Certified Safe Farm Implementation in North Carolina: Hazards, Safety Improvements, and Economic Incentives.

OBJECTIVES: Certified Safe Farm (CSF) is a multimodal intervention composed of four components: safety, health, education, and economic incentive. North Carolina has conducted the largest implementation of CSF outside of the Midwestern United States where it was developed. This paper describes the Efficacy dimension of the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework for the implementation of CSF in North Carolina during 2009-2012 on 113 farms in a three-county, highly productive and diverse agricultural area.

METHODS: Using descriptive statistics, analysis of variance, correlational analyses, and logistic regression, quantitative data were examined from on-farm safety reviews, as well as primary operators' use of cost-share funds as an economic incentive (34% participation) to make identified safety and health improvements on the farm.

RESULTS: Overall farm safety review scores were generally high (96% passing rate). Category scores revealed hazards in seven key categories: Chemical Storage; Tractors; Machine Shop, Repair Area; Gravity Flow, Auger, and Forage Wagons; Portable Augers; Dairy and Beef Structures; and Swine and Poultry Structures. The cost-share economic incentive component was utilized in addressing hazards in five of these categories, as well as in nine others. The average per farm cost-share reimbursement was $3,276, with a median of $1,615. In total, an investment of $255,307 (farmer investment plus incentive) was made in safety and health improvements on farms (n = 38). Correlation and logistic regression analyses revealed no significant relationships among scores, cost-share investments, and selected farm demographics.

CONCLUSION: Findings suggest the 50% cost-share for safety and health improvements is a promising economic incentive model for CSF implementation.