Making an Impact with Healthy Food Financing Policy Initiatives HFFI Convening Washington D.C. Kim Milbrath, MPH Southern Regional Campaign Manager Voices for Healthy Kids
Our Changing World
“It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change.” -Smedly and Syme, (2000) Institute of Medicine
A Collaborative Response
Addressing systematic, root causes of poor health can improve health for groups of people
Source: Dahlgren G, Whitehead M (1991) Policies and Strategies to Promote Social Equity in Health, Institute of Futures Studies: Stockholm
Source: Schroeder SA (2007) We Can Do Better: Improving the health of the American people, New England Journal of Medicine, 357(12): 1221-1228. doi:10.1056/NEJMsa073350
Prevalence of current smoking among adults aged 18 and over: United States, 1997-2012
Cigarette Prices and Cigarette Sales – United States 1970-2007
Source: ImpacTeen Chartbook: Cigarette Smoking Prevalence and Policies in the 50 States.
Policy Change vs. Programs Characteristics of Policy Change • Ongoing • Foundational: often results in lasting behavior change over time • Policy level • Long-term • Sustaining
Characteristics of Programs • One time • Additive: Often results in only short-term behavior change • Individual focused • Short-term • Non sustaining
Role of CDFIs/CDCs in HFFI Policy Change Pre-Policy Passage • Collaborate with health, community, food, financial, development and business advocates to educate key stakeholders on community needs, health impacts, market demand and capital needs • Connecting key stakeholders to potential program end users • Develop potential pipeline projects • Advise on program regulatory language
Policy Implementation • Prepare pipeline projects for implementation • Provide program marketing materials and public relations • Collaborate with health , community, food, financial, development and business advocates to support program • Communicate with key stakeholders on program milestones and impacts
Challenges & Opportunities • Federal and state dollars are scarce • Political and civic leaders have to make a compelling case for investment in HFFI in the midst of competing issues • Not one voice but MANY voices A community is like a ship; everyone ought to be prepared to take the helm. -Henrik Ibsen