Centerville Farmers’ Market

A Fresh Approach

Background Overview Hickman County (in the South Central Region) encompasses

613 square miles, with a population density of 40.3 persons per square mile. (Smaller than both the nation and the State of TN (87.4, 153.9)

Hickman County has a larger percentage of children living in poverty compared to the State (31.3%, 25%) More than 1 in 4 children were living in poverty in 2010.

Percentage of Hickman County residents who receive TennCare (the State of TN Medicaid program) is 20.8% - higher than both the State (18.3%) and the Nation (16.1%)

Hickman County, TennesseeCommunity Health Needs Assessment, March 2013

Prepared by Hickman Community Hospital, Saint Thomas Health

Health of the County

68.7% of adults in the South Central Region are either overweight or obese, compared to the state and nation (67.3, 63.7)

Males in South Central have a higher prevalence of overweight or obesity. They are also less likely to eat 5 fruits and vegetables a day, but are more likely to participate in physical activity.

32% of Hickman County adults are considered obese (compared to the state at 32%)

Hickman County, TennesseeCommunity Health Needs Assessment, March 2013

Prepared by Hickman Community Hospital, Saint Thomas Health

County Health Rankings, 2012

Health of our Youth

In 2013, 17% of Tennessee students were obese

10% of Tennessee students did not eat fruit or drink 100% fruit juices during the 7 days before the survey.

9% of Tennessee students did not eat vegetables, during the 7 days before the survey.

2013 Tennessee Youth Risk Behavior Survey Report

Hickman County Residents and Food Insecurity*

34% have limited access to healthy food (compared to the State at 11%)

Percentage of fast food restaurants 30% (National benchmark: 25%)

*Food insecurity represents the percentage of the population who did not have access to a reliable source of food during the past year.

Hickman County, TennesseeCommunity Health Needs Assessment, March 2013

Prepared by Hickman Community Hospital, Saint Thomas Health

Focus Group

Few home vegetable gardens, not cooking at home, single parents

Perception that fresh food tends to cost more

Only two grocery stores to serve the entire county.

Rural County (possible transportation issues)

Hickman County Health DepartmentData collected 2012-2013

Learning objective: to determine the focus group’s perceptions about risk factors, cultural influences, environmental factors, current workforce milieu, and satisfaction of services in regard to heart disease an diabetes issues in Hickman County.

Community Survey

In the Survey Section on Healthy Food:

Question: Do you think the cost of fresh food plays a part in developing diabetes?

57% said YES.

Learning objective: to determine if the public-at-large knows about the causes of diabetes, and understands the need for healthy food choices, recreational opportunities and quality health care. (Seventy-Nine, men, women and adolescents surveyed at a community event.)

Hickman County Health DepartmentData collected 2012-2013

Community Meeting

Negative: southern culture likes fried/sweet foods, and most foods are overcooked.

Positive: Fresh foods are affordable at the local farmers’ market (when in season).

Learning objective: to determine from Hickman County Chamber of Commerce members what they see as risk factors for heart disease and diabetes, and how these health issues affect our quality of life in Hickman County. Also addressed were questions related to our county’s demographics/culture and if these factors tend to worsen our chronic disease rates.

Hickman County Health DepartmentData collected 2012-2013

Hickman County Health Dept. Patient Perception Survey

51 Patients Surveyed (administered during two weeks of July, 2014 and two weeks during Aug., 2014)

46% have visited the market.

54% have never visited the market.

Of those who have visited: 28% say they do so to enjoy fresh/nutritious food for

their family. 14% say the market days are convenient 31% say the prices are better/don’t have to pay sales

tax 8% have only visited the market once or twice/ no

opinion.

Of those who have not visited/reason why:

22% say the market hours are not convenient for them.

6% say they cannot use their WIC vouchers. 2% say they don’t know how to cook the vegetables. 25% say they have not visited because they don’t

know anything about the market. 8% say the would like to know more about the market

and may visit soon.

Health Dept. Patient Perception Survey (cont’d)

The NeedOne farmers’ market in the county

Lack of vendor participation and low customer base (HD patients are not familiar)

Local farmers taking produce to other counties where there is a larger profit margin

Few resources to promote the program

Planning StrategiesUtilize CDC 1305

Grant Funds and promote with the TDOH “Primary Prevention Initiative”

Organize Stakeholder committee

Planning Strategies (cont’d)

Establish a “branded” market logo

Advertising and promotions

Special market day, events, festivals

Market Activities and Promotions

Grand Opening (400 in attendance!)

Development of Newsletter

Mid-Summer

Event (day for kids)

Vendor Promotions

Tuesday and Friday 8:00 a.m. – Noon

May – October New Vendors are Always Welcome!

Have you visited your local Farmers Market lately?

You will find Fresh Produce and Great Prices!

For info on becoming a vendor, contact Troy Dugger, UT Extension at 931-729-2404 or email: pdugger2@utk.edu

Vendor Promotions (cont’d)

Community Promotions

Walking

Program at

adjacent

River Park

Adopted as a Primary Prevention Initiative!

Local Musicia

ns perfor

m On

Market Days!

Health/Nutrition EducationHickman County Health

Department and the

Saint Thomas Hickman Hospital partner

weekly with Dietitian

Education.

Program Feedback

“Word of mouth has been our best advertisement. New people are coming each week because they hear about the

variety of vendors and market promotions.” ----Ginny Lundell, Market

Promoter/Vendor

“The 1305 money has allowed us to do more media advertising, along with large

banner displays throughout town and incentives for the public. And the one

great thing that has tied it all together is the development of our new ‘branded

logo’ which is being used on everything we do.” ----Troy Dugger, UT Ag Extension/Market

Director

Hickman County Health Department:

Teresa Gregory, Health EducatorTeresa.m.gregory@tn.gov

David Rash, Health Department DirectorDavid.rash@tn.gov

UT Ag Extension:

Troy Dugger, Farmers’ Market Directorpdugger2@utk.edu

For more information: