scholarly journals The Development of Child and Adult Care Food Program Best-Practice Menu and Training for Native American Head Start Programs: The FRESH Study (P04-026-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Susan Sisson ◽  
Kaysha Sleet ◽  
Rachel Rickman ◽  
Charlotte Love ◽  
Mary Williams ◽  
...  
Keyword(s):  
Native American ◽  
Low Income ◽  
Best Practice ◽  
Technical Assistance ◽  
Food Resource ◽  
Lessons Learned ◽  
Funding Agency ◽  
Adult Care ◽  
Effect Change ◽  
And Training

Abstract Objectives New Child and Adult Care Food Program (CACFP) meal patterns and best-practices were implemented nationally in 2017 to address the need to prevent chronic diseases. Young Native American children have disproportionately higher risk of chronic disease. Some Native American tribes operate early care and education (ECE) programs and have the opportunity to participate in the CACFP. The purpose of this paper is to describe a CACFP best-practice menu and training developed and implemented as part of the Food Resource Equity and Sustainability for Health (FRESH) study. Methods FRESH is a community-based participatory research (CBPR) intervention implemented within ECE programs in the Osage Nation of Oklahoma. Site managers and cooks from each of the nine ECE programs attended meetings and provided feedback to investigators which shaped the best-practice menu and training. Each site participated in a three-hour training in January 2018 to discuss the best-practice menu and ways to overcome implementation barriers. Goals of the menu aimed to increase intake of fruit and vegetables and whole grains and reduce pre-fried and processed foods without increasing cook burden. Training included application activities individually and in small and large groups. Results Though the project is still underway, lessons learned have emerged including the need for technical assistance, improved communication between ECE program staff and food supply vendors, and infrastructure barriers (e.g., limited space, lack of supplies) that challenge work-flow. Conclusions Efforts to improve menus in rural and low-income ECE programs must consider these issues in developing feasible intervention strategies. Collaboration with the site manager and cook is essential to fully understand perceived and actual barriers to provide training that can provide necessary background rationale for nutrition recommendations as well as beneficial and productive activities and hands-on training to effect change outside the training. Funding Sources This study was funded by the National Institute on Minority Health and Health Disparities (R01MD011266). The funding agency did not participate in the study design, data collection, analysis, decision to publish, or preparation of the manuscript.

scholarly journals Impact of the 2017 Child and Adult Care Food Program Meal Pattern Requirement Change on Menu Quality in Tribal Early Care Environments: The Food Resource Equity and Sustainability for Health Study

2019 ◽  
Vol 4 (Supplement_1) ◽  
pp. 12-22 ◽  
Author(s):  
Susan B Sisson ◽  
Kaysha Sleet ◽  
Rachel Rickman ◽  
Charlotte Love ◽  
Alexandria Bledsoe ◽  
...  
Keyword(s):  
Native American ◽  
Best Practice ◽  
Food Resource ◽  
Saturated Fat ◽  
Health Study ◽  
Healthy Weight ◽  
Early Care ◽  
Adult Care ◽  
Nutrient Analysis ◽  
Before And After

ABSTRACT Background Native American (NA) children have a high prevalence of obesity contributing to lifespan health disparities. Dietary intake is important to promote healthy weight gain, growth, and development. In 2017, the USDA enforced changes to the Child and Adult Care Food Program (CACFP). The CACFP provides reimbursement to qualifying Early Care and Education (ECE) programs that serve foods that uphold the program's nutrition requirements. Objective This study had the following 2 objectives: 1) Describe a novel index to evaluate ECE menus based on revised CACFP requirements (accounting for food substitutions) and best practices for 3- to-5-y-old children, and 2) analyze CACFP requirement and best practice compliance and nutrient changes in 9 NA ECE programs before and after enforcement of the revised CACFP requirements. Methods This longitudinal study is within a larger community-based participatory research study. Menus and meals served were evaluated for 1 wk at each of 9 programs before and after enforcement of the revised meal patterns. Nutrient analysis, CACFP requirement and best practice compliance, and substitution quality were evaluated. Differences were determined using a paired t-test or Wilcoxon matched test. This trial was registered at clinicaltrials.gov as NCT03251950. Results Total grams of fiber consumed increased (5.0 ± 1.2 compared with 5.9 ± 0.8 g, P = 0.04) and total grams of sugar consumed decreased (53.8 ± 12.6 compared with 48.4 ± 7.9 g, P = 0.024), although room for further improvement exists. Although total grams of fat remained unchanged, grams of saturated fat significantly increased (7.8 ± 1.4 compared with 10.5 ± 3.4, P = 0.041). Other nutrients remained unchanged. Overall CACFP requirement and best practice compliance scores improved, although this finding was not statistically significant. No significant changes in food quality associated with substitutions occurred. Conclusions This study provides early evidence to support the beneficial impact of the revised CACFP requirements. Understanding barriers to compliance within rural NA communities would be an important next step in enhancing the health of vulnerable children.

scholarly journals The development of child and adult care food program best-practice menu and training for Native American head start programs: The FRESH study

