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| Title | Author | Year | Publication Type | Community Focus | Location | Description | Affiliation | Body |
|---|---|---|---|---|---|---|---|---|
| Opportunities to Use Procurements to Create Nutrition-Sensitive Development Projects | Steven Myers | 2011 | Despite the recent emergence of policy frameworks designed to facilitate the integration and expansion of nutrition interventions in the developing world, U.S.-funded nutrition programs continue to be… Read more | Leland Fellow | Opportunities Use Procurements Create NutritionSensitive Development Projects Executive Summary leadership foreign assistance danger being compromised misguided attempts balance the federal budget reducing doing away with aid programs this budgetary climate need more less requires show real costeffective results One area where especially true nutrition which cornerstone all international development Unfortunately evidence indicates substantial disconnect between policy and implementation ground Despite recent emergence frameworks designed facilitate integration expansion interventions developing world USfunded continue efficient effective economical than they could way for government advance its priorities better align integrate projects general specifically would alter requirements food securityrelated grants contracts such that also function tool Introduction For well over half century United States has been leading provider both humanitarian longterm The benefits recipient nations are myriad welldocumented saved countless lives wake conflicts disasters decades while impetus behind growth some worlds strongest economies Assistance good economy eleven fifteen largest importers American goods services were once recipients This includes European received through Marshall Plan Asian Tigers like South Korea Taiwan But song says times achangin fallout from global financial crisis spiraling deficit have made target fiscal conservatives hawks Congress public fact constitutes one percent consistently cited needs Recent efforts dramatically reduce cases eliminate funding demonstrate Without these decimated putting millions stability many countries grave risk first link chain program delivery procurement process Request Proposal RFP Application RFA documents released agencies USAID USDA direct manifestation should articulate seek operationalize goals Given surrounds greatest extent possible aim create little waste duplication effort resources can done soliciting integrated multisectoral Such costly administrative costs encourage synergies among sectors make positive impact bottom line population regard Nutrition ways foundation environment diminishing unique range effects produced minimal investment Improvements nutritional status people shown poverty improve health lower disease burden increase educational achievement enhance economic output women girls contribute community human capital report states numerous derived investments combined ease making them makes powerful means end life And yet despite facts until recently often gotten short shrift Government donor analysis streams conducted relief agency Doctors Borders Mdecins Sans Frontires MSF describes those years flat insufficient having not increased improved significantly since nutritionspecific appropriated security vast majority going agricultural emergencyhumanitarian Make mistake important success Green Revolution was effectively abandoned most last three renewed attention dedicated agriculture few welcome change fight against hunger malnutrition necessary sufficient solve problem paper will describe fully nutritions pivotal role discuss attempted place within overall humanitariandevelopment scheme how used elevate then described contracted procurements why Finally examine options correcting integrating into Persistent Gap Policy Practice September President Obama speech before General Assembly stated had embraced Millennium Goals committed itself poor vulnerable Proper fundamental play least six eight MDGs Obviously central MDG eradicate extreme major achieve universal primary education Much days conception age two irreversible damage childs physical cognitive addition school feeding much constitute incentive families send their children creating opportunity might otherwise exist relation Promote Gender Equality Empower Women Incorporating gendersensitive components policies womens expected shortterm programming female infants translate adolescence empowerment adulthood communities child mortality improving maternal selfevident proper critical functioning immune system factor successful combating HIVAIDS malaria other diseases specific impacts improper consequences According estimates effect annual GDP Add carerelated chronic related figure rise about level wellnourished likely access available use activities further develop They involved disrupt livelihoods point here simply though certainly larger present enormous social providing basic necessity couple emerged expressed goal exactly announced initiative now called Feed Future FTF objectives accelerating sector part intends provide million estimate number stunted underweight Scaling SUN Movement began collaborative Road Map summer response persistent high levels undernutrition setbacks progress toward realization halving caused price Based large groundbreaking series Maternal Child Undernutirion published British medical journal Lancet set principles guidelines governments donors civil society organizations generate political support mobilize help highburden combat country stresses nutritionsensitive seeks promote adequate national protection programmes Both Paris Declaration Aid Effectiveness Accra Agenda Action update agenda advancing Five Rome Principles Sustainable Global Food Security based premise must charge own implementers countryled plans order coordination accountability ensure maximum analytical anecdotal translated action Save Children RFAsRFPs issued areas during there provided advent remain fragmented uncoordinated Programs still almost entirely separate solicited sectoral basis did find early when introduced included expectation indicators framework consistent developed exact specified designated survey sent offices nongovernmental indicate stuck traditional stovepipes remedy situation met skepticism resistance example stovepiping comes Nepal focus responded project same time working proposal geographical coverage overlapped because separately each ultimately administration logistics supply Reports unusual occurrence Clearly caught expounded favor Tools aligning particularly Here possibilities Institutionalize what already begun include gets reported worked prescriptive option leaving question accomplish implementing organization Specify sum percentage funds quantifies accomplishing but leaves methods amount applied determined casebycase according nature particular circumstances region Include programminginterventions without specifying allowing potential flexibility terms recognized implement peoples metrics measure inclusion gives partners motivation incorporate hopefully provides guarantee regarding second contrast every plan substantive acknowledgement foundational element accounted across relevant does however leave open whether appropriate nutritionrelated meant Another significant posed measuring inputs rather outcomes pitfall thing able say trained members hygiene practices demonstrably substantively result training foodborne illness dropped Unless known beginning measured easier tasks performed Are conclude optimum solution Not necessarily although ability mandate kinds cost efficiencies discussed earlier along efficacy depends upon additional crucial context Some combination any outlined different potentially even best utilize adhere ownership principle Each require acknowledging positioned determine tailoring type long maximizing effectiveness efficiency maintain sphere From Maximizing Impact Accountability Efforts Modernizing Foreign Network RosLehtinen mission cut State budgets Cable ForeignPolicycom httpthecableforeignpolicycompostsros_lehtinen_my_mission_is_to_cut_the_state_and_foreign_aid_budgets Dec reviewed June Most solicits bids applications main difference allow creativity freedom contract deliverables very room Barbara Macdonald Lawrence Haddad Rainer Gross Milla McLachlan Making Case Foundation Geneva ACCSCN Malnutrition spent flows November Funding FYFY Congressional Research Service April Undernutrition Series January httpwwwthelancetcomseriesmaternalandchildundernutrition Ruth Oniango Edith Mukudi Susan Horton lowincome Asia Review Barry Popkin Sue Soowon Kim Nutritional Transition DietRelated Chronic Diseases Implications Prevention IFPRI Poverty Guide May ScalingUp httpwwwunscnorgfilesAnnouncementsOther_announcementsFINAL_SUN_Road_Map_FINAL_dnpdf httpwwwoecdorgdocumenten_______html World Summit httpwwwfaoorgfileadmintemplateswsfsSummitDocsFinal_DeclarationWSFS_Declarationpdf Department distinction predate occurred period brief forthcoming Survey InterAction December Organizations surveyed Alliance End Hunger CARE Catholic Relief Services Project Mercy Corps | |||
| Policies for Effective Development: Rethinking the Role of NGOs in… | Sonia Lee | 2011 | Policy Reports | Global, Haiti, Latin America | Non-governmental Organizations (NGOs) have a crucial role to play in the development of Haiti. NGOs deliver much-needed services to the population, including health care, education, food assistance… Read more | Leland Fellow | Policies for Effective Development Rethinking the Role NGOs Haiti Sonia Lee Leland International Hunger Fellow Policy Paper June Executive Summary Nongovernmental Organizations have crucial role play development deliver muchneeded services Haitian population including health care education food assistance and microfinance While work has undoubtedly provided relief support people presence also negative impacts they often larger capacity more resources than government inadvertently created parallel system which better resourced executed public The established their abundance country resulted being frequently called Republic However are left operate with little oversight accountability fragmented uncoordinated Further foreign donors giving funds directly over due fears corruption political crises Thus gained leverage how efforts shaped implemented Yet activities may not always align countrys priorities Given its limited weak institutions lack State inevitably reliant provide that able continued reliance indisputably impedes sustainable sovereignty caught cycle impairs longterm needs order address immediate recent events January earthquake flooding current cholera epidemic shown effective requires For redefined new strategies must devised coordinating NGO aligning renewing aid effectiveness building sector should focus solutions centered strengthening supporting Appropriate international domestic policies needed guide regulate function Foreign designed ensure major shifted Haitis With renewed global attention promised there great opportunity now rebuild smarter way respects increases own ability improve lives research purposes refer mainly organizations Local exist but same scope level funding United States Institute Peace Brief Recommendations following recommendations can most effectively together NonGovernmental Require engagement Government program design implementation Conduct reassessment strategy Donors Develop policy strengthens partner countries Comply Paris Declaration Aid Effectiveness Accra Agenda Action Reduce channeled expense GoH national Establish mechanism participatory transparent process identifying POLICIES FOR EFFECTIVE DEVELOPMENT RETHINKING THE ROLE HAITI Introduction some cases providing technical budget Consequently viewed adept large number particularly those living impoverished conditions relies heavily them essential social This further exacerbates low confidence local partners whole continually undermines rather investing would encourage strong leadership selfsufficiency ownership sustainability Furthermore citing reasons bypassed given But meet objectives respective end been criticized taking stronger monitoring struggles rethinking about develop include forging equitable partnerships engaging programmatic financial National Budget coordinated monitored avoid duplication wasting both developed changed central goal influx into scaling existing immense promises community devastation these consecutive contributed already difficult situation yet presents implement remain important part recovery true could lessen creates Background Country Context poorest Western Hemisphere one worst human indicators Latin AmericaCaribbean region Since independence wracked instability coup dtats two occupations brutal dictatorship military regimes all deterioration infrastructure widespread poverty held first democratic presidential elections democraticallyelected president was overthrown times coups detat Eighty percent under line incredible inequality income distribution nations wealth concentrated among just Massive deforestation loss agricultural isolated rural led urban migration denselypopulated slums vulnerable disease ill violence high unemployment Traditionally agrarian society farming served primary source livelihoods production response donor pressure globalize from producing foods export reducing tariffs imports UNDP Human Indicators Retrieved httphdrstatsundporgencountriesprofilesHTIhtml CIA World Factbook Economy httpswwwciagovlibrarypublicationstheworldfactbookgeoshahtml Pan American Health Organization PAHO Population Assessment Prior Earthquake result flooded USsubsidized such rice had devastating effect Presently constitutes gross product GDP whereas made half fact former President Bill Clinton told Senate Relations Committee March forcing reduction import good farmers Arkansas worked mistakethe lost produce crop feed peoplebecause what did Additionally loans InterAmerican Bank IMF imposed required privatization utilities highly productive state resource generated billion dollars annually costsaving measures reduced many decades directed used service external debt done majority poor although cancelled Heavily Indebted Poor Countries HIPC still faces Predictably dependent Stategenerated revenues remains rampant problem within Remittances serve informal contributor economy economic crisis impacted Diaspora affected amount remittances were sent back home leaving ever Following reconstruction costs estimated pledged though money reach Effect operating ranges second highest per capita world groups fourfifths account NYU School Law Center Rights Global Justice Partners RFK Zanmi Lasante Sak Vid Kanpe Impact Food CHRGJ PIH DemocracyNow Made Devils Bargain Fmr Apologizes Trade Destroyed Rice Farming Broadcast April httpwwwdemocracynoworgclinton_rice Schuller Mark CCI Tail Wagging Dog httpwwwhaitianalysiscomeconomyhaiti percentE percentsccithetailwaggingthedog Over received during dictatorships Duvalier fatherson From Jubilee USA Debt Cancellation httpwwwjubileeusaorgjubileeacthaitidebtcancellationresolutionresourcesonhaitisdebthtml Monetary Fund Statistics Support httpwwwimforgexternalnpcountryhtm Under IDB agreed write off million pay remainder USIP much quarter well job creation Inadvertently Despite various Although technically authority because generally unmonitored know where coordination leads less will collaborate certain project sit Ministry oversee coordinate projects institution NGOfunded staffed programs departments Inevitably issues between arise jealousy resentment staff come lacking compared Another brain drain recruit welleducated Haitians offering functioning wellresourced systems higher paying jobs highlybureaucratic resourcelimited setting apparent case doctors who trained choosing practice medicine hardtoreach areas workforce invested educating training workers especially ultimately suffers enough professionals available internal weakens institutional perpetuating continue channel direct USAID spent through single entire ministry Most recently postearthquake nearly Cordoba Jose Spawns Backlash Wall Street Journal November this years clear fight working partnership build govern reinforcing transparency Political channeling example longapproved blocked veto disputed parliamentary three totaling intended improvement reform potable water enhancement road rehabilitation seven parliamentarians question stepped down embargo placed humanitarian crippled putting significant impact diminished trust concern long time evident continues deteriorate cost rises unable basic lacks lifesaving constantly addressing create challenging necessarily show quantifiable results undermine take incentive change uncertainty whether genuinely chance transition wellfunctioning accountable III Recent highlighted poorly vulnerability discussions around need reassess devise ways successfully Coordination becomes Farmer Smith Fawzi Nevil Unjust Lancet unsustainable does require another positive Aligning Priorities Often focused differ engage aligns clearly defined key stakeholders understand comprehensive identified reflects agreements endorsed signatories call offer framework designing Code Ethics adopted applied These codes guidance greater Capacity Building takes meantime expertise fields Collaborations rebuilding solely concentrating delivery interventions intervention lasting tenuous huge cannot dismissed lightly More incentives motivate real factor pushing things forward genuine commitment form relationships motivating forces httpwwwoecdorgdocumenten_______html Association WANGO httpwwwwangoorgcodeofethicsaspx There examples partnered Haitibased affiliate Central Plateau organization solid network independently started recognize MSSP expand MSPP rehabilitated several hospitals centers teaching hospital provinces complemented personnel PIHtrained type privatepublic serves model puts action draw engages help Governments Cuba Through Cubas diplomacy medical students attend school free only stipulation once studies completed return communities compensate Cuban nurses remote throughout access ignore plays focuses aspects planning policymaking developing undermining individually collectively ensures percentage strengthen establishes dedicated collaborations andor incorporate principles input civil LasanteHaiti httpwwwpihorgpageshaiti inclusive hindering recipient lead alignment emphasize governments Therefore infused comply nonstate actors increased significantly while other Red Cross bilateral multilateral agencies private contractors depends financing damage when appropriate main recipients stipulate officially defines publicprivate carry out Input monitor Office Special Envoy Has Changed Channeling before after headed representatives crosssection multisectoral cooperation identify includes ending | |
| Effective Gender Mainstreaming in Agriculture for Secure Household Nutrition | Kerri Agee | 2011 | Policy Reports | Africa, Global | Gender and “gender mainstreaming” have become buzzwords around food and nutrition security initiatives in recent years. However the true meaning of gender mainstreaming and the policy framework… Read more | Leland Fellow | Agee Mickey Leland International Hunger Fellows Program Policy Paper Effective Gender Mainstreaming Agriculture for Secure Household Nutrition Executive Summary and gender mainstreaming have become buzzwords around Feed the Future Obama Administrations response global food insecurity well other nutrition security initiatives recent years However true meaning policy framework that must place ensure equal benefit women men are often misunderstood both makers practitioners Women developing countries contribute significantly agricultural production increasingly recognized words not practice this contribution But there still long way match their reality rhetoric receive adequate support efforts field best possible health nutritionrelated householdlevel outcomes Womens work addition home unrecognized part formal sector been ignored country international donor community The Organization Economic Cooperation Development OECD estimated received only percent assistance devoted development year draws closer increases its level commitment collaboration meet Millennium Goals MDGs producers those responsible households nutritional wellbeing being targeted policies programming unprecedented Recent research has drawn attention importance proper throughout pregnancy first twentyfour months childs life effects undernutrition period irreversible evidenced reduction productivity diminished lifetime economic growth physical cognitive Undernourished girls also more likely perpetuate cycle giving birth underweight babies themselves Unfortunately intersection between womens her household widely researched date Better understanding evidence base using dictate innovative Bread WorldThe Project Fact sheet agriculture Accessed May httpwwwthporgsystemfilesInternationalWomensDay_FactSheetpdf isthe process assessing implications any planned action including legislation making mens concerns experiences integral dimensions design implementation monitoring evaluation programmes all political social spheres equally inequality perpetuated ultimate goal achieve equality United Nations levels can achieves positive Introduction inequalities carefully scrutinized Fourth Conference included amongst priority areas two activities will impact increasing role power sharing decision promoting natural resource management environmental protection Food FAO focused publication State however benefits closing gap highlighted report focus gains rather than Other literature addressing feminization neglects mention discussion trends promising More recently variety donors States Agency USAID emphasized linkages critical time lasts from conception through age studies underscored pregnant young children under providing further early initiation exclusive breastfeeding six along with timely introduction complementary foods once child reaches provide solid start infants shows negative correlation mother spends working outside childrens statues possibly because she present these key interventions Several link amelioration educational status but few address tradeoff woman they pursue certain timeconsuming growing body translated into advocacy issues Scaling SUN begun Roadmap released September System Standing Committee was developed harness government energy towards demanddriven countryled Around same Ireland partners launched Days initiative draw need rapid topic Rural Reference Manual Governments Stakeholders httpresourcesthecommonwealthorgMar_BackupbackupARCHIVEDOCTgender_oldhtmpublicationsplanapdf httpwwwfaoorgdocrepieiepdf Donors World Bank taking account maternal nutritionagriculture world administrations lists improved one firstlevel objectives three main indicators prevalence stunted wasted line practices outlined series articles published Lancet which problem effective goals seeks increase resilience vulnerable communities improve access diverse quality diet behaviors usage services Various Missions per guidelines implement programs recognize adopted crosscutting themes act underlying priorities various plans quotes below examples recognition documents play predominant staples womenowned businesses prominent regions nascent packagingprocessing industries manifesto highlights appreciation special fishermen farmers especially processers marketers fish even though limited resources such land water credit inputs training Results Framework June httpwwwfeedthefuturegovdocumentsFTF_Results_Frameworkpdf West Africa Implementation Plan httpwwwfeedthefuturegovdocumentsFTF__Implementation_Plan_West_Africapdf Ghana httpwwwfeedthefuturegovdocumentsFTF__Implementation_Plan_Ghanapdf Checklist Baseline sectoral analysis Analysis genderbased constraints achieving sectorbased Institutional assessment capacity building equity achievement Participatory planning formation Improve budgeting incorporate Establish andor components given strategy Access Source This acknowledgement good step enough strong described requires additional steps enabling environment There great deal gained putting near future recognizes lead roles small scale contributions yet needed understand how things interrelated affect Now push current surrounding relationships among them organization ministry assumes comprehensive perspective implication sic buzzword circles late fact different situations less sexes conditions enable reap Successful depends following Commitment change procedures particularly rural incorporated groups mobilize universal keeping agenda defined several publications already exist describing taken realize highest without doing harm include concept success Optimal feeding httpwwwfaoorgsdseagadownloadsEnMacroenpdf Opio reference Uganda Challenges prospects Crop Science Proceedings SocioEconomic Programme Macro Level Handbook UNICEF cites immediate determinants malnutrition inadequate dietary intake disease causes insufficient care unhealthy Studies shown Practices initiating immediately after newborn nutrientrich colostrum exclusively introducing appropriate manner respecting rules hygiene decrease chance infant suffer either acute chronic Breastfeeding spotlight depth garnered One hundred thirty nine endorsed Innocenti Declaration Protection Promotion Support called Summit Children develop national declaration revisited reratified highlight operational targets describes stakeholders governments multilateral bilateral organizations financial institutions publicinterest nongovernmental Specific actions governmental adoption maternity measures facilitate involved sectors urgent nonformal identification allocation sufficient fully delineated Global Strategy Infant Young Child Feeding increased technical guidance calling incompatible found Code effectively addressed accordance regulations suitable WHO jointly Protecting supporting contains checklist ten successful designed use facilities Because issue entwined many others adaptation come sources Ministries NGOs fields agencies professional broad stakeholder foremost Conceptual Nutritional Status Black Maternal regional exposures consequences httpwhqlibdocwhointpublicationspdf where felt principle extend families whole necessary major comprised cash crop cultivation livestock rearing most consumption commonly undervalued compared forms estimates globally basic commodities produced formally Work traditionally underestimated reasons informal homebased therefore difficult measure hold multiple jobs unmeasured valueadding postharvest transformation packaging goods Gathering fuel take hours day Caring meeting needs falls womans domain seldom Further complicating situation disproportionately timesaving technologies animaldriven traction across paid longer days According placed considerable burden produce prepare face obstacles problems societal high HIV protracted crises civil unrest male urban migration search labor led femaleheaded parts gain upon marriage primarily lack legal control processes market Conflict family Charmes New methods new data wwwwiegoorgpaperscharmesdoc IFAD employment Differentiated pathways out poverty Ministerial Least Developed Countries Globalization affects essential equalize important when applying workplace keep mind responsibilities mothers very regular Programs aim mainstream womancentered Indonesia nonworking were malnourished employed risk Data Mali primary caregiver study finds interaction caregivers While wealth babyfriendly workplaces little examines environments office space infantchild private rooms breastfeedingpumping milk refrigeration running public afforded feed majority sense millions based prominence stemming accommodate note ninety rice India Nepal Rates moderate severe low weight height wasting respectively Moderate stunting Exclusive rates relatively directly linking highly probable Early before another cause Waters Weightforage Indonesian Journal Epidemiology Penders Agricultural What know wwwagobservatoryorglibrarycfmrefID Health cases caused inability continue due premature return gives Proposed solutions invisible Knowledge lacking result demand particular related rights donorlevel pulled together Countrylevel options conducted established protocols Zambia practiced updated Kenyas Livestock Bankfunded Despite models like made mandatory countrys governing known Comprehensive African CAADP nations define chart over coming make clear continents vulnerabilities Mention conspicuously absent written poor hungry people PanAfrican commitments Pan Initiative Regional Ten Year Union protocol Rights Survival emphasis language Pillar III agendas target does prenatal neonatal income generation adolescent female investment behavior marketing medium longterm utilization compact Farnworth aware approaches Sidasupported httpwwwoecdorgdataoecdpdf CAADPNEPAD January wwwcaadpnetpdfCAADPFAFSBROCHUREinddpdf too concrete results terms potential Inclusion knowledge mentioned above allow successes begin compacts countrydriven NonAfrican absence formalized Some specific should Safety net rations who spend baby returning Land reform works cited avenue balance cultural norms raised repeatedly academic unanimously claim ownership provides hire workers utilize aid friends neighbors while devotes participating medical give adapted traditional attendants volunteers incorporating healthchildcare then collaborate aforementioned assist financing structural impediments improving involvement Improving punctuated inaccessible understaffed centers tools prevention treatment breaking Promising Babyfriendly modeled experience Breastfeedingspecific husbands leaders Providing ruminants generationanimal protein source nets provisions leave microfinance technology Increase number extension sensitization Gambia piloted set standards systems relieved heavy prior afterwards model drew Steps fit Gambian context Additionally each appointed group eight worker attendant elected committee empirical incorporates entire accountability Once having communitylevel case reach Standardized may truest order optimal realistic reflect within Policies input timeframe For example crisis count worlds insecure employ coping mechanisms cut back meals portion sizes shortages Donorlevel USAIDfunded projects required conduct project establish mitigation plan program similar toolkit examine broadly overlap With starting point devised survey component tool could assess secondary beneficiaries develops influence scrutinize womanagriculturenutrition writing grant contract guidances committing BabyFriendly Hospitial Newsletter Baby friendly httpwwwchildfriendlycitiesorgpdfbaby_friendly_communitiespdf state Addressing IASC Emergencies wwwhumanitarianinfoorgiascdownloaddocaspxdocID USAIDInfant Available online httpwwwiycnorgmaximizingphp Many disaggregated prioritized recipient Country Plans live promises value society Bankadministered Security GAFSP producer consulted Awarded funds contingent criterion Activities empowerment proven beneficial window links intersect require examination thus far emphasizes measuring Benefits adherence childfriendly inside direct sound platform programmatic These questionnaires gauge Anthropomorphic measurements quantitative MDG Monitor tracks progress information index percentage population living missing large Middle East much available dates education economics stronger amount away rely find secure nutritionally httpwwwmdgmonitororgmapcfmgoalindicatorcd | |
