Showing posts with label Food and nutrition resources (all). Show all posts
Showing posts with label Food and nutrition resources (all). Show all posts

Friday, February 28, 2025

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.

Thursday, January 23, 2025

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 CafĂ©. 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.


Thursday, February 1, 2024

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.”




Monday, October 2, 2023

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) 

Friday, September 8, 2023

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


 

Thursday, August 31, 2023

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 CafĂ©, 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 CafĂ© and Bronx Healthy Start’s Breastfeeding Support Group. The Chocolate Milk CafĂ© 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

Tuesday, December 31, 2019

Farm Share Program Wraps Up Successful Season at Two Community Health Centers



This post was written by Milagros Neyra, Community Health Project Manager.

The Bronx Health REACH/Corbin Hill Farm Share Program wrapped up a successful season with over 500 bags of fresh and affordable fruits and vegetables distributed to Mt. Hope, Morris Heights, and Soundview residents. While the Farm Share site at the Institute for Family Health’s (IFH) Stevenson Family Health Center continued for a second year, IFH’s Walton Family Health Center debuted as a new, second location for the Farm Share program.

The summer Farm Share season ran from July to November 2019. Participants picked up their bags, consisting of five to seven vegetables and one fruit, at the Walton Family Health Center on the 2nd and 4th Tuesdays of the month, and Stevenson participants picked up their bags on the 1st and 3rd Tuesdays of the month. From its inception, the Farm Share program was designed to give the neighborhood residents access to affordable, locally grown fresh produce. Recipes were provided so customers would have creative ways to prepare their vegetables at home. Cooking demonstrations, led by community chefs and supported by the Corbin Hill Food Project, were held at the locations allowing customers to taste test recipes using the vegetables.

“Having the Farm Share program at the Walton Family Health Center brought our patients, community members, and staff together for a common goal: to be able to purchase affordable, fresh produce, that is otherwise difficult to access in this community,” said Marlin Morel, Farm Share site coordinator for the Walton Family Health Center. “As a Health Coach, my goal is to teach our patients that food is the best medicine, and eating a balanced diet of fresh, whole foods is instrumental in their journey to better health.”

To participate in the program, patients, staff, and community members can sign up onsite or online at any time. By placing an order at least one week in advance of the pick-up date, participants can enjoy high quality and locally grown produce delivered to their health centers. “I'm so grateful that this program was in our neighborhood. Health statistics for the Bronx are very devastating and we desperately need this type of program, as well as the cooking and education about the right things to eat,” said Veronica Millender, a resident of Castle Hill for 43 years and a Farm Share program participant since 2018. “Having the Farm Share year round would mean more healthy residents and less chronic conditions. The big picture is the Bronx having healthier residents who are eating well and can afford to buy fresh produce for their families.”

Participants purchased the produce using cash, credit, debit, EBT/SNAP and Health Bucks. The affordable prices and flexibility of payment options, makes the Farm Share program accessible for all to purchase foods that may have been previously unattainable. The Winter Farm Share Season is scheduled to begin mid-January at the Stevenson and Walton locations. The Winter Farm Share Season begins January 14th at the Walton Family Health Center and January 21st at the Stevenson Family Health Center. If you would like to participate, you can order online or email Mila Neyra, Community Health Project Manager at mineyra@institute.org, or call (212) 633-0800 ext. 1224.

Bronx Health REACH and the Institute for Family Health Urban Horizons Family Health Center Help Address Food Insecurity amongst Patients



This post was written by Mickelder Kercy, Evaluation Assistant for Bronx Health REACH.

Bronx Health REACH and the Institute for Family Health’s Urban Horizons Family Health Center (IFH) are implementing an innovative program that aims to bridge the gap between a health center and community-based organizations (CBOs) to improve patients’ health behaviors and health outcomes.

This CDC-funded program will have two main components: a screening phase and a referral phase. At the IFH Urban Horizons Family Health Center, all patients who are 18 years and older will be screened to determine if they are food insecure.

Patients who identify as food insecure will meet with a physician who will then refer them to a case manager. The case manager will connect the patient with resources in the community using “Aunt Bertha,” an online platform that lists up-to-date information about community-based organizations, as well as tracks the referrals to ensure that the needs of the patient are met. Bronx Health REACH is developing partnerships with food pantries and soup kitchens near Urban Horizons Family Health Center to ensure that these organizations have the ability to serve our patients.

We are ideally looking for food pantries and soup kitchens that accept a wide range of clients, serve/provide healthy foods, and offer additional support services. The goal of this intervention is to provide patients who lack sufficient food at home to have access to, and consume, nutritionally healthy foods. This is important, as many of our patients suffer from diabetes, hypertension and obesity. One patient has told us, “I just accept what they (the food pantry) offer. There’s not a lot of really fresh food, only one fruit.” Another patient added, “They have old food and it is not healthy. We need to help people with illnesses to prevent chronic conditions.”

The Food Insecurity Screening and Referral Program will be monitored and evaluated by our evaluation team to measure the impact of the program. We will report on the number of patients screened positively for food insecurity at Urban Horizons Family Health Center and referred to CBOs in their neighborhood. Data will also be collected on the number of patients identified as food insecure who have a diagnosis of diabetes, hypertension or obesity.

When analyzing the data, our evaluation team will estimate the percentage of patients screened for food insecurity who are no longer food insecure after one year of receiving supplemental foods at the CBOs, as a means of measuring program impact. Additionally, we will evaluate the potential impact of the program on patient blood sugar level, blood pressure level and/or weight.

To ensure that patients are satisfied with the Food Insecurity Screening and Referral Program, a sample of patients who were part of the program will be interviewed during the first 6 months of the intervention. We will also solicit feedback from participating staff at the health center and CBOs.

Bronx Health REACH plans to share key findings from this innovative program. If the program is successful, the ultimate goal will be to scale up and implement the Food Insecurity Screening and Referral Program at all Institute for Family Health centers to help mitigate food insecurity amongst our patients and by doing so, improve their health status.

Tuesday, September 10, 2019

Helping Bronx Seniors Eat Healthier through Healthy Food Demonstrations



This post was written by Olivia Wurgaft, an intern at Bronx Health REACH and student attending Washington University.

As a Global Health major at Washington University, I would like to pursue a career in public health after I graduate. It is one of the reasons I was so happy that, as part of my internship at Bronx Health REACH, I got to work on their Food Service Guidelines initiative with meal serving sites in the Bronx. Specifically, I had the privilege of leading two healthy food demonstrations.

During the month of June, Bronx Health REACH held healthy food demonstrations at the Presbyterian Senior Services Parkside (PSS Parkside) and Presbyterian Senior Services Jackson (PSS Jackson) sites in the Bronx. PSS is a nonprofit agency with nine community centers that strive to strengthen the capacity of older New Yorkers, their families, and communities to thrive. PSS Parkside and Jackson clients receive meals, exercise classes, technology training, group trips, and a multitude of other services. These food demonstrations are part of Bronx Health REACH’s efforts to help sites serve healthier meals to their clients.


Earlier this year, Bronx Health REACH collaborated with Lenox Hill Teaching Kitchen to provide trainings for PSS Jackson and PSS Parkside staff. Lenox Hill Teaching Kitchen designed a daylong food business training to help nonprofit organizations prepare and serve institutional meals that increase fresh, healthy, and local foods to support their clients’ health. The outcome of this training was to gain a better understanding of how to serve meals with more scratch cooking with fresh fruits, vegetables, and whole grains, and less sugar, fat, and salt. At the end of the training the goal of the kitchen staff from PSS Jackson and PSS Parkside is to increase their use of fresh, healthy and local food.




 In addition to the training, Bronx Health REACH has been providing PSS Jackson and PSS Parkside with technical support to achieve these goals including food demonstrations. These demonstrations are to introduce healthier food to clients through tastings, give them a say in what appears on their menu, and show them that healthy food can be tasty and inexpensive. Both sites chose “Olga’s Bulgur with Chicken” as the recipe for their demonstration because it includes more vegetables and whole grains and less meat.

Before the demonstration, I went to a supermarket close to the site, to make sure the ingredients were easily available for clients to make the dish themselves. I also made sure to price out the recipe to make sure it was affordable.

At both sites I arrived around lunchtime to prepare for the demonstration. While I was chopping and measuring out the carrots, celery, peas, and garlic, some clients came up to ask what I was doing, which told me they were interested in learning about what they were going to eat. Some were also apprehensive of trying something new, but promised they would keep an open mind. I started each food demonstration with a discussion about the nutritional benefits of each ingredient. I emphasized how the fiber in the bulgur wheat improves digestion, the vitamin A in carrots improves eyesight, and how low sodium soy sauce reduces salt intake, which is particularly beneficial for people with high blood pressure or diabetes.



