Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Nutrition Advocacy in California

764 views

Published on

Published in: Career
  • Be the first to comment

  • Be the first to like this

Nutrition Advocacy in California

  1. 1. NUTRITION ADVOCACY Impacting State and Federal Nutrition Policy: Advocacy to bring nutritious and affordable food to low-income people Cathy Hsu, MS, RD California Food Policy Advocates August 10, 2009
  2. 2. What is Nutrition Advocacy? <ul><li>To advocate </li></ul><ul><ul><li>Verb: to speak, plead or argue in favor for </li></ul></ul><ul><ul><ul><li>I advocate for good nutrition in California. </li></ul></ul></ul><ul><li>To be an advocate </li></ul><ul><ul><li>Noun: one that argues for a cause, a supporter </li></ul></ul><ul><ul><ul><li>I am a nutrition advocate. </li></ul></ul></ul><ul><ul><li>Noun: one that pleads on another’s behalf </li></ul></ul><ul><ul><ul><li>I am also an advocate for low-income Californians. </li></ul></ul></ul>
  3. 3. Nutrients are expensive. Calories are not. <ul><li>Low nutrient density, 2000 kcal </li></ul><ul><li>High nutrient density, 2000 kcal </li></ul>$3.52 $36.32 Monsivais, P. and Drewnowski, A. 2007. The Rising Cost of Low-Energy-Density Foods. Journal of American Dietetic Association 107:2071-2076.
  4. 4. Low income, nutrition, and health <ul><li>Average American spends $7/day on food </li></ul><ul><li>Low-income American spends $4/day on food </li></ul><ul><li>Individuals and families with low-income </li></ul><ul><ul><li>Smaller portion of household budget for food </li></ul></ul><ul><ul><li>Options for food purchase and consumption: </li></ul></ul><ul><ul><ul><li>Small amount of mediocre nutritional quality food </li></ul></ul></ul><ul><ul><ul><li>Very small amount of high nutritional quality food </li></ul></ul></ul><ul><ul><ul><li>Large amount of low nutritional quality food </li></ul></ul></ul>Hunger Hunger Satiety Malnutrition Malnutrition Obesity Monsivais, P. and Drewnowski, A. 2007. The Rising Cost of Low-Energy-Density Foods. Journal of American Dietetic Association 107:2071-2076. Malnutrition
  5. 5. California Food Policy Advocates <ul><li>“… a statewide public policy and advocacy organization dedicated to improving the health and well being of low-income Californians by increasing their access to nutritious and affordable food.” </li></ul><ul><li>Focus on legislation of government nutrition programs: </li></ul><ul><li>Food Stamp Program (Supplemental Nutrition Assistance Program) </li></ul><ul><li>School Breakfast and Lunch Program </li></ul><ul><li>Child and Adult Care Food Program </li></ul><ul><li>Make laws to increase access to programs and improve quality of food in programs </li></ul>
  6. 6. The Food Stamp Program <ul><li>Food assistance program for low-income households </li></ul><ul><li>To be eligible: 130% Federal Poverty Level </li></ul><ul><li>Plus many other eligibility rules… </li></ul>Persons in Family Monthly Income Annual Income 1 $1,178 $14,131 2 1,585 19,019 3 1,993 23,907 4 2,400 28,795 5 2,807 33,683 6 3,215 38,571
  7. 7. The Food Stamp Program <ul><li>Once eligible, an amount of benefit is calculated based on income and household expenses. </li></ul><ul><li>The benefit is meant to be supplemental. </li></ul><ul><li>Electronic Benefit Transfer(EBT) card </li></ul><ul><li>used to deliver the benefit. </li></ul><ul><li>Government pays for the benefit. </li></ul>
  8. 8. Legislation on Food Stamp Program <ul><li>Problem: People need it, but can’t enroll. </li></ul><ul><li>To improve access: Change eligibility rules </li></ul><ul><ul><li>Not eligible if own a car </li></ul></ul><ul><ul><li>Not eligible if have savings </li></ul></ul><ul><ul><li>Must have face-to-face interview </li></ul></ul><ul><ul><li>Must have all adults fingerprinted </li></ul></ul>