| Adapting Food-based Strategies to Improve the Nutrition of the Landless | Jillian Waid | 2011 | Policy Reports | Asia, Bangladesh, Global | Food-based approaches that focus on dietary diversification are effective strategies for reducing micro- and macro-nutrient deficiencies in malnourished populations. However, this model has not yet been fully… Read more | Leland Fellow | Adapting foodbased strategies improve the nutrition landless Executive Summary Foodbased approaches that focus dietary diversification are effective for reducing micro and macronutrient deficiencies malnourished populations These such Helen Keller Internationals HKI homestead food production HFP model seek micronutrient intake individuals increase household security advance womens empowerment The standard intervention includes gardening poultry group marketing behavior change communication However this has not yet been fully adapted lives those who live land constrained households models have historically implemented with smallholder however due urgent nutritional needs growing number nearly Bangladesh these must reach marginalized population Individuals poor minimal access among most foodinsecure they require interventions targeted their unique capabilities Targeting requires modification package technologies maximize yields nutritionally rich varieties can produced small plots Given limited capacity immediate income very should include skillbuilding earning opportunities linked agricultural Nutrition education counseling essential improving outcomes addition new thoroughly evaluated This paper reviews HKIs work over past years then proposes modifications ensure derive equitable benefits from Dietary combine animal rearing uniquely well suited malnutrition where cultural preferences poverty lead Bangladeshi diet characterized lack diversity leading turn hidden hunger subsist consisting mainly rice which provides energy but low fat amino acids micronutrients Animal source foods provide high quality protein bioavailable iron vitamin make less than total While largely kept pace growth knowledge about need diversified create demand more agriculture systems Many local international NGOs adopted throughout country Government Bangladeshs National Food Policy names investing one key strategy vulnerable groups general caveats related definition may fail serve needy populationsthe rural recent decades average landsize holdings declined significantly proportion areas increasing posing longterm threats national Land livelihood closely greater some landlessness associated higher rates majority insufficient irregular nutrient horticultural produce sufficient own consumption steady erosion policy attention plight ultrapoor critical timely consider how approach tackle within discusses issues adapting programmatic suggestions impact subgroup draws published unpublished quantitative qualitative data drawn Homestead projects undertaken HKIBangladesh extracted review Production program Emily Hillenbrand Jillian Waid owns decimals meters squared was presented symposium Security diets raising levels held Agriculture office United Nations FAO December insecurity Despite economic near selfsufficiency remain agrarian economy there distinct correlation between Due urban industry diminished area today Average Census shows percentage absolute farming any cultivable increased previous With predicted sea level rise climate likely available cultivation will further diminish future Fractured dwindling constitute significant structural impediment Loss accumulate other assets often accompanied shift into day labor migration employment Extreme scarcity limits individual capacities adequate meet yearround andor Rural economies poorly thereby vast engaged laborers seasonal occupation leave without several months year compromises capital landlesstheir physical Illness health undernutrition translates lost days decreased exacerbating cycle Rates also highest below lower expenditure line Among status adequacy severely compromised About daily calories wealth come alone already consumed overall Children children only poorer others vulnerabilities headed family member fewer incomeearning members per Poor women mobility restricted safety nets social exclusion marginalization Without excluded many microfinance organizations Their Because calculated figure understate counting families migrated loss acute allows them transgress constraints visibility transgression simultaneously deepens entail timeconsuming investments making themselves visible patrons example providing unpaid degrading wealthy residents village hopes being supported patron later opportunity cost attending meetings trainings steeper end missing vital programs currently targeting poorest adopts incomebased does address particularly Typical Vulnerable Group Development temporary cashforwork foodforwork asset transfer Few nutritionsensitive nutritioncentered For government distribution generally ricebased grain handouts There abundant evidence povertyreduction schemes alonewhile expanding fooddo automatically result improved practices Ensuring balanced nutritious performance indicator depend livelihoods continues important addressing plurality least able take advantage agriculturebased Before discussing possible based order better assist worked benefitted landconstrained Diversification Begun pilot project initially sustainable designed specifically reduce deficiency basic components beneficiaries skills grow diverse plant Beneficiaries organized ease training mutual support sustainability component established demonstration plot nursery community referred Village Model Farm VMF owner received demonstrate selects receive monthly supplements techniques supply seeds saplings micronutrientrich benefit More information scale found Increasing Arich fruits vegetables Lessons learned taking Talukder through flexible different target various goals including reduction maternal child since began enabled egg lentil triple garden double certain had comprehensive evaluation structure shown drastically anemia From outset included educate importance consuming main measures success were increases proxy reduced along changes emphasizing Measurements documented noticeable gains control decisions generated sale surplus products Over evolved developing original aims added poultryrearing easily absorbed sources Since goat always expanded broadbased infant young feeding during pregnancy concert design after conclusion nationwide increasingly turned its greatest insecure tend living environmentally riverbanks riverine islands out remote locations mean size dropped Programmatic adjustments amongst subgroups organization conducted participatory research gain insights characteristics disaggregated basket experiences outlined above offer preliminary lessons developed refined meeting needed set observations follows Expand intensify microplot technical provided emphasizes productivity mediumscale raised bed drainage use fencing creation compost pits traditionally male aspects beds building fence market Field reports suggest cannot follow Effective flooded exist rooftop floating gardens applied geographical zones Promising hydroponic tested could considered floodprone regions encouraged pit crops pumpkin cucumber hardy fastgrowing space generate quick sizeable Intensifying calls mechanical hardier consistent planning tools capitalize understanding seasonality particular uses mapping gardenplanning exercises develop plan modify times process facilitated field staff encourages limitations Ultimately enables little resources builds represent Equitycentered analysis equitycentered clear beneficiary why what Landless involved activities face time agriculturerelated seed complemented shortterm would first step equity across successfully introduced cashfortraining enable while human financial agrobased microenterprises Other complementary might direct conditional cash transfers groupbased savings accounts credits leased revision input differentiated identified Working homogeneous slightly effectivethough ultimately costly smaller incomegenerating help leverage stage identify capitals beyond acquire Emphasize subsidized Improved Poultry Program appropriate emphasis intensive eggs supplemental chickrearing maximizes microplots generates animalsource show opposed livestock Furthermore childrens creates Within trained mobile vaccinators supplies charge fee both mass vaccinations USAIDfunded communitybased course highperforming much Taka month earn around improves vaccinator meets producers filling extension services Develop agroenterprises Building additional occupations Skillstraining participants One built distributing diseaseprone rather hybrid breeds localvariety birds certified breeders solution broader seedselling smallholders located far sapling large vaccination promotion estimate rate BDT farm microirrigation equipment tree grafting carpenters sheds Female skill transform norms gendered Incorporate valueaddition processes incomegeneration sales positive sideeffect primary purpose Data almost all sell aspect autonomy decisionmaking gradually profit inconvenience Incorporating marketoriented strengthens linkages private sector alternative facilitating inputs creating cheaper markets Apart farmer business development establish privatesector actors Nutritionsensitive subsector valuechain analyses niche profits postharvest grading handling secondary processing add value offseason catchment done functionally equipped participate packaging homebased Technologies solar driers ricehusking machines canning Processing storing maximizing storage selecting preserve content selected product risk incorporating displace cases sudden rapid cashpoor perceived although valuable Much relates intrahousehold allocation inappropriate adolescent youngchild Research alonewithout supplementscan moderately united combination brought reductions improvements purchase homesteads role plays core specific materials messages elderly nonreproductive age Improving placed demographic authors Lancet series under did recommend prevent mothers because variable effectiveness text asserted date subdistricts reached correct rigorous evaluations led article studies systemic home husbandry assessment recommended using randomized trials RCT methodology way medical part tradition easy acceptance when launched state methodologies inception remarkable All initial threefold multiple passed despite long history strong monitoring every resulted anthropometric biometric indicators adults Applied completely premise find proven technique successful testing ability accept utilize practice obtain context uptake technology outsiders experiment studied mode enquiry replication makes extremely difficult keep uncontaminated taught transportable uptakes neighboring early Though beneficial welfare contaminate nearby distant similar treated used samples subset treatment elected join offered overcome problem sample separated buffer measuring few select numbers get false negative results During ten NGNESP seven rounds implementation dissemination completed randomly assigning phases comparing current phase planned three four common focused scaling governments donors ready environment required therefore funded huge missed grown complicated intervening nature interpreted ways impacts pathways nourished healthy adoption mother she now eating herself grows her respects contribution offering equal goods Based researcher interprets pathway label cause improvement Analysis account interactions allow heterogeneous outcome major reasons even RCTs conduct contamination reliance intent treat ideal consist baskets horticulture aquaculture Any observed effects stages life Instead seeking answer big question What discrete questions pregnant born Only answering hope justify Discussion conditions detailed highly extreme constitutes defining characteristic challenge evolving triedandtrue global imperative urbanization pressures limit water experience great enthusiasm seen stable potential equitably promote neglected varied means employ risky coping mechanisms reason quantity especially Having nutritionrelated complications translate whom resource places central entails stratifying packages indicates incomeoriented supports longerterm stability combinations assettransfer Developing yield expand availability Training indispensible targets ultra identical promoting lasting underlying determinants implications costs Further floodsensitive modified disaggregation quintile types determining costeffective efficacious References extent Allen Lindsay Asia Pacific journal Clinical Vol Strategies Bangkok Department Extension Organization Regional Office RAP Publication challenges world Tontisirin Kraisid Nantel Guy Bhattacharjee Lalita Proceedings Society FPMU Plan Action Ministry Disaster Management Peoples Republic Dhaka Planning Monitoring Unit Report DartonHill Tables Nutrient Composition Foods English Version Particular Emphasis Vitamin Contents International Statistics Online Cited March httpwwwfaoorgeconomicessfoodsecuritystatisticsen BBS Household Income Expenditure Survey Division Bureau Kennedy Eileen Approaches Linking Health Preliminary WFP Special report FAOWFP crop mission bangladesh Economic Social World Programme Rome Italy UNICEF Child Mother Governemtn Handbook Agricultural httpwwwmoagovbdstatisticsTableCIhtm Global warming induced soil Hossain Brisbane Austrailia Congress Soil Science Solutions Changing Challenges Salination Manprasert Habibur Rahman Somprawin Landlessness case study Journal Sciences Chowdury Mehruna Islam Impact Access Experience Small Marginal Farmers Unnayan OnneshanThe Innovators Van Haeften Roberta Phil Moses Country Framework Washington Technical Assistance Project FANTA Academy Educational AED Matin Imran Sulaiman Munshi Rabbani Mehnaz Crafting Graduation Pathway UltraPoor Evidence BRAC Evaluation Calorie Micronutrient Deprivation Poverty Traps India Jha Raghbendra Gaiha Raghav Sharma Anurag Akhter Ahmed Ruth Vargas Hill Lisa Smith Tim Frankenberger Characteristics Causes Severe Hunger IFPRI Gender Reconstruction Growth Livelihoods REAL Laxmichari Upazila Tango Char Fasson Assessment Design Document prepared Save USA CGN MascieTaylor Marks Goto programme facing Bulletin Aminuzzaman Univeristy Iannotti Lora Cunningham Kenda Ruel Marie Diversifying David Spielman Rajul PandyaLorch Millions Fed Proven Successes Institute semiscavenging girls Neilsen Hanne Roos Nanna Thilsted Shakuntala American Nutritional Nutrtion Can ameliorate Leroy Jef Frongillo Edward November Communities Essential Actions Number April Dishari minutes October Saha Shantanu Kumar Soilless Cultivation People Alternative Livelihood Practice Indigenous Hydroponic FloodProne Ritsumeikan University power socioeconomic InterAction Best Practices Innovations Round wwwInterActionorg httpwwwinteractionorgbpiroundfullhki Intensive Education Supplementary Feeding Improves Status Moderately Malnourished Roy Population Anaemia Review Prevalence Aetiology Public Extent deficiancy Lee Vanessa Commision Unlocking Potential Strategy Accelerated Reduction Monitary Fund Sulfiqar Bhutta Tahmeed Robert Black Simon Sousens Kathryn Dewey Elsa Guigliani Batool Haider Betty Kirkwood Saul Morris HPS Sachdev Meera Shekar Maternal Undernutrition Works Interventions survival February Investment revised Road Map Towards Sex bias care Chen Lincoln Huq Emdadul DSouza Stan Council lactating Factors influencing Faruk Azim Asfia Akhtaruzzaman Mohammad integrated vunerable char dwellers northern empowering Barisal burden action When decisionmaker woman Does difference | |
| Policies for Successful U.S. Foreign Aid in the Gaza Strip | Carlos Centeno | 2011 | Policy Reports | Global | Restrictions by the Israeli government and Hamas on beneficiaries’ livelihoods in Gaza are decreasing the long-term impact of US foreign assistance. A close look at humanitarian operations… Read more | Leland Fellow | Congressional Hunger Center POLICIES FOR SUCCESSFUL FOREIGN AID THE GAZA STRIP Mickey Leland International Fellowship Carlos Centeno Policy Placement WFP Development fundamental part our national security extreme poverty the realities access water and food which creates longterm drivers insecurity Rajiv Shah USAID Administrator logo says From American people but work has seen for shah EXECUTIVE SUMMARY Restrictions Israeli government Hamas beneficiaries livelihoods Gaza are decreasing impact foreign assistance close look humanitarian operations shows that have cut systematically cutting off all livelihood strategies rendering development futile This paper uses Sustainable Livelihoods Framework based concept occupation chokepoints support argument above then outlines three policies likely improve situation roadblocks peace The USG can take another step towards with State Department policy includes pushing fronts Accountability Enforcement Measures Economic restrictions actors hamper effectiveness aid Strengthening Performance Planning Improving performancebased planning reflect information useful policymaking III Increased public debate Foreign Aid specifically House Committee Affairs Senate Relations should foster hearings papers other debates involving NGOs academics officials through funding opportunities institutional backing Early FATAH HAMAS formed unity Since members Congress repeatedly asked President consider restricting Palestinian Authority after formation Government further imposed new taxpayers ask themselves whether their money making difference strip merely financing keep Palestinians line while continue erode does not argue stop assisting order push reforms will allow achieve its goal peacebuilding prosperity Gazans considers terrorist organization SUSTAINABLE LIVELIHOODS CHOKEPOINTS DFIDs approach tool analysis focuses resources outcomes For example vegetable garden how they make benefit them what wish produce understand broad terms choking sustainable lens used Specifically this show needs recommendations made would effective addressing problems identified See FROM OCHAWFP August situations chronic conflict encompasses assets During coping increase vulnerability farmer who fishing may want invest horticulture project his land However restricted agriculture tools makes impossible him plant anything large enough quantities sell define CHOKEPOINT framework understood holistic human one basic requirements develop normal lives showing blocked brings two questions Are being effectively every strategy available How livelihoodbased interventions supposed any diagram below some enforced While also engagement West Bank past biggest impediments strengthened point asset important note social capital cannot easily result oppressive living conditions prompt rely each credit healthcare among things Under common threat danger risk community usually turn help better chance mitigating negative shock similar communities Ethiopia build resilience natural disasters building soil conservation been under restricts means time goes Israelis stall talks find space maneuver dwindling hanging thread patience survive neighbour either heavily indebted now afford lend more out because family member sick health care severely causing costs shoot same getting shot coast trying fish sail Egyptian waters hours away Organization Coordination Humanitarian AffairsWorld Food Programme Gazas residents testimonies case Fayyadh AlSumeiri financial capitals directly affected Cast Lead offensive following about rubble collector was working shallow pit exemplifies job loss Farmer heads farming household Qarara area Khan Yunis owns plot dunums located meters from fence planted almonds olives cactus leveled military since remained inaccessible due warning fire opened nearby watch tower person attempting reach second six west cultivated olive trees late subsequently replanted wheat consumed bartered day laborers offset losses rented dunum Suq Mazen zucchini Both areas were bulldozed during irrigation network installed European Union totally destroyed income pushed into state dire NIS debt Between Fence Hard Place OCHA Dunams hectare Every pass shops see owe lower head dont know Everything earned meter destroyedEvery pray able return bring back Mohammed Abu Wardeh Rubble Collector collecting March provide wife children supporting extended relies upon main bread winner Prior unemployed worked temporary alleviation Municipality morning approximately year old brother depart home Beit Lahiya donkeycart former Erez industrial May arrived site workers already many displayed white cloth indicate presence civilian status troops Despite intermittent began Later when tried exit hit bullet penetrated right leg exited side His cousin called ambulance however latter refused Therefore put donkey cart transported half hour where waiting brought hospital suffered multiple fractures underwent external fixation surgery DEVELOPMENT ASSISTANCE concerns recent invasion forces Budget Justification Operations reflects continuing process improved strategic focus data quality topics greater interest USGs document provides justification Administrations budget request approved More performance inform manage results justifies continued Israel Book states All programs funded consistent legislative vetted nongovernmental international organizations meet objectives Beyond immediate relief successful implementation dependent establishment durable ceasefire creation operating Operation response rocket attacks launch campaign December Some died Fiscal Year httpwwwstategovdocumentsorganizationpdf environment interfere USfunded activities essential materials commodities five requested disbursements included rebuild million suggests most funds reconstruction infrastructure whereby estimated agricultural landdamaged private sector production facilities damaged Another level economic recovery reduce microenterprises Its particularly interesting mentioned USGfunded ability move United Nations agencies ground complained almost interferes World Programmes Protection unit said report Regarding Strip shifting form namely Work FFW examples carpentry painting hampered ongoing blockade well export products steady must sanctioning too Emphasis author coordinator Max Gaylard Delays movement staff guiding monitoring executing mean delays rising added Services delayed reduced Furthermore OPT full control Nothing noone purposes without approval IRIN News hindering delivery particular presents severe Severe import June prevented planned projects resulted significant Additionally contact donors prohibits authorities narrowing operational Occupied Territory reference Emergency Jobs Program EJP intended emergency employment collaboration sectors focusing focused removal targeted nonForeign Terrorist controlled governorates complete persondays required reducing number individuals reduces dependence stimulates local economy thereby creating potential failed start coup Office Inspector Generals Audit program showed just rubbleclearing worth completed Because political sic implementing could conduct additional there Consequently April mission use unemployment rate continues rise worst world current efforts best goodwill especially fail despite extensive sanitation implemented constraints Community Assistance PCAP initiative housing identifying developing feasible preparing resident youth businesses respond future skill training With goals Factsheet Water Page January AUDIT USAIDWEST BANK AND GAZAS EMERGENCY JOBS PROGRAM October Rapid MultiSectoral Needs Assessment Mercy Corps Address tangible improvements Support generation business citizens measured education psychosocial services given hard long term real commitment partner conducted assessment peoples evident promote staple diet schools sardine beyond nautical mile mark currently closure restriction adult mostly found limits therefore within zone rapidly depletes generations implications life cycles takeover diminished extension region these professionals stopped fiscal less treat incursions army demarcated prompting question houses receive unsanctioned sanctions undermine democratic peaceful ensure enable entry negotiations increasing leverage Before imposing modify evaluation method include periodical evaluations perspective changing factors opening Rafah crossing etc Currently governance indicators indicator reliable countries solely nearly useless measuring householdbased survey appropriate context combination both policymakers Effects Restricted Access Land Nonetheless adding couple tailored measure specific sponsor joint initiatives create pilot several think tanks research institutions carry type Institute Peace Conflict Resolution UNDP Crisis Group POLICY RECOMMENDATIONS inclusive involves Fatah introduction faces clear opportunity Especially considering interests derailing implied practical changes positively affect Plenty progress remains only preconditions exist allies possible overcome blocks consideration violation bilateral agreements law illegal settlements nondefensive negotiation possibility sanctioned depending impacts parties Develop mechanisms investments wells reclaimed degraded groves andor Conduct study amount delivered contrast much lost reinforce aidsustainability component cost built factoring Design USAIDfunded peopledriven chronicconflict setting opposed standard Focusing cope provided Increase dedicated discussing stability Middle East relates Implementing partners monitor structures require financed force | |
| The Women, Infants and Children Program (WIC) | CHC Staff | 2005 | Brochures & Fliers | People with Chronic Illness | As part of the 2005 Food as Medicine Campaign… Read more supported by The UPS Foundation, CHC worked in partnership with the Food Research and Action Center (FRAC), Feeding | Multiple Authors | fWHAT DOES WIC OFFER Checks for Healthy Foods provides checks that are easy use your local grocery store buy healthy foods Milk Eggs Baby Formula Peanut Butter Fruit Juice Beans Cereal Carrots Friendly Nutrition Advice Support nutrition counseling obtained through office can help you have healthier pregnancy and provide more nutritious meals kids Assistance with Finding Health Care referrals health care social services WHO CAN PARTICIPANT You participate Pregnant Woman New Mother Infant Child under age Meet Income Guidelines serves families low modest incomes Women infants children Medicaid food stamps automatically income eligible Have Medical Nutritional Need nutritionist determine nutritional need disabling illness HIVAIDS high priority the program HOW APPLY FOR Call clinic set appointment ask what bring find near Ask Doctor Registered Dietician friends family library Visit city county website Find state tollfree number wwwfnsusdagovwichowtoapply Case Manager provider Important Options designate friend relative shopping Guardians foster apply behalf THE WOMEN INFANTS AND CHILDREN PROGRAMood medicine This publication was created Association Services Agencies Congressional Hunger Center Food Research Action part Medicine campaign funded The UPS Foundation PROGRAM Free NUTRITION ARE YOU PREGNANT HAVE BABY CHILD UNDER WANT PROVIDE YOUR WITH BETTER HELP TODAY | |
| Additional Sources of Nutritious, Affordable Food | CHC Staff | 2005 | Brochures & Fliers | People with Chronic Illness | As part of the 2005 Food as Medicine Campaign… Read more supported by The UPS Foundation, CHC worked in partnership with the Food Research and Action Center (FRAC), Feeding | Multiple Authors | WHAT SOURCES LOCALLY AVAILABLE FOOD MIGHT EXIST COMMUNITY Farmers Markets and Farm Stands With more than farmers markets throughout the United States your community may have market farm stand that allows you buy produce directly from local farmer These seasonal fresh fruits vegetables like juicy ripe tomatoes curly green kale succulent peaches fragrant herbs are available for purchase just hours after being harvested Many also accept food stamps Market Nutrition Program FMNP coupons eligible senior WIC qualified mother Visit wwwlocalharvestorg farmersmarkets find wwwfnsusdagovwicSeniorFMNP SeniorFMNPoverviewhtm learn about Senior wwwfnsusdagovwicFMNPFMNPfaqshtm Your library can help with these web searches Community Supported Agriculture CSA Programs When join share harvest receive box every week Most CSAs offer but many include fruit milk bread honey eggs transportation difficult some delivery options which might dropping house central pickup location neighborhood Payment front usually expected though pricing payments over time work shares slidingscale prices based income Some sell foodassistance agencies banks pantries Remember The only products ready eat selection healthy For information locating visit wwwlocalharvestorgcsa Gardens Are interested knowing exactly whats miss vegetable ate child longer grocery store want bit exercise outside sun air Then perhaps garden Joining excellent way get affordable nutritious often grown organically One study estimates gardening add worth per year households diet Consider joining own friend nurture small wwwcommunitygardenorg UPick Farms communities guidesmaps allow easy access farms including opportunity pick page state department agriculture wwwpickyourownorg Food Banks distribute billions pounds around country Working recovery organizations nutrition services other antihunger groups education cooking classes vegetablesoften through bank operated gardens example Washington Capital Area Bank operates grows distributes chemicalfree underserved Metro Atlanta supports grow gardeners partner near wwwsecondharvestorg Grocery Store Did know there locally section Check manager area USDA Agricultural Marketing Service FARMERS MARKET NUTRITION PROGRAMWHY SHOULD INTERESTED FOODS medicine WHO CAN CONTACT FOR MORE INFORMATION This publication was created Association Services Agencies Congressional Hunger Center part Medicine campaign funded UPS Foundation Shopping variety high fiber vitamins nutrients contain artificial ingredients They give flexibility decide what looks good tastes best fits into ADDITIONAL NUTRITIOUS AFFORDABLE research suggests freshly picked eaten those traveled miles reach plate lot people think distributed foods better tasting priced reasonably lack fullservice this true used shopping corner stores bodegas convenience locations charge higher supermarkets not provide make positive changes Accessing sources such listed below dietary choices recommendations Doctor Registered Dietician Locally growing network resources exist will assist accessing addition presented here consider looking Policy Council vehicle important things happen communitylike increasing number Councils wwwstatefoodpolicyorg Another helpful resource Security Coalition wwwfoodsecurityorg Prammer Anita Growing Health How Industrial Production Handling Impacts Nutritional Quality Institute Trade Summer | |
| Food Stamps May Help You Obtain the Nutrition You Need | CHC Staff | 2005 | Brochures & Fliers | People with Chronic Illness | As part of the 2005 Food as Medicine Campaign… Read more supported by The UPS Foundation, CHC worked in partnership with the Food Research and Action Center (FRAC), Feeding | Multiple Authors | WHAT THE FOOD STAMP PROGRAM STAMPS YOU NEED NUTRITION MAY HELP OBTAIN EBT HOW APPLY FOR BENEFITS Call the local food stamp office for application Ask mail you get online wwwfnsusdagovfspoutreachmaphtm Fill out much can Put your name and address sign Return fax taking having someone take there Have interview You also have friend relative with place might able over phone Show papers like pay stubs rent mortgage payments utility bills child elder care support court orders The tell exactly what other information will need show income expenses FIND LOCAL OFFICE visit Your Doctor Registered Dietician friends family library help find Food Stamp near WILL THOSE COMMUNITY Every dollar federal benefits helps generate nearly two dollars economic activity neighborhood This publication was created Association Nutrition Services Agencies Congressional Hunger Center Research Action part Medicine campaign funded UPS Foundation Program people little buy nutritious come Electronic Benefit Transfer card that use choose foods stay healthy often underutilized but are enough funds serve all those persons who qualify medicine CAN BATTLE ILLNESS stamps groceries fight illness maintain good health stretch monthly budget money more medicines purchase types andor determine best CANT OUT SHOP There special rules allow apply without going person may telephone internet would difficult travel schedule authorize representative shop United States Department Agriculture Service FNSInsert September ELIGIBLE resources under certain limits However subtractions gross called deductions allowed These things housing costs medical elderly disabled childcare Look enclosed table Most households bank accounts still household has older receive Temporary Assistance Needy Families TANF Supplemental Security Income SSI not count home does many least one car WOULD LIKELY QUALIFY see eligible wwwfoodstampsstepusdagov call INCOME UNDER LIMIT this net only limit must met People Gross Monthly Net Household Larger higher Alaska Hawaii California numbers from October adjusted annually MOST RECEIVE SUPPORT maximum amount goes down Maximum levels TTEMPORAARY ASSISTANNCE NEEDY FFAMILIES | |
| National Analysis of Ohio’s Second Harvest Food Banks | Jacquelyn Hansen | 2003 | Field Reports | Emergency Food Recipients | Columbus, Domestic, Ohio | National Analysis of Ohio’s Second Harvest Food Banks includes a PowerPoint presentation and accompanying guide analyzing the nutritional content of donations to Ohio’s Foodbanks.… Read more | Emerson Fellow | Nutritional Analysis Ohios Second Harvest Foodbanks Jacquelyn Hansen Bill Emerson National Hunger Fellow Ohio Association Introduction result the slowing economy that led decreased spending and downsizing companies which increased unemployment rate there has been fewer donations higher demand Emergency Food Assistance Network EFAN more people start accessing need find out quality food they are receiving increases This analysis was done show nutritional going into foodbanks from different sources well measure affect purchasing programs OASHF having Facts About State counties population With poverty approximately Ohioans living Statistics provided Census Bureau Report What network agencies distribute These Suppliers Where comes Who makes accessible all areas state Local Agencies communities Does Come From Americas AHprovides large quantities highly variable product for foodbank Because high distribution costs securing products have formed regional clusters share duties decrease difficult refuse what not want guarantee receipt Donorslocal unique specific bank results special salvaged items local grocery stores such canned drives Continued USDAThe Program TEFAP provides surplus pricesupported agricultural goods directly then other their region based levels each located The Commodity Supplemental CSFP also supplemental seniors with two program One shelf stable one specifically Distributes warehouse acquires safely efficiently distributes aforementioned suppliers member charges shared maintenance fee transportation depending supplier came cannot charge received USDA Foodbank North Central Toledo West Shared Champaign Clark Logan Counties FreeStoreFoodbank Southeast MidOhio AkronCanton Regional Cleveland Inc Description WestOhio Mahoning Valley Freestore CCL Poverty Rate Region Served Population Needy Soup kitchens shelters provide prepared meal those pantries give groceries individuals families household size providers who andor meals physically unable reach pantry target populations Closer Look largest charitable response hunger association operates independently focused meeting needs associated serves spokesperson members funding capacity building storage Through pounds were distributed through its SFY Purchasing Programs Purchases apple sauce green beans macaroni cheese pasta tuna peanut butternonfat dry milk spaghetti addition new turkey sausage made available producer Just under million represented total Agricultural Surplus Production Alliance market clearing initiative built strong production alliances between commodity producers growers processors fresh nutritious foods lowincome Funding reimburse farmers harvesting processing packing transporting Over represents completed inventories Taken day inventory days taken range November January assessed Type Quality Source loosely Guide Pyramid FPG but combines Milk Meat Groups FGP Protein Group Bread Starchy Vegetables corn potatoes Starch More groups added reflect variety can found Mixed mixed ingredients than group ravioli Condiment just spices ketchup mustard any condiment little necessary nutrients diet Other includes vitamins coffee bottled water did fit categories described enough listed elsewhere NonFood come determined ability particular item represent balanced array Recommended Dietary Allowance RDA regular healthy mix essential will amount during balance considered lowquality For main title Each separated low above criteria Divided Categories USDAall included entitlement CFSP bonus OASPAall part OFPall AHLocalDonationsindicating Overview Total Inventory Amounts Amount graph measured Item Based Fruits FatsSugars Condiments Items amounts type Received Sources AHLocalDonation OASPA OFP High compares percentages Basic Breakdown Inventories AHLocal Covers area Northeast Has this distributors Akron Canton InventoryAkronCanton three Western InventoryCCL Northeastern point AHDonation InventoryCleveland Southwestern InventoryEmergency Southern bordering states Serving InventoryFreestore border Foobank InventoryMahoning Note study because unwilling release proper information InventoryNorth county tip Pounds InventoryShared Southeastern InventorySoutheast Northwestern corner Serves InventoryToledo InventoryWest Explanation Results Differences There great variation due following factors being random irregardless whether gone Since likely these moved faster donated Thus explains some corresponding determine how long stay much meet availability transport industry partners greatly increase thus very influential Rural urban settingsrural regions tend less input rely heavily Urban industrial season determines usually summer fall months especially Similarities similarities seen follows consistency coming nearly consistently percentage about half averaged Conclusions Recommendations findings sheds light current discovery relation insecurity obesity shown earlier locally bulk tended lack Highly frequently although poor getting fat calories lower leading malnutrition Malnourishment dangerous medical condition children now studies malnourishment lead problems health psychosocial behavioral learning academic according recent Center released June use immediate place insure get good wholesome when emergency run crucial future would love see foodbanking unnecessary unneeded Until however ensure forgotten dredges Acknowledgements Special thanks All participated staff Jeanne Barcus administrator Department Job Family Services |
| Childhood Hunger in Vermont | Katelin Isaacs | 2003 | Field Reports | Children, Students | Burlington, Domestic, Vermont | Childhood Hunger in Vermont includes a PowerPoint presentation and accompanying guide that a) defines the problem of childhood hunger in Vermont, its effects on the health, education… Read more | Emerson Fellow | Childhood Hunger Vermont Prepared the Campaign End February wwwvtnohungerorg What Bennington lunch workers know Friday because children coming through line are hiding food their pockets have something eat over weekend mental and physical condition that comes from not eating enough due insufficient economic family community resources Community Identification Project does mean hungry continuum Transient hunger Chronic malnutrition Are YES The numbers Between average were risk each year Thats about Data Census Bureau ages lived below poverty level stories never make assumptions but this school meal may only healthy students get day Ferrisburgh service director Its Ive been hoarding month can for Thanksgiving young mother Essex Junction pantry Why Unemployment Underemployment Lack living wage Health care costs Heating bills Housing consequences stunted growth unwanted weight loss headaches fatigue anemia increased infections Social behavioral aggression hyperactivity anxiety depression difficulty with social interactions Academic impaired brain development cognitive capacity lower test scores overall achievement absence tardiness suspension Cycle Poverty Malnutrition Decreased intake Narrowed choices Decrease vitamins minerals Lethargy Increased illness Learning deficits Behavior problems School failure Less opportunity Exclusion knowledge economy Costs health educational performance job productivity Fighting Food Stamp Program National Lunch Breakfast Summer Service Federal Child Nutrition Programs Some Important Resources Families Children Risk people received stamps Average monthly stamp benefit More than all benefits decline participation since Provides nutritionallyapproved federallyfunded meals Income eligible receive breakfast free reduced price Improves attendance out public schools participate program dietary requirements growing Meets guidelines diet nutrition who rely reducedprice during Over receiving sites programs offer enrichment programming addition Importance million funding Emergency System distributed shelves Mission Statement develops advocates policies prevent promote good Vermonts families Advocacy Education outreach expansion education Cooking Life Participants Hike You Can Alleviate Support Become member Advocate federal your Educate yourself others |
| Understanding Hunger in Washington | Yesenia Garcia | 2004 | Families | Domestic, Seattle, Washington | Understanding Hunger in Washington is a story bank based on interviews with families who relied on assistance outside their own incomes in order to put food on… Read more | Emerson Fellow | Story Bank Understanding Hunger Washington Interviews with Washingtons Hungry not here cause want for kids Mother food bank Spokane Yesenia Garcia Bill Emerson National Fellow Childrens Alliance Seattle February Table Contents Acknowledgements Introduction Whos Lack Affordable Housing Stories Families Share their Struggles Unemployment are Discouraged With the Job Market Health Issues Mental Illness and Care Poor Proves Barrier The Hoops Lines Loss Dignity Hope Conclusion Endnotes would like give thanks all women men children who devoted time share story Their openness willingness help unconditionally was inspiring grateful wonderful staff volunteers let through doors showed interest this project special Valley Pantry Mead Women Free Restaurant Salvation Army Yakima OIC Sunnyside North Helpline Food University District Lastly huge warm thank you Shelley Curtis served great resource support friend during process see hunger school some people work too much Working mother two According statebystate study recently conducted United States Department Agriculture ranks fifth hungriest state nation This fact continues shock many Washingtonians disbelief that families struggle put table everyday difficult believe such plentiful households experience insecure These facts challenge stereotypes prejudices cultivate toward what perceive hungry often think issue far away removed from associate war famine destruction places forth But invisible dont know whom happening where likely person least expect Perhaps harsh reality makes accept exists our own communities can happen anyone effort understand barriers keep accessing affording sufficient diets began interviewing relied assistance outside incomes order interviews were part took place banks meals programs over course four months individuals recruited interview met simply requirements they could rely income had under age years old persons interviewed ranged sex raceethnicity levels participation public Each one distinct brought them meal program each other For first stepping foot into others more regular occurrence However common sentiment shared amongst really wanted there Once completed few themes became extremely evident Amongst face have nutritional three consistently referred lack affordable housing unemployment health issueshealthcare Other touched upon included insufficient stamps hoops jump qualify domestic violence awareness knowledge regarding federal nutrition language immigration status kinship care etc most these usually becomes last priority when faced laundry list bills including rent electricity heat car insurance healthcare childcare telephone necessity compromised sustain roof ones head comprehensive get workappointments When trying its complexities important thing mind takes tackling root causes improve lives solution cannot providing but engage systemic changes which environment sacrifice medicine fiveyearold son homeless Domestic survivor costs among biggest contributors insecurity especially Due high enough money pay once paid Millions Americans afford safe decent themselves Harvards Joint Center Studiesii reported affordability problems million severely cost burdened spent Between number lowermiddle middleincome spending than half surged report attributes pressures stagnating lowerincome rising EcoNorthwestiii population spends Nine hundred thousand live overcrowded units classified physically inadequate fulltime minimum wage earner average yearly about able modest twobedroom unit Considering fair market bedroom month nearly impossible only dollar mostiv Unless hours per week make hour living home realityv overwhelming amount pointed main burden financial wellbeing result resorted motel rooms doubling roommates shelters homelessness sleeping cars moving locations distance transportation paying rents Others section eight another form lowincome expressed lengthy either any case find both literal figurative price secure heads therefore uncomfortable unsafe unhealthy Costs Another conflict husband does theres bus stops way UnionGgap bust There out Pregnant woman five occasion battled used isolated city occasions lot buy digging pennies because very Immigrant family just off cash barely how going room now Right little didnt nothing rats windows whole house falling apart end cooking microwave electric frying pan Were scrounging making Family Well expensive everywhere thats wasnt weeks every suffer You maybe friends werent Its saving grace Single dealing depression Having vouchers means your water gets shut lose voucher portion And things toilet paper dish soap take back seat youre doing everything waiting around has renewed year renew worst being poor knowing stability somebody elses hands control try use couldnt otherwise low stamp itself juggle big bags potatoes stretch stretching fell eat healthy nutritionally Woman tough single ends meet wages supporting cant benefits myself medical decide those bunch certificates wall job Like said putting applications bet Ive got letter phone call getting man January national rate equaling total unemployed exceeded twentyfive Currently fourth charts close alone ranked ninth highest metropolitan area vii After economy triggered recession lingering toll More workers exhausting claiming bankruptcy recordhigh jobless exhausted estimated will same predicament according analysis Labor statistics Budget Policy Priorities viii maximum Weekly Benefit Amount new Insurance claims filed effective date after ixThe benefit based earnings called Base Year New been made went affect include stricter search receiving obvious links between equals access resources tight budget due again items Many also noted psychological distress associated Most felt depressed disillusioned helpless guilty lived comfortable received education completinghad college drastic switch dining standing lines traumatic Relying come easy Budgeting world newly theme following exhaustive injury mental illness unreliability seasonal sudden accident complete schoolcollege laid actively seeking employment finding entire discouraged need stop until bachelors degree probably Both worked contractor Boeing came down Hes still looking jobs staying baby grow bit coming savings zero look needed led emergency situation eligible small helps payments adjust against stable diet Living TANF mean Thats hell adjustment stuff then learn selling learning worry wonder hot cold running youve gotta gonna okay except transition hard cut havent chance paycheck hasnt lost pretty working Nashville best restaurants thinking abundance never suck buck grandkids Kinship caregiver her parent People theyre ill reasons why visiting nobody says government run anybody foundation problem temporary since October That day patrons start inches snow business crisis valley temporaryseasonal summer neither wife nor receive energyfood assistances something almost Now rentlighttelephone battle They wont even orthopedic chair his sit desk residents uninsured equivalent Tacoma Bellevue combinedx Despite massive several cuts results loss coverage approximately immigrantsxi reduction dental copayments Basic eligibility visual Administrative increased stay plans example legislative session required reapply instead asked provide paperwork insurancexii ever impose monthly premiums thousands Medicaid major threat childrens Premium amounts poverty level FPL Washingtonxiii Twentyfour affordxiv expected decisions kept stories comfortably changed matter minutes combination change lifestyle difficulty mentalphysical stress forced confronted before medication today pain tell employer stand grappling illnesses feeling energized condition left stigmatized speaking community overwhelmingly cited yet household adults did liability Supplemental Security Income SSI coupons covered states Plan applicable consistent throughout frustrations challenges provider cover needs involved quality despite incredible trauma seem anytime near future doctor patients open coupon bad having line times whatever system fixed opposite daughter wisdom teeth yanked shes hurtin supposed sad everyone book accepts couple shouldnt fire fighter rollerblading restructure different cope play firefighter anymore although kid intention anything position energy walking handle ask real boys seven injured Liability added depend Because return career registered nurse Ill survive anxiety gas anywhere fit someone asks say BOOM axe comes right realize handicaps stick labels See manicdepressive medications feel tired Not yourself automobile social security quit choice parttime better life six bedtime degraded office wish doesnt dishes worthless hopeless changing Post Traumatic Stress Syndrome suffers Attention Deficit HyperActivity Disorder Dealing issues ADHD PTSD figure successful succeed experiences told fears hope What follows range criticisms feels desperation faith higher concerns nutritious always belief sure God growing mom basically outlook ostracized watching potato chips pancakes looked punishment else asking ladder happy concern hold weve struggled alot good happens malnourished Father honey plus utilities Without wouldnt pampers days wait next pregnant offer hole mud bottom while lucky thrown lifeline rope climb dig learned bigger Youve folks watch turn skeletons struggling physical paperless One vehicle copy title asset hiding documentation prove stocks bonds mutual funds IRAs point check account Yeah Them sometimes calling kinds appointments miss works hear commenting she applied pull grueling apply booklet blood basic becoming scared application tortillas without eating responsibility Theyre proud happened realizing stuck together strugglin perfect completing thirtyfive variety touring cities wants dependent Every individual spoke throw highlight particular State adequate facing efficiency comprehensiveness discrimination racism pride accomplish reminding ending visited agencies safety nets utmost appreciation counseling holding fulfilling freedom advocating behalf whether media policy grassroots listen voices experienced inside holds antihunger advocates involves compassion towards provides USDA Data Confirms TopFive Place November Studies Nations Cambridge Harvard iii Tapogna John Allison Suter Explaining Variations Rates Portland ECONorthwest represent generally accepted standard Out Reach Americas Wage Climbs Low CoalitionLIHIS Feb httpwwwnlihcorgoordataphpgetstateonstateBDWA Employment Situation Summary Bureau Statistics httpwwwblsgovnewsreleaseempsitnrhtm Metropolitan Areas httpwwwblsgovweblaummtrkhtm Downey Kirsten Record Numbers Run Benefits Friday Page httpwwwwagovesduiwbahtm Fast Facts Save httpwwwsavehealthcareinwaorgpressindexphp Losing Ground Children Lose Coverage Essential Services December xii Changes Programs Enacted Legislative Session httpchildrensallianceorgDownloadhealth_report_FINpdf xiii xiv httpwwwsavehealthcareinwaorglegislationindexphp | |
| Putting a Price on Nutrition: The Viability of a Universal… | Micah Schwartz | 2005 | Field Reports | Emergency Food Recipients, Service Providers | Domestic, San Antonio, Texas | Putting a Price on Nutrition: The Viability of a Universal Menu Program for the San Antonio Food Bank analyzes the costs and benefits for a food bank… Read more | Emerson Fellow | Putting Price Nutrition The Viability Universal Menu Program for the San Antonio Food Bank Submitted Eric Cooper Executive Director Paco Velez Services February Presented Micah Schwartz Congressional Hunger Fellow Table Contents Chapter Introduction Methodology and Resources Validity Data Agencies Current Costs Sample with Analysis Cost Conclusions Recommendations Future Considerations Appendix Potential Congregate Feeding Sites Synopsis Agency Finances Per Product Purpose Application SAFB asked study viability all Banks congregate feeding sites CFSs following report findings Before proceed let first establish terms this site agency that provides cooked meals its clients This can include soup kitchens Kids Cafs senior homes any other serves food insecure communities Collaborative purchasing attempt umbrella organization bank cut costs via economies scale products bulk affiliate organizations schedule designed provided which outlines served within over course week month leadership hypothesized operating could cuts allowing them provide more needy ensure efficient distribution banks warehouse goods raise nutritional value conducted order determine costsaving ability More specifically currently incur serving their Menus reduce these operation particular menus sync Fund endowment current collection patterns well maintain high standard data conclusions recommendations follow are make determinations While specific methodology discussion points involved apply considering achieve three objectives stated introduction broke into five separate steps They proceeded follows Surveying establishing Building determining one menu serve variant needs III Worst Case Scenario cost running without store donated product Value Purchasing obtaining bulkrate prices items Nutritional Standards calculating Antonios exploring areas costsavings Road Ahead future consideration concerning implementation development step toward providing end help fellow Philip Colvin sent survey SAFBs followed surveys phone interviews These list sources funding donation number they per type typically theyre prefer basis statistical anecdotal analysis agencies including eight reliable combined financial poundage shared maintenance fees each CFS develop complete portrait would participate enterprise Caf Manager Elizabeth Lutri Accounting Clerk Ami Medina supplied section With hand compare mealprovision participating program Education Coordinators Kate Biss Luz Myriam Neira built oneweek discussed length reflects several different interests fits various dietary guidelines consists available from those requested feedings found above was reflect typical Using design allow keeping low However using weeks not helpful baseline comparing understand why consider pantries place strain little left use have purchase most foodservice providers Clearly Therefore comparison calculated sat later represent administering solely purchased worked Donations Charles Dennis cheapest rate enlisted Group provider friend truckload size represents volume minimal deliveries needed while still leaving sufficient space purposes Groups rates After finally able calculate Operating incurs build compliance USDA regulations organize distribute For purpose estimated administrative total factored charge yielded Appendixes allows only but also put price standards Knowing opens slew questions should before beginning Many posed decides implement plan execution last chart road map instituting such come form moving towards path answer programs listed will keeps accurate records obtained sties record Shared Maintenance Fees SMF paid does keep amount money spend outside circulated service administrators Nonetheless some inaccuracy remains latent lie embedded reporting structure thus impossible know certainty accuracy Snack Exception Several snacks between Because provision did part agencys reported spent were unable break down accounted subtracting estimate That came computing formula assumes individual snack commensurate meal may case Thus skewed both Pantry dining centers funds used surveyed went pantry purchases services Where applicable relevant tried determination derived err side skewing RecordKeeping Reporting Errors small businesses run support result made errors when recording addition exceptions opportunity human error always exists kind because forms erred either overstating understating mealscost believe during cancel themselves out confidence validity took full synopsis summary represented Total Average Surprisingly larger defined necessarily consumers Not surprisingly average lower imply already capitalizing purchasers day role collaborative purchaser certainly Whether doing detailed Despite payment perhaps striking aspect relatively Except few outliers nearly every less than dollar Vincent DePaul Dining Room spends Boys Girls Clubs seem aptitude example Club West Commerce Branch reports spending Trying how raises lot Ill address heart application chapter explain many factors contributed general descriptions versatility potential uses Factors Contributing Design intended fit established parameters often competing First abides accords federal Child Adult Care CACFP requirements United States Department Agricultures nutrition Health Human USHHS must operate dictated Second dovetails stock December