The document outlines an agenda for a Farm to Preschool conference that will discuss the growing Farm to Preschool movement across the United States, featuring case studies of successful programs in Hawaii and Massachusetts as well as presentations from members of the National Farm to School Network's Farm to Preschool Subcommittee who are working to expand farm to preschool initiatives. The agenda also includes sessions on best practices for connecting local food producers and childcare centers as well as integrating farm and garden activities, nutrition education, and local food procurement into early childhood education.
Public health organizations in four cities are working to promote healthier food policies and systems through initiatives like farm to school programs, urban agriculture, healthy corner stores, and expanding SNAP/WIC acceptance at farmers markets. They aim to make healthy, local food more accessible and increase consumption. Key challenges include balancing idealistic goals with pragmatic solutions, and coordinating efforts across different levels from grassroots communities to policymakers. Lessons highlighted were focusing on clear missions, evaluating impacts, and adjusting strategies accordingly.
This document summarizes challenges and opportunities with introducing a farm to school program in Omaha, Nebraska. It discusses results from a needs assessment with food service directors, producers, and distributors which identified barriers like food safety concerns, budget constraints, and seasonality issues. It also provides an overview of activities underway in Omaha like partnerships with 3 food service directors and the development of toolkits to guide implementation of farm to school programs in Nebraska. The grassroots approach aims to start with on-the-ground activities and build greater awareness of local foods and agriculture in schools.
This document discusses bringing farm to school concepts to preschool settings. It describes a farm to preschool program in Los Angeles that incorporates nutrition education, gardening, physical activity, local food sourcing, and parent outreach. The document also outlines a systems approach to farm to preschool that engages students, families, educators, farmers, food service staff, and community members. Additionally, it provides an overview of the emerging national farm to preschool movement and resources available.
Gardens for Learning: Creating and Sustaining Your School Garden
`
For more information, Please see websites below:
`
Organic Edible Schoolyards & Gardening with Children
http://scribd.com/doc/239851214
`
Double Food Production from your School Garden with Organic Tech
http://scribd.com/doc/239851079
`
Free School Gardening Art Posters
http://scribd.com/doc/239851159`
`
Companion Planting Increases Food Production from School Gardens
http://scribd.com/doc/239851159
`
Healthy Foods Dramatically Improves Student Academic Success
http://scribd.com/doc/239851348
`
City Chickens for your Organic School Garden
http://scribd.com/doc/239850440
`
Simple Square Foot Gardening for Schools - Teacher Guide
http://scribd.com/doc/239851110
The document discusses the importance of summer food programs in Maryland for combating childhood hunger. It notes that while many children receive free or reduced-price meals during the school year, only a small percentage continue to receive meals in the summer. The document provides best practices for summer food sponsors, including operating programs for as long as possible, serving appealing and nutritious meals, incorporating physical activities, and conducting outreach in the community. It also discusses resources available for sponsors from the state agency and Maryland Hunger Solutions.
Promotion of Healthier Food Habits/ Choices within the family to combat Obesity Sorcia D'Arceuil
This study piloted a family-centered childhood obesity intervention for low-income families with preschool-aged children enrolled in Head Start, which utilized community-based participatory research to develop the intervention and have parents play an active role in planning, implementing, and evaluating the intervention over two years. The intervention included a health communication campaign, revising letters about children's health metrics, nutritional counseling sessions, and a parents program to promote healthy living. Analysis of outcomes found improvements in children's BMI z-scores, physical activity, diet, and screen time as well as positive changes in parenting practices and attitudes related to food, activity, and screen time.
The document discusses a ProActive Kids Program that is a free intensive six-month after-school program for kids ages 8-14 in DuPage County. The program focuses on physical fitness, nutrition education, counseling, family education, learning new activities, student mentoring, and graduation. It aims to promote healthy lifestyles and weight ranges for children. It is led by health, education, nutrition, and athletic leaders working together. The program includes physical fitness, nutrition advice, individual counseling, family discussions, trying new activities, student mentoring, and a celebration graduation. The overall goal is to create healthy kids.
A Cross-Programmatic Response to Food Insecurity Issuessondramilkie
1. Several programs were established in Jackson County, Wisconsin to address rising rates of food insecurity, including Food 4 Kids to provide weekend meal bags to families, the Friends' Food Shelf for food distribution, and a community garden.
2. These programs have expanded access to fresh produce and meals for hundreds of families each week. The community garden provides plots for limited-income families and organizations.
3. Volunteers have contributed nearly 3,000 hours of support, valued at over $51,000. Partnerships with schools and organizations have also helped address food insecurity through these "homegrown" community initiatives.
Public health organizations in four cities are working to promote healthier food policies and systems through initiatives like farm to school programs, urban agriculture, healthy corner stores, and expanding SNAP/WIC acceptance at farmers markets. They aim to make healthy, local food more accessible and increase consumption. Key challenges include balancing idealistic goals with pragmatic solutions, and coordinating efforts across different levels from grassroots communities to policymakers. Lessons highlighted were focusing on clear missions, evaluating impacts, and adjusting strategies accordingly.
This document summarizes challenges and opportunities with introducing a farm to school program in Omaha, Nebraska. It discusses results from a needs assessment with food service directors, producers, and distributors which identified barriers like food safety concerns, budget constraints, and seasonality issues. It also provides an overview of activities underway in Omaha like partnerships with 3 food service directors and the development of toolkits to guide implementation of farm to school programs in Nebraska. The grassroots approach aims to start with on-the-ground activities and build greater awareness of local foods and agriculture in schools.
This document discusses bringing farm to school concepts to preschool settings. It describes a farm to preschool program in Los Angeles that incorporates nutrition education, gardening, physical activity, local food sourcing, and parent outreach. The document also outlines a systems approach to farm to preschool that engages students, families, educators, farmers, food service staff, and community members. Additionally, it provides an overview of the emerging national farm to preschool movement and resources available.
