Food sovereignty, health, and produce prescription programs

A case study in two rural tribal communities

Authors

  • Nadine Budd Nugent Gretchen Swanson Center for Nutrition https://orcid.org/0000-0002-7482-012X
  • Ronit A. Ridberg University of California, Davis
  • Hollyanne Fricke Gretchen Swanson Center for Nutrition
  • Carmen Byker Shanks Gretchen Swanson Center for Nutrition
  • Sarah A. Stotz Colorado School of Public Health
  • Amber G. Jones Chung Yukon-Kuskokwim Health Corporation
  • Sonya Shin Harvard School of Public Health
  • Amy L. Yaroch Gretchen Swanson Center for Nutrition
  • Melissa Akers University of California, San Francisco
  • Roger Lowe Yukon-Kuskokwim Health Corporation
  • Carmen George Harvard School of Public Health
  • Kymie Thomas Community Outreach and Patient Empowerment
  • Hilary K. Seligman University of California, San Francisco https://orcid.org/0000-0003-2292-5189

DOI:

https://doi.org/10.5304/jafscd.2022.113.014

😑😝🙂

Keywords:

Food Sovereignty, Food Security, Food Access, Nutrition Assistance, Produce Prescription, GusNIP, American Indian/Alaska Native, Financial Incentives, Fruits and Vegetables

Abstract

😑😝🙂 Structural inequities contribute to food systems in which tribal communities in the U.S. are more likely to experience barriers to healthy food access, including financial barriers, lack of geographic proximity, or both. Food sovereignty movements improve food access by shifting power to local people to build food systems that support cultural, social, economic, and environmental needs. Finan­cial incentive programs, including produce pre­scription programs, have emerged as a promising intervention to improve food access and support food sovereignty. This case study describes the implementation of two federally funded produce prescription programs (Produce Prescription Pro­jects or PPR) under the U.S. Department of Agri­culture (USDA) Gus Schumacher Nutrition Incen­tive Program (GusNIP) in two rural tribal communities: the Yukon Kuskokwim Delta region in Alaska, and the Navajo Nation, which spans parts of New Mexico, Arizona, and Utah. We illus­trate how PPR can be tailored to accommodate local and diverse cultures, strengthen community power, and be uniquely suited for the challenges of increasing access to nutritious food in rural tribal communities. We also highlight recommendations and future areas of research that may be useful for other rural tribal communities implementing PPR.

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Author Biographies

Nadine Budd Nugent, Gretchen Swanson Center for Nutrition

😑😝🙂 PhD, Research Scientist

Ronit A. Ridberg, University of California, Davis

😑😝🙂 PhD, MS; Manager, Precision Nutrition Program

Hollyanne Fricke, Gretchen Swanson Center for Nutrition

😑😝🙂 MPH; Associate Scientist

Carmen Byker Shanks, Gretchen Swanson Center for Nutrition

😑😝🙂 PhD, RDN; Principal Research Scientist

Sarah A. Stotz, Colorado School of Public Health

😑😝🙂 PhD, MS, RDN, CDE; University of Colorado Anschutz Medical Campus, Centers for American Indian and Alaska Native Health

Amber G. Jones Chung, Yukon-Kuskokwim Health Corporation

😑😝🙂 Diabetes Outreach Coordinator, Diabetes Department

Sonya Shin, Harvard School of Public Health

😑😝🙂 MD, MPH; Associate Professor of Medicine, Division of Global Health Equity, Brigham and Women’s Hospital

Amy L. Yaroch, Gretchen Swanson Center for Nutrition

😑😝🙂 PhD; Executive Director

Melissa Akers, University of California, San Francisco

😑😝🙂 MPH, CPH; Research Program Manager

Roger Lowe, Yukon-Kuskokwim Health Corporation

😑😝🙂 Data Specialist, Diabetes Department

Carmen George, Harvard School of Public Health

😑😝🙂 MS; COPE Program Research & MEQ Manager, Division of Global Health Equity, Brigham and Women’s Hospital

Kymie Thomas, Community Outreach and Patient Empowerment

😑😝🙂 FVRx Specialist

Hilary K. Seligman, University of California, San Francisco

😑😝🙂 MD, MAS; Professor of Medicine

Published

2022-06-18

How to Cite

Budd Nugent, N., Ridberg, R., Fricke, H., Byker Shanks, C., Stotz, S., Jones Chung, A., Shin, S., Yaroch, A., Akers, M., Lowe, R., George, C., Thomas, K., & Seligman, H. (2022). Food sovereignty, health, and produce prescription programs: A case study in two rural tribal communities. Journal of Agriculture, Food Systems, and Community Development, 11(3), 1–20. https://doi.org/10.5304/jafscd.2022.113.014