The Triple R Mindset

This post was written by Diana Bernal,  Program Coordinator for the Creating Healthy Schools & Communities program at Bronx Health REACH. 

As part of the New York State Department of Health’s Creating Healthy Schools & Communities program, Bronx Health REACH is working with Equity Design, a longtime Bronx Health REACH partner whose goal is to design sustainable programs and services that translate to the specific social, cultural and physical health disparities, and schools in the Bronx to help improve school wellness. One way used to help schools is by providing their school wellness councils with technical assistance and help them implement local wellness policies. 

Bronx Health REACH, Equity Design and IS 584’s school wellness council went through team building and mind mapping sessions to identify areas of improvement for their students, teachers, and community. One area that the school wanted to prioritize was the teacher well-being. Given that teachers play many roles and are the backbone of a school, the need to support their wellness is paramount. “Nationally, there are reports of increased teacher burnout and subsequent turnover in recent years.”

For this reason, IS 584’s school wellness council came up with a Triple R Policy for their school: Relax, Recharge, and Renew. The school’s leadership considers implementing this policy as necessary for teacher relaxation and mental health with the aim to foster a supportive environment for staff, and improve teacher retention and morale. An outcome of this teacher focus was the creation of the Triple R Mindset Teacher Lounge, a room that school leadership designated as a teachers only space for them to unwind and recharge before, during, and after school.

  

                                                       

Based on this policy and vision, Equity Design connected IS 584 with Metropolitan Bank  who offered to provide the school funding to revamp their teachers’ lounge. This allowed for an inviting teachers’ lounge that included comfortable seating, a walking pad, stationary bicycles for physical activity, a refrigerator, water/coffee station, and an inviting décor, all to create a positive and peaceful space. The Triple R Mindset Teacher Lounge will help teachers experience time for reflection, team-building, engagement in physical activity, wellness and emotional stability while in a workplace setting. This is a great example of what can happen through a school wellness council and community partnerships working together to create healthier environments! 

Black History Month: Creating Healthy Food Environments in the Bronx

 

Shen’naque Sean Butler and Francisco Marte, Founder of Bodega and Small Business Group

This article was written by Kelly Moltzen, Program Manager at Bronx Health REACH, Charmaine Ruddock, Project Director at Bronx Health REACH, and Bronx Health REACH Coalition member Shen’naque Sean Butler.

 

African Americans have faced injustices in the food system ever since the days of enslavement, when Africans brought to America lost the food sovereignty they had in their native lands, and as slaves, were forced to subsist on meager food rations of poor dietary quality such as pig intestines, lard and cornmeal. But resistance to these injustices has existed for just as long, with enslaved people cultivating crops from Africa such as okra, yams, black-eyed peas, and creating dishes using ingredients that were native to Africa when they could.

Fannie Lou Hamer’s founding of the Freedom Farm Cooperative in 1967 as a rural economic development and political organizing project was a later action in the Black food justice movement. The Freedom Farm Cooperative sought to uplift Black families through food provisions, such as vegetable gardens and pig-raising, and through community support for housing development and education. By providing food and financial services, the Cooperative allowed Black families to be self-sufficient. This Cooperative is seen by many as a foundation for the modern food security and food justice movements.

In the Bronx, a leader that continued this fight for food justice is Karen Washington, a Black urban farmer, and co-founder of the Black Farmer Fund. A James Beard 2014 Leadership Award Honoree, she worked to dismantle what she so aptly termed “food apartheid” in Black communities.

Recognizing the historical injustices and the power of grassroots community advocacy to address those injustices, Bronx Health REACH, since its inception, has been working with community partners to advance food justice. This has been done through efforts such as encouraging policy makers and elected officials to increase access to affordable fresh produce at farmers markets, promoting farmers and farmers markets to community members, and supporting faith-based organizations’ establishment of gardens.

For more than a decade, Bronx Health REACH has been involved in supporting local business owners selling healthy food, collaborating with the Bodega and Small Business Group (BSBG) to train bodega owners to sell healthier food, and promoting those healthier options through the creation of the “Don’t Stress, Eat Fresh” consumer campaign. In 2019, Bronx Health REACH supported Bronx community member and food justice advocate Shen’naque Sean Butler to implement his vision for a healthy bodega initiative.

Shen’naque Sean Butler’s family migrated from Savannah, Georgia, to New York during the Great Migration, seeking economic opportunities and escaping racial violence. Unfortunately, the racial injustices they sought to escape followed them in one form or the other, one of which was redlining—a government policy that systematically removed resources from Black communities. Redlining has had a lasting impact, contributing to the creation of food deserts in areas like the Bronx, where access to fresh and affordable food is severely limited.

 

As a descendant of American chattel slavery, Shen’naque Sean Butler carries not only the legacy of pain but also the resilience of his ancestors. In 2019, inspired by his late mother, Jocelyn Butler, Shen’naque founded FRESCH (Food Revolution Empowering Sustainable Community Health), to address food insecurity and promote healthier eating habits in the Bronx by connecting local food systems. He implemented a pilot group purchasing model where healthy grab-and-go food items were sold at bodegas for customers to purchase at affordable prices. This initiative included bodegas both within and outside the BSBG network.

The initiative delivers plant-based meals to local bodegas, providing nutritious options in areas where fresh food is scarce. FRESCH also hosts workshops and seminars to educate the community about healthy eating and advocates for policy changes to improve food transparency and marketing practices.

