How a Health Clinic Made a Local Grocery Store Part of Its Prescription

Sue Joss and Jason Barbosa might seem to be unlikely economic development partners. She is the veteran CEO of a major nonprofit health care provider in Brockton, Massachusetts, just south of Boston. He is the operations manager of a family-run grocery company launched by his immigrant father in the same working class city.

Was there a way they could create jobs, grow their local economy, and reduce blight?

They come from different backgrounds, operate different business models, and manage different financial pressures. But they have a common customer base that includes a large number of low-income residents, many of whom grapple with chronic health conditions.

Three years ago, they began to talk: Was there a way they could create jobs, grow their local economy, and reduce blight, all while helping people live longer and healthier?

Their answer to the question sits at the corner of Pleasant Street and Warren Avenue on a commercial site that had been abandoned for the last 22 years.

Joss and Barbosa led the side-by-side development of a new Brockton Neighborhood Health Center (BNHC) and a new Vicente’s Tropical Supermarket. Opened in 2015, they are connected both physically and programmatically by a shared purpose: to help people eat better.

Together, BNHC and Vicente’s tapped into a complex mix of public, private, and philanthropic funding to help open the doors, including $12 million assembled from the Local Initiatives Support Corporation’s (LISC) national lending pool and Healthy Futures Fund. The project had strong support from local policymakers and community leaders, but nothing would have happened had Joss and Barbosa not spent many hours talking, planning, and driving it forward.

The thinking behind the partnership was basic: Good nutrition is a critical component of good health. Indeed, with nearly one in four Brockton residents living in poverty—along with high rates of diabetes and obesity, and a population of immigrants and first-generation residents for whom food is a cultural touchstone, it would be difficult to tackle chronic health conditions without a focus on food.

“We’ve seen for years what happens in a nutritional food desert: people become sicker as they age than they otherwise would.”

“We’ve seen for years what happens in a nutritional food desert: people become sicker as they age than they otherwise would,” said Joss, long-time CEO of BNHC. “Our goal was to identify ways to expand access to fresh, affordable food in Brockton, to offer solid nutritional information so people can make smart choices, and to teach people how to cook in ways that protect their traditions but help them eat better.”

The result is a level of community outreach and on-site education built on the expertise of both BNHC and Vicente’s. The health center offers a range of primary care, urgent care, dental, vision, and mental health services, along with teen programs and nutrition counseling. Clinicians write “veggie scripts” for patients as part of efforts to promote heart health and weight reduction. They urge patients to enroll in free nutrition and cooking classes, taking advantage of an on-site demonstration kitchen. Guided supermarket tours help people better understand nutrition labels and make healthy ingredient substitutes. In addition, the store is testing incentive programs that both encourage healthy choices and keep food affordable.

“We’re focused on ‘fresh’ when it comes to our market and making a difference in the community,” said Barbosa, whose family has a long history in the supermarket business. “Knowing we could inspire more people to eat fresh, healthy food made this partnership worthwhile.”

Joss and Barbosa also recognized the potential economic impact of their partnership: some 200 jobs for people in the surrounding community, from health professionals to retail clerks to administrative staff. “People see that there is work and there is hope and we can grow with that in the future,” Barbosa said.

It remains to be seen whether this joint effort will significantly shift long-term health trends in Brockton. The two businesses have had their doors open for just a few months, so programming will continue to evolve based on local needs. But the immediate impact on this community is clear: a vibrant commercial corner is helping push out blight and crime in favor of health-focused products and programs that benefit nearby residents—we call that success.

As is often the case in community development, the most successful programs and projects are those that rise up from the ground level, from a deep understanding among residents and local leaders about what their neighborhoods need. Brockton is another example that proves the point.


Text re-posted by permission from Yes! magazine. This article was originally published in the Shelterforce blog and appeared in the April 19, 2016 issue of Yes! Home page image: Aproximando Ciencia e Pessoas.


About the Lead Author

Bob van Meter
Bob van Meter
Bob van Meter has served as executive director of Boston LISC since March 2008. Previously, he was the executive director of the Allston Brighton Community Development Corporation from 1993 until 2008, and a project manager and real estate director at the Fenway Community Development Corporation before that. He helped to develop the New View co-housing community outside of Boston where he has lived with his family for fourteen years. He is a graduate of the University of Chicago where he studied anthropology.

The Latest

Drawing from Indigenous Wisdom: Centering Life in Society & Economy

Building a "next system" to supplant the current systemic drivers of our economic and political crises should include the...


More Articles Like This