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.

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.

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?

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.

Bronx Health REACH Meets with Bronx Borough President

 

Members of the Bronx Health REACH Health Disparities Workgroup (HDWG) met with Bronx Borough President Vanessa L. Gibson.

In March, members of the Bronx Health REACH Health Disparities Workgroup (HDWG) met with Bronx Borough President Vanessa L. Gibson and Dr. Nancy Kheck, Director of Health and Human Services for the Bronx Borough President’s Office. The meeting was held to discuss the findings of the 2023 Robert Wood Johnson Foundation County Health Rankings report and the policy Asks of the HDWG. 

In January, during her State of the Bronx address, the Borough President indicated that improving the health of the Bronx was a priority. At the meeting with her, the group discussed with her how the recently announced work of her office fits into these Asks. A follow up meeting will be scheduled with the Borough President in the upcoming months.

#NOT62: The Campaign for a Healthy Bronx. Coalition of Bronx Organizations Continues It's Mission of Advocating for the Health of The Bronx Despite Long Standing Ranking as the Unhealthiest County in NY State

 

Members of the Bronx Health REACH Health Disparities Workgroup at our last in person rally before the COVID pandemic shut down holding a #Not62 rally in December 2019.

The Robert Wood Johnson Foundation (RWJF) released its 2023 County Health Rankings Report earlier this year, and we saw that some of the positive changes that happened from 2010 to 2020, namely, improvement in the quality of life and health behavior of residents have been reversed. Especially concerning is the noted worsening food environment (6.8% compared to 7.6% in 2022), food insecurity (20% compared to 16% in 2022) and an increase in children poverty (34% compared to 31% in 2022).

Earlier this month at our quarterly Coalition meeting, Bronx Health REACH welcomed researchers from the University of Wisconsin who are responsible for determining the county health rankings. They discussed the findings for the Bronx, to help us better understand why we continue to rank last and to offer some insight in what we should be addressing to improve our ranking.

Since 2015, The Institute for Family Health/Bronx Health REACH, Montefiore Health Systems, Bronx Neighborhood Health Action Center, the Office of the Bronx Borough President and others have served as the backbone organizations for a growing coalition of partners that are a part of #Not62: The Campaign for a Healthy Bronx. This #Not62 Steering Committee is dedicated to improving health outcomes and addressing longstanding health inequities in the borough. The Campaign, leveraging the power of community partnerships, contributed to improved health outcomes between 2016-2021, demonstrating the value of community investments to foster a healthier Bronx.

The #Not62 Coalition partners will be expanding to a larger group bringing in more experts from the Bronx as they move forward with a new five-year plan that provides a roadmap for recovery to help Bronx residents respond to the challenges, traumas, and health burdens they continue to face. The Campaign will tackle these challenges by connecting people, resources, and systems with public health partners to foster community wellbeing and a future Bronx no longer ranked last.

Vaccinate for Family Ad Campaign Launches in The Bronx

 

The Vaccinate for Family ad campaign can be seen at various subway platforms and LinkNYC kiosks in the Bronx.

The next time you are walking in the Bronx, or waiting on the subway platform in the Bronx, be sure to check out our Vaccinate for Family ad campaign promoting COVID-19 vaccination. Working with media agency CauseLab, with funding provided by Health Resources and Administration's (HRSA) Expanding COVID-19 Vaccination program, and the Center for Disease Control and Prevention, ads in English and Spanish are running on urban panels (aboveground subway signs), along with signs on the platforms and on LinkNYC kiosks.

The ads which feature six Bronx residents have as the themes: One Brother to Another, One Mother to Another, One Father to Another and are focused on encouraging parents of children age 12 and under to get them vaccinated, as well as pregnant women. If you see any of our advertisements, take a photo and post on social media with the hashtag #vaccinateforfamily.

‘Men, Let’s Talk’ - A Men's Only Health Forum for Men of Color in the Bronx

 

Debut of Bronx Health REACH's 'Men, Let's Talk' series at the Institute for Family Health's Stevenson Health center. 

June is Men’s Mental Health Month but for Bronx Health REACH each of the past 8 months we have been holding conversations with men in the Bronx on their mental health and wellbeing. It has been well reported how much the COVID pandemic inflicted mental stresses on everyone. This was brought home strongly to Bronx Health REACH by many leaders of our faith based outreach initiative and our community outreach team.  We heard from many that they were especially concerned about the mental wellbeing of the men in our community.

To address these concerns, Bronx Health REACH created, ‘Men, Let's Talk’, an ongoing series of monthly Saturday morning meetings that were part of the Minority Mens Wellness Initiative funded by the New York State Department of Health. These meetings provide a forum where men discuss with each other and with experts, issues that impact their mental health and wellbeing. The first meeting was held in person in October 2022 at the Stevenson Family Health Center, but with the increase, at that time, of COVID cases, subsequent meetings have been held virtually. Participants have shared that the forum has been a safe space to discuss topics that they previously were unable or uncomfortable discussing and sharing.