In 2024, building on FRESCH and the previous work with BSBG, Bronx Health REACH received funding from the New York Health Foundation to collaborate with BSBG, Collective Fare, Shen’naque Sean Butler, and others to pilot a sustainable business model for bodegas to sell healthy, culturally relevant grab-and-go items, in the Hunts Point section of the Bronx.

The effort to establish a healthy food retail environment with culturally relevant, affordable options for communities of color has continued, gaining momentum to counter the injustices that have gotten worse in the food system over the past several decades. Dr. Marcia Chatelain, a professor of African American history and author of the book, Franchise: The Golden Arches in Black America explains an association between the food retail environment and being “Black.” Dr. Chatelain points out that in the 1960’s, the federal government, through a series of efforts, encouraged the creation of Black businesses as an opportunity to build wealth and create badly needed jobs.  During this time, the fast food industry lobbied government and convinced civil rights organizations that fast food franchising could be good for building Black wealth. Yet, the low-wage jobs created through the franchising model, coupled with the creation of unhealthy food environments in Black communities, turned out to have detrimental economic and health consequences in these communities. Exacerbating the problem was the practice of many food companies associating Black culture with their industrialized food through targeted predatory marketing of fast food and other unhealthy food products. This has had disastrous effects on the health of consumers, with disproportionate impacts especially seen in Black communities.

Despite all of this, the movement that has long embraced the narrative of cultural pride focused on an entrepreneurial model of building Black owned food businesses promoting healthy food, establishing a new cadre of Black farmers, and farmers markets, and securing new retail outlets for those foods continues. The goal of such a movement is still to improve the health and lives of Black communities.

Bronx Health REACH 2024 in Pictures

 

2024 marked the 25th anniversary of Bronx Health REACH and 25 years of our commitment to making health equity in the Bronx a reality. What has sustained, motivated and emboldened us to do this work over 25 years? The community. Bronx Health REACH is first and foremost, a community coalition.

We are thankful and appreciative of our partners, allies and staff who have been critical to this work and all that makes this possible. Many thanks to the following who have generously provided funding for our work:

• Centers for Disease Control and Prevention (CDC) – Racial and Ethnic Approaches to Community Health (REACH) Initiative

• CDC – COVID-19 and Flu Vaccine Initiative

• Health Resources and Services Administration - COVID-19 Bridge Funding

• New York State Department of Health's Creating Healthy Schools & Communities Initiative

• New York State Department of Health/National Association of Chronic Disease Directors - Building Resilient & Inclusive Communities

• New York State Division of Criminal Justice Services

• NYC Dept. of Health and Mental Hygiene 

• New York Health Foundation

• New York City Council (Immigrant Health)

• The NYC Civic Engagement Commission

• National Institutes of Health/NYC Community Engagement Alliance (NYCEAL) To End Covid-19 Disparities

• The Gus Schumacher Nutrition Incentive Program (GusNIP)/Natl Institute of Food and Agriculture

• Silicon Valley Foundation

Bronx Health REACH 2024 Initiatives

Bible Church of Christ, Every Day is a Miracle, Manna of Life Ministries and Thorpe Family Residence Nazareth Housing implemented Healthy Pantry Initiative strategies to increase access to healthier foods. 

 

A series of Healthy Pantry Initiative Training videos were created to promote healthy food choices and cultural food preferences for our food pantry partners. Bronx Health REACH partnered with The CUNY Food Policy Institute to assess the quality of the foods in the three cafes at the Lehman College campus.

11 sites participated in the Health Bucks Best Practices Training and received Health Bucks (HB) coupons. They distributed 5,900 HB coupons with an average redemption rate of 83.14% and led 27 farmers’ market tours with 270 participants.

The Food as Medicine Produce Prescription Program, in collaboration with Corbin Hill Food Project, had 69 distributions with 53 participants picking up 2,346 shares, and hosted 28 food demonstrations.

9 bodegas will participate in selling healthy grab-and-go items as Bronx Health REACH received funding from the NY Health Foundation to pilot a healthy bodega initiative in partnership with the Bodega and Small Business Group, Collective Fare, and others.

 

The Good Food Purchasing Program (GFPP) Coalition worked to pass the Good Food NY Bill. Bronx Health REACH endorsed INT 641, a NYC Council bill requiring that at least two meals on restaurant children’s menus meet certain nutrition standards. Several Bronx Health REACH partners provided testimony during a NYC Council Health Committee meeting in December. 

BHR partnered with Morrisania WIC to host 8 monthly Lactation Discussion sessions with 71 individuals attending. NY Presbyterian, BronxCare, Lincoln Hospital, Albert Einstein, Jacobi, and Montefiore referred 50 individuals to the Baby Café. 27 breastfeeding moms, along with their families and children participated in a Mothers Breastfeeding Fashion show in June. 

Six doulas were trained and completed surveys on how to educate pregnant and breastfeeding women about vaccines.

BHR partnered with Bronx River Alliance advocating for safer entry to the Bronx River Greenway from  E Tremont/E 177th Street by collecting 263 signatures, exceeding their original goal of 125 signatures. The Bronx River Open House at Starlight Park kicked off their program season in April, bringing in over 1000 community members to Starlight Park.

Transportation Alternatives completed walk audits and made recommendations to the NYC Dept of Transportation for improvement of the Grand Concourse Phase 5. They include: improving bike lane markings, bollards for raised bike lanes, raised crosswalks and speed bumps. 

Equity Design, BronxWorks, Greater Faith Cathedral, Bible Christ Church, and Christian Bible Temple completed the Active Communities Tool Assessment, a walk audit, and held a number of town hall meeting to identify complete street redesign projects that will lead to more pedestrian-friendly routes and increased physical activity.

