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C H P P Empowers Communities

C OMMUNITY H EALTH P ARTICIPATORY P LANNING. C H P P Empowers Communities. Bill Reger-Nash, EdD Holli Smith, MS, MSW, CHES Linda Cooper, MSW, LCSW Linda Holmstrand, MPA. WORLD HEALTH ORGANIZATION 1 st International Conference on Health Promotion November 21, 1986 Ottawa, CANADA.

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C H P P Empowers Communities

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  1. COMMUNITY HEALTH PARTICIPATORY PLANNING C H P P Empowers Communities Bill Reger-Nash, EdD Holli Smith, MS, MSW, CHES Linda Cooper, MSW, LCSW Linda Holmstrand, MPA COMMUNITY HEALTH PARTICIPATION PLANNING

  2. WORLD HEALTH ORGANIZATION1st International Conference on Health PromotionNovember 21, 1986Ottawa, CANADA OTTAWA CHARTER FOR HEALTH PROMOTION “Health promotion is the process of enabling people to increase control over, and to improve, their health…People cannot achieve their fullest health potential unless they are able to take control of those things which determine their health.” COMMUNITY HEALTH PARTICIPATION PLANNING

  3. One of the most significant challenges in community health is how to assist communities in making meaningful and significant changes. Most change programs focus on individuals. Sustainable change occurs only when an empower community affects policy and environment change. COMMUNITY HEALTH PARTICIPATION PLANNING

  4. TO ADDRESS IMPORTANT HEALTH PROBLEMS: A community must learn how to make change happen and then do it. COMMUNITY HEALTH PARTICIPATION PLANNING

  5. Premise of Community Health Participatory Planning • The more ownership within a community, • the more likely a program will be effective. • Richardson and Bensley, 1991; Glasglow, et al., 1993; Purdey, Adhikari, Robinson, and Cox, 1994. COMMUNITY HEALTH PARTICIPATION PLANNING

  6. Community Health Participatory Planning capitalizes on the resources, sophistication, and diversity of a community. COMMUNITY HEALTH PARTICIPATION PLANNING

  7. Community Health Participatory Planning teaches program developers how to HELP communities: identify their problems, set their goals, mobilize their resources, and develop their own strategies for achieving their goals. Minkler and Cox, 1980, Glanz, 1997. COMMUNITY HEALTH PARTICIPATION PLANNING

  8. Involvement of local community members • is essential for: • Effective community-based • public health interventions • Essential policy and environmental changes to support behavior change COMMUNITY HEALTH PARTICIPATION PLANNING

  9. What is “COMMUNITY” ? • A geographic area with boundaries and usually a name, e.g., Sutton, Pine Grove, Blacksville. • 2. Individuals with shared characteristics, interests, goal(s), values, sense of identity, norms, and/or communication. Functional definition. COMMUNITY HEALTH PARTICIPATION PLANNING

  10. CHPPbuilds FUNCTIONAL “COMMUNITY” Individuals with shared characteristics, interests, goal(s), values,sense of identity, norms, and/or communication. COMMUNITY HEALTH PARTICIPATION PLANNING

  11. NEVER underestimate what a small group of dedicated folks CAN DO ! (a functional community) COMMUNITY HEALTH PARTICIPATION PLANNING

  12. Specifically, Community Health Participatory Planning • involves local community members in: • defining, learning first-hand • and • cooperatively addressinglocal health problems • and • having FUN in the process. • Used in 5 interventions, to date, and now an integral part of all our interventions. COMMUNITY HEALTH PARTICIPATION PLANNING

  13. Our CHPP Training Manual explains and details the step-by-step process for utilizing CHPP in local communities. [ PUT MANUAL SLIDE HERE ] To receive a copy, contact Bill at: wreger@hsc.wvu.edu COMMUNITY HEALTH PARTICIPATION PLANNING

  14. Community Health Participatory Planning’s4 PHASES 1. Commence with 1-3 individuals interested in the specific topic to recruit others, plan the sessions, see to details. 2. Establish a diverse-sector steering committee—public, private sectors, local gov. officials, businesses, schools, seniors, minorities, community-at-large, etc. 3. Conduct weekly sessions--10-12, one hour only in length. • From participants, establish anon-going community advisory board to do the hard work; achieve goals. COMMUNITY HEALTH PARTICIPATION PLANNING