Gardens for Learning: Creating and Sustaining Your School Garden
`
For more information, Please see websites below:
`
Organic Edible Schoolyards & Gardening with Children
http://scribd.com/doc/239851214
`
Double Food Production from your School Garden with Organic Tech
http://scribd.com/doc/239851079
`
Free School Gardening Art Posters
http://scribd.com/doc/239851159`
`
Companion Planting Increases Food Production from School Gardens
http://scribd.com/doc/239851159
`
Healthy Foods Dramatically Improves Student Academic Success
http://scribd.com/doc/239851348
`
City Chickens for your Organic School Garden
http://scribd.com/doc/239850440
`
Simple Square Foot Gardening for Schools - Teacher Guide
http://scribd.com/doc/239851110
The document discusses the importance of summer food programs in Maryland for combating childhood hunger. It notes that while many children receive free or reduced-price meals during the school year, only a small percentage continue to receive meals in the summer. The document provides best practices for summer food sponsors, including operating programs for as long as possible, serving appealing and nutritious meals, incorporating physical activities, and conducting outreach in the community. It also discusses resources available for sponsors from the state agency and Maryland Hunger Solutions.
Promotion of Healthier Food Habits/ Choices within the family to combat Obesity Sorcia D'Arceuil
This study piloted a family-centered childhood obesity intervention for low-income families with preschool-aged children enrolled in Head Start, which utilized community-based participatory research to develop the intervention and have parents play an active role in planning, implementing, and evaluating the intervention over two years. The intervention included a health communication campaign, revising letters about children's health metrics, nutritional counseling sessions, and a parents program to promote healthy living. Analysis of outcomes found improvements in children's BMI z-scores, physical activity, diet, and screen time as well as positive changes in parenting practices and attitudes related to food, activity, and screen time.
The document discusses a ProActive Kids Program that is a free intensive six-month after-school program for kids ages 8-14 in DuPage County. The program focuses on physical fitness, nutrition education, counseling, family education, learning new activities, student mentoring, and graduation. It aims to promote healthy lifestyles and weight ranges for children. It is led by health, education, nutrition, and athletic leaders working together. The program includes physical fitness, nutrition advice, individual counseling, family discussions, trying new activities, student mentoring, and a celebration graduation. The overall goal is to create healthy kids.
A Cross-Programmatic Response to Food Insecurity Issuessondramilkie
1. Several programs were established in Jackson County, Wisconsin to address rising rates of food insecurity, including Food 4 Kids to provide weekend meal bags to families, the Friends' Food Shelf for food distribution, and a community garden.
2. These programs have expanded access to fresh produce and meals for hundreds of families each week. The community garden provides plots for limited-income families and organizations.
3. Volunteers have contributed nearly 3,000 hours of support, valued at over $51,000. Partnerships with schools and organizations have also helped address food insecurity through these "homegrown" community initiatives.
Gardens for Learning: Creating and Sustaining Your School GardenFayme4q
The California School Garden Network aims to create and sustain school gardens throughout California to enhance academic achievement, promote healthy living, encourage environmental stewardship, and foster community development among students. A school garden serves as an innovative teaching tool that allows educators to incorporate hands-on, interdisciplinary lessons across subjects like science, math, nutrition, and more. Research shows that participation in school garden programs can improve students' self-esteem, social skills, environmental attitudes, interest in healthy foods, and science test scores.
Using a community-based early childhood development center as a platform to p...IFPRIMaSSP
Presented by Dr. Aulo Gelli, International Food Policy Research Institute (IFPRI) at IFPRI Malawi workshop and policy dialogue, 'Nutrition-sensitive social protection and integrated programs in Malawi: Evidence from a longitudinal study in Zomba spanning the 2016-17 food crises,' in Lilongwe, Malawi, May 17, 2018.
Year 1 Impact Results: Pre-school meals as a platform for behavior change at ...IFPRIMaSSP
Presented by Dr. Mangani Katundu, Associate Professor, Chancellor College, at IFPRI Malawi workshop and policy dialogue, 'Nutrition-sensitive social protection and integrated programs in Malawi: Evidence from a longitudinal study in Zomba spanning the 2016-17 food crises,' in Lilongwe, Malawi, May 17, 2018.
Farm to Preschool connects young children with local foods through a holistic approach with four components: serving local foods, gardening, education, and family engagement. It benefits children's nutrition, health, and food literacy while supporting local agriculture and communities. A 2012 survey found most preschools teach about food origins, serve local foods, and garden. Activities can start small by partnering with organizations and utilizing existing resources. Potential partners include parents, farmers, and non-profits. Engaging activities include taste tests, cooking demonstrations, gardening, and parent newsletters about recipes.
Jones valley teaching farm work in progressChris Deschamp
The Jones Valley Teaching Farm works to address nutrition and health issues in Birmingham, Alabama through education programs. Their Good Food Program partners with local schools. This report recommends expanding that program by:
1) Increasing outreach to all K-8 schools and providing nutrition education to students, teachers and parents.
2) Evaluating the program's impact on fruit and vegetable consumption using pre- and post-surveys of students in participating vs non-participating schools.
The goal is to significantly increase daily fruit and vegetable intake and knowledge of healthy eating among Birmingham students.
This document discusses the relationship between water, sanitation, hygiene (WASH) and child growth and stunting in low and middle income countries. It notes that while interventions to reduce diarrhea have had some success in reducing stunting, widespread reductions remain elusive. The document reviews evidence that poor WASH conditions are associated with environmental enteric dysfunction and stunting, in part through increased exposure to fecal contamination from multiple sources, including humans, livestock and food. It discusses emerging areas of focus like safe disposal of infant and child feces, exposure to animal feces, and food hygiene to reduce pathogens. The document previews potential WASH interventions targeting neglected pathways like those involving animals, laundry, play areas and complementary foods
New Frontiers in Infant & Young Child Feeding GrangerCORE Group
This document discusses a pilot program in Niger that used community video to promote responsive feeding practices to improve early childhood nutrition. The program developed and tested indicators to measure responsive feeding behaviors. It found that the intervention generated discussion in communities and some behavior change, such as more nurturing interactions during mealtimes. However, challenges remain due to cultural norms around childcare roles. The program recommends further research on responsive feeding indicators and involving all caregivers to strengthen early childhood development.
This document summarizes the findings and implications from two health impact assessments (HIAs) related to farm to school and school garden policies. Key findings include:
1. A farm to school reimbursement program and education grants could create hundreds of jobs and improve food security and student nutrition by increasing access to local foods in schools.
2. Farm to school programs positively influence students' diet and nutrition by increasing preferences for fruits and vegetables and consumption of healthy foods. This can lead to improved learning outcomes and a reduced risk of obesity.
3. Recommendations focus on prioritizing low-income schools and multi-component programs to maximize benefits related to employment, food security, and student health.
