addressing food security and healthier food access in...

NCDHHS, Division of Public Health | Addressing Food Security and Healthier Food Access in North Carolina | June 18 & 25, 2019 1

Addressing Food Security and Healthier Food Access in North Carolina

Diane Beth, MS, RDN, LDN

Nutrition Program Consultant

Agency: Children & Youth Branch

Division of Public Health

NC Department of Health & Human Services

June 18 & 25, 2019


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June Child Health Provider Webinar

The Public Health Nursing and Professional

Development Unit (PHNPDU), North Carolina

Division of Public Health is approved as a

provider of continuing nursing education, by

the North Carolina Nurses Association, an

accredited approver by the American Nurses

Credentialing Centers’ Commission on

Accreditation.

Provided by Nurses, for Nurses


Disclosures

Completion Criteria: the learner must attend

100% of the webinar, complete the participant

evaluation which includes attestation by

signature on evaluation of their full

attendance, and correctly identify the clue

word shared during the presentation in order

to receive 1.67 CNE contact hours.

Conflict of Interest: The planners and

presenters have no actual, potential or

perceived conflicts of interest to disclose.


Welcome and Thank You toDiane Beth, MS, RDN, LDN


Learner Outcomes

1. Describe food security and healthier food

access definitions and data sources

2. Examine the various roles of state and

local level partners in addressing food

security from a multi-level systems and

asset-based approach

3. Choose at least 2 evidence-based

resources and strategies that can be

helpful in addressing food security and/or

healthier food access


Imagine this….

A Bright Future for Every Child (and Family) in NC!


What is Food Security/Insecurity

• Food security—access by all people at all times to

enough food for an active, healthy life.

• Food-insecure households are those that, at times

during the year, are unable to acquire adequate

food for one or more household members because

they have insufficient money or other resources. Food Insecure definitions (USDA):

− Low food security: reports of reduced quality, variety or

desirability of diet.

− Very low food security: reports of multiple indications of

disrupted eating patterns and reduced food intake.

Source: Oliveira, Victor. (2019). The Food Assistance Landscape: FY 2018 Annual Report, EIB-207, U.S. Department of

Agriculture, Economic Research Service. Retrieved from https://www.ers.usda.gov/webdocs/publications/92896/eib-

207_summary.pdf?v=8949.8

https://www.ers.usda.gov/webdocs/publications/92896/eib-207_summary.pdf?v=8949.8


Moving Families Toward Hunger-Free by Increasing Family Resources Available for Food

Source: Children's Health Watch. (2015). Report card on food security among young children in 2015 [PDF

file]. Retrieved from https://childrenshealthwatch.org/wp-content/uploads/2016/10/Hidden-Food-Stress-

Report-Card.pdf.

https://childrenshealthwatch.org/wp-content/uploads/2016/10/Hidden-Food-Stress-Report-Card.pdf


Who is at higher risk for food insecurity?

• Low Income households with

incomes below 185% of the

poverty threshold

• Families headed by a single

woman

• Black, non-Hispanic

households

• Families headed by a single

man

• Hispanic households

• Households with children

under 6 and all households

with childrenSource: USDA Economic Research Service. (2017). December 2017 Current Population Survey Food Security Supplement.

Retrieved from https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/key-statistics-graphics.aspx

https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/key-statistics-graphics.aspx


Hunger and Health

There is growing awareness and acknowledgment in the health

care community that health outcomes and disparities, more

often than not, are driven by social determinants of health than

by medical care.1

Social determinants of health include social, economic,

physical, or other conditions where people live, learn, work,

and play that influence their health.2

Poverty and food insecurity are social determinants of health,

and are associated with some of the most serious and costly

health problems in the nation.

1. Heiman, H. J., & Artiga, S. (2015). Beyond Health Care: The Role of Social Determinants in Promoting Health and Health

Equity. Retrieved from https://www.kff.org/disparities-policy/issue-brief/beyondhealth-care-the-role-of-social-determinants-

in-promoting-health-andhealth-equity/.

2. Healthy People 2020. (2017). Social Determinants of Health. U.S. Department of Health and Human Services, Office of

Disease Prevention and Health PromotionRetreived from https://www.healthypeople.gov/2020/topics-objectives/

topic/social-determinants-of-health.

https://www.kff.org/disparities-policy/issue-brief/beyondhealth-care-the-role-of-social-determinants-in-promoting-health-andhealth-equity/

https://www.healthypeople.gov/2020/topics-objectives/%20topic/social-determinants-of-health


What is Healthier, Affordable and Culturally Appropriate Food Access ?