  15. In the Community Health Participation Planning process participants’ experience firsthand personal, societal, policy, and environmental barriers to living a healthy lifestyle while addressing the health needs of their own community environment. COMMUNITY HEALTH PARTICIPATION PLANNING

  16. This FIRSTHAND experience is achieved through participants’ simultaneous involvement in three types of structured experiences over a 10-12 week period: INFORMATIONAL EXPERIENTIAL ACTION / TASK FORCES COMMUNITY HEALTH PARTICIPATION PLANNING

  17. INFORMATION What IS wellness? What does it take to be healthy? • What should I eat? How much? When? • How much physical activity? When? How often? • What’s stress got to do with it? • Am I addicted to …? • What about this community is helpful? Not helpful? COMMUNITY HEALTH PARTICIPATION PLANNING

  18. Personal health screening Healthy eating Physical activity Stress reduction The essence of spirituality/ connectedness Social support EXPERIENTIAL-actually experiencing what wellness involves COMMUNITY HEALTH PARTICIPATION PLANNING

  19. ACTION / TASK FORCES Analyze information and make specific recommendations for addressing the problem in the local community • Nutrition ·Policy change • Physical activity ·Organizational Structure • Stress reduction ·Funding • Mental /emotional care ·Other • Addictive behaviors COMMUNITY HEALTH PARTICIPATION PLANNING

  20. Outline of Sessions • Sessions 1,2,3,4,5 -Wellness information • Sessions 6,7,8, -Needs/Issues defined • Sessions 9,10/12 -Planning/recommendations COMMUNITY HEALTH PARTICIPATION PLANNING

  21. Following the 10-12 weekly sessions: • Some or all of the • TASK FORCEs • continue to work. COMMUNITY HEALTH PARTICIPATION PLANNING

  22. Through their work and success, they TRANSFORM themselves into recognized local groups and organizations. Official COMMUNITY HEALTH PARTICIPATION PLANNING

  23. and • they address • criticalPOLICY and ENVIRONMENTissues • in the community COMMUNITY HEALTH PARTICIPATION PLANNING

  24. Physical activity patterns in communities are positively influenced by increasing access to safe walking trails and bike paths, convenient exercise clubs, sidewalks with well-marked street crossings, enjoyable scenery, observation of others exercising, having others with whom to walk, and limiting vehicular traffic. King, Jeffery, Fridinger, et al., 1995; Linenger, Chesson, Nice. 1991; Brownson, Housemann Brown, et al. 2000; Brownson, Baker, Houseman, Brennan, Bacak. 2001.   COMMUNITY HEALTH PARTICIPATION PLANNING

  25. So, in thePOLICY and ENVIRONMENT arena,there is much to achieve: Ѣ in our communities Ѣ in our state Ѣ in our nation. COMMUNITY HEALTH PARTICIPATION PLANNING

  26. Following WHEELING WALKS, the Community Health Participatory Planning group in Wheeling became the city mayor-sanctioned WALKABLE WHEELING TASK FORCE • . COMMUNITY HEALTH PARTICIPATION PLANNING

  27. Today, the WALKABLE WHEELING TASK FORCE continues to work: • • with local clubs to develop walking opportunities like • o       Upgrading and connecting local trails • o       Adding rest rooms and telephones • o       Improving overall safety & aesthetics • o       Planning for an urban state park • • with local schools to expand youth physical activity • University engineering team • to develop walkable community plan COMMUNITY HEALTH PARTICIPATION PLANNING

  28. Community Health Participatory Planning helps it happen. COMMUNITY HEALTH PARTICIPATION PLANNING

  29. C H P P EMPOWERING COMMUNITIES TO HELP CHANGE HAPPEN To receive a copy of the Community Health Participatory Planning Training Manual, contact Bill at: wreger@hsc.wvu.edu COMMUNITY HEALTH PARTICIPATION PLANNING

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