Source: FORSYTH FARMERS MARKET submitted to NRP
912 FOOD FARMACY EXPANSION
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
ACTIVE
Funding Source
Reporting Frequency
Annual
Accession No.
1029130
Grant No.
2022-70423-38068
Cumulative Award Amt.
$472,287.00
Proposal No.
2022-06765
Multistate No.
(N/A)
Project Start Date
Sep 15, 2022
Project End Date
Sep 14, 2025
Grant Year
2022
Program Code
[PPR]- Produce Prescription
Recipient Organization
FORSYTH FARMERS MARKET
11 W PARK AVE
SAVANNAH,GA 31401
Performing Department
(N/A)
Non Technical Summary
The 912 Food Farmacy Program is administered by the Forsyth Farmers' Market in Savannah, GA. We have strategic partnerships with four clinics in Savannah that assist with recruitment of participants and host the program at their facility each month. Participants receive $10 weekly and $5 weekly for each additional household member. These incentives can be used to purchase local fresh fruits and vegetables from the Forsyth Farmers' Market or on Farm Truck 912 - our mobile farmers' market that brings locally sourced produce to Chatham County's primarily African-American, low income, low food access neighborhoods. Along with the produce incentives, participants are offered 4 nutrition classes each month. These classes teach participants about seasonality of local produce, the nutritional benefits of the produce that is currently in season, and also how to prepare the produce in a number of different ways.This project is designed to meet the GusNIP PPR objectives; 1) the improvement of dietary health through increased consumption of fruits and vegetables; 2) the reduction of individual and household food insecurity; and 3) the reduction in healthcare utilization and costs. The project will perform a rigorous evaluation with participant, partner, and community input. It will participate in all GusNIP PPR evaluation activities. That is currently through the GusNIP NTAE Center. We will provide the GusNIP NTAE Center with both monthly and quarterly data. By the end of the grant period we will serve at least 600 families
Animal Health Component
30%
Research Effort Categories
Basic
50%
Applied
30%
Developmental
20%
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
70460991010100%
Goals / Objectives
From our original application, this project has two main objectives: 1) to reduce the prevalence and impact of obesity related chronic diseases by increasing healthy eating habits among at risk populations; and 2) to increase healthy mealtime habits among families by making healthy food options more accessible and increasing knowledge of healthy eating.
Project Methods
Along with their produce prescription, participants will be offerd in person education and cooking demonstrations each month when they come to the clinic. In addition, each participant will receive a cookbook which includes specific educational information about nutrition, recipes, and cooking ideas. Additional cooking classes and information will be shared with participants via notifications about other Forsyth Farmers Market cooking classes.The evaluation will include a tailored pre and post test assessment (that is designed in coordination with the overall cross-site evaluation to minimize the impact on participants) which will assess the participants purchasing and eating habits as well as the perceived impact on individual health and well-being. Participants will be asked to complete a registration form which will also include self-report questions about participant health and behavior patterns. These questions will be revisited during a final short close-out survey during an end of program focus group and final meeting. In addition, at the end of each cohort, focus groups will be used to gather more in depth information about the impact of the program and ways to improve the program. Questions on the pre and post assessment will include questions about participant current health status (self-report), shopping habits, and eating habits related to consumption of fresh fruits and vegetables. The responses will be compared before and after to see what impact the program has had. The surveys will also include questions about how often participants shop at the farmers market and farm truck and how often they plan to continue shopping at the truck or market. In addition, the evaluation will track and review how many of the vouchers each participant uses and at what locations (the clinic stop, another truck stop, or at the saturday market). This data will be reviewed quarterly with the project team to determine the impact of the program. Indicators of success and project outcomes include:- Participants reporting increased purchasing and consumption of fresh fruits and vegetables- Self reports of improved health and well-being- Continuing purchasing plans at the farm truck and market- Increased shopping at the truck and market with vouchers, cash, and EBT over time and plans to continue after the programMeasures and assessments include:- Registration data to understand general health level and needs at sign-up- Pre-test survey gathered at the first clinic stop or prior to the first clinic stop (link emailed or texted prior to stop, paper option for those who do not complete it prior to clinic visit)- Shopping and spending data from the truck on the EBT and voucher spending at the truck at each stop- Post-test survey at the last clinic stop of the cohort- Focus group conducted within 3 months of the last clinic stopAnalysis will include both basic descriptive analysis and qualitative thematic analysis to fully understand the impact of the program and develop recommendations for improvement during the course of the program.

