A Call to End Summer Hunger
In Washington State, roughly 1 in 5 of all families with children struggle to put food on the table regularly. During the summer, the problem is exacerbated particularly for children who rely on meals from the free or reduced school lunch programs.
In hopes of ending summer hunger and addressing summer learning loss, the Summer Meals Program provides healthy, FREE meals for kids and teens under age 18 during the summer months. There are no citizenship or income requirements, and registration is also not required. The sites are held in various locations such as schools, community centers, libraries, YMCAs, parks and apartment complexes. Some of these sites have enrichment activities for children to help prevent summer learning loss so children are prepared to jump back into school come fall. This low-barrier program is a great resource for all families looking for something to do during the summer.
In King County, WithinReach has partnered with United Way of King County to reach a goal of serving an additional 82,500 meals this summer. WithinReach assists in the promotion of Summer Meals and serves as the local point of contact for families looking to locate a site close to them. Since February, our Summer Meals VISTA and Community Partnership team has partnered with school districts, attended community events, provided presentations to network meetings, and distributed materials to community organizations to promote the Summer Meals Program. It is a highly-needed resource in the community, but is often underutilized due to lack of awareness.
To continue the momentum of promoting Summer Meals, WithinReach hosted two Summer Meals Phone-a-thons on June 23rd and July 8th with volunteers to connect families to their nearest Summer Meals site.
At each event, our dedicated volunteers spent two hours in the evening at WithinReach’s office to make calls to families that had previously been assisted by WithinReach staff. Our 14 volunteers collectively made 385 calls, sharing Summer Meals information and offering to connect clients to their closest sites. Of the families they spoke to, 98% had never accessed Summer Meals, and many families indicated their appreciation in receiving a phone call. In addition to connecting families to Summer Meals, volunteers also made referrals to other services such as Basic Food benefits, health insurance and affordable housing options. While these events were largely successful in reaching new families that have never accessed Summer Meals, it also revealed that there is much more work that can be done.
Due to the great success of the events and work of volunteers, we have created a new volunteer opportunity for anyone that is interested in conducting Summer Meals calls on a more regular basis during WithinReach’s office hours. If you are interested, please contact Anna Balser at email@example.com for more information.
To find your nearest Summer Meals site please click here or text MEALS to 96859.
Vaccine Education Across Language and Culture
By Judith Pierce, WithinReach Immunizations Graduate Intern.
From April 18-25, we’re celebrating National Infant Immunization Week. Did you know that routine childhood immunization in one birth cohort prevents about 20 million cases of disease and about 42,000 deaths? It’s pretty awesome. That’s why we work to ensure that all children in Washington have access to immunizations, and their parents have the information they need to make a good decision. Unfortunately, not everyone has the same access to health information. Below, our graduate intern, Judith Pierce, describes her work with us to help address one of these gaps.
In summer of 2014 I had just completed my first year of public health school, and was in search of a year- long project for my capstone requirement. I knew I wanted to practice skills in evaluation and data analysis, but I also wanted a project with content that would be able to hold my interest for a year. When I initially approached WithinReach’s Immunization program, I was really interested in their work with provider training and the Immunity Community, and assumed I would work on those projects. Instead, they gave me the opportunity to develop a community forum for Russian speakers. Through speaking with the Immunization team I learned that Russian speakers have the lowest childhood immunization rates of any population in Washington, and have had the lowest rates since 2008. This was incredibly interesting and I grew curious to learn more.”
Over ten months I researched the literature and spoke with key informants to better understand the historical context and social connections in Russian speaking populations that contribute to low immunizations rates. Much of the vaccine hesitancy we find in Russian speakers stems from confusion and frustration with the US immunization schedule, concerns of adverse reactions to the vaccines and an inability to find a Russian speaking provider to answer their questions. The Washington State Department of Health conducted a series of Russian speaking focus groups to identify major themes, and all four groups requested an event with a Russian speaking provider to address immunization concerns in a community forum. With help from Spokane-based health service providers, we were able to develop the community forum parents asked for. At the forum, parents expressed their frustration and fears about childhood immunizations to a Russian speaking pharmacist who was able to answer their questions and explain why the US immunization schedule is different from their home countries. At the end of the meeting, the majority of surveyed participants said they enjoyed the forum and were able to have their questions answered by someone they trusted. 40% said the forum changed their minds about immunizations.