I sautĂ©ed the chicken, added the vegetables and mixed them in with the bulgur wheat, explaining the process as I went along. Before adding it to the pan, I brought the pot of bulgur wheat around to each participant, explaining that it can be used similarly to rice and showing them what it looked like. When the dish was finished, I distributed samples for everyone to try. Participants filled out surveys about the recipe and the demonstration. At PSS Parkside, the responses were overwhelmingly positive. Most of the participants enjoyed the recipe and wanted it on the menu. One client said that the “dish was filling, [and had] nice and crunchy vegetables.” Another loved how it was “economic and easy to make at home.”

 At PSS Jackson, the participants were more wary to try a new dish. However, after watching the demonstration and becoming more comfortable with the ingredients, not only did they try it, but they really liked it. One client explained, “I liked this activity because it allowed me to try new and interesting foods that I could possibly have more of in the future.” This comment reaffirmed for me the benefits of food demonstrations and similar programs that expose participants to healthy and tasty options. Without this demonstration, many clients would never have tried bulgur, and now, after liking it, wanted it in their meals. After these successful food demonstrations, I am both excited and hopeful that PSS Parkside and PSS Jackson can easily add healthy, tasty, and economical recipes to their menus to increase the health and well-being of their clients.




This interactive and fun activity was extremely useful in keeping clients educated and involved in menu planning at their sites. Many told me that they wanted to eat healthier, but did not have access to the right ingredients or the knowledge of how to do it in an inexpensive way. Through the food demonstration, they were able to learn about this recipe that will help them do just that. From this experience, I learned that sometimes all it takes to open people up to new ideas, such as eating healthier meals, is the opportunity for them to try it. My internship enabled me to help Bronx Health REACH provide this opportunity.  I believe both sites will have an easier transition to a healthier menu.

Monday, August 26, 2019

Creating Healthy Schools and Communities Funding Supports the Garden at the Institute for Family Health Walton Family Health Center


Joseph Ellis, Kelly Moltzen and Sean Butler were given a tour of the Institute for Family Health's Walton Family Health center rooftop garden, led by Rosanna Medina.

Bronx Health REACH’s Creating Healthy Schools & Communities (CHSC) program provided funding to build a rooftop garden at the Institute for Family Health's Walton Family Health Center, to promote wellness and healthy living for staff and patients. When some Bronx Health REACH staff visited the rooftop garden in July, the garden was filled with strawberries, vegetables and herbs ready to be picked. "Growing fruits, vegetables and herbs on the health center’s rooftop is an excellent way to engage staff and patients in healthy living practices," said Kelly Moltzen, Program Manager for Creating Healthy Schools and Communities at Bronx Health REACH. She noted, "The fresh produce is easily seen and very accessible, which encourages staff to enjoy the garden, use the fruits and herbs to make infused water, and model healthy practices for patients. The infused water is a great alternative to sugary beverages. Another exciting part of this garden is that it’s used by Walton’s teen food justice group, encouraging the younger generation to eat fresh produce and develop lifelong healthy eating habits."

IFH Staff member Rosanna Medina gave a tour of the garden to Bronx Health REACH staff and shared her excitement about the garden. “I have a green thumb so I really enjoy coming out to the garden every day. I am part of the watering committee and it is amazing to see how quickly the garden has grown since it was built in June.”

PSS Jackson Clients Discover Menu Improvements are Delicious


Clients enjoy samples of Olga's Bulgar and chicken.

As part of Bronx Health REACH's Food Service Guidelines Initiative, we are working with partner Presbyterian Senior Services (PSS) at their Parkside and Jackson locations in the Bronx to improve their menus by incorporating more fresh vegetables, reducing meat and serving healthier homemade salad dressings. In March, Lenox Hill Teaching Kitchen provided  training for Presbyterian Senior Services kitchen staff on how to create more healthy, fresh, locally sourced and sustainable foods to improve their seniors’ overall health and well-being.

To date, two tastings have been held at each senior center. Seniors enjoyed samples of “Olga’s Bulgur and Chicken” at one tasting, and were offered Chicken with Butternut Squash Stew at another. At the first tasting, they learned about the benefits of eating more whole grains and were given copies of the recipe to prepare at home. At the second, many enjoyed the stew despite it having less meat and more veggies in it. One client said, "I have high blood pressure so I have to be careful of what I eat. This tastes delicious. I would make this at home." Another client added, "This was so delicious, I had two servings!" In the future, Bronx Health REACH looks forward to working with the PSS sites on improving the healthy meals served daily and engaging new sites with this initiative.