This document summarizes a health impact assessment conducted by the Kids Safe and Healthful Foods Project on establishing national nutrition standards for competitive foods and beverages sold in schools. The assessment found that stronger standards would reduce students' risk of chronic disease by limiting unhealthy food access and consumption. It also found schools would likely not see declines in revenue. The assessment recommends USDA establish specific nutrition standards for all foods and beverages sold in schools and adopt policies to ensure effective implementation of the standards.
This document discusses the benefits of school gardens for children's health, education, and development. It notes that childhood obesity has doubled in the past 30 years. School gardens can empower children by teaching them to grow their own food and develop healthy eating habits. The document outlines several programs and curricula for incorporating gardening into education in ways that align with common core standards and teach across subjects like science, math, history and nutrition. It emphasizes the importance of preparation, engagement, safety, and adapting activities for all children when gardening with kids. Sustaining long-term school gardens requires community involvement, planning, effective maintenance and finding ways to motivate ongoing participation.
Schools of Wellness Initiative - SummaryLifeoftheMind
The Schools of Wellness Initiative works to prevent childhood obesity through a public-private partnership program in 50 schools teaching 13,500 students healthy habits. The program teaches students to increase physical activity, make better nutritional choices, and improve overall health through daily wellness lessons. Students have shown a positive shift toward healthy eating and activity, with some reducing their BMI levels. The program aims to expand to all elementary schools in Palm Beach and Broward counties.
The document outlines a group's advocacy efforts to establish a breakfast program in schools. They partnered with Breakfast for Learning and investigated starting a program at several local schools, finding most already had morning snacks but some were interested. The group surveyed people, found most thought breakfast programs were important, and volunteered at two schools. Their action plan includes fundraising, writing to their MPP, and donating money raised to their partner organization to restart a breakfast program.
170 days: US learning on holiday meals by Lindsay GrahamRobin Beveridge
Lindsay Graham's presentation of her study tour of the US, as part of a Winston Churchill Memorial Trust bursary, as delivered to Holiday Hunger North East group on 22 Oct 14.
Farm to school programs have several objectives:
1. Establish healthy eating habits in students and educate them about food production and nutrition.
2. Support local small family farms and promote healthier food options in schools.
3. Integrate nutrition education into the curriculum and help students make connections between their food and community.
Dr. Pamela Mukaire of the Resources for Improving Birth Outcomes at Liberty University discusses a project in rural Uganda to use the FHI 360 Community-based Management of Acute Malnutrition approach to improve the health of families.
Improving Child Nutrition and Development through CBCCs in MalawiIFPRIMaSSP
Presented by Mangani Katundu, Save the Children, Supporting partners: MoGSW, MinAg, DNHA, SHN
Presented at Report Launch “Mapping Linkages Between Agriculture, Food Security and Nutrition in Malawi”
Ufulu Gardens, 28th April, 2015
This document provides guidance on developing farm to school programs in Native communities. It discusses how farm to school connects students to local foods, traditional foods, and family farmers while promoting health, education, and food sovereignty. The document recommends taking a community-based approach, starting small by incorporating local and traditional foods into school meals and events, and sustaining efforts by seeking funding and documenting impacts. The overall goal is to empower children and families through culturally relevant farm to school activities.
8. nutritional education and interventionRajeev Kumar
The document discusses various steps involved in planning a nutrition education program:
1. Identifying the problem and target group through community assessment.
2. Discussing the problem with community members to understand their knowledge, attitudes and practices.
3. Assessing available resources for the program.
4. Establishing educational objectives to bring about positive behavioral changes.
5. Developing a detailed action plan covering content, target audience, communication channels and tools.
A collaborative effort of the Farm to Preschool Subcommittee of the National Farm to School Network, the workshop was led by: Stacey Sobell, Ecotrust/National Farm to School Network; Zoe Phillips, Urban & Environmental Policy Institute, Occidental College; Emily Jackson, Appalachian Sustainable Agriculture Project/National Farm to School Network; Katy Pelissier, Ecotrust
This document discusses bringing farm to school concepts to preschool settings. It describes a farm to preschool program in Los Angeles that incorporates nutrition education, gardening, physical activity, local food sourcing, and parent outreach. The document also outlines a systems approach to farm to preschool that engages students, families, educators, farmers, food service staff, and community members. Finally, it provides an overview of the emerging national farm to preschool movement and resources available.
The webinar provided an overview of farm to school initiatives in the Great Lakes region. Speakers from USDA, National Farm to School Network, and state farm to school coordinators from Minnesota, Wisconsin, Illinois, Indiana, Michigan, and Ohio discussed their programs and goals. Participants were polled to help plan an upcoming in-person regional meeting in Chicago to further collaboration on priorities like procurement, food safety, and identifying regional projects.
The document discusses the importance of summer food programs in Maryland for combating childhood hunger. It notes that while many children receive free or reduced-price meals during the school year, only a small percentage continue to receive meals in the summer. The document then provides best practices for summer food program operators, including serving healthy and appealing meals, incorporating physical activities, and conducting outreach in the community to increase participation. Resources from the state agency and advocacy organizations are also mentioned to help programs operate successfully.
Gardens for Learning: Creating and Sustaining Your School GardenFayme4q
The California School Garden Network aims to create and sustain school gardens throughout California to enhance academic achievement, promote healthy living, encourage environmental stewardship, and foster community development among students. A school garden serves as an innovative teaching tool that allows educators to incorporate hands-on, interdisciplinary lessons across subjects like science, math, nutrition, and more. Research shows that participation in school garden programs can improve students' self-esteem, social skills, environmental attitudes, interest in healthy foods, and science test scores.
Using a community-based early childhood development center as a platform to p...IFPRIMaSSP
Presented by Dr. Aulo Gelli, International Food Policy Research Institute (IFPRI) at IFPRI Malawi workshop and policy dialogue, 'Nutrition-sensitive social protection and integrated programs in Malawi: Evidence from a longitudinal study in Zomba spanning the 2016-17 food crises,' in Lilongwe, Malawi, May 17, 2018.
Year 1 Impact Results: Pre-school meals as a platform for behavior change at ...IFPRIMaSSP
Presented by Dr. Mangani Katundu, Associate Professor, Chancellor College, at IFPRI Malawi workshop and policy dialogue, 'Nutrition-sensitive social protection and integrated programs in Malawi: Evidence from a longitudinal study in Zomba spanning the 2016-17 food crises,' in Lilongwe, Malawi, May 17, 2018.