PS18 hosted 7 open streets programs and held their 2nd annual bike fest; PS32 hosted 10 Open Street programs;  PS/MS5 hosted 7 open streets programs and; PS59, a new school partner, hosted 2 events.  

NY State Division of Criminal Justice Service provided funding for CS300 to build a school garden. CS300, Bronx Health REACH, the Mary Mitchell Center and the NY Botanical Garden collaborated with students and teachers to build 8 garden beds, planting vegetables and herbs.

2024 marked the return of Boogie on the Boulevard as a live, in person event that, for the first time, was officially part of the NYC DOT’s Summer Streets program. 21 organizations participated in immersing the public in fitness programs, art, music, and more.

In partnership with Bronx Health REACH and Cornell University Cooperative Extension-NYC, MARC Academy and Family Center provided nutrition and physical activity training to 15 home-based childcare providers.

For our Flu and COVID-19 vaccination Initiative, BHR hosted 15 vaccines events where 240 flu vaccinations and 161 COVID vaccinations were given, distributed 13,960 handouts; gave 26 presentations to 1,028 people; and hosted 8 partner training events for 79 people.

The BHR Health Disparities Workgroup designated April as #Not62 month and appeared on the Bronxnet show, Stay Alive with Church Alive. In May, "Creation of a Movement: #Not62 Campaign for a Healthier Bronx" was showcased at the Institute for Family Health's 12th Annual Research and Innovation Symposium. In October, Eve Plotka attended the RWJF Culture of Health Prize Alumni lunch with other #Not62 steering committee members from Montefiore and the NYC Department of Health.

BHR worked with Dr. Roger Ball to bring in experts, resources and materials to better understand the problems being addressed by the BHR Health Disparities Workgroup to develop goals focused on #Not62 - The Campaign for A Healthy Bronx.

For our Immigrant Health Initiative, our Bronx Health REACH Community Health Outreach Team of Joseph Ellis, Cheikhou Ann and Felix Rojas, completed 73 outreach events, made 130 patient referrals, and participated in 6 podcasts.

October 2024 marked two years of ‘Men Let’s Talk,’ a forum for Black and Latino men to engage in open and honest discussions about concerns regarding their mental and/or sexual health and wellbeing. To date, 323 people have participated in discussions on a variety of topics listed above. 

BHR showcased projects at IFH's 12th Annual Research and Innovation Symposium. Presentations included: “Food as Medicine: Designing and Implementing a Produce Prescription Program at Federally Qualified Health Centers"; "Doula and Perinatal Care Navigator's Impact on COVID19 and Flu Vaccine Decision Making in Bronx Pregnant and Breastfeeding Women"; “Immigrant Health Initiative - Efforts to Support Underserved Immigrant Groups by Improving their Access to Health Care." In October, Cheikhou Oumar Ann, Felix Rojas and Joseph Ellis were recognized for their outstanding work during NYCDOHMH’s Harlem Family Wellness Suite Day for Dads event.

Bronx Health REACH Awarded Two Grants

 Bronx Health REACH has received funding from the National Institutes of Health (NIH) for the Food for Living, Access to Systems and Supportive Strategies for Health Equity (FLASH) grant, and from the NYC Civic Engagement Commission for the project, Slashing Bronx Hunger and Boosting Knowledge About Healthy Eating. 

The 3 year NIH FLASH grant focuses on improving health and wellness for residents of the Morrisania neighborhood by: Improving the physical and food environment (starting community gardens and offering affordable local food options); enhancing the social environment (encouraging people to connect and stay active together through walking groups); and building community skills for healthier lifestyles (teaching simple, culturally relevant activities to improve health). Manna of Life Ministries, New Covenant Development Corporation and Reconciliacion Families in Christ will be our partners on this project.

For the Slashing Bronx Hunger and Boosting Knowledge About Healthy Eating project, Bronx Health REACH will focus on enhancing health and wellness in the 10452, 10456, and 10453 Bronx zip codes. To make healthy foods more accessible for residents, BHR will promote Health Bucks (paper vouchers worth $2 each to purchase fresh fruits and vegetables at farmers' markets), and expand the Healthy Pantry Initiative by collaborating with partner food pantries to provide nutrition education and training at partner sites to encourage informed food choices. This grant runs through October 2025.

New York City Department of Health and Mental Hygiene Recognize BHR Community Health Workers

Left to right: Cheikhou Oumar Ann, Felix Rojas, and Joseph Ellis. 

On Saturday, October 14, Cheikhou Oumar Ann, Felix Rojas and Joseph Ellis, Community Health Workers with the Institute for Family Health’s Bronx Health REACH (BHR), were recognized at a ceremony hosted by the New York City Department of Health and Mental Hygiene (NYCDOHMH) for their outreach work with men in the community. The award was for their outstanding work during NYCDOHMH’s Harlem Family Wellness Suite Day for Dads’ event in June; and for their leadership of the Men, Let’s Talk initiative.

Since 2020, they have led Men, Let’s Talk, a monthly forum for Black and Latino men to engage in open and honest discussions about their mental health concerns. Cheikhou, Felix and Joseph have also served as the Community Outreach and Engagement Team for the CDC Covid and Flu initiative through which more than 12,000 vaccines have been administered to Bronx community residents. They also lead the Immigrant Health initiative, providing information to community members who are new immigrants in the Bronx, and referring those who need healthcare to the Institute’s health centers.

