Health Hunger Equity Maleka James Supervisor of Birth Outcomes at Public Health Dayton amp Montgomery County Anthony Goodwin Director of Operations at the Ebeid Institute ProMedica Gina McFarlaneEl ID: 761232
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Health | Hunger | Equity Maleka James Supervisor of Birth Outcomes at Public Health – Dayton & Montgomery CountyAnthony Goodwin Director of Operations at the Ebeid Institute, ProMedicaGina McFarlane-El CEO Five Rivers Health CentersRachel Riddiford Director of Clinical Nutrition and Healthy Way at Dayton Children’s Hospital #MCFoodSummit2018 #FarmToFork
from farm to fork to health Rachel Riddiford, MS, RD, LDdirector, clinical nutrition
Ohio’s ranking 3 Ohioans live less healthy lives and spend more on health care 45 Ohioans live without reliable, daily access to enough food Ohio Health Policy Institute April 2017
Ohio’s rank in national child health and wellbeing scorecards Annie E. Casey Foundation Race for Results Index of Child Wellbeing and Opportunity 4 overall gaps in performance
food insecurity: Ohio’s children 2011 2012 2013 2014 2015 2016 Number 575,000 600,000 639,000 587,000543,000476,000Percent22%23% 24% 22% 20% 18% 5 Annie E Casey Foundation KIDS COUNT September 2018
food insecurity: health outcomes Growth and developmental delays/impairment, including learning readinessPoor academic performanceHyperactivityMental health (aggression, anxiety, depression)ObesityStomachaches and headachesIron deficiency and other nutritional deficienciesAsthmaDental caries Increased fracture risk Reduce physical activity Inflammatory state (allergies, auto-immune disorders, diabetes, heart disease)Erratic food patterns (binging, food hoarding)Increased hospital admissions, longer stays 6 Position of the Academy of Nutrition and Dietetics Dec 2017
nutrition and health costs Poor nutrition is a key factor in many of the leading causes of death in Ohio, including heart disease, stroke, diabetes and cancerFood insecurity is associated with increased diabetes risk and poor diabetes control in adults Almost 15 percent of working-age adults enrolled in Medicaid in Ohio report having diabetes, well above the state rate of about 11 percent. Managing diabetes is estimated to cost Medicaid nearly $4,000 per person per year in medical costs 7 Health Policy Institute of Ohio April 2017 Policy Options Fact Sheet
modifiable health factors8 Booske , Bridget C. et. al. County Health Rankings Working Paper: Different Perspectives for Assigning Weights to Determinants of Health. University of Wisconsin Public Health Institute, 2010.
Center for Community Health and Advocacy Emphasize commitment to most vulnerable populations and health disparities Align clinical advocacy, community advocacy, and legislative advocacy Focus “upstream” where kids live, learn, and play
priorities at the center
f ood equity prioritiesFood demonstration kitchenFood pharmacyCommunity Food Equity ManagerHealthy lifestyles clinicScreening for food insecurityReferrals to resourcesWebsite promotion and location finder of Summer Feeding ProgramsPartnerships with The Foodbank, Gem City Market, Hall Hunger Initiative, Expanded Food Nutrition Education Program, Homefull, Public Health Dayton Montgomery County, Salvation Army Kroc Center…. 11
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l et’s change the balance together13 farm to fork to health