Farm to Preschool connects young children with local foods through a holistic approach with four components: serving local foods, gardening, education, and family engagement. It benefits children's nutrition, health, and food literacy while supporting local agriculture and communities. A 2012 survey found most preschools teach about food origins, serve local foods, and garden. Activities can start small by partnering with organizations and utilizing existing resources. Potential partners include parents, farmers, and non-profits. Engaging activities include taste tests, cooking demonstrations, gardening, and parent newsletters about recipes.
Jones valley teaching farm work in progressChris Deschamp
The Jones Valley Teaching Farm works to address nutrition and health issues in Birmingham, Alabama through education programs. Their Good Food Program partners with local schools. This report recommends expanding that program by:
1) Increasing outreach to all K-8 schools and providing nutrition education to students, teachers and parents.
2) Evaluating the program's impact on fruit and vegetable consumption using pre- and post-surveys of students in participating vs non-participating schools.
The goal is to significantly increase daily fruit and vegetable intake and knowledge of healthy eating among Birmingham students.
This document discusses the relationship between water, sanitation, hygiene (WASH) and child growth and stunting in low and middle income countries. It notes that while interventions to reduce diarrhea have had some success in reducing stunting, widespread reductions remain elusive. The document reviews evidence that poor WASH conditions are associated with environmental enteric dysfunction and stunting, in part through increased exposure to fecal contamination from multiple sources, including humans, livestock and food. It discusses emerging areas of focus like safe disposal of infant and child feces, exposure to animal feces, and food hygiene to reduce pathogens. The document previews potential WASH interventions targeting neglected pathways like those involving animals, laundry, play areas and complementary foods
New Frontiers in Infant & Young Child Feeding GrangerCORE Group
This document discusses a pilot program in Niger that used community video to promote responsive feeding practices to improve early childhood nutrition. The program developed and tested indicators to measure responsive feeding behaviors. It found that the intervention generated discussion in communities and some behavior change, such as more nurturing interactions during mealtimes. However, challenges remain due to cultural norms around childcare roles. The program recommends further research on responsive feeding indicators and involving all caregivers to strengthen early childhood development.
This document summarizes the findings and implications from two health impact assessments (HIAs) related to farm to school and school garden policies. Key findings include:
1. A farm to school reimbursement program and education grants could create hundreds of jobs and improve food security and student nutrition by increasing access to local foods in schools.
2. Farm to school programs positively influence students' diet and nutrition by increasing preferences for fruits and vegetables and consumption of healthy foods. This can lead to improved learning outcomes and a reduced risk of obesity.
3. Recommendations focus on prioritizing low-income schools and multi-component programs to maximize benefits related to employment, food security, and student health.
This document summarizes a health impact assessment conducted by the Kids Safe and Healthful Foods Project on establishing national nutrition standards for competitive foods and beverages sold in schools. The assessment found that stronger standards would reduce students' risk of chronic disease by limiting unhealthy food access and consumption. It also found schools would likely not see declines in revenue. The assessment recommends USDA establish specific nutrition standards for all foods and beverages sold in schools and adopt policies to ensure effective implementation of the standards.
This document discusses the benefits of school gardens for children's health, education, and development. It notes that childhood obesity has doubled in the past 30 years. School gardens can empower children by teaching them to grow their own food and develop healthy eating habits. The document outlines several programs and curricula for incorporating gardening into education in ways that align with common core standards and teach across subjects like science, math, history and nutrition. It emphasizes the importance of preparation, engagement, safety, and adapting activities for all children when gardening with kids. Sustaining long-term school gardens requires community involvement, planning, effective maintenance and finding ways to motivate ongoing participation.
Schools of Wellness Initiative - SummaryLifeoftheMind
The Schools of Wellness Initiative works to prevent childhood obesity through a public-private partnership program in 50 schools teaching 13,500 students healthy habits. The program teaches students to increase physical activity, make better nutritional choices, and improve overall health through daily wellness lessons. Students have shown a positive shift toward healthy eating and activity, with some reducing their BMI levels. The program aims to expand to all elementary schools in Palm Beach and Broward counties.
The document outlines a group's advocacy efforts to establish a breakfast program in schools. They partnered with Breakfast for Learning and investigated starting a program at several local schools, finding most already had morning snacks but some were interested. The group surveyed people, found most thought breakfast programs were important, and volunteered at two schools. Their action plan includes fundraising, writing to their MPP, and donating money raised to their partner organization to restart a breakfast program.
170 days: US learning on holiday meals by Lindsay GrahamRobin Beveridge
Lindsay Graham's presentation of her study tour of the US, as part of a Winston Churchill Memorial Trust bursary, as delivered to Holiday Hunger North East group on 22 Oct 14.
Farm to school programs have several objectives:
1. Establish healthy eating habits in students and educate them about food production and nutrition.
2. Support local small family farms and promote healthier food options in schools.
3. Integrate nutrition education into the curriculum and help students make connections between their food and community.
Dr. Pamela Mukaire of the Resources for Improving Birth Outcomes at Liberty University discusses a project in rural Uganda to use the FHI 360 Community-based Management of Acute Malnutrition approach to improve the health of families.
Improving Child Nutrition and Development through CBCCs in MalawiIFPRIMaSSP
Presented by Mangani Katundu, Save the Children, Supporting partners: MoGSW, MinAg, DNHA, SHN
Presented at Report Launch “Mapping Linkages Between Agriculture, Food Security and Nutrition in Malawi”
Ufulu Gardens, 28th April, 2015
This document provides guidance on developing farm to school programs in Native communities. It discusses how farm to school connects students to local foods, traditional foods, and family farmers while promoting health, education, and food sovereignty. The document recommends taking a community-based approach, starting small by incorporating local and traditional foods into school meals and events, and sustaining efforts by seeking funding and documenting impacts. The overall goal is to empower children and families through culturally relevant farm to school activities.
