Posts Tagged: Christina Hecht
Partnering for California
As the gravity of the COVID-19 pandemic hit communities across the U.S. in mid-March 2020, the policy team at UC Agriculture and Natural Resources' Nutrition Policy Institute received an urgent email from a longtime partner in the San Joaquin Valley.
“It was simply entitled 'Help' in the subject line – with multiple exclamation points,” said Christina Hecht, NPI senior policy advisor.
The colleague was writing on behalf of community groups concerned that pandemic-related school closures would jeopardize school meal programs – a nutritional lifeline for children in a predominantly agricultural region with many low-income households.
Hecht immediately contacted a frequent collaborator, Anisha Patel, an associate professor of pediatrics at Stanford University. To help school districts continue those essential meals during the fast-approaching spring holiday, they quickly produced a fact sheet, “Kids' Hunger Doesn't Take a Spring Break,” sharing resources on how districts could use new program flexibility to continue meal distribution.
Then, as the pandemic evolved throughout 2020, the U.S. Department of Agriculture and California Department of Education continued to issue a flurry of waivers and guidance updates. To keep pace, the authors produced three more fact sheets to help districts digest the information and adapt and sustain their school meal programs.
“We tried to make a really user-friendly resource that would help districts sort through everything they needed to do, and easily discover resources for best practices,” Hecht said.
The fact sheet information, paired with advocacy by local partners, encouraged districts to take steps to make more meals more easily accessible to students by taking advantage of USDA waivers: for example, allowing parents to pick up meals without children present, providing multiple meals in one pick-up or implementing bus delivery of meals.
These efforts attracted the attention of the School Nutrition Association, a prominent nonprofit representing more than 50,000 members who provide meals to students across the country. The organization co-branded general versions of the fact sheets and distributed them widely through its website.
Gathering community perspectives on school meals
Those resources represent just one way that lessons from the San Joaquin Valley experience are shaping the national conversation on school nutrition programs. Cultiva La Salud and Dolores Huerta Foundation – health equity and social justice organizations based in Fresno and Bakersfield, respectively – approached the researchers to study ways to boost participation in school meal programs and address food insecurity in their largely Latino communities.
“Working alongside Stanford and NPI is crucial in expanding our capacity and ability to use data and research as a tool to empower parents to advocate for improved health and wellness policies and practices,” said Cecilia Castro, deputy director of Dolores Huerta Foundation, which works in Kern, Fresno and Tulare counties, as well as Antelope Valley in Los Angeles County.
To better understand the “barriers and facilitators” to meal program participation, Hecht, Patel and their collaborators – including student trainees who were eager to learn about community-based participatory research and wanted to help their local communities – sought the perspectives of school district administrators and staff, community groups and parents.
Through the relationships nurtured by Cultiva La Salud and Dolores Huerta Foundation, the researchers convened focus groups of parents with children in six school districts across the San Joaquin Valley.
“We needed to understand better what helped and hindered families from getting the school meals,” Hecht said.
According to Castro, parents have leveraged their feedback to advocate for increased access to school meals, through the use of buses for meal delivery and changes to meal pickup times and locations.
“This engagement has validated the lived experience of our communities,” Castro said. “It has provided an additional strategy for parent leaders to use in efforts to engage decision-makers about ways to improve quality and access to school meals.”
Another key takeaway from these conversations is that the parents are deeply concerned about the content and nutritive value of the meals served to their children.
“We learned that although school meals meet nutrition standards, parents are not aware of this,” Patel said. “Parents also worry about the healthfulness of school meals, noting heavy processing and added sugar. Most compelling was that parents want to provide feedback to improve school meal appeal and healthfulness but have no way to act.”
San Joaquin Valley voices go national
The Nutrition Policy Institute played a crucial role in bringing the parents' perspectives to legislative staff members at the state and federal levels, through the production of four policy briefs that center the voices of San Joaquin Valley residents. In the first, “School Meals: Kids Are Sweeter with Less Sugar,” one parent says: “Children cannot sustain themselves on treats that give pure sugar…They give with the best intentions, but less food would be better, but better quality and healthier.”
“One of the most rewarding parts of all this work has been seeing how meaningful it has been for the parents in the San Joaquin Valley to see their voices getting carried all the way to Washington, D.C. by these policy briefs,” said Hecht. “And it was so meaningful for them that Cultiva La Salud had the briefs translated into Spanish so that the parents could actually read their own words.”
Their voices joined a chorus comprising over 200 organizations who called for universal school meals across California. In June, the state became the first in the nation to adopt a policy, starting in the 2022-2023 school year, to provide free meals for all K through 12 public school students, regardless of family income. Momentum continues to build on the national scale.
The next step for the team is to explore ways to make school meals even more appealing to potential program participants in the Latino communities of San Joaquin Valley. Patel said they will draw on the expertise of Szu-chi Huang, associate professor of marketing in Stanford's Graduate School of Business.
