GPRA Strategic Plan Requirements by eddaybrown

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									Food Stamp Nutrition
     Education:
Promoting Healthy Eating and
     Active Lifestyles
                     Alberta Frost
                    Karen Walker
               Food and Nutrition Service
             U.S. Department of Agriculture
         FNS Programs: Reaching
        People Across Generations…




Touching the lives of 1 in 5 Americans each year…
                  FNS Strategic Plan
           Mission: Increase food security and reduce hunger in partnership
           with cooperating organizations by providing children and low-income
           people with access to food, a healthful diet, and nutrition education
           in a manner that supports American agriculture and inspires public
           confidence.


          Goal 1:                                           Goal 2:
Improved nutrition of children                       Improved stewardship
   And low-income people                               of Federal funds

            Objective 1.1:                                  Objective 2.1:
        Improved food security                       Improved benefit accuracy and
                                                            reduced fraud
            Objective 1.2:
    FNS program participants make
         healthy food choices                                 Objective 2.2:
                                                          Improved efficiency of
           Objective 1.3:                                program administration
    Improved nutritional quality of
       meals, food packages,
   commodities, and other benefits
              FNS Strategic Goal 1:
           Improved nutrition of children
              and low income people
Objectives
• Improved food security
• FNS program participants make
  healthy food choices
• Improved nutritional quality of
  meals, food packages, commodities,
  and other program benefits.
                    Federal Expenditures:
              Nutrition Education FY2004
          Federal Funding for Nutrition Education By
   Food Safety
                                        Food Stamp
    Education        Program, 2004 (estimated)
                                     Nutrition Education
     $ 2.5M
                                            $185.8M*

                      0.2%
WIC Breastfeeding                35.2%                Child Nutrition
  & Promotion                                         Team Nutrition
     $70.0M         13.3%                                 $ 9.8M
                                         1.9%

                               WIC
                             $260.9M
                              49.4%
                                                * Represents 50% of State costs,
                                                     reimbursed by USDA
               FNS Nutrition Education
         Obligations Per Participant- FY 2004
                                                   $33.45

$35.00

$30.00

$25.00

$20.00
               $7.87
$15.00
                              $0.20
$10.00

 $5.00

 $0.00
         Food Stamp* Child Nutrition          WIC**
                            * Represents 50% of State costs, reimbursed by USDA
                            ** Does not include breastfeeding promotion
Food Stamp Program
    Participants
        Over 24
        million
      participants
       per month
      nationwide
         Food Stamp Program Vision:
               Shifting the Paradigm
• Change perceptions: from food
  assistance to nutrition assistance
• Move from coupons to Electronic
  Benefit Transfer (EBT)
• Increase program access
• Connect nutrition education
• Potential change in “Name”
           Food Stamp
        Nutrition Education



Helping participants to make
      healthier choices
     Food Stamp
  Nutrition Education



52 State Agencies
  have Nutrition
 Education Plans
      Types of
Implementing Agencies

      • 45% are CES
      • 18% are networks
      • 37% are other
        organizations
                   Approved Federal Funding for
                     FSP Nutrition Education,
                       FY1992 to FY 2004
           250.0

           200.0
Millions




           150.0
                                                           Millions
           100.0

            50.0

             0.0
                 2


                       4


                             6


                                    8


                                           0


                                                 2


                                                       4
               '9


                     '9


                           '9


                                  '9


                                         '0


                                               '0


                                                     '0
                                 Fiscal Year
     Food Stamp Nutrition Education:
              The Flexibility Paradox
States have considerable flexibility:
• Goals and objectives
• Target groups
• Interventions & educational strategies
• Service delivery settings
Challenges of FSNE Flexibility
  • Messages are fragmented and diluted
  • Different interpretations about
    appropriate activities and expenditures
    that qualify for federal reimbursement
  • Nutrition education frequently not
    recognized as part of the FSP
  • No clear picture of what services are
    offered to whom
  • Not much is known about achievement
    of program nutrition goals
               2003 Review of FSP by
         Office of Management and Budget
• Assessment: “The program is better designed to reduce
  hunger and malnutrition related to inadequate income,
  than to achieve further incremental improvements in the
  dietary status of low income people.”

