FOOD SECURITY - Integrated Health Promotion - Case study Case Study Title Progressing Food Security in Baw Baw Details of organisation contact Central West Gippsland Primary Care Partnership Name of organisation Contact Person Liz Meggetto Position/Title Projects Coordinator Phone No. 5127 9159 Email Address Elizabeth.meggetto@lchs.com.au Case study author/s Liz Meggetto Approval date 5/08/2013 Identified partners Partner Organisation Central West Gippsland Primary Care Partnership (CWGPCP) Roles and responsibilities with regard to the project Contact person details Conducted research on food security in the Baw Baw and Latrobe Valley Local Government Areas. Liz Meggetto, Projects Coordinator (name, position) Developed a recommendation report on addressing food insecurity in Central West Gippsland. Convener, strategic advisor and member of the Baw Baw Food Security Coalition. Member of the Baw Baw Food Security Coalition & Chair of the Community Food Action Network Sarah Finlay, Integrated Health Promotion Officer Central West Gippsland Primary Care Partnership (CWGPCP) / Baw Baw Shire Council (BBSC) Food Security Project Worker and member of the Baw Baw Food Security Coalition. Julie Hocking, Baw Baw Food Security Project Worker Baw Baw Shire Council (BBSC) Member of the Baw Baw Food Security Coalition. Kerry Irwin, Manager of Community Strengthening West Gippsland Healthcare Group (WGHG) Conducted research on food security in the Baw Baw Local Government Area. Angela Greenall, Health Promotion Officer Members of the Baw Baw Food Security Coalition (CFAN). School Focused Youth Service (SFYS) Member of the Baw Baw Food Security Coalition Integrated Health Promotion Case Study Template Clare Whitcombe, Community Dietician Beth Sheffield, Project Coordinator Page 1 of 12 (CFAN). Baw Baw Sustainability Network (BBSN) Member of the Baw Baw Food Security Coalition (CFAN). Malcolm McKelvie, Chair of BBSN & Local GP Ramahyuck Member of the Baw Baw Food Security Coalition (CFAN). Barb Job, Close the Gap Project Coordinator Baw Baw Combined Churches Food Relief Member of the Baw Baw Food Security Coalition & Chair of the Emergency Food Relief Network (EFRN) Anne Pascoe, Area Manager St. Vincent De Paul Member of the Baw Baw Food Security Coalition (EFRN). Patsy Heffernan, Support Worker Workways Member of the Baw Baw Food Security Coalition (EFRN). Georgina Whitchurch & Yvonne Fawcett, Employment Consultants Second Bite Member of the Baw Baw Food Security Coalition (EFRN). Mark Patton, Logistics and Food Procurement Manager, Victoria Quantum Member of the Baw Baw Food Security Coalition (EFRN). Cheryle Hill, Housing Support Worker Summary/Abstract (200 words) Food insecurity has been prioritised in the Central West Gippsland region, which led to the development of a Food Security Recommendation Report in 2012 to provide guidance on the types of interventions to implement in CWG. Following the report, the Baw Baw Food Security coalition was implemented shortly after. The coalition consists of 2 newly established working groups (Community Food Action Network & Strategic Planning Working Group) and 1 working group that had previously existed but stopped meeting (Emergency Relief Network), which has now recommenced. These groups bring together local government, community health, emergency relief agencies, neighbourhood houses and the community to work across the food security continuum. The overall aim is to improve food security and increase access to healthy food in food insecure target groups/populations in Baw Baw by: increasing local planning and action implementing evidence based interventions The work has led to a combined approach to food security in the catchment and improved knowledge and awareness by workers and the community in Baw Baw Shire LGA as a result of the reports, consultations and presentations. A commitment to tacking food insecurity has been achieved though dedicated financial resources from CWGPCP to appoint a shared CWGPCP/BBSC Food Security Project Officer for two years as well as a plan for food security to be embedded into the MPHWP. Integrated Health Promotion Case Study Template Page 2 of 12 Background Name of project/strategy Priority issue(s) Progressing Food Security in Baw Baw Access to Healthy and Affordable Food Priority goal Goal: By June 2013, increase access and consumption of healthy and nutritious food for children and people on low incomes, by increasing the number of Food Security interventions. Target group All people in the Baw Baw Local Government area, with a particular focus on people on low incomes, people living in towns without access to healthy and affordable food and people without access to transport. Rationale The Victorian Population Health Survey (Department of Health, 2008) identified Gippsland as having a higher incidence of food insecurity 5.8% in comparison to the Victorian state average of 5.6%. The Victorian Government