All people in North Carolina have equitable access to affordable, nutritious, culturally appropriate foods.

Why Is This Important?

Good nutrition is essential for mental and physical health. Limited access to healthy food has been linked to obesity, cardiovascular conditions, nutritional deficiencies, and other preventable causes of disease and death. HNC 2030, p. 56

Story Behind the Curve

In North Carolina, 7% of people with low-income live more than one mile away from a grocery store in metropolitan areas or more than 10 miles away from a grocery store in rural areas (2015) making North Carolina ranked 26th among US states with limited access to healthy foods. More than 500,000 residents live in one of the 340+ “food deserts” or areas with limited access to healthy foods. Race and income level affect likelihood of living in a food desert and the grocery stores in those communities often have fewer options or higher prices for healthier foods compared to stores in wealthier areas. The current percent of the population with limited access to healthy food has remained steady at 7% for the last five years. The state goal is to reduce this to 5% within the next 10 years. HNC 2030 pp. 56-57

Partners
American Heart Association
https://www.heart.org/en/healthy-living/healthy-eating/fighting-food-insecurity
BlueCross BlueShield of North Carolina Foundation
https://www.bcbsncfoundation.org/
Carteret Local Food Network (CLFN)
https://www.carteretlocalfoodnetwork.org/
Center for Environmental Farming Systems
https://cefs.ncsu.edu/food-system-initiatives/local-food-economies/infrastructure-map/
Child and Adult Care Food Program (CACFP)
https://www.fns.usda.gov/cacfp
Community Food Strategies
https://communityfoodstrategies.org/
Communities In Partnership
https://communitiesinpartnership.org/
Duke Sanford World Food Policy Center
https://wfpc.sanford.duke.edu/research
Durham’s Innovative Nutrition Education (DINE)- North Carolina State Supplemental Nutrition Assistance Program Education (SNAP-Ed)
https://snaped.fns.usda.gov/state-snap-ed-programs/north-carolina
Farmers’ Market Nutrition Program (FMNP)
https://www.nutritionnc.com/wic/fmarket.htm
Feast Down East
https://www.feastdowneast.org/
Feeding the Carolinas
https://feedingthecarolinas.org/
Green Rural Redevelopment Organization (GRRO)
https://www.conservationfund.org/projects/green-rural-redevelopment-organization
Guilford College Mobile Oasis Farmers Market
https://guilfordmobileoasis.com/
Inter-Faith Food Shuttle
https://www.foodshuttle.org/
Meals on Wheels North Carolina
https://www.mealsonwheelsamerica.org/about-membership/state-associations/north-carolina
NC Council of Churches
https://www.ncchurches.org/
NC State Cooperative Extension
https://www.ces.ncsu.edu/categories/agriculture-food/local-foods/
NC State University Institute for Emerging Issues
https://iei.ncsu.edu/
North Carolina Alliance for Health (NCAH)
https://www.ncallianceforhealth.org/healthy-food-access/
North Carolina Department of Agriculture & Consumer Services
http://www.ncagr.gov/
North Carolina Local Food Council (NCLFC)
https://www.nclocalfoodcouncil.org/
Reinvestment Partners
https://reinvestmentpartners.org/
Senior Farmer’s Market Nutrition Program (SFMNP)- USDA Food and Nutrition Service
https://www.fns.usda.gov/sfmnp/senior-farmers-market-nutrition-program
The Corner Farmers Market/The Grove Street People’s Market
Green for Greens Fund
https://green4greens.org/markets/
The Food Bank of Central & Eastern North Carolina
https://foodbankcenc.org/
UNC Center for Health Promotion and Disease Prevention
https://hpdp.unc.edu/research/healthy-food-access/
What Works
  • Expand transit options in rural and lowincome communities
  • Increase access to healthy foods in childcare, schools, churches, workplaces and other community-based settings
  • Increase technological support for eWIC payments
  • Increase technological support for SNAP EBT payments at food retailers
  • Support nonprofit grocery stores working to meet the needs of residents of food deserts
  • Support school-based meal programs
  • Support tax-incentive programs designed to encourage grocery stores and farmers markets to move into food deserts
Description of Indicator Data

County Health Rankings and Roadmaps - United States Department of Agriculture (USDA) *Should not compare ranked data from year to year

Additional Data Needed at Local Level

DHHS, in partnership with a diverse set of stakeholders, developed a standardized set of SDOH screening questions to address and acquire data on the following:

  • Food insecurity
  • Housing instability
  • Lack of transportation
  • Interpersonal violence

https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/screening-questions

Measures
Time
Period
Current Actual Value
Current Target Value
Current
Trend
Baseline
% Change
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy