Transcript NEW ALBANY HOUSING AUTHORITY

NEW ALBANY
HOUSING
AUTHORITY
Stephanie Richardson, Sarah McIntire,
Nicole Anaya, Erika Johnson, Lyndon Moore,
Meghan Hall, Morgan Burke, Katie Conrad
Population
 New Albany Housing Authority is located in New
Albany, Indiana. (Floyd County)
 NAHA serves approximately 2,182 people during 2012.
 Most houses stay filled with the exception of
renovations.
 Mark Elrod & Riverview Towers are high-rise
buildings.
Diversity
 38.1% Caucasian
 51.7% African-American
 10.2 % Hispanic
 Mark Elrod Ages 55+
 Riverview Towers 50-65 years of age
Caucasion
African
American
Hispanic
Income
 Average income is approximately $9,515.17.
 This is dramatically lower than the amount stated by
Floyd, County of $25, 971.
 This could be in correlation with the education levels
of the housing authority in comparison to the county.
 Floyd County states that 87.3% of its residents have a
high school diploma or equivalent, compared to 67.3%
of the NAHA population.
Health Status
 31% of residents are obese, compared to 20% of Floyd
County
 8.3% are of low birth weight born in 2012
 Interviews conducted with NAHA residents show a
high rate of hypertension & diabetes in young adults
and children
Food Resources
 The residents of NAHA have access to a nearby Kroger,
that is approx. 0.9 mile away or a 17-minute walk.
 Kroger provides access to fresh fruits, vegetables and
other food items.
 However, County Health and Rankings Roadmaps
reports that 63% of all restaurants in Floyd County are
fast-food establishments.
Food Assistance
 Hope Southern Indiana is a family and emergency
services department that serves residents of Floyd
County.
 Hope provides assistance with food once every thirty
days up to eight times per year.
 There are several food pantries and soup kitchens in
the area, including Dwelling Place Ministries, the
Salvation Army, the Tri-County Health Coalition, and
several churches in New Albany.
Target Population
 Our target population for this promotion proposal is low
income residents of NAHA
 This proposed “lunch and learn” was designed to provide
information about affordable nutritional meals to anyone
living within a unit managed by the NAHA including but
not limited to Mark Elrod Tower, Riverview Tower, and
Parkview Broadmead Terrace.
 The main focus will be on those currently on the
Supplemental Nutritional Assistance Program (SNAP),
however all wishing to participate would be accepted.
Expecting & New Moms
 Three expecting moms were interviewed.
 Two of the three were pregnant for the first time.
 All three moms had difficulty managing food stamps
for the entire month.
 They were also concerned with their lack of knowledge
on what to eat while pregnant.
Families with Young Children
 Four moms and one dad were interviewed.
 Nutrition was less of a concern because breakfast and
lunch are served at school for their children for free or
at a reduced cost.
 NAHA provides an after school snack.
 Main concern seemed to be budgeting food stamps.
 When not in school, a lot of kids are on their own and
given money to buy snacks at local convenient store.
 Poor food choices can lead to obesity.
Families with Young Children,
cont’d…
 Girl scout meeting.
 Talked with troop leader.
 Leads two groups from NAHA.
 Stated that younger group always seemed to show up
hungry.
 In the older group, some girls were overweight and
showing signs of obesity.
Family Support
Services Center
Section 8
Housing Office
Mark Elrod Tower
 Mark Elrod Tower is for residents ages 62 and over
 101 residents currently occupy the Tower.
 Residents rent is based on monthly income and
expenses such as living and medical.
 All residents are capable of living independently
 Some residents have been in the building for over 20
years
Activities with the Residents
 Get fit, physical activities including balloon volleyball.
 FEMA awareness:
 Information for the elderly, disabled and those with
animals on how to prepare and respond for a disaster.
 Halloween Party

Fine motor skills were incorporated into making Halloween
mask and decorations.
Mark Elrod
Tower
Riverview Tower
 There are 164 units available for tenants
 The population is ages 50+ years old
 Several tenants at Riverview Tower have disabilities
 Disabilities include respiratory problems,
hypertension, obesity, alcoholism, mental illness, and
diabetes
 Interviews with various residents were conducted,
both formally and informally, during the morning and
afternoon.
Riverview
Towers
Statement of the Problem
 After assessing the community and conducting many
key informant interviews it became clear that
affordable nutrition and nutrition education was a
major problem among the community.
 Staff of NAHA also states there is a definite lack of
knowledge when concerning the aspects of preparing a
nutritionally sound meal at home while on a limited
budget.
Literature Review
 Keyserling et al. (1999) nurse delivered nutrition
counseling of the elderly, low income population has
proven to be effective in the reducing the cholesterol
of participants.
 Brown and Hanis (1995) found that collaboration in
education by a nurse, dietician and community worker
could help to increase diabetes knowledge, decrease
fasting blood glucose levels, and increase knowledge
about diabetes control. This study was done in low
income families.
Literature Review, cont’d.
 Sultemeier (1988) suggests that group teaching in low-
income pregnant women results in greater compliance
with improved nutrition intake in comparison to
individualized teaching.
 Widga and Lewis (1999) found that there is significant
improvement in prenatal nutrition in low-income
women after prenatal, in-home visits. The in-home
visits must include: weight-gain monitoring, an
individualized dietary intake assessment, nutrition
education, and counseling.
Cultural Influences on Health
Benefits and Practices
• NAHA is divided into several sub-populations:
elderly, young, single mothers, and families.
• They all share a commonality of being a part of a lowincome population.
• After several interviews with the residents, we
concluded that the majority wanted to live healthier
lives, but either lacked the resources, funding, or
knowledge of how to utilize the resources available to
them.
Cultural Influences on Health
Benefits and Practices, cont’d.
 Majority of the population does not have a primary healthcare
provider.
-Seek care from Floyd Memorial Hospital’s E.D. for simple
medical issues such as a sore throat or cold.
-Some of the residents wait in the E.D. all day to be seen.
-This conflicts with society’s belief of using the E.D. for
emergency medical attention, and visiting one’s primary
physician for less serious medical issues.
 Another barrier the residents face is that it is more expensive to
eat healthier.
-Fresh produce is more expensive in comparison to processed
foods.
-Processed foods fit more easily into one’s budget, are less time
consuming to prepare, and are more easily accessible.
Cultural Influences on Health
Benefits and Practices, cont’d.
 The values and beliefs of low-income individuals may differ than
those of middle or upper class individuals in the respect of what is
considered a “Want versus a need.”
-Low-income individuals are in “Survival mode.”
-Example: Society may consider getting immunizations for their
children as a necessity, while those of low-income families may view
this as a luxury.
-The low-income family’s main concern might be being able to
provide food and shelter for their family.
 Each families’ priorities are different.
-Example: Society may judge an elderly individual as non-compliant
if they do not take their medications, when in actuality, they may be
choosing between paying for food or medications.
Maslow’s Hierarchy of Needs
Cultural Influences on Health
Benefits and Practices, cont’d.
 We chose a project that we believed would benefit the overall
population, based on what we learned in our assessment.
-Nutrition seemed to be a concern throughout each sub-population
 We identified any barriers that might prevent residents from
attending the lunch and learn and tried to overcome them by:
-Involving the population in planning
-Choosing a suitable time and easily accessible location to host the
lunch and learn
-Providing childcare
-Making a mini cook book with meals that fit their budgets and were
less time consuming to make
-Providing a yoga instructor for an hour session to promote fitness
-Bring in a dietician to speak and answer questions
Objectives
 Long-Term Goal
 Healthy People 2020 Objective: Promote health and
reduce chronic disease risk through the consumption of
healthful diets and achievement and maintenance of
healthy body weights
Objectives, cont’d.
 Short-Term Goals
 Residents of NAHA will participate in “Lunch and Learn”
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activity designed to increase knowledge of basic nutrition
with a focus on healthy, affordable meals.
Residents will report that they plan to improve their eating
habits.
Residents will have increased ability to make healthy food
choices.