To date 157 men have attended the monthly Men, Let's Talk meetings. If you are interested in participating,  please contact: Joseph Ellis (917)293-4247; Cheikhou Oumar Ann at (929)215-9506; Felix Rojas (Spanish speaker), at (917)650-0987.

Men’s Health Workshop Debuts at the Institute for Family Health Stevenson Family Health Center

Eight men attended the Men’s Health Workshop at the Institute for Family Health’s Stevenson Family Health Center. Joseph Ellis, author of this article, is fourth from the left.

This post was written by Joseph Ellis, a Community Health Worker at Bronx Health REACH.

As a Community Health Worker for Bronx Health REACH and the Men’s Department Coordinator for my church, Bronx Deliverance Center of Faith, I have been working and communicating with men in the community and the churches for several years. Our conversations have been on various subjects such as spiritual growth, finances, community involvement, and health.

I’ve noticed that when we begin to talk about our health, we come up with many reasons why we are not giving our health top priority in our life. For example, we work, we are tired when we get home, we have no desire, we are not interested in exercising because it takes too much time, we eat whatever our partner cooks, or we do not have time to go to the Doctor.

Normally men have a difficult time discussing issues concerning our health. Our perception of ourselves is often: whatever we face, we can handle. Irrespective of the challenge, men believe they are indestructible, and can address any issue on their own, even if it’s a health one. But this is not always the case.

Many of the men I have spoken with mentioned having struggles with health concerns like diabetes, being overweight and losing the weight, being stressed about work and providing for their families. As a Community Health Worker, I wanted to do something to address these concerns. If I could get them all together in a workshop and have their health concerns addressed by a doctor, maybe they would be more receptive to opening up about the challenges they have as men regarding being healthy.

With the help of Ms. Tabasa Ozawa, one of the interns at Bronx Health REACH, we created a Men’s Health survey that we distributed to men to get a broader idea of the other health topics they are concerned about. Using this survey, I was able to outreach to 160 men from different ethnicities and ages in the community, churches, and masjids. It took a couple of months to gather all this important information together.

From the information gathered, I organized a Men’s Health Workshop at the Institute for Family Health’s Stevenson Family Health Center in the Bronx. Dr. Eric Gayle, the NYC Regional Medical director for the Institute for Family Health, led this first Men’s Health Workshop on Saturday, January 18, 2020.

Dr. Eric Gayle led the workshop and answered questions about Men’s health.

Several health topics were chosen that we felt would encourage a dialogue among the men.
Those topics were:

a. Age Dependent Preventive Health
b. Health
c. Wellness
d. Interacting with your Primary Provider
e. Cancer Screenings


The interaction between the men and Dr. Gayle was dynamic. He talked to them and not at them. As they warmed up to him, the questions just kept coming. This workshop was designed to get the men to open up about their health concerns, and they did. Scheduled for two hours, the workshop easily went another half an hour.

Questions were addressed about diabetes, family history, discussing your health concerns with your doctor; (the doctors are here to help you but need you to communicate to them what is bothering you), sexual health, prostate growth and cancer, what are the options to combat these concerns and more.

The workshop hit home for the men and they wanted to know when we would be holding the next one. When the workshop ended, a couple of the men hugged Dr. Gayle and prayed for him. Wow! What a positive response to a dynamic workshop.

Attendees were encouraged to be proactive in managing their health.

As a Community Health Worker, I am encouraged that having these Men’s Health Workshops will be a tremendous help in assisting the men in our communities to take charge of their health and become more proactive. With the help of Dr. Gayle and other providers at the Institute for Family Health, we will continue to organize more workshops to provide a forum where men can have an open discussion about their health.


If you would like more information about the Men’s Health Workshop, contact Joseph Ellis at (212) 633-0800, ext. 1341.

Bronx Health REACH Meets with Senator Alessandra Biaggi

Left to right: Maxine Golub from the Institute for Family Health; New York State Senator Alessandra Biaggi; Kelly Moltzen and Moria Byrne-Zaaloff from Bronx Health REACH; Jacqueline Chiofalo from the Institute for Family Health.

On December 12th, Bronx Health REACH's Kelly Moltzen and Moria Byrne-Zaaloff from our Creating Healthy Schools and Communities program, along with Maxine Golub and Jacqueline Chiofalo from the Institute for Family Health met and spoke with State Senator Alessandra Biaggi. Kelly and Moria discussed the WELL Campaign (Wellness, Equity & Learning Legislation) which asks for a New York State model school wellness policy, and funding to go to the New York State Education Department for school districts to develop and implement wellness policies based on the model state wellness policy.

As a supporter of the WELL Campaign, she was surprised to learn that even though other states have school wellness statutes in place, New York does not. Senator Biaggi is also a sponsor of the New York State Health Act [A.5248, S.3577], and was pleased to know that Institute for Family Health and Bronx Health REACH staff testified at hearings in the Bronx and in Kingston, NY, in support of the Act.

