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The Power of ProcurementSchools, Hospitals, Worksites and Local Government

Childhood Obesity ConferenceSan Diego, CAJune 20, 2017

Meet the Panel

Toni LiquoriFounder and Executive DirectorSchool Food Focus

Prem DurairajDirector of Food Systems and ResearchCommunity Health Improvement Partners

Juliet SimsAssociate Program DirectorPrevention Institute

Jennifer LeBarreDirector of Nutrition ServicesOakland Unified School District

Courtney CrenshawCA Regional Procurement & Engagement CoordinatorHealth Care Without Harm

WHO WE ARE

School Food Focus is the national collaborative that ignites change in our food system by transforming the way school food is produced and purchased so that every child in the U.S. — regardless of income or race — has access to healthy school meals.

Procurement:• the act of finding, acquiring, buying goods (services or works) – in

this case, FOOD – from an external source, often via a competitive bidding process.

• Procurement is, essentially, the overarching or umbrella term within which purchasing can be found.

Values-based Procurement includes the rights to food:

1. In the right quantity2. Delivered to the right place at the right time3. Obtained at the right price4. Of the right quality5. From the right source

Juliet SimsAssociate Program Director

www.preventioninstitute.org

Childhood Obesity ConferenceJune 2, 2017San Diego, CA

Advancing Health Equity Through Healthy, Sustainable, and Just Procurement

@preventioninst

http://www.facebook.com/PreventionInstitute.org

Our definition of healthful food is not limited to the nutrients that a food contains. Our definition recognizes that healthful food comes from a food system where food is produced, processed, transported, and marketed in ways that are environmentally sound, sustainable and just.

“

”http://preventioninstitute.org/sa/settingtherecordstraight.html

Health Equity

“Health equity means that every person, regardless of who they are—the color of their skin, their level of education, their gender or sexual identity, whether or not they have a

disability, the job that they have, or the neighborhood that they live in—has an equal

opportunity to achieve optimal health.”

Source: Braveman PA, et al. Health disparities and health equity: The issue is justice. 2011.

Framework for Evaluating the Impact of Food and Activity Strategies

• Social marketing

• Healthy eating campaigns inschools

• Signage encouraging healthier options (e.g., taking stairs instead of elevator)

• Community gardens

• Workplace design to encourage incidental exercise

• School-based programs focused on growing and cooking food

• School cafeteria policies restrictingunhealthy food

• Increase in PE time at school

• Removal of vending machines containing unhealthy food and drink at workplaces

• Social marketing

• Population-wide distribution of healthy eating or physical activity guidelines

• Mandatory food and nutrition labeling

• Urban design to increase green space and bike paths

• Regulate density of fast foodrestaurants

• Restrictions on marketing of unhealthy food

• Food procurement policies based onnutritional standards in government settings

• Food reformulation

Agentic Agento-structural Structural

Micro(schools, worksites,clinical, or

home)

Macro(national,state, or

communitylevel)

Degree of agency required to influence behavior change

Envir

onme

ntal le

vel w

here

actio

n is t

aken

Source: Backholer K, et al. A framework for evaluating the impact of obesity prevention strategies on socioeconomic inequalities in weight. Am J Public Health. 2014; 104: e43-e50.

An Equitable Food System: From Farm to Fork

PEOPLE

EQUITABLE OPPORTUNITY

Elements of Community Health

u Educationu Living wages &

local wealth

u Social networks & trust

u Participation & willingness to act for the common good

u Norms and culture

PLACEu What’s sold & how it’s

promotedu Look, feel & safety u Parks & open spaceu Getting aroundu Housing u Air, water, soil u Arts & cultural expression

Los Angeles Good Food Purchasing Program

vRedirected $12 million in produce purchases to local business

vGenerated more than 125 new, well-paying food chain jobs

vLos Angeles Unified School District’s bread and produce distributor, Gold Star Foods, reformulated its products to contain sustainable, California-grown wheat

221 Oak StreetOakland, CA 94607Tel: (510) 444-7738

Sign up for our media alerts:http://www.preventioninstitute.org/alerts

www.preventioninstitute.org

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Beyond Local: Values-Based Procurement

Presented by OUSD Nutrition Services Department

Jennifer LeBarre, Executive Director

June 2017

Values-Based Procurement History

• 2007- OUSD joined School Food FOCUS• 2008-2009 – OUSD Nutrition Services launches Farm

to School• 2010 – OUSD Nutrition Services partnered with the

Center for Ecoliteracy to conduct the Rethinking School Lunch Oakland (“RSLO”)

• 2012- OUSD acquires Oakland Fresh Produce Markets

Since 2007, OUSD Nutrition Services has prioritized school meal improvements and Farm to School.

