ELIZABETHTOWN, Ky. – September is Hunger Action Month and this year those on the front lines, those who work to help keep Kentuckians from going hungry, are focusing on the problem's link to health.

Gary Miles sees up close how hunger gets in the way of a healthy lifestyle. He is executive director of Feeding America, Kentucky's Heartland, which distributes food to those in need in 42 counties.

He says it's vital to remind people that some of their fellow Kentuckians are sometimes living on an empty stomach.

"Aware that there really are hungry people out there, that there really are people who are going without,” he stresses. “The numbers are one in seven adults and one in five children throughout Kentucky don't always know where they're going to get their next meal from."

That's more than 700,000 Kentuckians and 42 million Americans, including 13 million children.

One of the annual efforts to raise awareness will occur on Sept. 14 when people across the nation are urged to write on an empty plate what they couldn't do, without adequate nutrition.

Miles says the state's network of food banks always strives to distribute more healthy food, but it's a funding challenge. He says about half of the 12 million pounds of food Kentucky's Heartland distributes annually is donated, much of it from large grocery chains.

"In those cases, we get what we get,” he states. “We can't go in and say, 'We'd like for you to donate more healthy food,' because they're going to donate what they've got in excess. There's a lot of snacky-type foods in that."

Miles notes government commodity foods, which make up most of the rest, add a healthier component to a food bank's distribution. And, the use of fresh produce is increasing.

Miles says the distribution center he oversees, which serves about a third of Kentucky's counties, moved 800,000 pounds of fresh fruits and vegetables during this year's growing season through the state's Farms to Food Banks program.





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Under a new project, locally sourced food is part of a food assistance program for members of the Lummi Tribe in northwest Washington.

The Food Distribution Program on Indian Reservations is a federal program providing meals in the form of commodity boxes for low income residents. But food boxes have neglected to include culturally relevant food for the diversity of reservations across the country, instead providing options like catfish and buffalo.

Lummi Nation is part of a pilot providing a locally caught option: sockeye salmon.

Billy Metteba, food sovereignty project manager for the Lummi Nation, said salmon is food his ancestors ate and members of the tribe know how to prepare, unlike buffalo.

"Shifting the mind frame, the mindset to food sovereignty, we should be in charge of saying what is appropriate for our people," Metteba asserted.

The U.S. Department of Agriculture awarded eight tribes, including the Lummi Nation, $3.5 million for a demonstration project to provide local food options to the Food Distribution Program on Indian Reservations. This fall, sockeye salmon became available for the northwest Washington tribe.

The Food Distribution Program on Indian Reservations is meant to supplement meals for participating households. However, a 2016 study found the program was the sole or primary source of food for 40% of those households.

Jake Garcia, public policy manager for Northwest Harvest, said many folks from the Lummi Nation have spoken to his organization about the program's inadequacies.

"The economic insecurity that they experience, the food insecurity certainly; all these different pieces are indicators for economic success," Garcia explained. "They're directly tied to your food and so when that program is insufficient and not meeting the needs of the folks on the reservation, that's a real problem."

But Metteba acknowledged the allowance for more locally sourced foods in the program is a good sign.

"When they funded this program it's like giving us access to go out and harvest our own food that we've always harvested for as long as I can remember, for as long as my grandparents can remember," Metteba emphasized. "It's important that we pass this down to our kids because without this, without fighting for something, it eventually will be lost."

The original demonstration project was funded through the 2018 Farm Bill. Tribal leaders across the country hope lawmakers in Congress will broaden the project in the 2023 Farm Bill.

San Diego may seem like a wealthy area, but the mountain communities in the eastern part of the county still struggle with hunger and poverty.

Now, a new $100,000 grant from Save the Children's Innovation Lab will fund the development of a program to mailboxes of shelf-stable food to low-income rural families, starting next year.

Anahid Brakke, president and CEO of the San Diego Hunger Coalition, said the program has been a big hit in other communities.

"The parents said, 'It's like Christmas.' The kids feel like it's Christmas, you know, they get this food box; you know, it's for them," Brakke explained. "It really helps supplement the whole household."

A team from the San Diego Hunger Coalition is at Baylor University in Waco, Texas, this week to learn best practices from other communities. The funds will also be used to train community health navigators who can help people sign up for programs like CalFresh and WIC.

Esther Liew with Save the Children says food boxes that arrive by mail provide rural communities greater access to nutritious food.

"There's little public transportation in rural communities, meaning that they then have limited access to grocery stores and places where they can get fresh and nutritious foods," Liew pointed out. "That makes it really difficult to provide the food that they need for their children and their family members."

Hunger Coalition data showed about 35% of children in the Mountain Empire region live in poverty, which is nearly triple the rate for the rest of San Diego County.

In a recent community food survey of local residents, almost three-quarters said they would run out of food at some point in the last 30 days and did not have the resources to buy more.

One North Carolina Housing Authority in Robeson County has plans to launch a mobile "pay-what-you-can" food bus loaded with fresh fruits, vegetables and other foods that will serve families lacking transportation. The pilot program is one of a handful across the country to receive a $100,000 dollar grant from Save the Children's Rural Child Hunger Research and Innovation Lab to tackle rural hunger.

Colton Allen Oxendine, resident services director with the City of Lumberton's Housing Authority, said many residents have to walk miles to the nearest grocery store because they have no transportation.

"So this bus is going to reach well over 3,000 to 5,000 people," he said. "The goal is to make this a success."

He said residents will be able to use debit, credit, food stamps and whatever cash they have on hand at the mobile bus, and added he expects the program to be up and running by August. According to data from UNC-Chapel Hill, more then 30% of kids living in Robeson County live in food-insecure homes.

Allen Oxendine said many housing authority residents persist largely on processed, unhealthy foods.

"A lot of them resort to the smaller stores like gas stations, Family Dollar, Dollar General. We all know they do not carry fresh fruit and vegetables," he said.

Esther Liew, Lead Associate for Food Security Projects with Save the Children, said solutions to stop child hunger must come from within rural communities.

"What we're hoping is that they will be able to develop ways of working that maybe look a little bit different from how these similar types of programs would work in urban settings, so that we can help them to develop solutions that are specifically for rural contexts," Liew said.

A recent survey by Save the Children and the Child Action Network found 77% of rural parents report being worried they might not be able to afford enough food to feed their family.