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.

Bronx Residents Get Boogie’ing at 6th Annual Boogie on the Boulevard

This post was written by Rachel Ingram, Nutrition and Physical Activity Program Manager at Bronx Health REACH.

On Sunday, September 15th from 2 p.m. to 6 p.m., the middle lanes of the Grand Concourse from 162nd to 170th Street were closed to cars and open to a world of fun and free music, dance, fitness, art, fresh food samplings and more! Boogie on the Boulevard “Boogie,” a NYC Department of Transportation Weekend Walks program, is a one-of-a-kind community event that reimagines the streets as a public space where the many diverse cultures represented in the Bronx can be active and celebrate.

This year at Boogie, nearly 5,000 Bronx residents enjoyed a one-mile stretch of interactive healthy living activities based on themes such as Arts, #Not 62, Fresh and Healthy Eating, Back to School, Fitness and Wellness, Dance, Active Transportation, Baby Oasis, and Street Games. “Every year we get together as community residents, local community-based organizations, healthcare partners, transportation advocates, and we celebrate who we are as the Bronx,” said Bronx Council Member Vanessa L. Gibson, a long-time supporter of Boogie on the Boulevard. “We recognize health and wellness and achieving a healthier, brighter, and stronger borough.”

Participants engaged in fitness and wellness activities such as Hoola Hoop classes, Zumba dancing, Kickboxing, Hip Hop Fitness, and various obstacle courses. Over seventy Bronx Runners showed up to participate in a 5K timed run along the Grand Concourse. To celebrate, runners received refreshments and sunglasses with the “Boogie” logo on them. Tai Chi, guided meditation, medical massages, and yoga for adults and kids were available to those looking for a mind and body experience.

Local food vendors and organizations prepared fresh and healthy snacks and gave out samples like hummus with pita bread, shredded carrot salad, apples with sunflower butter, lightly sweetened chocolate covered nuts made by Sustainable Snacks and other goodies for participants to taste on the Fresh Food Block. The “Don’t Stress, Eat Fresh” Games Challenge, hosted by the Institute for Family Health’s Bronx Health REACH, provided a fun way to highlight all of the healthy options that are offered at partner Bronx bodegas participating in the Healthy Bodega program. Participants refreshed themselves with fruit infused water- the perfect alternative to sugar-sweetened beverages.

 

On the Arts Block, families took part in the creative process together. Community artists worked with community members to guide them through various arts and crafts projects like button making, card making, live painting, printmaking, and ceramics. At one point during the day, a large audience gathered around some of the local artists as they took part in painting live action pictures of Boogie on the Boulevard. Participants walked away with beautiful sand-art necklaces, drawings, paintings, and handmade cards.

People-powered vehicles was the theme of the Active Transportation Block. Participants learned how to roller skate, skateboard, and enjoyed free bike rides. Many, and took advantage of free bike parking and bike repairs. The big hit of the day were the adaptive bicycles used for mobility, therapy, and recreation. Everyone loved learning about the freedom that these bikes provide for individuals who otherwise would not be able to ride. They liked trying them out too! 

The Boogie Down block featured Bronx-based music and performances, salsa dancing, hip-hop, and music creation workshops for participants to dance and get moving. There was also silent disco for those thatwho wanted to “boogie” in a unique way! A regular at previous Boogie on the Boulevard events- BombaYo- engaged community members in drum circles to raise awareness of Afro Puerto Rican culture and to connect Bomba to the vast traditions of the African Diaspora.

There were no shortage of activities for folks with infants and children! Those with babies visited the Baby Oasis Block for all their parenting needs including breast-feeding tents, parent resources, and for some, mommy and me yoga. The big kids got to enjoy face painting, balloon making, a bouncy house, Euro Bungee jumping, obstacles courses, back to school giveaways, and streets games galore!

For the civic-minded Bronxites, the #Not62 Block showcased efforts to lift up the Bronx from its ranking as the least healthy county in all of New York State. On this block, people were involved in activities for the whole self - social, emotional, psychological, and physical. They also had the opportunity to help improve the health of the Bronx by signing up to join the #Not62 campaign.

 

Undoubtedly, Boogie on the Boulevard was a huge success! As one participant said, “This is a great event to get families and kids out, to get them active in arts, nutrition, the culture of the Bronx and being from the Bronx.” The 2019 Boogie on the Boulevard was made possible by NYC Department of Transportation Weekend Walks program and the Boogie on the Boulevard -Steering Committee comprised of the Institute for Family Health/Bronx Health REACH, the New York City Department of Health and Mental Hygiene, BronxWorks, Montefiore Medical Center, and Uptown Boogie & Bicycle Advocacy in partnership with a volunteer committee of Bronx residents. Thank you to our sponsors Amida Care, SBH Health System, Montefiore Medical Center, Bronx Museum, the Institute for Family Health/Bronx Health REACH, Health First, New Settlement Apartments, and Union Community Health Center.