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Altarum Institute Policy Roundtable Cosponsored by the National WIC Association. Can WIC Play a Role in Stemming the Childhood Obesity Epidemic?. How Can WIC Work with Other Programs Such as SNAP-Ed and Overcome Barriers to Collaboration to Help Prevent Obesity?. Susan B. Foerster, MPH, RD - PowerPoint PPT Presentation
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Altarum Institute Policy Roundtable
Cosponsored by the National WIC Association
Can WIC Play a Role in Stemming the Childhood Obesity Epidemic?
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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
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▲ 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
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WIC and SNAP-Ed Have Common Missions and Overlapping Audiences
WIC SNAP-EdIncome <185% FPL With a waiver, <185% FPL, as well
as SNAPPregnant, 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
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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!
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So Far, What Collaborations Have Been Easiest for WIC and SNAP-Ed in California?
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We Think “Social Ecological”
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Brand Architecture Works Too
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Food Stamps Is a Food Security Platform for Entire Families
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F-SORK Also Is Used by WIC Clinics to Promote Food Stamps
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Media-TV, Radio, Outdoor, Websites English and Spanish
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Regional Networks in Media Markets Provide Campaigns, Collaboration Among Diverse Partners
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Federally-Certified Community Clinics Already Marry WIC, SNAP-Ed and Food Stamp Outreach
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Network Retail Campaign Adds Power in the Business Sector -- Tools for Retailers
▲Retailer Fruit and Vegetable Marketing Kit
▲Produce Handling Guide▲Produce Quick Tips
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Network Retail Program Adds Power with Business – In-Store Nut Ed
▲Food Demonstration Training Kit
▲Store Tour Guide▲Produce Marketing
Association online training
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Network Retail Program Adds Power with Business – In-Store Merchandising
▲Seasonal Signage▲Newsletters▲Cross Promotional
Wobblers▲Spinning
Kiosk/Recipe Card Holder
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Network Retail Program Adds Power with Business – Active Promotions In-Store
▲Food Demonstrations
▲Store Tours▲Fruit and Veggie
Fest
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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
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▲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)
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So, What Impact Has SNAP-Ed Had In California?
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Impact: Kids Ate More FV as Network Grew, but Children’s Media Made the Difference
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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
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3.5
4
4.5
5
5.5
6
6.5
1997 1999 2001 2003 2005 2007
Year
Serv
ings
Asian/Pacific IslanderLatinoWhiteAfrican American
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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
ings
$50,000+$15,000-24,000<$15,000Food Stamp Participants$35,000-49,999$25,000-34,999
Impact: Adult FV Increased for Network-Targeted FSP and Income Groups
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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
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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!
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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
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Thank You!
[email protected](916) 449-5385
www.networkforahealthycalifornia.netwww.cachampionsforchange.net