Many different definitions:

“Healthy” – generally defined as foods meeting the

Dietary Guidelines for Americans

“Affordable” -- having enough money for enough

nutritionally adequate food or people’s perception

of worth relative to cost

“Access”-- to grocery stores, farmers markets and

healthy food retailers

Food Desert versus Food Swamp

“Culturally Appropriate” – foods most commonly

found within a particular culture


Healthy Food Access in NC

NC Alliance for Health (2019). Food for Every Child: The Need for Healthy Food access in North Carolina.

Source: https://www.ncallianceforhealth.org/food-for-every-child-the-need-for-healthy-food-access-in-

north-carolina/

This map shows lower-income communities where there are low supermarket sales

and a high number of deaths due to diet-related disease. These areas have the

greatest need for more supermarkets and other fresh food venues. Many North

Carolina communities without grocery stores have high rates of diet-related disease.

Source: https://www.ncallianceforhealth.org/wp-content/uploads/2019/04/Support-Healthy-Food-

Access-in-NC-Final.pdf

https://www.ncallianceforhealth.org/food-for-every-child-the-need-for-healthy-food-access-in-north-carolina/

https://www.ncallianceforhealth.org/wp-content/uploads/2019/04/Support-Healthy-Food-Access-in-NC-Final.pdf


Supporting Healthy Food Access in North Carolina

“Providing better access to

healthy, affordable food is an

important strategy to promote

equity, improve public health

and stimulate local economies.”

North Carolina Healthy Retail Food Task Force. (2019). Supporting Healthy Food Access in North Carolina. Retrieved from

https://www.ncallianceforhealth.org/wp-content/uploads/2019/04/Support-Healthy-Food-Access-in-NC-Final.pdf.



It Takes a Village to Address Food Security and Healthier Food Access!!

• State and local partners have a role to play in

addressing food insecurity, healthier food access and

other prioritized Social Determinants of Health,

especially for and in cooperation with families with

children or Children and Youth with Special Health

Care Needs (CYSHCN).

• Strategies chosen, using the Socio Ecological Model

should be multi-level and evidence and community

informed.


Socio-Ecological Model

Source: Centers for Disease Control and Prevention. Division of Nutrition, Physical Activity, and Obesity. National Center for

Chronic Disease Prevention and Health Promotion. Addressing Obesity Disparities: Social Ecological Model. Retreived

from http://www.cdc.gov/obesity/health_equity/addressingtheissue.html.https://www.cdc.gov/nccdphp/dnpao/state-local-

programs/health-equity/framing-the-issue.html

http://www.cdc.gov/obesity/health_equity/addressingtheissue.html

https://www.cdc.gov/nccdphp/dnpao/state-local-programs/health-equity/framing-the-issue.html


Applying the Socio-Ecological ModelIdeas for

Addressing Food

Security

Continue Doing Start Doing How and

Where I will do

this(may include

things to Stop

Doing)

Societal

Strategies

Support strong federal &

state nutrition programs

Adopt “living” wages

Increase access to healthy

foods in all programs

Community /

Governmental

Strategies

Develop a Community Food

Security Plan

Asset map your community

Do a social marketing

campaign addressing food

insecurity and/or access to

healthier foods

Focus on

community

limitations versus

assets

Organizational

Strategies

Implement protocols to

screen for Food Insecurity;

Provide racial equity and

cultural training on implicit

bias, cultural variations in

communication and

interaction

Partner w/ other agencies

to address good nutrition

for all and ensure “food

insecure” residents are

involved

Refer clients to nutrition

assistance programs

Avoid providing food

packages not

tailored to the needs

and culture of the

families getting them

Individual &

Family Strategies

Donate healthier canned

goods or garden produce to

Food Pantries

Engage clients in providing

feedback on services

Avoid wasting food


It Takes a Village to Address Food Security and Nutrition!!


ABCD– Asset Based Community Development

• Everyone has gifts– each person in a

community has something to contribute

• Relationships build a community– people

must be connected in order for sustainable

community development to take place

• Residents at the center – residents should

be viewed as actors– not only recipients

(clients) – in development

Adapted from: Collaborative for Neighborhood Transformation. (n.d.). ABCD Toolkit. What is Asset Based Community Development.

