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.
Keywords: American Indian; Food access; Food assistance; Fruits and vegetables; Low income.