Farm-to-table for the youngest Rhode Islanders

The Little Harvest Produce Box program is delivering fresh, locally grown produce to Rhode Island child-care centers to increase access to nutritious food and encourage healthy eating habits in young children, one box at a time.

Rhode Island reports the highest levels of childhood poverty in New England, with an estimated 27,000 children affected. Meanwhile, the federal budget reconciliation bill passed in July is slated to cut funding for the Supplemental Nutrition Assistance Program (SNAP) and the National School Lunch Program, potentially affecting about 144,000 RI residents and 76,000 RI school children, respectively.

An effort to address the nutritional needs of Rhode Island children, the Little Harvest Produce Box program is delivering locally grown fruits and vegetables to child-care programs in high-poverty RI neighborhoods. The goal of the pilot project is to help increase access to healthy, fresh foods and to support healthy eating habits.

Little Harvest is a collaborative effort between Alison Tovar, associate professor of behavioral and social sciences and interim director of the Center for Health Promotion and Health Equity (CHPHE) at the Brown University School of Public Health; Sarah Blau MPH ’23, nutrition coordinator at the Rhode Island Department of Health; and colleagues at Farm Fresh RI, the URI SNAP-Education program and the Southside Community Land Trust.

The Little Harvest Produce Boxes began being delivered last May and will run until the end of September. We spoke with Professor Tovar, who was involved in the design and conceptualization of the program and is responsible for evaluating its effectiveness. 

Walk us through the initial vision for the Little Harvest program and how it came together.

I've been working within early care and education for years, conducting research to understand how to implement policy, systems and environmental changes in these settings to improve nutrition outcomes.

A few years ago, when Sarah Blau was a Master’s student at Brown, she did her thesis with me on a different topic—examining the lived experiences of stigma, mistreatment and fear among families using federal food assistance programs. Her work offered important insights into how structural and interpersonal discrimination shape food access and utilization, deepening her understanding of the complexities of food insecurity.

Not long after, the Department of Health applied for and received a Centers for Disease Control grant through the Healthy Eating and Active Living Program. The goal was to make nourishing food and active living more accessible and affordable for all Rhode Islanders. One component of that grant focused on farm-to-early-care-and-education.

Because I was already working in this area, I connected with Randi Belhumeur, program administrator at the Rhode Island Department of Health, who was just starting to develop this part of the grant. They needed a nutrition coordinator, and Sarah’s expertise in food security and her experience working with diverse communities made her an ideal candidate. She’s been leading much of the farm-to-early-care-and-education work since then.

As part of the early phase, we conducted a landscape assessment to understand what was already happening in child-care centers and family-run child-care homes—whether they were getting local fruits and vegetables, and if they were doing any food-related education.

On the evaluation side, I helped lead a statewide survey of providers to gain a clearer picture of current activities. The survey revealed that while over half of programs serve some local food, most are unfamiliar with farm-to-early-care-and-education, and many face barriers such as cost, quality and vendor access—yet nearly 80% expressed interest in expanding these activities.

We also launched a “community of practice," housed within the Rhode Island Farm & Sea to School Network, to bring together child-care providers, state government and community-based organizations to think about how to adapt successful farm-to-school efforts to younger kids. Up until this point, Rhode Island Farm & Sea to School has focused on K-12. Rhode Island’s new body of work with the CDC funding provided the capacity and expertise needed to expand into early care and education settings. In addition to sharing strategies, we discuss ongoing activities, collaborate on improvements and hear directly from the community about their needs and ideas.

This momentum led Sarah to write a smaller grant using CDC Preventative Health and Health Services Block Grant funds to pilot what became the Little Harvest Produce Box. We partnered with Farm Fresh Rhode Island, SNAP-Ed at the University of Rhode Island and South Side Community Land Trust to get local produce into family child-care homes and centers.

So that’s the origin story—it’s been building piece by piece from that larger CDC grant.

Farm-to-school is already strong in Rhode Island, but younger children have been left out.

Alison Tovar Associate Professor of Behavioral and Social Sciences and Interim Director of the Center for Health Promotion and Health Equity
 
Professor Alison Tovar smilies

How did the program come to focus on specific neighborhoods and child-care centers? 

Access and affordability are always barriers to fruits and vegetables, and prices are especially high right now. That was a key motivator for focusing on higher-poverty areas.

The other factor was logistics. Farm Fresh Rhode Island had to be able to deliver within a manageable radius. Since this was a pilot, we couldn’t go too wide. So we focused on Central Falls and Pawtucket.

What kinds of responses have you seen so far from educators and families?

We’re still in the middle of the pilot—it officially ends in late September. We did a midpoint survey a few weeks ago and the response has been overwhelmingly positive.

Child-care providers really appreciated having fresh, local produce. Most were using it for taste testing with kids. Each box includes educational materials and activity ideas. The goal is early exposure—introducing kids to vegetables they may never have tried before, like mushrooms or spinach.

Kids were encouraged to engage their senses—smelling, looking, touching—and learning where food comes from. That educational piece has been important.

Some providers said they had more produce than they could use, which is useful feedback for adjusting quantities. In most cases, the extras were given to families, which is great. But yes, one provider mentioned getting “too many greens” in one week. We can’t control what farmers are harvesting, so there’s always a bit of unpredictability.

What have been some of the biggest challenges in implementing and scaling the program?

We’re hoping to scale the program, but funding is uncertain—especially with recent federal cuts. The biggest challenges so far have been logistical—communicating with providers, for example. We used a text-based platform but it had some issues.

Figuring out the right amount of produce per provider was another challenge. We tried to scale it based on the number of kids, but some still received too much.

Enrolling providers was tough at first, too. Child-care providers, especially those running family-care homes, are often overwhelmed—they work long hours, wear many hats and are under a lot of stress. So asking them to take on something new, even if it’s beneficial, can be a big ask. We found making the program as light a lift for them as possible helped with buy-in.

What are your plans for the program beyond September? 

We hope to extend and expand the program. Sarah had secured additional block grant funding, but that’s uncertain at the moment. It’s also unclear if the larger CDC grant (which was intended as a 5-year program) will be renewed. In addition, SNAP-Ed funding has been cut, and we are looking for ways to help sustain their important efforts.

For now, it’s still a small-scale pilot, but we’re exploring other funding options—possibly applying for an NIH or USDA grant—to keep it going and to expand.