Retrieved from https://resources.depaul.edu/abcd-institute/resources/Documents/WhatisAssetBasedCommunityDevelopment.pdf.

https://resources.depaul.edu/abcd-institute/resources/Documents/WhatisAssetBasedCommunityDevelopment.pdf



ABCD– Asset Based Community Development (continued)

• Leaders involve others – community

development is strongest when it involves a

broad base of community action

• People care: challenge notions of “apathy”

by listening to people’s interests

• Listen: decisions should come from

conversations where people are heard

• Ask: asking for ideas is more sustainable

than giving solutions


Addressing Food Insecurity

• Familiarizing yourself with food/nutrition

assistance programs


Food Security and Nutrition Highlighted Resources

• Federal

Nutrition

Programs and

Emergency

Food Referral

Chart – North

Carolina

https://publichealth.nc.gov/wch/providers/


Supplemental Nutrition Assistance Program (SNAP)

25

Age of

Person

Name of

Program

How It Works Who Can

Apply

Learn More

All ages Supplemental

Nutrition

Assistance

Program

(Also known

as SNAP,

formerly Food

Stamps);

referred to as

the Food &

Nutrition

Services

(FNS)

program in

NC

Monthly benefits to

purchase food at

grocery stores,

farmers’ markets,

and food retail

outlets that accept

SNAP Benefits

loaded onto an

EBT card (much

like a debit card)

Gross income

typically at

130% of the

federal

poverty level

but can be

higher

depending on

other factors

Asset tests

may apply

Many low

income

employed

individuals

NC EBT call center

1-866-719-0141

Apply online

https://epass.nc.gov

Apply at local county

Departments of

Social Services

To learn more:

https://www2.ncdhhs.

gov/dss/foodstamp/in

dex.htm

https://epass.nc.gov/

https://www2.ncdhhs.gov/dss/local/index.htm

https://www2.ncdhhs.gov/dss/foodstamp/index.htm


Women, Infants & Children (WIC) Program

26

Age of

Person

Name of

Program

How It Works Who Can Apply Learn More

Pregnant

and post-

partum

breast-

feeding

women

and

infants/

children

until age

five

The

Special

Supple-

mental

Nutrition

Program

for

Women,

Infants,

and

Children

more

common-

ly known

as WIC

The WIC program

is designed to

provide food and

nutrition education

to low-income

pregnant and

postpartum

breastfeeding

women and

infants/children

until age five. The

foods available

through WIC are

foods containing

nutrients

determined to be

beneficial for the

eligible participants

Applicant must meet four

eligibility criteria:

• Live in North Carolina

• Be categorically eligibility:

must be a pregnant

woman, a non-

breastfeeding woman up to

six months postpartum, a

breastfeeding woman up to

one year postpartum, an

infant, or a child up to the

fifth birthday.

• must have a gross annual

income at or below 185%

of the federal poverty line.

All Medicaid, TANF (Work

First), and Food and

Nutrition Services

recipients are automatically

income-eligible for WIC

• have an identified

medical/nutritional risk

problem.

Find the WIC

Program in

each county

through the

State WIC

website:

https://www.nutr

itionnc.com/wic/

directory.htm

WIC Income

Guidelines –

Income

Eligibility Chart:

https://www.nutr

itionnc.com/wic/i

ndex.htm

https://www.nutritionnc.com/wic/directory.htm

https://www.nutritionnc.com/wic/index.htm


Child & Adult Care Food Program (CACFP)

27

Age of

PersonName of

Program

How It Works Who Can

Apply

Learn More

Age

requirement

varies

depending on

the type of

facility can

include:

• children from

birth to 18

years of age

(or older)

• adults 60

years of age

and over, as

well as

functionally

impaired,

nonresident

adults

Child and

Adult

Care

Food

Program

(CACFP)

The purpose of the

program is to

ensure that eligible

children (and

adults) who attend

qualifying non-

residential care

facilities receive

nutritious meals.

CACFP provides

reimbursement to

qualified caregivers

for meals and

supplements

(snacks) served to

participants.

