🥬 Imagine… Healing With Food, Health, and Community🥬
💡 Imagined Endstate:
A Hawaiʻi where healthcare and food systems work together — where Federally Qualified Health Centers (FQHCs) routinely connect patients to fresh, locally grown food, strengthen local farms, and rebuild food sovereignty so communities are healthier, more resilient, and better prepared for disasters.
📚 Source:
Domingo, J., Gomes, D., & Hirayama, S. K. (2025). Harvesting insights: Surveying produce access through Hawaiʻi’s FQHCs. Hawaiʻi Primary Care Association. link.
💥 What’s the Big Deal:
Hawaiʻi imports nearly 90% of its food, leaving the state with just 5–7 days of food reserves in the event of supply chain disruptions 📦. This is not just an economic vulnerability, it is a public health risk shaped by historical land-use changes and the erosion of traditional food systems 🌱.
The Harvesting Insights report shows how FQHCs are emerging as critical food security infrastructure 🏥. Across Hawaiʻi, health centers are piloting and sustaining produce programs, including vouchers, direct distribution, and food-as-medicine prescriptions, reaching hundreds of patients while improving chronic disease outcomes and overall wellbeing 🤝.
At the same time, the findings highlight uneven capacity:
🔹 Not all FQHCs currently operate produce programs 🕳️
🔹 Many initiatives rely on short-term or pilot funding ⏳
🔹 Staffing, reimbursement pathways, and long-term sustainability remain challenges 🧩
Yet the model is powerful. By linking healthcare, local agriculture, and community wellness, these programs strengthen food sovereignty, economic resilience, and disaster preparedness all at once🛡️. In a state increasingly exposed to climate shocks and shipping disruptions, food-as-medicine is not an add-on, it is essential infrastructure.
Harvesting Insights makes clear that Hawaiʻi already holds the blueprint for a healthier and more self-reliant future🌺. By scaling produce access through FQHCs, supporting local farmers, and treating food security as healthcare, Hawaiʻi can reduce chronic disease, strengthen community ties, and build resilience before the next crisis arrives. Imagine a system where healing the people also heals the land, and where food is recognized as foundational to health, dignity, and survival in island communities.
#FoodAsMedicine, #Hawaii, #FoodSecurity, #MālamaĀina, #CommunityHealth, #FQHC, #HealthEquity, #ResilientIslands,#CommunityEmpowerment, #IMSPARK,