Friday, September 7, 2018

Second Tabernacle Church and Mt. Zion CME Come Together to Cook and Reclaim Health


Two Bronx Health REACH partner churches, Second Tabernacle Church and Mt. Zion CME are the second and third churches to complete the 6-session workshop series, ‘A Taste of African Heritage,’ from Oldways, a nonprofit food and nutrition education organization.  A Taste of African Heritage introduces participants to a delicious, plant-based diet high in flavor and low in cholesterol, saturated fat, sugar, and sodium. 14 participants cooked the recipes and learned about healthy ways of eating plant based foods.

Nellie Bryant from Second Tabernacle Church and Bronx Health REACH's Joseph Ellis were instrumental in getting both churches involved. 14 participants cooked together, enjoyed fellowship and learned to bring back the healthy "Old Ways" of eating.

"I had a great time teaching the Oldways African Heritage & Health Program," said Ivette Brown from Bodies By Brownie, who led the workshop. "The church members enjoyed being introduced to new alternative food options like millet, quinoa, and various spices. Fellowship was the most important component, and by cooking together we not only learned new ways to prepare healthy meals, but were able to connect with one another."

Ivette Brown, who led the 6-session workshop, contributed to this article.

Monday, July 30, 2018

Stevenson Farm Share is a Hit with IFH Patients and Community Residents




The Corbin Hill Food Project Summer Farm Share Program, supported by Bronx Health REACH and hosted by the Institute for Family HEALTH (IFH) Stevenson Family Health Center has become a staple among IFH patients and Soundview residents looking to purchase affordable local, farm fresh vegetables and fruits. Every Tuesday from 3:30 to 6:30 p.m. the Farm Share is set up either inside (or outside weather permitting) the Stevenson Health Center where customers can purchase a variety of local and seasonal vegetables and fruit for only $10. Customers place their orders by Tuesday and pick them up the following Tuesday.

The program began a year ago with GrowNYC’s Fresh Food Box Program and has since changed hands with Corbin Hill Food Project's Farm Share. In the beginning, around 15 to 25 customers per week signed up to receive farm shares that has since increased to 25 to 35 customers per week! Joseph Ellis, our Community Health Worker along with the Institute for Family Stevenson Health Center's Tiffany Diaz are there every week setting up the Farm Share and greeting customers.

"Customers enjoy coming to the Stevenson Farm Share because it’s so close to where they live," said Joseph. "Customers have told us that the produce sold at the Farm Share is fresher and lasts a lot longer than what their local supermarket sells, and with the summer growing season here, there is more of a variety of vegetables and greens offered. Customers use the recipes we give out, and with our regular customers spreading the word about the Farm Share, more people have signed up."

The Farm Share is scheduled to run through November. Customers can pay with cash, credit card, debit card, EBT, or SNAP. Interested participants can sign up in person or online. For further information call (718) 589-8775 ext. 2832. Sign up now to enjoy fresh, local veggies and fruits!

Monday, October 9, 2017

The Bronx Salad Makes its Debut at BronxWorks



The Bronx Salad made its debut on the BronxWorks menu this spring! The Bronx Salad initially planned as part of a healthy menu initiative with local restaurants has expanded beyond restaurants. It is now served at schools, after school programs and bodegas. There is even now The Bronx Salad Toolkit for Schools recently created by Bronx Health REACH and Grow to Learn NYC. BronxWorks adapted “The Bronx Salad” Toolkit for Schools.

On the rooftop garden of the BronxWorks Carolyn McLaughlin Community Center, afterschool students grew and harvested many of the Bronx salad ingredients including cilantro, corn and kale. The Program Coordinator from the afterschool program, Project Achieve, and the Horticulturalist at BronxWorks guided participants in growing the ingredients. Engaging the children throughout the process of growing, harvesting, preparing, and eating the Bronx Salad included conducting more than 60 lessons addressing nutrition and gardening. Many of the ingredients of the Bronx Salad were explored by the children in the classroom through STEAM (Science, Technology, Engineering, and Mathematics) activities.

Kim Wong, a program director at BronxWorks explained, “Feedback on the salad has been very positive and we plan to continue to grow the salad ingredients in our roof top garden and offer it in our BronxWorks afterschool program meals as well as at our BronxWorks meetings and events.” The Bronx Salad has been served to over 600 participants in children, teen, and adult programs. The salad was such a huge hit that it will now be offered once a month at the afterschool program.

So far, the Bronx Salad Toolkit for Schools and starter seed kit has been given out to over fifteen schools in the South Bronx and grown and harvested in five of those. To learn how to grow the Bronx Salad in your school garden, download The Bronx Salad Toolkit.

