Strategy D: Healthy Food Access in Community Venues/Small Food Stores

Strategy Description

Increase the number of new

community venues
or small retail venues providing access to healthy foods and/or increase the number of existing community venues or small retail venues providing enhanced access to healthy foods in socially vulnerable areas according to the ATSDR Social Vulnerability Index.

Expected Outcomes

  • Completion of a Community Food Assessment to identify healthy food access needs, and/or
  • Increased number of new community venues/small food stores providing access to healthy foods, and/or
  • Increased number of existing community venues*/small food stores that provide enhanced access to healthy foods.

For existing community venues (excluding pop-up markets, food pantries and small food stores), enhanced access to healthy foods is demonstrated by increasing at least one of the following, where applicable:

  1. Number of produce vendors at the venue (farmers’ market).
  2. Number of hours/days per week the venue is open.  
  3. The number of venues that accept Supplemental Nutrition Assistance Program (SNAP).  
  4. Number of locations the venue serves.
  5. Transportation to the venue (Note: this includes development of bus routes, crosswalks, connectors to the venue but does not include provision of travel tokens/bus vouchers).
  6. Fruit and vegetable incentive program (Note: Healthy Communities funds cannot be used to pay for incentives, including food).

For food box programs and mobile markets, enhancements applicable as outcomes pertain to numbers 4 and 6 above: increasing the number of locations the venue serves or the venue newly offering an incentive program.

  • A pop-up (produce) market can be reported as a new community venue providing access if it occurs at least 1x/month for at least four months in a year’s time.  
  • Number of food pantries that provide healthy options.
    Current state program year requirements include:
  • Number of small food stores that newly meet the North Carolina HFR Designation.
    *Interim outcomes for current state program year include:
    • Increased number of retail venues that complete the HFR Assessment for Small Food Stores and
    • Increased number of retail venues meeting at least two new requirements of the HFR designation

Reminders:  

  • Promotion of venues is critical to implementation of healthy food access strategies but is not considered an outcome.  
  • Implementation of this strategy should focus on improving access to heathy foods for low-income populations.  

Recommended Partners 

  • Public health educators  
  • Community groups  
  • Local food councils or other community coalitions  
  • Health organizations (e.g., hospitals)  
  • Cooperative extension  
  • Farmers  
  • Schools  
  • Local civic groups  
  • Faith communities  
  • Local chambers of commerce  
  • Hunger organizations  
  • Local government  

Projects should prioritize settings that provide food to people with lower incomes and/or limited access, not only offering healthy selections, but also making healthy items appealing and financially accessible. Populations of highest need should be engaged in the planning, implementation and evaluation of the strategy.

Intervention Examples 

  • The health department coordinator and the local food council worked with a farmers’ market in a public housing community to implement a SNAP-Electronic Benefits Transfer (SNAP-EBT) which allows SNAP customers to purchase SNAP eligible foods at farmers’ markets. Through discussions with SNAP customers, they found the cost of produce was a barrier to shopping at the farmers’ market. To make the market offerings more affordable, partners reached out to the local hospital foundation for investment in the start of a fruit and vegetable incentive program where SNAP customers are provided with a $10 produce coupon for every $10 in produce purchased using their SNAP benefits. Reach of SNAP customers grew by 153 percent and the increased sales allowed the farmers’ market to expand its services to other public housing communities.  
  • A community food pantry was interested in providing healthier options for its participants but didn’t know where to start. Pantry staff reached out to the local health coalition for help. Coalition members along with pantry staff participated in the Healthy Food Access Pantry Training Program and assisted the food pantry staff with completing a food pantry assessment to identify areas where they could make improvements. The local cooperative extension agent assisted the food pantry staff in developing a healthy food list for donors in addition to identifying faith partners that were willing to coordinate donation and storage of produce gleaned from local farms in the area.
  • A store owner was hesitant about stocking healthier food and beverages since she didn’t think her customers would buy them. She offered a few healthy items but said they didn’t sell well. Local community partners completed a store assessment and noted the few healthy items available in the store were hard to find. Partners then surveyed customers to identify healthier products they would be interested in buying and barriers to purchasing these items. The survey results indicated customers didn’t know which products were considered healthy. Results also showed customers enjoyed eating fruits and vegetables but didn’t feel confident in their ability to choose or cook a healthy meal. After reviewing the survey results, the store owner was willing to stock a few varieties of fruits and vegetables and a few specific items her customers mentioned. Community partners provided training to the store owner on how to properly place and promote healthier options in the store so that her customers could identify them. Partners purchased signage and promotional materials to showcase the healthier foods being offered. Partners also placed cards with easy recipes in the store along with grouped ingredients from the recipe for easy access to customers. These strategies, along with the local cooperative extension staff offering cooking demonstrations on how to prepare healthy meals with products found in the store, increased the sale of healthy foods. 

Related Programs

The CCCPH Branch, in partnership with NC State Cooperative Extension’s Steps to Health Program, is piloting the Healthy Food Access Pantry Training Program, which provides a series of virtual workshops for food pantry teams in support of healthier food offerings for pantry customers. Food pantries that meet established requirements can receive a gold, silver or bronze level certificate for their pantry.

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