8. nutritional education and interventionRajeev Kumar
The document discusses various steps involved in planning a nutrition education program:
1. Identifying the problem and target group through community assessment.
2. Discussing the problem with community members to understand their knowledge, attitudes and practices.
3. Assessing available resources for the program.
4. Establishing educational objectives to bring about positive behavioral changes.
5. Developing a detailed action plan covering content, target audience, communication channels and tools.
A collaborative effort of the Farm to Preschool Subcommittee of the National Farm to School Network, the workshop was led by: Stacey Sobell, Ecotrust/National Farm to School Network; Zoe Phillips, Urban & Environmental Policy Institute, Occidental College; Emily Jackson, Appalachian Sustainable Agriculture Project/National Farm to School Network; Katy Pelissier, Ecotrust
This document discusses bringing farm to school concepts to preschool settings. It describes a farm to preschool program in Los Angeles that incorporates nutrition education, gardening, physical activity, local food sourcing, and parent outreach. The document also outlines a systems approach to farm to preschool that engages students, families, educators, farmers, food service staff, and community members. Finally, it provides an overview of the emerging national farm to preschool movement and resources available.
The webinar provided an overview of farm to school initiatives in the Great Lakes region. Speakers from USDA, National Farm to School Network, and state farm to school coordinators from Minnesota, Wisconsin, Illinois, Indiana, Michigan, and Ohio discussed their programs and goals. Participants were polled to help plan an upcoming in-person regional meeting in Chicago to further collaboration on priorities like procurement, food safety, and identifying regional projects.
The document discusses the importance of summer food programs in Maryland for combating childhood hunger. It notes that while many children receive free or reduced-price meals during the school year, only a small percentage continue to receive meals in the summer. The document then provides best practices for summer food program operators, including serving healthy and appealing meals, incorporating physical activities, and conducting outreach in the community to increase participation. Resources from the state agency and advocacy organizations are also mentioned to help programs operate successfully.
This document discusses why promoting health in schools is important. It notes that healthy students learn better, have better attendance and behavior, and are less likely to engage in risky behaviors. A healthy school environment can help model and practice effective health promotion for both students and staff. The document then provides examples of health initiatives and programs at the West Vancouver School District related to mental health, substance use, healthy eating, physical activity, and sleep. It also lists additional health resources and contacts.
Evaluation for Transformation-A Cross-Sectoral Evaluation Framework for Farm ...Gillian Barclay PhD
This document introduces a cross-sectoral evaluation framework for farm to school programs. It aims to help farm to school programs consistently implement core elements, evaluate efforts, and report outcomes in order to further the movement. The framework was developed through input from experts to provide a theoretical basis for understanding how and why farm to school activities are carried out and their impacts. It seeks to help practitioners, researchers, policymakers and funders make better decisions by improving the understanding of farm to school programs.
The Food and Fun After School Program aims to improve nutrition and increase physical activity for residents of the low-income Hikone community in Ann Arbor, Michigan. It works with the local Community Action Network and engages children through after school programming, parents through educational newsletters, and the community through events. Program leaders conduct outreach, hold meetings, and strive for partnership and input to address social issues and promote long-term healthy behaviors and self-sustaining changes. The goal is to empower residents and forge community connections to ensure equal access to healthy living resources.
This document summarizes a webinar on family and community engagement policies in action. It lists the presenters and moderator for the webinar, which include experts from the U.S. Department of Education, National PTA, SEDL, Harvard Family Research Project, Office of Head Start, and local education agencies. The webinar will discuss examples of policies and initiatives at the federal, state, and local levels to promote systemic family engagement.
Gender sensitive approaches to promote child development in coffee and cocoaAndrea Adriana Vos
A webinar organized by FAO and KIT featuring presentations from Ariane Genthon (FAO), Emmanuel Bukomeko (Kyagalanyi Coffee) and Lieke Guinee (Cocoanect/Beyond Beans)
The document provides guidance for PTAs to partner with schools to support healthy school meals. It outlines goals of empowering PTAs to start conversations about school meals, form school meals teams, assess current meals/policies, and create action plans. Key areas of focus for improving school meals identified are the cafeteria environment, meal quality, student/family perceptions, supporting nutrition staff, and advocating for strong wellness policies. The document provides tools and tips for PTAs to evaluate current meals and develop collaborative plans to enhance school nutrition.
The document describes a program created for preteen girls in a Kentucky school. The program aims to improve self-esteem, encourage healthy behaviors, and provide a safe space for discussion. It involves weekly after-school sessions covering topics like journaling, nutrition, exercise, and guest speakers. Over four years, 258 students participated and evaluations found increased knowledge of health risks and adoption of healthy habits among most students. The program is funded by the Cooperative Extension Service and supported by the school.
Active Families Project - Mr seamus Mullen, Public Health Agencysafefood
This document discusses two public health programs - Active Families and Health Promoting Homes - that aim to promote physical activity and healthy eating habits among families. The programs were developed through partnership between various government and community organizations. Evaluations found that the programs helped families remain active and eat healthier, through an engaging holistic approach. Maintaining partnerships was valuable for effective targeting of families and local adaptability of the flexible frameworks. Opportunities exist to further integrate the programs and take a "total place" approach amid current economic challenges.
School food programs are a critical method to address food insecurity in First Nations communities. In this presentation, Canadian Feed The Children shares its perspective on the success factors critical for impact and sustainability.
Effective Nutrition Promotion within Agricultural Extension INGENAES
Presentation given by Edye Kyper
at University of California, Davis
Program in International & Community Nutrition
March 30, 2016
The presentation describes food systems for nutrition, and the role for agricultural extension through overview of INGENAES concept and its approach to nutrition promotion.
Food Insecurity as a Catalyst for Medical Mistrust in AppalachiaMeghanStump1
The Doctor Said to Eat Better, but With What?
Presenters:
Tori Makal, PhD
Assistant Professor of Biochemistry
Wendy Welch, PhD, MPH
Executive Director, GMEC
Kristin Hecksel seeks a position providing nutritional education, counseling, and resources to support optimal client health. She has extensive volunteer experience assisting with nutrition research studies and providing nutrition counseling, education, and interpreting services. Her background also includes experience as a childcare provider, post-partum doula, organic farmer, and barista. She holds a Bachelor's degree in Clinical Nutrition from UC Davis.
Here are 3 fruits and vegetables for the children to try:
1. Kale chips - A crunchy snack made from kale. Kale is high in vitamin K.
2. Blackberries - A sweet berry that is high in vitamin C and fiber.
3. Carrots - Crunchy carrots are orange because they contain beta-carotene which is good for eyesight.
Let's give each a try and talk about the colors, textures, and flavors. Does anyone have a favorite? Learning about new foods is fun!
The BodyWorks program was developed by the Office on Women's Health to provide parents and caregivers with tools and strategies to improve family eating and activity habits and support adolescents in maintaining a healthy weight. The program includes 10 parent-focused sessions led by trained facilitators, along with magazines and journals for teens. An evaluation found the program significantly changed parent behaviors and intentions and girls responded positively to their parents' participation, though recruitment of parents was more challenging than recruiting trainers.
