ANNUAL REPORT CAMPBELL HEALTHY COMMUNITIES FISCAL YEAR 2013
PROGRAM OVERVIEW
Campbell Soup Company is committed to “measurably improve the health of young people in our hometown communities by reducing hunger and childhood obesity by 50%” by 2020.
AREA 1: Access to nutritious and fresh foods
In 2011, the company formally launched the Campbell Healthy Communities program with a commitment of $10 million over 10 years. Program efforts began with five pilot sites in Camden, NJ, a city of 78,000 residents, 23,000 of whom are children. Despite its size however, the city is home to just one full-service grocery store which announced in late July that it would be closing. At the same time, the city is plagued by significantly higher levels of childhood obesity and hunger than the national average. In Camden more than 39% of boys and 40% of girls are overweight or obese as compared to the national average of 32% and 31% respectively (NHANES, 2008).
The Campbell Healthy Communities program strategy focuses on four areas:
AREA 2:
AREA 3:
AREA 4:
Access to safe places to play, exercise and walk
Nutrition education – prenatal to adult
Building public will within the community to advance real solutions
During the first two years of program implementation, Campbell funded ten groups to develop an integrated and collaborative work plan to effectively address each of the four strategy areas. In year one agencies included: The YMCA of Burlington and Camden Counties, Food Bank of South Jersey, Camden Coalition of Healthcare Providers, The Food Trust, Camden Children’s Garden and Greensgrow Farms. In year two, the group grew to include the Delaware Valley Regional Planning Commission, The Reinvestment Fund, The US Soccer Foundation/Boys and Girls Club of Camden County, Center for Hunger Free Communities and Drexel University. NJ Partnership for Healthy Kids was instrumental in laying the foundation for the effort and remains engaged as a valued partner. Featured program elements include: • Introducing and marketing healthy food in corner stores throughout Camden
• Promoting community gardens and school gardens to increase access to healthy produce; and
• Providing adult nutrition classes to families, adults and childcare professionals to teach menu planning, smart shopping, basic cooking skills and food safety
• Expanding availability of locally grown produce, while accepting WIC, SNAP and senior coupons at markets.
• Ensuring school children receive 30 minutes of daily moderate to vigorous physical activity four days a week via the C.A.T.C.H. program • Implementing the Pregnancy, Parenting Partners (P3) program to promote prenatal/well child visits focused on nutrition education;
• Implementing a measurement system to capture incremental metrics and creating measures to assess the long term goals of reducing childhood obesity and hunger. • Providing school-based nutrition education to youth.
EVALUATION OVERVIEW
NJ Partnership for Healthy Kids worked closely with the Campbell Foundation leadership to lay the groundwork for the Healthy Communities effort. Groups continue to work closely to achieve alignment between the programmatic goals of the Campbell work areas with those related to policy and environmental change set forth by the Partnership. A credit to both agencies, the Healthy Communities effort established early a value for collaboration and shared vision. The Food Trust in 2013 partnered with funded agencies and the Campbell Soup Company to develop a program evaluation framework, aligned with Campbell’s key goals: decreasing childhood obesity and hunger by 50% in 10 years. Working in alignment with Dr. Jeff Brenner, who spearheaded an effort to develop a monitoring strategy for BMI with the school district data and food insecurity within the hospital system in the city, the evaluation approach focused on indicators of change closely tied to the program’s four strategies. The 2013 objectives were identified in collaboration with programs and Campbell leadership and included:
OBJECTIVE 1:
OBJECTIVE 2:
Increase the number of venues that sell or distribute healthy food in Camden by 35 outlets, serving more than 23% (or ~ 18,000) Camden residents this year.
Increase the number of minutes that children and adults spend being physically active by 25% among program participants, ultimately supporting 9 million minutes (150,000 hours) of physical activity this year. Increase access to safe places to play in the city of Camden.
GOAL: decrease childhood obesity and hunger by 50% in 10 years
OBJECTIVE 3:
OBJECTIVE 4:
Improve the eating habits of 75% of participants including cooking healthier meals and eating healthier snacks and beverages, ultimately supporting 20,000 hours of nutrition education activities this year.
Meet with resident groups, neighborhood organizations, policy makers, and school leaders across the year to cultivate community ownership.
AREA
FINDINGS
1
Access to nutritious and fresh foods OBJECTIVE: Increase the number of venues that sell or distribute healthy food in Camden by 35 outlets, serving more than 23% (or ~ 18,000) Camden residents this year.
Achieved with 36 new outlets created and 23,000 Camden residents served. At the end of fiscal year 2013, and year two of the program, 22 corner stores were enrolled in the Camden Healthy Corner Store Network, 6 Community Supported Agriculture (CSA) locations were added and 8 Mobile Markets were added.
