Kids Eat Smart Move More Child Wellness Grant

1. Kids Eat Smart Move MoreChild Wellness Grant Arnette Cowan, MS, RD, LDN NC Division of Public Health Jason Rivas Western Michigan University April 12, 2012

2. Child Obesity Trends in NC North Carolina ranks 11th for childhood obesity in the nation (Trust for America’s Health). Over 30% of children (2-4 years) were overweight or obese in 2009 (NC Pediatric Nutrition Surveillance System).

4. Kids ESMM Grant Overview

5. Grant Components Statewide Activities Child Care Nutrition and Physical Activity Standards Educational Materials for Parents Breastfeeding Feeding Childcare Nutrition and Physical Activity Module w/Community College System Web-based Nutrition Education and physical Activity Behavior Change System

6. Grant Components Training Sub grants NAPSACC

7. Statewide Activities

8. Best Practices in Child Care Nutrition and Physical Activity Standards

11. Material Evaluation

12. Breastfeeding Friendly Child Care Collaborating with Carolina Global Breastfeeding Institute Sample breastfeeding policy 10 step checklist for child care Designation program Logo design Training

13. Ensure that all families we serve are able to properly store and label milk for child care center use. Provide a breastfeeding-friendly environment. Support breastfeeding employees. Develop a breastfeeding-friendly feeding plan with each family. Contact and coordinate with local skilled breastfeeding support and actively refer. Continue updates and learning about protection, promotion, and support of breastfeeding. Ten Steps for Breastfeeding-Friendly Child Care* *Ten Steps developed by the Carolina Global Breastfeeding Institute, UNC-CH http://sph.unc/edu/breastfeeding

14. Ten Steps for Breastfeeding-Friendly Child Care* Make a commitment to the importance of breastfeeding, especially exclusive breastfeeding, and share this commitment with fellow staff. Train all staff to promote optimal infant and young child feeding. Inform women and families about the importance of breastfeeding. Provide learning and play opportunities for children which normalize breastfeeding. *Ten Steps developed by the Carolina Global Breastfeeding Institute, UNC-CH http://sph.unc/edu/breastfeeding

15. Breastfeeding-Friendly Child Care

17. Nutrition and Physical Activity Module Partnering with the NC Community College System Best Practices in Nutrition and Physical Activity 20 hour course Target Audience – Child Care Staff

18. Best Practices in Nutrition and Physical Activity Best Practices in Menu Planning Shopping on a Budget Feeding Our Youngest Children Physical Activity for Preschool Children Implementing Best Practices

20. KidsESMM.org Modeled after www.wichealth.org Five self-help online modules Happy, Healthy, Active Children: Toddlers and Preschoolers should be allowed 60 minutes up to several hours of unstructured physical activity (or free play) each day. Toddlers should be allowed at least 60-90 minutes of vigorous activity and preschool-age children should get 90-120 minutes of vigorous physical activity each day. Fun and Healthy Drinks for Kids: Skim or 1% milk and water are the best choices. Provide water throughout the day. Try to serve whole fruits instead of 100% fruit juice when possible. Fruits and Veggies Grow Healthy Kids: Provide a variety of fruits and vegetables each day, or according to the new "MyPlate", make half their plate fruits and vegetables. Encourage serving dark green vegetables at least twice per week, orange vegetables at least twice per week, legumes at least once per week, and starchy vegetables no more than twice per week in childcare. Healthy Whole Grains: Half of all grains served to children should be whole grains. Help Your Child Make Good Eating Choices: The division of responsibility between parents (or daycare providers) and children. Adults are responsible for planning and preparing healthy meals and snacks for children. Children are responsible for deciding which of the healthy foods offered they would like to eat and deciding how much they would like to eat. Our goal is not to just feed children, but rather, to meet the child’s nutritional needs today and create positive eating habits that last a lifetime through family style dining.