Shopping List stored superimpose neatly sense prototypical instead actual snapshot midDecember Third reflection ease choose institute ready inclusion Fourth Southwest Texas culture delicacies desired Lastly effective offers variety options repeats further includes expensive itemsie salmonbut primarily commonplace inexpensive simple menuit doesnt gourmet recipes fancy condiments superfluous drive opposition Aside UDSA adhere perfectly extent possible delicate balance General Descriptions portions delineates free recipe see sauces except integral however recommended obtain syrup pancakes Versatility Each contains protein dish glass milk bread least fruit andor vegetable sitting nutritionally balanced two planes wellby pattern ensures lunches given assured maintaining integrity rows across Tuesdays Fridays columns Regardless participation Uses has been written accordance age groups genders populations risk regardless gender entire simply start again Sunday morning constituent computed noted comes find overview implementing spreadsheet resulting units cases necessary months worth located lists item documents savings affords percentage additional reviewing easy utilizing endeavor relation figures net increase require words triple burden loss share evenly pound smaller benefit Black Brown thousands therefore shoulder large Christ rise yields another interesting conclusion standardized vary widely Comal Family Violence Shelter pay ConAgra Los Ninos variation results fact Dinners breakfasts disproportionate But there factor play quantities assumed through trouble breaking tuna cans denomination six event process removing reapportioning sixth Instead absorb extra Most expenditures waste effect easily reason higher recognize appears paradox drawn concluded stand How save yield disastrous outcome drastic lead decrease think circumstances mitigated way makes viable option discuss mitigating major Menuthe broad means revising Major High Broad Members demographics young children elderly lowincome individuals applicability clientele supplying administration spectrum individualswomen men adults seniors pregnant mothers cohorts swollen imposes cohort need Let recommends glasses Over add creating driving Its abide USDAs reaches mean covers vitamins minerals proteins wide quality nutrientrich characteristics drives own array Breads grains dairy fruits vegetables pasta meat wouldnt requires highcost like meats cheeses consist carrots green beans peas corn peaches pineapples increases lowering then increasing overall highnutrient foods comply white reach requirement pack punch whole wheat shopper knows rule applies Examples decision throughout opted nutrientdense increased demonstrate greatly Indeed met very Americans wealthiest healthconscious And about time work combat Means Cutting There ways limit Some outlined others reveal channels conceive new turn Use Donated Goods obvious foremost poor awaits projects just difficult afforded types sit times examples prove immense capability Thats gallon experienced surplus dry shelfstable winter chose insert zero saving change alone drop Likewise loaves loaf plenty manufacturers vendors Mrs Bairds HEB Allowing upwards Costsaving opportunities exist mentioned Twentythree regularly Tapping resources occur prepare adapt scenarios source weekly Programs dramatically Lower Standard controversialbut efficientmeans cutting ethical next Until explore limiting Decrease Quality earlier consumed Americas secure dropping yet reasonable White nutritious switching same comb rest inflict damage Limit Variety diverse remove replace impact truckloads might move threetruckload Varietys Sake instances sake nutrients fresh Well call varietys taste consistency even color legitimate nobody wants eat broccoli Peas mostly dropped replaced servings present capitalize Make Less Specific states what poultry exactly chicken specificity limits efficiency mandating inject holds imagine received canned Chicken once shipment supply occupying preventing seeking donations turkey system open seek Specificity likely Work Back Channels building contacted informed Hot Buys reduced included knowing allowed filling reducedprice tomatoes four menuthe Buy Carrots argue replacing weakens doubt contacting incorporating back Nutritionist concert ample otherwise lowcost effort Flexible gave flexibility clear Friday discretion leftover leftovers accumulated Another directly saved longer significantly One Full Month overly boring years maybe endurable developing Furthermore greater continuing Collaborate Other Region South similar respective collaboration power All seemingly infinite learns best opinion jettison project considerations forward mixed conclusively proves based costcutting measures confident ultimately second studyto viabilityI conclude indeed feasible limited improving operations recommend continue Once answered sound position begin opened give guidance deliberations pose though revisit preconceived notions relating reconsider draw mind Preconceived Notions Relating get assumptions underlie Project System Broke demonstrated wonder whether isnt shouldnt trying fix Even CostSavings Mean Meals Needy Clients primary aims expectation reality cash structured Would cause local fundraising fewer indirectly closer goal ending hunger Affect Relationship Currently hungry families basic mandated retain prerogative alters relationship erect decisions changes membership perception damaging consequences issue Below making final broken categories appropriate where experience guide try shed light onto answers Administering allocate staff administer Compliance Officer complies prepared fund Will want conduct fixable proved below figure sure Does revenue cover What affect related labor Servings integrate reliance partially explains Integrating abilities poses challenge collect drain warehouses Implementing Developing compulsory hopes efforts varying charged blanket employ feedback CostSaving Measures Which Employ Degree mesh enough supplement decide receive good rations suspect eligible noneligible much Should willing among upon request Integration Operations donators Could actually decreasing flow antihunger remain advice gain better understanding take giant eradicating area |
| Children and Their Food Practices | Chandra Kring, Barrett Ebright | 2005 | Field Reports | Children, Families, School Staff, Students | Arizona, Domestic, Tucson | Children and Their Food Practices illustrates the influence that school meals and family eating practices have on Tucson children’s food security, overall health and well being.… Read more | Emerson Fellow | |
| The San Antonio Food Bank Program Guide & Child Nutrition… | Philip Colvin | 2005 | Field Reports | Children, Emergency Food Recipients | Domestic, San Antonio, Texas | San Antonio Food Bank Program Guide & Child Nutrition Survey Results Report is a resource guide to the programs at the San Antonio Food Bank designed for… Read more | Emerson Fellow | |
| Quick! Delicious! Healthy Recipes on a Budget! | Shireen Cama | 2005 | Field Reports | Community Members, SNAP/Food Stamp Recipients, Urban Communities | Domestic, New York, New York | Quick! Delicious! Healthy Recipes on a Budget! is a recipe booklet with nutritious, inexpensive, and easy to prepare dishes that promotes the benefits of buying locally grown… Read more | Emerson Fellow | and serve Nutrients per Serving Yield servings size about cups Calories Total Fat grams Saturated Cholesterol milligrams Sodium ounce can plum tomatoes cup water teaspoon salt cans black beans drained chopped cilantro optional Adapted from Vegetable the Month Club FoodChange Winter Squash Black Bean Chili Estimated Cost Just serving Some common winter squash are butternut acorn Hubbard Learn More About Food Stamps Call FOODNYC You will need fresh lime juice limes clove garlic finely minced jalapeo chile seeded make sure wear gloves wash hands well with soap after handling vegetable canola oil rinsed white canelli navy pound green trimmed cut into inch pieces What large bowl whisk together jalapeno Slowly drizzle while whisking until dressing blended Add toss Cover put refrigerator marinate Steam they crisptender minutes Drain run under cold When you ready salad Sprinkle remaining over Toss room temperature ThreeBean Salad Cilantro Chile Dressing Green high fiber low calories rich vitamins lean ground beef onion celery pepper cubed diced paprika frozen peas small carrots uncooked rice skillet brown drain off fat rest ingredients Mix Cook medium heat cover boiling Reduce simmer for Serve hot gram Quick Beef Casserole Delicious HeartHealthy Latino Recipes NIH cooked lower amount |
| The Campus Kitchens Nutrition Initiative Guide | Alexis Bylander | 2005 | Field Reports | Students | Domestic, Washington, DC | The Campus Kitchens Nutrition Initiative Guide highlights the nutrition projects completed by students at each of the Campus Kitchens and serves as a step-by-step outline to re-create… Read more | Emerson Fellow | The Campus Kitchens Project Nutrition Initiatives Index Introduction Community Garden Case Study Kitchen Dillard University Guide How Develop Attachment Discussion Questions for Initial Meeting Timeline Map Build Window Boxes Planting and Harvesting Calendar Produce Delivery Program Louis Overview Preliminary Client Survey Education Elementary School Students Northwestern New Immigrant Food Box Augsburg College Reflection Activity Challenge Bulletin Boards Programming Marquette Appendix Donations Letter Template III Volunteer Inc Created Alexis Bylander initiatives this guide are based the work student volunteers with driven organization that takes unused surplus food from college cafeterias distributes homeless shelters afterschool programs disadvantaged youth senior meal sites For more information about check out their website wwwcampuskitchensorg idea creating nutrition began when students staff five located Saint Missouri Orleans Milwaukee Minneapolis Evanston met first annual CKP Student Conference Washington spring conference voiced goals academic year One primary was feel connected being done other around country decided every all would focus special theme which chosen Volunteers chose provide clients how prepare nutritious meals maintain healthy lifestyles connect antihunger resources communities During following semester each campus group focusing specific need community result creation compilation unique including garden education elementary school produce delivery program new immigrant box bulletin boards Although kits included involved they can easily adapted use campuses groups invite you starting point programming your seeks end hunger promote good plan plant cultivate harvest together then fresh Needs Assessment were looking way incorporate into prepared Access affordable often difficult lowincome areas only had limited amounts coming donations also saw interaction John Berchmans Manor elderly housing complex receives once week Traditionally dropped off but did not spend time residents who suffer feelings isolation loneliness start collaboration been started site before due lack neglected eventually became overgrown resurrect help supply demand join trend urban growing Because gave opportunities interact helped planting watering harvesting asked local businesses benches picnic tables could them outside worked Additionally ate highlighted own CKDU wanted involve surrounding well collaborated National Youth Leadership Council Upward Bound spent large number project guaranteed there enough people get significant presence Benefits This serves model resourceful production helps serve its provides opportunity leadership younger Determine feasibility Meet interested discuss whether fit See suggested list discussion questions through during meeting Complete needs assessment Before begin assess area make sure initiative right interviewing talking social service providers Remember keep mind issues have location Would want incorporated benefit ability cook andor store mobile participate Unpacking Evaluate Make appropriate put will Space create existing take over build Knowledge what plants grow region best practices those items Gardening tools Seed depend Clients ready Decide After completing evaluating decide found appreciate success know should continue Butterfly flower section Set objectives You Goal Create sustainable Objective Find like partner great Work secure seed relationships partners Recruit Ask related organizations collaborate projects Think creative ways Increase access Incorporate Include health Put timeline track ensure same page important throughout example created pilot Preparing Irish potatoes Rosemary Carrots Thyme Tomatoes Basil Lettuce Mint Mustard Greens Cucumbers Bell peppers Collard When vegetables flowers able Research space Watermelons require feet between rows small item eating selected There variety online simple web search find countless few places wwwopenlandsorgurbangreeningasp transforming vacant lot along tips design raise money wwwehowcomhow__plantgardenbedhtml lays stepbystep directions links guides indoors outdoors picking planning winter summer gardens wwwhelpfulgardenercom general gardening vegetable herb wwwcommunitygardenorg maintained American Association Gather supplies size type contains basic most likely Small shovels Large gloves Hose cans Bags potting soil Trowels baskets weeding hauling debris Containers Fertilizer Chicken wire fencing animals Growing post vine such tomatoes Secure seeds events come strategy getting fundraising connections farmers market donated needed provided send donation request letters template map used beds bed herbs two one butterfly organize remember account distance planted away Use Plan kickoff event scratch working plot amount consider hosting day include volunteer initial excited gives after kind facelift very interesting press contact Coordinator national office release media advisory sent Discuss additional ideas place less sit talk table waterlemonade snack shifts window boxes seedlings ideal near Get lumber Post client board inside building photos recipes schedule Involve kids members Invite learn much possible encourage watch Decorate agency ask signs Have row sign identify Also publicity budget purchasing waterproof banner flowerpots easy activity decorate ceramic pots either painting advanced decorating mosaic tile Maintain maintenance system scheduling determine times Most days hour These Harvest Staff stores packets Internet research navigate process Regardless calendar Reflect Once underway some reflect impact What has benefits Could individual increase Are organic buy solving longterm poverty evaluate Distribute evaluations feedback run smoothly future Pass learned think pass experiences Your lost let They arrange posted intranet materials Cooking Keep regarding execution Feasibility Who Businesses equipment where regular basis running round any does our securing funds Execution coordinate logistics types Should beginning September Conduct several brainstorming meetings approach results Establish October suggestions someone give advice Take inventory November look walk date December studentscommunity helping Contact see publicize January Main Plots Blackeyed Susan weed Marigold Lavender Vegetables Potatoes Herbs Peppers Herb Step Start cutting thick cedar required pieces Two front back lengths match width sides these depth choose piece bottom length inches wider than Predrill holes Repeat drill oneinch hole middle allow drainage Three Glue certain correct exposed outward Waterproof wood glue works Then using predrilled screw inch galvanized screws ample stability react natural preservatives within western red Four sand prime paint desire Five windows extended ground simply under nice touch higher mounting drilling inchdiameter approximately quarterway below top edge Holding position hammer hanger bolt onto house siding indentation mark Six Remove marks installing bolts protrude Hang washer nut Source Cedar Weekend Landscaping Magazine wwwjorbinscomgardeningmagazinearticlescedarwindowboxphp Accessed Plant lettuce February carrots mustard greens March bell cucumbers April May June collards July August Collards shared agriculture CSA markets distributing month developed learning partnership universitys department implement Towers accommodates hundred disabled From knew shop many ran towards pantry stamps monthly income Team similar Shared Agriculture allows directly farmer Generally shares crop crops discounted prices delivering door delivered distributed cost per purpose fee invested cover purchased part course practicum set faculty Department informational flyers accompanied stay allowed receive nominal avoided previous barriers high costs mobility closer ties Interview potential member methods brief explanation interest main points Consistent depends bags distribute pack Soulard listed Collect grocery awareness nutritional accompanies deliveries offers services available already talked may skip step However yet now Talk willingness pay Surveying informal conversational document answers surveys file reference partnerships parts relate courses introduce classes expertise Setup Other departments Social Sociology Exercise Science options professors internships suggest volunteering approved complete coursework expectations clear doing evaluated terms deliverables turn Arrange evaluation reflection puts source concept supporting advance product sold growers matter pitch donor writing letter making phone call setting solicit fact sheet bring while contacting donors Schedule minute Practice say going person speak pickups SLU entire packing carts carry containers explained raw unwashed washed eaten Pick Attempt typical pickup cases heads cabbage green tangerines apples Donation Pack gathered probably cafeteria Try weight tangerine head Organize accompany Whether initially sheets produced Agency Aging later Consider thinking Simpletoprepare made Information vitamins nutrients associated assistance General staying Fruits immunity months Provide nonprofit redistributed understanding different normal operations coordinator explain review team All given separate Money collected exchange profit purchase Deliver collect record name designated envelope immediately shift records statistics pounds went families encountered compare reacted healthier drawbacks locally grown Organically brought overall lowcost solve examination templates kitchens Which aid developing transport free packaging putting divide among Name _________________________________ Address receiving willing cant afford deliver offer Why Many Our another taxdeductible Info CK__ XXXcampuskitchensorg sessions detailed Select schedules drives Begin share lead cooking lessons Illinois noticed choices problem face today childhood obesity because importance active lifestyle aware seemingly paradoxical coexistence individuals Intern seven combine weekly Salvation Army plans pyramid breakfast physical Every Thursday afternoon visited presenting highenergy activities assisting effort decisions strong connection enjoyed positive role models teach valuable Several parents told children home enjoy teens having agencies taught participating ratio facility kitchen full industrial necessary clean counter range cold dry storage Ageappropriate curriculum Resources arts crafts Teach compile fun age showing skills Introduce measuring recipe instructions Demonstrate cheaper prepackaged Kids Curriculum specifically written sole outline session changes facilitate lesson includes past accessing posting bank sources banks something lists websites adding extra components asking guest chefs visit taking field trip Coordinate Choose leader responsible maintaining relationship leading Learn background charge products bought gift certificate secured proper Resource always transported Supplies Markers Pens pencils Tape White paper Empty Construction Picture Pyramid Scissors Measuring cups spoons Potholders Basic pans Can opener spoon spatula whisk Plastic wrap Cutting knives Mixing bowls Tips childs favorite topic actively here teaching Emphasize personal interactive Throughout keeping attention level Stay energized High energy constant eye changing speakers focused material vitamin just foods dont follow verbatim outlined tidbit insightful question Short sweet generally short spans minutes long word game Lessons kid especially Not better everyone stays safe Vary abilities varying skill levels usually control unless organized ahead soon arrive experience thus far observed causes malnutrition real life examples habits prevent solution Has view changed serving assessing Inform Delegate involvement resource meet neighborhood welcome culturally become immigrants refugees recent years city largest Somali population world Somalia increasing Latino Vietnamese Hispanic Hmong settling Riverside live qualify apply settled navigating finding specialty clinics centers daunting Initially welcoming packet highlight slightly directors nearby center option however original neighborhoods operating partnered cultural linguistic gap themselves highschool FAN trips linked effective link weeks establish CKAC newcomers partnering mainly replicated entirely Catholic Charities Lutheran Services populations successfully grocers medical nutritionhealth Give impression greeting helpful moving countries conditions enjoying Look particular Current occurring Traditional dishes ingredients frequently Likely religious restrictions foundation Web desk librarian library books magazines videos provider closely university Latin Studies Partner bridge hard Some language clubs increased distribution package addition recruiting goes Language Spanish chance Graphic Design assemble gone refugee relocation might useful nursing dietetics visits ones recommend public transportation without cars consistent instead approaching figuring donate Possible description Explain Grocery lots sturdy empty shipments morning employees consistently save Nearby Assemble differ familiar researching conduct utilize things determined sufficient languages traditions beliefs values educated Where English eat Assess translated final details spark conversation rely Materials Needed brown Enough gets simulation meaningful accurately portray Typical milk canned fruit protein peanut butter calls pantries form imagine minimal balanced servings container calculate stretch longest still added challenge fill simulated unrecognizable ethnic preparing finished estimate Was friendly major Exs baking spices etc filled recognize frustrated confused Did normally planned realized knowledge applicable understand format linking themes Each issue exercise blood pressure checks clinic engage least HeartLove Place young snacks Gwen Jackson Apartment seniors took historical presented victory World War apartment diets stronger previously empowered others current figure instance consume never situation Donated requests Heart Dietetics Art Possibly translators Agree Change pertains Engage participants Ensure sensitive circumstances catching Nursing knowledgeable fields relevant Foreign translate intern Pat Kennelly creates observations topics Sites Snack Month Breakfast Week foot Healthy Halloween too Eating Well Senior historic Importance Recipe Sharing Family Thanksgiving Recipes taste Choices Run little why Shopping Budget Easy waiting draw peoples even pamphlets crossword puzzles finds anything else big interests Creating Teaching read labels Making Valentines Day cards hearthealthy dinner lacking Were expected seem influencing Does prescription drugs lunches cheap problems whole currently surprised couple Feedback recommending true financial change really literacy various steady greatest ___________________________ Meal lie diseases reading clientsresidents tell Purchase Hold _____ Recipients Date Dear Store OwnerManager ___________ CollegeUniversity contain facts believe greatly ________ efforts please email XXXXcampusaccountedu forward Sincerely Signature Initiative _____________________________ ________________________________________________________________ _________________________ ________________________________________________________________________ family friends kinds impacted improve ___________________________________________________ Email Phone Schoolcollege ________________________ Graduation __________ Service class __________________________________________ educationactivities demographic affected semesteryear improved Overall beneficial Photo Credits taken Shaina Elias Alisa Herbert Abby Floutemesch Erin Yudchitz courtesy wwwthegardenhelpercom |
| Intra-Agency Barriers to Food Stamps: Maximizing Benefits for Elders and… | David Pope | 2006 | Field Reports | Advocates (including legal advocates), People with Disabilities, Seniors, SNAP/Food Stamp Recipients | Boston, Domestic, Massachusetts | Intra-Agency Barriers to Food Stamps: Maximizing Benefits for Elders and Persons with Disabilities in Massachusetts is a summary of suggestions from advocates on ways to improve enrollment… Read more | Emerson Fellow | Intraagency Barriers Food Stamps Maximizing Benefits for Elders and Persons with Disabilities Massachusetts report David Pope Emerson National Hunger Fellow February the United States Department Agriculture spent upwards billion Stamp Program serving million hungry peoplei Considered first line defense against hunger food stamps are available wide range Americans from elders need grocery money parents healthy baby But significant barriers still exist many American households especially Introduction have traditionally exhibited low national rates stamp participation study USDA found that only eligible elderly individuals participated program compared singleparent familiesii fact some estimate members leaving without assistanceiii portion these may not participate because stigma perceived benefit levels but advocates maintain most barrier application process state agencies Because special health care dietary needs dangerous Recent figures indicate more than twothirds multiple problems like heart disease diabetes worsen insufficient dietiv government half sample population over reported having hypertension condition exacerbated inadequate nutritionv should surprise lowincome who necessary financial assistance buy nutritious foods face increased complications Many dietrelated lack awareness information programs service options recent living Greater Plymouth area one seven frequently bed while four had make tradeoffs between paying utilities heating fuel Over surveyed said they were interested receiving small percentage actually received benefits nine out ten indicated could unaware how apply whether qualifiedvi And receive sufficient enough purchase diets November Boston neighborhood Brigham Womens Hospital color maximum would additional appropriate those fat high fruits vegetables whole grain productsvii Indeed mentioned above did responded their monthly lasted average three weeksviii For rely solely nutritional diet Programs Perhaps any other its troubles can best illustrate management implementation various administer stampsix worst nationx This was written legal providers social workers mind reviews The suggestions herein summary mainly feedback ideas during meetings coalitions presentations conferences across late early two sections trace intraagency persons disabilities applying Social Security Administration Transitional Assistance third section explores recommend policy changes through case medical expense deduction SSA Office Nationwide Supplemental Income SSI categorically stampsxi maintains updated records payees recipients simpler Offices fail assist mandates employees called Claims Representatives take applications where all Laws also require offices encourage completing understanding processxii Legal consistently disregard obligations Instead assisting clients simply refer office Others obligation recipient pertains particular times redetermination continuing eligibility Advocates shadowed discovered informing right time These violate Act Manchaca Chater ruling which court maintained offer Since antihunger ramped campaign get improve applicants including Negotiating create onepage form asks pertinent questions relating receipt air conditioning fees increase Encouraging issue guidance pure Monitoring enrollment Freedom Information informal surveys completed Even encouragement Combined Application response dwindling among Nutrition Service FNS has allowed certain states combined automatically enrolls applicant andor Historically earn fixed incomes pay fewer shelter costs live subsidized housing rarely screened expenses Bay State CAP allows enroll uses simplified calculation ensuring income preclude agency initially then sends electronically data exchange processed success depends upon coordination Enrollment easy During reassessment eligibly required ask few easily them However serve confusing being enrolled Antihunger identified types asked about personal status question formulated applicationMay your today been working One troublesome scenario this already regular realize new exists answer want submit another hesitant difficulty requires verifications interviews second major relates fully explaining SSAs manual explain enrollmentxiii honor under federal law own identify number steps consider help maximize Seek permission rephrase correct must corrected posing May elder receives advantages SSIfood higher level ease applicantrecipient See Attachment Would you better Fully describe reinforce accepting negative responses arise confusion associated ensure understand automatic interview proofs They advise applicantsrecipients provide know Ask standard amounts household pays less flat default cannot extends selfdeclare dollars rent month trapped lower Medical Expense Deduction person deduct nonreimbursed excess countable allotment managers DTA allowable Unfortunately overlook completely ignore underutilized deducted benefitsxiv amount substantially raise When Managers correctly example woman alone collects