Wabash Valley Mobile Market Community Health Initiative: Covering 6 counties in the Wabash Valley Community

Wabash Valley Mobile MarketCommunity Health Initiative:Covering 6 counties in the Wabash Valley Community Desiree Huebner Indiana State University Bachelor of Science in Nursing Student

Outline • Purpose of a Mobile Market (MM) • Objectives • Why the Need for a MM • How to Initiate a MM • Location of the MM • Who initiated the first MM • Nashville Mobile Market • IU Health Garden on the Go • Wabash Valley Mobile Market • Resources

Purpose of theWabash Valley Mobile Market • There is a need and desire for a mobile market in low income neighborhoods and communities surrounding the Terre Haute community, specifically targeted toward; Clay County, Parke County Sullivan County, Vermilion County, Vigo County, and Clarke County of Illinois. • Educate and incorporate other lifestyle changes like diet and exercise, eating meals with family, and how to cook a healthy meal in 30 minutes.

Objectives of the Wabash Valley Mobile Market • The mobile market will develop into a mobile grocery store that sells produce and other healthy food items in places where those options are limited. • Make an impact on obesity and other diet related conditions in the community by approaching it through a healthy eating and exercise plan. • Provide people in low income neighborhoods or people with limited access to fresh and healthy foods.

Why the Need of aLocal Mobile Market • According to the 2012 report from the Trust for American Health and the Robert Wood Johnson Foundation, Adult Hoosiers obesity level climbed to 30.8% from 29.1% last year, joining 11 other states with percentages of more than 30. Last year Indiana ranked 15th. • A March 2013 study by The Robert Wood Johnson Foundation found statistics for Vigo County: • 33% are Obese • 28% are Physically Inactive • 10.2% are Unemployed • 25% of children are living in poverty • 37% of children come from single parent households • Vigo County has 12 recreation facilities

How do we Start theWabash Valley Mobile Market • Target the communities with low income neighborhoods or with limited access to fresh and affordable foods • Incorporate the Mobile Markets in communities then tie in exercise and eating dinner together • Utilize key agencies and volunteers for community health • Baeslser’sMarket and other local grocery stores • Catholic Charities of Terre Haute • CHANCES for Indiana Youth • City Government and School Corporation • Clay County YMCA • Indiana State University • Purdue Extension in Parke County • Union Hospital of Terre Haute • Vigo County Health Department

Determining where to initiate the Wabash Valley Mobile Market • The Mobile Market will be initiated at area food deserts, which means there is little or no access to a grocery store that offers fresh and affordable foods needed to maintain a healthy diet. • In the Wabash Valley there are six counties that the market will be initiated at: Clay, Parke, Sullivan, Vermillion, Vigo counties of Indiana and Clarke County of Illinois. • Specific food desert examples: Seelyville, West Terre Haute • Low income neighborhoods or neighborhoods that do not have access to fresh and affordable food • Community residents will enter the trailer and purchase goods with credit card, cash, EBT, WIC, SNAP

Who has Initiated a Mobile Market • The Nashville Mobile Market is maintained byVanderbilt University students and volunteers. • The Nashville Mobile Market provides food desert communities with fresh produce, lean meats, dairy, and select non-perishable items. Community residents enter onto the trailer and purchase goods with credit card, cash or SNAP benefits. In addition, recipes cards are available to highlight simple, nutritious options and community kitchens are also held.

The National Mobile Market Mission of Vanderbilt University • We encourage the development of preventative strategies for tackling the epidemics of obesity and diet-related diseases. • We actively seek partnerships with existing mobile markets to facilitate knowledge sharing by developing lists of accepted best practices and refined methods for operations, community outreach, and evaluation protocols. • The National Mobile Market is committed to supporting the development of innovative solutions to food insecurity by providing fiscal, logistical, and structural support to community organizations interested in creating urban mobile markets to address the growth of urban food insecurity.

Vanderbilt University onNashville Mobile Market • According to the NashvilleMobileMarket.org: • “Nashville Mobile Market (NMM) strives to encourage healthier eating habits and decrease incidences of diet-related chronic conditions such as obesity, diabetes, and hypertension. It does this by increasing access to and decreasing cost of healthy foods in food deserts, while also education the community about healthier options”

Garden on the Go Mobile Market • Indiana University Health implemented - Garden on the Go in May 2011 • IU Health System Outreach Priorities • Obesity Prevention • Injury Fall Prevention • Access to Healthcare • K-12 Education • Community Revitalization • USDA reports 68% of individuals in low-income neighborhoods live in areas where affordable, fresh fruits and vegetables are not readily available.

Wabash Valley Mobile Market • The Department of Applied Health Science at Indiana State University conducted surveys at community centers and food pantries in Terre Haute and in West Terre Haute. • Background of the study • Ethnicity of the participants • African Americans- 24 (22%) • Caucasian- 78 (72%) • Other (American Indian, Hispanic, Bi-racial)- 7 (7%) ] • 101 participants surveyed • 27% of the participants were between the ages of 31-40 years old

Peterson, Y., Borrero, L., Kruger, T., & Bermudez, E. 2013. Indiana State University: Department of Applied Health Sciences. United Way Mobile Market Survey.

Survey Findings • The Department of Applied Health Sciencesconcluded from their study that: • 93% of participants who completed the survey are interested in a local mobile market • Almost half (48%) are on food assistance programs • Expense was cited as the #1 reason for not buying more fresh produce • Expense and lack of transportation are the most identified barriers to shop at grocery stores more often • 91 (83%) were primary grocery buyers for their household • 52 (48%) received assistance to buy food (SNAP, WIC) • 67 (61%) female

Resources • Peterson, Y., Borrero, L., Kruger, T., & Bermudez, E. 2013. Indiana State University: Department of Applied Health Sciences. United Way Mobile Market Survey. • Robert Wood Johnson Foundation. Web. 5 April 2013. County Health Ranking and Roadmaps: A Healthier Nation- County by County. http://www.countyhealthrankings.org/ • The Nashville Mobile Market. Web. 5 April 2013. http://www.nashvillemobilemarket.org/ • United Way of the Wabash Valley • U.S. Department of Agriculture. Web. 5 April 2013. “Access to Affordable and Nutritious Food.” http://www.ers.usda.gov/media/242654/ap036_reportsummary_1_.pdf • Vigo County Health Department

Wabash Valley Mobile Market Community Health Initiative: Covering 6 counties in the Wabash Valley Community