Impact of a Fruit and Vegetable Prescription Program on Health Outcomes and Behaviors in Young Navajo Children

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Navajo Fruit and Vegetable Prescription (FVRx) program provided culturally tailored nutrition education, healthcare engagement, and financial incentives (fruit and vegetable vouchers) to encourage healthier dietary behaviors.

There were a significant increase in fruit and vegetable consumption (from 5.2 to 6.8 servings per day, p < 0.001) and a reduction in food insecurity (from 82% to 65%, p < 0.001).While no significant BMI changes were observed in the full cohort, 38% of children classified as overweight or obese at baseline achieved a healthy BMI z score by program completion (p < 0.001).

65% of children remained in the program until completion, indicating structural challenges such as transportation barriers and food access limitations.

Summary of Conclusion/Findings

The Navajo Fruit and Vegetable Prescription (FVRx) program effectively increased fruit and vegetable intake, improved food security, and supported weight improvements in high-risk children, reinforcing the value of produce prescription programs in indigenous and food-insecure communities. However, structural barriers such as transportation and food access challenges highlight the need for ongoing program adaptations and expanded community support to maximize long-term engagement and impact.