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Community Nutrition Education & Food Security April 7 2011


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Community Nutrition Education & Food Security April 7 2011

  1. 1. Community Nutrition Education & Food Security Josh Phelps, Assistant CNEP Nutrition Education Specialist [email_address]
  2. 2. Food Insecurity <ul><li>Limited or uncertain access to a nutritionally adequate diet, characterized by skipped meals, reduced food portions and/or uncertainty of being able to adequately feed all household members. </li></ul>
  3. 3. Hunger <ul><li>Chronically inadequate nutritional intake or the uneasy and uncomfortable sensation caused by involuntary lack of food. </li></ul>
  4. 4. An Income Issue <ul><li>Households above 185% of the Federal Poverty Line </li></ul><ul><ul><ul><ul><li>5.3% Food Insecure </li></ul></ul></ul></ul><ul><ul><ul><ul><li>1.7% Experience Hunger </li></ul></ul></ul></ul><ul><li>Households at or below 185% of the Federal Poverty Line </li></ul><ul><ul><ul><ul><li>27.3% Food Insecure </li></ul></ul></ul></ul><ul><ul><ul><ul><li>10.7% Experience Hunger </li></ul></ul></ul></ul>
  5. 5. Everyday Choices <ul><li>Among people served by the Oklahoma Food Bank </li></ul><ul><ul><ul><li>41% report having to choose between buying food or paying for their utilities and heating fuel </li></ul></ul></ul><ul><ul><ul><li>32% report having to choose between buying food and paying their rent or mortgage </li></ul></ul></ul>
  6. 6. Impact of Food Insecurity & Hunger <ul><li>Research has shown that households with limited budgets tend to reduce the quality and variety of the food purchased before reducing the quantity in order to maximize the calories-per-dollar of the foods purchased. </li></ul>
  7. 7. Stretch the Food Budget <ul><li>To stretch their food budgets, and ensure that household members do not experience the gnawing pains of hunger, food-insecure households tend to replace high cost and low calorie items like fresh produce, fish and lean meats with cheap, high carbohydrate items like pasta, bread, soft drinks, and less healthful food. </li></ul><ul><li>Though such food items are not healthy as primary diet items, they are cheap, filling, and acceptable. </li></ul>
  8. 8. Adaptive Response to Food Insecurity & Hunger <ul><li>Research has indicated that: </li></ul><ul><ul><li>chronic fluctuations in food availability can cause people to overeat when food is available </li></ul></ul><ul><ul><li>when the body experiences periods of food deprivation, it can compensate by storing more calories as fat </li></ul></ul><ul><li>Can lead Food-Insecure individuals into an obesity trap </li></ul>
  9. 10. Food Assistance Programs <ul><li>Supplemental Nutrition Assistance Program </li></ul><ul><ul><li>SNAP </li></ul></ul><ul><li>Expanded Food & Nutrition Education Program </li></ul><ul><ul><li>EFNEP </li></ul></ul><ul><li>Food Distribution Program on Indian Reservations </li></ul><ul><ul><li>FDPIR </li></ul></ul><ul><li>Women, Infants and Children Supplemental Nutrition Program </li></ul><ul><ul><li>WIC </li></ul></ul>
  10. 11. Active CNEP Counties Atoka • Beckham • Bryan • Caddo • Carter • Choctaw • Cleveland • Coal • Comanche Creek • Garfield • Grady • Greer • Harmon • Haskell • Jackson • Johnston • Kay • Kiowa Latimer • LeFlore • Lincoln • Marshall • McCurtain • McIntosh • Murray • Muskogee • Noble Okfuskee • Oklahoma • Okmulgee • Osage • Pawnee • Pittsburg • Pontotoc • Pottawatomie Pushmataha • Seminole • Sequoyah • Stephens • Tillman • Tulsa • Wagoner • Washita
