High School Health Activist Has Sights Set on Health Career

Aracely Ortiz, 2nd from left, presenting Health Academy's Cafeteria Makeover Project during the 

Youth Summit hosted by LACDPH, April 2015

Aracely Ortiz first heard about the Health Academy during a recruitment presentation in class when she was in 9^th grade. It was also Health Academy’s first year at Thomas Jefferson Senior High. “I wasn’t really involved in anything else at that time,” she explains, “but Health Academy just sounded different from all the other groups I’d heard about, so I decided to go for it.”

She went on to submit an application and sat through an interview, and in the spring semester of 2014, Aracely became a member, or “youth leader,” of the brand-new Health Academy program. After attending a few meetings and experiencing first-hand what the program was about, she was hooked. “At first I was debating whether to continue or not, but everyone in the program was so nice and supportive. It felt like a good place to be.”

Through Health Academy, Aracely learned some unexpected things about her community. She learned how her neighborhood is often considered a food desert or food swamp because of the prevalence of fast food restaurants and liquor stores compared to full-service grocery stores that sell fresh fruits and vegetables. While discussing food swamps, she said, “it was definitely eye-opening. I thought that we already had a lot of things in our community, but now I’ve realized that we don’t have as much as we should.”

Since realizing this, Aracely has actively worked to improve access to healthy food for her school and her community. She often shares information she learns through Health Academy with her family and friends. “I always show my parents the healthy food recipes I get from Health Academy, and we’ve started making them at home… I’ve also taught my parents how to read nutrition labels, and it’s something we look at now when we shop for food”.

Aracely has also taken on leadership roles in several Health Academy initiatives, such as implementing Smarter Lunchroom strategies in the school cafeteria and the Mini Farm Stand project. Throughout her participation, Aracely has been an important voice for her fellow students and community members. One moment she feels particularly proud of was attending a youth summit hosted by the Los Angeles County Department of Public Health during her sophomore year, where she presented her team’s Cafeteria Makeover project to other high school students from across the County. “We made changes in the cafeteria that year that decreased the wait times for getting lunch and also got students more excited about the cafeteria food. More students started participating in the school lunch program, and I like to think our project helped… I felt really proud of how we presented our project and I think we were able to give other schools some good ideas.”

Her experience with Health Academy encouraged Aracely to be even more involved in school. Aside from Health Academy, she is now also an active member of her school’s Gay-Straight Alliance chapter, Student Leadership and ROTC. Now a senior, Aracely is in her fourth and final year in Health Academy, where her role has expanded to include Youth Social Media Manager. In this position, she will work with other Health Academy students to create and post content for the NHF Health Academy Instagram page. Aracely is also getting ready for college next year and has already received acceptance letters from California State University, Dominguez Hills and Loyola Marymount University. She aspires to become a nurse someday, and credits her involvement in Health Academy for inspiring her interest in the health field. 

Aracely is one of over a hundred students that has participated in Health Academy which is going into its fourth year through funding from the Los Angeles County Department of Public Health. Recently, National Health Foundation received another Department of Public Health grant, the Champions for Change – Healthy Communities Initiative, to expand Health Academy to another Los Angeles high school; allowing NHF’s Health Academy and its proven benefits to reach many more students like Aracely, their families and the community.

Partnering for a Healthier South LA

National Health Foundation (NHF) and partners know firsthand that to improve the health of individuals and underserved communities the work cannot be done alone. Collaboration is necessary, and forming multi-sectoral partnerships to align resources, leverage partnerships, and synergize upstream prevention efforts -  is key to building a healthier community.

Under the BUILD Health LA initiative, NHF and partners have come together to address the health disparities and inequities faced by the South Central LA community. Together, BUILD partners envision Historic South Los Angeles as a community that defies the odds and becomes an oasis of fresh, healthy foods and inviting urban space. The BUILD initiative attempts to build on past efforts to create an inviting community where youth, families and adults can access healthy food, be physically active outside, and are supported in maintaining a healthy lifestyle that results in decreasing the prevalence of obesity and subsequently diabetes and cardiovascular disease. Furthermore, this partnership believes in the ambition and potential of the youth in this community. Central to this work, is the commitment and emphasis on youth involvement, empowering youth to take action towards improving social, environmental, and economic conditions in their neighborhood to impact community health.

At present, a new forged partnership with COmmunity Markets Purchasing Real and Affordable Foods (COMPRA Foods) has caused great excitement to the BUILD efforts. COMPRA Foods is a purchasing cooperative and produce distribution program designed to meet the needs of small grocers in low-income neighborhoods. COMPRA Foods was developed, and is lead, by Leadership for Urban Renewal Network (LURN), the Los Angeles Food Policy Council (LAFPC), and the Asian Pacific Islander Obesity Prevention Alliance (APIOPA). The COMPRA Foods team will provide leadership to the BUILD initiative in engaging small markets to offer fresh, healthy food options.

Other BUILD Health LA partners include: Santee Education Complex and Thomas Jefferson High Schools who are providing access to youth for participation; 3WINS program at California StateUniversity, Northridge, who are providing kinesiology student volunteers to facilitate fitness programming; All People’s Community Center, A Place CalledHome and L.A.U.R.A., who will each host new fitness programming and will conduct outreach to the community to expose neighbors to the positive changes being implemented; and South Central Family Health Center and St. John’s Well Childand Family Center, who will conduct outreach, disseminate marketing materials, and food vouchers to drive community members to embrace the implemented upstream healthy changes in the community.

Through BUILD, the project team is moving South LA toward supporting healthier lifestyles. In

addition, by training and supporting youth Community Health Liaisons to drive much of this change, the project creates a cadre of local leaders who will understand potential for upstream improvements and have the skills to influence them.

Together, NHF and partners are TAKING ACTION to decrease the prevalence of obesity, diabetes and cardiovascular disease in Historic South Central LA by creating new solutions to community health!

A COMPRA Foods van filled with healthy produce

Recently, NHF met up with Rudy Espinoza, LURN Founder and Executive Director, and his team at LURN Headquarters. Here’s what they had to say about the new partnership and how LURN’s work through COMPRA Foods, connects with the BUILD Health LA initiative.

What is it about the BUILD community action plan that is in line with LURN’s mission?

Alike the BUILD Health LA initiative, LURN is dedicated to binging people together to design, build, and promote sustainable communities that allow everyone to live to their greatest potential. For example, through the COMPRA Foods program, LURN is invested in finding creative opportunities to bring more fresh produce and healthier food options into underserved communities like South LA to build a healthier community, and a healthier Los Angeles overall.

What are the goals for COMPRA?

With little to no access to major grocery stores in neighborhoods like Historic South Central Los Angeles, COMPRA Foods aims to amplify the capacity of small convenience stores to carry affordable and healthy produce. Currently, COMPRA is a grant funded initiative, supported by funders such as USDA, the Department of Public Health, the Ahmanson Foundation, and the Kresge Foundation. “We have a vision that COMPRA can become the next stand-alone social enterprise, much like Amazon fresh, for local grocers and small convenience stores.” This would mean more access to fresh, quality, fruits and vegetables at a low-price for store owners, and residents alike, who frequent and shop at these local stores.

What has the community response to COMPRA been?”
Once in the COMPRA Foods program, small convenience store owners often see the value and cost savings of entering the cooperative. This is due by enlarge to the fact that small food retailers source their food products from "big-box" grocers, paying full price for these products and then marking them up for sale in their own establishments. This often occurs because entrepreneurs lack relationships with distributors who can deliver produce to their businesses at wholesale prices. Small and mid-size farmers who may be interested in selling their produce directly to these establishments also lack the relationships and efficient distribution systems that can connect them to the hundreds of stores in low-income, "food deserts”. This service gap between growers, distribution companies, and small food retailers impacts low-income consumers tremendously. Because there are few major grocery stores in some low-income communities, families are required to buy food at elevated costs found at small grocers who themselves lack low-cost alternatives to sourcing the produce they offer. In contrast, by entering the COMPRA Foods program, small market owners find support and are connected with small to large wholesale food distributors that provide them with the accessibility and affordability to sell fresh, healthy produce in their stores at a low-price to residents.

What does BUILD bring to LURN?
Through the BUILD Heath LA initiative, one part-time staff member will be hired to manage and expand the COMPRA Foods program to include 16 small markets within Historic South Central LA. Specifically, as a main focus in the first year, youth Community Health Liaisons and the project partners will conduct assessments of 22 local markets (out of the community’s 224 markets) to determine their viability and interest in participating in a food purchasing collaborative with expectations that a minimum of 16 will enter into the collaborative by the end of the first year. After three months of training, the anticipated goal is that each participating store will increase their healthy food options as measured by a cooperative order tracking system.

This supports LURN’s three-year program outcomes for COMPRA, which include: (1) engaging 60 small grocers and convenience stores in the Los Angeles Promise Zone area; (2) equipping 30 small stores to purchase produce and healthy snacks; (3) broker partnerships with 3 local farmers, produce wholesalers, and healthy snack purveyors; and (4) deliver food weekly to more than 30 small grocers and provide marketing and product placement assistance. This with an overall arching goal of reaching 30,000 residents and encouraging them to purchase health

Zip Codes as Indicators ... of Actively Engaged Communities

 

By Danielle Cameron, Chief Strategy Officer for National Health Foundation

Too many times we have heard how zip codes have a greater impact on individuals’ health than their genes; usually in the negative sense. Social determinants of health – conditions in the places where people live, learn, work, and play – can have wide ranging impact on health risks and outcomes.[i] But these zip codes facing troublesome social determinants of health have an opportunity to rise up and tackle these challenges head-on so that these zip codes are no longer synonymous with poor health, but rather signify some of the most willful, engaged communities working together to improve their environment and collective health.

Rather than viewed for their economic policies, environmental circumstances, social norms, or educational experiences that poorly impact health, these zip codes often indicate the presence of a powerful community of organizers, advocates and change agents. They are shifting the tide in terms of population health – in their own neighborhoods. It’s these zip codes where hospitals, health plans and community-based organizations should be looking to establish multi-sector partnership that leverage local resources and ambition to create the most impactful change.

NHF has had just that experience in South Los Angeles.

According to the ‘Mapping LA’ project of the Los Angeles Times, South Los Angeles is a 51 square-mile region encompassing 28 neighborhoods that are home to more than 749,000 residents and some of the most troublesome zip codes in Los Angeles County.

For the past four years, NHF has been working in a handful of these zip codes with a generation of engaged teens, learning to bring about dramatic changes in their community and succeeding! In particular, they are changing the way South Los Angeles residents view their physical environments, personal health practices, the healthy development of their children, as a means of improving their overall health and wellbeing.

Through a series of student-led programs that emphasize information gathering as well as peer and public input, healthy changes are afoot in a zip code that otherwise has many negative associations.

At Jefferson High School, National Health Foundation’sHealth Academy, a student-led, healthy change initiative has, over the past three years, implemented such ground breaking ideas as a hydration station offering fresh water as an alternative to sodas and juices, reconfigured the lunch room so that all students have time to get lunch and eat it, versus having to go to the snack shop to buy sugary treats to replace meals, and have tested and introduced healthy meal options that are now on the lunch menu. Perhaps the biggest victory was the creation of classroom-based mini farm stands where students can help themselves to a piece of fresh fruit when needed. The initiative caught the eye of the Los Angeles Unified School District’s food services director who acknowledged the thoughtful use of fruit left over from breakfast service, the reduction of food waste, and the increase in opportunity for students to snack on healthy fruits. The district is considering expanding the program to other LAUSD school sites.

Through another project, NHF’s BUILD Health Challenge grant in collaboration with California Hospital Medical Center and the LA County Department of Public Health, student ”Community Health Liaisons” spent several months interviewing residents about their perceptions and needs as they relate to their physical environment. Residents voiced concerns ranging from a need for safe, open spaces for play and exercise, to a desire to walk more and have more opportunities to purchase fresh fruits and vegetables. The partnership took the information gathered and formulated a Community-Driven Action Plan for Historic South Central. The purpose of the plan will be to implement upstream, meaning preventative rather than curative, solutions to the health issues faced by the community. By lowering or even eliminating some of the social and environmental barriers to health, the team hopes that the community will defy the current statistics that point to lower life expectancy and a higher than average rate of preventable illnesses.

As part of Mayor Eric Garcetti’s Great Street’s Initiative, another group of inspired students championed the creation of a Walking Corridor along Central Avenue. Through the use of clever wayfinding signage, the community can now see how far the nearest transit, entertainment, shopping and recreational facilities are located on foot. The signage, unveiled during a community event in May, has been met with the resounding approval of the community and visitors alike.