identified “promoting accessible and nutritious food” as a health priority (2007-2012) and subsequently, the Central West Gippsland Primary Care Partnership (CWGPCP) adopted food security as a priority in 2007. Food security continues to be a priority for CWG in 2013 and is also a Gippsland wide IHP priority. As food insecurity was identified as a serious issue in the Central West Gippsland region, extensive research and data collection was undertaken to assess the determinants influencing an individual’s ability to access safe and affordable food. Over the past 5 years the PCP has produced many valuable pieces of work that have been undertaken in collaboration with the community and partner agencies. These reports (see appendix) and timelines are outlined below: 2007: The Impact of Food Security in a Rural Area report completed 2008: Victorian Healthy Food basket Mapping was first completed in CWG 2009: CWG mapping of food and transport availability 2010: CWGPCP - Getting Grub in Gippsland report completed 2011: Erica/Rawson Community Consultation Food Security Report completed (WGHG) 2012: Drouin Community Consultation Food Security Report completed (WGHG) 2012: CWGPCP Food Security Recommendation Report completed These reports showed significant signs of food insecurity due to numerous factors including high food costs, low economic access and low population socio-economic status (Favre, 2010). As a result of using the information gathered in this research, the Baw Baw Shire was successful in a grant application for project funding to increase access to healthy affordable food in the Baw Baw Shire LGA. The Victorian Healthy Food Basket (VHFB) and a United States Department of Agriculture (USDA) Food Security Survey were Integrated Health Promotion Case Study Template Page 3 of 12 used to explore food price, affordability and accessibility. In addition maps of food retail outlets, socio-economic index and public transport routes in the area were developed to provide an additional indication of availability of food to sectors of the population across Central West Gippsland. This research provided the catchment with an evidence base to inform the development of a Food Security Recommendation Report to provide guidance on the types of interventions to implement in CWG. It was envisaged that by undertaking research (including data collection, mapping and community consultation) in CWG that this body of evidence would increase local action and planning. As a result of the CWGPCP food security research and Recommendation Report, the Baw Baw Food Security Coalition was established in 2012. The coalition brings together local government, community health, emergency relief agencies, neighbourhood houses and the community to work toward improving food security in Baw Baw. Objectives It is expected that this project will lead to improved food security for all living within the Baw Baw LGA, especially those identified as most at risk of food insecurity. The expected project outcome is; Increased number of interventions to improve food security within Baw Baw LGA. The expected client impact is; Improved food security through increased access and supply of healthy food. Project Objectives: By June 2013 to have increased local planning and action to address food security issues in Baw Baw By June 2013 implement evidence based interventions that increase access to healthy food in food insecure target groups/populations in Baw Baw, as reported in the CWGPCP Food Security Recommendation Report Methodology and approach Key project activities Update all Victorian Healthy Food Basket (VHFB) results for eligible supermarkets within Baw Baw LGA and disseminate findings to local government at Food Security Network meetings Utilise the CWGPCP Food Security Recommendation Report to progress work within Baw Baw LGA in the area of reducing food insecurity. Identify PCP key stakeholders/ agencies to be involved Further develop the food policy coalition & its 3 working groups Community Food Access Network to identify evidence based interventions in the towns and undertake mapping, including feasibility of implementing community kitchens, food Integrated Health Promotion Case Study Template Page 4 of 12 co ops, or vegetable gardens. Implement at least 1 intervention, to improve food security, within each town; the selected intervention was the FOODcents program, including training volunteers. Link food security work with existing initiatives to strengthen agency/community commitment to the initiatives, specifically; o Support the development of new community gardens & improve sustainability of existing gardens o Implement 1 new Community Kitchen in the Baw Baw LGA o Support Indigenous Health Workers to increase capacity to deliver nutrition education for the wider Indigenous community, leading to an increase in fruit and vegetable consumption o Support educational settings to establish and maintain breakfast