Skip to main content

NC State Extension

Policy, Systems, & Environmental Change Initiatives

en Español / em Português

El inglés es el idioma de control de esta página. En la medida en que haya algún conflicto entre la traducción al inglés y la traducción, el inglés prevalece.

Al hacer clic en el enlace de traducción se activa un servicio de traducción gratuito para convertir la página al español. Al igual que con cualquier traducción por Internet, la conversión no es sensible al contexto y puede que no traduzca el texto en su significado original. NC State Extension no garantiza la exactitud del texto traducido. Por favor, tenga en cuenta que algunas aplicaciones y/o servicios pueden no funcionar como se espera cuando se traducen.


Inglês é o idioma de controle desta página. Na medida que haja algum conflito entre o texto original em Inglês e a tradução, o Inglês prevalece.

Ao clicar no link de tradução, um serviço gratuito de tradução será ativado para converter a página para o Português. Como em qualquer tradução pela internet, a conversão não é sensivel ao contexto e pode não ocorrer a tradução para o significado orginal. O serviço de Extensão da Carolina do Norte (NC State Extension) não garante a exatidão do texto traduzido. Por favor, observe que algumas funções ou serviços podem não funcionar como esperado após a tradução.


English is the controlling language of this page. To the extent there is any conflict between the English text and the translation, English controls.

Clicking on the translation link activates a free translation service to convert the page to Spanish. As with any Internet translation, the conversion is not context-sensitive and may not translate the text to its original meaning. NC State Extension does not guarantee the accuracy of the translated text. Please note that some applications and/or services may not function as expected when translated.

Collapse ▲

Steps to Health is dedicated to inspiring healthier communities by shaping the environments where individuals with limited-income buy, cook, consume, and enjoy food. We support NC State Extension professionals and partners in efforts to create policies, systems, and environments (PSE) that make the healthy choice the easy choice.

Steps to Health PSE initiatives are based on many factors that influence what people eat and how they choose to be active. From access to healthy food to the walkability of communities, people adopt certain heath behaviors for a variety of reasons. 

PSE vs One-Time Events/Activities

Although one-time events and activities can lead to PSE work, for reporting purposes we look at them a little differently. PSE work is part of an ongoing project/plan that reaches the community/population level and is part of an ongoing, long-term, sustainable plan. A one-time event/activity, reaches the individual level, does not start out as part of an ongoing plan, is short-term, and not sustainable. More information on one-time events and activities can be found here.

Characteristics of a one-time event or indirect activity Characteristics of PSE Change
Individual level Community/Population level
One time Ongoing
Short term Long term
Stand alone Part of an ongoing plan
Not sustainable Sustainable

PSE Settings

PSE can be done in multiple settings including education settings, communities sites, food pantries, food retail stores, and farmers markets.

Educational Settings: Schools are a great place to create an environment that makes healthy choices easier for students, teachers, staff, and the community.

Community Sites: By working with community partners, STH is able to implement best practices to assist community sites in creating an environment that makes the healthy choices easier.

Food Pantries: Through partnership with food pantries, STH helps ensure that pantries effectively distribute food to those in need, and improve the health of their clients in the process.

Food Retail Stores: Assist food retail stores in creating an environment that makes healthy choices easier.

Farmers Markets: Contribute to thriving, inclusive, and healthy farmers market environments.

Faith-based Sites: Faith-based organizations can be strong partners in imagining and implementing policy, systems, and environmental change. Faith-based sites might include faith communities (any religious or faith tradition) or faith-based non-profit organizations.

Who qualifies for STH PSE Work

STH is funded through the USDA SNAP-Ed Program. Based on the current SNAP-Ed funding requirements, in order to qualify for STH programming, an individual or a community must qualify for SNAP benefits. At a community level, this may mean looking at the census tract data for the area or digging a little deeper into site specific information. Below is a list of how a community or a site would qualify for STH PSE work. If you are unsure if the site you are working in qualifies, please contact Tammy Brunelle.

For more information about Steps to Health PSE initiatives, contact Tammy Brunelle

Written By

Tammy Chase-BrunelleExtension Assoc Email Tammy Agricultural & Human Sciences
NC State Extension, NC State University
Page Last Updated: 1 year ago
Was the information on this page helpful? Yes check No close