collect donations of foods and other supplies, including fundraising campaigns, sales of foods or other goods and raffles. Examples of the posts describing fundraising strategies are provided below:

‘We are still receiving donations. Contact us at (cellphone number) and we will collect your donation. We put together food baskets and distribute them to different organizations. Thank you’

‘Thank you! To all those companies and people who collaborate with us in these special times of vulnerability. We wouldn’t be able to do it without you. You can contribute with $100 per month by calling at (number)’

‘We need your help. During the sanitary emergency there are many families that cannot access basic food. We are putting together food baskets that are distributed to more than 100 families every week. How can you collaborate? (Banking information)’

‘Solidary day. Sale of jams. Apple jam – Pumpkin jam. This is one of the ways we have to keep our solidary actions going. And it’s tasty!’

‘Solidary Friday. Sales of pastry to keep our community pot working. We’ll be receiving orders until Wednesday 13th. We will be delivering the orders on Friday 15th. All the funds will be used to pay the costs of our community post. You can order yours to one of the neighbors that are helping us’

Large differences between the organisations were identified in terms of the planning of the actions. Some organisations, particularly non-governmental organisations, faith-based organisations, trade unions and educational institutions, planned their actions in advance to address the needs of the population.

Challenges faced by the organisations

The main challenge faced by the organisations was related to the lack of funds or supplies. From May 2020, there was an increase in the number of posts referring to a reduction in the number of donations and lack of foods for the food baskets or the community pots, as exemplified in the following quote: ‘Next week we’ll be able to cover only 2 snacks. After 2 months of continued work, we’re really sorry. We are providing 52 to 55 liters of milk per day for 234 people!!! We need your help to keep helping these people!! With 1 liter/1 kilo you are helping. Thanks for sharing!!’.

Due to the lack of donations, some organisations were forced to discontinue their actions (e.g. ‘Due to the lack of donations, we are not receiving anything, there won’t be preparing more baskets until further notice. There’s nothing else we can do’) or restricted their target population (e.g. ‘Today is our last community pot. From tomorrow, only for children…’).

In addition, from the beginning of May, several organisations announced the interruption of their activities, mainly due to difficulties to obtain funding or the return of organisations and volunteers to their normal activities. In the following, examples of posts are provided:

‘Good morning! As everything else in life, it finishes. This Thursday our community pot will come to an end. As it is well-known, people in charge (of the pot) started with their normal activities. In addition, donations are not coming, and it is very difficult for us to continue. We would like to thank all the neighbors that came to us with a package of pasta, to the companies, etc. Thank you very much! We are very grateful for having been able to help so many people’

‘(Name of the sport club) communicates that today (27/5) will be our last community pot. We thank all who have collaborated to develop this initiative, from those who donated supplies to those who prepared the meals. Thanks everyone’

‘Thanks for your solidarity. We inform that the popular pot won’t continue. We hope we have been able to help those in need during these two months. We have given our biggest effort and dedication, always for the sake of our neighborhood. Thanks to those who made it possible’

Discussion and conclusions

Results of this study showed that Uruguayan civil society developed a large number of actions to contribute to food security in the context of the COVID-19 pandemic, in agreement with previous studies conducted in different countries across the world(Reference Duque Franco, Ortiz and Samper14Reference Andion16,Reference Tandon and Aravind36Reference Banerjee, Bringel and Pleyers40) . The large number of organisations that developed activities to contribute to food security indicates that the actions implemented by the Uruguayan government were not enough to contain the negative effects of the COVID-19 pandemic. This suggests failures in the social protection system and welfare regime of Uruguay, as previously reported for other Latin American and Caribbean countries(11). The pandemic evidenced the need to reconfigure the food, health and social protection systems of Latin American countries to guarantee the achievement of food security(Reference Pérez-Escamilla, Cunningham and Moran41).

The large number of organisations that developed activities to contribute to food security can be seen as a sign of expression of solidarity within the Uruguayan population(Reference Hawdon and Ryan19). Most of the initiatives targeted any citizen under socioeconomic vulnerability in the face of COVID-19, without specifying any specific requirement or population segment. This suggests the broad extension of the response of the Uruguayan civil society and represents a key difference with results reported by a Latin American study focussed on activities developed in informal settlements(Reference Duque Franco, Ortiz and Samper14).