Children from birth

to 18 years of age

who attend the

following facilities:

Child Care Centers,

Family Day Care

Homes, Homeless

Shelters, At-Risk

Afterschool

Programs, Outside-

School-Hours Care

Centers

Adults 60 years of

age and over, as

well as functionally

impaired,

nonresident adults

who attend an Adult

Day Care Center

Contact child’s Early Care and

Education (ECE) program or

the adult’s Adult Day Care

Center (ADCC) to see if they

are participating in CACFP.

ECE and Adult Day Care

Centers can learn more about

CACFP and how to apply here:

https://www.nutritionnc.com/sn

p/index.htm

https://www.nutritionnc.com/snp/index.htm


National School Lunch Program and School Breakfast Program

28

Age of

Person

Name of

Program

How It Works Who Can Apply Learn More

Children

PreK-12

National

School

Lunch

Program

(NSLP)

and

School

Breakfast

Program

(SBP)

Healthy and appealing

breakfast and lunch meals

that meet federal nutrition

standards are available for

all students at all public

schools in N.C.

Students may participate in

the NSLP and SBP based

on eligibility criteria of free,

reduced-priced, or paid

school meals in participating

schools

Updated meal patterns

feature more whole grains,

vegetable subgroups, more

fruit, appropriate calories by

age, zero grams of trans fat

per portion, and reduction of

sodium

Socio-economically

disadvantaged children of

households qualify for meal

benefits (0%-185% of

poverty income guidelines)

The Community Eligibility

Provision is offered at

some schools, a grouping

of schools or a school

district based on the

percentage of Identified

Student Percentage (ISP),

which allows students to

participate in the NSLP,

SBP and the After School

Snack Program (ASSP) at

no cost to the student and

without collecting school

meal applications

All NC Public Schools

are required by law to

participate in the

NSLP; Charter, Non-

Public and RCCI’s may

participate. Contact

your child’s school for

more information and a

Free and Reduced

Price School Meals

Household application

Visit the North Carolina

Child Nutrition office

(at NCDPI) to learn

more about the

programs:

https://childnutrition.nc

publicschools.gov/prog

rams/

https://childnutrition.ncpublicschools.gov/programs/


Other USDA Food Assistance Programs

• Summer Nutrition Programs

• Fresh Fruit and Vegetable Program

• Afterschool Nutrition Programs (available through CACFP or the National School Lunch Program)

• The Emergency Food Assistance Program (TEFAP)

• Food Distribution Program on Indian Reservations (Cherokee Tribe of NC only)

• Senior Nutrition ProgramoCongregate or Group Meals ProgramoHome Delivered Meals/Meals on Wheels

• WIC Farmers’ Market Nutrition Program

• Senior Farmers’ Market Nutrition Program

29


Emergency Food Programs (non-Federal)(Food Pantries, Soup Kitchens, etc.)

30

Age of

Person

Name of

Program

How It

Works

Who

Can

Apply

Learn More

Varies Emergency

Food

Programs

(soup

kitchens,

food

donation

programs

and food

pantries)

Free

food

acces-

sible to

gener-

ally

anyone

who

needs

it

Most

donation

programs

do not

have an

applica-

tion

process

The Homeless Shelter Directory

website provides a searchable list of

NC Emergency Food Programs by city

name.

http://www.homelessshelterdirectory.or

g/foodbanks/NCfoodbanks.html

NC-2-1-1 call specialists are available

24 hours a day, 7 days a week by

dialing 2-1-1 or 888-892-1162 from any

phone.

They also provide a searchable list of

NC food pantries by county, city and/or

zip code. https://www.nc211.org/food-

assistance-search

http://www.homelessshelterdirectory.org/foodbanks/NCfoodbanks.html

https://www.nc211.org/food-assistance-search


Addressing Food Insecurity

• Referring clients to food assistance programs


Food Security and NutritionHighlighted Resources

• Addressing Food Insecurity: A

Toolkit for Pediatricians-

developed by the American

Academy of Pediatrics (AAP)

and the Food Research &

Action Center (FRAC)

• Cultivating Healthy

Communities: Lessons from

the Field on Addressing Food

Insecurity in Health Care

http://frac.org/aaptoolkit

http://www.childrenshealthwatch.org/wp-content/uploads/FINAL-healthy-communities-pages.pdf


Opportunities for Care

During health care visits:

• Educate and train staff on food insecurity and

the need for universal screening

• Work with your clinic’s pediatrician to follow

AAP’s recommendation of screening at

scheduled check ups or sooner if indicated

• Incorporate food insecurity screening and

follow up into your workflow

• Show sensitivity when screening for food

insecurityAdapted from: American Academy of Pediatrics. (2017). Building a Foundation for Healthy Active Living: The Role of the Pediatrician –

Education Series: Safe and Supportive Environments – Food Insecurity. Retrieved from

https://www.youtube.com/watch?v=EqzeYfAuS5E&feature=youtu.be.

https://www.youtube.com/watch?v=EqzeYfAuS5E&feature=youtu.be


Hunger Vital SignsTM Screening

Source: http://frac.org/aaptoolkit



NC Food Insecurity Screening Questions (available in English and Spanish as part of a standardized set of screening questions)1. Within the past 12 months, did you worry that

your food would run out before you got money to

buy more? (Y/N)

2. Within the past 12 months, did the food you

bought just not last and you didn’t have money to

get more? (Y/N)Source: Using Standardized Social Determinants of Health Screening Questions to Identify and Assist Patients with Unmet

Health-related Resource Needs in North Carolina (April 2018) NC Department of Health & Human Services

https://files.nc.gov/ncdhhs/documents/SDOH-Screening-Tool_Paper_FINAL_20180405.pdf

NCDHHS Screening Questions explained (and link to English and Spanish versions):

https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/screening-questions




Food Insecurity Screening - Next Steps

• For those families that do screen positive for food insecurity and receive Medicaid ask them if they are familiar with the WIC Programo Any child five years and younger on Medicaid is

income eligible for WIC

• Familiarize yourself with community resourceso WIC, SNAPo School Lunch, School Breakfast, Child and Adult

Care Food Programo Senior Congregate Meal Programs and Meals on

Wheelso Food Pantries and Food Banks

For more ideas download Addressing Food Insecurity: A Toolkit for Pediatricians



Additional Downloadable Resources

• Chart: Federal Nutrition/Food Assistance Programs and Emergency Food Referral Chart-- NC (pdf)

• Posters: Free Healthy Food for Your Growing Child posters (English and Spanish)

• Chart: Prescription for Free Healthy Food (pdf)

37

Source: Addressing Food Insecurity: A Toolkit for Pediatricians

https://publichealth.nc.gov/wch/providers/

http://www.frac.org/wp-content/uploads/frac-aap-toolkit-poster-free-health-food-english.pdf

http://www.frac.org/wp-content/uploads/frac-aap-toolkit-poster-free-health-food-spanish.pdf

http://www.frac.org/wp-content/uploads/frac-aap-toolkit-prescription-healthy-food.pdf



Food Insecurity Conversation Starters

• Food is important to health. I want to make

sure you have enough food and the right

types of food.

• Are you interested in learning more about

WIC and SNAP programs?

• Ask the two question screening tool

Adapted from: AAP & FRAC. Addressing Food Insecurity: A Toolkit for Pediatricians. Retrieved from http://frac.org/aaptoolkit



Policy, Systems and Environmental Change – Two state/local examples from the Division of Public Health, NCDHHS

Women’s & Children’s Health Section (WCHS)

FY 19-20 Activity 351 Child Health Attachment C

Other Evidence-Based or Evidence-Informed Child

Health Services

• Addressing Food Insecurity and/or Healthier Food

Access (new for FY19-20)

https://surveygizmolibrary.s3.amazonaws.com/library/12181/Final351FY20AttachmentCFoodInsecurityFinal.pdf


Healthy Communities Program

Chronic Disease & Injury Section (CDIS)

• Funding from preventive health and health services

block grant supports 98 of 100 counties

• Funding provided to support FTE to work on a

range of policies, systems, and environmental

change efforts that support health

promotion/disease prevention

• On average, $30,000-40,000 per county

• Local Health Departments choose 2-3 focus areas

from a menu of items


Healthy Food Access in Community Venues

• Increase the number of venues, specifically farmers’ markets,

farm stands, mobile markets and/or Community Supported

Agriculture programs (CSAs) providing access to healthy

foods by increasing:

− the number of produce vendors at the venue (farmers’ market);

− hours/days per week the venue is open;

− the number of venues that accept SNAP;

− number of venue locations

− transportation to the venue

− the number of fruit and vegetable incentive programs (Note:

Healthy Communities cannot pay for the incentives)

• Increase the number of food pantries that provide healthy

options.