  11. 12. Reaching Families in Need <ul><li>Last year 5,529 families participated in the CNEP program. </li></ul><ul><li>On average, graduates of the program participated in more than 11 lessons. </li></ul><ul><li>Last year 26,874 school children were enrolled in the CNEP program. </li></ul>
  12. 13. As a Result… <ul><li>Approximately 96% of participants demonstrated a positive change towards a healthy diet. </li></ul><ul><li>35% of participating families less often ran out of food before the end of the month. </li></ul><ul><li>37% of CNEP graduates reported their children ate breakfast more often. </li></ul><ul><li>13% of surveyed youth participants more often consumed low-cost, healthy foods. </li></ul><ul><li>9% of surveyed youth participants increased their frequency of hand washing. </li></ul>
  13. 14. Who is eligible for CNEP? <ul><li>Food Assistance </li></ul><ul><li>Commodities </li></ul><ul><li>WIC & Head Start in Select Counties </li></ul><ul><li>Low-Income Seniors </li></ul><ul><li>Food Banks </li></ul>
  14. 15. Nutrition Education for Limited Income Families <ul><li>Personalized </li></ul><ul><ul><li>Long & Short Term </li></ul></ul><ul><ul><li>Group or In-Home </li></ul></ul><ul><ul><li>Family Needs </li></ul></ul>
  15. 16. Nutrition Education Assistants (NEAs) <ul><li>Community Based </li></ul><ul><li>Paraprofessionals </li></ul><ul><li>Experience with Public Assistance </li></ul>
  16. 17. Coach for Positive Behavior Change <ul><li>Peer Teaching </li></ul><ul><li>Hands-on Learning </li></ul><ul><li>Relevant to needs of participant </li></ul><ul><li>Weekly Lessons </li></ul><ul><li>Mini-Goals </li></ul>
  17. 18. Examples of Lessons: <ul><li>Fix it Fast, Eat at Home </li></ul><ul><li>Shop for Value, Check for Facts </li></ul><ul><li>Eating Smart Throughout the Lifecycle: Feeding Infants & Children </li></ul><ul><li>Making Smart Choices when Eating Out </li></ul><ul><li>Choosing to Move More Throughout the Day </li></ul>
  18. 19. Evaluation Tools <ul><li>24 Hour Food Recall </li></ul><ul><li>CNEP Survey </li></ul>
  19. 20.
  20. 21. New Project <ul><li>Collaborative effort between University of Oklahoma Health Sciences Center, local clinics, and the CNEP </li></ul><ul><li>Physician referral of patients to the CNEP </li></ul><ul><li>NEAs work with patients, or caregivers of patients to teach nutrition & physical activity education to address obesity </li></ul>
  21. 22. Socio-ecological Framework Adapted from Story M et al., Annu Rev Public Health 2008;29:253-272 Accessed at:
  22. 23. Helping People Make Healthy Choices <ul><ul><li>Current food and physical activity environment is influential—for better and for worse </li></ul></ul><ul><ul><li>All elements of society, have a role </li></ul></ul><ul><ul><ul><li>Individuals and families </li></ul></ul></ul><ul><ul><ul><li>Communities </li></ul></ul></ul><ul><ul><ul><li>Business and industry </li></ul></ul></ul><ul><ul><ul><li>All levels of government </li></ul></ul></ul><ul><ul><li>Work together to improve nutrition and physical activity </li></ul></ul>Accessed at:
  23. 24. Food Security <ul><li>all people, at all times, have physical and economic access to enough safe and nutritious food to meet their dietary needs and food preferences for an active and healthy lifestyle. </li></ul>
  24. 25. Success Through Collaboration <ul><li>Collaborative Partners: </li></ul><ul><li>DHS </li></ul><ul><li>OK Department of Health </li></ul><ul><li>University of Oklahoma </li></ul><ul><li>Chickasaw, Creek, & Comanche Nations </li></ul><ul><li>WIC </li></ul><ul><li>Regional Food Banks </li></ul><ul><li>Low-income Housing Authorities </li></ul><ul><li>Public Schools & Child Nutrition Programs </li></ul><ul><li>Langston University (1890 institution) </li></ul>