The contributions of Uruguayan civil society to food security were mainly led by community groups, and, to a lesser extent, by consolidated organisations. Other studies conducted in different regions of the world have also reported the spontaneous creation of initiatives to respond to the urgent needs of vulnerable segments of the population in the context of the pandemic(Reference Duque Franco, Ortiz and Samper14,Reference Gutierrez, Bringel and Pleyers37,Reference Banerjee, Bringel and Pleyers40) . However, the creation of these initiatives highlights the existence of an ‘associative fabric’, i.e. a network of groups and civil society organisations, that preceded the COVID-19 pandemic and enabled a rapid response during the crisis(Reference Duque Franco, Ortiz and Samper14). In this sense, the present work evidenced the existence of interactions between community groups and consolidated organisations.

The interactions between organisations can be regarded as examples of circulation of information and resources, fundamental activities to generate and maintain social solidarity(Reference Hawdon and Ryan19). Results from the present work evidenced articulation and creation of networks among different civil society organisations rather than between the organisations and State institutions. Furthermore, citizens were the main source of funding for the actions implemented by civil society, while contributions from for-profit organisations and governmental institutions (from the national and local governments) were secondary. This is aligned with conceptual frameworks which highlight that civil society is independent from other spheres, such as the State or the market(Reference Hawdon and Ryan19,Reference Alexander20,Reference Greer, Wismar and Pastorino42) .

Social media posts evidenced that most civil society organisations did not establish close relationships with governmental institutions. However, instances where governmental institutions provided foods or other resources to the organisations were identified. The lack of coordination and alliance between civil society and State organisations can have a negative effect in their ability to cope with the crisis(Reference Sobel and Leeson43,Reference Ertan44) . In this sense, Duque Franco et al.(Reference Duque Franco, Ortiz and Samper14) outlined that the discordances between civil society initiatives and State measures have had a negative impact on their ability to improve the lives of vulnerable citizens in Latin American countries, for example in terms of security and transportation.

In this sense, a closer relationship between civil society organisations and governmental institutions could have synergistic effects. The incorporation of the knowledge and experience of civil society organisations can contribute to increase the efficacy of governmental responses in the context of the COVID-19 outbreak or any other food crisis(Reference Duque Franco, Ortiz and Samper14,Reference Ortiz and Di Virgilio45) . Although States should be the main responsible for guaranteeing food security in the country(46), civil society organisations should be regarded as strategic partners in all stages of the design, implementation and assessment of governmental actions. Moreover, it seems necessary to adopt alternative approaches based on the reinterpretation of civil society as part of the democratic state and the public space(Reference Andion16). The development of public actions through societal-state associations of co-construction and collaborative learning can generate important contributions to the achievement of solutions to new problems derived from the crisis(Reference Andion16,Reference Sabel, Zeitlin and Levi-Faur47) .

Social media seemed to play a fundamental role for the coordination, execution and diffusion of the actions developed by Uruguayan civil society to contribute to food security in the context of COVID-19. The fundamental role played by information and communication technologies in the context of COVID-19 has been stressed by other authors(Reference Duque Franco, Ortiz and Samper14,Reference Gutierrez, Bringel and Pleyers37,Reference Sharma, Haidar and Noyola39) . Common examples of the activities conducted through information and communication technologies included communication, fundraising, receipt of donations, ensuring accountability for the organisation’s actions, recognition of the beneficiary population and application of collaborative mapping.

Uruguayan civil society developed two main strategies to increase access to food: food baskets and community pots. The same strategies have been identified in other countries of the region(Reference Duque Franco, Ortiz and Samper14). These initiatives have a long tradition in Latin American countries in the context of economic crises(Reference Duque Franco, Ortiz and Samper14,Reference Pereyra Cousiño48) . In Latin America, community pots have not only had the instrumental aim of providing food, but have also been associated with political struggles and the promotion of alternative cultural values(Reference Pereyra Cousiño48). In Uruguay, community pots emerged in 1980s, during the final part of the civil-military dictatorship occurred between 1973 and 1985(Reference Delbene49,Reference Midaglia50) , and were also relevant during the last economic crisis in 2002(Reference Graña, de Sierra and Mazzei51). According to Midaglia(Reference Midaglia50), the emergence of community pots in Uruguay was linked to innovative forms of collective action that questioned aspects of the traditional societal model promoted by the State, political parties, trade unions and business unions. This suggests that the collective actions developed in the context of the crisis generated by the COVID-19 outbreak are not new. Instead, they are related to a rich history of social mobilisation in the country.

