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Improving Food and Physical Activity Environments: What Local Health Departments Can Do. Statewide Public Health Department Meeting (Annual Conference of the California Network for Healthy, Active Families) August 9, 2006 Kate Clayton, MPH, Chronic Disease Prevention Program Director

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Improving food and physical activity environments what local health departments can do

Improving Food and Physical Activity Environments: What Local Health Departments Can Do

Statewide Public Health Department Meeting (Annual Conference of the California Network for Healthy, Active Families)August 9, 2006

Kate Clayton, MPH, Chronic Disease Prevention Program Director

Tanya Henneman, PhD, Senior Health Management Analyst

City of Berkeley Public Health Division

[email protected] (510) 981-5314

[email protected] (510) 981-5351

Public Health Services


Socio ecological approach to public health services
Socio-Ecological Approach to Public Health Services

  • Individual

  • Social/Groups

  • Community

  • Institutional/Organizational

  • Policy/Environmental


Successful Nutrition and Physical Activity Environmental Strategies Utilized by Local Health Departments

Note: These examples are being used by many health departments through out California.

  • Assessing what is currently being done

  • How can Health Department best fill in gaps with resource limitations – CNN limitations, General Funds, Grants

  • Health Department provides outreach and education for most strategies


Successful environmental strategies utilized by local health departments increasing food access
Successful Environmental Strategies Utilized by Local Health DepartmentsIncreasing Food Access

  • Grant writing assistance for neighborhood produce stands/mini-farmers’ markets

Farm Fresh Choice


Successful environmental strategies utilized by local health departments increasing food access1
Successful Environmental Strategies Utilized by Local Health DepartmentsIncreasing Food Access

  • Mini-grants for salad bars at Senior Centers

  • Contracts to increase fresh produce in liquor stores/corner markets

  • Work with School District to bring breakfast to Alternative High School


Successful environmental strategies utilized by local health departments producing food locally
Successful Environmental Strategies Utilized by Local Health DepartmentsProducing Food Locally

Support of community and neighborhood gardens

Spiral Gardens Urban Garden Center

  • A Collective Food Production Garden

  • Organic Urban Nursery

  • Low-Cost Organic Produce Stand

  • Outdoor education site


Successful environmental strategies improving physical activity environments
Successful Environmental Strategies DepartmentsImproving Physical Activity Environments

Work with Community Residents/Groups

  • Partnering with Parks and Recreation Departments in Cities Ex: Mini-grants, walking clubs

  • Partnering with Planning Departments in Cities and Counties Ex: General Plan, zoning, etc.

  • Partnering with Transportation Departments in Cities and Counties Ex: Grants for pedestrian/bicycle improvements


Successful environmental strategies changing the built environment to increase physical activity
Successful Environmental Strategies DepartmentsChanging the Built Environment to Increase Physical Activity

Bay Area Regional Health Inequities Initiative (BARHII) – 9 Bay Area Health Departments

  • Built Environment Work Group

  • Built Environment training for Public Health staff

  • Association of Bay Area Governments (ABAG) to provide public health perspectives on regional planning addressing land use, housing, environmental quality, and economic development.


Successful environmental strategies creating small scale supportive environments
Successful Environmental Strategies DepartmentsCreating Small Scale Supportive Environments

Creating small scale environments to support Healthy Eating and Physical Activity

  • New Pilot Project funded by Robert Wood Johnson Foundation

  • Work with a City Recreation Center on a full spectrum of activities: vending machine policy, weekly produce stand, weekly takeout meal, senior volunteers leading/teaching physical activities, training staff in promoting physical activity, “Students Run Berkeley”, Dance, Dance Revolution arcade game


Berkeley environmental approaches lessons learned
Berkeley Environmental Approaches: Lessons Learned Departments

  • Access means different things to different people

  • Environmental strategies can be replicated but not duplicated

  • Environmental strategies may be driven by individuals, groups, or institutions

  • If you build it, they won’t necessarily come-must have outreach and education


Communities of excellence in nutrition physical activity and obesity prevention cx 3
Communities of Excellence in Nutrition, Physical Activity and Obesity Prevention (CX3)

What is CX3?

  • A framework developed by the California Nutrition Network for evaluating communities in relation to a variety of community indicators and assets related to obesity prevention

  • Currently being piloted at a few different Public Health Departments in California


Communities of excellence cx3 assessing community indicators and assets
Communities of Excellence (CX3) and Obesity Prevention (CXAssessing community indicators and assets

  • GIS Mapping Tool:

    • Creates maps using indicators such as poverty, and location of large-chain grocery stores, small corner markets, schools, parks and fast food outlets

  • Surveys:

    • Data collected on type of advertising in fast food outlets, grocery outlets and outdoor marketing

    • Data collected on availability and pricing of healthy food items in grocery outlets


CX and Obesity Prevention (CX3 map—West Berkeley

% of Hispanic pop. < 185% FPL

and grocery outlets


CX and Obesity Prevention (CX3 map—West Berkeley

% of Hispanic pop. < 185% FPL

and fast food outlets


Communities of excellence cx3 an opportunity to build youth capacity
Communities of Excellence (CX3) and Obesity Prevention (CXAn opportunity to build youth capacity

  • A great tool to engage local youth on marketing and food access issues in their community

  • Youth received trainings related to nutrition and health, administering surveys, and evaluating media messages related to healthy and unhealthy foods

  • Students from the community can contribute their own knowledge and insight about different stores and neighborhoods

  • Students will give a community presentation at the end of the summer


Communities of excellence cx3 a couple of observations
Communities of Excellence (CX3) and Obesity Prevention (CXA couple of observations

"In general, it {produce} wasn't that great. People know that corner stores don't have great produce and they don't buy it, so it stays at the store to rot. It's like a bad cycle.”

High school intern response when asked what was the overall quality of fruits and vegetables in the stores that were surveyed.

"I expected a lot more {advertising}, but there was a lot hanging from the ceilings and some on the

floors, a lot for alcohol”

High school intern response when asked about the type of advertising seen

"The corner markets were pretty expensive when it came to the grocery items compared to large chains”

Graduate student intern


Communities of excellence cx3 examples of how cx3 can be used
Communities of Excellence (CX3) and Obesity Prevention (CXExamples of how CX3 can be used

  • The maps and surveys provide hard evidence to support what departments may know intuitively about the relationship between food access, media and poverty in their community

  • An opportunity to examine cost differences and marketing strategies between small corner markets and large chain grocery outlets

  • Surveying can offer an entryway to create conversations with store owners that may be interested in working with us to make store improvements

  • Information can be used for program planning Ex. Technical assistance needed in corner markets around pricing of produce items


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