Health Disparities Work Group #Not62 Campaign

 

To continue to create awareness around The Bronx being designated as the unhealthiest county in New York State, the Bronx Health REACH Health Disparities Workgroup appeared on Stay Alive with Church Alive.

The Robert Wood Johnson Foundation (RWJF) released the 2024 County Health Rankings & Roadmaps. The report shows there are places where the Bronx has improved: Physical inactivity in the Bronx decreased; the percent of those uninsured decreased and unemployment had a notable improvement from 13.6% in 2023 to 7.8% in the 2024 data. However, for fifteen years in a row, the Bronx remains the least healthy of New York state counties.

In response to the report, Bronx Health REACH designated April as #Not62 month. Our Health Disparities Workgroup prepared information sheets for community and faith based organizations to distribute and post prominently in their organizations. In addition, the faith based organizations were encouraged to use their platform to share information about #Not62 during their day of worship throughout the month. 

The Bronx Health REACH Health Disparities Workgroup also appeared on Stay Alive with Church Alive, hosted by Bishop Timothy Birkett. Appearing on the show were Bronx Health REACH Project Director Charmaine Ruddock, Rev. Wendy Kelly Carter from Beulah Baptist Church, Pastor David Powers from Church of St. Helena's Roman Catholic Church in the Bronx and Sandra Jenkins from Church of God of Prophecy, Bronx NY.

The Health Disparities Workgroup spoke about creating awareness around #Not62 – The Campaign for A Healthy Bronx through townhalls, public rallies, and social media. They also spoke of the set of Policy Asks they have created focusing on Health, Housing and Economic Development and encouraging policy makers, elected officials and community leaders to support implementing these Asks through public budget allocations and policies at the City, State and Federal levels.

There have been meetings with elected officials including staffers of Bronx Congressional members: Congressman Ritchie Torres, Congressman Jamaal Bowman, Congresswoman Alexandria Ocasio-Cortez and Senator Chuck Schumer. During these visits, BHR advocated for the #Not62 campaign, and shared the policy Asks and recommended actions. These visits continue the HDWG's strategy of engaging with and educating elected officials with the goal of having policy and system changes to improve the health status of Bronx residents. We had met in the past with Mayor Bill de Blasio when he was in office, and last year with Bronx Borough President Vanessa L. Gibson sharing data from the Robert Wood Johnson Foundation County Health Rankings Report and updating her on our Asks.

Click here to watch video of the HDWG on Stay Alive with Church Alive. 

Boogie on the Boulevard Returns on Saturday, August 24th

 

After a four year hiatus, Boogie on the Boulevard returns on Saturday, August 24th.

After a four year hiatus, Boogie on the Boulevard returns Saturday, August 24th from 7 a.m. to 3 p.m.  This year’s Boogie on the Boulevard will differ in one significant way from previous ones as it will now be part of the New York City Department of Transportation's Summer Streets. The event will be along the center lanes of the Grand Concourse, from East Tremont Avenue to 182nd Street which will be closed to cars and open to a world of fun, providing residents an open space to run, bike, walk and participate in music, art, dance and fitness programs. Other offerings will include yoga, Tai Chi, bicycle safety, live dancing and music performances.  

Food as Medicine: A “Prescription” for Fresh Fruit and Vegetables

 

This article was written by Kenny Escobar, Nutrition & Physical Activity Coordinator, Jamila Outlar, Produce Prescription Coordinator, and Intern Stephanie Garcia.

In the winter of 2023, Bronx Health REACH and Corbin Hill Food Project Inc. (CHFP) launched the Food as Medicine Produce Prescription Program (FAM) for patients at three Bronx-based Institute for Family Health (IFH) centers to promote the consumption of healthy food.

The FAM project is funded by the Gus Schumacher Nutrition Incentive Program (GusNIP) grant from the National Institute of Food and Agriculture (NIFA) of the USDA.  Project participants must be an IFH patient over 18 years of age and screen positive for food insecurity. Once enrolled, participants receive a box of high quality, fresh local fruits and vegetables on a bi-weekly basis for a minimum of six months. The average price for the box of produce is roughly $35 but through FAM the cost to patients is only $2.50. The participants can pay with SNAP, cash, debit, or credit card. Participants who have SNAP can also pay with Health Bucks.

The FAM project also provides participants with recipes at each distribution in order to encourage the eating of fruits and vegetables. These recipes include creative and helpful ways to use the produce from that week’s distribution. Food demonstrations accompany the distribution of the recipes at least once a month at each health center introducing participants to  fruits and vegetables they may not have known or previously eaten. 

Chef Yadi leading a food demonstration. 

Bronx native Chef Yadira Garcia, also known as, the “Happy Healthy Latina” or Chef Yadi, is the chef enthusiastically creating delicious and nutritious dishes for patients to try. She makes sure that patients are educated on the multiple ways to prepare the different produce and is always open to answering any questions that the participants may have. 

As of February 2024, when enrollment ended, 374 patients were enrolled in the program and 130 have completed their 6-month commitment. We will conduct a program evaluation to assess patients’ overall opinions and feedback of the program to determine the effectiveness of this intervention and the impact it has had on the participants. To date feedback from some participants indicate that the program, for them, is a resounding success. An Urban Horizons patient shared that they are “very happy as a lot of us need this program, we get healthy food and we need this in the neighborhood. You’re doing a very good thing for us." A Stevenson patient said she “enjoys this program so much as I am learning how to cook and eat different things.” A patient from Walton stated, “by receiving these produce box two times a month, I am able to eat healthier which is contributing to my weight loss.”