Partnering Farm to School with the USDA Fresh Fruit & Vegetable ProgramF2C 2009 Conference
Power Point presentation prepared by Joanne Burke, Director of UNH Dietetic Internship Program, University of New Hampshire and El Farrell, Office of Sustainability, University of New Hampshire for the Partnering Farm to School with the USDA Fresh Fruit and Vegetable Program.
Partnering Farm to School with the USDA Fresh Fruit & Vegetable Program
2012 farm to caf f2 pk ppt v5
1. Farm to Preschool:
Taking Root Across the
Nation!
The Farm to Preschool Subcommittee of the
National Farm to School Network
Farm to Cafeteria Conference, August 2-5 2012, Burlington, VT
2. Agenda
• Farm to Preschool/Childcare 101
• The NFSN’s Farm to Preschool Subcommittee
• Case Study: Farm to Keiki, Hawai’i
• Introduction to Subcommittee Members
• Case Study: Farm to Preschool &
Families, Massachusetts
• Subcommittee Panel
• Informal Networking
5. What is Farm to Preschool?
• Connects local food producers and processors
with early care and education
• Local food- and garden-based education in the
classroom, food services, and community
• Suitable for children ages 0-6
• Child care centers, preschools, family home
care, Head Start
6. Why Farm to Preschool?
• Addresses dramatic increase in obesity among
preschool-age children
• Increases access to fresh fruits and vegetables
• Provides in-season product
• Teaches food and environmental literacy
• Helps build additional skills for staff
• Helps viability and preservation of small farms
7. Why in Preschool?
• Many children consume the majority of their
daily nutrients in childcare
• Early patterns are a determinant of later eating
habits
• Children can be agents of change for family
behavior
• K-12 Farm to School movement strong
– creates a local-food focused linkage between
preschool, kindergarten and beyond
9. Farm to Preschool Partners
Children
Care
Families Providers
Teachers
Farm-to-
Preschool
Community
Farmers
Members
Food Service
Staff
10. Farm to Preschool Activities
• Purchasing local foods for meals and snacks
• Curricula and classroom activities
• Farm and farmers’ market field trips, farmer
visits
• Gardens
• Cooking and tastings
• Workshops and trainings
– Parents, providers, others
• Newsletters
• Produce for home
11. National Farm to School Network -
Farm to Preschool Subcommittee
12. National Farm to School Network
http://www.farmtoschool.org Operating in 50 states
2,500 + programs in K-12
13. Farm to Preschool Subcommittee
• Spreading the word and growing the movement
• Conducted a national survey of programs
• Disseminating e-newsletters
• Providing resources through
http://www.farmtopreschool.org
• Developing pre-service training for early care
and education teachers
• Promoting research and evaluation
• Engaging farmers and food producers
14. Farm to Preschool Subcommittee:
E-News and Website
www.farmtopreschool.org
15. Farm to Preschool Subcommittee:
Data Survey
• Results of the Data Survey
• Stacey/Katy will fill in…
• xxx
22. ASAP’s Growing Minds Program
•Emily Jackson, ASAP Program Director &
SE Regional Lead NFSN
•Co-Lead for F2PK Subcommittee
•Facilitating project to integrate F2PS into
university teacher and dietitian course of
study
•Providing educational and promotional
materials, programmatic resources
•Training for teachers, parents, child
nutrition staff
•Connections to area
farmers, chefs, distributors
•http://www.growing-minds.org
23. Ecotrust Farm to School
•Stacey Sobell, Farm to School Manager
•Katy Pelissier, Farm to School Assistant
•Co-Lead for F2PK Subcommittee
•Western Regional Lead Agency, NFSN
•Portland, Oregon
•Exploring F2PK Coalition model in OR:
•Coordinated and comprehensive
statewide approach
•Outreach, partnership building,
community connections
•Learn more at:
http://www.ecotrust.org/farmtoschool/
24. Farm to Preschool
Occidental College
•Zoe Phillips, Farm to Preschool Manager
•Co-lead for F2PK Subcommittee
•Program nationally recognized by Let’s
Move! Child Care in 2012
•Developed farmtopreschool.org
•Evidence-based, two-year Harvest of the
Month curriculum for preschool ages
•Trainings and technical assistance for
providers and agencies in California
•Bilingual workshop series for parents
•Connections to local food purveyors
www.uepi.oxy.edu •Developing a CA state-wide network
25. Gretchen Swanson Center for
Nutrition
•Amy Yaroch, PhD, Executive Director
•Led Farm to School portion of Douglas
County, Omaha Communities Putting
Insert a picture
of you or from Prevention to Work (CPPW) grant
your work/ •Developed toolkit for stakeholders
program here
•http://toolkit.centerfornutrition.org/
•Strong background in survey
development and evaluation
•Workshop on Farm to School across 3
different educational entities: unique
assets and challenges
26. Partners for a Healthier Community,
Inc. (PHC)
•Jessica Collins, Director of Special
Insert a picture Initiatives
of you or from
your work/ •PHC is enhancing the lives of children in
program here
Springfield, MA - one system at a time…
•By providing facilitative leadership for
•Convening cross sector collaborations
•Building capacity of our community
members
•Championing health equity policies
27. Child Care Development
Services, Inc.
•Carolyn Morrison, Chief Executive
Officer
•Sponsor of USDA Child and Adult Care
Insert a picture
of you or from Food Program for family child care and
your work/ child care centers
program here
•Serve 20 Oregon counties
•Provide training to caregivers and
children about:
• Gardening and harvesting food
• Farm and farmers’ markets visits
• Basic training about buying local and
serving fresh fruits and veggies
28. Healthy Kids, Healthy Futures
Farm to Family (F2F)
•Jessica Hoffman, PhD, Associate
Professor, Northeastern University
•Interested in research & program eval.
•F2F: a subsidized CSA model that makes
local produce affordable and accessible to
families with young children in Boston
•weekly farm shares delivered to
convenient locations (Head Start)
•option to pay using SNAP
•Hoffman et al. (July, 2012) JHEN
•Conference Poster: F2F: Providing Access
to Subsidized CSA Shares in a Head Start
Setting
29. Centers for Disease Control and Prevention
• Diane Harris, Ph.D. M.P.H. C.H.E.S.
Visiting Scientist in Division of
Nutrition, Physical Activity, and Obesity
• Provide TA support in FTS and FTP to
CDC-funded programs in states and
communities (CPPW, 805, CTG, etc.)
• Co-Chair Research and Evaluation
Workgroup for FTP Committee
• Coordinate Let’s Move Salad Bars to
Schools
• Board member of Georgia Organics
(organizing GA Farm to Preschool)
30. Children’s Environmental Health
Network
•Carol Stroebel
A national non-profit created to protect the
developing child from environmental hazards
and promote a healthy environment.
• We manage:
Supporting child care professionals in making
low-cost, practical changes for healthier child
care settings.
31. National Head Start Association
• Jane Adams, Director of Projects &
Partnerships, NHSA (jadams@nhsa.org)
• NHSA believes: All children should
reach their full potential
• Head Start is committed to helping
families meet their child’s nutritional
needs and establishing good eating
habits that nurture healthy
development and promote life-long
well-being
32. Institute for Agriculture and
Trade Policy
Madeline Kastler
Sr. Program Associate
JoAnne Berkenkamp
Local Foods Program Director
• F2CC research report issued
• F2CC pilot launched in June 2012
• Share our model nationally in 2013
33. Food Research & Action Center
• Geri Henchy, Director of
Nutrition Policy, FRAC
Insert a picture
of you or from
• FRAC’s work includes a
your work/ focus on assuring access to
program here
healthy foods for low-
income children & families
• This is a picture of some of
my community gardening
partners: Eddie, Rodney &
Miles
34. USDA – Food and Nutrition
Service, Farm to School Program
•Christina Conell, Program Analyst
•Working to develop USDA’s unique
role in the farm to school and farm to
preschool conversation
•Farm to School Grants
•Know Your Farmer, Know Your Food
•Looking to collaborate with Let’s
Move! Child Care
•Evaluating opportunities to integrate
with CACFP
35. Colusa Indian Community Council
Hand-in-Hand Learning Center
•Kimberly Nall, Child Care Center
Director; National Indian Child Care
Association (NICCA)Secretary
Insert a picture
of you or from
•Hand-in-Hand is a Tribal Child Care
your work/ Center in CA
program here
•NICCA is a national organization with a
membership who are Tribal CCDF
programs – NICCA supports quality
measures and initiatives around early
education for tribal child care
•Hand-in-Hand implements many
initiatives around Farm to School
36. MSU Center for Regional Food Systems
MI Farm to School
Jekeia Murphy, Academic Specialist
•Data Collection/Research:
Insert a picture •Nationally in partnership with NHSA
of you or from
your work/
•Statewide with MHSA and MI Office
program here
Photo courtesy of
of Great Start
Children’s House
•Farm to Head Start Pilot Project
•Detroit East Side
•MI Farm to School Grant Program
•Includes 9 early childcare program
grantees!
37. Harvest for Healthy Kids
•Betty Izumi, Assistant Professor, School
of Community Health, Portland State
University
Insert a picture
of you or from •Community-based participatory research
your work/ partnership with Mt. Hood Community
program here
College Head Start
•Year 1 of two-year grant funded by
Kaiser Permanente Northwest Healthy
Food Access Initiative to ↑fruit and
vegetable intake among preschoolers
38. Farm to Keiki Preschool Program
•Tiana Kamen, Farm to Keiki Director
•A toolkit for integrating year-long
wellness programs in preschools
•52 week Hawaiian Harvest Gardening
and Nutrition Curriculum
•Weekly healthy recipes aligned with
grocery store discounts for local foods
•Parent gardening/nutrition workshops
•Implementation of Wellness Policies
•19 pilot preschools on Kaua’i, Hawai’i
•Modified from UEPI F2P Program
•F2P Subcommittee Focus: Pre-Service
Training for Preschool Teachers
39. National FTSN Advisory Board
Member
•David Marvel, Executive Board Member
NFTSN
•Farm to Preschool is an important
extension to farm to school
•By exposing children at the earliest ages we
can influence them in a positive way
•I look for ways to increase farmer
participation in outreach to our youth so we
can educate them about the importance of
agriculture and health
•I am part of a workshop called The Farmer
and the Lunch Lady
43. Vision:
In 2015, children, family, and staff of preschool
organizations are eagerly nourished and empowered by the
benefits of a strong, local food system supported by a high
functioning, sustainable buying model.
Mission:
Over the next five years, Springfield PreKs work
together to ensure that preschoolers enter Kindergarten valuing
and expecting healthy food choices that will set them up for a
life-time of good health and achievement.
Case Study:
Farm to Preschool and Families
Springfield, Massachusetts
44. Farm to Preschool & Families: Key
Components to Food System Change
• Existing network of early education and care
organizations
• Potential policy umbrella of local and state
agencies such as MA DEEC, MDPH, MDAR
• Leadership of Food Service Directors
• Vision to enhance neighborhood food environment
– Springfield Food Policy Council
• Catalyst for other institutions to support a local
and healthy food system (BHS, SPS)
45. Farm to Preschool & Families:
How We Started
• Laid out a four year vision - ~ $90,000/year
• Received grant money for pilot ~ $55,000
– Supported part-time coordinator
– Hired MA Farm to School as consultant
– Covered initial professional development trainings
• Convening of interested agencies
• Piloted with five largest preschools and one farmer
• Committed in-kind time for resource development;
marketing; strategizing
• Added evaluation strategies as we went
46. Farm to Preschool & Families:
Four Interventions Changing --
• the food that is served to them - Farm purchases
for food service
• the KAB of the adults that are serving them -
Professional Development Trainings
• the Classroom environment where they spend
their day – Healthy Snack Grants and LAUNCH
curriculum
• the Home and Neighborhoods where they spend
the rest of their time and consume the rest of
their calories
47. Farm to Preschool & Families:
Ordering through PreK Food Service
FARM PURCHASES
• Joe Czajkowski Farms, Cold Spring Orchard, AC Produce
• Fruits and vegetables
• Weekly deliveries
• 5 drop-off points maximum
• Separate billing
• Orders sent WED, submitted FRI, deliveries TUES
• Items processed, e.g. squash, green beans, carrots
• Quarterly savings = 30-32%
NON-CONSUMABLE PURCHASES (e.g. cleaning supplies, paper products, latex gloves)
• Food Bank of WM, Mansfield Paper
• Weekly deliveries
• Member of Food Bank; For-Profit Orgs.
