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Improving Health Outcomes Through a Multi-tiered Nutrition Program CSRHA – Annual Membership Meeting June 19, 2009 Chris Kelsch – Executive Director The Power of Working in Small Communities
Winters Healthcare • Small FQHC – Western Yolo County • 28 Staff – 5 providers • 4 Exam Rooms – 3 Chairs Dental • 7,700 visits 2008 • Population ~7,000 • 48% Hispanic, 50% White, 2% Other • Orchards (Nuts and fruit)
Why Community Nutrition? • Better support for diabetics • Started group diabetic visits 2006 • 2 Spanish groups • 1 English group • Results: better “management” of but… How do we change nutrition habits/behavior?
Three Components of the Project • Nutrition and Exercise Groups • Show how to cook and eat differently • Weekly Farmers Market • Keep local grown food local • Increase access to fresh produce • Community Garden • Access to produce • Potential income for families through sales • Increase access to fresh produce
Nutrition and Exercise Groups Nutrition Groups • Dietary education • Cooking with seasonal produce • EATING!! Exercise Groups • Stretching • Aerobics (walking) • Yoga
Nutrition Groups WHO? • Diabetic Patients AND family members • Now - Patients of Winters Healthcare WHEN? • Three times week (M,T,W) • Meet in evening (6-7:30) • Three month cycle WHERE? • Local Parish Hall • Charge $2-3 per class • 10-17 persons per class • Food often donated
Exercise Groups Exercise Groups • Meet Twice Weekly • Charge $2-3 per class • Yoga/dance studio offered space • Led by promotoras
WHF Data 1st Exercise Class 1st Nutrition Class
Weekly Farmers Market • Local growers both organic and conventional • Culturally integrated market • Market offerings include: • Prepared foods • Local vendors • Arts and crafts • Music
Winters Farmers Market Place to relax Activities Music
Community Garden WHO? • Garden for low-income community members to WHAT? • Grow produce for their families • Potential to sell produce at the market and via CSA WHERE? • Worked with City to identify best of four sites WHEN? • Goal- first planting spring 2010
Community Garden Activities • Small Contract with “Community Garden Specialist” • Develop criteria for community garden membership • Allocate plots • Develop rules and regulations of garden • Break ground at garden site
Partners and Roles Partners – “Food Project Committee” • Winters Healthcare • Market Manager – first two years • City of Winters • Responsible for sustaining market • Chamber of Commerce • Vendors and Eager to bring $$$ into business • Davis Farmers Market • Expertise in design and relationships
How we organized it TIDES grant - $150,000 two years • Nutrition Exercise Program Add day to nutrition/exercise program • Farmers Market • Information from the Community • Survey of Residents - 432 surveys received! • Conducted 11 focus groups • Spanish-speaking community • Work with Local Expertise • Davis Farmers Market • Preliminary identification of local growers
How we organized it Community Garden • Four potential community garden sites • Soil samples for city from Ag extension • Presented findings to City Council • Outside expertise to help establish • Local donated resources
Issues-Potential Solutions • Issue: Market structure and access for low-income Spanish-speakers difficult • Potential Solutions: • Voucher Program (via donations/grants) • Community Supported Agriculture (CSA)
Issues-Potential Solutions • Issue: Transferring the Responsibility of Market to City of Winters • Potential Solutions: • Vendor fees and sales revenue • Documenting time and developing process to ease transition
Our Keys to Success • Identify people passionate about _______? • Nutrition, farming, gardens, health education • Contact City/Town -What they are doing? • Give people money from grants • Expect others to take control from beginning • Talk to council members and planning commission members • Take one piece at a time based on enthusiasm and timeline
QUESTIONS? Ana Kormos – Outreach Health Ed /Market Manager 530-795-5200 email@example.com Chris Kelschckelsch@wintershealth.org530-795-5200 www.wintershealth.org