Background
In Kentucky, Michelle Howell and her team at Need More Acres source fresh food directly from small-scale farmers and distribute it through FIM programs. Early on, they experimented with centralized pick-up sites at farmers’ markets and health departments. Redemption rates at those sites hovered around 65%, limiting both the financial sustainability of the program and the health benefits for participants.
Intervention
To address this barrier, Howell transitioned all programs to a home delivery model. Deliveries are staffed by driver and occasionally supported by dietetic interns. Routes are designed to cover large geographic areas efficiently, including rural communities and counties with the highest needs.
Outcomes
The results of this shift were clear:
Higher Uptake
Home delivery ensured nearly 100% redemption of food boxes, compared to 65% when pick-up was required.
Improved Financial Viability
With guaranteed redemption, the program generated more revenue, offsetting the additional delivery costs. Howell also shared that the predictability of full uptake simplified budgeting.
Better Health Outcomes
By removing barriers like transportation and scheduling conflicts, participants consistently received and used the food, which translated into healthier diets. In addition, program cohorts, such as groups of pregnant women, benefited from peer support, sharing recipes and updates.
Community Engagement
The delivery model created new opportunities for connection. High school co-op students participated as drivers, some staying on in permanent roles after graduation, while dietetic interns joined community rotations and health council meetings to stay engaged with participants. For many seniors in the program, home delivery became more than just receiving a food box. They looked forward to weekly visits from program staff, enjoying the chance to chat and connect.
Lesson Learned
For FIM programs, the added cost of home delivery is justified. Ensuring full redemption can create greater financial sustainability and increase the likelihood that participants consume the nourishing food they need. The Kentucky experience demonstrates that delivery is not only a logistical choice, but a strategic investment in both program success and community well-being.