Figure 1: Change in Access to Healthy Nutritious Foods, 2011-2013
25
20 15 10 5
0
Baseline
Year 1
Year 2
Corner Stores Mobile Markets CSA Locations
YOUNG’S MINI MARKET While visiting Young’s Mini Market, a Healthy Corner Store Initiative (HCSI) store, Mr. Young reported that his recent conversion has transformed his store. He explained that before joining the program, his customers had no access to fresh produce and he had no way of selling fresh produce in his store because of a lack of refrigeration. After joining the HCSI, Mr. Young reported selling $20 worth of fruit the first week he introduced produce in his store and has said he now sells about $15
of value-added produce products daily, which has greatly contributed to his store’s profit. Mr. Young said he has been surprised by the response from his community. He originally wanted to participate in the program because he felt it would help his community, but he did not realize that his participation in the Camden Healthy Corner Store Network would be a profit making endeavor. Mr. Young is excited to continue to have opportunities to encourage his customer to eat healthier.
AREA
2
Access to safe places to play, exercise and walk OBJECTIVE: Increase the number of minutes that children and adults spend being physically active by 25% among program participants, ultimately supporting 150,000 hours of physical activity this year.
Achieved with 175,000 hours of physical activity provided through CATCH and Soccer for Success this year, a 75% increase over the number of hours provided in Year 1. Physical activity programming was conducted with the CATCH curriculum (during school) and the Soccer for Success program (afterschool and summer). Through the CATCH program, 1,412 children received 2.5 hours of physical activity per week during the school year and through the Soccer for Success program, 472 children received 4.5 hours of weekly physical activity over two 12 week periods.
Figure 2: Change in Access to Safe Places to Play, Exercise and Walk, 2011-2013
200000
200000
175000
175000
150000
CATCH150000
125000 100000 75000 50000 25000 0 2
Baseline
Year 1
CATCH Hours Soccer for Success Hours
Year 2
A. is a fourth grader at Holy Name 125000 who did not like participating in organized games and would 100000 often drift from the group at 75000 recess. To bring him back in to the group, 50000 the YMCA CATCH staff gave A. leadership roles 25000 games and when organizing the activities. With the growing 0 responsibility, A. took initiative Baseline Year 1 in working with his fellow classmates and encouraged them School Hours to participate in all the games. After School Hours His favorite CATCH game is Rock, Paper, and Scissor Tag.
FINDINGS
AREA
3
Nutrition education – prenatal to adult OBJECTIVE: To improve the eating habits of 75% of participants, ultimately supporting 20,000 hours of nutrition education activities by the end of fiscal year 2013.
Achieved with over 193,000 hours of nutrition education provided to children and over 3,800 hours provided to adults this year. On average, approximately 100 hours of nutrition education were provided to each child and 3 hours of education were provided to each adult this year. In schools, children received over 10 hours per month of nutrition education, or approximately 100 hours over 10 months of the school year using The Food Trust’s nutrition education curriculum. Outside of school, children and adults received more than 200 minutes of nutrition and gardening education.
Figure 3: Change in Nutrition Education in Children, 2011-2013
200000 200000 175000 175000 150000 150000 125000 125000 100000 100000 75000 75000 50000 50000 25000 25000
Baseline Baseline
Year 11 Year
CATCH Hours Hours CATCH Soccer for for Success Success Hours Hours Soccer
Year 22 Year
00
Baseline Baseline
Year 11 Year
School Hours Hours School After School School Hours Hours After
Year 22 Year
Cooking Matters® classes were successful in educating participants about healthy foods; 71% said they “almost always” cook at home now instead of buying takeout food; a 150% increase from the start of the course. Other results show that nearly 2/3 of participants “almost always” eat within 2 hours of waking up and include 3 food groups with meals “most of the time” by the end of the course. Survey data was also collected from 4th and 5th grade students at ECO and D.U.E. Season Charter schools in fall 2012 and again in spring 2013 (paired sample N = 123). Among the sample of students, 46% were boys and 54% were girls, and there was great ethnic diversity (57% African American, 20% Hispanic, 18% White, and 5% Other or Mixed Race/Ethnicity). From baseline to the end of the program, 43% of the students increased their fruit intake, and 34% of students increased the number of days they participated in moderate to vigorous physical activity. Student nutrition knowledge also increased by about 20% over the course of the program. Children’s own attitudes about the healthfulness of what they eat and drink also improved. Among those who reported eating unhealthy foods and drinks at baseline, 80% reported improvements.
COOKING MATTERS® At D.U.E. Season Charter School, J.M. and her son C. joined two other families for the Cooking Matters® course in the primary kitchen of Virtua Hospital. For six weeks, the families came to the kitchen after cafeteria hours to cook with Chef/Nurse Laura, a FBSJ volunteer culinary instructor. J’s family took a special interest in learning how to plan for and utilize nutritious leftovers such as brown rice. With a family of four at home, J. found the wholesome recipes that featured peanut butter, canned tuna, and other nutrient-rich staple ingredients that she can easily find in her neighborhood helped her stretch her food dollars more effectively.
