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Policy Brief on Food Insecurity Among Low-Income Populations in San Bernardino County
HSCI 660D
15 June 2018
Policy Brief on Food Insecurity Among Low-Income Populations in San Bernardino County 2
Executive Summary
The lack of consistent and dependable access to enough food for active, healthy living
constitutes as food insecurity (Coleman et al., 2016). Food insecurity among low-income
populations in San Bernardino County is a public health concern and it can possibly have serious
ramifications to the health of populations. There needs to be a more universal and fair approach
to help combat food insecurity. Current food assistance resources are provided by the Food and
Nutrition Service, which is an agency for the Department of Agriculture, to help those in need of
proper nutrition. Programs include Supplemental Nutrition Assistance Program (SNAP), which
is more commonly known as food stamps, Special Supplemental Nutrition Program for Women,
Infants, and Children (WIC), Free and Reduced Lunch Program (National School Lunch
Program), Summer Food Service Program, Community Action Partnership (CAP), Elderly
Nutrition Program, Mobile Fresh Bus, and Food Recovery and Pantries (San Bernardino County,
2017). However, these food assistance resources have issues with their policies. These programs
need to reconstruct their eligibility requirements because some people and households that are
suffering from food insecurity do not meet the requirements that these programs cater assistance
towards.
There are several actions that are recommended to fight food insecurity to achieve
equitable food access to all people. We agree with San Bernardino County’s recommendations of
the following actions: improving access to healthy and affordable foods in low-income
communities, more education of food insecurity by utilizing and focusing on schools and the
media, efficient use of food sources, encouraging physicians to screen for food insecurity,
development of a Healthy Food Resource Guide in the referral process in food assistance
programs and resources, increase promotion of local, federally funded food assistance program
services and resources, and reassembling Food Policy Council to raise awareness and address
Policy Brief on Food Insecurity Among Low-Income Populations in San Bernardino County 3
food security (San Bernardino County, 2017). We also have recommendations for some food
assistance programs to change their policies for eligibility to ensure people who need the services
have the opportunity to have access to it. In addition, we recommend the development of policies
that require grocery stores and supermarkets to be located in close proximity to communities that
lack access, and for grocery stores and supermarkets to provide access to affordable and healthy
foods.
In 2017, approximately 12% of people in San Bernardino County were considered food
insecure (Department of Public Health Nutrition Program, 2017). Food insecurity affects over
90,000 households in San Bernardino County (San Bernardino County, 2017). A major factor to
food insecurity in San Bernardino is the location. Many households are geographical located in
food deserts and do not have access to quality grocery stores that provide healthy foods in close
proximity. 33% of households within the San Bernardino population reside in a neighborhood
that is more than a mile from a grocery store or a supermarket in an urban area or 10 miles away
from a grocery store or a supermarket in a rural area (San Bernardino County, 2017). The root
cause of food insecurity is poverty. Many food insecure households have members that are
employed; but unfortunately, these are often low-income jobs, thus affecting access to healthy
foods. Almost half of San Bernardino County residents did not make enough money to be self-
sufficient financially (Institute for Health Policy and Leadership, 2017). This is a problem
because even though there are many programs that provide food assistance, most of the programs
cater to youth, adults, and elderly people who are under the federal poverty level (San
Bernardino County, 2017). Some households that are in dire need for food security are not
eligible for these food assistance programs because they do not technically meet the eligibility
requirements. Institute for Health Policy and Leadership reported that 26% of food insecure
Policy Brief on Food Insecurity Among Low-Income Populations in San Bernardino County 4
children were not income-eligible for federal food assistance (2017). In addition there are
neighborhoods that lack access to healthy and affordable foods. The community and the
government need to work together in order to better serve the people and households that lack
Food insecurity makes a significant impact on the health of human beings. Unhealthy
food choices are made because fast food businesses are more prevalent, cheaper than healthy
foods, and are typically located in close proximity to low-income areas. This leads to several
health problems, such as obesity, heart disease, diabetes, high blood pressure, stroke, cancer,
liver disease, asthma, arthritis, lung disease, kidney disease, stress, and depression (Institute for
Health Policy and Leadership 2017). It is important to change current policies and to create
policies that ensures all people who lack access to affordable and healthy foods to have the
ability to attain access to healthy foods. This will result in reducing food insecurity and health
Current measures that are in place to combat food insecurity in San Bernardino County
Program for Women, Infants, and Children, the Free and Reduced Lunch Program, Summer
Food Service Program, Community Action Partnership, Elderly Nutrition Program, Mobile Fresh
Bus, and various food pantries (San Bernardino County, 2017). However, flaws in the current
programs include the fact that a significant portion of food insecure populations are not taking
part in them. According to the Institute for Health Policy and Leadership, 20% of people who
were eligible for CalFresh in 2013 weren’t participating in it, and although school lunch
Policy Brief on Food Insecurity Among Low-Income Populations in San Bernardino County 5
programs reach 75% of eligible children during the school year, those programs only reach 6%
of eligible children during the summer (Institute for Health Policy and Leadership, 2017).