  9. 9. Legislation on Food Stamp Program <ul><li>Problem: Even with the EBT card, it is hard to afford healthy food at the grocery store. Nutritional quality of food purchased is low. </li></ul><ul><li>To improve quality: Incentivize healthy food purchase </li></ul><ul><li>Healthy Food Purchase Pilot </li></ul><ul><ul><li>Financial incentive to purchase healthy food, such as fresh fruit and vegetables </li></ul></ul><ul><ul><li>Deliver through the EBT card </li></ul></ul><ul><ul><li>Create financial ability to purchase healthy food </li></ul></ul>
  10. 10. Healthy Food Purchase Pilot
  11. 11. School Breakfast and Lunch Program <ul><li>Public schools all serve lunch; some serve breakfast. </li></ul><ul><li>If the family has low income, they can enroll child. </li></ul><ul><li>Child receives meals for free or reduced price. </li></ul><ul><li>Government reimburses school at a fixed rate. </li></ul>Breakfast Lunch Free $1.74 $2.70 Reduced Price $1.44 $2.30
  12. 12. Legislation on School Meal Program <ul><li>Problem: Too much paperwork, kids don’t enroll. </li></ul><ul><li>To improve access: Automatic enrollment </li></ul><ul><ul><li>If family is in Food Stamp Program, </li></ul></ul><ul><ul><li>student enrolled in free meals at school. </li></ul></ul><ul><ul><li>Reduces duplicative process of verifying income </li></ul></ul>
  13. 13. Legislation on School Meal Program <ul><li>Problem: Nutritional quality of meals is not good. </li></ul><ul><li>To improve quality: Implement nutrition standards </li></ul><ul><ul><li>No trans fats </li></ul></ul><ul><ul><li>Align with new Dietary Guidelines </li></ul></ul><ul><li>To improve quality: Increase meal reimbursement </li></ul>
  14. 14. Child and Adult Care Food Program <ul><li>Child care centers serve meals to children while parents are working. </li></ul><ul><li>If serve low income communities, they can apply to get reimbursements for meals served. </li></ul>
  15. 15. Legislation on Child Care Meals <ul><li>Problem: Nutrition quality is poor. </li></ul><ul><li>To improve quality: Implement nutrition standards </li></ul><ul><ul><li>No deep frying </li></ul></ul><ul><ul><li>Serve fruit or vegetable </li></ul></ul><ul><ul><li>Lean meats </li></ul></ul><ul><ul><li>No sugary cereals </li></ul></ul><ul><li>To improve quality: </li></ul><ul><li>Increase meal reimbursement </li></ul>
  16. 16. Why Change through Legislation? <ul><li>Legislation leads to widespread change. </li></ul><ul><li>The change is mandatory. </li></ul><ul><li>Mandatory, widespread change has large impact on population public health. </li></ul><ul><li>Ultimately, goal is to improve health. </li></ul>
  17. 17. What about Japan? <ul><li>Does Japan have laws or programs that impact public health or nutrition? </li></ul><ul><li>Do they impact public health and nutrition for better or for worse? </li></ul><ul><li>How can they be improved? </li></ul>
  18. 18. What about Japan? <ul><li>Are there unresolved or emerging public health nutrition problems? </li></ul><ul><li>Are certain subpopulations more affected by these problems than the general public? </li></ul><ul><li>Why? What is the root of the problem? </li></ul>
  19. 19. What about Japan? <ul><li>How could you affect the root of the problem? </li></ul><ul><li>Modify an existing law or program? </li></ul><ul><li>Create a new law or program? </li></ul><ul><li>You are only limited by your own creativity. </li></ul>
  20. 20. Thank you for your attention! <ul><li>Cathy Hsu, MS, RD </li></ul><ul><li>California Food Policy Advocates </li></ul><ul><li>Oakland, CA </li></ul><ul><li>[email_address] </li></ul>

×