The Boogie Down Walking Club: Implementing Walking Programs as a Sustainable Form of Physical Activity

 

Members of Grand Concourse Seventh Day Adventist Church Walking Club.

This post was written by Immaculada Moronta.

With the high rates of obesity and overweight in many South Bronx neighborhoods, a low impact activity such as walking provides a great opportunity for residents to get physical activity. But being able to safely engage in physical activity in many Bronx neighborhoods is no simple walk in the park. Many areas of the Bronx are densely populated urban areas where open, green spaces are limited, and many public areas have conditions that discourage residents to get out and walk. There are unsafe walking conditions such as unpaved and uneven or dirty sidewalks, construction activities, unsafe crosswalks, busy vehicular traffic and areas with criminal activity. 

Bronx Health REACH, in collaboration with Equity Design, an organization that uses physical activity to motivate and transform the lives of youth, adults and communities, launched a walking program, with seven participating faithbased organizations. Bible Church of Christ, Cathedral at Greater Faith in the Bronx, Church Alive Community Church, Grand Concourse Seventh Day Adventist, Every Day is a Miracle, New Life Rehoboth Church and St. Jerome Church completed the program with 80 participants in the summer of 2023. From June to September, the partners collectively walked 128.23 miles/296,801 steps.  

Members of Cathedral at Greater Faith in the Bronx Walking Club.

The walks not only provide a low-impact physical activity and social connectedness, but also create a safe environment for the community of walkers by activating spaces deemed unsafe or unfit for walking, and to help narrow existing health inequity gaps that remain for Black and Latino residents in many Bronx communities.

The partners designed their walking routes with technical assistance provided by Equity Design and tailored their goals to the needs and capacity of the people leading the clubs and the participants. For example, the goal for one of the walking clubs included a one-mile walk in 20 to 30 minutes, while another it was 1,000 steps per participant. The walking clubs also set a collective goal of completing one million steps. Prospective members of a walking club completed a survey to determine what days and times they preferred to walk, how many times a week to meet and if they had any health issues that would impact their ability to walk.  Each walking club partner completed a walking assessment of their proposed walking route to determine walkability, taking into account: sidewalk conditions, pedestrian traffic, the number of trees and seating per block along a route, cleanliness of routes, vehicular traffic and accessibility to public transportation. 

Members of Christian Bible Temple Walking Club.

A major success of this project was that each walking club created their own timeline and action steps to ensure the sustainability of their program. A tool developed for the walking clubs was a walking course map highlighting and identifying the degree of ease vs. difficulty for each route i.e. steep places vs. flat surfaces and distance. The tools could be accessed through Google Earth on users’ smartphones. A captain and co-captain were selected by the members of each walking group. To promote their walking club and church affiliation some walking clubs printed their own t-shirts for each participant to wear and provided them with visors, water bottles, pedometers, captain t-shirts, and whistles. 

The impact of this initiative can be seen at both the community and individual level. One notable example of community level impact is Bible Church of Christ. During their environmental assessment of their proposed walking route, members observed that substance abusers and homeless people occupied an open space along their walking route. Instead of finding an alternate route, they invited all those that were there to join them. Several community members subsequently joined them in their weekly walks. As a result, those residents who joined, are helping the walking club create a safer space. Individual walking club members have been touting the benefits from walking. Christian Bible Temple completed a community clean-up day surrounding the blocks around the church that were was part of their walking route. Equity Design connected them with the New York City Department of Sanitation and received tools to continue with the cleanup. On the individual level, one woman, a senior citizen, had been using a walker when she started walking with the walking club, and now she no longer needs to use a walker.

The faith-based walking clubs not only provide physical activity but social connectedness as well for participants, which many sought following the devastating isolation brought on by the COVID-19 pandemic. The level of commitment from the walking clubs is powerful. Many times over these walking clubs have brought people together with the goal of making healthier versions of themselves. Our walking clubs always find a way to bring out the best in each of their members with the goal of getting physically active in the Boogie Down Bronx!

Food Education Roadmap: Building a Healthier Relationship with Food in Schools

 

This blog post was written by Diana Bernal, Program Coordinator for the Creating Healthy Schools and Communities program at Bronx Health REACH.

When it comes to health outcomes, nearly 40% of New York City public school children are overweight or obese and this disproportionately affects Black and Latino students.  Children living in the Bronx have the highest prevalence of being overweight at 43% compared to 38% in Manhattan, 39% in Queens, 40% in Staten Island, and 41% in Brooklyn. Being overweight or obese increases the risk of developing chronic diet-related disease, such as diabetes, obesity, and hypertension. 

Through our Creating Healthy Schools & Communities (CHSC) program, Bronx Health REACH works with Bronx schools to help improve their school wellness, nutrition, and physical activity. In doing so we learn the struggles schools face when it comes to the students’ health and nutrition. School leadership and teachers have told us that their students do not like the food being served to them during their school lunch period, and that many would rather eat chips, like Takis (spicy corn chips made of rolled tortillas, similar to taquitos), and other unhealthy foods. These are known as “competitive foods”, which includes all food and beverages outside of the reimbursed meals provided by schools. New good nutritious food changes, like Plant Powered Fridays, which is when students are served meatless meals, have been made in an effort to introduce more plant-based foods to children. Bronx Health REACH, through its CHSC work with schools, have discussed with school leadership  how to improve nutrition in schools. The leaders  shared, that  Plant Powered Fridays has not been well received in schools and that  the kids do not eat the food. Teachers pointed out that students are more likely to try new things when they are being engaged and taught about it, thus highlighting the need for food education. According to the Food Ed report: 

“Food education describes any combination of educational strategies, accompanied by environmental supports, designed to motivate and facilitate voluntary adoption of food choices and other food and nutrition-related behaviors that are conducive to the health and well-being of individuals, community, and the planet.” 

On June 6, 2023, Mayor Eric Adams, along with New York City Department of Education (NYCDOE) Chancellor David Banks, and the Mayor’s Office of Food Policy’s Executive Director, Kate MacKenzie, announced the Food Education Roadmap to promote healthier school communities across New York City. “Prioritizing Food Education in Our Public Schools: A Path to Developing a Healthy Next Generation” provides goals, strategies and key performance indicators to ensure that students have the tools and knowledge to lead healthy lifestyles. The Roadmap Goals and Strategies focus on building on the knowledge and accessibility of healthy eating and wellness among students, as well as for those in the community who serve as advocates.  

Food education takes a wider approach and focuses on more than what healthy and non-healthy foods are. It focuses on our relationship with food and how this relationship is connected to, and affected by, other influences such as culture, economy, and communities. By implementing food education in schools, students will be able to understand why certain foods are healthier than others which will enable them to form a better relationship with food, and in turn help to guide them to making healthier choices. 

Bronx Health REACH’s many years of experience working to change the food culture of schools helping children embrace new healthy food underscores the need for food and nutrition education in  making such a change happen.   There are many resources and organizations getting kids to try new foods that are introduced in the schools through the Farm to School program that the NYCDOE Office of Food and Nutrition Services participates in. 

References:

1. FoodEdReport_010.pdf (nyc.gov) 

2. databrief1.pdf (nyc.gov) 

Join us this FRIDAY SEPT 15 for Racism and Our Families’ Health: Connecting the Dots…Why the Conversation Matters from 10AM to 12PM

 

Join us this FRIDAY SEPT 15 for Racism and Our Families’ Health: Connecting the Dots…Why the Conversation Matters from 10AM to 12PM. The presentations and discussions will offer lessons in how to effectively respond to our most pressing social issues employing a lens of anti-racism. 

Click HERE to Register. 

Questions? imoronta@institute.org.

Click here to view Part 1 of a recent discussion with Stay Alive with Church Alive (hosted by Bishop Timothy Birkett) featuring Immaculada Moronta from The Institute for Family Health/Bronx Health REACH, Rev. Dr. Calvin R. Kendrick, Pastor of Grace Baptist Church in the Bronx, and Father David Powers from RC St. Helena Church as they discuss the Racism and Our Families Health series of webinars as they discuss: What is racism? What are the types of racism? Where do we find racism? Why does the conversation about race matters to all?

Click here to view Part 2 of a recent discussion with Stay Alive with Church Alive (hosted by Bishop Timothy Birkett) featuring Immaculada Moronta from The Institute for Family Health/Bronx Health REACH, Rev. Dr. Calvin R. Kendrick, Pastor of Grace Baptist Church in the Bronx, and Father David Powers from RC St. Helena Church as they discuss the Racism and Our Families Health series of webinars as they discuss the following: How is racism making us sick? How is racism affecting our wellbeing? How do you achieve equity goals as an organization and/or individuals?

Join Us 9/14 for The Bronx Responds: One Year After the White House Conference on Hunger, Nutrition and Health from Local to National Policies and Back

You are invited to join us on Thursday, September 14th (9 a.m. to 4:30 p.m.) for a virtual conference with thought provoking and action oriented discussions about food and nutrition-related work happening in the Bronx and the policy implications of this work.  In 2022, the White House held the first Conference on Hunger, Nutrition and Health in over 50 years and as an outcome, earlier this year, a National Strategy on Hunger, Nutrition and Health was released.  The priorities of our national government and policymakers have implications for food access, affordability, and nutrition education in the Bronx and similar communities impacted by diet-related health disparities.

Topics include:

• Nutrition and Health Equity in the Bronx 

• Overview of the Farm Bill and Its Effects on Local Communities  

• Improving Food Access in Community Settings 

• Integrating Nutrition and Healthcare: Food as Medicine and Food insecurity screenings 

• Knowing What’s in Your Food: Bringing Nutrition Education to the Community

• Eating Soulfully 

• Reimagining your Local Bodega with Better Food 

• Envisioning the Food System of the Future 

Click Here to Register.

After registering, you will receive a confirmation email containing information about joining the meeting via Zoom.

Speakers include:

Bronx Borough President Vanessa L. Gibson

Christina Badaracco,  Healthcare Consultant, Registered Dietitian, and Co-Author of The Farm Bill: A Citizens’ Guide

Dr. Jen Cadenhead, Executive Director, Teachers College Laurie M. Tisch Center for Food, Education and Policy  

Rev. Dr. Christopher Carter, Author of The Spirit of Soul Food: Race, Faith, & Food Justice 

Ribka Getachew, Director of the NY Good Food Purchasing Program Campaign, Community Food Advocates 

Norma Gonzalez, Farm Share Manager, Corbin Hill Food Project 

Theresa Landau, Program Director, Morrisania WIC

Francisco Marte, President, Bodega and Small Business Group 

LaToya Meaders, Co-Founder and CEO, Collective Fare 

Dr. DeAnna Nara, Senior Policy Associate, Center for Science in the Public Interest 

Aleyna Rodriguez, Executive Director, Mary Mitchell Family and Youth Center

Gladys Roman, Executive Director, Manna of Life Ministries

Ismail Samad, Interim Executive Director, Corbin Hill Food Project 

Chet Van Wert, Associate Research Scientist, NYU Stern School of Business

 

Bronx Breastfeeding Reconvening 2023 - Strengthening the Community for a Successful Breastfeeding Journey

 

On May 19th, Bronx Healthy Start Partnership along with Morrisania Diagnostic & Treatment Center WIC Program (Morrisania WIC), Bronx Health REACH and other Bronx-based supporters hosted the Second Annual Virtual Bronx Breastfeeding Reconvening 2023. Approximately one hundred participants including mothers, healthcare professionals, and community leaders, came together to promote and advocate for breastfeeding within the Bronx community.