Policy, Systems and Environmental Change at the State Level (NC)

• North Carolina

Early Childhood

Action Plan

NC Department of Health & Human Services. (2019). NC Early Childhood Action Plan. Retrieved from https://files.nc.gov/ncdhhs/ECAP-Report-FINAL-WEB-f.pdf.

https://files.nc.gov/ncdhhs/ECAP-Report-FINAL-WEB-f.pdf


North CarolinaEarly Childhood Action Plan

• Age Range –

Prenatal/Birth - 8

Years-Old (typically

third grade)

• Focus: Health,

Child Welfare and

Early Education

• Released February

2019

NC Early Childhood Action Plan | ncdhhs.gov/early-childhood


Early Childhood Action Plan Structure

Each goal features:

• Commitment

• 2025 Target(s)

• Sub – Targets

Each area features:

• Strategies



Babies, toddlers, young children and their

families across North Carolina will have

access to enough healthy food every day.

Decrease the percentage of children living across North

Carolina in food insecure homes from 20.9% to 17.5%

according to data provided by Feeding America.

Percent of

eligible

families

receiving

WIC

Children

under 18

with low

access to

food

Rates of

young children

who are

overweight or

obese

Percent of

families living

at or below

200% of the

federal

poverty level

3. FOOD SECURITY

⎼ Over 1 in 5 children across North Carolina face

hunger.

2025

Target

Sub-

Targets



• Making it easier for eligible families to enroll in

supplemental food and nutrition benefit programs,

especially during times of disaster and recovery.

• Promoting opportunities for young children to access

breakfast and after-school meals during the traditional

school year, as well as opportunities to receive meals

on weekends and school breaks

• Encouraging breastfeeding-friendly policies and

services in local communities

Commit to taking action in your community:

− https://www.ncdhhs.gov/about/department-

initiatives/early-childhood/take-action-nc-kids


FOOD SECURITY: Strategy Examples

https://www.ncdhhs.gov/about/department-initiatives/early-childhood/take-action-nc-kids



Support Food Security: Lead the Way to Provide Breastfeeding Support

• You can lead the way to improve the health of millions of mothers and babies nationwide

• Make a commitment to ensure that breastfeeding support is consistently available at your agency and throughout your community for every mom and baby

47

Families

Health care

systems

EmployersClinicians

Communities

Leadership


On the Horizon in NC

• Food Insecurity Screening

−https://www.ncdhhs.gov/about/department-

initiatives/healthy-opportunities/screening-

questions

• NC CARE360—Statewide Coordinated Care

Network

−https://www.ncdhhs.gov/about/department-

initiatives/healthy-opportunities/nccare360

• Healthy Opportunities Pilots

−One focus area food insecurity -

https://files.nc.gov/ncdhhs/SDOH-

HealthyOpptys-FactSheet-FINAL-20181114.pdf


https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/nccare360

https://files.nc.gov/ncdhhs/SDOH-HealthyOpptys-FactSheet-FINAL-20181114.pdf


On the Horizon in NC

Closing the Hunger Gap

conference– September 3-5,

2019 (Raleigh, NC)

Thrive NC

No Kid Hungry NC

NC Child Hunger Leaders

Conference (February 19, 2020)

NC Local Food Council

Local Food Councils

What Else???

https://thehungergap.org/

https://www.gothrivenc.com/summit/

http://nokidhungrync.org/hunger-in-north-carolina/

http://www.nclocalfoodcouncil.org/

http://www.nclocalfoodcouncil.org/why-local-food/find-a-food-council/


What’s Working in Your Community?


Imagine a Bright Nutrition Future

51


Resources

AAP. (2017). Building a Foundation for Healthy Active Living: The Role of the Pediatrician – Education

Series: Safe and Supportive Environments – Food Insecurity. Retrieved from

https://www.youtube.com/watch?v=EqzeYfAuS5E&feature=youtu.be.

AAP & FRAC. Addressing Food Insecurity: A Toolkit for Pediatricians. Retrieved from


CDC Division of Nutrition, Physical Activity, and Obesity. National Center for Chronic Disease Prevention

and Health Promotion. (2017). Addressing Obesity Disparities: Social Ecological Model.