clubs o Implement healthy food choices as a component of the VHPAP o Support WGHG Young Mothers Group (YMG) to increase fruit and vegetable consumption Victorian Healthy Food Basket The Victorian Healthy Food Basket is designed to meet the nutritional needs of 4 different family types for a fortnight and can be employed to assess cost and availability of food. The VHFB was conducted in 2008 and 2010 in the Baw Baw Shire. To ensure that the Food Security Coalition is continuously monitoring the cost and availability of food in the Baw Baw Shire it was decided that the VHFB audits need to be conducted bi-annually at a minimum. For this reason the VHFB audit was conducted in 2012 by CWGPCP. Results from the 2010 VHFB can be found in the Getting Grub in Gippsland (GGIG) report (see appendix). Results from the 2012 VHFB can be found in the Baw Baw 2012 VHFB report (see appendix). Utilise the CWGPCP Food Security Recommendation Report Released in June 2012, the CWGPCP Food Security Recommendation Report builds on the previous five years of food security investigation in Central West Gippsland. The report identifies interventions and makes recommendations to improve food security within our local area. This report has been used to guide all food security work in the Baw Baw shire from June 2012 to the current day. Recommendations from this report can be seen in the working group actions plans. Identify PCP key stakeholders 14 key agencies were identified to be involved in the coalition. Local food security community consultation results and the recommendation report were presented to key stakeholder agencies in July 2012. These agencies were then asked to commit to the network to progress the recommendations of the report, to which they all agreed. Form the Food Security Coalition and the working groups The coalition consists of an overarching steering committee and 3 working groups who will implement initiatives to improve food security at all levels (from environmental policy to emergency relief) and will continue data collection and monitoring of food security and food pricing in the Baw Baw area (see appendix for project brief). The coalition consists of the; - Steering committee - Strategic Planning Working Group (upstream) - Community Food Access Network (midstream) - Emergency Food Relief Network (downstream) Each working group engages specialists from these specific areas to work collaboratively to address, improve food security. Community Food Access Network to identify evidence based interventions The Community Food Access Network (CFAN) selected 5 key interventions based on the Integrated Health Promotion Case Study Template Page 5 of 12 CWGPCP Food Security Recommendation Report. The selected initiatives were based on agencies current funding guidelines and worker capacity. The 5 selected interventions were; Community Gardens, Community Kitchens, School Breakfast Clubs, FOODcents and the Achievement program. Implement at least 1 intervention, to improve food security, within each town The selected intervention from 2012-2013 was the FOODcents program, including the training of facilitators. FOODcents is designed to educate people on how to budget, shop and cook healthy meals on a low income. FOODcents had never been delivered in Victoria before and hence required a large amount of work to get it up and running within the year. For a comprehensive overview of the FOODcents implementation process for Baw Baw please see the FOODcents Case Study 2013 (appendix). Integrate food security work with existing initiatives to strengthen collaboration The Food Security Coalition recognised the importance of linking their food security work with existing network groups and initiatives already occurring in the area. This was done by undertaking mapping of existing food related initiatives including; community kitchens, food co ops, vegetable gardens, breakfast clubs, etc. As a result of this mapping the coalition was able to engage others working in the area to strengthen the network of agency and community members working toward improved food security. Dissemination of research and information Written reports on the VHFB data were sent to all the supermarkets and general stores. Poster presentations have been delivered at local and state networks/interest groups presenting the results from the food security research conducted in Central West Gippsland. In 2012 the reports and research on food security in CWG were made available to the Baw Baw Shire Council to provide support for funding applications that were subsequently successful and will help to improve access to fresh fruit and vegetables for isolated communities in the Baw Baw Shire. Evaluation of initiatives The VHFB is conducted using the VHFB survey (see appendix) The CFAN initiatives are evaluated using a specific program logic developed for each program (see appendix) Evaluation of the project as a whole will be