The Breastfeeding Reconvening serves as a forum for open dialogue and collaboration, with mothers at the center of the conversation, providing their firsthand experiences, challenges, and successes to inform the direction of the initiative, and most important, to normalize breastfeeding in the Bronx.  Presenters at this year’s Reconvening included breastfeeding advocates; Karla Lewis, BA, IBCLC; Allison Walsh, IBCLC, LCCE, FACCE, LLLL; Dianne Cassidy, MA, IBCLC-RLC, ALC; Katie Kelter MD, IBCLC; Chelsea Thompson, JD among others from across the borough. 

The morning began with a warm welcome and overview of the day from Alma Idehen of Bronx Healthy Start Partnership. Bronx Healthy Start is a collaboration led by Albert Einstein College of Medicine that works towards reducing infant mortality and improving women's health among women and mothers through outreach and enrollment in health insurance coverage under the  Patient Protection and Affordable Care Act (ACA) and connects families to medical homes.

Carla Lewis, facilitator of the Morrisania WIC Baby Café, kicked off the event with a conversation with Bronx mothers about their breastfeeding experiences including their challenges, successes, and needs. Carla asked each of the moms participating in the panel the following: ”What did you wish you had before and throughout your time breastfeeding” Three breastfeeding mothers shared that having a support system made a difference in their breastfeeding journey. It was an open and heartfelt conversation that allowed other mothers  to connect and share their own individual breastfeeding experiences. 

Dianne Cassidy, a lactation consultant, discussed research on how increased support for a breastfeeding mother leads to a longer duration of breastfeeding. Participants were asked to share positive ways someone can support a breastfeeding mother including family support, work accommodations, and high quality services from the prenatal period up to and beyond birth. A list was generated for supporters to use with their clients in the future. Allison Walsh’s presentation discussed communication to help families succeed during the lactation period. This included addressing conflicting information that hospitals, obstetrics, clinics, pediatricians, social workers, other Community Based Organizations and family members may provide, and how to communicate different norms, culture, and supports. The ultimate goal is to create a common language around breastfeeding that everyone can use to best support lactating mothers. Katie Kelter, MD, IBCLC discussed from a medical perspective how she is advocating for breastfeeding in the community. She provided recommendations such as starting breastfeeding education early by including it in K-12 school curriculums, providing more resources to families and supporters, increasing trainings for healthcare providers, offering more education on New York State Labor Laws in the workforce, and expanding funding for breastfeeding services. 

Chelsea Thompson from A Better Balance presented on back to work readiness for nursing mothers in NYC. She discussed the various work leaves for pregnant and lactating women and non-birthing partners such as the provisions of the Pump Act, the pending passage of the Pregnant Workers Fairness Act (PWFA), and the effect they will have on families. The PWFA requires covered employers to provide “reasonable accommodations” to a worker’s known limitations related to pregnancy, childbirth, or related medical conditions, unless the accommodation will cause the employer an "undue hardship."

Bronx Health REACH’s Rachel Ingram led the final session of the day by highlighting resources that would be beneficial to families and new mothers. Bronx Health REACH (BHR) provides trainings to help worksites and community spaces become breastfeeding friendly spaces. BHR also provides funding for two baby cafes in the Bronx: Morrisania WIC Baby Café and Bronx Healthy Start’s Breastfeeding Support Group. The Chocolate Milk Café is a national network developed by Black breastfeeding advocates and professionals to provide culturally congruent care to families of the African diaspora through peer-led lactation support and professional development programming. Professional support mentioned included WIC Peer Counselors and Doulas. WIC Peer Counselors are mothers in the community with personal breastfeeding experience who are trained to provide support to new mothers/parents. Doulas are trained to advise, inform, and offer emotional and physical comfort to parents, before, during, and after childbirth. Finally, there is virtual support available through NYC Warmline and the Compass App. The NYC Breastfeeding Warmline provides FREE virtual breastfeeding support from a Certified Lactation Consultant. Compass is a new app that supports parents from pregnancy through postpartum. The Reconvening wrapped up with participants joining breakout rooms to discuss ways in which the resources could be used in promoting breastfeeding and for community members and families to access and use. 

Closing remarks were made by Theresa Landau, MS, RDN, CDN, Program Director for Morrisania WIC, who thanked everyone for their input and attendance and encouraged all to join the next Bronx Breastfeeding Coalition meeting to continue the conversation. A Lactation Resource Guide with contact information and types of services offered was shared with participants and is listed below.

We look forward to seeing breastfeeding work in action at next year’s Reconvening!

