This policy brief provides evidence supporting the need for an increase in the number of reimbursable meals and snacks under the federal Child and Adult Care Food Program, also known as CACFP, from three to four per child daily. CACFP provides nutritious meals to nearly 625,000 children attending family childcare homes nationwide, primarily from lower-income More
CACFP has the potential to reach many families with low income to support improved food security, diet quality, and financial stability. Yet just over half of FCCHs in California participate. Previously HER-funded research shows this is due in part to complex program administrative burdens. This project will develop and pilot a peer navigator intervention to More
Drinking water instead of sugary drinks is key to reducing health disparities. Since beverage habits are shaped by complex personal, community, and environmental factors, community input is critical to design any intervention promoting water. The research team worked with community partners to design a program to promote healthy beverage habits among young Navajo children. The More
Community-based policy, systems, and environmental interventions have the potential to reduce modifiable risk factors for obesity early in life. The purpose of this scoping review was to characterize the breadth, generalizability, and methodological quality of community-based diet and obesity-related policy, system, and environmental interventions during the first 1000 days of life, from pregnancy to 24 months More
The study aimed to describe how Hispanic parents currently living in the greater Washington, DC, metro area and born outside of the United States, perceived upstream factors that influenced their current beverage choice. Six qualitative focus groups were conducted in Spanish in 2021. The five key findings were: Growing up (in their countries of origin More
The federal Child and Adult Care Food Program, commonly known as CACFP, ensures over 4.2 million children, mostly in families with low income, receive nutritious meals and snacks in childcare. However, not all qualifying childcare providers participate in this beneficial program. Research suggests that the serious deficiency process, designed to ensure program integrity, may hinder More
Head start (HS) programs are required to collect children’s height and weight data. Programs also communicate these results to families. However, no standardized protocol exists to guide measurements or communicate results. The purpose of this article was to describe the development of a measurement toolkit and best practices for communication. HS programs contributed to the More
The federal Child and Adult Care Food Program (CACFP) improves nutrition and reduces food insecurity for young children while helping cover food costs for care providers and families. Despite its important benefits, the program is underutilized. This report uses qualitative interviews with state CACFP administrators representing 28 states to explore federal and state policies and practices that support or discourage CACFP participation among licensed child More
The United States has an ongoing maternal and infant health crisis, characterized by stark disparities. The WIC program could equitably improve health outcomes, but it is underutilized. Identifying strategies for healthcare systems to efficiently connect pregnant patients with WIC is a public health and policy priority. This study will use the electronic health record (EHR) More
WIC can improve maternal and childhood health and nutrition, yet only 50% of people who qualify for WIC receive benefits, with racial disparities across states. Beyond state and national estimates, less is known about zip code-level racial/ethnic coverage rates or the factors influencing program reach. This study will be the first large-scale assessment of overall More
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