conducted in 2014 using the USDA Food Security Survey. Results Process and impact indicators/measures 2012-2013 has been a very progressive year for food security in Baw Baw. This project has made many impacts on the Baw Baw community over the past 12 months. VHFB Surveys 9 healthy food basket surveys were conducted in Baw Baw shire. Report written and discussed at the CFAN meetings. Progressing Food Security Planning in Baw Baw The Food Security Recommendation Report has been used to develop the working group action plan of the Community Food Action Network. The report will also be used to develop the action plan for the Integrated Health Promotion Case Study Template Page 6 of 12 Strategic Planning Working Group, commencing July 2013. Food Security is being advocated to be included as a key component of the BBSC Municipal Public Health and Wellbeing Plan (MPHWP). Engaging Key Stakeholders 14 key agencies were identified to be involved in the coalition. Currently there are 11 agencies involved in the Community Food Action Network and Emergency Food Relief Network 3 Agencies not yet engaged include; Department of Education and Early Childhood Development (DEECD), department of Primary Industries (DPI) and Salvation Army. Work will continue to engage these agencies in 2013-14. Form the Food Security Coalition and 3 working groups Baw Baw Food Coalition status at June 30 2013; - Steering committee - not yet active - Strategic Planning for Food - not yet active - Community Food Access Network – active and sustainable - Emergency Food Relief Network- active and sustainable Although the Steering Committee and the Strategic Planning Working Group are not yet actively running, CWGPCP and BBSC have succeeded in securing a joint Food Security Project Officer. One of the main aims of the officer will be to build the sustainability of these working groups beyond the two years. It also shows the commitment that CWGPCP and BBSC have made toward improving food security in the long term. The CFAN has met bi-monthly for the past 12 months and has developed Terms of Reference (ToR) and a working group action plan (see appendix) to guide their work. The Emergency Food Relief Network has met quarterly for the past 12 months. As this network consists predominantly of volunteers they do not operate under a ToR or work plan. However, this has not hindered the group from being able to work collaboratively to address food security in a more holistic and responsive nature. Key success of this network have been the ability to ‘value add’ to other services. For example where one agency can provide food, another has been able to provide cooking utensils to allow clients to prepare the food. These partnerships have been invaluable in achieving optimal client outcomes for those who are the most disadvantaged and food insecure. The Emergency Food Relief Network also promotes the initiatives from the CFAN working group to encourage their clients to gain knowledge and skills to improve their food security for the future. Community Food Access Network to identify and implement evidence based interventions Within the Baw Baw LGA the CFAN working group has implemented a number of new interventions including; 3 new community gardens 1 new community kitchen 6 perspective School breakfast clubs to initiate late 2013. 21 FOODcents sessions 32 early education/primary schools signed up to Achievement program (with a commitment to health eating) Integrated Health Promotion Case Study Template Page 7 of 12 ...And sustained an existing; 1 community garden 5 community kitchens 7 school breakfast clubs Community Gardens 3 new community gardens have been facilitated in the Baw Baw Shire LGA. Drouin caravan park garden has 10 regular participants. Eastern Park garden is under development with a community fun day held on the new site in Sept 2012 – 700 attended. The community garden at Trafalgar is in initial stages. 1 community garden existed at June 2012 and is still running at June 2013. Monthly workshops take place with approx. 20 attending. During summer, evening BBQs were held weekly with 10 regular attendees. 200 people are currently signed up to a monthly newsletter mailing list. Individuals also access gardens independently during warmer months. Produce grown in the garden is shared between participants and used with their group BBQs. Development of a new site for a community garden has been a long term but now achievable goal. Funding (Healthy Communities via Baw Baw Shire) for Eastern Park community garden has approved with design and planning well under way and an anticipated start date in Oct 2013. Community Kitchens 1 new community kitchen has been established at Warragul Community House, which runs weekly. The target group is people with mental illness and/or IDs. There are currently 8 participants. 5 community kitchens are running and supported with recipes, leader training, venue hire and cooking equipment donations. 2 participants in the Mental Illness Fellowship group have been trained and become leaders. FOODcents 11 people attended a FOODcents information session held in February. Following this, 13 Volunteers were trained to deliver FOODcents. In June 10 FOODcents supermarket tours, 5 budget sessions and 2 cooking sessions were completed. 4 other FOODcents information events were held at schools and mothers groups and for the WGHG Indigenous health trainees. For the full evaluation report see FOODcents Case Study in the appendix School Breakfast Clubs 7 breakfast clubs are currently running. 6 schools attended WGHG breakfast club forum (07/03/13) with aim of initiating or increasing the capacity of their school’s breakfast club. A funding application has been sent to Trafalgar Community Bendigo Bank (10/07/13) requesting financial support for 5 local schools that showed interest in starting/increasing their schools’ breakfast club. Achievement Program 15 early education settings and 17 primary schools are registered. An Introduction to FOODcents was delivered to 12 Longwarry primary school staff, as well as visits to other local primary schools for healthy eating days. Newsletter inserts on healthy lifestyle news are sent to schools and early learning centres on a monthly Integrated Health Promotion Case Study Template Page 8 of 12 basis. A nutrition policy and healthy catering guidelines have been created for a young mother’s group to promote and ensure adequate consumption of fruit and vegetables in line with Australian Dietary Guidelines. Australian Dietary Guidelines brochures for Breastfeeding, Infants and Children were provided to young mothers group leaders. Status and sustainability Research & Evaluation CWGPCP is committed to undertaking the USDA Food Security Survey again in 2014 as a measure of intervention effectiveness in the BBSC LGA. The findings will be disseminated back to the communities through newspaper articles, council notices and uploaded to the CWGPCP website. VHFB surveys have been completed in 2008, 2010 and 2012 with the intention to continue this activity annually. An ongoing partnership with Monash and Deakin Universities will mean that Health Promotion and Dietetics students undertaking placement will be able to complete this task. Dietetic students have already been secured to complete the 2013 VHFB surveys in Baw Baw. Food Security Coalition; steering committee and working groups This project will be continued through the Baw Baw Food Security Coalition and its engaged key stakeholders. The employment of a project worker to drive and build sustainability into this work will allow a strong foundation to be built for the future. By working towards embedding food security in into the Municipal Public Health and Wellbeing Plan for Baw Baw we will secure further support from the council staff for the coming 4 year period. Disseminating our findings This project, as well as the FOODcents project, will be submitted for local, state-wide and national conferences (where relevant). This project is also being used to guide the food security work taking place in the neighbouring Latrobe Shire. Conclusions Key success factors CWGPCP is seen as a reputable source of information/advice, often providing guidance to others with regard to best practice initiatives for improving food security. Due to the increased body of evidence Baw Baw has been able to target health promotion resources to the areas of most need, as identified by the research data. Integrated workforce of multiple agencies working collaboratively to address food security and value add to each other’s work. Commitment by CWGPCP and BBSC to employ a Food Security Project Officer to progress this work over the coming 2 years. Commitment to Food Security in the future by advocating for it to be embedded into the MPHWP. Collaboration with the universities to secure student placements each year to conduct monitoring and further research. Integrated Health Promotion Case Study Template Page 9 of 12 Key challenges Agencies must recognise that no one intervention will address food security, and to successfully tackle the issue multi strategy interventions must be implemented to ensure that food security is addressed at all stages of the intervention continuum, from the provision of an emergency food parcel to the planning of ‘Food Sensitive’ shires. Engaging workers within the shire has proven challenging and as a result the best way forward was deemed to be the employment of a Food Security Project Officer to sit within the shire to engage workers in food related initiatives and to show them how their everyday work is impacting on food security for the community. Limitations of the project Limited capacity and resources to act on results/provide outcomes to participants How activities and improvements will be sustained Data and information can be used by PCP member agencies when applying for funding