altarum institute policy roundtable cosponsored by the national wic association can wic play a role...
TRANSCRIPT
Altarum Institute Policy Roundtable
Cosponsored by the National WIC Association
Can WIC Play a Role in Stemming the Childhood Obesity Epidemic?
2
How Can WIC Work with Other Programs Such as SNAP-Ed and
Overcome Barriers to Collaboration to Help Prevent Obesity?
Susan B. Foerster, MPH, RDNetwork for a Healthy California
California Department of Public Health
3
▲ The experience and opinions that follow are those of the presenter.
▲ There are no financial disclosures to report.
▲ Supplemental Nutrition Assistance (SNAP) is still called Food Stamps in California.
▲ SNAP-Ed used to be known as FSNE, Food Stamp Nutrition Education.
DISCLAIMERS
4
WIC and SNAP-Ed Have Common Missions and Overlapping Audiences
WIC SNAP-Ed
Income <185% FPL With a waiver, <185% FPL, as well as SNAP
Pregnant, breastfeeding women, children <5 years
Families, especially school-aged
Achieve Dietary and PA Guidelines
Achieve Dietary and PA Guidelines
Reduce/eliminate food insecurity
Reduce/eliminate food insecurity
Improve nutritional healthy early in life
Improve nutritional healthy throughout life
Prevent or reduce obesity Prevent or reduce obesity
5
A Perfect Complement to Achieve Real Change for Needy Families
WIC SNAP-EdSpecific life-stage orientation May be lifelong
Individually focused May be population-based; models vary, may include “social marketing”
Clinic-centered, retail links Many community sites: child care, worksites, schools, food stores, and farmer’s markets, mass media
States set high standards for retailers
Feds set standards for EBT certification
Leadership from SHA SNAP state agency contracts w/ Extensions, Universities, health departments, and/or non-profits
Nut ed funding well integrated Great variability due to FFP/matching mechanism
Great image! Food Stamps is being re-invented!
6
So Far, What Collaborations Have Been Easiest for WIC and SNAP-Ed in California?
7
We Think “Social Ecological”
8
Brand Architecture Works Too
9
Food Stamps Is a Food Security Platform for Entire Families
10
F-SORK Also Is Used by WIC Clinics to Promote Food Stamps
11
Media-TV, Radio, Outdoor, Websites English and Spanish
12
Regional Networks in Media Markets Provide Campaigns, Collaboration Among Diverse Partners
13
Federally-Certified Community Clinics Already Marry WIC, SNAP-Ed and Food Stamp Outreach
14
Network Retail Campaign Adds Power in the Business Sector -- Tools for Retailers
▲Retailer Fruit and Vegetable Marketing Kit
▲Produce Handling Guide
▲Produce Quick Tips
15
Network Retail Program Adds Power with Business – In-Store Nut Ed
▲Food Demonstration Training Kit
▲Store Tour Guide
▲Produce Marketing Association online training
16
Network Retail Program Adds Power with Business – In-Store Merchandising
▲Seasonal Signage
▲Newsletters
▲Cross Promotional Wobblers
▲Spinning Kiosk/Recipe Card Holder
17
Network Retail Program Adds Power with Business – Active Promotions In-Store
▲Food Demonstrations
▲Store Tours
▲Fruit and Veggie Fest
18
Network Retail Program Adds Power with Business -- Strong Industry Partnerships
▲ Participation in Produce Industry Networking Events
▲ Placing Ads in Produce Industry Periodicals
▲ Creating Innovative Produce Marketing Opportunities
▲ Partnership with Fruits & Veggies—More Matters ™ and National FV Alliance at CDC
Fresh Produce& Floral Council
19
▲SNAP--WIC coordinates Network, Food Stamps,
UC-FSNEP, CDE, and CDFA state plan for FNS
▲County Nutrition Action Partnerships–
WIC and Network help local health departments convene counterpart coalitions of
FNS categorical programs
FNS-Required “SNAP” (State Nutrition Action Plan)
20
So, What Impact Has SNAP-Ed Had In California?
21
Impact: Kids Ate More FV as Network Grew, but Children’s Media Made the Difference
22
Sample weighted to the 2000 U.S. Census: N (White)=13,013,000, N (Hispanic)=6,896,000 N (African American)=1,632,000, N (Asian/Other)=3,177,000.
Impact: Adult FV Increased for Network-Targeted Ethnic Groups
2.5
3
3.5
4
4.5
5
5.5
6
6.5
1997 1999 2001 2003 2005 2007
Year
Serv
ing
s
Asian/Pacific Islander
Latino
White
African American
23
Sample weighted to the 2000 U.S. Census: N(<$15,000)=11,602,000, N($15,000-24,999)=4,130,000, N($25,000-34,999)=3,039,000, N($35,000-49,999)=2,917,000, N(>$50,000)=4,795,000.
2.5
3
3.5
4
4.5
5
5.5
6
6.5
1997 1999 2001 2003 2005 2007
Year
Serv
ing
s
$50,000+
$15,000-24,000
<$15,000
Food Stamp Participants
$35,000-49,999
$25,000-34,999
Impact: Adult FV Increased for Network-Targeted FSP and Income Groups
24
What Are More Opportunities?
▲Worksite wellness (Fit Business Kit)
▲Child Care (800 + sites)
▲Media for kids as well as parents
▲State and policy change for communities that our families live in
25
What Happens When the CDC Parameters Are Added as Per ARRA?
Strategies MAPPS Methods
↑ Fruits and Veggies Media
↑ Physical Activity Access
↑ Breastfeeding Promotion
↓ Sugar-Sweetened Beverages Price
↓ Calorie-dense, low-nutrient foods
Social Support
↓ Physical Inactivity, “screen time”
↓ Missing: Food Insecurity!
26
SNAP-Ed Policy Levers Needed so SNAP-Ed and WIC Can Do Even More
▲Obesity: Remove limits on range of PA interventions
▲Hunger: Ask SNAP-Ed to help increase participation in all nutrition assistance entitlement programs
▲Access to healthy food: Leverage WIC and SNAP business relationships, raise EBT standards, build on multiple Let’s Move! farm and ag initiatives
▲Synergy: Require strong coordination and comprehensive, public health approaches in SNAP-Ed Guidance, such as those from ARRA
27
Thank You!
(916) 449-5385
www.networkforahealthycalifornia.net
www.cachampionsforchange.net