Healthy Nutrition Guidelines for LA County

The Healthy Food Procurement Initiative in Los Angeles County is a PSE Change intervention designed to improve the nutrition standards of the county’s food service contracts.  In 2011, the County of Los Angeles (“County”) Board of Supervisors adopted Healthy Food Promotion in Los Angeles County Food Service Contracts, a motion aimed at County departmental food procurement policies and practices as they relate to nutrition. The motion established a process for the County’s Department of Public Health to develop nutrition standards and/or healthy food procurement practices in new and renewing Requests for Proposals (RFP) for food service and vending contracts across County departments.

Target Behavior: Healthy Eating

Intervention Type: PSE Change

Connecticut Breastfeeding Initiative (CBI)

The Connecticut Breastfeeding Initiative (CBI) is a PSE Change intervention designed to promote practices in maternity facilities that support the initiation and continuation of breastfeeding. The Ten Steps to Successful Breastfeeding provide the foundation of the Baby-Friendly Hospital Initiative (BFHI). The Steps focus on breastfeeding initiation, exclusive breastfeeding, skin-to-skin contact, and rooming in, among other elements. By providing a state-level support system of training, technical assistance, and financial assistance, the CBI assisted multiple hospitals in progressing down the 4-D Pathway with the intention of becoming Baby-Friendly designated. The cornerstone of the CBI is the implementation of the Baby-Friendly Hospital Initiative (BFHI) at the hospital level.

NOTE: Portions of this initiative may be SNAP-Ed appropriate. Should be done in collaboration with WIC and other maternal and child health programs.

Target Behavior: Breastfeeding

Intervention Type: PSE Change

Kaiser Permanente Cafeteria Menu Labeling

Kaiser Permanente (KP) Cafeteria Menu Labeling is a PSE change intervention developed collaboratively by KP National Nutrition Services Procurement & Supply and National Community Benefit Departments to help patrons make informed decisions about their purchases with the goal of shifting purchasing to lower calorie and healthier options. The KP Cafeteria Menu Labeling intervention provides cafeteria customers with detailed nutrient content information, including calories, at the point-of-decision-making. The intervention was developed to help inform food/beverage purchasing decisions in KP hospital sites for those visiting the cafeteria, including employees, health plan members, and visitors.

Target Behavior: Healthy Eating

Intervention Type: PSE Change

Baby-Friendly Hospital Initiative (BFHI)

The Baby-Friendly Hospital Initiative (BFHI) is a hospital accreditation program and PSE change intervention that was created by the United Nations Children’s Fund and the World Health Organization to recognize hospitals and birth centers around the world that offer an optimal level of care for infant feeding and mother/baby bonding. It requires facilities with the Baby-Friendly designation to provide direct breastfeeding education and support to families.  In the United States, Baby-Friendly USA, Inc. is the nonprofit national authority for the Baby-Friendly Hospital Initiative and conducts all activities necessary to assess, accredit birthing facilities with the Baby-Friendly designation.. In order to receive the Baby-Friendly designation, maternity facilities must meet the BFHI criteria for implementing the Ten Steps to Successful Breastfeeding, which consists of evidence-based practices that have been shown to increase breastfeeding initiation and duration. To attain designation facilities must also follow the International Code of Marketing of Breast-milk Substitutes which outlines restrictions for marketing of breast-milk substitutes, infant feeding bottles and artificial nipples. Infant formula and related products must be purchased at fair market rates and the facility may not accept any free or discounted breast-milk substitute distributed and/or sponsored by formula companies.

Target Behavior: Breastfeeding

Intervention Type: Direct Education, PSE Change

Food Hero

Food Hero is a multi-channel social marketing campaign designed to change family and community behaviors.  Food Hero includes an extensive evaluation process. The program is designed to increase fruit and vegetable consumption among low-income Oregonians, and components of the campaign have been used widely in other states and countries. 

Target Behavior: Healthy Eating

Intervention Type: Direct Education, PSE Change, Social Marketing

EatFresh

EatFresh.org is mobile-friendly website that was created for the SNAP-Ed population and the organizations that serve them. It provides practical resources and encouragement for individuals with varying levels of digital literacy, internet access, health awareness and culinary skills. EatFresh.org is a stand-alone indirect education resource, an extender for direct education interventions, and a useful tool for a variety of PSE strategies. Partners throughout California use EatFresh.org as a tool to direct their participants to healthy recipes during nutrition workshops, to look up preparation and storage tips for food received at food banks, and to apply for SNAP/Calfresh.  They promote the website by distributing recipe cards at health fairs and other indirect events, and refer clients to the EatFresh.org Mini Course as a flexible direct education resource. The EatFresh.org Mini Course is a free online direct education course that features 15 SNAP-Ed self-paced topics that can be completed in any order.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, PSE Change

Eat Together, Eat Better (ETEB)

The Eat Together, Eat Better (ETEB) is a direct education and social marketing campaign designed to promote family meals using three main themes: Celebrate Together, Cook Together, and Talk Together. ETEB resources support nutrition, parent, and youth educators in teaching the importance of family meals in “setting roots for a lifetime.” Participants discuss the benefits of family meals, discover new ways to enjoy more family meals and increase their motivation to incorporate family meals into their routine.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, Social Marketing

Cooking Matters at the Store

Cooking Matters at the Store by Share our Strength is a free program that empowers families to stretch their food budgets so their children get healthy meals at home. Cooking Matters at the Store is a guided grocery store tour that teaches low-income adults how to get the most nutrition for their food dollars.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: Direct Education

Texas Mother-Friendly Worksite Program

The Texas Mother-Friendly Worksite Program (TX MFWP) is a PSE Change, employer recognition program that designates worksites as “Mother-Friendly” if they voluntarily develop and submit to Department of State Health Services (DSHS) a written policy that supports employees’ efforts to combine continued breastfeeding with employment. At a minimum, the policy must ensure:

  • Flexible work scheduling to allow time for breast milk expression,
  • Access to private locations for breast milk expression,
  • Access to a clean, safe water source to wash hands and clean pumping equipment, and
  • Access to hygienic options for workplace storage of expressed breast milk.

This intervention functions at two levels: at the state-level and at the worksite level. DSHS provides resources and support to worksites wanting to be designated and the worksites must implement their individual plans for achieving and sustaining designation.

NOTE: Activities must be in approved worksites where more than half of employees are low-wage workers.

Target Behavior: Breastfeeding

Intervention Type: PSE Change

Eat Smart in Parks (ESIP)

Eat Smart in Parks (ESIP) is a PSE change and social marketing intervention designed to promote healthier eating in Missouri’s state and local parks. The effort includes the development of a model ESIP policy that guides parks in serving healthier options, training for state and local parks to assist them with using the guidelines, and materials to promote healthier items.

Target Behavior: Healthy Eating

Intervention Type: PSE Change, Social Marketing