AREA
FINDINGS
4
WITNESSES TO HUNGER
Building public will within the community to advance real solutions.
B.C., a Witness to Hunger, commented that “I think a lot of people lost hope in Camden. I haven’t, so that’s why I’m doing Witnesses to Hunger. It feels like this program has some type of hope for Camden.” Through the work of the Witnesses to Hunger –Camden project, the women of Witnesses renewed a sense of ownership for their home city of Camden and reignited a hope and faith within their community.
OBJECTIVE: Meet with resident groups, neighborhood organizations, policy makers, and school leaders across the year to cultivate community ownership.
Achieved with 169 community meetings held with 2,106 community members participating. Witnesses to Hunger recruited 10 Camden-based low income women to take photographs, videos and participate in interviews and focus groups to raise issues and challenges associated with food insecurity, as experienced by those who have lived with them. The Witnesses took a total of 774 photographs and 15 videos and participated in over 16 hours of individual interviews, three two-hour focus groups and an exhibition of their photographs at Campbell Soup Headquarters on June 11, 2013. The exhibition was attended by over 75 people and provided an opportunity to launch Witnesses to Hunger in a controlled setting with key stakeholders in the Camden community including the Mayor of Camden. All 10 participants attended at least one of the three focus groups that were held. The major themes that the Witnesses identified in their photographs, videos,
interviews and focus groups included food and hunger, housing and homelessness, employment and education and safety and the environment.
Taking measurable steps toward changing Hunger Two food insecurity questions are being piloted at Camden hospitals to measure food insecurity in Camden. Our Lady of Lourdes (OLOL) is currently piloting the questions, Virtua Hospital and Cooper University Hospital will be the next participants in FY14. From October 22, 2012 to December 24, 2012 the emergency department at Lourdes saw a total of 4,787 Camden residents; 816 (17%) of the Camden patients completed the pilot survey questions. The charts below provide a summary of the survey responses to the two questions.
Figure 4: Food Insecurity Question 1 (n=816)
Figure 5: Food Insecurity Question 2 (n=816)
Within the past 12 months WE WORRIED WHETHER OUR FOOD WOULD RUN OUT before we got money to buy more.
Within the past 12 months the food WE BOUGHT JUST DIDN’T LAST and we didn’t have money to get more
40%
40%
40%
40%
32%
32%
32%
32%
24%
24%
24%
24%
16%
16%
16%
16%
8%
8%
8%
8%
0%
0% Often True Often True Sometimes NeverSometimes True
Never True
0%
0% Often True Often True Sometimes NeverSometimes True
Never True
16% 8%
24% 40%
16%
32%
8%
Taking measurable steps toward changing BMI 24% 0%
obese children in Camden is well above average. Several efforts were initiated to support the systematic Often Trueand16% Sometimes Never True Our data show that 49% of children at ECO and DUE documentation of BMI across Camden and to track Charter changes in participant BMI. These include: Tracking 8% schools in Camden are either overweight or obese and the Soccer for Success data show that a cohort of students at two charter schools receiving 63%0% of participants are overweight or obese. This is intensive programming, tracking students receiving Often True Sometimes True significantly higher than the US averageNever of overweight the CATCH program, and establishing an agreement and obese children, which is currently 32%. with the school district to receive biometric data for longitudinal analysis. BMI data was collected from 130 fourth and fifth grade 25Schools in students at ECO and D.U.E. Season Charter the fall of 2012 and spring of 2013. The median BMI in 20 fall 2012 was 19.1 and this decreased slightly to 18.9 in spring 2013, however results of mean BMI15change went from 20.19 in the Fall to 20.81 in the Spring.BMI data was also collected on 474 students that participated 10 in the Soccer for Success Program. After completion 5 of the Fall 2012 semester of Soccer for Success, 83% of players who have participated in at least 50% of 0 all sessions showed a BMI percentile improvement change. After completion of spring 2013 Semester of Soccer for Success, 82% of players who have participated in at least 50% of all sessions showed a BMI percentile improvement change. Compared to the national BMI statistics, the percentage of overweight
DISCUSSION
24%
Figure 6: Change in Median BMI in ECO and DUE Students, Fall 2012 - Spring 2013
Fall 2012 Spring 2013 25
0%
65% 52% 39%
20
26% Fall 201
15
Spring 2 13%
Median BMI 10 0%
5 0
Median BMI
Campbell and its partners have made significant strides helped thousands in underserved areas of Camden eat better, play more and have easy access to healthy and in just 2 years in creating the change that ensures children will live longer healthier lives. The program has affordable foods.
U
This report was prepared by The Food Trust. It was published in October 2013.
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