her manager screens different overthecounter aspirin bus fare dentists addition forms verification collateral contact drug store large possible deductible diverse procedures screen There coherent scope Unlike requirements regulations align promulgated neither include twentyfirst century nor revised newsletters included discussions properly trained following demonstrates change within aware updates DTAs formal policies Mass Law Reform Institute Managerial staff Field Operations Memo newsletter What follows here combination research correspondence recommendations clarify expand Chauncy Street Suite PHONE FAX wwwmlriorg January Phuoc Cao Director Policy Washington Dear writing begin discussion ways use seeking Commissioner Wagner noted his October testimony fraction AUs advantage Extensive documented critical good nutrition importance address capacity Congressional conducted numerous workshops organizations personally spoken dozens entitled calculated While greatly there either off getting contacted voiced concern clearly needed securing Few remember Manager claimed uninsured claim disallowed incurred understood transportation services counter medications Cody Scott James Ohls Reaching Out Elderly Evaluation Elder Demonstration Models Vol Mathematica Research Inc March Older Key Indicators WellBeing Federal Interagency Forum AgingRelated Statistics Government Printing Issuance field operations memo detailing Especially important highlighting alternative ancillary such postage communicate readily assume Toward end drafted annotated issued throughout country chart same client oriented screening given contain consideration endorsed similar tool developed Vermont promising practice Available wwwfnsusdagovfspgovernmentpromisingpracticesprescreeninghtm file future reminder BEACON enhancement scheduled incorporate into website brochure describes Attached flyer prepared direct mailing local Council Aging Independent Living centers Finally extend appreciation outlined allowing Medicare Part participants partial extra MPDDP participant correction wanted Pages incorrectly paid bills outofpocket bill rather instruct billed otherwise becomes due regardless when unit intends emphasis added CMR helpful Hotline Focus clarifying insisting proof payment very much appreciate opportunity discuss proposal convenience MLRI fellowship will ending mid next weeks Thank Sincerely Lauren Arms Patricia Baker Improvement Coalition Proposed Expanding Use Deductions deductions utilize Purpose purpose highlights medicallyrelated incur typically covered MassHealth private insurance III Important Tips related Alternative therapies provided licensed practitioner acupuncture chiropractic faith based healing therapeutic massage Dental dentures dental adhesives Insulin antacids prescribed herbal remedies treatments Private mileage rate currently cents per mileas well public transportationfor trips includes rehabilitative therapy pharmacy pick prescriptions supplies Costs handling mail order longdistance phone calls communication equipment deaf hard hearing Health adult diapers incontinence pads Purchase durable renovations home accessibility vehicles nonmedical conditioners dehumidifiers Characteristics Household Oct Farm Bill stated analysis our caseload indicates disabled All copays deductibles premiums recently described evaluated result ongoing sure inquire Unpaid prior certification period averaged remaining Anticipated estimated current Related Expenses Screen Transportation obtain treatment appointments supply business limited actual cost train subway rental car individual taxi cab driver using vehicle privately owned member mile retrofitting Remember Verification exceed normally charged Example Mary Smith drives once week prescription drugs round trip drive miles She physical therapist Smiths weekly equals questionable worker verify Deductible Kentucky fill medicine aides eye glasses sickroom OMTL Indiana driven prove Transitions vol June WAC medically modifications mobility repairs remodeling people ramps handrails Ohio Certification Handbook distance location pharmacist maps online map databases Mapquest Tom Jones neighbor him doctors every gives provides statement details makes CommunicationPostage add blind vision loss permits Incidental Longdistance Postage shipping Ongoing Special telephones amplifiers warning signals repair replacement TTY typewriter devises accept communications receipts listed package Jane Doe supplier confirm shipment medication Later she back request method shows sticker suppliers box copy itemized telephone both OvertheCounter Medications Care Supplies Regional Letter DeductionPostage Prescription Drugs August incidental lodging CFR dix North Carolina Virginia typewriters Regulations Herbal supplements routine foot creams powders shoe inserts skin ointments Diapers liners Lancet lancet devices diabetics Magnetic pain relief Batteries Henry doctor prescribes ibuprofen magnetic bracelets wrist arm spends disposable extrastrength brings manage Practitioners Treatments practitioners Examples Acupuncturists Naturopaths Massage therapists Christian Science healers Other nontraditional alterative herbs requirement regarding licensure Jason Browns acupuncturist alleviate Brown Volume Page insulin etc accordance Texas approved qualified professional iii allow medicallyneeded items statelicensed statecertified Wisconsin chiropractors acupuncturists sessions travel Equipment Accessibility Renovations Some alterations homes spaces Lowered countertops Grab bars Wheelchair Chair lifts Shower seats Transfer benches boards conditions purifiers Nonmedical invoice indicating acceptable Fred Bowman monitor environment chronic lives does cooling system Freds conditioner summer months give purchasing Note Heating SUA incurs electricity running Although primary responsibility providing shall unable requests Title Disability ADA denied accommodate disability renting considered definition secure reminded affirmatively recertification Enclosed elicit even apparent Offering provider Allowing collect selfdeclarations Providing interpreters Sign Language telecommunication Again unpaid reimbursed party unless delay deny reimbursement uncertainly unlikely claiming NOT type incurring plan changed since last Worker Responsibilities reasonable accommodation bii uncertain Tennessee Manual instructs Under statements made inconsistent known previous reverified Nor Allowable Statement source self declaration Medicinepills bottle label Itemized Insurance showing VII Calculation Onetime option requesting onetime difference each That remains balance Doctors visit Laboratory Bills purchaserental eyeglasses Hearing Pastdue South Dakota medicinepill bottles nurses homemakers New Hampshire Oregon select onemonth Supplement Any outstanding nonreimbursable notice collection used calculating show payments prediction what expects base professions extent coverage budget prospectively remainder chooses advised determining Dec provision past determine Look STATE SCOPE VERIFICATIONS CALCULATION CITATION Allows prosthetics purchasingrenting Also maintaining animal specially seeing dogs guide housekeeper monkeys quadriplegics via Family Services Individual Client Eligibility System httpwwwingovfssafamiliespdfpdf revenue tax pharmacies charge keep charges telephonic aids teletypewriter dentist aide Emphasis timely reporting Cabinet Operational httpmanualschfskygovdcbs_manualsDFSvoliivoliitocdoc chiropractor spiritual sex clinical pastoral counselor psychologist Human Sec httpwwwdhhsstatenhusFSM_htmNEWFSMHTM amplifies handicapped feet artificial limbs Requires total httpinfodhhsstatencusolmmanualsdsseimanFSshtmP_ computer printouts companies Explanation EOB DSS enter Medicaid pending lawsuits Stability httpjfsohiogovOFampdffoodprogramsmanualpdf authorized midwife physician skilled optometrist wwwstatesdussocialFoodStampsManualindexhtm AND obtained count credit card Instructs httpwwwstatetnushumanservfsmanpdf children adults Works httpwwwdadsstatetxusHandbooksArchivesTexasWorkstwPartAAtwaasp verified specific httpwwwdssvirginiagovfilesdivisionbpfspolicymanualppdf prevailing community allowance impaired item long naturopathic nonstandard covers wheelchairs walkers grab wheelchair lowered Administrative Code httpappslegwagovwacdefaultaspxcitefulltrue West Resources Maintenance httpwwwwvdhhrorgbcfpolicyimmnew_manualIMManualManual_PDF_FilesChapter_ch_pdf mailorder loans principal FoodShare httpwwwemhandbookswigovfshPolicy_Fileshtm Screening Form MEDICAL DEDUCTIONS SCREENING FORM COMPLETED THE MANAGER Name ______________________________ SSN TRANSPORATION FOR MEDICALLYRELATED TRIPS USE FOLLOWING LIST RECORD MILEAGE Public Feeweek _________ ________ Tripsweek Bus____ Subway____ Milesweek Car_________ milesweek Train____ Shuttle____ Taxi_________ feeweek Taxi____ Reimbursed mileweek Other____ COMMUNICATION ANDOR POSTAGE COSTS CHECKLISTS SCREEN POSSIBLE |
| Making Stone Soup: Community-Driven Efforts to End Hunger in Utah | Cecilia Cárdenas-Navia, Larisa Bowman | 2006 | Field Reports | Community Members, Emergency Food Recipients, Rural Communities, SNAP/Food Stamp Recipients | Domestic, Salt Lake City, Utah | Making Stone Soup: Community-Driven Efforts to End Hunger in Utah is an educational booklet that highlights community food security models, specifically local wellness policies and assessments, as… Read more | Emerson Fellow | Making Stone Soup CommunityDriven Efforts End Hunger Utah publication Utahns Against Project Coordinators Cecilia CrdenasNavia and Larisa Bowman Bill Emerson National Fellows Class Congressional Center Supervisor Gina Cornia Executive Director Special thanks Councilman Jesse Garcia Department Workforce Services Even Start Adult Education Team Julie Metos the Action for Healthy Kids Mary Ellen Lykins Head Program Midtown Community Health Ogden GIS Map School District Wellness Committee OgdenWeber Partnership Your Connection YCC Youth City Parents individuals who graciously completed our survey UAH creates political public will end hunger Founded nonprofit organization first coordinated emergency food distributions worked with faithbased agencies increase awareness grew recognized importance policy legislation meet needs hungry The agency established itself statewide advocate dedicated promoting improving federal nutrition programs Our initiatives include informing legislators their communities providing resources assistance individual clients engaging state community groups antihunger efforts not only identifying barriers access across but also devising alternative solutions that strengthen local economies ensuring right all aim improve lives eliminate ABOUT UTAHNS AGAINST HUNGER ACKNOWLEDGEMENTS Introduction What Food Security Show Tell Bringing Farm Share Harvest Assessing Needs Overweight Undernourished Sitting down Local Policies Profile Survey This Viva Latinidad Looking Latest Trend Students Are Smart Future Directions Resources TABLE CONTENTS MAKING STONE SOUP INTRODUCTION evident from astounding number are insecure andor impoverished network still meeting Some neighbors being cared strong would hope reverse this situation must address insecurity where exists here home Furthermore look ourselves longterm vision ending one which come together reclaim system devise new ways ensure members have adequate nutritious foods conceptualizing reminded familiar childhood fable three weary travelers arrive night village bearing empty pot villagers themselves hide little they turn away But claim everything need fill water set over roaring fire After announcing making stone soup each traveler great ceremony pulls his pocket drops into Despite initial skepticism like say place take care pride having values help other through hard times everyone has chance succeed Yet live poverty That every ten people forty percent these children under age eighteen seventh highest rate tenth country lack enough ones basic without relying services defined uneasy painful sensation caused can lead malnutrition time Since inception almost thirty years ago been leading recognize important role Utahs plays helping lowincome last year put table addition supports provide participants nutritional economic benefits Stamp assisted while average daily participation Lunch was students They array organizations whether service providers nonprofits projects substance much meat vegetables Just spice adds flavor make worth eating elected officials responsible funding work viable better able Lastly growing numbers uniting behind innovative Binding broth several examples phenomenon farmtoschool gleaning security assessments school wellness policies profile significantly diverse relatively town residents beginning reconsider collective excited participate locallybased communitydriven create just sustainable you join own offer added Finally delicious overflowing enjoyed leave next day restored its past splendor thriving lesson never forgotten moral story clear Individually cupboards appear bare collectively feast contribution many lot entire Not fed shared sense responsibility anothers wellbeing see such Similar stones advocates leaders taking initiating various health WHAT COMMUNITY FOOD SECURITY Imagine neighborhood city any group connected whose working healthy affordable farmer negotiates high principal fresh fruits meals cooperate another buy plot land start supported agriculture project boxes cooking tips recipes strategies manage meal preparation These collaborative result autonomous control what ideal were dream reality ready invigorate infrastructure movement encourages invest active multiple levels Through corporate supermarkets farmers markets gardens distinct web minimizes All families regardless income then purchase culturally sensitive ingredients allow them prepare wholesome elderly Beyond family sphere institutions schools centers partner actors area social justice workers religious construct overall quality life Communities already began some cases benefited economy given real stake how produced distributed Ranging geography Berkeley California Detroit Michigan concept resulted creative issues affected young old alike emerging leader among hopes implement models basis grassroots approach integrates existing more organic SHOWANDTELL BRINGING THE FARM SCHOOL Thankfully hundreds choosing model grown close farmtocafeteria developed out Schools products small serve cafeteria snacks Small tend favor practices stay business feed does travel far farm plate thereby reducing carbon dioxide emissions delivery trucks gain healthier learn about works visit classroom build lasting relationships Salt Lake currently apples farms develop expand few alone directors want bring cafeterias half those responded interested serving locally facilitate process founded begun conversations identified distributors menus featuring farmfresh happy Remember lunch Cold limp French fries crunchy things macaroni cheese green jello bounced rubber ball sugary orange drink stained your upper lip had idea came didnt really find glance large standing outside First Presbyterian Church seemed strange assembly scampered between legs parents adults stood clustered chatting idly weather news veterans both event reclined lawn chairs snagged best seats surrounding oak trees reason brought Sunday morning based faith worship Rather arrived early nine oclock receive free annual cosponsored churches provides produce might otherwise Started twentythree enlists donate extra unpicked crops fall harvest Then volunteers ranging Boy Scout single glean farmland picking washing packaging distribute sites publicize oftentimes hand bilingual stamp applications pantry information waiting line dual focusing offers invaluable answering immediate involving larger helped distributing tons big thing become Weber State University gardeners youth even response increases comments Ina Sheehan president Communitybased needed encourage change SHARE HARVEST ASSESSING NEEDS When approaching potential problem collect necessary data get tried successful pieces missing Assessment CFSA follows same logic order identify available limitations calls attention gaps inform policymakers fix enhance nutshell comprehensive research carefully considers challenges faces goals creating practical concerns most exciting facet gives investigative tools review selfrun promotes unique enduring giving participant add her insight done greater level learning involved challenge him herself think she buys acquires helpful kinds eats regularly conducting often conjures terrible images long hours spent typing report technical charts unending lists figures casual yield valuable Standard datacollecting techniques interviews questionnaires personal view communitys Focus informal gathering twelve fifteen interview allows flexibility collected discussed Visuals maps graphs alternate easily interpretable method showing approaches acceptable appraise Because methodology evaluating sees starting point tackle terms collecting motivate stakeholders future incite changes rural urban ASSESSMENT TRUE FALSE United States today common than adult overweight obese Tens millions Americans reported facing person overweightobese OVERWEIGHT BUT UNDERNOURISHED obesity increased intake particularly less decreased physical activity society indulging treats offered vending machines fastfood joints exercise driving longer stretches watching television endlessly surfing net Such lifestyle trends generally contribute unhealthy weight While rates rising sectors disproportionately Households limited face difficult follow Many afford regular knowing coming presents additional stress Believe statements true crisis majority now million faced uncertain availability Whats surprising two How Rate Poverty Obesity Counties Bear River Central Davis Sout heastern Southwest Summit Tooele TriCounty Wasatch WeberMorgan Percentage Living Obese seems counterintuitive could preliminary suggests lies way households compensate may adopt patterns maximizing caloric caloriedense buying quantity rather overeating when overweightobesity documented primarily women Lowincome mothers sacrifice There evidence observed chronic famine scenario likely manifest similar habits grow older Certainly explanations why faster higherincome Determinants risk becoming genetics environmental influences Nevertheless crucial epidemic deserves special SITTING DOWN WITH JULIE METOS normally softspoken mildmannered transforms firedup energy conversation turns child mostrespected She channels passion chairperson coalition aimed environment kids achieve optimum academic performance January awarded grant Kellogg Foundation oversee implementation opportunity counts longtime supporter former board member Recently perspective obligation addressing eat very concerned because pediatric dietitian parent believes feel dreams heavier appearance know impacts ability well living professional national reflects changing inability prioritize education following trend younger puts serious diabetes asthma orthopedic problems during blood pressure heart disease types cancer earlier adulthood introduces unnecessary fairly population nationwide Would describe testing paradigm fitness scores unwise fluff something NSLP strategy teach principles good prevention Right makes positive impact worthwhile teaching believe depends district guidelines analyzed per week others variety fruit vegetable selection Also acquiesced fast teens nuggets pizza burgers burritos accepted there agricultural preferences Can speculate color suffer higher nonHispanic white Well economics certainly play recent immigrants knowledge American content acculturate factors Safety perceived concern allowed options Other marketing inexpensive speed changed traditional diet supersized should cant anytime issue obligated essential considered vital part peripheral effort achievement whole left Childhood personnel districts form before July Teams involvement team written recommendations use write committees presentations top states doing share committee keeping tabs monitor successes failures drafting controversial Vending requirement remains money poorly funded always cover gap contract meets Additionally typically discretionary administrator paperwork Putting typical mix machine step unwilling expense consequences second happens rights consumers talk bag Cheetos staff respond argument restrictions deny freedom choice dont beverages priced competitive illusion marketed since born advertised third vested interest restricting conducive dress codes restrict prohibit smoking campus INTERVIEW CONTINUED broad societal influence advertising design understand complexity beyond Interestingly nearby hear convinced option anticipate comparing around further along developing Presumably stronger related standards maybe accepting eager meaningful excellent least thats huge leap forward direction known difference initially receptive teams explore educate involve effectively specific interventions directly thus target plans LOCAL WELLNESS POLICIES Congress wanted confront student blueprint act Steve Forde House especially comes scored dismal shocked angry closings Jordan proposed off heated debates During legislative session again argued bill funds pay private class size licenses Children nothing candy soda trouble participating reduced recess period led restless sitting short periods Poor inactivity wrecking childrens chances thrive educational setting recognition cultivate minds nourish bodies mandated paying Year determined administrators teachers months fortyfour busy forming questions raised Should sold mandatory Will actually broccoli sauce Reaching consensus easy creation give charge unite determining value ecology taken perhaps institution revitalizing outdoor spaces deserve investment futures default ours bringing kind reform agree upon Competitive served USDA found Machines carte lines Concession stands stores Snack Bars From downtown snowy peaks Mountains seem reach touch dwellers visitors marvel extol hiking skiing trails isnt enjoy light powdery snow won Winter Olympics bid entrepreneurial commercial hub industries clustering citys center undergone renaissance revitalization buildings attractions demographic fastgrowing Latinoa sixteen below whereas closer Nearly seventy Ogdens schoolchildren qualify reducedprice wellestablished demographics increasing urbanization Recognizing cityscape investigation window undertaken fur trading outpost later became junction transcontinental railroad settled Mormons Today onefifth speak language English median compared square miles Glance OGDEN CITY PROFILE SURVEY THIS For desert Although lacking cacti tumbleweeds coyotes attributes dearth fullsize fullline forced shop outlying areas traveling neighboring towns foodstuffs supermarket approximately affects Coupled transportation financial demands finding becomes chore worst impossibility spirit questionnaire asked near input respondents fiftysix organized categories shopping final thoughts partnerships enlisted support surveys eight sneak peek places ever Farmers Market Why Does groceries breakfast anyone cholesterol Inside Look WalMa Supercent Asst ores Chain Preferenc Buyers Clubs hnic African MexicanMexican Latino White Asian Indian Catholic took disseminating sample snapshot female persons surveyed range ages filled speakers six either Mexican MexicanAmerican ETHNICITY FAVORITE GROCERY STORE WIC Stamps MedicareMedicaid Breakfast Bank Summer Pantry Population Gender Male Female Ethnicity ForeignBorn Use OverweightObese emerged helps image select trip minutes WalMart Supercenter means desire buffetstyle eateries Golden Corral Chinese buffets favorite garnering Sadly vast whopping utilize citing complementary facts heard located front indicated program specified meant gauge closely correlated compares qualitative Census Please recall selfreported except percents represents county PUBLIC SERVICES Greater themes regarding extracted accessible car rely walk fewer Eating employment status cultural preference amass verbal cooperative convert oasis High Cholesterol Heart Disease Blood Pressure Diabetes INDICATED HEALTH PROBLEMS Reflecting susceptibility suffered dietrelated ailment VIVA LATINIDAD TALKING LATEST TREND UTAHS FOREIGN BORN POPULATION Source Bureau Jensen BEBR Calculations fond memories biting taco crispy corn tortilla crackling against teeth blended perfectly savory juices shredded beef balanced lettuce tomatoes mountain simple encompass full cuisine visible marker ethnic burrito carts carnicerias Spanish marquees sprang obvious wave north west Rodeo Ogdentino newspaper Mexicana radio station representative explosion transforming show Latinosas composed largest after Whites modest estimates pointing businesses neighborhoods fact Latinoowned note elementary middle labor force outworking rest Response YRS Apart statistical sabor permeates Ethnic grocery experience carrying items nopales papaya appeal Latin trying capture flavors ambiance Ritas Bakery pool mirrors citywide Almost America arriving Mexico illustrates immigration eleven twenty Only emigrated prior Accounts substantiate scale speaking required hire translators Second Language ESL courses accommodating influx speaks emphasis sensitivity Tenochtitlan Mercado Herrera smells sounds street market industry Prices Maceys Albertsons exchanges conducted Various taquerias tamale stations fixtures corners mobile wheels exemplary entrepreneurship indications suggest readily adapting SURVEYED LATINOA YEARS USA You pick copy Hispanic yellow pages tune KSGO Radio Fiesta listen HEALTHY STUDENTS ARE SMART DISTRICT diversity strength enrichment wouldnt world looks concluded mother finished recounting turned unrecognizable unappetizing mush Her attentive listeners nodded agreement product effect four multipronged plaguing positively whom minority meaning minorities predominantly nonWhite represent vulnerable populations stand benefit allinclusive shy Debbie Hefner said director Thus strides Child Nutrition Programs sixty accordance swimming facilities opened afterschool includes coordinate medical print simplified drafted controlled Each establish council carried councils autonomy wellnessrelated activities undertake fairs walktoschool days experienced firsthand winning formula thorough answer gather let opinions argue respectfully compromise importantly lose sight goal handouts maintaining proper preparing easytodo Hilda brings maternal nourishing explains stepbystep lost enthusiasm job seen miracles happen altered spending behavior learned teacher accomplishment wonderful literacy skills thirteen oldest Its somewhat expansion realm natural progression original mission enrich specialized preschool curriculum Graduate Equivalency Degree GED complete Starts dedication enables concoct success EVEN START PROGRAM Galvez fiftysomething grandmother apron curly updo greets smile flourishes wooden spoon starts launches enthusiastic speech servings cannot impressed maneuvers Latina version Julia Childs pinch knowitall measure Four teaches course mainly registered Extension break cycle illiteracy improved socioeconomic immigrant Joan Triplett Literacy Parent Educator GDENWEBER ACTION PARTNERSHIP Drive Grant Avenue nondescript domeshaped redbrick building corner Street bustling OWCAP provider reaches forms room brightly colored space peppered magazines comfortable welcomes donated clothing adjoining month containing Pass glass doors case managers assisting Whether lending supportive ear dayto complications friendly employees successfully secure countless Additional parenting classes sessions occasional adding opportunities recesses warm buzz laughter initiative focuses integral branch floor instructing downstairs Tracy Socwell OWCAPs Service Block notes atmosphere playful combined sincere nurturing growth happiness assist selfsufficient drives empower MIDTOWN CENTER Every Friday conference festive potluck updates exchanged plates steaming salad baked potatoes delectable desserts recounts current events memorable visits patients ongoing fundraising weekly fare equal healthcare occupies position human uninsured traditionally Lisa Nichols executive Twenty safety nets subsidized government including dental primary mental preventative minimal dollar stretch seek grants uses sliding fee adjust payment match monthly Another Midtowns clinical outreach opendoor citizenship treatments presence central medically underserved undoubtedly enhanced inextricable link keenly aware concerning May moving complex Adams considerably expanding patient partnership parties consider directions Insecurity Increase Distribute Develop online application userfriendly Waive facetoface Launch Seniors Implement Universal Conduct summer stamps Ensure venues Set Provide incentive lowfat dairy eggs Raise targeted Promote development distribution languages Introduce Disseminate illnesses FUTURE DIRECTIONS Building Stress priority Encourage framework Emphasize acquisition award graduate equivalency degrees workforce marketability Projects Extend yearlong Publicize Undertake Monitor systems Create farmtopantry wwwactionforhealthykidsorg Nations Development Institute wwwfirstnationsorg Research wwwfracorg wwwogdenkutus Coalition wwwfoodsecurityorg wwwcensusgov Economic wwwersusdagov Data Toolkit wwwfnsusdagov Meals Policy wwwhealthutahgov wwwhearthighwayorg Issues httpwwwaltruenet altruesitefilespovertydatapublicationspovertyreport pdf Office wwwusoekutus Emergency Federal Annual Report forthcoming wwwuahorg RESOURCES NOTES copies contact Suite Phone Fax Creating |
| The Impact of Food Insecurity on the Development of Young,… | Madina Agénor | 2006 | Field Reports | Children, Communities of Color, SNAP/Food Stamp Recipients | Boston, Domestic, Massachusetts | The Impact of Food Insecurity on the Development of Young, Low-Income Black and Latino Children presents research findings from the Children’s Sentinel Nutrition Assistance Project (C-SNAP), linking… Read more | Emerson Fellow | When money tight lowincome families are forced make tough choices about the use their resources One results constrained financial food insecurity Food refers households limited uncertain access enough for all household members lead active healthy life times According Department Agriculture USDA percent million were insecure some point during year Since blacks and Latinos disproportionately poor near compared white counterparts pronounced racial ethnic disparities exist rates addition data show that with children significantly higher risk poverty than same race ethnicity without result black Latino face particularly elevated Sound Social Policies Can Protect Children from Insecurity its Health Effects recent study conducted Childrens Sentinel Nutrition Assessment Program CSNAP pediatricians child health researchers shows number federal nutrition assistance income support programs can help mitigate negative growth effects Low weight heightforage important markers inadequate which turn has other These outcomes also linked inability fight infection impaired learning such Stamp FSP Special Supplemental Women Infants WIC provide increased Temporary Assistance Needy Families TANF program providing minimal meet basic needs The Income Home Energy LIHEAP Subsidized Housing survival expenses heating cooling housing costs There serious consequences young childrens wellbeing when not receive benefits they eligible Young fare better following have positive infants toddlers status who enrolled these recipient findings follows Black whose family benefit was terminated more likely stamp potentially but did twice underweight shorter height subsidy fuel nutritional problems contrary assertions research demonstrates receipt stamps subsidies associated overweight healthier found associations between significant due comparatively small numbers receiving lower short SAFEGUARDING THE HEALTH NUTRITION AND DEVELOPMENT YOUNG CHILDREN COLOR Stephanie Ettinger Cuba Madina Agnor White RaceEthnicity Households With Figure All Without Source Nord Andrews Carlson Household Security United States ERR Economic Research Service October wwwersusdagovPublicationserr Joint Center Political Studies SeptemberOctober FOCUS developmental concerns foodsecure note impact always visible parents caregivers healthcare providers policymakers may clinically meaningful mental development even there physically discernable signs For example after taking into account childs low birthweight current analyses foodinsecure greater peers What Results Mean Color Five key conclusions drawn CSNAPs color virtue disproportionate burden living especially vulnerable ill Safety net wise social investment particular costeffective policies contrast terminating denying seriously compromises critical period body brain perpetuating lifelong economic disadvantage early childhood impairments jeopardize future readiness school academic success restrict adult employment opportunities Although needed establish link plausible suggest safety protect then buffer Similar Linked Poor Child Development While physical been well documented few studies assessed encompasses ways acquire skills range domains including memory cognition language gross fine motor ability interaction behavior perception preschool schoolaged shown affect level achievement throughout careers Alderman colleagues Pan American Organization describe first three years brains most rapid change intersection had adequately address this gap recently studied relationship ages four thirtysix months come Developmental continuum vulnerabilities relating slow unusual one areas speaking moving likelihood experiencing later attention andor Frances Glascoes Parents Evaluation Status PEDS used detect sample After controlling confounding parent characteristics powerful predictor overall among under age odds reporting Similarly Action Needed Policymakers unique opportunity prevent reduce harm policy actions include fully funding expanding Such action would encompass Expanding eligibility increasing Farm Bill Ensuring funded Appropriation rejecting proposed state match cap Services Administration Implementing work requirements Deficit Reduction Act DRA way supports barriers Improving allocation funds local agencies ensure vouchers Investing against energy rise necessary implement Medicaid changes great care lose any portion Early Periodic Screening Diagnostic Treatment Lastly must consider how factors vary group each groups specific implementing wellresearched nuanced sedcbuedu Multisite Project Manager magenorhungercenterorg Emerson National Hunger Fellow currently working FRAC This article based two companion reports prepared published available wwwjointcenterorg national network conduct original clinical old connect evidence advocates public information wwwcsnaporg wwwpedstestcom |
| Hunger in Paradise? Sustaining Kupuna: An Overview of Elderly Nutrition… | Amelia Kaye | 2007 | Field Reports | Policymakers, Seniors | Domestic, Hawaii, Lihue | Hunger in Paradise? Sustaining Kupuna: An Overview of Elderly Nutrition Services in Kaua’i is a simple, accessible disaster preparedness manual designed specifically for senior citizens in Hawaii… Read more | Emerson Fellow | HUNGER PARADISE Sustaining Kupuna Overview Elderly Nutrition Services Kauai Amelia Forrest Kaye Economic Opportunity Inc Congressional Hunger Center akayehungercenterorg keokeoincorg Bill Emerson National Fellow representing the Washington who was placed KEO Lihue Hawaii one largest nonprofit organizations working end effects poverty community She worked with find innovative and effective ways address issues food security facing elderly population This Free Community Report describes highlights her projects Case Study casemanager for Meals Wheels program completing homevisits across island assess homebound clients financial medical transportation nutritional needs completed two months case study intended provide context diversity Kauais seniors unique characteristics YOU CAN Safety Readiness Guide Seniors behalf collaborated County Civil Defense Agency Affairs Red Cross other leaders emergencyresponse create disasterpreparedness guide tailored designed thorough accurate information about personal safety readiness easilyaccessible style The intention empower people disabilities through knowledge not fear vulnerable unpredictable weather conditions but important emphasize tasks complete order prosper Above all promotes communication involvement teaches value maintaining contact friends family publicservice agencies how these contacts can improve daily quality life assist emergencies CASE STUDY Auntie Kaleiohi she feels like stranger own home retires each night dusk avoid son will likely return after sundown under influence alcohol narcotics foul mood Like much vision hearing impaireda blind lefteye loss sound perception right earbut physical suffering results from severe arthritis back hips pain inhibits ability shop cook clean bathe maintain housein words prevents activities living that symbolize independence selfsustainability lonely depressed yet suspicious assistance fearing manipulation abuse perseveres difficult circumstances Unfortunately situation uncommon referred MOW because aside social which coped health failing met while manager antipoverty organization coordinates forlornly explained rare occasions when older employed full time providing large his set extra drive grocery storeand felt healthy enough leave houseshe often could afford fruits vegetables Her diet consisted solely canned foods high sodium fat content were contributing already dangerouslyhigh blood pressure cholesterol Since joining only has nutrition improved enjoyment have been enriched requested buy more persuaded try brown rice receives lunch month later finally convinced now says onothe Hawaiian word delicious When first arrived Aunties house very embarrassed presence did want abusive neighbors know publicassistance worker visiting even suspects does invite gatherings they are soon learned trust scoffed suggested stamps way alleviate some pressures EBT card black mark ones reputation Word travels quickly via coconut wireless small judge Most trapped within conflicts concerns relations shame Often there easy answer Many upholding pride values past generations would rather starve than receive public Some prefer dignity longevity Even programs overcome this stigma KEOs serves hot homedelivered lunches over lowincome five days week complement nutritious culturallydiverse meals native Portuguese Filipino Japanese Chinese Korean traditional American cooking styles served throughout workweek provides visits color depth warmth statistics describe kupuna Each story wrinkled smile demonstrates experiences transcend many share spite require attempts solutions encompass cultural generational dynamics potential slowly change attitudes For blessing prepared delivered their doorstep look forward interactions meal delivery driversbrief socialization brighten day Moreover hope addition needsassessment tools counter negative spiral offer new paths those feel road Kaleiohilike peersdeserves comfortable safe work bring above MABALIN Ilocano KOPWE Chuckese PUWEDE Tagalog VOC PODE PUEDES POTO PITO Spanish Tongan HIKI KOMARO Marshallese Prepared make every great You talk you love learn fact funny joke favor friend member eat tastier your Just before canoe paddlers dip paddles into water just hula dancers begin performance say hoomkaukaua term get ready Life means knowing beautiful garden sometimes changing Mother Nature what take responsibility hoomkaukau help prepare Read discover things today keep yourself happy Find What Need Get Whistle Flashlight Know Whom Call Make Contact Tree Your Home Safe Turn Off Gas Water Electricity Shelter Place Create Evacuation Plan Kit Gather Supplies Ask Preparedness Store Food Protect Important Documents Share Successes Five Easy Things Ready Learn More Information disseminate disaster preparedness thereby YOUR FLASHLIGHT WILL HELP WITH MORE THAN JUST FINDING WAY Use simple code communicate flash Yes flashes Help Flashlights getting someones attention directing traffic flashlights see AND SEEN WHISTLE ALSO VALUABLE COMMUNICATION TOOL same works whistles blow blows carry further voice last longer whistle warning signal Source CARD Collaborating Agencies Responding Disasters Main whom call HAVE BUDDY neighbor checkin buddy someone agree check youif ever miss phone come looking sure youre BUDDYS NAME __________________________ PHONE NUMBER__________________ MAKE SAFETY TREE Think care List names numbers most Include offisland Pick person main let everyone out Aloha Its calling Talk Financial housing employment services senior resources outreach Federal state local preparation evacuation response Disaster District Health Office Public Adult Mental Division Access Line Department Emergency Crises Transportation Care doortodoor bus Happy STEPS KEEP HOME SAFE CLEAR clutter hallways exit MOVE heavy furniture away couches beds places where sit sleep INSTALL latches kitchen cabinets drawers secure contents inside STORE flammable objects stove electrical appliances PLACE fragile items edges tables shelves REMOVE devices such hairdryers shavers electric toothbrushes sources showers sinks too move strong grandchildren Shut HEAR Hissing leak Company Branch propane tank gas shutoff valve After emergency accident shut off REMEMBER NOT TURN GAS BACK Only safely SEE Dirt blowing Flames smoke coming ground SMELL Odor hissing noise smells rotten eggs sounds air leaking balloon Propane Meter turn Tank handle left How Rotate metal bar clockwise angle meter Where located box outside front yard borders street FIND THE LOCATION METER BOX Sources Island Utility Cooperative Homeland Security wwwreadygov ShelterinPlace instructed hear sirens cannot shelter place SHELTER nearest building coast protection SHUT Close doors windows LISTEN radio announcements vents Keep Cover mouth nose damp cloth dust mask motors fans Nonmoving best anything creates wind generates heat generate sparks possible choose room bathroom facilities Bring supplies shelterinplace several hours Select few wall blockade protecting Seal any cracks spaces towels duct tape barriers Remain sheltered until allclear message given Whats Shelterin stay EMERGENCY SIREN nearby location meet Zone WaimeaKekaha Kekaha Elementary School Not Tsunami Waimea Canyon Elem Inter Huakai High Tsuchiya KoloaLawaiKalaheoEleele Koloa Poipu Eleele Uliuli Kalaheo Maka College Kaumualii Hwy Lala King Hanamaulu Convention Hall Hardy Wilcox Kapaa Mailihuna Kawaihau Middle Olohena PrincevilleKilauea Kilauea Kolo Neighborhood Ctr Keneke SHELTERS Personal GoKit Top Twelve kit grab car strikes pick Here list top twelve should bag Clothes Duct Tape Garbage Bags Radio Batteries First Aid Identification Papers Pillow Blanket Support Items medication eyeglasses aid Put watersafe container doesnt wet packets instead bottle Choose need cooked store opener fliptop cans FirstAid bandaids antibacterial ointment sterile swabs Essential medicationseyeglasseshearing aids supply gokit Write down dosage schedule dont forget spare pair batteries prescriptions cane walker wheelchair access needed AMFM Small batterypowered radios least expensive Several light layers better bulky garments poncho rainjacket dry Tissuestoilet paperwetwipes ziptop protect dirt moisture bagsplastic bags They solve problems use them rain gear toilets sanitation plumbing valuables seal privacy screens Scissors Pack sturdy shoes clothing loved give gifts didnt Christmas Well detector else something little become giving lifesaving timesaving stresssaving Are concerned cost involved truly gift detectors cell belong enjoy Canned meats lowfat Pasta Cereal granola Nuts crackers Dried Fruits Peanut butter Powdered nonfat milk CannedBoxed Fruit Juices lowsodium Vitamins Avoid salty thirsty refrigeration Remember manual canopener wwwhawaiiredcrossorg Copies credit cards bank account State Drivers License Medical insurance Medicare Medicaid Last testament photocopies vital papers Please form distribute copies Buddy Primary Physician Telephone number Address Type Insurance Policy Allergies limitations Medications Dosages Human Disability Management wwwfemagov Sucesses wife grows always teased spending plants But during Hurricane papayas tomatoes okra green onions welcome relief Uncle Anahola During forty nights started walls asked nice man lives next door brought garbage stopped leaks heard news storm approaching called went our taro fields rescue crop ate poi sick had Hanalei young importance storing pantry Iniki struck knew good foodthey came afraid lived close danger picked raining repair Everyday Can CARRY keychain flashlight everywhere NOTE informationcontacts resourcesand ASK preparednessat neighborhood center doctors office TELL evacuate PACK hurry Got warn signaling device signals yes louder noticed Wehe Road Piikoi Building Rice Puaole Street Suite Kaana Umi wwwhawaiigascom Pahee wwwkauaiwaterorg Pua Loke wwwfirstvictimsorg wwwhhsgovod |
| When Medicine Isn’t Enough: The Benefits of Providing Nutrition Support… | Nikita Barai | 2007 | Field Reports | People with Chronic Illness | Domestic, Washington, DC | When Medicine Isn’t Enough: The Benefits of Providing Nutrition Support to People Living with a Life-Challenging Illness documents a pilot study evaluating health outcomes of critically ill… Read more | Emerson Fellow | WHEN MEDICINE ISNT ENOUGH The Benefits Providing Nutrition Support People Living with LifeChallenging Illnesses pilot study conducted Food Friends Washington When Medicine Isnt Enough Illness Pilot Study Conducted Executive Summary addresses the challenges malnutrition and food insecurity among critically ill region providing homedelivered meals that require additional preparation well nutrition counseling support maximize benefits healthy cost clients Although has long believed comprehensive can improve health outcomes have not had data demonstrate positive impact managing disease improving enhancing quality life effort medicine collaborated Congressional Hunger Center implement program collect objective captures services lives recipients series home visits small group during their first three months meal delivery revealed following findings Health Symptom Management percent reported service gives them more manage recover from illness believe improved helps take medications regularly reduces side effects they benefited medical therapy Clients found especially helpful when were advised about eating foods received suggestions how symptoms learned interactions between medicines living HIVAIDS experienced dramatic reduction while cancer modest many Quality Life feel able care themselves families due relieves some stress caregivers Before receiving than too sick procure prepare Approximately lack knowledge what eat did enough money for approximately relied friends family eliminated these barriers security identified multiple including provision greater better fewer financial increased independence enhanced ability experience significant improvements perform activities daily such cooking cleaning doing laundry Intake Knowledge After being diagnosed lifechallenging decrease appetite nearly less before got consistent improvement Almost month previously felt quantity diet result diversity choices availability unprocessed helped adapt longterm habits indicated make now starting majority fruits vegetables protein Weight Stabilization Body Composition Analysis unintentional weight loss Thirty individuals lost usual body overweight obese initial interview only who underweight continued lose achieved stabilization maintained stores muscle mass water but fat increase Comprehensive effective necessary supplement treatment patients reduce achieve same time this also demonstrates limitations must realistic are hopeful While overall sense wellbeing sickest gains Without however clear overwhelming participated would medically appropriate one client losing end his battle lung stated wouldnt much because get stampsyour made huge difference resulting left risk compromised immune system cases lower chance survival Addressing fuels cycle cannot reverse progression dramatically helping stabilizing composition eliminating hunger For copy full report please contact Charnay Henderson chendersonfoodandfriendsorg Table Contents Introduction Measuring Population Characteristics Secondary Participants Graph Significant Sources Stress Among All Average Number Symptoms Experienced Each Month Percentage Experiencing Cancer Risk Level Problems Procuring Preparing Meal Delivery Service Ability Perform Activities Daily Baseline after days Difficult Change Appetite Diagnosis Procure Prepare Score Over Time Who Consumed More Group Less Changes Between Usual Lost Mass Index Days Results Underweight Healthy Overweight Obese Conclusion proper essential people illnesses Malnutrition negative low levels vitamins impair systemi iron deficiency causes fatigueii insufficient intake delays wound healing depletes massiii Poor both cause consequence serious vicious undue progressioniv Inadequate nutrients may depletion vitamin mineral deficienciesv conditions independent factor HIV AIDSvi impairs bodys endure cancervii just five ten associated rates survivalviii required optimal role often undervaluedix Many impossible consume debilitating physical poverty frequently accompany illnessx Some factors includexi Increased need Decreased absorb Medical treatments complex nutritional requirements Need specialized Lack Social isolation Poverty This results decreased higher social costs treat preventable complicationsxii like other agencies nutritious began meet needs District Columbia delivering realizing adult giving children remaining hungry malnourished serving Alzheimers our another operates two fundamental goals keep principles core complements seeks maximizing status function preventing development nutrient deficiencies promoting stable efficacy medicationxiii involves indepth assessment registered dietician evaluation therapyxiv realized access economic capacity dietxv Delivering freshly prepared eliminates issue ensures outcomesxvi conjunction tolerance promote enhance eliminate illxvii Homedelivered costeffective good prevent onset opportunistic infections incidence expensive hospitalizations help maintain productivityxviii worry where next will come participate healthxix Based wealth anecdotal accounts These direct work providers convincingly greatest success witnessed over years Our detail large scale limited most needy beneficiaries share experiences others short period frequent death But effectively fits into broader context interviews highlight true sincere hope project serve catalyst build momentum addressing very real unmet Until annual satisfaction survey document Though tool provides valuable information problematic moment capture potential reduced longitudinal documenting started changed Recruiting Retaining Interviewing eligible new age residing Prince Georges County Montgomery understand questions provide informed consent Eligible September October given background objectives asked chose represent all periodxx Nearly elected visitor agreed initially visit day establish baseline Every was exactly date last always possible scheduling conflicts doctors appointments originally enrolled four reasons nonparticipation poor hospitalization holiday travel having moved January trained staff volunteers Collecting Analyzing Data Interviewers spent minutes hours each her administered different questionnaire open ended multiplechoice mental Height measured using standard measuring tape portable digital Taylor Electronic Scale handheld Bioelectrical Impedance BIA device Quantum RJL systems Standard followup charting procedures followed phone call Survey responses grouped categories analysis symptom management analyzed ways participating Since sample size separated relevant exists groups maximum number could included parameter depending measure noted throughout basic descriptive statistics percentage mean median except test testing which wellestablished technique estimating storesxxi Twentyeight original participants provided valid obtained final values interest cell lbs total phase angle normal expected value individual calculated Cyprus software based formulas developed through Third Annual National Examination NHANES IIIxxii according category changes BCM represents cellular smooth skeletal organs intracellular important lean responsible metabolic activity refers pure triglycerides TBW extracellular fluids Phase cells anglexxiii Limitations insights several First unavoidable limitation live fivemonth frame available complete amount precludes statistical nature Second means took become familiar settle plan addition going difficult stages underestimate least nine contacted said finally benefit population healthier general primary reason declined thus likely selfselective healthiest whether under estimate Fourth attention via monthly calls dieticians nonstudy protocol requires follow address any related issues nondietetic member procedure bias favor still serves With funding extent Fifth does use paired control without practical ethical absence Finally excluded participation particularly those find healthcare foodxxiv referral case manager physician receive homeless location extensive diseaserelated socioeconomic cultural demographic shown twothirds onethird proportion similar fact typically shorter average second column shows fairly Ninety AfricanAmerican income per year below federal guidelines twoxxv ago been infection diagnosis completed slightly Seventy almost zero seven criteria includes hospice Completed Interviews Location Mean Age Range Race White Hispanic Native American Other Monthly Income Unknown Initial Reported selfreported accurate prevalent adults suffer hypertension depression neuropathy Twenty anemia arthritis diabetes hepatitis high secondary comorbidity example dyslipidemia infected virus treatmentxxvi physically socially economically add daytoday face namely renal failure significantly affected Hypertension Depression Neuropathy Anemia Arthritis Diabetes Hepatitis Dyslipidemia DementiaDisorientation Cirrhosis Mental Parkinsons Renal Failure either should considered estimates During describe sources major source common circumstances caused problems familypersonal inability self unstable housing addiction transportation reports specifically allow doctor told hurt prognosis tended Circumstances employment came though response question discussed difficulty accessing public Security Disability SSDI SSI Stamps concerns Eleven stopping passed away third hospitalized tolerate trend confirms evidence Discrimination Transportation Addiction Housing Insecurity Inabili Care Self Family Financial diseasexxvii never back differences dropped out suggests somewhat Onehundred gave Most unaware actually used until Sixtyeight Eighty fooddrug Specific instances cited handouts variety constipation nausea dry mouth instructions Examples include absorption presence bread blood thinners excess old male down Pneumocystis carinii Pneumonia PCP AIDS wasting syndrome energy level know energyThe catch bus needed ride woman breast happy holding counts white count picked thinks change comments physicians noticed sugar red One went way schedule around Along reductions oral gastrointestinal Chewing swallowing Mouth throat sores Taste Dry Smell intolerance Early satiety Nausea Vomiting Constipation Diarrhea Fatigue course illustrates occurred fatigue early taste smell vomiting chewingswallowing mouththroat diarrhea prior intensity exception experiencing adequate effect medicationsxxviii Thus surprising once explained Certain give runs since havent Percent None Mouththroat Sores Chewingswallowing Tase completely remained stayed constant became chewing prevalence she really gained telephone assign moderate standardized assigned past chronic occurring times fever lasting indicate suggest none mirror indicates Levels remain Low Moderate High Discussion There undoubtedly influence determine played mentioned aspects learning adhere plans specific examples attributed reasonable even Supporting claim literature managed minimize complications soft pureed Presbyterian Hospital New York City HIVrelated regular dietxxix Another bitter coffee chocolate consuming citrus reducing strong smells cookingxxx heightened chemotherapy radiation doses pain Because undergoing harsh unpredictable decline Clinical epidemiological research determinant illnessesxxxi predict mortality makes riskxxxii bodes Achieving strengthens excessive lossxxxiii plays replace fight stronger against relieved burden Women great relief enabled knew kids spouses carry members faced procuring preparing reliance man pay getting lot didnt everything mother receives colon finds cook extremely sensitive hot cold temperatures She easier its dont eatwhen hands myself cant something bag somethingand want thyroid wife him fix easy warm andmy things unable identify Receiving Services every immediate anymore supplemented perceived fortunate And stressful depend remission hard stop coming Physical Economic Relying Not sure Enables Teaches Makes Reduces Improves situation Increases Helps Allows Provides barrier along see graphs Two functional point Able activites Unable Graphs head neck figure task varied across periods consistency tasks then difficulties appear grocery shopping Reporting Difficulty Tasks Cooking Grocery Shopping Cleaning Laundry Bathing exclusively Throughout continually further reinforces importance why extended impairments sustenance heal bring recent forced himself maintaining feeling fullness there drink Ensure gain cakes you deliver whenever canThe takes stick microwave rate numerical score representing excellent generally sufficient appetites recently severe wasnt picking content whatever likebut bad tired although rarely feels worried easily encourages mind Despite decreasing readily tasty diets adopt section chemotherapyrelated cutting fats sweets drinking soda instead filling whole highfiber seeking strategies putting ice cream drinks topping peanut butter think purchase described They meats beans grains dairy illustrate led consumption fruit meat making Three saves menu buy store recovers again run McDonalds Popeyes KFC Now anything learn Consuming FatsSweets Dairy MeatsBeans Grains Fruits Vegetables ate Reasons shop increases calorie dietxxxiv mismatch lead dangerous lossxxxv met unique Unintentional Loss Intentional Gained six interviewers collected history considers defined lbsxxxvi intentional dietetic unintentionally lossxxxvii weights BMI height account According obesexxxviii distribution explanation twice Median Greater Extent Severe Status Defined |
| Identifying Best Practices in Diabetes Prevention | David Tian, Lindsey Baker | 2008 | Field Reports | People with Chronic Illness | Domestic, Washington, DC | Identifying Best Practices in Diabetes Prevention is a comprehensive toolkit that forms the foundation for Food & Friends’ potential involvement in primary diabetes prevention. The toolkit’s five… Read more | Emerson Fellow | |