LACTATION RESOURCES:

Bronx Healthy Start Go To Lactation Resource Guide

Breastfeeding Disparities Qualitative Research Study

Paying it Forward – Dianne Cassidy, MA, IBCLC,-RLC, ALC

NYC Department of Health and Mental Hygiene Doula Care

Bronx Doula Access Project

Improving School Physical Activity Access Through Open Streets

 

P.S. 32 teachers and students jumping rope at their Open Street event.   Photo credit: Street Lab

This blog post was written by Kelly Moltzen and Diana Bernal.

As part of the New York State Department of Health’s Creating Healthy Schools and Communities program, Bronx Health REACH worked with Equity Design, Street Lab, P.S. 32 The Belmont School (P.S. 32) and P.S. 18 The John Peter Zenger School (P.S. 18) to activate the schools’ surrounding spaces to increase students’ physical activity and create spaces known as “Open Streets” that can be utilized by the schools and their surrounding communities, for movement and fitness.

For many children school is where they receive the majority of their meals and physical activity to keep them healthy. School-based physical activity, included as part of a Comprehensive School Physical Activity Program (CSPAP), can increase the physical activity that students receive at school. However, for many students in the Bronx this is not the case.  Too many do not get enough physical activity because of limited indoor space, lack of open space/safe streets, and underutilization of nearby parks, many of which are in disrepair. Even though the Bronx is the greenest Borough with one quarter of its land area made up of parks, it is also a fitness desert. There are many inequities seen throughout the Bronx that limit the access and utilization of all this green space, contributing to the high rates of chronic illnesses in the Bronx.

In response to these challenges, Bronx Health REACH has been working with P.S. 32 to make the school a fitness hub for the community; and with P.S. 18 to expose the community to different forms of physical activity. The goals of these schools is to provide physical activity opportunities before and after school and in doing so  improve the school spirit and to engage more of the community in physical activity.

P.S. 32 students utilized equipment provided by Street Lab to create their own soccer arena to play.   Photo: StreetLab.

Bronx Health REACH partnered with Equity Design and Street Lab to assist P.S. 32 and P.S. 18 in hosting their own Open Street events  during the 2022-2023 school year. In preparation for these events, P.S. 32 closed down Beaumont Avenue, between 183rd Street and Grote Street, and hosted Open Street events after school on two consecutive Tuesdays in October 2022, and on three consecutive Tuesdays in May 2023. Seven “WalkShops” were held with P.S. 32 second grade students, where they learned about what makes an Open Street. Students shared their themes of World Cup (soccer), Celebration of the Arts, and a Beaumont Avenue Waterpark at P.S. 32’s Spring Open Streets. Equity Design also led a walking group of students that would walk around the outside perimeter of the school. At P.S. 32's Open Streets events, school and community participation increased every week through word of mouth. During the 3 consecutive Tuesdays in May 2023, participation increased from about 100 participants on the first Tuesday to 200 by the third Tuesday. Parents and community members participated in the Open Street events and everyone expressed how great it was to see a safe place where students can have fun. 

 

Cyclists from Major Taylor joined P.S. 18’s Open Street events teaching community residents how to ride a bike. Photo: Equity Design.

P.S. 18 closed down 148th Street between Morris Avenue and College Avenue, and hosted Open Street events on 3 consecutive Saturdays in October 2022 and one in May 2023. P.S. 18 was gifted 65 bikes and helmets by USA Cycling and Major Taylor Development, an inclusive national cycling club. Thanks to this partnership, P.S. 18 was able to realize their vision of introducing students to other forms of physical activity, starting with biking. Major Taylor Development also provided a biking clinic during P.S. 18’s Open Street events. Students learned how to ride a bike safely at the Open Street events. In the Spring P.S. 18 held a Teachers’ Appreciation Open Street event providing teachers with an opportunity to experience the Open Street and connecting with one another through games and bike riding. P.S. 18 students and community members from the nearby NYC Housing Authority development who had never been on a bike were able to learn how to ride and practice on the closed street. During their 3 consecutive Saturdays in October 2022, registration on the first Saturday had only 15 students, but by the third Saturday over 90 students registered to ride a bike.

Bronx Health REACH will continue working with P.S. 32 and P.S. 18 providing the necessary support so that each school’s Wellness Council takes ownership of the planning and organization of Open Streets with the goal of sustainability. Our hope is that these Open Street events demonstrates the need for cleaner and safer streets for the schools and the community so elected officials and other community leaders become more active partners so community members have increasing access to physical activity. By supporting the schools in implementing Open Streets, this is a step towards implementing permanent infrastructure changes and “Complete Streets” - thereby realizing the vision of the schools and meeting the needs of the community.

Health Disparities Workgroup Roundtable Discussion with Fordham University Faculty

 

Bronx Health REACH Health Disparities Workgroup members had a roundtable discussion with several Fordham University faculty to get expertise and feedback on the HDWG’s Asks. 

In the Spring, Bronx Health REACH Health Disparities Workgroup members had a roundtable discussion with several Fordham University faculty to elicit their expert feedback on the HDWG’s Asks. This was the first of several roundtables being planned to focus on different sections of the HDWG Asks. The particular focus of this meeting was on the economic Ask. Robert J. Brent, Ph.D., Professor of Economics, Janis Barry, Ph.D., Associate Professor of Economics, and H. Shellae Versey, Ph.D., Assistant Professor of Psychology were the participating faculty members. We are excited to continue working with Fordham University and their faculty and staff on the HDWG Asks and creating opportunities for students to engage with the community on the #Not62 campaign. Thank you to Fordham’s Keisha Shay, Ph.D., Associate Director of Academic Development and Administration and Surey Miranda-Alarcon, Director of Campus and Community Engagement, who are helping to organize the roundtables.