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Local Capacity Building for Policy and Environmental Changes. State Panel: Colorado, Massachusetts, North Carolina, Wisconsin March 18, 2010 10:30-12:00. Today’s questions…. State Role

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Local capacity building for policy and environmental changes

Local Capacity Building for Policy and Environmental Changes

State Panel:

Colorado, Massachusetts, North Carolina, Wisconsin

March 18, 2010

10:30-12:00


Today s questions
Today’s questions…

State Role

  • 1A. What is your state program’s role in building capacity in local communities for policy and environmental changes?

    CO, MA, NC, WI

  • 1B. What have been the most effective capacity building efforts you’ve accomplished?

    MA & NC


Today s questions1
Today’s questions…

Community Planning Strategies

  • 2A. What are effective strategies to help communities form action groups or coalitions?

    CO & MA

  • 2B. What advice do you have for helping communities tailor their assessment, action planning, and reporting efforts?

    NC & WI

    Program Integration

  • 3. In what ways has the CDC integration pilot help you build and support community capacity?

    CO & WI


State role
State Role

1A. What is your state program’s role in building capacity in local communities for policy and environmental changes?


We re in this together colorado s capacity building efforts

We’re in this together: Colorado’s Capacity Building Efforts

Eric Aakko, COPAN Director


Mass in motion

Mass in Motion

Maya Mohan, MPH, PAPHS

MA Department of Public Health


Mass in motion our goals
Mass in Motion: Our Goals

Goal #1: Decrease the number and percentage of

both adults and children who are overweight and

Obese in Massachusetts

Goal #2: Decrease the prevalence of chronic

disease associated with unhealthy eating and lack

of physical activity


Our objectives
Our Objectives

Make the promotion of wellness and the prevention of overweight and obesity a top public health priority

Create conditions that encourage, nurture, and promote wellness


Call to Action + Burden documents

Statewide Regulations

Calorie Posting

BMI in Schools

60 minutes of PA in childcare sites

Executive Order 509: Healthy Food Procurement

Supporting legislation

Statewide Communications Campaign

Social Media Outlets

Expansion of Worksite Wellness Initiative

Municipal Wellness and Leadership Grants

Mass in Motion

Mass in Motion


Municipal wellness leadership grants a public private partnership
Municipal Wellness & Leadership Grants: A Public - Private Partnership

A unique partnership of 5 foundations and an insurer with MDPH

Grants to municipalities

to create a sustained approach for active living and healthy eating by initiating or expanding policy, systems, and environmental change approaches


The state s role in municipal wellness and leadership
The State’s Role in Municipal Wellness and Leadership

  • Grantmaking/Grant Administration

    • Planning and Implementation Grants

  • Program Management

    • Infrastructure

    • Report Writing

    • Communications

  • Building Community Capacity

    • Trainings

    • Technical Assistance

    • Community Visits

    • Information & Resource Dissemination

  • Sustainability

  • Evaluation


Program management
Program Management

  • “TA Workgroup”

    • Membership:

      • DNPAO Program Staff

      • MDPH Community Liaisons

      • Health Resources In Action, Inc.

      • MA Municipal Association

      • MA Association of Health Boards

      • MDPH Office of Healthy Communities

      • * Looking to expand to include other state agencies

    • Role:

      • Develop (coordinate) content, format, frequency of TA + Training

      • Maintain communication between grantees, MDPH, Funders


Assessment

Capacity

Assess policy, systems, environmental approaches

Sustainability &

Cultural Competence

Monitor, evaluate, and improve efforts

Mobilizeand/or build partnership capacity to address needs

Implement policy, systems, environmental approaches

Develop

Community Action Plan

Implementation

Planning

Building Community Capacity

Evaluation


Building community capacity
Building Community Capacity

  • 3 Trainings per year

    • Year One: Skill building (partnership development, CHANGE, action plan development)

    • Year Two: Specific content areas (to be based on strategies selected by communities)

  • Monthly (90 minute) networking teleconferences

  • Annual community visits

  • Community Liaison relationships

  • Information Dissemination/Building a Learning Community

    • Google Group


State role1
State Role

1B. What have been the most effective capacity building efforts you’ve accomplished?


Call to Action + Burden documents

Statewide Regulations

Calorie Posting

BMI in Schools

60 minutes of PA in childcare sites

Executive Order 509: Healthy Food Procurement

Supporting legislation

Statewide Communications Campaign

Social Media Outlets

Expansion of Worksite Wellness Initiative

Municipal Wellness and Leadership Grants

Mass in Motion

Mass in Motion


Municipal wellness leadership grants a public private partnership1
Municipal Wellness & Leadership Grants: A Public - Private Partnership

  • A unique partnership of 5 foundations and an insurer with MDPH

  • Grants to municipalities

    to create a sustained approach for active living and healthy eating by initiating or expanding policy, systems, and environmental change approaches


Funding partners
Funding Partners

  • Blue Cross/Blue Shield of Massachusetts

  • Blue Cross/Blue Shield of Massachusetts Foundation

  • The Boston Foundation

  • Harvard Pilgrim Health Care Foundation

  • MetroWest Community Health Care Foundation

  • Tufts Health Plan Foundation


The state s role in municipal wellness and leadership1
The State’s Role in Municipal Wellness and Leadership

Grantmaking/Grant Administration

Planning and Implementation Grants

Program Management

Infrastructure

Report Writing

Communications

Building Community Capacity

Trainings

Technical Assistance

Community Visits

Information & Resource Dissemination

Sustainability

Evaluation


The community s role in municipal wellness and leadership
The Community’s Role in Municipal Wellness and Leadership

  • Diverse, multi-sectoral partnership

    • municipal entities (leadership, public health, transportation, planning, schools, etc),

    • non-municipal entities (community based organizations, local businesses, community health centers, etc)

    • community residents

  • CHANGE Needs Assessment

  • Community Action Plan (CAP) development

    • Policy, Systems, Environmental strategies


The future creating a movement
The Future – Creating a Movement

State and communities leveraging additional public-private resources

Communities implementing local policy/systems change approaches to address obesity

Communities supporting federal and statewide policy/ systems change approaches to address obesity


Community planning strategies
Community Planning Strategies

2A. What are effective strategies to help communities form action groups or coalitions?