21. KidsESMM.org Data collection: Time spent on site Pathway taken Which links were clicked Time spent on each link Number of comments for each link Number of times each lesson is visited Number of users in each stage of change Stage of change progressionLessons completed Survey data? Profile data (e.g., age, ethnicity, age of children)?

22. Kids ESMM Regional Trainings 6-Hour Training on Nutrition and Physical Activity Adapting NAP SACC slides Incorporating activities from recommended resources CATCH Early Childhood Active Play! Choosy Kids, etc. November 2 – Lenoir November 9 – Wilmington December 13 - Wilson

23. Kids ESMM Subgrants Promote nutrition and physical activity interventions that reflect 2011 Dietary Guidelines for Americans and IOM recommendations Technical assistance and training to child care staff Community outreach campaigns Quarterly and final progress reports

24. Funding Amounts Independents Centers - $2,500 Sponsoring Organizations of Centers – $10,000 Maximum of $2,500 per child care center Sponsoring Organizations of Homes - $5,000 Maximum of $500 per child care home Sponsoring Organizations of Centers and Homes - $15,000 Maximum of $2,500 per center Maximum of $500 per home

25. Kids ESMM County Representation 54 grants = $238,419.64 35 counties • High risk county • - County with Kids ESMM grant

26. Allowable: Food demonstrations or tastings Small exercise equipment (jump ropes, balls, cones) Nutrition training Small gardening supplies or tools Print material related to nutrition or activity Not Allowable: Reimbursable meal components Purchase of large equipment (playground or large kitchen equipment) Bulk gardening supplies Clinical assessments (blood pressure, cholesterol, height, weight, etc.) Use of Funds

27. Summary of Activities Gardening – most popular Breast feeding room In-door activity area Changed menus CATCH

28. Nutrition Curriculum /Classroom Activity 24 Grantees Color Me Healthy More than Mudpies Active Play Partner with LHD

29. Nutrition Equipment Water Dispensers

30. Menu Enhancement 8 Grantees Increasing whole grains Fresh Fruits and Vegetables Contracting with R.D.

31. Physical Activity 26 grantees Be Active SPARK Active Play CATCH

32. Field Trips 4 grantees Local Farmer’s Market Recreation centers Grocery Stores

33. Family Activity/Outreach 22 Grantees Monthly parent meetings Cooking demonstrations for families Taste Testing for families Family Fun Day

34. Breastfeeding 8 Grantees Enhance breastfeeding room

35. Kids ESMM Subgrant Proposals At least one from each

36. NAP SACC The Nutrition and Physical Activity Self-Assessment for Child Care Self-Assessment Action Planning Workshop Delivery (through CACFP training) Technical Assistance Evaluate, Revise, and Repeat Subgrantees will conduct at baseline and end of intervention

37. NAP SACC The Nutrition and Physical Activity Self-Assessment for Child Care Self-Assessment Action Planning Workshop Delivery (through CACFP training) Technical Assistance Evaluate, Revise, and Repeat

39. NAP SACC Online Workshops

40. Healthy Futures Starting in the Kitchen Issue a separate RFA Mecklenburg County (January – June, 2012) Four 8-hour courses 30 people in each class Require at least two participants from each facility Take the show on the road (July – October, 2012) Cookbook/DVD training

41. Summary of Activities Partnered with Mecklenburg Health Department and Piedmont Community College 64 facilities were selected (124 people) Provide hands on training on healthy cooking Required to come to a Building a Healthy Menu training Cookbook Development

42. Reissue of Kids ESMM RFA Institutions that submitted applications and were approved to receive grant funding from the first round of Kids ESMM RFAs are not eligible to apply for this second round of grant awards. Eligibility requirements Participate with CACFP and in “good standing”. Serve children, birth to 6 years old. More user-friendly application format To access: www.nutritionnc.com under “What’s New”.

43. Challenges Staffing Funding for Institutions RFA process Reimbursement process

44. Lessons Learned Need to work with/train child care Institutions on how to write grants Streamline RFA process