NEW ALBANY HOUSING AUTHORITY

NEW ALBANY HOUSING AUTHORITYStephanie Richardson, Sarah McIntire, Nicole Anaya, Erika Johnson, Lyndon Moore, Meghan Hall, Morgan Burke, Katie Conrad1PopulationNew 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.2Diversity38.1% Caucasian51.7% African-American10.2 % HispanicMark Elrod Ages 55+Riverview Towers 50-65 years of age3IncomeAverage 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.4Health Status31% of residents are obese, compared to 20% of Floyd County8.3% are of low birth weight born in 2012Interviews conducted with NAHA residents show a high rate of hypertension & diabetes in young adults and children5Food ResourcesThe 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.6Food AssistanceHope 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.

7Target PopulationOur target population for this promotion proposal is low income residents of NAHAThis 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.8Expecting & New MomsThree 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.9Families with Young ChildrenFour 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.

10Families with Young Children, contdGirl 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.11Family Support Services Center

Section 8 Housing Office12Mark Elrod TowerMark Elrod Tower is for residents ages 62 and over101 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 independentlySome residents have been in the building for over 20 years

13Activities with the ResidentsGet 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 PartyFine motor skills were incorporated into making Halloween mask and decorations.

14Mark Elrod Tower

15Riverview TowerThere are 164 units available for tenantsThe population is ages 50+ years oldSeveral tenants at Riverview Tower have disabilitiesDisabilities include respiratory problems, hypertension, obesity, alcoholism, mental illness, and diabetesInterviews with various residents were conducted, both formally and informally, during the morning and afternoon.

16Riverview Towers

17Statement of the ProblemAfter 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.

18Literature ReviewKeyserling 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.

19Literature Review, contd.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.20Cultural Influences on Health Benefits and PracticesNAHA is divided into several sub-populations: elderly, young, single mothers, and families.They all share a commonality of being a part of a low-income 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.

21Cultural Influences on Health Benefits and Practices, contd.Majority of the population does not have a primary healthcare provider.-Seek care from Floyd Memorial Hospitals 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 societys belief of using the E.D. for emergency medical attention, and visiting ones 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 ones budget, are less time consuming to prepare, and are more easily accessible.22Cultural Influences on Health Benefits and Practices, contd.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 familys 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. 23Maslows Hierarchy of Needs

Cultural Influences on Health Benefits and Practices, contd.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-populationWe 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

25ObjectivesLong-Term GoalHealthy People 2020 Objective: Promote health and reduce chronic disease risk through the consumption of healthful diets and achievement and maintenance of healthy body weights

26Objectives, contd.Short-Term GoalsResidents of NAHA will participate in Lunch and Learn 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.

27Significance of the Project With assessment, a need for nutritional information was evident.With healthy foods known to be more expensive than pre-packaged, 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.28Planning and MethodologyEducational ContentPresentationCookbookNutrition PostersMeal Choice PreparationLocation and TimeAdvertisementCommunity ResourcesFMH Healthier Community Outreach ProgramMassage Therapist/Yoga InstructorFunding SponsorsFoodSuppliesDoor Prizes

Brief Budgeting and Justification30MaterialsUseEstimatedExpenseWhat we paidAdvertising Cost50 FlyersAdvertising the event$37.50$0 donation from IUSEvent Cost50 Cook BooksResource for participants to take with them so they can practice what they learned $50.00$0 donation from IUSHealthy meal provided for 50 peopleAttract participant attendance and introduce a healthy meal that is easy to make $200$0 Floyd Hospital donationEating UtensilsRequired for meal$15$0 Floyd Hospital donationDietician/ Nutritionist Educate the participants about healthy eating $250$0Donation of time Yoga InstructorTeach the participants different yoga techniques to increase health of mind and body$135$0Donation of timeDoor PrizesAttract participant attendance$260.00$0 Nick Stein Attorney at Law Donation (turkey dinners), Judy Myers (shirts, cups, etc.), IUS bookstore (Shirts)Door Prize TicketsOrganization$5.00$0Floyd Hospital donationTOTAL$952.5031Lunch and Learn

32Lunch and Learn, contd.

Recipe Book for Residents33

Lunch and Learn, contd.Floyd Memorial Hospitals Nutritionist, Sallie Niehoff Speaking at Event 34

Lunch and Learn, contd.35

Door Prize RaffleLunch and Learn, contd.36

Survey Results 17 residents participated6 questions answered Question 1: How helpful did you find the class?Result: 17 out of 17 participants found the class to be very helpful

38Survey Results, contdQuestion 2: Do you feel you would attend future classes?

39Survey Results, contdQuestion 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. 40Survey Results, contdQuestion 4: What was least helpful?

41Survey Results, contdQuestion 5: Do you think your eating habits will change after attending this class? If so, how?

42Survey Results, contdQuestion 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 excellent43Summary of Evaluation MethodsObjectives: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.44Summary of Evaluation Methods, contdObjectives: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. 45References

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