Implementation of the Navajo fruit and vegetable prescription programme to improve access to healthy foods in a rural food desert
Michael A. Sundberg, Abigail C. Warren, Joan VanWassenhove-Paetzold, Carmen George, Danya Carroll, Leandra Jewel Becenti, A. López Martínez, Burrell Jones, Karen Bachman‐Carter, Mae‐Gilene Begay, Taylor Wilmot, Henrietta Sandoval-Soland, Onagh MacKenzie, Lindsey R. Hamilton, Memarie Tsosie, Caitlyn K Bradburn, Emilie Ellis, Jamy Malone, Julia Pon, Ashley Fitch, Sara Selig, Gail Gall, Sonya Shin
Abstract
OBJECTIVE: To utilise a community-based participatory approach in the design and implementation of an intervention targeting diet-related health problems on Navajo Nation. DESIGN: A dual strategy approach of community needs/assets assessment and engagement of cross-sectorial partners in programme design with systematic cyclical feedback for programme modifications. SETTING: Navajo Nation, USA. PARTICIPANTS: Navajo families with individuals meeting criteria for programme enrolment. Participant enrolment increased with iterative cycles. RESULTS: The Navajo Fruit and Vegetable Prescription (FVRx) Programme. CONCLUSIONS: A broad, community-driven and culturally relevant programme design has resulted in a programme able to maintain core programmatic principles, while also allowing for flexible adaptation to changing needs.