Residents will have a better understanding of how to read
nutrition labels.
Residents will have increased understanding of how to
prepare a meal.
Significance of the Project
• With assessment, a need for nutritional information was
evident.
• With healthy foods known to be more expensive than prepackaged, processed food, it is thought that people on a budget
cannot afford to eat healthy.
• If people are taught how to shop wisely, eating healthy can be
accomplished even with a low income.
• With this project, the residents of the New Albany Housing
Authority will gain the knowledge of how to shop and eat
healthy on a budget.
• With this knowledge, they can improve the lives of themselves,
their family and pass what they have learned along to their
children.
• Residents can live healthy lives, cutting down on their risks of
many life threatening diseases.
Planning and Methodology
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Educational Content
 Presentation
 Cookbook
 Nutrition Posters
Meal
 Choice
 Preparation
Location and Time
Advertisement
Community Resources
 FMH Healthier Community Outreach Program
 Massage Therapist/Yoga Instructor
Funding
 Sponsors
 Food
 Supplies
 Door Prizes
Brief Budgeting
and
Justification
Materials
Use
Estimated
Expense
What we paid
Advertising Cost
50 Flyers
Advertising the event
$37.50
$0
donation from IUS
Event Cost
50 Cook Books
Resource for participants to
take with them so they can
practice what they learned
$0
donation from IUS
$50.00
Healthy meal provided for
50 people
Attract participant
attendance and introduce a
healthy meal that is easy to
make
Eating Utensils
Required for meal
$15
Dietician/ Nutritionist
Educate the participants
about healthy eating
$250
Yoga Instructor
Teach the participants
different yoga techniques to
increase health of mind and
body
$0
Floyd Hospital donation
$200
$0
Donation of time
$135
Door Prizes
Attract participant
attendance
$260.00
Door Prize Tickets
Organization
$5.00
TOTAL
$0
Floyd Hospital donation
$0
Donation of time
$0 Nick Stein Attorney at Law Donation (turkey
dinners), Judy Myer’s (shirts, cups, etc.), IUS
bookstore (Shirts)
$0
Floyd Hospital donation
$952.50
“Lunch and Learn”
“Lunch and Learn,” cont’d.
Recipe Book for
Residents
“Lunch and Learn,” cont’d.
Floyd Memorial Hospital’s Nutritionist, Sallie
Niehoff Speaking at Event
“Lunch and Learn,” cont’d.
“Lunch and Learn,” cont’d.
Door Prize Raffle
Survey Results
 17 residents participated
 6 questions answered
 Question 1: How helpful did you find the
class?
 Result: 17 out of 17 participants found
the class to be “very helpful”
Survey Results, cont’d
 Question 2: Do you feel you would attend
future classes?
Number of Residents
15 Yes
2 Maybe
Survey Results, cont’d
 Question 3: What was most helpful?
 What residents found helpful:
-Reading labels
-Salt/Fiber/Fat intake
-Portion sizes
 Majority of the class found overall that most if not
all of the content was helpful.
Survey Results, cont’d
 Question 4: What was least helpful?
Number of Residents
6 No comment
10 All helpful
1 None helpful
Survey Results, cont’d
 Question 5: Do you think your eating habits
will change after attending this class? If so,
how?
Number of Residents
12 Yes
1 No
3 Maybe
1 No Comment
Survey Results, cont’d
 Question 6: Comments/Suggestions?
 Comments:
-Excellent information
-Very good job explaining
-More information on healthy eating
-The speaker was very good
-It was very interesting
-I found the information to be excellent
Summary of Evaluation Methods
Objectives:
Evaluation By:
Promote health and
reduce chronic
disease risk through
the consumption of
healthful diets and
achievement and
maintenance of
healthy body weights.
“Lunch and Learn” content. Content included an
overview of nutrition label information such as
serving size, calorie count, nutrients, daily values,
ingredients, and meal suggestions.
Residents of NAHA
will participate in
“Lunch and Learn”
activity designed to
increase knowledge
of basic nutrition
with a focus on
healthy, affordable
meals.
Attendance sheet will determine number of
residents in attendance.