In spite of the heterogeneous characteristics of the organisations, community pots were mainly organised at improvised food service facilities, sport clubs, cultural centres or even on the street. This can be attributed to the existence of logistic difficulties for the implementation of food security initiatives in Latin American countries(Reference Duque Franco, Ortiz and Samper14). In the case of Uruguay, these problems cannot be considered separately from the context where the initiatives were developed, as they were instrumented shortly after the implementation of the first social distancing measures in the country. In this sense, it is likely that the rapid organisation of the civil society response could have hindered optimal planning, coordination and execution. In addition, the relatively low levels of experience of many newly created associations could have contributed to this scenario.

Regarding the types of foods provided by civil society organisations, they consisted of natural or minimally processed foods, culinary preparations and, to a lesser extent, processed products. This is aligned with the recommendations provided by national dietary guidelines(52). However, it is worth highlighting that social media posts suggested that the characteristics of the foods included in the baskets and the meals provided by community pots were strongly dependent on the type of donations received.

Food baskets containing ultra-processed products with excessive content of sugar, fat and sodium were identified, mainly when the organisations received donations from the food industry. The ultra-processed food industry has made donations to communities as part of their strategic responses during COVID-19 pandemic(Reference Collin, Ralston and Hill53,Reference Antúnez, Alcaire and Brunet54) . These donations are often regarded as a contribution to food security. However, they are also part of the marketing strategies of the food industry as they enable the distribution and promotion of products close to expiration date in the context of reduced sales to the most vulnerable populations(Reference Collin, Ralston and Hill53,Reference Antúnez, Alcaire and Brunet54) . Therefore, it seems necessary to develop strategies to discourage inclusion of ultra-processed products with excessive content of nutrients associated with non-communicable diseases as part of the foods provided by civil society in the context of COVID-19. Considering the increasing relevance of food banks(Reference Basilico and Figueroa15,Reference Mejía, Mejía and Rangel55,Reference Schneider56) , it seems necessary to progress in the design of guidelines and policies aimed at organising, regulating, orientating and facilitating food donation activities(Reference Schneider56,57) . In this sense, it is worth highlighting that the Uruguayan government implemented a protocol that banned donations of ultra-processed products to the State in the context of the COVID-19 pandemic, in an attempt to protect the most vulnerable population from the negative health consequences of sustained consumption of such products(58).

The main challenge faced by the organisations was related to the lack of funds or supplies, which generated interruptions in their actions or restrictions on their target population. This result is aligned with the work of Tandon & Aravind(Reference Tandon and Aravind36), who reported a reduction in the resources of Indian civil society organisations from the sixth month of the response due to reduced donations. Considering that the absence of proper social, economic and political conditions may threaten the viability of civil society organisations(Reference Salamon and Anheier59), results from the present work highlight challenges for the medium- and long-term contribution of the Uruguayan civil society to food security. Therefore, governmental measures are fundamental to assure food security(Reference O’Hara and Toussaint7). Additionally, although civil society organisations of Latin American countries present limited capacity for providing public goods to communities(Reference Sorj21,Reference Marín-Arangureny and González Jaramillo22) , the recognition of their voice and initiatives is vital to advance towards new models of development for the societies of the region(11).

Acknowledgements

Acknowledgements: None. Financial support: Funding was obtained from UNICEF Uruguay and Espacio Interdisciplinario (Universidad de la República, Uruguay). The funding sources had no involvement in the study design, collection, analysis and interpretation of data, writing of the article, nor in the decision to submit it for publication. A researcher from UNICEF was involved in the conceptualisation of the study, interpretation of the results and writing of the manuscript. Conflict of interest: None. Authorship: All authors contributed to the development of the research. G.A. and G.B. analysed the data. G.A. and G.B. prepared a first version of the paper, to which all other authors then contributed substantially. Ethics of human subject participation: Not applicable. The information was retrieved from public websites and Facebook accounts of different institutions and organisations.

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Fig. 1 Images of food baskets distributed by Uruguayan civil society organisations in the context of COVID-19, retrieved from the Facebook accounts of the organisations

Figure 1

Fig. 2 Images of community pots organised by Uruguayan civil society organisations in the context of COVID-19, retrieved from the Facebook accounts of the organisations

Figure 2

Fig. 3 Images of donations of ultra-processed products received by Uruguayan civil society organisations in the context of COVID-19 from a food bank