1. Altarum Institute Policy Roundtable Cosponsored by the National WIC Association Can WIC Play a Role in Stemming the Childhood Obesity Epidemic?

2. 2 How Can WIC Work with Other Programs Such as SNAP-Ed and Overcome Barriers to Collaboration to Help Prevent Obesity? Susan B. Foerster, MPH, RD Network for a Healthy California California Department of Public Health

3. 3 ▲ The experience and opinions that follow are those of the presenter. ▲ There are no financial disclosures to report. ▲ Supplemental Nutrition Assistance (SNAP) is still called Food Stamps in California. ▲ SNAP-Ed used to be known as FSNE, Food Stamp Nutrition Education. DISCLAIMERS

4. 4 WIC and SNAP-Ed Have Common Missions and Overlapping Audiences WICSNAP-Ed Income <185% FPLWith a waiver, <185% FPL, as well as SNAP Pregnant, breastfeeding women, children <5 years Families, especially school-aged Achieve Dietary and PA Guidelines Reduce/eliminate food insecurity Improve nutritional healthy early in life Improve nutritional healthy throughout life Prevent or reduce obesity

5. 5 A Perfect Complement to Achieve Real Change for Needy Families WICSNAP-Ed Specific life-stage orientationMay be lifelong Individually focusedMay be population-based; models vary, may include “social marketing” Clinic-centered, retail linksMany community sites: child care, worksites, schools, food stores, and farmer’s markets, mass media States set high standards for retailersFeds set standards for EBT certification Leadership from SHASNAP state agency contracts w/ Extensions, Universities, health departments, and/or non-profits Nut ed funding well integratedGreat variability due to FFP/matching mechanism Great image!Food Stamps is being re-invented!

6. 6 So Far, What Collaborations Have Been Easiest for WIC and SNAP-Ed in California?

7. 7 We Think “Social Ecological”

8. 8 Brand Architecture Works Too

9. 9 Food Stamps Is a Food Security Platform for Entire Families

10. 10 F-SORK Also Is Used by WIC Clinics to Promote Food Stamps

11. 11 Media-TV, Radio, Outdoor, Websites English and Spanish

12. 12 Regional Networks in Media Markets Provide Campaigns, Collaboration Among Diverse Partners

13. 13 Federally-Certified Community Clinics Already Marry WIC, SNAP-Ed and Food Stamp Outreach

14. 14 Network Retail Campaign Adds Power in the Business Sector -- Tools for Retailers ▲ Retailer Fruit and Vegetable Marketing Kit ▲ Produce Handling Guide ▲ Produce Quick Tips

15. 15 Network Retail Program Adds Power with Business – In-Store Nut Ed ▲ Food Demonstration Training Kit ▲ Store Tour Guide ▲ Produce Marketing Association online training

16. 16 Network Retail Program Adds Power with Business – In-Store Merchandising ▲ Seasonal Signage ▲ Newsletters ▲ Cross Promotional Wobblers ▲ Spinning Kiosk/Recipe Card Holder

17. 17 Network Retail Program Adds Power with Business – Active Promotions In-Store ▲ Food Demonstrations ▲ Store Tours ▲ Fruit and Veggie Fest

18. 18 Network Retail Program Adds Power with Business -- Strong Industry Partnerships ▲ Participation in Produce Industry Networking Events ▲ Placing Ads in Produce Industry Periodicals ▲ Creating Innovative Produce Marketing Opportunities ▲ Partnership with Fruits & Veggies—More Matters ™ and National FV Alliance at CDC Fresh Produce & Floral Council

19. 19 ▲ SNAP--WIC coordinates Network, Food Stamps, UC-FSNEP, CDE, and CDFA state plan for FNS ▲ County Nutrition Action Partnerships– WIC and Network help local health departments convene counterpart coalitions of FNS categorical programs FNS-Required “SNAP” (State Nutrition Action Plan)

20. 20 So, What Impact Has SNAP-Ed Had In California?

21. 21 Impact: Kids Ate More FV as Network Grew, but Children’s Media Made the Difference

22. 22 Sample weighted to the 2000 U.S. Census: N (White)=13,013,000, N (Hispanic)=6,896,000 N (African American)=1,632,000, N (Asian/Other)=3,177,000. Impact: Adult FV Increased for Network-Targeted Ethnic Groups

23. 23 Sample weighted to the 2000 U.S. Census: N(<$15,000)=11,602,000, N($15,000-24,999)=4,130,000, N($25,000-34,999)=3,039,000, N($35,000-49,999)=2,917,000, N(>$50,000)=4,795,000. Impact: Adult FV Increased for Network-Targeted FSP and Income Groups

24. 24 What Are More Opportunities? ▲ Worksite wellness (Fit Business Kit) ▲ Child Care (800 + sites) ▲ Media for kids as well as parents ▲ State and policy change for communities that our families live in

25. 25 What Happens When the CDC Parameters Are Added as Per ARRA? StrategiesMAPPS Methods ↑ Fruits and Veggies M edia ↑ Physical Activity A ccess ↑ Breastfeeding P romotion ↓ Sugar-Sweetened Beverages P rice ↓ Calorie-dense, low-nutrient foods S ocial Support ↓ Physical Inactivity, “screen time” ↓ Missing: Food Insecurity!

26. 26 SNAP-Ed Policy Levers Needed so SNAP-Ed and WIC Can Do Even More ▲ Obesity: Remove limits on range of PA interventions ▲ Hunger: Ask SNAP-Ed to help increase participation in all nutrition assistance entitlement programs ▲ Access to healthy food: Leverage WIC and SNAP business relationships, raise EBT standards, build on multiple Let’s Move! farm and ag initiatives ▲ Synergy: Require strong coordination and comprehensive, public health approaches in SNAP-Ed Guidance, such as those from ARRA

27. 27 Thank You! Susan.Foerster@cdph.ca.gov (916) 449-5385 www.networkforahealthycalifornia.net www.cachampionsforchange.net