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Values-Based Procurement History

• 2013- OUSD develops and implements California Thursdays in partnership with CEL

• Between 2014 and 2016 – OUSD increases local California produce purchases by 24% and almost $200K annually through a recipe development and staff training program.

• November 2017 – OUSD School Board adopts Good Food Purchasing Resolution.

Since 2007, OUSD Nutrition Services has prioritized school meal improvements and Farm to School.

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EVERY STUDENT THRIVES!

900 High Street, Oakland, CA 94601

Contact us for additional information Phone: 510-434-3334Email: jennifer.lebarre@ousd.org

Farm to Institution:Strengthening Local Food Systems

Challenges to Building Local Farm to Institution

• Growers• Producing quantities to meet mid-to-large market needs• Meeting legal and compliance requirements of buyers• Meeting transportation/logistics/processing

requirements of buyers• Buyers

• Higher local food pricing than status quo• Risk of working with new, small farmers• High transaction costs of working with small farmers

Key Point: Market is not yet catered to small farmers and connected enough to build local food systems

Local Approach – Create Sharing Platform

• Institutional Food Systems Support• Nutrition in Healthcare Leadership Team• Farm to School Taskforce

• Cross-Institutional Food System Support• Farm to Institution Council

Key Point: Building momentum towards food system change requires collaboration, community engagement, and positive reinforcement

Local Approach – Provide Focused Support

• Working with Small Farmers• Capacity-building workshops, one-on-one

support

• Working with Institutions• Procurement bid workshops, one-on-one

support

Key Points: Small farmers do not have critical marketing and administration personnel of larger companies. Supporting these functions is key to CHIP’s approach. Institutions need support and confidence in shifting procurement habits to local preferences.

Local Approach – Build Market for Local Food

• Benevolent Brokering• Good Food Rebate Program• Good Food Showcase

Key Point: Without an established marketplace, it is critical to find alternative strategies to build market connections between local farmers and institutions.

Health Equity in Local F2I Approach• Institutions

• Replace unhealthy foods with local, healthy, sustainably-sourced foods• Support behavior change activities (healthy food signage, school gardens, etc.)• Provide community-wide access to healthy foods through institution-based

strategies focusing on institutions with higher at-risk populations

• Local Economy• Increase demand and market linkage for healthy foods leading to increased supply • Provide money back into local economy to support purchasing of healthier foods

A market connectivity approach to supporting local, healthy foods will result in greater access and consumption of these foods when focused on institutions.

Contact Information

Prem DurairajDirector of Food Systems and Researchpdurairaj@sdchip.org858-609-7962

Thank you!

ProCureWorks is a joint

initiative of School Food

Focus and Health Care

Without Harm

Influencing Market Opportunities

through Cross-Sector Procurement

ProCureWorks.

ProCureWorks is a joint initiative of School Food Focus and Health Care Without Harm. This cross-sector collaboration between school districts and health care systems catalyzes food system change through the prioritization, development, delivery and service of healthy, sustainable and regional food items in communities of high need across California.

TRANSFORMING THE FOOD SYSTEM

a new recipe for human and environmental health

Combined purchasing power of ProCureWorks6 California School Districts // 560 schools

8 California Health Care Systems // 55 hospitals

POWER OF PROCUREMENT

$100 million

a new recipe for human and environmental health

1. Beef: 100% pasture-raised; organic; grass-fed; local

1. Grains: 100% whole-grain pasta; local

1. Poultry: NAE USDA PVP Certified; CA-grown

PRIORITY FOOD PRODUCTS

a new recipe for human and environmental health

• Fundamental differences across sectors

• Getting all facilities to purchase same product

• Working with smaller-scale food producers that are newer to food service sector

• Maintaining stakeholder engagement

CHALLENGES

a new recipe for human and environmental health

• Better access to more healthful, sustainable and/or locally-produced products at more affordable prices

• Opening pathways for small to mid-size companies that do not have access to the institutional market

• Pushing reform in larger companies that have control over institutional markets

• Institutional purchasers become more intentional about their purchasing

COLLABORATIVE PROCUREMENTHow Does Collaborative Purchasing

Promote Equity?

a new recipe for human and environmental health

www.procureworks.org

a new recipe for human and environmental health

Audience Q&A

schoolfoodfocus.org