| Food Stamps and Immigrant Families: How Health Care Workers Can… | David Kane | 2008 | Field Reports | Children, Families, Immigrants, Service Providers | Boston, Domestic, Massachusetts | Food Stamps and Immigrant Families: How Health Care Workers Can Improve Child Health makes the case for food stamps as a tool to improve the health of… Read more | Emerson Fellow | Food Stamps and Immigrant Families How Health Care Workers Can Promote Child February Authors This report was prepared David Kane Bill Emerson National Hunger Fellow MedicalLegal Partnership for Children Boston Medical Center Significant contributions were made these MLPC staff members JoseAlberto Betances Local Director Cristina Dacchille Equal Justice Works GeorgeMarie Jasmin MPH Income Supports Attorney Samantha Morton Deputy Support input also provided the following friends Pat Baker Massachusetts Law Reform Institute Stephanie Ettinger Cuba Childrens Sentinel Nutrition Assessment Program Acknowledgements The development this possible generosity law firm McDermott Will Emery whose office makes MLPCs Energy Clinic want thank Rebekah Knapp advancing vision operations are equally grateful Project HEALTH dedicating volunteers Our work would not without our BMCbased collaborators especially researchers CSNAP have been supported Bank America Bar Foundation Mary John McCarthy Department Public Paul Phyllis Fireman State Street Challenge Barriers immigrant households make estimated one out every four lowincome children United Statesi Nearly half live below poverty line compared with only nonimmigrant householdsii More likely struggle food insecurity lack health care crowded housing conditions homes suffer from common problems higher frequency relation their peers citizenheaded among leads Poor emergency hospitalizations Nutrient deficiencies Learning developmental deficits Emotional behavioral problemsiii Despite rates medical vulnerability families less receive benefits like stamps other factors driving phenomenon include Stigma about federal programs Fear negative changes immigration status Misinformation eligibility Lack services native languagesiv Heat Eat With rising costs home energy utilities parents frequently unable satisfy even most basic needs Federal research shows that poor familiesmany them householdsoffset through decreasing amount money they spend foodv Some must forgo heating cooling during extreme weather months order put table lower familys income greater percentage total wages spent result affected face decrease caloric intake well series potential risksvi Share Fair yrs natives immigrants These responses contrasted reports good very excellent Source ReardonAnderson Jane Randy Capps Michael Fix WellBeing Assessing New Federalism Policy Brief Washington Urban LowIncome Poverty Rates Age FPL under age ages Jason Ost Reardon Anderson Jeffrey Passel Young Immigrants limited uncertain access enough nutritious foodviii Compared citizens more than twice reported fair healthvii About Stamp helps purchase need stay healthy Participants enrolled program use electronic transfer EBT card much debit certain items supermarkets local stores Anybody can apply but final depends both financial nonfinancial Immigration household size expenses assets all considered legal eligible others While exact benefit amounts vary could maximum per monthix majority stamp benefitsnearly disproportionately low householdsx Prescription Better critical difference childs overall Providing extra normally cannot afford allow nutrients Recent has shown citizen did stampsxi And positive just biological receiving found achieve results academic exams supplementing foods brings closer achieving balance between feeding young immigrantsxiii Participation Eligible Receiving All Cunnyngham Karen Princeton Mathematica Research Inc Effective Response model unites advocates workers clinical setting promote wellbeing address including education safety Doctors nurses social frontline screen determinants When obstacles identified such denial application contact advocate colleagues respond training teams recognize making advocacy available promotes early identification elimination threaten patient Case Study Centers Recognizing growing patients seen BMC combines power professionals secure utility supports patientfamilies During routine pediatric appointments ask circumstances accessing challenges paying bills clinicians refer family advise submit spot They then track beginning end ensuring applicants treated fairly decisions follow state regulations Advocates assist discounts shutoff protection accounts freeing cumulatively received over month Uniquely Poised Identify play role addressing given trusting relationship exists patientsxiv fact focus groups indicated pediatrician trusted messenger delivering information welfare public benefitsxv Additionally return see when stopped themselves For reasons uniquely positioned issues preventivelyxvi express hesitation fear exam room position encourage which entitled best way help reach childrenxvii Barry Zuckerman Chief Pediatrics monthly awarded came into concerns decided after being reassured affect Are you ends meet Does your always eat having any troubles THE NUMBER SCREE NING QUE STIONS Misconceptions often discourage applying ules here xviii fiction States cant get undocumented provide own security number speak English people who will authorities shouldnt because Ill pay back harm sponsor declared charge impact chances obtaining green becoming Many general held five years child disabilityrelated admitted humanitarian may able hold cards regardless legally present Undocumented some person parent behalf give necessary find interpreters bring friend member speaks states applications multiple languages Simply asking living offices verify remove yourself dont documents Other still Nobody anything government unless incorrect although Getting should ability citizenship naturalization prevent traveling outside returning successfully reflect insufficient relatives come Please details clarification eferences Robin Koralek Katherine Lotspeich Pamela Holcomb Implementation Farm Bills Legal Restorations Final Report Agriculture Service Haskins Ron Mark Greenberg Shawn Frems tad Room Common Ground Future iii effects Impact Insecurity Development Black Latino Protecting Color Joint Political Economic Studies RoseJacobs Ruth Household Associations AtRisk Infant Toddler detailed studies barriers Mastman Katy Closer Look ImmigrantAccess Elizabeth Almas Sayeed Access InDepth Analysis York Citys Communities Estimates Unmet Need FoodChange Bhattacharya Jayanta Thomas Deleire Steven Haider Janet Currie Cold Weather Shocks American Cambridge Bureau June Frank Deborah Kennedy Joseph Dilemma Globe Oct School Medicine East Newton Vose oston wwwmlpforchildrenorg BOSTON MEDICAL CENTER UNIVERSITY SCHOOL MEDICINE vii Hardship Among Findings Survey Americas viii Nord Margaret Andrews Carlson Security Fact Sheet Resources Benefits Nov Almanac Chicago Second Harvest Perry Avi Cook Perspective xii Frongillo Edward Diana Jyoti Sonya Jones Associated Academic Journal xiii xiv attitudes concerning Lawton Ellen Hansen Pediatric Emergency Needs Status October Publication forthcoming Private Industry Council Mayors Office Jobs Community Welfare Work Outreach Campaign Focus Groups xvi Family Advocacy Collaborative Management Information Exchange xvii Myths Facts March |
| The Food Security for Seniors and Persons with Disabilities Project | Brad Johnson | 2008 | Field Reports | Emergency Food Recipients, People with Disabilities, Residents of Public Housing, Seniors | Domestic, Seattle, Washington | The Food Security for Seniors and Persons with Disabilities Project provides city-level data on food insecurity among seniors and persons with disabilities living in Seattle’s subsidized housing.… Read more | Emerson Fellow | Food Security for Seniors and Persons with Disabilities Project look Household Seattles lowincome housing February Executive Summary The was created provide baseline information food security among seniors persons disabilities who reside government subsidized report characterizes levels insecurity assesses barriers identifies strategies increase this populations access the emergency system Federal assistance programs banks congregate meal sites hot deliveries grocery church etc Abstract defined not having all times enough active healthy lifestyle due lack resources author used United States Survey Module sample population residing seven governmentsubsidized buildings Seattle Washington addition eighteen participated focus groups describe their households situation coping mechanisms One hundred three respondents from sampled were classified insecure including very low Coping included reducing variety cutting size meals skipping more than five widespread general Several policy changes are recommended decrease About Author Brad Johnson works Partners Caring Program Solid Ground Bill Emerson National Hunger Fellow Congressional Center Acknowledgments thanks following organizations individuals providing support guidance Shana McDavisConway Katherine Chen Resources Paul Haas Resource Development Director Language Bank American Red Cross King County Cecile Henault Senior Adult Services Trish Twomey Manager Housing Authority Residents Employees Irene Woo AntiRacism Coordinator Contents EXECUTIVE SUMMARY ABSTRACT ABOUT THE AUTHOR ACKNOWLEDGMENTS CONTENTS INTRODUCTION METHODS SAMPLING DATA COLLECTION RESULTS PREVALENCE FOOD SECURITY WHAT DOES VERY LOW MEAN FOCUS GROUPS Shopping Patterns Insecurity Cycles prevention Where turn other Barriers Emergency System DISCUSSION ECONOMIC INCENTIVE REDUCE INSECURITY RATE LIMITATIONS Sample Size Use Standard USDA Questions RECOMMENDATIONS APPENDIX ENGLISH VERSION QUESTIONNAIRE CHINESE SPANISH RUSSIAN VIETNAMESE EXAMPLE LETTER SENT RANDOM SAMPLE NUMBER UNITS SAMPLED PER HOUSING COMPLEX HUD CALCULATED SEATTLE AREA MEDIAN INCOME LEVELS REFERENCES Introduction Many struggle meet basic needs despite strong social intended act safety net Data published Department Agriculture estimates that some point life need recourse sources extraordinary behaviors Despite national statistics citing relatively high according Gilmore Research study nearly public highrises regularly missed same indicated those surveyed they shopping has shown dietrelated diseases such diabetes heart disease disproportionately affect Association Nutrition Agencies ANSA noted years link between poor nutrition health poverty response service agencies members use medicine approach alleviate these disparities Evidence suggests nutritious medically appropriate will improve conditions while also lowering cost care patients surgeries hospitalizations longterm However many face prevent them accessing local supermarkets demographics Box Terms Definitions Affordable Online Urban responsible delivering majority countrys affordable Subsidized term which financed whole part funding All units Section Projectbased building managed referred projectbased because section given specific tenants Methods primary goals ascertain degree experience hunger nutritional deprivation identify economic cultural factors contribute vulnerable residents Sampling conducted within city limits see Six designated LowIncome Public LIPHi earn less areas median income final complex buildingii Appendix Area There total occupied buildingsiii Responses needed obtain statistically significant dataiv researcher realizing would unwilling participate targeted each through random Each received letter details about survey days interview contact names project six LIPH Ballard House Beacon Tower Bell Green Lake Plaza Harvard Court Westwood Heights International iii number provided December completed Collection collected data facetoface interviews October measured using been developed tested module consists series questions andor known characterize trouble meeting measure condition behavior caused money does factor dieting loose weight includes Used Assess Householdsv status calculated foodinsecure conditionsbehaviors occurred any time during past months This instrument classifies previous only one tool translated into Chinese Russian Spanish Vietnamese native speakers then back test its accuracy assisted speaking interpreters interviewing nonEnglish Iwe bought just didnt last have get Was often sometimes never true youyour household IWe couldnt afford eat balanced since OctoberNovemberDecember did youyou adults your ever cut skip there wasnt YesNo yes Question How happenalmost every month but you felt should buy hungry Households reported securevi Respondents Foodinsecure broken two categories securityvii category multiple indications problems typically few reduced intake categorized disrupted eating patterns insufficient most respondent she year supplemented qualitative gathered held identified highest rate after surveys completion Participants overlapped participating larger questionnaire Conversations City Aging Disability Case managers bank directors Resident Councilviii participants group even mix first had During course asked patternsthe store stores whyand places community people might second whether getting what cope circumstances FoodInsecure responses almost question Nord vii Prior described without viii Council work resident quality satisfaction selfhelp initiatives enable create positive living environment families Results Prevalence Overall foodsecure Figure remaining falling twothirds avoided extensive disruptions mainly diet relying staples forty substantial could important remember average day occurrence much lower annual prevalence SeniorsPersons Disabilties Status Government FoodSecure Foodsecure uncertain unable acquire Low Very normal inadequate What mean habits recent skipped above eaten reporting indicator Hungry Ate Cut Could secure Source Calculated Fall Focus Groups Five emerged analysis shop usually large purchases Most cited close proximity items offered competitive prices major reasons Safeway closest Male Dix dont think Safeways reasonable considered homebound rely transportation travel depend taxis return home when traveling result stated forced make big trips fillin week small higher priced neighborhood offer block cheese normally around bucks supermarket owner sells Hes already told here thathis copout him too his jack price extremely retail feel bad trucking bus bags groceries wheelchair That really can But meant cripples like over come taxicab determined take advantage online delivery servicex Nowadays Spend fifty dollars theyll deliver Female coded female male represents person senior researched Seattleas EBT cards currently accepted form payment You know order coming call relative whatever down hassles lines cycles Typically correspond periods receive monthly benefitsSocial checks making full paycheck Ill quite weeks youre starving again said seasonal Although worried acquiring agreed threat worse winter fuel stay warm tough especially youve got holidays company family When faced difficulties obtaining changing buying well portioning Sometime portion out cook something itll least chicken roast debone thing ten play right Ive done With diabetic end sugar raw bag stand fall depleted stuff sitting cabinet cant mentioned facing changed types QFC manager specials things Sometimes meat greatest boil fry hard teeth seldom outside ground beef Meals Wheels distribution run become For reason qualify stamps lot medical bills single penny goes paying expenses nothing left fully dependent Basically source Even gone several different gotten frozen salmon patties utilizing vouchers realized churches services Vincents Church give thirty dollar bring canned goods pastas super desperate Like digesting live off Boost Ensure went gave voucher lunches throughout where Some main discussions foods always special dietary complained amount starches bread pasta rice sugary fruits candy bars soda Other limited chewing capacity shortage softchew cases believed decided sign program quit failed Theres theres Stuff vitamins fruit vegetables expensive fast grateful put fridge moldy gastric bypasses healthier own sort sweets nutritionally sound keep matter They seem leave milk margarine eggssometimes theyre sometime herejust ingredients doesnt stuck amounts noodles anything issues concern inhibited Countys Metro surrounding how picked say physically carrying foot took taxicabs restricted means attacked taking pretty bike everywhere weak state far And foodbut though able cart thats trip Its Can half now tomorrow physical prevented both preparing prohibited standing long coupled discouraged going place still troubles Not willing banksbut available line deteriorate arthritis body head toes hours waiting away gets cold bones hurt legs break apartment couple parts stove walk short distances problem length makes blow microwavexi mental leaving suffer agoraphobiaa type anxiety disorder fear being may difficult quicklyand feared negative effect depression ability aside pain drive anywhere agoraphobic street teenager afraid night dark earlier similar either wanting want whats sad found myself exacerbates dentist malnourished Panic arent certain calm rational agoraphobia door displayed knowledge existing help knew conventional pantries located example unfamiliar eligibility rules policies locations ton probably resource heavy cities America Almost twelve Discussion reveals complexes prevalent theory acting preventing experiencing demographic adequate current shortcomings knowing difficulty Secure State Average Comparison Residing Economic Incentive Reduce Rate Beyond moral obligation alleviating ANSAxii why our researchers reliable role reversing discrepancies ultimately expenditures effort reduce member therapy lifechallenging indepth assessments diagnosis counseling registered dietician individualized clients free charge costs organization per client homedelivered annually treat Nationwide roughly below risk developing common elderly dualeligible MedicareMedicaid resulting morbidity mortality hospital complications Diabetic spend Potential savings involving participation saved counterparts creates argument xii httpwwwaidsnutritionorg Mounting Medicine spends billions treating latestage Medicaid Medicare Specialized AIDS Drug Assistance Growing evidence indicates however treatments ineffective others minimized proper Furthermore alone predicts likelihood timely consistent reduces early management Immigrant Population scope analyze predictors Therefore formally collect links gender race ethnicity observe Asian constituted exhibited rates nonAsian expressed interpreter sentiments budgeting cheaper Much running diets ensure fail address identifying Limitations include immigrants Due allotted complete From According DSS authors margin error plus minus percentage points confidence level Questionnaire best immigrant encountered buildingsxiii drastically raising issue methodological backtranslated languages unsure interpretations differed English Also determine monetary xiii randomly nonmonetary cause foodinsecurefor offering culturally sensitive specifically Refer additional fails facefor mobility overclassify limitations established Agricultures comparable statewide findings Recommendations While answers easy solutions Create guide tailored zip code location accessible routes criteria served applicable mainstream listed Expand People alleviates prohibit weekly biweekly list evident expansion peoples allocate expand catered strict Toward successful More Chicken Soup Brigade serves powerful model creating cultureappropriate disability illness experienced interest microwavable oven ready turned fixed otherwise kind crazy steep thought maybe workgroup representatives Health education regarding choices Studies show incorrect perceptions avoid believe diabeticfriendly serving white breads ice cream contents dieticians whom spoke agree specialized smart ways diabetics better examples washing rinse sugars choosing grains wheat instead interventions encourage Registered Dietitian achieve Brooke Kidd Transportation Coalition area coalition basis Currently operates Americans Paratransit curbtocurb paratransit whose noncommuter route caseworkers becoming restrictive proposed supplement operated Jefferson Unitarian Golden Colorado great expanded conduct assessment Additional research build evaluating effectiveness infrastructure administering adequacy communitys production gardens communitysupported agriculture farmers adequately develop alterations expansions diminish Version November read statements made please tell statement monthsthat Often Never Know Refused Yes Skip ADa YES ABOVE ASK Only Examen para Adultos Sobre Seguridad Comdia los EEUU Las siguientes preguntas pertenecen alimento comida hogar las doce meces pasadas desde Octubre del pasado usted poda pagar por todo que necesita Voy leerte varias declaraciones personas hacan hecho sobre sus propias situaciones Por estas favor digame declaracin estaba verdad con frecuencia veces nunca ustedsu meses este primera yonosotros compro quedaba tenia dinero conseguir Esto Con Nunca rechazado Yonosotros puedo comidas balanceados otros adultos comer menos faltar porque Ignora como pensaba deba tena comprar hambre pero coma arriba pregunte Cuantos ocurri casi cada mes algunas solo una dos Casi Algunas Solo Thm Thc phm Hoa Nhng ngun thc gia trong thng qua trc nng tha nhu cho nhn ngi tnh trng Sau khi xin vui lng bit liu nhng thnh thong hoc khng bao bngia tin tichng mua mau thm Chuyn hay Thng Thnh Khng chi Tichng Trong bnthng vin phi gim khu phn Example Letter sent Random Apartment Avenue name Grounds trn xuyn providers greater independence wellbeing Your selected hoping ask concerning telephone minutes Why asking assessing availability hope necessary Please understand respect privacy remain confidential comments via email bradjsolidgroundorg President Thank forward talking soon sincerely yours Street Number Units Sampled Per Complex Surveys Completed Building Total Targeted TOTAL Effective date References Measuring Report Service Group HighRise Miner Josh Market incentives accord California power White Paper Brigit Adamus Cohen Andrews Kantor Community Assessment Toolkit Alexandria Mayo Clinic Staff April Agoraphobia introduction Retrieved January MayoCliniccom Web site httpwwwmayocliniccomhealthagoraphobiaDS McCall Sauaia Hamman Reusch Barton Are Diabetes Care Mark Winter Family Economics Review Jan httpwwwcnppusdagovPublicationsFENRVNfenrvnpdf Centers Disease Control Prevention Surveillance Atlanta Human Transit Metros ADA httptransitmetrokcgovtopsaccessibleparatransithtml North publicationssolidgroundorg bjohnsonhungercenterorg httpwwwsolidgroundorgAboutUsPublications |
| Improving Services: Suggestions for Food & Friends to Better Serve… | David Tian, Lindsey Baker | 2008 | Field Reports | People with Chronic Illness, Service Providers | Domestic, Washington, DC | Improving Services: Suggestions for Food & Friends to Better Serve Diabetic Clients examines diabetic clients’ management of diabetes, their understanding of received services, and suggestions for service… Read more | Emerson Fellow | IMPROVING SERVICES Suggestions for Food Friends Serve Diabetic Clients Better February Compiled Lindsey Baker and David Tian Bill Emerson National Hunger Fellows Page Improving Services Introduction Washington DCbased nutrition services agency that provides home delivered meals groceries nutritional counseling people living with life challenging illnesses such HIVAIDS cancer Since has approximately million the metro area alone provided nearly individuals grown strived address unmet needs communities serves This report identifies unique clients comorbid diabetes offers suggestions how these can met Diabetes growing epidemic United States serious public health concern District Columbia estimated America population had Recent research estimates residents diagnosed These numbers reflect prevalence rate which higher than national average The CDC who have are unaware they diabetic Consequently listed above most likely underestimate true Wishing high among its client within community interested assuming more active role intervention prevention Currently only limited service modifications Meals modified one major way removal concentrated sweets desserts Consequentially there disparity between American Associations recommendations food diet study part larger body being conducted about Research this broader effort spanned from investigation analysis diabetesrelated offered other member organizations Association Nutrition Agencies ANSA Turning critical eye onto itself requested order improve primary investigators interviewed present their findings following pages background information epidemiology ADA guidelines diabetics current Subsequently detailed description quantitative qualitative data collected through both indepth interviews focus group presented Lastly researchers provide insight into Utilizing literature authors practical action steps take expand hope document will novel ways good help sustain Background Epidemic roughly number includes not but also live without knowing chronic illness Alarmingly projected increase year additional Americans were pre elevated fasting blood glucose impaired ability process significant risk costly increases macrovascular diseases heart disease stroke leading causes adult blindness kidney failure due microvascular damage age man lose while woman lifeyears was calculated sixth cause death based certificate However statistic underestimates impact underreports incidence costs billion including direct medical expenditures indirect loses productivity prediabetes iduals developing since derreports Changing Demographics Comorbidity aged older several decades fastest growth amongst men women demographics aging multiple rise adults least many three concomitant intersections special emphasis Comorbid strongly metabolic changes associated antiretroviral drug therapies Highly therapy HAART significantly improved prognoses increased resistance abnormal lipid profiles dyslipidemia HIV fat redistribution syndrome lipodystrophy times develop More became Another showed positive receiving Fact per annual cost military operations Iraq Afghanistan combined Over next majority linked AIDS insulin HIVinfected HIVnegative ore HIVreceiving Cancer One preexisting time diagnosis addition substantial established relationship metabolism development types cancers breast endometrium pancreas colon been type mellitus Further shown statistically androgen deprivation prostate sugar control impacts survival recurrence quality Both tolerance independently predict mortality lower related qualities either welldocumented colorectal Patients highrisk experience persons revealed case first five years after Having correlated fold Medical Therapy recognized management establishing comprehensive MNT recommended targeted towards summarized Table decreases HIVpositive treatment may Principles Primary Prevention Goals Promotion healthy choices physical activity Healthy weight loss cardiovascular Recommendations Structured lifestyle moderate regular minutesweek Achieving USDArecommended intake dietary fiber grams kcal whole grains onehalf grain Although alcohol reduce support recommendation consumption Secondary Intervention Maintenance levels lipoprotein pressure slowing complications Carbohydrates Diverse sources fruits vegetables legumes lowfat milk Monitoring carbohydrate counting exchanges methods Substitution sucrosecontaining carbohydrates Use alcohols substitutes FDArecommended Fat cholesterol Saturated should total caloric Two servings fish week polyunsaturated fatty acids Protein For normal renal function usual protein energy sufficient reduction recognize concept balance Lifestyle managing expenditure exercise effective increasing sensitivity Modest top importance daily further supported inclusion ADAs Standards Care Medicine Responding members nationwide innovative programs focused Embracing medicine agencies vital component promotion recent white paper demonstrated potential delivery spending Current different meal plan options Home Delivered HDM freshlyprepared day six days each Plus frozen Wednesday Saturday plus bag canned boxed prepare some own Groceries GTG involves worth items well entres soups plans variety choose Diets range mild designed problems pured difficulty chewing swallowing main difference instead receive dessert When received piece fruit substituted Additionally baked goods prepared breakfast foods muffins coffee cake jelly maple syrup packets sugarfree versions There differences salads important note currently lacks assess exact macronutrient content With exception all large quantities using production sheets ingredient ratios reason prospective possible very substitutions light opposed heavy waffles pancakes given cereals artificial sweeteners substitution assessed truly comparison makes Purpose Recognizing locally nationally wished explore began examination aims Comparison Diet Differences Between sustained maintenance primarily malnutrition andor wasting Limiting amount restriction lowsugar FFs focuses does specifically monitor refined rice pasta Fresh especially Exact unknown Fiber partially wholegrain rolls bean products Sugar grocery Total calorie making calories incalculable Carbohydrate exchange calculations impossible numerical target used Cholesterol explicit exists serving Fridays saturated goal place general guideline come Methodology Assessments Design Methods Participants Compensation inquiry participated compensation participating assessment participants entered drawing gift card local supermarket Four randomly selected cards Gift mailed homes Client Identification Prior comprehensively identified uses MealService software assists planning scheduling Within histories available secondary conditions utilized until selfreported screening status official appropriately marked initial query identify reported quantify went systematically during period Queries run largest single every file examined history tab any marking under searched medication listings commonly prescribed medications generic counterparts Medications included Actos Amaryl Glimepiride Avandia Diabeta Glyburide Glucotrol Glipizide Glucophage Metformin Glyset Humalog Insulin Lispro Januvia Lantus Glargine Micronase Novolog Aspart Prandin Precose Starlix All properly newly designated field Averaging systematic searches estimate Qualification Participation eligible participate Exclusion factors Medicaid waiver would otherwise qualify longterm suspension missed deliveries submit recertification forms English proficiency memory impairment Dementia Alzheimers underage stopped suspended weeks often travel hospitalization month participation qualified Researchers unable contact mainly because disconnected phones Seven declined reasons nonparticipation poor elderly Sixtyfive inhome resulting confidence interval representative Data Collection Procedures Materials contacted via telephone brief overview asked scheduled agreed questionnaire Appendix developed review areas gain perceived understanding improvements Questions openended closedended questions screened approved registered dietitians Department Written informed consent obtained participant prior beginning assessments interviewers assisted completion short demographic measured digital scale outlined Granted permission recorded audio recorder Additional notes taken interview guide Interviews lasted minutes After completed gave answered Analysis transcribed Microsoft Excel spreadsheet identification rather names ensure confidentiality analyzed impressions responses addressed common themes Rubin Rubins best transcribe code transcriptions coded concepts events topical markers Concepts subjects education habits SPSS statistical Frequencies descriptive statistics variables bivariate linear regressions find correlations complement Focus Group organizational office located northeast Because mobility lifechallenging recruitment residing Montgomery County Maryland recruited pool previously Previous deemed necessary eligibility influence strong cultural appropriateness selfidentified African Each transportation taxi store discussion eating patterns accordance goals two effectiveness topic incorporated end list publication New Soul Cookbook People integrated materials culturally appropriate future menu cycles questioning edited extensive minority populations moderated employee facilitate consistency clarity moderator designing Principal individually acted comoderators noting nonverbal communications providing technical hour recorders separately studys Transcripts compared cases conflict third opinion Thematic trends comments separated according prominent later results section They manners better suit Results Demographic Characteristics Identified Explained methodology did arrival planningclient base point another prediabetic reporting condition know male female Caucasian Hispanic Asian mean old oldest youngest Sixtysix indentified lived Virginia Examining Assessment Findings Study Population characteristics highlighted Indian geographical weights interviewer start self heights calculate mass index BMI Following standard considered underweight overweight obese morbidly Graph preliminary what having Several recently ago found out months over she Thirtyfive congestive except Characteristic Overall Sex Male Female Race Ethnic Black subcontinent Latinoa Native Alaska White Other Age Mean Range Body Mass Index Underweight |
