Awards issued prior to january 20, 2025, were funded under previous administrations and may not reflect the priorities and policies of the current administration.** boulder county public health (BCPH)…

Awards issued prior to january 20, 2025, were funded under previous administrations and may not reflect the priorities and policies of the current administration.** boulder county public health (BCPH) will be partnering with adams county health department (ACHD) and clinica family health to enroll at least 200 pregnant patients into a produce prescription program (PPR). Patients will be enrolled within the first 30 days after initiating prenatal care until at least 3 months after their child is born. Any pregnant patient receiving care at the lafayette or thornton clinica family health site who is enrolled in medicaid and is either 1) a person of color and/or hispanic/latina, 2) food insecure, or 3) has a diet-related disease will be eligible to enroll into the PPR. Program participants will receive nutrition education, along with a medically tailored produce delivery, valued at $50 per produce box, to be delivered every other weekresearch that indicates that people of color (POC) and people who are food insecure have a higher risk of developing a diet-related disease. Furthermore, food insecurity is significantly associated with type 2 diabetes and IT is linked to high blood pressure and high cholesterol. POC are up to two times more likely than whites to have most of the major chronic diseases. POC face higher rates of diabetes, obesity, stroke heart disease and cancer than whites. The risk of being diagnosed with diabetes is 77% higher for african americans and 66% higher among hispanics, than for non-hispanic whites. Based on clinica's patient demographics, IT is anticipated that at least 75% of patients served by this PPR will identify as hispanic/latino.research shows that adequate nutrition during pregnancy is crucial for fetal development, perinatal outcomes and birth outcomes. Nutritional inadequacies during pregnancy can affect a child's growth and may predispose them to chronic illness, obesity, diabetes, cardiovascular disease and poor cognitive development. Additionally, fruit/vegetable consumption during pregnancy has been associated with a lower risk of developmental delays such as speech and language development, motor development, social-emotional development and cognitive development in infants and toddlers. With this grant we aim to increase fruit and vegetable consumption while decreasing food insecurity for pregnant people receiving care at clinica family health.patient advisory boards will be developed during the planning phase of this grant to help inform program design. The patient advisory board will meet on an on-going basis to help CO-design educational components of the PPR and contents of the produce boxes, and to give continual feedback throughout the pilot project.patients enrolled in the PPR will take a baseline and a follow-up survey to measure changes in fruit and vegetable consumption, and food insecurity. Clinical outcomes such as 1) the number of preterm births 2) the number of term births 3) the number of no-shows for appointments and 4) birthweights will be measured for pregnant patients enrolled in the PPR versus pregnant patients who were not enrolled in the P, PR.