Retrieved from

http://www.cdc.gov/obesity/health_equity/addressingtheissue.html.https://www.cdc.gov/nccdph

p/dnpao/state-local-programs/health-equity/framing-the-issue.html

Children's Health Watch. (2015). Report card on food security among young children in 2015 [PDF file].

Retrieved from https://childrenshealthwatch.org/wp-content/uploads/2016/10/Hidden-Food-

Stress-Report-Card.pdf

Collaborative for Neighborhood Transformation. (n.d.). ABCD Toolkit. What is Asset Based Community

Development. Retrieved from https://resources.depaul.edu/abcd-

institute/resources/Documents/WhatisAssetBasedCommunityDevelopment.pdf

Healthy People 2020. (2017). Social Determinants of Health. U.S. Department of Health and Human

Services, Office of Disease Prevention and Health Promotion. Retrieved from

https://www.healthypeople.gov/2020/topics-objectives/ topic/social-determinants-of-health.

Heiman, H. J., & Artiga, S. (2015). Beyond Health Care: The Role of Social Determinants in Promoting

Health and Health Equity. Retrieved from https://www.kff.org/disparities-policy/issue-

brief/beyondhealth-care-the-role-of-social-determinants-in-promoting-health-andhealth-equity/.

https://www.youtube.com/watch?v=EqzeYfAuS5E&feature=youtu.be


http://www.cdc.gov/obesity/health_equity/addressingtheissue.html

https://www.cdc.gov/nccdphp/dnpao/state-local-programs/health-equity/framing-the-issue.html

https://childrenshealthwatch.org/wp-content/uploads/2016/10/Hidden-Food-Stress-Report-Card.pdf


https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health

https://www.kff.org/disparities-policy/issue-brief/beyondhealth-care-the-role-of-social-determinants-in-promoting-health-andhealth-equity/


Resources (continued)

James DCS. (n.d.). The Contextualization of Cultural Appropriate Foods in the WIC Program. Retrieved

from

http://www.nationalacademies.org/hmd/~/media/Files/Activity%20Files/Nutrition/ReviewofWICFo

odPackage/16-MAR-31/James%20-

%20The%20Contextualization%20of%20Cultural%20Appropriate%20Foods.pptx

NC Department of Health & Human Services. (2019).NC Early Childhood Action Plan. Retrieved from

https://files.nc.gov/ncdhhs/ECAP-Report-FINAL-WEB-f.pdf.

NC Department of Health & Human Services. (2018). Using Standardized Social Determinants of Health

Screening Questions to Identify and Assist Patients with Unmet Health-related Resource Needs

in North Carolina. Retrieved from https://files.nc.gov/ncdhhs/documents/SDOH-Screening-

Tool_Paper_FINAL_20180405.pdf

North Carolina Healthy Retail Food Task Force. (2019). Supporting Healthy Food Access in North Carolina.

Retrieved from https://www.ncallianceforhealth.org/wp-content/uploads/2019/04/Support-

Healthy-Food-Access-in-NC-Final.pdf.

Oliveira, Victor. (2019). The Food Assistance Landscape: FY 2018 Annual Report, EIB-207, U.S.

Department of Agriculture, Economic Research Service. Retrieved from


USDA Economic Research Service. (2017). December 2017 Current Population Survey Food Security

Supplement. Retrieved from https://www.ers.usda.gov/topics/food-nutrition-assistance/food-

security-in-the-us/key-statistics-graphics.aspx

http://www.nationalacademies.org/hmd/~/media/Files/Activity%20Files/Nutrition/ReviewofWICFoodPackage/16-MAR-31/James%20-%20The%20Contextualization%20of%20Cultural%20Appropriate%20Foods.pptx





https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/key-statistics-graphics.aspx


To access the evaluation and receive the CNE certificate for

participating in the webinar click on the CH Provider Resource

Webpage link below:

http://childrenyouth.chproviderresourc

es.sgizmo.com/s3/

http://childrenyouth.chproviderresources.sgizmo.com/s3/


For more information:

Diane Beth, MS, RDN, LDN

Nutrition Program Consultant

Children & Youth Branch

Women’s & Children’s Health Section

Division of Public Health

North Carolina Department of Health and Human Services

[email protected]

919.707.5669

55

mailto:[email protected]