| Access Granted: Breaking Barriers to Optimal Health for Food Insecure… | Renita Woolford | 2009 | Field Reports | People with Chronic Illness, Policymakers | Domestic, Seattle, Washington | Access Granted: Breaking Barriers to Optimal Health for Food Insecure People Living with Chronic Illnesses discusses the importance of nutrition for chronically ill, low-income individuals and outlines… Read more | Emerson Fellow | Page Acknowledgements Executive Summary The Compounding Effect Malnutrition Health Medical Nutrition Therapy Potential for Healthcare Savings What Overcoming Obstacles Positive Outcomes Overview Cost Tapping Federal Resources Increase Medicaid Section Demonstration Waiver Transformation Grant Conclusion Endnotes author gratefully acknowledges the contributions following individuals and organizations who provided information support guidance insights without whom this report would not have been possible supportive inspiring Public Policy Teams Lifelong AIDS Alliance Ania BeszterdaAlyson Lead Community Advocate Erick Seelbach Director Prevention Education Bonnie Lenneman Advocacy Coordinator JVC dedicated Chicken Soup Brigade Team especially Patrick Schultz Services Kelly Horton Manager Jennifer Hinson Paul Getzel Care Supervisor Megan Stout Intern clients those participated interviews that richly informed patient informative whose added Honorable Jim McDermott District David Loud Liaison Hon Dermott Special thanks goes Congressional Hunger Center their Bill Emerson National Fellowship This was completed Fellow Renita Woolford collaboration with sponsored leadership development opportunity seeking make difference fight eliminate hunger poverty United States Each year twenty participants spent six months communitybased across country involved fighting local level They then move Washington complete work national organization antihunger movement esearch has shown medical treatments are ineffective proper nutritional good nutrition can help minimize disease progression Facing limited access nutritious food while threatened lifechallenging health conditions lowincome ill Americans disproportionally higher risk malnutrition latestage chronic diseases death Costly long term care become required than necessary cost Without addressing problem dietrelated illness cannot effectively address escalating healthcare State approximately billion dollars billions treating diabetes heart respectfully chronically community needs sustainable method gain foods order prevent reduce complications lead costly emergencies poor increasing healthy selections people living experience dramatic increase quality life resulting significant decrease amount money MNT comprehensive service focuses management prevention client knowledge important role improving adherence medications reducing insecurity With combination homedelivered meals regular counseling therapy promotes optimal Not only does promote positive outcomes but also dialysis kidney transplantation exceeding respectively savings could much per avoided stage preventing HIV increases HIVAIDS Similarly due costs significantly saved tap federal resources take advantage these Medicaideligible lifethreatening stainable costeffective provides use waiver funds allocated from lower spending improve insecure Washingtonians today many plagued debilitating illnesses incapacitate ability function dayto day basis trillion nations government spends over percent alone were Many face inaccessibility lack choices household within given period time These circumstances difficult compounded multiple almost impossible through Growing evidence some other minimized adequate However most insurance plans fail cover even basic result millions struggling preventable inadequate problems directly related available communities disparities Nutritional worsening governments expense Unlike factors influence leads vicious cycle Figure balanced cause negative consequence Disabling complicate every step process earning income shopping preparing consuming making obtain meal same wholesome likelihood common oftentimes meeting patients experiencing admitted emergency room longer hospital stays average covering each There two main perpetuate affordability Limited Funds major obstacle fuels frequently exceeds monthly top more expensive items unable status thus daily For receive allocations Social Security Disability Insurance fixed may enough steadily Food becomes last priority because rent electricity water bills must come first forced buy unhealthy already fragile bodies Disease Complications compliance Poverty lowcome loss job Poor Access deserts physical limitations nutrient deficiencies medically inappropriate diet Cycle addition another plagues such grocery stores energy travel store walk entire wait lines exhausting often neighborhoods there absence severely markets carry selection Known phenomenon results variety freshness predominantly compared found higherincome areas members towns get they need option far distances constraints leaving them restricted less Therefore able Inefficient utilize One Supplemental Assistance Program SNAP formally known Stamp relies critical resource when using expenses payments Unfortunately needed month stamp benefit roughly person norm rather exception recipients run out benefits third week Though stamps attain supply Another vital banks During million residents turned additional supplies SSDI little left after Sometimes its tossup between utilities mortgage frustrated cant want eat like fruits vegetables know should afford past havent situation completely got eating oatmeal weeks row cope telling myself going starve Jack Vanderscoot primary source value inconsistent Most focus distributing certain poundage system reliant upon stream comes donations quantity distributed determined uncontrollable limit serve aging disabled Through congregate drives services made qualify pending private Due large number waitlists population state Preventable professionals recognize reliable sources plays part reversing removing accomplished WHAT MEDICAL NUTRITION THERAPY involves assessment condition puts five components intervention diagnosis monitoring evaluation initial followup visits monitor progress done registered dietitian Diet play maintaining helps manage further requiring lengthy will evaluate what works best hisher medicine regimen Data presented American Association Clinical Chemistry annual proved screening programs designed assess hospitalized Once assessments identify ensuring specific relationship physician success After session forwards her notes doctor turn all labs reports Working together create matches essential delivering frozen ailing guaranteed appropriate medication ensure too cook own alreadyprepared convenience sick homes homebound beneficial Homedelivered crucial sure OVERCOMING OBSTACLES consequences dire Intake risks eventual dangerous impact Iron deficiency causes fatigue low levels vitamins weaken immune protein intake interrupts wound healing diminishes muscle mass Malnourished persons likely require treatment surgical interventions exponentially times struggle once effect Chronically powerful toll body side effects prescription one takes drugs multiply Gastrointestinal tolerate frequent changes find correct dosage nondurables which covered pharmaceutical consumption serves barrier against But rely unbalanced Being absolutely recommended fresh your lowest list least friends split our bill allotments share cab fare home discount script And days Some bed heat Anonymous protection harsh stop taking fear meet dietitians determine regime provide Together greater chance drug POSITIVE HEALTH OUTCOMES potential Although achieve managing well undervalued human deficit dealing Wellnourished resistance better recovering acute before worsens catered allows closely licensed keep track dietary Thus unexpected crises trips Below three examples drastically influenced ones Both costeffectiveness analyzed economic demonstrates Chronic Kidney brought damage glomerular filtration rate critically affects deteriorates develop hemodialysis survive late underwent staggering According study University Maryland School Medicine developing since susceptible toxic Hypertension anemia mellitus right balance phosphorous calcium extremely Too high flood remove skin irritation weak easily breakable bones how counsel specifically produces Expenses associated doubled Expenditures transitioning Stage represent considerable during initiation focusing plan pills wreak havoc Its very else theyd feel malaria Since starting pay attention stopping look labels inquiring about ingredients gave lots great tips explaining hidden sodium content canned conscientious transition containing understand avoiding Human Immunodeficiency Virus virus Acquired Immune Deficiency Syndrome diagnosed undiagnosed recent years highly active antiretroviral HAART live being severe infection delay decline prolong strict regiments sporadic nature complicating combined parts combat issues weight wasting decreased immunity contribute People presenting symptoms nonHIVAIDS maintain Even asymptomatic increased caloric Lowincome difficulty allocating purchase exerting seventeen now Medications way coping meds substantial portion stomach cramping Knowing means destruction Along consider regimens strong gastrointestinal taken Strict prescriptions morbidity mortality however stick medicines poorly absorbed nausea vomiting malaise incorporate maximize efficiency solution complex importantly reduces easier adhere physicians acquired ranges early Fortysix covers slowing steps hospitalization progresses symptomatic absorption finding compatible providing accompany later stages Diabetes Mellitus endocrine prohibits blood glucose regulation type pancreas beta cells producing insulin hormone converts sugars starches into When tissue receptors resistant normal range maintained leading Centers Control had estimated sixth recommendations published manageable complication comorbidity Hyperglycemic serious present immediate lifeordeath Caused coma Immediate inpatient worse case scenarios permanent control think purchasing Produce Stuffed peppers favorite anymore hamburger helper meat dead winter Onions Potatoes you ways dont beyond Ive learned never throw away sticking quit four Before Now definitely improved gastro Crohns remission dietician off Allan McPherson dangerously ensures follow fits stroke arise caused continually glycemic hypertension plaque formation artery walls renal failure loses filtering capacity wastes eliminated Damage irreversible point either lifelong survival pressure reaching expenditures attributed treat diabetesrelated excess general comorbidities just Populations Served Meals Total Arkansas Aged Disabled Iowa Ill Nebraska Mean Meal Table HomeDelivered Approximately hyperglycemic sole Patients implementing OVERVIEW COST SAVINGS Research indicates effective various surgeries length alternatives used fundamental Counseling Population Sessions Length Session min sessions includes minute preparation nearly prepared consistently usually states total mean exact undetermined falls below maintenance visit based recommendation shows participate onehour program King Pierce Snohomish Counties illustrates Clients eligible Service unit Units minutes Brigades Reimbursement Seattlebased throughout Kitsap counties reimbursement hours considered varies hour maximum combining both night stay Yet typical bringing Referring rates Tables eliminating Funding preventive evidenced above connection indisputable suggests conjunction produce gap policies offer currently waivers COPES eligibility aged classify needing nursing facility That leaves hundreds thousands stranded Act authorizes demonstration authorities allow flexibility operating conform standards authorize experimental pilot projects assist promoting objectives broad costsharing around Eligibility Costsharing occur authorized offered Registered reimbursed standard selected Department Using data table progressive fall simply estimate funding Deficit area account benchmark alternative Under act established permits adoption new methods effectiveness assistance Medicare rounds grant received second round appropriated fiscal authorization extends encouraged aligned todays environment Various kinds funded waste fraud abuse under error electronic records project supported implementation defined Reduction appropriately utilized optimize beneficiaries goals regulations possibly until applying extension doing waive provisions delivered setting Home Based HCBS among targeted consumers Programs traditional nonmedical demonstrate target institution fund supervision nurse activities walking toileting bathing ineligible requirements authorizing spend Several similar include elderly California individual Within along core contracts modeling approaches Still Consequently extensive specialized unnecessary experts agree expanded diabetics proving importance federally Currently percentage FMAP policy advocates actively advocating occurs expanding explorations pose possibility save makes Providing lives promotion Available httpwwwcdcgovNCCdphp overviewhtm Statewide Assessment httpwwwdohwagovhwsdocCDCDDIABpdf httpwwwdohwagovhwsdocCDCDHRTpdf Adamus Power Report Agencies Fox From Improving relief Seattle HCUPnet Statistics Hospital Stays Multilevel CCS Diagnosis Utilization Project Agency Quality Rockville httphcupnetahrqgov Latham Moffat Determinants variation availability socioeconomically contrasting neighbourhoods Hamilton Ontario Canada Place Mar Agriculture Activity Reports httpwwwfnsusdagovpd snapmainhtm Action Profile Across Nation wwwfracorg Wilking Sbarbaro Fork Road Emergency Coalition Tarasuk Beaton Household families Canadian Journal Dietetic Position ADA Costeffectiveness Evidence Mounts Effectiveness wwweatrightorg definition aid Few agencies outcome extreme guarantee Semba Anemia Infectious Supplement Anastasi Lee VSIV Wasting How Stop Nursing Salmond Assess Status Acutely Weaver Reversible Goldie Paltiel Weinstein Losina Seage Kimmel Walensky Sax Freedberg Projecting immunodeficiency Dec Kaiser Facts Spending http wwwstatehealthfactskfforg FieldsGardner Fergusson Dietitians Intervention Person Infection Goodman Howard Lifestyle Guidelines Cancer Foundation KDOQI clinical practice guidelines classification stratification suppl Renal System USRDS Annual Atlas EndStage Institutes Institute Digestive Diseases Bethesda Gale Society Nephrology Sept online Snively Gutierrez Treatment Common Family Physician Surveillance Cases STD httpwwwcdcgovhivtopicssurveillanceresourcesreportsreport pdfSurveillanceReportpdf Panel Practices Convened agents infected adolescents adults October Wheeler Weight predictor Retrovirology Melchior NovDec immunodepression inflammation independent predictors HIVinfected World Organization technical consultation Geneva May Terrin Wanke Skinner Tchetgen Shevitz cell count viral load composition alterations longitudinal Cohen Craven Zhang New England Chen Accortt Westfall Mugavero Raper Cloud Stone Carter Call Pisu Allison Saag Distribution Apr Kleeberger Buechner Palella Detels Riddler Godfrey Jacobson Changes Multicenter Cohort Study Type httpwwwdiabetesorgtype diabetesjsp fact sheet estimates Atlanta httpwwwcdcgovdiabetesstatisticsindexhtm Patient Characteristics Category Nephropathy diabeteskidneydiseasejsp Bell Advances nillennium MedGenMed Sep Ketoacidosis diabetesketoacidosisjsp Ayodele Alebiosu Salako Diabetic nephropathy review natural history burden Jan Suppl Economic Costs Franz Bantle Beebe Brunzell Chiasson Garg Holzmeister Hoogwerf MayerDavis Mooradian Purnell principles Diagnoses CCSHealthcare httpwwwahrqgovHCUPnet Projects httpwwwcmshhsgov Grants wwwcmshhsgovMedicaidTransGrants |
| Nutrition Support Programs in the Health Care Setting: A Prescription… | Morenike Mosuro | 2009 | Field Reports | Community Members, Service Providers, Urban Communities | Boston, Domestic, Massachusetts | Nutrition Support Programs in the Health Care Setting: A Prescription for Hunger Prevention explores the benefits of having social services available to patients at Boston Medical Center,… Read more | Emerson Fellow | |
| Working Towards Wellness: An Assessment of the School Health Environment… | Veronica Conti | 2009 | Field Reports | Children, School Staff, Students | Chicago, Domestic, Illinois | Working Towards Wellness: An Assessment of the School Health Environment at Ames Middle School raises awareness about the strengths and challenges of the school health environment in… Read more | Emerson Fellow | |
| NAHO Roadmap to End Childhood Hunger in America by 2015 | National Anti-Hunger Organizations | 2009 | Policy Reports | Advocates (including legal advocates) | Domestic | The NAHO vision is that by the end of 2015, every child in the United States will be food secure, and every family with children will have… Read more | Multiple Authors | NAHO Roadmap End Childhood Hunger America PreseNted OUR VISION the Year million American childrennearly one fourlive households that not have access enough nutritious food lead active healthy livesi The vision end every child United States will secure and family with children they need thrive This generation breaks hunger cycle essence promise Presidents goal grow but bigger than ensuring Americas nutrition become productive citizens are fulfilling all stronger With investment leadership resources can lift into security eliminate once for INTRODUCTION President Obama has set ambitious ending percent experiencing insecurityiii repercussions echoing across our society this critically important For nation wealthy ours also achievable pROblem CAN lONgeR IgNORe worlds wealthiest risk They live lack provide foods These found according Department Agricultures report Household Food Security many fit image Americans Over half percentof those reporting incomes limited above poverty line Nearly percentlive families headed married couple six outside major metropolitan areas Child unacceptable ensure kids program them adequate While was significant problem before recession most recent data released November strongly indicates making worse percentage living foodinsecure rose from More reported insecurity any year since USDA began national survey Separately fivecity sample Childrens HealthWatch saw more increase among lowincome young largest yeartoyear change Other indicators support concern about growing Increases unemployment demand assistance last suggest rates continue rise Unemployment risen double digits December Poverty rate reached percentthe highest age groupand represented vii Demand emergency increased banks average service between summers viii eNDINg ChIlDhOOD hUNgeR STReNgTheNS AmeRICA past ten years researchers confirmed what educators caregivers healthcare professionals know through observation When dont get fall behind physically cognitively NAhO ROADmAp eND Source Agriculture Economic Research Service FOOD INSeCURITy AmONg AmeRICAS ChIlDReN Total number thousands academically emotionally socially their communities country suffer lifelong consequences these reduced outcomes Adults who experienced lower levels educational technical skills Illprepared perform effectively todays jobs create workforce less competitiveix xii xiii Ending childhood contribute significantly solving pressing longlasting problems education competitiveness ultimately economic weakness improve health its people while reducing short longterm costs elevate status help regain strength reversing like listed below benefits far beyond individual Foodinsecure sick often recover slowly likely hospitalized cost per pediatric stayxiv experience headaches stomachaches colds ear infections fatiguexvi Children insecure susceptible obesity harmful adultsxvii Cognition Academics Undernourished cannot learn much fast well because condition changes fundamental architecture brain central nervous systemxviii xix Lack impairs childs ability concentrate schoolxx xxi xxii xxiii Nutritionally atrisk negative effects skipping breakfast think learnxxiv Conversely eat score better tests show improved learning memory retention tardiness absenteeismxxv emotional Social Wellbeing regularly higher behavioral academic problemsxxvi aggression anxietyxxvii Teens see psychologist suspended school difficulty getting along other childrenxxviii Teachers hyperactivity absenteeism eatxxix Hungry energy handle complex social interactions adapt environmental stressesxxx xxxi xxxii make now generations come NINe eSSeNTIAl STepS recommends nine steps collectively solution requires opportunity income supports nutritional safety net propose approach involves multiple federal state local agencies nonprofits private efforts reasons believe free even bad times programs already place strong build upon wisdom put new initiatives strategically Financing some proposals require tough choices That why Administrations critical success both effect policy necessary achieve way governments sector Create growth provides thriving economy wellpaying been effective weapon against Jobs offer financial independence enable themselves Even millions working faced daily struggle part due stagnating wages lowerpaid workers work out essential strategy include equitable meet basic needs future pursuing fiscal policies sustainable recovery creates Increase minimum wage What job straightforward decent standard must maintain keeps pace rising reflects value Without sufficient cover housing care transportation nutritionfamilies shift budget necessities increasing sacrifice another level should indexed inflation never again falls needed establish tax system helps pay allow there ways hands Tax credits designed including Expanding additional serve ends keep fed retaining permanent current temporary expansions continuing refundable credit Key Credit Earned Income Improve key take time lifes basics And history teaches when weakens scarce parents disability caring disabled spouse face special challenges which turn affect familys Until attain selfsufficiency employment strengthening Make affordable needy particularly voucher Strengthen Temporary Assistance Needy Families lowwage Implement reforms insurance open low parttime Protect individuals disabilities RECOMMENDATIONS quality Escalating heavy burden too choose medical treatments household Frequently immediate win over compound Unexpected illness expenses send spiraling control afford participation three meals table day without sacrificing offered Federal weave enables Unfortunately eligible receive barriers Nutrition could reduce simply reaching supporting such Simplifying enrollment administration outreach Supporting flexibility innovations alternatives Increasing availability where operations expand eligibility reach Many qualify under existing rules especially underserved restoring Supplemental Program SNAP immigrants lawfully residing encouraging states use options raise gross asset improving area thresholds only diet throughout month Far benefit includes wholesome selections each group fruits vegetables home places congregate basing realistic Thrifty Plan adjusting reimbursement structures lunch afterschool summer grocery stores produce markets farmtoschool connect required his Administration order implement outlined here Congress enact legislation outlook poor government first biggest solely responsibility Much implementation done schools community groups faithbased organizations successful encourage strategic collaborating departments leverage toward meeting businesses engage antihunger ReCOmmeNDATIONS facts Labor Statistics Current Population Survey Bureau UNemplOymeNT RATeS DeCembeR CURReNT January February March April May June July August September October exISTINg FeDeRAl NUTRITION pROgRAmS Special Women Infants WIC Adult Care CACFP National School Lunch Breakfast Programs NSLP SBP Summer SFSP Emergency TEFAP FACTS gApS SySTem reducedprice One seven still Only ate during regular participated were did participate Sources Summary Action Center Scorecard Doesnt Take Vacation Status Report Trends Participation Rates pARTICIpATION SUpplemeNTAl ASSISTANCe pROgRAm Annual figures represent monthly Monthly Data Million persons Estimated hOW WIll KNOW hAve eNDeD Our There least two measure progress towards achievement annually essentially zero ultimate State public Measuring points pubic programsat levelswill details how Local metrics available utilized Additionally range used demonstrate qualitative affordability vary jurisdiction may developed Together measures whether single NATIONAl SOlUTION NeeDeD Government response best position programmatic solutions addition investing recommendations made document respond fully leveraged Close collaboration nonprofit faith business labor Finally play role focus volunteer MEASUREMENTS ROLES REFERENCES Nord Andrews Carlson ERR Biden Tackling Domestic iii Policy Brief Insecurity Rise Steeply Recession Health Insurance Coverage Census Feeding Impact Victora Adair Fall Hallal Martorell Richter Sachdev Maternal undernutrition adult human capital Lancet Jan Cook Frank Human Development Annals New York Academy Sciences Online Early Articles doi annals httpwwwblackwellsynergycomdoifullannalscookieSet Palfrey HauserCram Bronson Warfield Sirin Chan Brookline Education Project Followup Study FamilyCentered Intervention Pediatrics Cunha Heckman evolution cognitive noncognitive life Prepared AEA Conference Chicago Committee httpwwwcedorgimageslibraryreportseconomyreport_ltgrowthpdf How economies CED perspective raising xiv Berkowitz Black Casey Cutts Meyers Zaldivar Skalicky Levenson Heeren Associated Adverse Outcomes Among Toddlers Nutr doiannals xvi Alaimo Olson Frongillo Briefel insufficiency preschool schoolaged Journal Public xvii Szeto Robbins Stuff Connel Gossett Simpson HealthRelated Quality Life Arch Pediatr Adolesc Med xviii Council Institute Medicine From Neurons Neighborhoods Science Integrating Jack Shonkoff Deborah Phillips eds Board Youth Commission Behavioral Washington Press Jyoti Jones Affects Academic Performance Weight Gain Skills Dec Insufficiency SchoolAged Cognitive Psychosocial Kleinman Murphy Little Pagano Wheler Regal Jellinek Potential Emotional Correlates xxiv Learning Promotion xxv Updated Review Vol xxvi xxvii Correlate xxviii childrens psychosocial development xxix Student Volume Issue xxx Pollitt Chair Golub Gorman GranthamMcGregor Levitsky Schrch Strupp Wachs Reconceptualization Effects Undernutrition Biological Society httpwwwsrcdorgindexphpoptioncom_ docmantaskdoc_viewgidItemid About tHE NAtIoNAL ANtIHuNGER oRGANIZAtIoNS coalition leading secular dedicated sound eight worked collaboratively strengthen awareness published Millennium Declaration Blueprint following assisted Bill Ayers World George Braley Cooney Congressional Stacy Dean Budget Priorities Tony Hall Alliance Caryn Long Sophie Milam Bread Pat Nicklin Share Strength Cate Puzo Eric Schockman MAZON Ellen Vollinger Jim Weill wwwfoodsecurityorg wwwfeedingamericaorg wwwresultsorg wwwelcaorg wwwmowaaorg wwwalliancetoendhungerorg wwwansanutritionorg wwwhungercenterorg wwwendhungerorg wwwendhungercom wwwstrengthorg wwwbreadorg wwwcbpporg wwwmazonorg wwwwhyhungerorg wwwfracorg |
At CHC’s June 7, 2012, Congressional Awards Ceremony… Read more we will honor Senator Dick Durbin and Senator Roy Blunt. We invite
The goal of ending childhood hunger can be furthered effectively through alliances of anti-hunger advocates and partners from the education… Read more