“Using a participatory approach, we will work with parents and school officials to design an intervention focused on communicating the benefits of school meals, and test strategies to improve the appeal of school meals,” Patel explained. “Then we will examine how that intervention affects parents' satisfaction with school meals, students' participation in meals and food insecurity.”
Those insights will be another valuable result of a unique partnership – spurred by a call for help and galvanized by the ongoing health crisis – that continues to benefit families across California.
“Our partnership has been very unusual and very fruitful because we had policy experts, we had research experts and trainees, and then we had the organizations actually working in the community,” Hecht said. “And as we look back on it, it's hard to imagine working that successfully without that kind of partnership.”/h3>/h3>/h3>
Now more than ever, California is full of heroes: front-line workers in our hospitals, farm fields and essential businesses. And even though schools are closed, they are full of heroes, too: teachers implementing distance learning and kitchen workers who have stepped up to the heroic task of providing meals for children in their communities, despite the challenges that have come with the COVID-19 pandemic.
School nutrition professionals continue to provide nutritious food that meets dietary standards, the kitchens provide employment, and the hungry students provide a multi-million dollar market for California's agricultural products.
Researchers at UC Agriculture and Natural Resources's Nutrition Policy Institute received an email earlier this spring with a subject line that simply said, “HELP!!!” Local community groups had learned that some Central Valley school districts would not be providing meals over spring break. Even though that might not be cause for alarm some years, this year it would hurt. In the eight-week period between March 14 and May 14, 2020, the California Employment Development Department processed 4.7 million unemployment benefit claims – nearly seven times more claims than over a two-month period at the height of the 2008 recession. EDD estimates that California unemployment reached nearly 25% by mid-May.
That is why school meals are more important than ever.
On receiving the request for HELP!!!, the Nutrition Policy Institute teamed with a Stanford pediatrician to distill critical information from USDA and the California Department of Education. Connecting with child nutrition professionals throughout the state, they gleaned tips and best practices, and added COVID-19-specific resources from the Community of Practice convened by LunchAssist and the Center for Ecoliteracy. The team produced informational flyers targeted to California school district officials and food service directors:
- Child Hunger Doesn't Take a Spring Break (2-pager)
- Calling all Districts! USDA Summer Meals Can Keep Kids Healthy (4-pager)
The resources provide explanations and resources for operating school meal programs during non-instructional periods through either the Seamless Summer Option (SSO) or the Summer Food Service Program (SFSP).
Ritchie has joined with dozens of nutrition and health professionals around the country to ask that the USDA put water onto MyPlate.
“We don't have all the answers to overcoming obesity, but the research on sugar-sweetened beverages is very clear,” Ritchie said. “When you drink beverages like soda, sports drinks or punch, the sugar gets absorbed very rapidly and the body doesn't recognize the calories. The result is excess calories and weight gain.”
The USDA introduced MyPlate in 2011 to reflect the message of its Dietary Guidelines for Americans, 2010. Federal law requires that the guidelines be reviewed, updated and published every five years.
“USDA officials say that, in order to change MyPlate, there must be more information in the dietary guidelines about water,” Ritchie said. “We are working through the public comment process to ask the advisory board to promote water as the beverage of choice.”
The ultimate goal – a new water icon on MyPlate – is important because of its high visibility. MyPlate is found on elementary school classroom walls and cereal boxes; at community gardens and the grocery store produce aisle.
“They see MyPlate as the face of the dietary guidelines and are very supportive of using the image as a teaching tool,” Hecht said. “They also supported the idea of adding a symbol for water.”
She shared the California educators' thoughts on MyPlate with her USDA contacts. “When they get a story from the field, it really matters to them,” Hecht said.
Ritchie and her colleagues around the country submitted a “Best of Science” letter to the Dietary Guidelines Advisory Committee imploring them to strengthen the language for drinking water.
“Current research indicates that children, in particular, are subject to ‘voluntary dehydration' from low intake of plain water,” the letter says. “Between 2005 and 2010, more than a quarter of children aged 4 to 13 years old in the U.S. did not have a drink of plain water on two consecutive days.”
Instead, they are drinking sugary beverages. National surveys in the early 2000s found that, on any given day, 84 percent of 2- to 5-year-old children drank sugar-sweetened beverages like sodas, sports drinks and fruit punch. The calories amounted to 11 percent of the children's total energy intake.
- Sugar-sweetened beverages – including sodas, juice drinks, pre-sweetened tea and coffee drinks, and fortified or energy drinks – are among the top sources of calories for children and adolescents.
- Between the late 1960s and early 2000s the consumption of sugar-sweetened beverages doubled.
- While the American Heart Association recommends no more than 6 teaspoons of added sugars per day for women and 9 teaspoons per day for men, the average U.S. consumption is 17 teaspoons per day.
- Low-income populations have higher intakes of sugar-sweetened beveragesand Latino children drink more of them than white children.
- Cardiovascular disease, present in more than one-third of American adults, is now understood to be exacerbated by the inflammatory effects of excess sugar consumption.
- Excess sugar consumption is a risk factor for non-alcoholic fatty liver disease, a precursor to diabetes.