Also, programs have eligibility requirements that exclude certain people from their
program, such as the Elderly Nutrition Program, which caters to the elderly population, as well
as WIC, which only provides assistance to women, infants, and children that must be in a
household with a certain income threshold. This means that struggling families or individuals
that do not fall within that income threshold would not be able to receive aid. The challenge lies
in making sure that everyone who is food insecure has access to food, or if they have access to it,
making sure that they are aware of that access. The programs that San Bernardino County has
developed have a focus on the goal of assisting those in need of food; however, there are
implementation issues that can be altered to better help those in need of food assistance that are
not receiving food assistance. The changes needed in existing policies revolve around eligibility
regulations.
Policy recommendations
There are several recommendations for existing policies and for the development of new
policies to combat food insecurity. One important recommendation that needs to be implemented
includes improving access to healthy and affordable foods in low-income communities (San
Bernardino County, 2017). This could be through the development of more grocery stores in
low-income communities. Other measures that need to be implemented are more education of
food insecurity (San Bernardino County, 2017). Food insecurity does not merely imply being
hungry. It is the lack of consistent and dependable access to dependable food. This affects all
types of people, especially people in poverty and people in low-income areas with or without
supportive jobs. A focus of education through media and schools would be extremely beneficial,
Policy Brief on Food Insecurity Among Low-Income Populations in San Bernardino County 6
since today’s society is technologically savvy and schools is an ideal location to education
students about important topics such as food insecurity (San Bernardino County, 2017). Another
step is the efficient use of food sources to prevent food waste (San Bernardino County, 2017).
An implementation that encourages physicians to screen for food insecurity and properly
intervene in clinical settings would be helpful (San Bernardino County, 2017). Within the
referral process, the development of a Healthy Food Resource Guide in food assistance programs
and resources would be a huge step (San Bernardino County, 2017). This will allow a guide to
be involved in helping people pick the best program and resources in their circumstances. A step
that is really needed is an increase promotion of local, federally funded food assistance program
services and resources (San Bernardino County, 2017). Promotion and awareness is essential to
the programs. Many people that need assistance with food security are not aware that they are
eligible for certain programs. Reassembling Food Policy Council to raise awareness and address
food security is the final recommendation by San Bernardino County. This approaches
identifying and addressing food-related policy issues and opportunities (San Bernardino County,
2017).
Many food assistance programs are recommended to change their policies for eligibility.
In order to ensure people who need the services to have access to it, policies need to change their
eligibility standards. Some households are defined as food insecure households, however certain
policies of programs do not classify them as eligible to receive their services. Creating fairer
eligibility requirements is recommended. This is needed to help in assisting all that are in need of
access to foods. Also, there needs to be a development of policies that require grocery stores and
supermarkets to be located in close proximity to communities that lack access and for them to
provide access to affordable and healthy foods. Some communities in San Bernardino County are
geographically located in food desert areas. In these areas, there are not many reliable sources
Policy Brief on Food Insecurity Among Low-Income Populations in San Bernardino County 7
that provide essential, healthy and affordable foods for communities and households that lack
food-insecure households (Institute for Health Policy and Leadership, 2017). Stakeholders such
as the government, health care, schools, food providers, and non-profit organizations need to
unite to discover how deep food insecurity reaches into their communities and use that
information to develop a directed approach to help combat food insecurity in those areas
(Institute for Health Policy and Leadership, 2017). The Institute for Health Policy and
Leadership mentions the local data gaps in San Bernardino County of the communities that are
the most affected by food insecurity (2017). More research and data on these statistics are
Within the public health realm, there is a major concern for food insecurity. From the
sources collected, it is found that there is a disparity within the low-income populations in San
Bernardino County. It is necessary to ensure all human beings have equitable access to food. In
order to fight food insecurity, action needs to be taken. Policies need to be changed and
developed to reflect that access to food is fair to all people, specifically the low-income
References
Coleman-Jensen, A., et al. (2016). Household food security in the United States in 2015.
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Institute for Health Policy and Leadership. (2017). Issue at a Glance: Addressing Hunger in San
Policy Brief on Food Insecurity Among Low-Income Populations in San Bernardino County 8
https://ihpl.llu.edu/sites/ihpl.llu.edu/files/docs/issue-at-a-glance/food-insecurity-in-san-
bernardino-county.pdf
Mariana Chilton. (2009). A Rights-Based Approach to Food Insecurity in the United States.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2696644/
San Bernardino County. (2017). Food Security and Obesity in San Bernardino County. Public
http://wp.sbcounty.gov/dph/wp-content/uploads/sites/7/2018/01/Food-Security-and-
Obesity-in-San-Bernardino-County-2017.pdf
United States Department of Agriculture. (2018). Policy and Regulations. Food and Nutrition