• Separate billing
• Unlimited drop-off points
• Orders sent WED, submitted FRI, deliveries WED or THURS
• Quarterly savings = 32-45%
48. Farm to Preschool & Families:
Our Mobile Market for Families
• Enterprise Farms, Whately, MA and New Land
Farms of West Springfield, MA
• 2 days 9 stops – Seniors and Preschool Families
• Fresh produce at cost
• Recipes
• Every Wednesday /Thursday
• Pre/During/Post Surveys
49. Farm to Preschool & Families: In a
Year at the YMCA Children are Served
• 1500 pounds of apples
• 500 pounds of green beans
• 400 pounds of red and green leaf lettuce
• 760 pounds of bananas
• 350 pounds of yellow squash and zucchini
• 2400 pounds of potatoes
• 450 pounds of broccoli
• 125 pounds of berries
• 70 pounds of spinach
• 60 pounds of cabbage
• Total 12,000 pounds of fresh produce!
50. Farm to Preschool & Families:
Results to Date
• $25,000 generated for farmers and orchards
• $30,000 for local wholesaler
• 32% cost savings-produce
• 8 PreKs involved
• $2000 in Healthy Snack minigrants
• Over 200 PreK staff trained in
professional development trainings
(Nutrition, Cost Control, Culinary
Skills, ServSafe, Food Preservation)
• Over 2000 children being served
51. Farm to Preschool & Families:
Staff Post Survey Results
• Most Preschool Staff answered that they
strongly agree/agree that the children like
the fresh fruits and vegetables at meals.
• Over 80% said that this year they
encouraged their children to eat fresh
fruits and vegetables at meals.
• When asked if willing to work harder to
bring children fresher nutritious
foods, over 70% strongly agreed/agreed.
• When asked about their own eating
habits this year, 70% said they had tried
to eat more fruits and vegetables.
54. Questions?
info@farmtopreschool.org
Please visit http://www.farmtopreschool.org for
more information and resources
Editor's Notes
Where will we talk about the survey results? How can we let them know about other opps at the conference?
Have audience either stand or raise their hands in response to thefollowing:Have you or did you…Eaten lunch at a school/Head Start as an adultPicked blueberriesKnown a child that was obeseGrow up on a farmCanned or preserved foodCooked with a childEaten kohlrabiKnown a farmer that went out of businessGrown a gardenSeen okra growingRead “Monsters Don’t Eat Broccoli”
Farm to Preschool is similar to Farm to School in that the goal is to connect local food producers and processors with education settings, in this case early care and educationImportantly it emphasizes local food- and garden-based education in not only the classroom but in food services, and connects with the communityFarm to preschool activities can even serve the very youngest kids up to the pre-K age groupThe types of early care and education settings we are talking about include child care centers, preschools, family home care, Head Start, and pre-K programs
Why is Farm to Preschool an important program?Importantly we have seen a dramatic increase in obesity among preschoolers. One thing we know is that obesity is actually linked to food insecurity, and there are food deserts in communities, where access to fresh and healthful foods is poor. Importantly, the emphasis on providing fresh F&V in FTP programs helps increase access, and encourages consumptionProvides in-season productLocal food has a story, a face, and a connectionHelps build additional skills for food service staff and child care providersHelps viability and preservation of small farmsBenefits to local economy and the environment
Why is it important to promote these programs in the early care and education setting?
A Spectrum of Opportunities exists by which states, and to some extent communities, can support ECE facilities in their jurisdictions to achieve recommended standards and best practices for obesity prevention. Each opportunityrepresents a unique avenue for changing the ECE environment directly to improve policies and practices forbreastfeeding support, nutrition, physical activity and screen time in ECE facilities. Not all opportunities need to be pursued successfully in each state to achieve impact; however, it is likely that multiple opportunities pursued as part of a coordinated approach will be most effective at achieving desired goals concerning the weight and health status of 0- to 5-year-olds. A number of factors can be considered to help determine which of the opportunities might be viable options to pursue at any given time.
One of the most important aspects of FTP programs is they engage all sorts of different stakeholders. Certainly the children themselves are integral to the programs, but so are the providers, the food service staff, as well as farmers and other community members. All are important to support the activities of FTP programs and FTP supports a healthy local food system.
Go over list of FTP activities – highlight two major areas – local purchasing and nutrition education
FTS in K-12 is supported throughout the country by the National FTS. We don’t know exactly how many FTS programs there are in the U.S., but we estimate that there are more than 2500 in all 50 states. The FTS Network supports regional leads in 8 parts of the country, and has identified state leads in every state. They can be your first contact if you are looking to add FTP programs to your center. Not all of these leads may be as familiar with FTP as FTS, but they are all willing to help.
More recently the FTP Subcommittee of the National FTS Network has formed to help spread the word and grow the FTP movement. Some of the activities that this subcommittee is engaged in include….
More recently the FTP Subcommittee of the National FTS Network has formed to help spread the word and grow the FTP movement. Some of the activities that this subcommittee is engaged in include….
More recently the FTP Subcommittee of the National FTS Network has formed to help spread the word and grow the FTP movement. Some of the activities that this subcommittee is engaged in include….
More recently the FTP Subcommittee of the National FTS Network has formed to help spread the word and grow the FTP movement. Some of the activities that this subcommittee is engaged in include….
More recently the FTP Subcommittee of the National FTS Network has formed to help spread the word and grow the FTP movement. Some of the activities that this subcommittee is engaged in include….
More recently the FTP Subcommittee of the National FTS Network has formed to help spread the word and grow the FTP movement. Some of the activities that this subcommittee is engaged in include….
More recently the FTP Subcommittee of the National FTS Network has formed to help spread the word and grow the FTP movement. Some of the activities that this subcommittee is engaged in include….
Conference poster
More recently the FTP Subcommittee of the National FTS Network has formed to help spread the word and grow the FTP movement. Some of the activities that this subcommittee is engaged in include….
More recently the FTP Subcommittee of the National FTS Network has formed to help spread the word and grow the FTP movement. Some of the activities that this subcommittee is engaged in include….
More recently the FTP Subcommittee of the National FTS Network has formed to help spread the word and grow the FTP movement. Some of the activities that this subcommittee is engaged in include….
Pilot phase had nutritional quality analyzed saw increase in quality of certain vitamins and minerals (paper to be published)Pre / Post surveys of staff KAB showed