Community planning strategies1
Community Planning Strategies

2B. What advice do you have for helping communities tailor their assessment, action planning, and reporting efforts?


1

2

3


1


3


3


Program integration
Program Integration

3. In what ways has the CDC integration pilot help you build and support community capacity?



A chronic disease system dynamics map
A Chronic Disease System Dynamics Map

Access to and

Marketing of

primary care

Chronic disease

management

Sales/marketing

regulation

Tobacco

taxes

Quality of primary

care provision

Anti-smoking

social marketing

Screening for

chronic disease

Access to and marketing

of smoking quit products

and services

Sources of

stress

Smoking bans at work

and public places

Access to and

marketing of mental

health services

Utilization of

Psychosocial

quality primary

stress

Smoking

care

Secondhand

Diagnosis

smoke

Particulate air

pollution

Access to healthy

food options

and control

Downward

trend in CV

Marketing & educ’n

around healthy

food options

event fatality

High BP

Healthiness

of diet

Junk food taxes

High

CV events &

lung cancers

cholesterol

Sales/marketing

regulations

Diabetes

COPD

Obesity

Oral diseases

Colorectal

cancers

Access to physical

activity options

Deaths

Extent of

Morbidity

physical activity

Access to and

marketing of weight

loss services

Breast

cancers

Marketing of physical

activity options


Chronic disease planning
Chronic Disease Planning

What must we do to achieve Integration?

  • Policy and environmental change

  • Health communications

  • Public health linkage with health care systems, local public health

  • Data and surveillance


Next steps towards integration
Next Steps Towards Integration

  • Developed 5-year chronic disease plan and annual workplan

  • Includes integrated strategies and disease-specific strategies

  • Aligned resources and staffing with prioritized strategies


Additional slides on mass in motion
Additional Slides on Mass In Motion

For more information contact:

Maya Mohan, MPH, PAPHS

MA Department of Public Health

[email protected]

617.624.6091


Generating Awareness through Education

  • Document the extent of the obesity epidemic in Massachusetts, including the disproportionate effect on certain populations

  • Highlight innovative and successful programs


Passage of calorie posting regulations

Now, supported by ARRA funds!

Passage of Calorie Posting Regulations

  • Requiring restaurants

    to post calorie content of food at the point

    of purchase.

  • Reaching 35 restaurant chains with 20 or more outlets = approximately 4,000 restaurants


Passage of body mass index bmi regulations
Passage of Body Mass Index (BMI) Regulations

  • Schools weigh and measure students in grades 1, 4, 7, 10, calculate BMI and send information to parents/guardians in a confidential manner

  • 67 school districts, reaching approximately 400,000 students (ESHS districts)

  • “Parents packages”

    • Letter to parents, FAQs, Fact Sheets


Supporting childcare regulations

Now, supported by ARRA funds!

Supporting Childcare Regulations

  • Dept of Early Education and Care

  • Promulgated in January 2010

  • Requires all children in licensed MA childcare sites to engage in 60 minutes of PA daily

  • Inter-agency advisory group

  • NAP-SACC and IMIL Train-the-Trainer implementation


Issuing an executive order requiring purchase of healthful foods with state contracts
Issuing an Executive Order: Requiring Purchase of Healthful Foods with State Contracts

  • Procurement of foods and snack products which meet criteria based on healthful dietary guidelines for state facilities

  • Impacts 15 state agencies


Supporting legislation
Supporting Legislation Foods with State Contracts

  • Ban trans fats in restaurants

  • Promote healthful foods in schools

  • Physical education in schools


Statewide communications campaign
Statewide Communications Campaign Foods with State Contracts

  • Promote prevention, healthy eating, and physical activity

  • Advertisements on billboards, buses, and trains

  • Web driver ads on WCVB

  • Link to key state and local initiatives


Exploration of Social Media Foods with State Contracts

  • Website with comprehensive information on wellness

  • Links to local resources and events

  • Blog, Twitter, Facebook


Expansion of the workplace wellness initiative
Expansion of the Workplace Wellness Initiative Foods with State Contracts

  • A toolkit and curriculum are available to all employers

  • Workplace Wellness Initiative is in 23 sites, reaching approximately 30,000 people

Vision & Mission

Vision: All worksites in Massachusetts will provide social, cultural, and physical environments that support optimum employee health and well-being

Mission: To promote worksite wellness through information, training, regulation, and technical assistance



New bedford documenting safe routes to schools
New Bedford – Documenting Safe Routes to Schools Foods with State Contracts

Engaging Keith Middle School students

Photo Voice – providing cameras to students to document their walk to school

Sharing results with city planners


Weymouth relationship building
Weymouth – Relationship Building Foods with State Contracts

Developing relationship with city planner

Including bike racks and walking paths in South Shore Hospital addition

Participating in planning

and coordinating 1st

Farmers market


Worcester gis mapping
Worcester – GIS Mapping Foods with State Contracts

Forming a partnership among Clark University, UMASS Medical School, WPI, Worcester State, City government

Mapping data by neighborhood, demographics, location of grocery stores, green space, and number of bicycle/pedestrian crashes

Using data to guide planning process


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