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Welcome to our Produce Prescription Pilot Program (P4), where we’re sowing the seeds of Indigenous Knowledge to develop lifeways to support Native Food Sovereignty movements to improve food security and health outcomes through incorporating Indigenous culture, food, nutrition, land management, and regenerative agriculture throughout Michigan tribal communities.
In a collaborative approach, the Michigan Department of Health and Human Services (MDHHS) Office of Policy and Planning has partnered with four Michigan Native American Tribes to support a Produce Prescription Pilot Program (P4). With an emphasis on food sovereignty, this community-led intervention is part of the greater SDOH Strategy to improve health outcomes for priority populations throughout the state of Michigan. Developed through the pursuit of community-sufficiency, and rooted firmly in the principle of cultural competence, the P4 Project aims to tackle nutrition-related health disparities in Michigan Tribal communities.
Program Objectives:
1. Reduce Food Insecurity.
2. Improve overall dietary health by increasing fruits, vegetables, and traditional food consumption.
3. Improve health outcomes for tribal communities in Michigan with a return to practices that have been passed down through generations.
Produce prescription programs help individuals and families who are experiencing food insecurity—or diet-related health problems—more easily obtain fresh fruits and vegetables by receiving a “prescription,” often in the form of a voucher, for produce from a health care provider. These programs allow us to ensure that we have culturally appropriate food available to address food insecurity with an emphasis on local, community-centric solutions.
Food Sovereignty is about re-introducing traditional processes of food production and practices that have existed for millennia throughout Indigenous nations. The P4 Project promotes the reclamation of tribal autonomy and restoration of indigenous foodways.
The P4 Inter-Tribal Consortium of Michigan (P4-ITC) was formed in June of 2023.
Members of the Inaugural P4 Inter-Tribal Consortium (P4-ITC) which launched in 2023 include: Tribal Seals
A key element to this collaborative initiative is that each Tribal community designed a P4 project that works for them, by them. This intentional approach ensures the preservation of Tribal autonomy and promotes the use of traditional foods and methods to address food security needs. This approach has allowed MDHHS to work alongside these Tribal communities to develop sustainable strategies to support statewide food security efforts. Funding for programming and training helped build infrastructure and sustainability of programming and educational opportunities to the community.
MDHHS continues to work with four tribal governments to co-develop a framework for produce prescription programs. The P4 Project provides the opportunity for tribal governments to learn from one another while maintaining autonomy. MDHHS serves as a neutral convenor to support collaboration and provide technical assistance as requested.
Through the SDOH Strategy, the MDHHS Policy and Planning Office is providing supplemental funding to extend existing P4 Project efforts. This current state-funded grant period is March 1, 2024, through September 30, 2025.
Current P4 Project FY24-25 Tribal Partners: Tribal Seals
MDHHS considers the entire well-being of both individuals and communities, including social and environmental factors to help people feel healthy and safe. They support policies and programs to ensure everyone has access to medical care when they need it and that families have the support they need to thrive. The P4 Project aims to close the disparity gap in food security and diet-related poor health outcomes among tribal communities—MDHHS is working with diverse partners to promote the importance of culturally appropriate solutions to support food security.
As a result, the P4 Project will:
Michigan Indigenous communities are empowered agents of change, actively shaping a brighter future for themselves, reclaiming their culture and traditions.