b'Serving People Where They AreConversations in most of the cafs centered on the theme of utilizing currently existing commu-nity resources and infrastructure to increase access to fruits and vegetables and share prepara-tion knowledge. Given the recent closings of grocery store chains across the region, and the lack of time and money for grocery shopping, participants explored the ideas of increasing food access via existing institutions and resources. Schools, recreation centers, after school programs, senior centers, worksites, hospitals and churches were all identified as places where people already spend their time and could be activated to provide opportunities for residents to learn more about their food choices and possibly access fruits and vegetables through farmers markets, CSAs or other dis-tribution models. Especially in the health care field, participants expressed that food and nutrition should be better integrated into every aspect, including social work, home health, and maternity and pediatric programs.Foodlinks Backpack programs and Curbside Market, small community-based farmers markets, Kids Farmers Markets, and even small-scale entrepreneurs seen selling fruits and vegetables with small carts in different neighborhoods were all cited as positive options that should be supported.QualitySeveral urban participants noted that poor quality produce in city-based grocery stores prevents them from purchasing fruits and vegetables. One participant stated he feels like a second-class citizen, when observing the produce department in a grocery store in the city. While corner stores have been encouraged recently to offer fruits and vegetables to their custom-ers, some caf participants expressed hesitation to purchase them due to cost, quality, lack of trust and sometimes simple preference. Despite this hesitation of caf participants, work conducted by Healthi Kids identified that people in neighborhoods would like to have healthier options in corner stores that demonstrate cleanliness and good customer service, and discourage loitering and crimi-nal activity. Healthi Kids has supported small retail establishments with interest in stocking healthi-er options by purchasing displays, shelving, marketing material and technical assistance on storage of perishable foods. Cost is not just a barrier for the consumers; the cost of fresh fruits and veg-etables is also a barrier for small retailers who lack the purchasing power to buy produce in bulk.Caf participants recognized that while there are many people in need in the community, options that provide fruits and vegetables to people for free or very low cost still need to offer high quality produce. Another participant stated that many people do not want charity, but that they might ap-preciate having a role in preparation or distribution of the food that they receive. Community ChampionsParticipants at many of the cafs described how they were able to change their eating habits after receiving direct advice from members of their community. While medical professionals often advise people to lose weight and exercise more, many participants who had made significant changes said that it wasnt until someone in their community or cultural group could demonstrate the process and the effects of healthier lifestyles that they were able to make changes themselves. Feedback from medical providers at Highland Hospital also noted that people participating in nutrition classes are often able to learn better from their peers than from medical professionals alone.These insights point to the need for culturally competent health messaging from leaders in commu-nities. One of the cafs was comprised of women who participate in the Interdenominational Health Ministry Coalition, a group of church members working to bring health messaging to churches. The participants provided examples of small changes made within their church communities to im-prove health, such as serving healthier meals and goal setting activities. Another group shared this sentiment, by saying that people identify with someone from their own community, more than just hearing what the research shows.25'