Community

Needs
Assessment &
Intervention
Child and Adult Care Food
Program (CACFP)
–  Federal program affiliated with USDA
–  Food and Nutrition Service
–  More than 4.2 million children and 130,000 adults served per day

–  Sets standards for:

–  Menu development
–  Nutritious meals that contribute to wellness and development
Child and Adult Care Food
Program (CACFP)
•  Food standards are set by USDA’s
MyPlate.
•  Promotes family-style meals in
classrooms
•  Pre-school children are encouraged to
serve themselves.
•  Pre-school teachers act as good role
models during mealtime.
Nutrition Assessment:
Demographics
Nutrition Assessment: Head
Start Programs
SOUTH BRONX HEAD START
–  About 1 in 3 children
Underweight
5% participating in a Head Start
program is obese.
–  About half of the children are
Obese
31% classified as overweight/obese.
Healthy
48%

Overweight
16%
Nutrition Assessment: Beliefs
and Attitude
–  Hispanics: 3x more likely to not have health insurance
–  May seek out traditional ways of healing
–  Use of garlic, mint, chamomile, anise, aloe vera, herbal teas

–  Curandero: person with healing powers; prayer and herbal remedies

–  Balance of hot and cold foods to promote health
–  Rice: hot food
–  Beans: cold food
–  Imbalance may cause illness
Nutrition Assessment: Food/
Nutrition Related History
–  High intake of carbohydrates
–  Corn based products, rice, beans
–  Generally sufficient in protein
–  Eggs, beans, pork, chicken, fish
–  Fruit: 1-2.5 servings/day
–  ¼ to ⅓ citrus fruits
–  Vegetables: 0.5-4 servings/day
–  Dark green/orange vegetables intake lower
–  Higher tomato intake
*Note: Queso Blanceo and Queso Fresco
–  Unpasteurized cheeses (possible food borne illness)
Nutrition Diagnosis

PROBLEM
ETIOLOGY
SIGNS AND SYMPTOMS
Nutrition Intervention:
Healthy People 2020
–  Objective 1: NWS-10.1 Reduce the proportion of children aged 2
to 5 years who are considered obese.
–  Specific: 2 to 5 year old children
–  Measurable: Weight is measured with a scale and plotted on
CDC growth chart to assess weight status as related to age and
height.
–  Attainable & Realistic: 10% reduction from 10.4% to 9.4%.
–  Timely: Year 2020.
Nutrition Intervention:
Healthy People 2020
–  Objective 2: NWS-15 – Increase the variety and contribution of
vegetables in the diets of the population aged 2 years and older
–  Specific: 2 to 5 year old children
–  Measurable: Variety and intake of vegetables is assessed using
a cup and dietary assessments.
–  Attainable & Realistic: 35% increase of total vegetable intake.
–  Timely: Year 2020.
Nutrition Intervention

–  Nutrition Education
–  Purpose of the nutrition education (E-1.1)
–  Result interpretation (E-2.1)
Monitoring and Evaluation
SMART Objectives of Workshop

–  Parents will understand the proper way to address childhood

obesity.
–  Parents will understand Ellen Satter’s Division of Responsibility in
feeding and know their role as a parent when it comes to
mealtime.
–  Parents will know how to address picky eaters.
Nutrition Workshop

–  Introduction
–  Pre-test
–  Body of Lesson
–  Childhood obesity
–  Malnutrition
–  Ways to make food more appealing (facilitated discussion)
–  Conclusion
–  Reiterate weight loss is not the answer for an overweight child.
–  Reiterate to parents it takes a lot of patience before a child may attempt to try a food.
–  Post-test
Marketing & Resources

–  Targets non-profit organizations

–  Government funded
–  Currently little to no competition
–  No longer actively promoting company