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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