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Objective:

To utilise a community-based participatory approach in the design and implementation of an intervention targeting diet-related health problems on Navajo Nation.

Design:

A dual strategy approach of community needs/assets assessment and engagement of cross-sectorial partners in programme design with systematic cyclical feedback for programme modifications.

Setting:

Navajo Nation, USA.

Participants:

Navajo families with individuals meeting criteria for programme enrolment. Participant enrolment increased with iterative cycles.

Results:

The Navajo Fruit and Vegetable Prescription (FVRx) Programme.

Conclusions:

A broad, community-driven and culturally relevant programme design has resulted in a programme able to maintain core programmatic principles, while also allowing for flexible adaptation to changing needs.

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Implementation of the Navajo fruit and vegetable prescription programme to improve access to healthy foods in a rural food desert

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Implementation of the Navajo fruit and vegetable prescription programme to improve access to healthy foods in a rural food desert