Oceana County Community Plan Bridgett Weldon, Catherine Drzewiecki, Holly Leveille, Julie Walker, & Kelli Benson
Strengths of Oceana County • Diversity exists in Oceana county with Hispanic people taking up 14.0% of the population vs. 4.5% in Michigan • WIC is available along with Free/Reduced lunches to those who can’t afford it in the schools • There is a lower percentage of patients who have no HCP, no access due to cost, and uninsured compared to DHD #10 and Michigan (DHD, 2013)
Strengths Cont. • Lower rates of STD’s in Oceana County compared to the rest of Michigan • 78% of 19-35 month children have immunizations • Lower rates of prostate, lung, and breast cancer exist in Oceana County • Head-start, daycare, and preschools are available • Dental clinics are available for families (DHD, 2013)
Weaknesses of Oceana County • High rate of children under 18 years old • High rate of adults over 65 years old • High level of poverty with 19.1% (Michigan rate 15.7%) • Income for Oceana County $40,422 and rest of Michigan $48,669 • Low rate of high school grads • Low rate of bachelor degrees (DHD, 2013)
Weaknesses Cont. • 3968 people per 1119 health care providers • 9258 people per 2853 mental health providers • High teen pregnancy rate with elevated low birth rates and high infant mortality rates compared to Michigan rates • Oceana County has high rates of overweight individuals, obesity, most people lack physical exercise, and state they do not adequately eat fruits and vegetables daily (DHD, 2013)
Assessment: Obesity • Overweight and obesity are calculated by self-reported height and weight. Healthy People 2020 target for obesity is 30.6 %. • 40.5% of Oceana is Overweight • 38.5% is Obese • 12.5% have Diabetes (DHD, 2013)
Assessment: Physical Activity • Physical activity is measured as the percent of adults who reported not participating in any leisure-time physical activities or exercises such as running, calisthenics, golf, gardening, or walking during the past month. • 26.8% lack physical activity (DHD, 2013)
Assessment: Poverty • 20.7% of Oceana County are in the Poverty range • 88.3% versus 50.5% of Michigan use WIC in Oceana County • 69.3% qualify for free or reduced lunch • 12.6% unemployment rate • 19.1% people live below poverty level compared to Michigan which is at 15.7% (DHD, 2013) • Poverty status is based on those living below the poverty threshold in 2011
Assessment: Education • Education is based on persons over age 25 and from 2007-11. • High school graduates: Oceana County 83.0 % (Michigan 88.4%) • Bachelor’s Degree or higher: 14.8% (Michigan 25.3%) (DHD, 2013)
Community Diagnosis Risk of obesity among adults related to lack of physical exercise, inadequate fruits and vegetable intake secondary to lack of financial income and education as evidenced by higher than average obesity rates in Oceana County compared to the State of Michigan.
Smart Goal • Specific: Obesity rates of Oceana community members will be reduced by 7.9% from 38.5% in 2012, to 30.6 % in 2020 (consistent with Healthy People goals). The focus will be primarily on children and families, however all members of the community are encouraged to participate. • Measurable: Community members will visit Oceana Health Department for an annual weigh in at six months and one year.
Smart Goal Cont. • Achievable: Community members will increase activity for 30 minutes three times a week either at community exercise programs, individual home-based programs, or family centered programs. • Relevant: The goal of a 10lb. weight reduction in 20% of community members is relevant to decrease the obesity rates. • Time-bound: Community members will weigh in two times from the start of the program to have their progress monitored.
Childhood obesity • “Research shows that in order to help prevent obesity among children, we must focus on both diet and exercise in the communities where children live and go to school since the environment is a key contributor to obesity risk. Focusing on the community is especially important for children since they generally have little or no control over their environment“ (“Community-based,” 2013).
Oceana County Schools • Hart Public Schools • New Era Christian School • Oceana Christian School • Oceana Intermediate School District • Pentwater Public Schools • Shelby Public Schools • Walkerville Public Schools (Oceana County,2013)
Walking clubs in elementary schools • Volunteers to chaperone clubs (teachers, parents, grandparents) • Local businesses to donate healthy snacks, pedometers, prizes • Map of walking trails (1 mile, 2 mile, etc.) • Clubs meet once weekly after school to walk • Monthly family events planned • Prizes for goals met NEEDS CALENDAR
Intervention: Classroom activity • Teachers receive special training and recommendations of at least one period of activity during the day lasting at least 5-10 minutes. BENEFITS • All activities can be completed in a small space. • This has been proven to help children focus more during school. • Children have been noted to have a 32% increase in physical activity when compared to the control group. (Erwin, Beighle, Morgan, & Noland, 2011)
Intervention: Recess Activity • “When a child is given an opportunity, during recess, to be involved in an activity, most are willing to participate” (Huberty et al., 2011). BENEFITS • Teachers are already outside at recess supervising children, so having them organize a game or activity is a cost-effective means to improving physical activity in children.
Intervention: After School Programs • Co-ed sports nights • Flag football, volleyball, kickball, tag • Dance nights: Hip-hop, Zumba, Swing • Swimming
Intervention: Adult Exercise Programs • Yoga • Kickboxing • Walking/running • Bicycle groups • Local gym
Community 5K • Volunteers • Local businesses to donate prizes & advertisement • Schools, churches, businesses to post information • Location • Healthy food vendors • Monthly events for training • Yearly 5K rotating location between communities NEEDS CALENDAR
Healthy Eating in Schools • Ask the kids • What is healthy? • What healthy food do you like? • What is your favorite fruit? • What is your favorite vegetable? • Help kids make posters about healthy foods • Hand out coloring pages • Hand out information to take home for family • Give samples of different healthy snacks Assess Educate
Food Fair at School Family event Local businesses invited to participate Local farmers can bring fresh produce Bakers/Chefs can teach kids how to make healthy snacks Community members will have the option to try new fruits or vegetables
Intervention: Cooking Classes
Cooking Classes • Focus on quantity & quality of food • Educate about healthy choices • Weight loss is a benefit of healthy eating • Let participants decide what healthy meals they want to learn to make
Intervention: Community Garden • Designated area within community • Local businesses donate supplies • Encourage social interaction • Decreases family budgets • Conserves resources • Provides for cross-cultural relations • Reduces crime
Benefits of Community Garden • Studies have shown that people who participate in a community garden have an increase in the amount of fruits and vegetables consumed. • Gardens can serve as a positive influence on public policy by increasing awareness in the community. (Castro, Samuels, & Harman, 2013)
Intervention: Food Pantry • Teach meal pairings • How to buy cost effective meals • Shopping techniques • Mobile pantries • Increasing community donor's • Increasing community volunteers
Evaluation • Provide cards that can be swiped or hole-punched as activities are engaged in to track participation • Grocery purchases • Attendance at cooking classes or local fitness center • Participation at walking club • For best results, we partner with local businesses to provide a small discount when card is swiped or punched. • 10% off fresh produce purchase • Collect 20 punches in a card and receive small gift or no entry free for 5K and other activities.
Evaluation • Attendance logs • The organizers of the walking clubs, cooking classes, etc. will track participation to ensure that individuals are staying engaged. • If attendance begins to dwindle, the organizers should seek out the reasons in order to see if adjustments can be made. • This is not in an attempt to “police” the participants, only to measure what activities are of most interest to the community and direct resources accordingly.
Evaluation • Journals • At the kick-off for the program, each participant will be given a journal. • This journal can be used as a daily log to record participation in exercise activities or record meals. • Additionally, this journal can be used by the individual to write down their successes and frustrations as they work through the program. • Kids will be encouraged to write down or draw pictures of what games they played at recess
Evaluation • Weigh-Ins • Participants’ weights will be recorded at the inception of the program. • A weigh-in will also be recorded at the 6 month mark to evaluate progress thus far. • Finally, a weigh-in will be done at the 1 year mark to evaluate whether community and individual weight loss and BMI goals have been reached.
Evaluation • End of year packet • At the end of the year, participants will be provided with a packet that includes: • Sign-up page for re-enrollment for following year. • Stats page showing how the community’s health had been impacted at the 6 month mark by participation in the program. • A survey inquiring about what did and did not work for the participants this year with free text space for ideas for the upcoming year.
References Castro, D., C., Samuels, M., & Harman, A., E. (2013). Growing healthy kids: A community garden-based obesity prevention program. Journal of Preventive Medicine, 44 (3), 193-199. Retrieved from http://0www.sciencedirect.com.libcat.ferris.edu/science/article /pii/S079379712009075# Community-based programs may help prevent childhood obesity. (2013, July 6). Obesity, Fitness & Wellness Week, pp. 196. Retrieved from http://go.galegroup.com/ps/i.do?id=GALE%7CA335857654&v =2.1&u=lom_ferrissu&it=r&p=AONE&sw=w&asid=6bf38150d 19fa1d54a932fe7f00b6b71 District Health Department # 10 (DHD). (2013). Health profile chartbook 2012: Oceana County. Retrieved from http://dhd10.org/images/Oceana_Chartbook_2012_April_2_20 13.pdf
References Erwin, H. E., Beighle, A., Morgan, C. F., & Noland, M. (2011). Effect of a Low-Cost, Teacher-Directed Classroom Intervention on Elementary Students' Physical Activity. Journal Of School Health, 81(8), 455-461. doi:10.1111/j.1746- 1561.2011.00614.x Huberty, J. L., Siahpush, M., Beighle, A., Fuhrmeister, E., Silva, P., & Welk, G. (2011). Ready for Recess: A Pilot Study to Increase Physical Activity in Elementary School Children. Journal Of School Health, 81(5), 251-257. doi:10.1111/j.1746- 1561.2011.00591.x Oceana County. (2013). Local schools. Retrieved from http://www.oceanacounty.net/schools.html