Progress 09/15/23 to 09/14/24

Outputs
Target Audience:FFM has partnered with five clinics who primarily serve low wealth communities. The clinics are Memorial HealthChildren's Hospital, St. Joseph's St. Mary's Clinic, St. Joseph's African American Health Information and Resource Center, St. Joesph's Good Samaritan Clinic, and the Chatham County Health Department. African-American participants make up 64% of the program. The Hispanic community makes up 20% of the particpants. Each participants represents one household. SNAP users make up 36% of our participants. Changes/Problems:This cohortwas our largest ever, which exacerbated our previous issues with communication. This year, we implemented a new mass text system in addition to sending email communications. Despite meeting in person for each session we also found it helpful to send the monthly newsletter and outt cookbook out electronically. What opportunities for training and professional development has the project provided?I have been active in the Community of Practice calls organized by the Micighan Farmers' Market Association. I also had the honor of attending the 'Food, Land & Culture' Mini-Convening in Hawaii. How have the results been disseminated to communities of interest?Data is shared verbally and in wiriting with each of our partners as well as the GusNip NTAC. What do you plan to do during the next reporting period to accomplish the goals?Through the insights gained from surveys and focus groups, we've consistently refined and adjusted the program to overcome challenges and achieve our goals. As we enter our sixth cohort, we remain committed to this adaptive approach, collaborating with additional organizations to expand our impact and ensure continued success.

Impacts
What was accomplished under these goals? We are currently in the midst of our fifth cohort. In cohorrt #1we had 92 particiapnts enrrolled from May-October 2020. In cohor #2 we had 146 participants enrolled from March - August 2021. In cohort #3 we had 246 participans enrolled from March - October 2022. In cohort #4 we had 402 households enrolled from March - October 2023. Our current cohort, cohort#5 had 938participants enrolled. The reported results arebased on that count. 100% of participants reported an increase in monthly consumption of frruits and vegettables.100% of participants reportedincreased knowledge of the partts of a healthy diet.100% of participants reported improved food access and food security.100% of participants reported having a better understanding of how to access locally grown fruits and vegetables.

Publications


    Progress 09/15/22 to 09/14/23

    Outputs
    Target Audience:FFM has partnered with fiveclinics who primarily serve low-wealth communities. These clinics are Memorial Health's Children's Clinic, St. Joseph's St. Mary's Clinic, St. Joseph's African American Health Information and Research Center, St. Joseph's Good Samaritian Clinic & Chatham County Health Department. The overwhelming majority of our participants have been Afrcican-American. This demographic makes up 66% f participants.The Hispanic community makes up 15%and the rest areCaucasion. Each participant represents one family. Participants are screened for food insecurity and are referred to the program by recommendation of their health clinic. Of the participants, 49% are enrolled in SNAP benefits. Changes/Problems:Our fourthcohort was much larger than any of the previous cohorts. This made communication a bit more challenging. We also heavily increasedour efforts within the Hispanic community and had to work hard to build trust and understanding of our program. We are exploring adding WhatsApp as a form of communication to better serve this population. We were also able to meet in person for every session this cohort and successfully added a fifth clinic. What opportunities for training and professional development has the project provided?I have been very active with the GusNIPI NTAC community of practice through the Grethen Swanson Institute. This gave methe opportunity to connect with many other project leaders. I also completed the GUSNip PELC cohort which provided training on equity driven projects. How have the results been disseminated to communities of interest?Data has been shared with all of the partners as well as the GusNIP NTAC What do you plan to do during the next reporting period to accomplish the goals?With the guidance of surveys and focus groups we've been able to adapt the program year after year, working againstchallenges to reach our goals. We plan to do the same going into the fifth cohort. We will continue to partner with other non-profits to broaden our reach and grow the number of participants.

    Impacts
    What was accomplished under these goals? In cohort #1, we had 92 participants and it ran from May-October 2020. In cohort #2, we had 146 participants and it ran from March-August 2021. In cohort #3 we had 246 and it ranfrom March-October 2022. In cohort #4 we had 402 total users. The reported results are based on that count. 100% or 402families reported an increase in monthly consumption of fruits and vegetables 100% or 402families reported an increased knowledge of parts of a healthy diet.100% or 402participants purchased fresh produce from Farm Truck 912 or at the Saturday market. 100% or 2402families reported improved food access and food security. 100% or 402families reported having a better understanding of how to access locally grown fruits and vegetables

    Publications