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

 

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

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

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

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

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

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

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

References:

1. FoodEdReport_010.pdf (nyc.gov) 

2. databrief1.pdf (nyc.gov) 

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

 

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

Click HERE to Register. 

Questions? imoronta@institute.org.

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

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

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

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

Topics include:

• Nutrition and Health Equity in the Bronx 

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

• Improving Food Access in Community Settings 

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

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

• Eating Soulfully 

• Reimagining your Local Bodega with Better Food 

• Envisioning the Food System of the Future 

Click Here to Register.

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

Speakers include:

Bronx Borough President Vanessa L. Gibson

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

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

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

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

Norma Gonzalez, Farm Share Manager, Corbin Hill Food Project 

Theresa Landau, Program Director, Morrisania WIC

Francisco Marte, President, Bodega and Small Business Group 

LaToya Meaders, Co-Founder and CEO, Collective Fare 

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

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

Gladys Roman, Executive Director, Manna of Life Ministries

Ismail Samad, Interim Executive Director, Corbin Hill Food Project 

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

 

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

 

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

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

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

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

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

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

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

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

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

LACTATION RESOURCES:

Bronx Healthy Start Go To Lactation Resource Guide

Breastfeeding Disparities Qualitative Research Study

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

NYC Department of Health and Mental Hygiene Doula Care

Bronx Doula Access Project

Improving School Physical Activity Access Through Open Streets

 

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

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

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

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

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

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

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

 

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

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

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

Health Disparities Workgroup Roundtable Discussion with Fordham University Faculty

 

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

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

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.