Summary of Evaluation Methods, cont’d
Objectives:
Evaluation by:
Residents will report that they plan
to improve their eating habits.
Survey provided at end of “Lunch
and Learn” will ask residents if they
plan to change their eating habits.
Residents will have increased ability
to make healthy food choices.
Survey provided at end of “Lunch
and Learn” will ask residents about
future food choices.
Residents will have a better
understanding of how to read
nutrition labels.
Survey provided at end of “Lunch
and Learn” will ask residents what
they learned and what was most
helpful.
Residents will have increased
understanding of how to prepare a
meal.
Residents will verbalize increased
understanding of how to prepare a
meal.
References
Brown, S.A., & Hanis, C.L. (1995). A community-based, culturally sensitive education and
group-support intervention for Mexican Americans with NIDDM: A pilot study of
efficacy. Diabetes Educator, 21, 203–210.
Centers for Disease Control and Prevention. (2012). Birth data.
Retrieved from http://www.cdc.gov/nchs/births.htm
Centers for Disease Control and Prevention (2012). Deaths and mortality. Retrieved from
http://www.cdc.gov/nchs/fastats/deaths.htm
Centers for Disease Control and Prevention. (2012). Mortality data. Retrieved from
http://www.cdc.gov/nchs/deaths.htm
County Health Rankings & Roadmaps. (2012). Retrieved from
http://www.countyhealthrankings.org/#app/indiana/2012/floyd/county/1/overall
Delmi, M., Rapin, C.H., & Bengoa, J.M. (1990). Dietary supplementation in elderly patients with
fractured neck of the femur. Lancet 1990. 3351013–1016.1016.
References
Gueorguieva, R., Morse, S.B., & Roth, J. (2008). Length of prenatal participation in WIC
and risk of delivering a small for gestational age infant: Florida, 1996-2004.
Maternal & Child Health Journal, 13, 479-488. doi:10.1007/s10995-008-0391-8
Haber, D. (1986). Health promotion to reduce blood pressure level among older blacks.
Gerontologist, 26,119–121.
Healthy People 2020. (2012). Nutrition and weight status. Retrieved from
http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=29
Indiana State Department of Health (2012). Indiana mortality report – 2009. Retrieved from
http://www.in.gov/isdh/reports/mortality/2009/table06/tbl06_24(new%20albany).htm
Indiana State Department of Health (2006). Indiana mortality report – 2004. Retrieved from
http://www.in.gov/isdh/reports/mortality/2004/table06/tbl06_24(new%20albany).htm
Indiana State Department of Health. (2012). Indiana natality report – 2009. Retrieved from
http://www.in.gov/isdh/reports/natality/2009/tbl34.htm
References
Indiana State Department of Health. (2006). Indiana natality report – 2004. Retrieved from
http://www.in.gov/isdh/reports/natality/2004/tbl34.htm
Indiana State Department of Health (2012). Leading causes of death. Retrieved from
http://www.in.gov/isdh/reports/mortality/2009/graphs_sas_pdf.pdf#page=1&zoom=75,
left,top
Jensen, H., & Wilde, P. (2010). More than just food: The diverse effects of food assistance
programs. Agricultural and Applied Economic. Volume 25. Issue 3.
Keyserling, T.C., Ammerman, A.S., Atwood, J.R., Hosking, J.D., Krasny, C., & Zayed, H.
(1999). A cholesterol intervention program for public health nurses in the rural southeast:
Description of the intervention, study design, and baseline results. Public Health Nursing,
16, 156–167.
New Albany Housing Authority. (2012). Fact sheet.
References
Sultemeir, A. (1988). An innovative approach to teaching prenatal nutrition.
Journal of Community Health Nursing, 5 (4), 247-254.
U.S. Census Bureau. (2011). Indiana Census Data. Retrieved from
http://www.census.gov/prod/2011pubs/p#.pdf
Widga, A.C., & Lewis, N.M. (1999). Defined, in home, prenatal nutrition intervention for
low-income women. Journal of American Dietetic Association, 99 (9), 1058-1062.