• Key Recommendation: “[USDA] will develop a plan for
  the use of Federal and state program funds to improve
  nutrition among program participants [, including] clear
  goals, quantifiable outcomes, and specific
  actions to be undertaken…”
                Re-Engineering
        Food Stamp Nutrition Education
Major Components:
• Policy Framework
• Study of FSP Nutrition Education Activities
• Reporting System (EARS)
• Nutrition Education Evaluation Process
• Materials Development
              The Need for Change:
              Rising Obesity Rates
• 65% of adults aged 20-74 are overweight or
  obese
• Percentage of children who are overweight has
  doubled from 7% to 15% in past 20 years
• Percentage of adolescents who are overweight
  has almost tripled from 5% to 16%
• About 60.5% of people who earn $15,000 to
  $75,000 are overweight or obese, compared with
  56% of people who earn more than $75,000
              The Need for Change:
            Growing Health Problems
• Overweight, obesity and physical inactivity are
  major risk factors for chronic diseases such as
  diabetes, cardiovascular disease and cancer
• 400,000 deaths a year related to poor diet and
  physical inactivity – the second leading cause of
  preventable death (after smoking)
• Diabetes has increased by 49% in past 10 years,
  reflecting strong correlation with obesity; 1 in 3
  persons born in 2000 will develop diabetes if no
  change in current health habits
                The Need for Change:
                 Major Social Costs
• $123 billion per year in 2001 for overweight and
  obesity, direct costs: $64.1 billion, indirect costs:
  58.8 billion.
• In 2003, the public paid about $39 billion -- or
  about $175 per taxpayer -- through Medicare and
  Medicaid programs for obesity-linked illnesses.
• If trends continue through 2020, up to one-fifth of
  health care expenditures would be devoted to
  treating the consequences of obesity
 The Need for Change:
Poor Dietary Behaviors

        -- Overconsumption
           of fats and sweets
        -- Underconsumption
           of fruits, vegetables
           and grains
          The Need for Change:
       Inadequate Physical Activity
• Over 50% of U.S. adults do not get adequate
  moderate physical activity (brisk walking,
  bicycling, vacuuming, gardening)
• Over 60% of children aged 9-13 years do
  not participate in any organized physical
  activity during non-school hours; over 20%
  do not engage in any free-time physical
  activity.

                            Sources:
                            Behavioral Risk Factor Surveillance System, CDC
                            Morbidity and Mortality Weekly Report, CDC
                Re-Engineering
        Food Stamp Nutrition Education
Major Components:
• Policy Framework
• Study of FSP Nutrition Education Activities
• Reporting System (EARS)
• Nutrition Education Evaluation Process
• Materials Development
          FSNE Policy Framework:
         What we want it to accomplish
• Increased focus on food stamp recipients, esp. women
  and children
• More focus on a few key messages
• Connect with Food Stamp Program
• Added referrals to nutrition & health services
• More collaboration with other FNS programs
• More involvement from FSP administrators
           FSNE Policy Framework:
               Clearing the Air
• The Food Stamp Nutrition Education
  Framework is not:
   – An effort to reduce funding for nutrition
     education
   – A strategy to reduce access to food stamps
   – A rejection or prohibition of social marketing
   – An attempt to limit nutrition education to
     counseling or classes in the food stamp office.
            FSNE Policy Framework:
                Clearing the Air
• USDA is interested in messages, strategies,
  audiences, venues, or other aspects of FSNE that
  will strengthen the program.
• We are seeking an approach that:
   – reflects the interests of our partners
   – is consistent with existing legal authorities, and
   – meaningfully serves the 24 million persons who
     participate in the FSP.
           FSNE Policy Framework:
       Process to Policy, Policy to Implementation
• Collaborative approach: internal and external
  consultation.
• Framework posted for public comment at
  www.fns.usda.gov/oane/menu/FSNE/FSNE.htm
• Comment period ended in July; FNS received more
  than 1,000 comments – for and against
• Key partners involved in compilation
  and analysis of comments
           FSNE Policy Framework:
      Process to Policy, Policy to Implementation
• No decisions have been reached about the final
  Framework.
• FNS remains open to State and local issues and
  concerns, and will take the time necessary to
  continue discussions with partners.
• Once complete, FNS will provide a full briefing
  on results and recommendations.
• Implementation will occur through
  revised FSNE guidance and
  timeframes.
          Thank you!
 We look forward to continue working with
you to improve the nutrition and health of the
      low-income people we all serve.

								
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