Thursday, June 22, 2017

Joseph Ellis – Committed to Enlightening Communities about Health Issues Affecting the Whole Body


Joseph Ellis attended his first Bronx Health REACH faith based outreach meeting in 2006. He didn’t realize at the time, but that meeting would eventually lead him to becoming an employee of Bronx Health REACH. As a member of the Bronx Deliverance Center of Faith Church, Joseph was drawn to the faith based meetings due to the healthcare component. As a deacon in his church one of his roles is to distribute health materials and educate fellow parishioners on the importance of healthy eating and being physically active. He was instrumental in having two diabetes workshops held at the church; something that had not happened before.

In 2007, Joseph was hired as an outreach organizer at Bronx Health REACH to create linkages between Bronx Health REACH and churches in the community. His role was to  encourage them to establish health ministries. Joseph, keenly aware that the church pastor sets the tone for the healthcare ministry in a church understood the importance of engaging pastors in the effort. “If a pastor is interested in having a healthcare ministry, then that congregation will have a healthcare ministry, but if the pastor has no interest, an interested church member will have to create and advocate for it, and will find it difficult to get it going without the pastor's blessing.”

In addition, Joseph assisted with the implementation of four Bronx Health REACH initiatives with the faith based partners: Fine Fit and Fabulous, a nutrition and fitness program; The Culinary Initiative, a healthy cooking course for culinary committee members; God’s Health Squad, a youth nutrition program, and The Way, a support program for congregants living with diabetes. Joseph particularly remembers the successes of the Culinary Initiative, “One church had been serving fried foods but once they got on board and revamped their kitchen, they started making such changes as baking instead of frying foods, and serving brown rice rather than white rice,” Joseph recounted.

Unfortunately, funding for the grant that supported his role with the faith based programs ended and Joseph's position was eliminated. He continued to attend various healthcare events in the Bronx and would always run into Bronx Health REACH Director, Charmaine Ruddock. “ After one of the events, Charmaine sent me an email asking if I would be interested in a community health worker position in the newly created Vegetable and Fruit Prescription Program at three of the Institute's Bronx health centers. I came in for an interview and was hired.”

Working at the Institute for Family Health’s three Bronx health centers Joseph has discovered that there are many challenges obese patients face when looking to exercise and lose weight. “I gave one patient a flyer about the Saturday exercise classes held at Stevenson. She looked at the photo in the flyer, which depicted thin people doing exercises. Thinking that she would be the only overweight person in the exercise class, she felt she would be embarrassed in the class and discouraged from attending.”

Joseph realizes that though he is not able to make every patient he sees healthy overnight, he can encourage them to take the necessary steps by educating them about eating healthier; promoting attendance at food demonstrations at the health centers; encouraging patients to go on organized tours of neighborhood supermarkets and bodegas to identify healthy food they can purchase; and by conducting tours of neighborhood farmers markets and distributing Health Bucks to those who attend to purchase vegetable and fruits at the markets.

According to Charmaine, Bronx Health REACH’s Director, “Joseph’s vast experience living in the Bronx, his knowledge of how the community works, its residents' concerns and interests, and his insider’s understanding of the culture and values of churches, has been invaluable to Bronx Health REACH’s healthy eating initiatives in the community.”

Monday, August 8, 2016

Bronx Health REACH Debuts Vegetable and Fruit Prescription Food Demonstrations


Bronx Health REACH debuted its first cooking demonstrations of the Vegetable and Fruit Prescription program on Tuesday, August 2nd at the Institute for Family Health Center’s Mt. Hope Family Health Center. Tania Lopez, the chef and founder of Coqui the Chef is collaborating with Bronx Health REACH to lead cooking demonstrations of healthy delicious dishes that patients can easily make at home. Tania provides a wealth of knowledge about healthy cooking and has shared her recipes on The Chew, BronxNet’s Open, and What Not to Wear!


For the Mt. Hope cooking demonstration she made a “Fiesta Salad” which is chock full of vegetables such as cucumbers, avocadoes, tomatoes, and bell peppers as well as fruits. Tania demonstrated step-by-step in Spanish and English how easy it was to make the salad. Over thirty patients and Mt. Hope staff tasted the Fiesta Salad and received the recipe and nutrition facts about the vegetables and fruits in the salad. The food demonstration was well received and created a buzz about the Vegetable and Fruit Prescription Program and its benefits! The next food demonstration will be held at the Institute for Family Health’s Stevenson Family Health Center on August 11th.

Click here for the Fiesta Salad recipe.

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