The document discusses community nutrition education programs and food security in Oklahoma. It provides definitions of food insecurity and hunger, and notes that households below 185% of the federal poverty line experience higher rates of food insecurity and hunger. It describes the impact of limited food budgets on health and discusses programs that provide nutrition education and assistance to low-income families.

1. Community Nutrition Education & Food Security Josh Phelps, Assistant CNEP Nutrition Education Specialist [email_address]

2. Food Insecurity 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. http://www.hungerinoklahoma.org/documents/Task%20Force%20Report.pdf

3. Hunger Chronically inadequate nutritional intake or the uneasy and uncomfortable sensation caused by involuntary lack of food. http://www.hungerinoklahoma.org/documents/Task%20Force%20Report.pdf

4. An Income Issue Households above 185% of the Federal Poverty Line 5.3% Food Insecure 1.7% Experience Hunger Households at or below 185% of the Federal Poverty Line 27.3% Food Insecure 10.7% Experience Hunger http://www.hungerinoklahoma.org/documents/Task%20Force%20Report.pdf

5. Everyday Choices Among people served by the Oklahoma Food Bank 41% report having to choose between buying food or paying for their utilities and heating fuel 32% report having to choose between buying food and paying their rent or mortgage http://www.hungerinoklahoma.org/documents/Task%20Force%20Report.pdf

6. Impact of Food Insecurity & Hunger 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. http://www.hungerinoklahoma.org/documents/Task%20Force%20Report.pdf

7. Stretch the Food Budget 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. Though such food items are not healthy as primary diet items, they are cheap, filling, and acceptable. http://www.hungerinoklahoma.org/documents/Task%20Force%20Report.pdf

8. Adaptive Response to Food Insecurity & Hunger Research has indicated that: chronic fluctuations in food availability can cause people to overeat when food is available when the body experiences periods of food deprivation, it can compensate by storing more calories as fat Can lead Food-Insecure individuals into an obesity trap http://www.hungerinoklahoma.org/documents/Task%20Force%20Report.pdf

10. Food Assistance Programs Supplemental Nutrition Assistance Program SNAP Expanded Food & Nutrition Education Program EFNEP Food Distribution Program on Indian Reservations FDPIR Women, Infants and Children Supplemental Nutrition Program WIC

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

12. Reaching Families in Need Last year 5,529 families participated in the CNEP program. On average, graduates of the program participated in more than 11 lessons. Last year 26,874 school children were enrolled in the CNEP program.

13. As a Result… Approximately 96% of participants demonstrated a positive change towards a healthy diet. 35% of participating families less often ran out of food before the end of the month. 37% of CNEP graduates reported their children ate breakfast more often. 13% of surveyed youth participants more often consumed low-cost, healthy foods. 9% of surveyed youth participants increased their frequency of hand washing.

14. Who is eligible for CNEP? Food Assistance Commodities WIC & Head Start in Select Counties Low-Income Seniors Food Banks

15. Nutrition Education for Limited Income Families Personalized Long & Short Term Group or In-Home Family Needs

16. Nutrition Education Assistants (NEAs) Community Based Paraprofessionals Experience with Public Assistance

17. Coach for Positive Behavior Change Peer Teaching Hands-on Learning Relevant to needs of participant Weekly Lessons Mini-Goals

18. Examples of Lessons: Fix it Fast, Eat at Home Shop for Value, Check for Facts Eating Smart Throughout the Lifecycle: Feeding Infants & Children Making Smart Choices when Eating Out Choosing to Move More Throughout the Day

19. Evaluation Tools 24 Hour Food Recall CNEP Survey

20. http://www.nifa.usda.gov/nea/food/efnep/pdf/efnep.wmv

21. New Project Collaborative effort between University of Oklahoma Health Sciences Center, local clinics, and the CNEP Physician referral of patients to the CNEP NEAs work with patients, or caregivers of patients to teach nutrition & physical activity education to address obesity

22. Socio-ecological Framework Adapted from Story M et al., Annu Rev Public Health 2008;29:253-272 Accessed at: http://www.cnpp.usda.gov/DGAs2010-SlidePresentation.htm

23. Helping People Make Healthy Choices Current food and physical activity environment is influential—for better and for worse All elements of society, have a role Individuals and families Communities Business and industry All levels of government Work together to improve nutrition and physical activity Accessed at: http://www.cnpp.usda.gov/DGAs2010-SlidePresentation.htm

24. Food Security 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. http://www.globaleducation.edna.edu.au/globaled/go/pid/177

25. Success Through Collaboration Collaborative Partners: DHS OK Department of Health University of Oklahoma Chickasaw, Creek, & Comanche Nations WIC Regional Food Banks Low-income Housing Authorities Public Schools & Child Nutrition Programs Langston University (1890 institution)