With the measles outbreak at Disneyland and whooping cough on the rise in Washington, media pundits and bloggers often lay the blame squarely on a mythical homogenous anti-vaccination group. The reality is people have a variety of concerns, and those of us doing immunization work should not assume why a particular group has fears about vaccines. This project allowed me to not only develop skills and learn new content, but also develop an appreciation for programs, such as Washington State Department of Health’s focus groups, that actively seek to understand health disparities and find culturally appropriate ways to address concerns within a community.
For additional information on how to develop a community forum addressing vaccine concerns for Russian speakers, contact Sara Jaye Sanford, WithinReach’s Immunization Action Coalition of Washington Program Coordinator at: (206) 830-5175 or firstname.lastname@example.org.
Obstacles to Access: Tent City
Several residents of Tent City 3 shared that they were in need of dental care, but were having difficulty finding a dentist that would take their Apple Health insurance. We were able to use the WithinReach Resource Finder to pull up a list of providers for these clients to use; however, lack of regular internet and phone access makes finding accessible dental and health care an ongoing struggle.
Similarly, a woman enrolled in Washington Apple Health and Basic Food told us that she was unable to access her benefits because she had recently been a victim of theft. This is an issue that disproportionately affects the homeless, who often don’t have a secure place to store their belongings. Her cell phone and wallet were stolen while she was sleeping, leaving her without personal identification cards, insurance cards, Electronic Benefits Transfer (EBT) card, or a way to connect and replace these items. In this situation, simply contacting the various agencies in order to request replacement cards was a great challenge and a barrier limiting this woman’s access to health services and food.
Also that night, a 23-year-old woman we worked with was having difficulty accessing the prescription she needed to treat her bronchitis. People experiencing homelessness tend to be more susceptible to chronic illnesses, such as bronchitis, than those with stable housing. Without regular access to a mailbox, this young woman had not received her insurance card and had been denied prescriptions from her pharmacy, even though she has active coverage. We were able to offer suggestions about locations where she could receive mail in the future, and provided her with the phone numbers she needed to replace her insurance card.
Although the AmeriCorps team was able to offer short-term solutions to these clients so that they could access health and food resources, barriers to access, remain in place for the homeless population. These client interactions reminded me that simply signing a person up for benefits is often not enough; working around or removing barriers such as the lack of a mailbox or regular phone access is necessary for successfully connecting homeless clients. As we continue our outreach work with homeless communities, it is important to remember these common issues and try our best to work around them so that all of our clients can have access to health and food resources, no matter what their living situation is.
Need Shelter? Find Tent City sites here: http://www.sharewheel.org/Home/tent-cities
Tags: access AmeriCrops Basic Food Electronic Benefits Transfer (EBT) card Health care homeless communities ParentHelp123 resource finder Seattle Shelter Tent City 3 Washington Apple Health WithinReach
AmeriCorps Week: Language is a source of empowerment!
There was one particular client story I walked away with from this experience that enhanced my perspective of language barriers. This client helped me see the other side of this complex barrier by showing me how much language is a source of empowerment.
Mariana** is a middle-aged Latin American woman who approached me toward the end of the event accompanied by a volunteer interpreter. She sat down and prefaced the conversation by saying that she wanted to try to communicate with me independently, but she also wanted the interpreter present in case there was any confusion. Mariana told me that she had recently become self-employed and was having difficulty navigating the exchange to choose a health plan for herself. The interaction was more drawn out than my usual interactions to confirm understanding on both ends; there were occasional tangents in Spanish until Mariana remembered that I didn’t understand. Since it was the end of the day, we weren’t able to complete the interaction with the purchase of her health plan so we exchanged information in order to complete it over the phone at another time.
In the following weeks we exchanged multiple phone calls so I could complete her application, explain the terminology surrounding insurance, guide her through the process of going to Staples so she could fax me her income verification, and finally purchase a plan.
In the months of my service I’ve had a wide range of final remarks from clients after finishing an interaction with them: “Finally,” or “glad that’s over,” as if the service was something I had withheld from them that I had finally granted. However, most of the final remarks are those of gratitude: “Thank you for making this easy for me,” and “thank you for being so kind.”
On my last phone call with Mariana she said, “Noelle, before you go I want to tell you something…” She thanked me first for assisting her with her application, but then went on to thank me for taking the time to understand her. She said that she had always been nervous about speaking English in public for fear of not being understood or taken seriously. She said she truly felt that our interactions had occurred in such a way where she understood what I was telling her and that I understood what she was trying to say.
Before my work with Mariana, I had seen my AmeriCorps service as a way to tear down the general systemic barriers that prevent people from accessing the resources they need. Now, I view my interactions with clients as opportunities to build bridges to resources despite these barriers. The value in our work comes from providing assistance that is personal and empathetic to the difficulties of navigating complicated systems.
**Client name has been changed to protect privacy.
Taking Action to Address Transit Inequality
All It Takes Is One Accident!
Edited by: Kari Geiger, WithinReach AmeriCorps Program Lead
The current deadline for enrollment is February 15th 2015! Create an account or log in to your account on www.wahealthplanfinder.org today to update your application and explore your options. For tips and tricks, check out some articles we wrote over the past year:
- What to consider when buying a Qualified Health Plan
- How to Apply For Health Insurance If Your Income Is Unpredictable
- Self employed? We Have Answers to Your Health Insurance Questions
- I bought health insurance through the Washington Healthplanfinder. What’s next?
Remember: The deadline to enroll is FEBRUARY 15th, 2015, so log on today or call us for help through our Family Health Hotline for assistance at: 1-800-322-2588!
Tags: Accident Family Health Hotline finances health insurance Health Plan Healthcare insurance coverage Open Enrollment out of pocket WA HealthPlanFinder Washington Health Benefit Exchange Washington state
Breastfeeding: The Power of Courage
Breastfeeding Coalition of WA Program Coordinator
Breastfeeding Promotion Program
American Academy of Family Physicians
Academy of Breastfeeding Medicine
American Academy of Pediatrics
American College of Obstetrician and Gynecologist
American College of Nurse-Midwives
Academy of Nutrition and Dietetics
American Public Health Association
Academy of Breastfeeding Medicine
American Academy of Pediatrics
Center for Disease Control & Prevention- Breastfeeding
International Lactation Consultant Association (ILCA)
La Leche League International
Special Supplemental Nutrition Program for Women, Infants & Children, (WIC) USDA
Womenshealth.gov, OWH, HHS
World Alliance for Breastfeeding Action
The Revolutionaries Wore Pearls —about seven women who challenged society, changed the culture, and taught the world that babies were born to be breastfed.
Policy Workshop: Breakfast After the Bell
It is unclear how the Legislature will act to fund K-12, but it is very clear to WithinReach and its partners that hungry kids can’t learn well. WithinReach is working with partner organizations to develop and promote Breakfast After the Bell Legislation; that will require a nutritious breakfast to be offered as part of the school day in high needs schools, just like lunch. There is early bi-partisan support for this initiative that has proven to successfully increase participation in school breakfast. We will keep you posted about the measure’s progress.
In addition to our senior policy manager, Carrie Glover, and our lobbyist, Erin Dziedzic, the board heard very informative presentations from Katie Mosehauer with Washington Appleseed, and Julie Peterson with the Prevention Alliance. The board was very impressed by the willingness and ability of like-minded organizations to set priorities and agree to work together. The state faces a huge budget challenge with high risks to programs benefiting families and children. The breadth and strength of the coalitions and community partners we work with will assure that our voices are heard ….will assure that the voices of the families we serve are heard!
Link Between Breastfeeding and Strong Child Development
• Breastfeeding improves children’s cognitive development.
• Maternal responsiveness and attachment security are increased by breastfeeding.
• Breastfed children are less likely to suffer from abuse or neglect.
• Children who are breastfed are more accepting of new foods.
How I Became a Crunchy Pro-Vaxing Mom
We know that there are risks with every parenting decision we make, but we have to make them rationally and based on sound science. Since every country and every major medical and scientific body on earth supports vaccines and there is lots of evidence that the benefits of vaccines far outweigh the risk, immunizing myself and our children and advocating that the husband also gets up-to-date on his vaccines is one of the wisest health choices we have made.
So, how can I be crunchy and pro-vax? Simple. Because we do what we know is best for our health, based on sound science. Living healthy, i.e. being crunchy, makes sense to us. So does vaccination.
While I was running the Facebook page Informed Parents of Vaccinated Children, I became aware of the Immunity Community. In the Immunity Community, parents learn to use their social networks, both online and off, to advocate in a positive and non-adversarial way for immunization. We are taught to spread the word about the benefits and how to talk to parents who are concerned about the risks. I was thrilled to find this group and advocated strongly for them to come to Bellingham. Now I am part of the Immunity Community and I could not be happier. We got our program written up in the Bellingham Herald, on the front page, which was thrilling. Other parents are making a huge different at their children’s preschools, by sharing information in a positive manner. We are making a difference. And it is very exciting to be spreading the word that you can live in healthy, crunchy Bellingham, WA and also be fully immunized.
** As summer winds down, kids and their families across Washington State are gearing up for the start of a new school year. With a new year upon us, it is a good time to make sure you and your family are up-to-date on all the required vaccines for school entry. Vaccines are free in Washington State for all children under 19. For help finding a vaccination clinic visit: http://parenthelp123.org/resources/resource-finder or call 1-800-322-2588.
Curious how protected your children’s school is from vaccine-preventable diseases? Check-out http://www.schooldigger.com/WAImmunization/ to see your school’s vaccination and exemption rates.
How Help Me Grow Supports Washington State’s Early Learning Initiatives
Bio: Kelly Smith is the new Help Me Grow Program Manager. She brings her passion for building strong families and supporting healthy kids. Before coming to WithinReach, she spent eight years working to address homelessness in Washington State by working to ensure homeless families have the resources they need to thrive. Prior to that, she worked at the YMCA at a drop-in center for teens.
For more information about the Help Me Grow program, call our WithinReach Family Health Hotline at 1-800-322-2588 or visit Parenthelp123.org
World Breastfeeding Week 2014
By Alessandra DeMarchis, WithinReach Breastfeeding Promotion Intern
Last fall, I started the Master in Public Health program at the University of Washington with a focus on nutritional science. I have been interested in nutrition and food since before I can remember, but this fall I learned about the world’s most perfect food: breast milk. Breast milk is amazing! As a young woman, it is incredible to know that my body has the capacity to create the most nutritious food for a baby. Not only can my body produce enough of this food to sustain even twins, it also changes in composition, synchronized to the changing needs of the baby. Breast milk is a baby’s first vaccine and only food source for six months. Did I mention it is free? Breast milk is so powerful that it can actually reduce my future baby’s risk of obesity, high blood pressure, and type 2 diabetes, while at the same time reducing my risk of certain cancers.
So why did the CDC Breastfeeding Report Card from 2013 show that only 76.5% of babies in the United States have ever breastfed, and a mere 49.0% of babies are breastfeeding at 6 months? Washington State is not doing much better, with only 87.9% of babies ever being breastfed and 60.2% being breastfed at 6 months. If breast milk is free and the most perfect food source for a baby, than why are so many babies receiving artificial formulas? Until the 19th century, women throughout history exclusively breastfed their babies. Why did formula become the new normal and breastfeeding an activity done in secluded places? The truth is that breastfeeding can be especially difficult when mothers do not have emotional, informational, and logistical support of their family, friends, co-workers, employers, medical providers, community, and government.
World Breastfeeding Week, held every year from August 1 – 7, creates the opportunity for groups and organizations around the world to take action for raising awareness and support for breastfeeding. World Breastfeeding Week 2014 highlights the role of breastfeeding in achieving the Millennium Development Goals (MDG). The eight MDGs were set in 1990 to promote sustainable development and health and eradicate poverty and hunger. Breastfeeding is linked to each of the MDGs. In terms of the first goal, to eradicate extreme poverty and hunger, breast milk is a cost effective way of feeding babies, packed with high quality nutrients and energy. For the goal to ensure environmental sustainability, breastfeeding creates less waste from pharmaceuticals, plastic, aluminum, as well as firewood and fossil fuels. To achieve the post-2015 development agenda, organizations around the world must acknowledge and emphasize the value of increasing and maintaining the protection, promotion, and support of breastfeeding.
World Breastfeeding Week is a time for organizations to take action toward a world where breastfeeding is once again the societal norm. Every child should have a fair start at life, and that means ensuring all mothers have the support they need to provide their babies with breast milk.
Click here to see how Within Reach is promoting World Breastfeeding week. To learn more about World Breastfeeding Week and this year’s theme, visit http://worldbreastfeedingweek.org/.