Assuring the Implementation of Effective Public Health Strategies for Nutrition

1. Assuring the Implementation of Effective Public Health Strategies for Nutrition

2. http://www.health.gov/phfunctions/public.htm

3. Assuring Functions of Public Health Aday, LA. Reinventing Public Health. 2005

4. Assuring Functions of Public Health Aday, LA. Reinventing Public Health. 2005

5. Serving All Functions Aday, LA. Reinventing Public Health. 2005

6. Leading Nutrition Concerns Obesity Sustainability Food Security

7. Effective Strategies to Address these Concerns require: • Transdisciplinary research base • Population-heath focus • Grounding in fundamental social and economic determinants of health • Intersectoral engagement

8. Ecological Framework for Influences on What People Eat

9. It’s all about Collective Impact “Large-scale social change requires broad cross-sector coordination, yet the social sector remains focused on the isolated intervention of individual organizations.” Conditions of collective success: Common agenda Shared measurement systems Mutually reinforcing activities Continuous communication Backbone support organizations http://www.ssireview.org/articles/entry/collective_impact Roadmaps to Health http://www.countyhealthrankings.org/roadmaps

10. An Intersectoral Approach to Public Health IOM. The Future of the Public’s Health, 2002

11. Academia: Responsibilities of Schools of Public Health • Educate educators, practitioners and researchers – prepare leaders • Transdisciplinary research • Contribute to policy • Work with other professional schools to assure quality public health content • Assure access to lifelong learning for practitioners • Actively engage in communities Who Will Keep the Public Healthy? IOM 2002.

12. Healthy Communities Projects Healthy Communities don’t happen by accident. Communities are concerned about health effects of rising obesity rates and are taking action. Community leaders recognize that their residents can’t move more or eat healthier foods without changes in their community environment. Education and awareness alone won’t result in change. Safe sidewalks, trails, and bicycle lanes make it easier for people to move about and leave their car at home. Healthy food choice in school cafeterias and restaurants, well supported food banks, and neighborhood farmers markets offer options for healthier food. Making sustainable community changes involves long term partnerships among public health, private business, municipal government, community advocates, transportation planners, and schools. http://www.doh.wa.gov/cfh/nutritionpa/our_communities/healthy_communities_projects/default.htm

13. Health Care – Actions • Implement coordinated comprehensive strategy • Advocate for policies and organizational change to improve community environments • Mobilize patient populations to engage in changing community environments. • Strengthen partnerships • Establish model organizational practices Prevention Institute

14. Media • Ubiquitous advertising for unhealthy foods has a powerful impact on nutritional health http://www.rwjf.org/files/research/20081103herfoodmarketing.pdf

15. Media Actions • Nutrition advocates can use “framing” and media advocacy.

16. Key Components of the Food Sector Muller, Tagtow, Roberts, MacDougall. J Hunger Envir Nutr. 2009

17. www.wapartnersinaction.org www.accesstohealthyfoods.org

19. Emerging Model for an Intersectoral Approach to Public Health Nutrition Education Communities Institutions Media NGOs Assuring conditions for access to adequate and appropriate food public health Business Environment Food System Sectors Health Care Agriculture Academia

20. Today’s Work • Build on your work on the nutrition problem you addressed in the systems discussion. • For each point where public health might make a difference : • Choose an approach or intervention to improve the system • Designate At least 5 sectors that could play a role • Outline the roles each sector could play to assure that the intervention is well designed, effective and sustainable