to support an increase in food security interventions Project activities have been included in the IHP CWGPCP plan and are planned to be included in the BBSC Municipal Public Health Plan A key objective of the Food Security Project Officer is to build sustainability into the coalition by identifying and building the capacity of interested key stakeholders who will lead the project beyond the life of the PCP funding Relevance of your findings to other areas of organisational activity Tackling food security is a huge issue that requires a multi-agency and community response. The evaluation and learnings from this project will help to support other organisations tackling similar social or cultural problems. Future directions Continue to conduct the Victorian Healthy Food basket surveys in Baw Baw shire to monitor the cost of food in the catchment. Further develop the Baw Baw Food Security Coalition, including the establishment of the Steering Committee and Strategic Planning Working Group. Trial 2 interventions at the Strategic/Policy level driven by BBSC. Build capacity of key stakeholders to ensure they can best meet their objectives with regard to improving food security. Undertake the USDA Food Security Survey again in 2014 as a measure of intervention effectiveness in the BBSC LGA. Disseminate findings back to the communities through newspaper articles, council notices and uploaded to the CWGPCP website. References (optional) Australian Bureau of Statistics, 2006, ‘Census QuickStats: Latrobe – Morwell (Statistical Local Area)’, retrieved on the 19th of January 2012, <http://www.abs.gov.au/Census>. Caprara, N 2012, ‘Morwell Community Consultation Food Security Report’. Latrobe Community Health Service, Morwell. Department of Health, 2008, ‘Victorian Population Health Survey’, retrieved 20 January 2012, <http://www.health.vic.gov.au/healthstatus/vphs.current.ht.>. Elwell, M & Smith, C 2011, ‘Erica/Rawson Community Consultation Food Security Report’. West Gippsland Healthcare Group, Warragul. Favre, N 2010, ‘Getting Grub in Gippsland. Understanding Food Security in Latrobe and Baw Baw Shires’ Central West Gippsland Primary Care Partnership, Latrobe. Integrated Health Promotion Case Study Template Page 10 of 12 Finlay, S & Meggetto, E 2011, ‘Moe Heights Community Consultation Food Security Report’. Latrobe Community Health Service, Morwell. Greenall, A & Rees, A 2012, ‘Drouin Community Consultation Food Security Report’. West Gippsland Healthcare Group, Warragul. Latrobe City Council 2002, Latrobe Valley Neighbourhood Renewal 2002-2009. Retrieved 2 March 2012, <http://www.latrobe.vic.gov.au/WebFiles/Council%20Services/Community%20Developmen t/00112%20LV%20Neighbourhood%20Renewal%20Report%20%20Full%20Draft%20sml.pdf>. Meggetto, E. 2012. Central West Gippsland Food Security Recommendation Report. Central West Gippsland Primary Care Partnership. Montague, M 2011, ‘Local Government and Food Security, An Evidence Review’. North and West Metropolitan Region, Department of Health, Victoria. Palermo, C, Walker, K, Hill, P & McDonald, J, 2008, The cost of healthy food in rural Victoria, Monash University Nutrition and Dietetics Medial Centre, Melbourne. United States Department of Agriculture, 2000, ‘Guide to Measuring Household Food Security’, retrieved 3 February 2012, <http://www.fns.usda.gov/fsec/files/fsguide.pdf>. VicHealth 2005, ‘Healthy Eating Food Security Investment Plan 2005-2010’, retrieved 18 January 2012 <http://www.vichealth.vic.gov.au/en/~/media/ResourceCentre/PublicationsandResources/h ealthy%20eating/VicHealth%20Food%20Insecurity%20Investment%20paper.ashx>. VicHealth, 2012, ‘Food Security’, retrieved 16 February 2012, <http://www.vichealth.vic.gov.au/en/Programs-and-Projects/Healthy-Eating/FoodSecurity.aspx>. Appendix Getting Grub in Gippsland Report USDA Food Security Survey/Focus Group Reports CWGPCP Food Security Recommendation Reports BBSC Food Security Project Brief Integrated Health Promotion Case Study Template Page 11 of 12 FS Broject Brief Food Security Program Logic – including CFAN (5 interventions) Program Logics Food Security Program Logic CFAN working group action plan CFAN ToR CFAN ToR VHFB Report Baw Baw 2012 Baw Baw 2012 VHFB Acronyms BBSC – Baw Baw Shire Council CFAN – Community Food Access Network CG – Community Gardens CK – Community Kitchens CWG – Central West Gippsland DEECD – Department of Education and Early Childhood Development DH – Department of Health DPI – Department of Primary Industries EFRN – Emergency Food Relief Network GGIG – Getting Grub in Gippsland IHP – Integrated Health Promotion LGA – Local Government Area MPHWP – Municipal Public Health and Wellbeing Plan PCP – Primary Care Partnership SFYS – School Focused Youth Service ToR – Terms of Reference USDA – United States Department of Agriculture VHFB – Victorian Healthy Food Basket WGHG – West Gippsland Healthcare Group Integrated Health Promotion Case Study Template Page 12 of 12