2019 ◽  
Vol 14 ◽  
pp. 100880 ◽  
Author(s):  
Susan B. Sisson ◽  
Kaysha Sleet ◽  
Rachel Rickman ◽  
Charlotte Love ◽  
Mary Williams ◽  
...  
Keyword(s):  
Native American ◽  
Head Start ◽  
Best Practice ◽  
Adult Care ◽  
Head Start Programs ◽  
And Training

Toward the Development of a Unified Process and Methodology Guide for Environmental Justice Analysis in Planning and Programming

2021 ◽  
pp. 036119812110288
Author(s):  
Eliot Benman ◽  
David Aimen
Keyword(s):  
Environmental Justice ◽  
Low Income ◽  
Transportation Planning ◽  
Technical Assistance ◽  
Planning Process ◽  
Lessons Learned ◽  
Metropolitan Planning Organizations ◽  
South Central ◽  
Planning Organizations ◽  
Analytical Approaches

Federal Environmental Justice directives require transportation agencies responsible for planning and programming federal funds, including state departments of transportation and metropolitan planning organizations (MPOs), to identify and address disproportionately high and adverse human health and environmental impacts on minority and low-income populations. Despite issuance of federal and state guidance and training programs, many MPOs nationwide continue to seek clarity on effective environmental justice (EJ) approaches and procedural considerations. The South Central Pennsylvania Unified EJ Process and Methodology study was a year-long effort undertaken by a consortium of MPOs in Pennsylvania Department of Transportation (PennDOT) District 8 to identify a unified and replicable approach to implementing EJ in transportation planning. PennDOT, Federal Highway Administration PA Division, and Federal Transit Administration Region III provided technical assistance and support to the effort. The consortium engaged a technical assistance consultant to facilitate a collaborative process to identify a process framework, a set of analytical methodologies, and effective strategies for advancing EJ in the regional transportation planning process. The study demonstrated a model for convening regional, state, and federal partners to reach consensus around an effective EJ process and methodology. This paper provides an overview of the study process, findings related to the concerns of the participating MPOs, and a brief description of the recommended analytical approaches. The paper discusses lessons learned during the course of the study and considers additional work required to further enhance the EJ process.

scholarly journals Multisector Collaborations and Global Oncology: The Only Way Forward

2021 ◽  
pp. 153-161
Author(s):  
Charmaine Blanchard ◽  
Buhle Lubuzo ◽  
Frederick Chite Asirwa ◽  
Xolisile Dlamini ◽  
Susan C. Msadabwe-Chikuni ◽  
...  
Keyword(s):  
Cancer Diagnosis ◽  
Lessons Learned ◽  
Specialized Training ◽  
Patient Access ◽  
Effect Change ◽  
Industry Association ◽  
Patients With Cancer ◽  
Diagnostic Capacity ◽  
System Improvement ◽  
And Training

PURPOSE At the 12th meeting of AORTIC (African Organization for Research and Training in Cancer) in Maputo, Mozambique, held between November 5 and November 8, 2019, a special workshop was organized to focus on the need for collaboration and coordination between governments and health systems in Africa with academic, industry, association, and other nongovernmental organizations to effect sustainable positive change for the care of patients with cancer. METHODS Representatives from seven different projects in Africa presented implementation science and demonstration projects of their to date efforts in cancer system improvement including patient access, South-South partnerships, in-country specialized training, palliative care consortium, treatment outcomes, and focused pathology and diagnostic capacity building. Key partners of the various projects served as moderators and commentators during the session. RESULTS From across all the presentations, lessons learned and exemplary evidence of the value of partnerships were gathered and summarized. CONCLUSION The concluding synthesis of the presentations determined that with the broad needs across cancer requiring in-depth expertise at each point on a patient’s journey, no single organization can effect change alone. Multipartner collaborations not only should be the norm but should also be coordinated so that efforts are not duplicated and maximum patient access to cancer diagnosis and care is achieved.

Promoting Women’s Entrepreneurship in Lebanon: Enhancing Empowerment or Vulnerability?

1970 ◽  
pp. 39-47
Author(s):  
Nabil Abdo
Keyword(s):  
Low Income ◽  
Women Entrepreneurs ◽  
Group Formation ◽  
Business Groups ◽  
Economic Empowerment ◽  
Sustainable Livelihood ◽  
Business Skills ◽  
Palestinian Women ◽  
Support Organizations ◽  
And Training

The International Labour Organization in Beirut has been running a project in the Palestinian Camps of Nahr El Bared and Ein El Helweh entitled “Palestinian Women Economic Empowerment Initiative”. The project started in 2011 and targets lowincome Palestinian women entrepreneurs through a threefold strategy: giving out loans and grants to women business groups in order to expand their businesses; training women entrepreneurs to enhance their business skills; and building the capacity of support organizations in order to improve business development services for women entrepreneurs and training them to be formally certified to deliver business group formation training. The project builds on the potential of business groups in assuring the protection of Palestinian women entrepreneurs from risks through resilience, pooling of resources, and collective voice. The objectives are to assure a sustainable livelihood for Palestinian women entrepreneurs through supporting them in expanding their businesses beyond survivalist low-income activities

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