School, After School, Healthcare, Public Health, Neighborhood Sectors: Initiatives for a Healthier Community

1. TCE HEACHighlights from the Grantee Reporting InterviewsApril 2007

2. School Sector Summary

3. Key Findings: Major Activities • Developing, adopting and implementing wellness policies • Making PE a higher district priority and bringing PE in line with state standards • Improving quality and access to school meal programs • Engaging youth and parents in work to change school environments

4. Key Findings: Progress on policy implementation • Changing competitive foods to assure adherence with SB 12/965. Good progress, especially with candy and soda • Working to assure that only foods meeting SB 12/965 are advertised on campus • Renegotiating vending and beverage contracts • Educating parents/school community on healthy fundraising options and healthy foods for class celebrations • Training classroom teachers on teaching PE • Hiring PE specialists • Committees meeting on a regular basis. Members include parents and youth • Using technical assistance and resources from public health departments and health care sector to accomplish goals

5. Key Findings: Sentinel Events and Challenges • Sentinel events: • Changes in school district leadership • Passage of state nutrition standards as well as local wellness policies • Challenges: • Overcoming the history of bad relationships between the school sites and food services • School district resistance to taking bold steps • Gaining support of district leadership for environmental changes • Fear of or actual revenue loss once SB 12/965 non-compliant items are removed

6. After School Sector Summary

7. Key Findings: Major Accomplishments • Secured Prop 49 funding • Hiring of after school coordinator • Inclusion of physical activity in “higher learning” (academic) after school sites • Introduced SPARK curriculum in after school programs

8. Key Findings: Policies and Environmental Change Strategies • Adoption and implementation of SB12 and 965 standards in after school programs • Moving beyond State nutrition standard • Development of marketing and advertising policy for after school programs • Planning to address vending trucks around the schools • Exploring development of a policy setting nutrition standards for league programs that use City facilities

9. Key Findings: Sentinel Events and Challenges • Challenges: • Loss of funding for middle school-based after school programs • Cost of providing snacks that meet SB12 guidelines • Relationships with key stakeholders such as County Office of Education

10. Healthcare Sector Summary

11. Key Findings: Major Activities • Training/Educating/Recruiting of physicians on obesity prevention and policy advocacy • Implementing weight management programs such as KP Kids and Kidshape • Developing/developed resource guides/tool kits for physicians

12. Key Findings: Policies and Environmental Change Strategies • Developing county vending policy and healthy hospital policy • Changing clinical practices to encourage providers to chart BMI and discuss basic obesity prevention messages • Implementing policy that drug representatives will only provide healthy foods to health care practices

13. Key Findings: Sentinel Events and Challenges • Sentinel events: • Changes in public health department leadership • Public health providing awards to exemplary providers • Challenges: • Engaging physicians and small practices– lack of time to do advocacy work • Lack of support for physician trainings • Lack of time to make policy implementation a priority

14. Public Health Summary

15. Key Findings: Major Activities • Strong role in HEAC collaborative • Leadership of community collaboratives focused on obesity prevention • Health department and county/city vending policies

16. Key Findings: Major Activities • Influencing land use and transportation planning • Relationships with Cities and School Districts • Elevation of HEAC • Internal public health department capacity development

17. Key Findings: Sentinel Events and Challenges • Changes in leadership • Needing to reeducate key stakeholders • Lack of staff time

18. Neighborhood Sector Summary

19. Key Findings: Major Activities & Accomplishments • Engaging residents in policy processes historically lacking community input • Establishing relationships with policymakers and city staff • Obtaining agreement from major food stores to address un/healthy food availability • Securing land or funding for park development, maintenance or improvement • Establishing school-based produce stand • Improving pedestrian safety around schools

20. Key Findings: Policy and Environmental Change Strategies • Engaging in general, redevelopment, and park planning processes to promote health • District benefits assessments to fund park development and maintenance • Joint use policy adoption and implementation • Working with vendors to address availability, placement, and promotion of un/healthy foods • Improving walkability around schools, and complete streets policies throughout the neighborhoods.

21. Key Findings: Challenges • Conflicting timelines between community members/initiatives and policymakers • Turn-over among public officials and key stakeholders • Navigating partnerships with evolving dynamics • Determining appropriate jurisdictional bodies

22. Marketing and Advertising Sector Summary

23. Key Findings: Major Activities • Including a ban on unhealthy food/beverage marketing and advertising within the district wellness policies • BMSG training • Engaging youth in assessing marketing environments: • Marketing and advertising in schools • Photovoice of local markets • Designing and implementing kid-friendly, health check-out aisles for Wal-Mart in Shasta • Working to get healthy advertising into new stadium in Santa Ana • Soda-free summer campaign in Oakland

24. Key Findings: Sentinel Events and Challenges • Sentinel events: • New York trans-fat ban spurred action on this issue in Baldwin Park • Engagement of youth as change agents – stores are responding to youth requests • Challenges: • Knowing who regulates what – city, county, state • Working on this issue at the local level is hard – seems that greatest impact can be made at the state level • Legality of actions to policies to limit/eliminate unhealthy food/beverage marketing

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