Presentation Outline

2. Presentation Outline • Staffing update • Ontario’s Action Plan for Healthy Eating and Active Living • Northern Fruit and Vegetable Pilot Program • Healthy Schools Recognition Program • EatRight Ontario • HEAL Evaluation • School Health Environment Survey • Not Gonna Kill you • Mandatory Programs • Qualifications of Public Health Nutritionists • NRC/Comprehensive Nutrition Guidance/Ministry Package***

3. Staffing Update • Helen Brown – Retired May 10, 2007 • Colleen Kiel – Senior Consultant, Public Health Nutrition – mat leave until Jan 2008 • Roselle Martino, Senior Consultant Public Health Nutrition (A) – until Feb 2008 • Mary O’Brien, Nutrition Consutant • Holly Kerr, Nutrition Consultant • Denise Coccimiglio, Nutrition Consultant • Nadia Stokvis, Nutrition Consultant

4. Northern Fruit & Veg Pilot • First of the HEAL initiatives to be announced – Sept 2006; taking place in communities of Timmins, Schumacher, South Porcupine, Porcupine, Matheson, Iroquois Falls and Cochrane. • Children started receiving fruits and vegetables Dec 2006 and will continue until end of May. • 32 schools applied to participate in the pilot – 24 schools receiving fruits and vegetables (~5000 students) 3 times per week. 8 schools participating in evaluation component. • PHRED – conducting a process and impact evaluation – results and analysis expected fall 2007. • Project partners – OMAFRA, Porcupine Health Unit, Ontario Fruit and Vegetable Growers Association, locals school boards and schools. • Education component – used Paint Your Plate – Create a Master Piece! Vegetables and Fruit Action Guide for Schools – NHEP • Decisions still pending for 2007/2008 school year

5. Healthy School Recognition Program • Challenge acceptance acknowledges: • Commitment to work towards becoming a healthier school • Identification of at least one new activity or program to be introduced in 06/07 • School principal, school council chair and student representative signatures • In the program’s first year, over 1300 schools responded to the challenge, identifying over 2500 new activities!!! • 600 Healthy eating activities identified • Recognition elements: • Certificate • Website listing • Pennants • Based upon feedback from stakeholders and experts • Challenge issued by the Minister of Education and Minister of Health Promotion to all Ontario schools on December 11, 2006

6. EatRight Ontario – Dietitian Advisory Service • ERO website announced in Sept 2006 – intentionally low-key, part of HealthyOntario.Com website • Working with the Dietitians of Canada to implement a call centre • Website redesign to be integrated with the call centre • Customized PEN database – O-PEN for use in call centre and website • Currently in a test phase – have sent out letters to MHP stakeholders (including MOH’s of all health units) to call 1-877-510-5102 • Established a community referral database • Met with OSNPPH to identify a process of referral to health units and health unit referral to ERO • Discussed potential for an advisory group for aspects of ERO • RFQ process currently underway for potential call centre providers beyond Mar 2008

7. HEAL Evaluation • PHRED Program contracted by MHP to conduct a process and outcome evaluation of the HEAL Action Plan. • Developed 5 logic models – one overall logic model, and one for each of the four key strategies in the action plan. • Macro – level evaluation plan; an ecological approach that takes into consideration intrapersonal factors, interpersonal processes or primary groups, institutional factors, community factors and public policy. • 7 evaluation questions that examine awareness, polices, opportunities, access, knowledge, attitudes and behaviour • Process evaluation – examines barriers and facilitators to the Action Plan’s implementation. • Development of 2 RRFSS Modules – awareness of the action plan’s key messages, and self-reported waistline • Outcome evaluation – have identified a series of outcome indicators, and started baseline data analysis using existing data sources – e.g. CCHS cycle 2.2 • PHRED/U of T

8. School Health Environment Survey • Part of the comprehensive evaluation approach for Ontario’s Action Plan for Healthy Eating and Active Living • Will support collection of data relevant to Grow Healthy Children and Youth strategy • Survey design built around a comprehensive school health approach • Participating schools receive detailed feedback report to support action • Developed by University of Waterloo in partnership with the Public Health Research Education and Development (PHRED) program • Involvement of public health staff as key support in survey completion Current status • Currently being pilot tested in 16 schools • Reference panel being planned for July 2007 to engage more educators to review the survey instrument, process and feedback report

9. Not Gonna Kill You • Launched in November 2006 – targeted at tweens ages 12-15 • Focus group testing – creative tested well • Next steps: • Currently looking to see how we can make website richer • Wanted to see more community based sports • Homework assignments • Questions about body weight/body image • Not Sony Play station – sophisticated users – not going to build more games • More of a resource site www.notgonnakillyou.ca

10. Operation Health Protection • Ontario Public Health Standards – “Replace existing mandatory health programs and services guidelines with program standards” – Revitalizing Ontario’s Public Health Capacity – May 2006 • MHP responsible for 4 programs: Chronic Disease, Reproductive Health, Child Health, Prevention of Injury and Substance Use and Abuse. • The new standards have been produced by the Technical Review Committee • The document is subject to change – pending approval • Standards will be published pursuant to section 7 of the Health Protection and Promotion Act. • Implementation/roll-out strategy not confirmed – timing and supports transparent process in the in the development of guidelines – keep checking www.publichealthontario.ca

11. Qualifications of Public Health Nutritionists • Health Protection and Promotion Act: requires that health dept employ public health nutritionists, and the regulation under the act defines qualifications required. • Gold standard – Clause A – (which was met by U of T MHSc) – provided training for public health employment. • Other clauses created for flexibility (e.g. Clause B) • Couldn’t define all the possibilities – clause was created “knowledge and experience that Minister felt was equivalent.” • New masters programs– curriculum within these programs are being reviewed to determine if it they are meeting the criteria under the HPPA. • Current challenge – Masters programs are an alternative to internship, and meet College of Dietitian requirements, but do not necessarily meet criteria under HPPA. • Next Steps – whole process needs to be reviewed.

12. Ministry Package • NRC/Comprehensive School Guidelines/Ministry Package • HEAL – What we said, what we did • Logic Model for HEAL • Examination of the Nutritious Food Basket Report • Weekly provincial average costs of the NFB for 1999 - 2006.