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Nevada FFY 2020 Supplemental Nutrition Assistance Program-Education State Plan Table o f Contents Introduction .................................................................................................................................................. 3 Target Population ......................................................................................................................................... 5 Goals, Objectives, and Focus ....................................................................................................................... 6 NV SNAP-Ed Evaluation Plan ...................................................................................................................... 13 Descriptions of Interventions ................................................................................................................ 15 Implementing Agencies ...................................................................................................................... 15 Division of Public and Behavioral Health ...................................................................................... 15 Food Bank of Northern Nevada ..................................................................................................... 34 Healthy Communities Coalition ..................................................................................................... 62 HELP of Southern Nevada .............................................................................................................. 87 Lutheran Social Services of Nevada ............................................................................................. 100 NyE Communities Coalition ......................................................................................................... 119 On Common Ground .................................................................................................................... 136 Southern Nevada Health District ................................................................................................. 165 Te-Moak Tribe of Western Shoshone .......................................................................................... 186 Three Square ................................................................................................................................ 204 University of Nevada Cooperative Extension .............................................................................. 216 University of Nevada, Reno Re-Think Your Drink Program ........................................................ 276 Washoe County Health District .................................................................................................... 332 Nevada Department of Health and Human Services, ................................................................. 343 2 Introduction The overall State of Nevada Supplemental Nutrition Assistance Program Education (NV SNAP-Ed) goal is to improve the likelihood that Nevadans eligible for SNAP will make healthy food choices with a limited budget and choose physically active lifestyles. The priority overall objectives are to assist Nevadans in overall diet quality and beverages, reduce food insecurity through food resource management, increase physical activity and decrease sedentary behavior, and increase daily fruit and vegetable consumption. The NV SNAP-Ed priority focus areas for direct education and policy, systems, and environmental change are Early Childhood, School Health, Increase Food Security, and Adults and Those with Disabilities. In FFY2019, NV SNAP-Ed Program pursued the development of a comprehensive, statewide evaluation plan that incorporated both direct education and policy, systems, and environmental (PSE) change approaches to meet the needs of the target population. The NV SNAP-Ed Program used the SNAP-Ed Evaluation Framework as a guide. As a result, the development of the overall State goal, four priority overall objectives, four priority focus areas and three evaluation guidance documents were established by NV evaluation meetings and focus groups. This instituted a structured application process with set expectations for implementing agencies (IA) to implement an evaluation plan based on the State priorities FY2020 SNAP-Ed project. The new FFY2020 evaluation guidance documents included: • The FFY2020 Nevada SNAP-Ed Evaluation Framework Matrix (Appendix A), identifying the specific State Objectives, Focus areas, Strategies, and required evaluation tools to progress from short term to long term goals. • The FY2020 Nevada SNAP-Ed Introduction to the Evaluation Tools Table (Appendix B), which lists the required strategies each evaluation tool corresponds, description of the evaluation tool, and trainings and data aggregation requirements. • The FFY2020 Nevada SNAP-Ed Approved Curriculum and Scans List (Appendix C) that lists each Nevada approved curriculum that corresponds to each four priority focus areas. The NV SNAP-Ed priority focus areas were chosen by a cooperative process with the current Nevada SNAP-Ed implementing agencies (IAs) through several target population breakout evaluation meetings. There were four groups that represented early childhood, school age children, women, and seniors. The four groups discussed the existing evaluation tools that IAs were currently utilizing, evaluation tools that IAs could adopt statewide, barriers to evaluation, and the level of the SNAP-Ed Evaluation Framework the IAs evaluation method is currently and the level to move toward. The groups also reviewed the SNAP-Ed Evaluation Framework for Nutrition, Physical Activity, and Obesity Prevention indicators and outcome indicators that were common across IAs. The Early Childhood priority focus area was chosen to implement the connection of nutrition and physical activity direct education to PSE strategies to create a healthy environment within Early Care and Education (ECE) programs and centers. The NV SNAP-Ed Plan aligns priorities and funds initiatives that support activities outlined in the Early Childhood Obesity Prevention State Plan to increase collaboration and alignment of statewide early childhood obesity prevention interventions and resources focusing on children from zero to eight years, and targets parents, low-income families, minority populations, pregnant women, ECEs, providers, and community partners. 3 In FFY2019 NV SNAP-Ed funded the Child and Adult Care Food Program (CACFP) for Early Care and Education Settings: Gap Analysis. According to the Academy of Nutrition and Dietetics, “CACFP is a documented success, improving nutrition and supporting healthy development and obesity prevention.” The two primary objectives for conducting the project were to determine factors affecting Nevada’s rate of ECE providers participating in CACFP and to identify opportunities to enhance Nevada’s participation in CACFP based on data obtained from the ECE provider community. The opportunities to promote CACFP participation per survey respondents included streamlining administrative requirements, conducting community education campaigns to increase knowledge about CACFP, reviewing and standardizing food permitting regulations, innovating approaches to incentivize use of CACFP, and reviewing reimbursement rates to address the cost of food. The School Health priority focus area was chosen to improve the nutrition and physical activity environment through access to education in the classroom and PSE change through school wellness policy implementation. In addition, strengthen the collaboration with the Nevada Department of Agriculture (NDA) who oversees regulations for school wellness policy implementation, school food service programs and school gardens. The NDA collaboration will strengthen the evaluation of school environments using required evaluation tools that are listed on the FY2020 Nevada SNAP-Ed Introduction to the Evaluation Tools Table. The Food Resource Management priority focus area was chosen to increase food security through, healthy meal planning and budgeting, PSE changes to encourage healthy food choices among pantry clients, and access and availability of healthy food in the community. This will allow encouragement of healthy foods at retail outlets and ability to give technical assistance to Nevada Farmer’s Markets. This includes advocating for each Farmer’s Market to enroll in the Double Up Food Bucks program to increase the NV SNAP participants’ purchasing power. The Adults and those with Disabilities priority focus area is to provide evidence-based healthy eating and physical activity education to eligible adults and support PSE change in eligible communities. It was identified in the phase III of the Statewide Needs Assessment for Nevada’s SNAP-Ed report (Appendix D). The top three nutritional education topics for all surveyed and also the subset of vulnerable population, which are individuals aged 70 years old or older, individuals with a self-reported physical, mental, or emotion condition, households with children, and individuals with health-related dietary needs, were in ranking order, ways to make food last all month, ways to prepare healthy meals quickly, and preparing meals on a budget. During FFY2019 the Nevada SNAP-Ed IAs staff, state staff, and other NV nutrition programs staff participated in the University of Minnesota’s Systems Approach for Healthy Communities Training. This training assisted in the knowledge in aligning NV’s direct education being more directly connected to the PSE efforts statewide. This training specifically gives the NV IAs and state staff the skills to explain how systems impact whether the healthy choice is the easy choice, applied definitions of PSE as part of a common language, and described how multi-level approaches to health promotion can have a greater impact in creating frameworks for healthy communities. 4
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