The community is seeing first-hand that change is most meaningful when it comes from within and is possible when it is led by the energy and passion of one of its most valuable assets: its youth. The remarkable success of these empowered and engaged youth is a reflection of a new and brighter outlook in the zip codes of South Los Angeles.

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[i] World Health Organization

Rethinking School Nutrition: National Health Foundation’s Health Academy Increases Access to Healthy Options Through Innovative Youth-Led Projects

Health Academy 'Legion of Health' team with LAUSD Food Services Director, Laura Benevides.

The school cafeteria has been the subject of plenty of derision over the years given such negative perceptions of the food served and limited resources to meet the demands of a diverse student body. In the Los AngelesUnified School District (LAUSD), home to 640,000 students in more than 1,187 schools, the subject of school nutrition is a high priority. It is a priority shared by National Health Foundation’s innovative “Health Academy,” a youth-led, community research and advocacy program.

Since December 2013, teams of students have been researching and identifying challenges to accessing and consuming healthy foods and beverages, as well as obstacles for physical activity in their South Los Angeles community. One of their focus areas has been school nutrition. For many LAUSD students, the meals they consume at school are their primary meals of the day, and in some cases, their healthiest meals.

One of the Health Academy’s youth-led teams, Legion of Health, has been addressing the issue of healthy lunches and snacks at Jefferson High School and the students have made important headway since the program’s inception. Last year, students conducted menu sampling in an effort to introduce tastier and healthier menu options. According to LAUSD Food Service Director Laura Benavides, some of the new choices would be available as early as this April. She noted that given the sheer size of the district, changes take time, but she extended an invitation to the team to participate in the LAUSD Menu Committee meeting next year where critical decisions on menu development would be made.

One of the key findings of student research has been that with only 30 minutes for lunch and the increased wait times, many students are avoiding the cafeteria and are relying on alternative venues that promote sugary snacks, such as the student store and vending machines. Research has also shown that consuming a healthy meal takes more time, time that most students simply will not take. In an effort to have more students eat lunch in the cafeteria, the district is taking a serious look at reducing wait times. The Health Academy students, for their part, took a practical approach to solving the lunchtime crunch: a cafeteria makeover. By reorganizing the layout of the cafeteria, they were able to create a more efficient flow of traffic, thereby reducing wait times. This improvement has helped increase school lunch participation and the number of students eating at the cafeteria every day.

An LAUSD program called Breakfast in the Classroom (BIC), implemented in fall 2014, was widely touted as one way to ensure students were starting their day with a healthy meal and the nutrition needed to get through the morning. An unintended consequence of the program has been an increase in food waste. Last year, the Health Academy team tackled the food waste issue, as well as their limited access to healthy food, by creating the Health Academy Mini Farm Stand. Students redirected the fresh fruit left over from the BIC program to individual baskets in several test classrooms. Students in need of a snack could help themselves to a piece of fruit from the basket in their classrooms. The results were overwhelmingly positive. Teachers were pleased, students consumed more fruit, and food waste from BIC was significantly reduced. The project was expanded school-wide in February of this year. There are plans to expand the project to more schools in the district, but the students have set their goals even higher: They are hoping LAUSD will adopt the concept district-wide!

The Mini Farm Stand filled with fresh fruit is now a feature in 2 LAUSD schools!

These students have also been instrumental in addressing access to water in Jefferson High School by working to install one of the first Hydration Stations in the district. The filtered water station was unveiled Fall 2015 and is designed for students to refill their water bottles as opposed to reaching for sugar-sweetened beverages in the vending machines. Sugar-sweetened beverages alone are responsible for a large number of unhealthy calories that lead to obesity and the associated health risks such as diabetes. The Health Academy students championed the Hydration Station effort after their research revealed that students wanted access to more fresh water and to consume less sugary drinks.

The Health Academy students have, through their research, project design, and implementation, created lasting changes in one of the largest school districts in the nation. Moreover, they have been exposed to real-world learning that has included meetings with school officials, community stakeholders, and elected officials, all in an effort to realize lasting, equitable policy change with respect to the health and wellbeing of their South Los Angeles community. These young community advocates have already left a mark on the health of their community, a mark that will hopefully inspire others to do the same.