CX 3 Tier 1/Mapping Training

1. CX3 Tier 1/Mapping Training An investment in neighborhoods October 2011 Valerie Quinn, M.Ed, Network for a Healthy California

2. Research: Clear connection between neighborhood factors & health outcomes

3. Neighborhoods Matter

4. Neighborhoods Matter

5. Neighborhoods Matter

6. Store Marketing • Include Walgreen’s picture?

8. CX3: Project Background Objectives: • Collect real-world data that accurately conveys neighborhood conditions 2. Activate consumers to improve food availability in low-income neighborhoods* Focused initiative with local health depts. • Began 2006 (6 pilot sites) • Collect neighborhood-level data using CX3 standardized tools & methods • Over 100 neighborhoods * >50% 185% FPL

9. CX3 Sites CX3 LOCAL HEALTH DEPARTMENTS Alameda (2006)▲ San Bernardino (2006)▲ Berkeley (2006)▲ San Diego (2007) Contra Costa (2007) San Joaquin (2009) Humboldt (2011) San Mateo (2009) Kern (2006)▲ Santa Barbara (2008) Long Beach (2009) Santa Clara (2006)▲ Marin (2007) Shasta (2008) Monterey (2008) Solano (2007 Orange (2008) Sonoma (2008) Pasadena (2008) Stanislaus (2008) Riverside (2006/2011)▲ Tulare (2009) Sacramento (2007) Ventura (2007) Yolo (2011) ▲ Pilot sites

10. Data Uses • Design/tailor nutrition education interventions • Expose disparities • Resource allocation • Engage residents in advancing change • Real-world data to create healthier neighborhoods • City/Co Planners, Redevelopment agencies, inform General Plan, health impact, etc. • Program evaluation

11. Neighborhood Focus

12. Top Picks

13. CX3 – How does it work? Standardized Indicators Tools & Methods Real world data 4 STEPS 1. Compile localized data 2. Set priorities based on data 3. Implement strategic, community-focused action plan 4. Evaluate progress over time

14. Neighborhood Marketplace How are the consumers influenced by neighborhood in their food choices? Collecting neighborhood nutrition data… • Are healthy food choices available and accessible to residents of low-income neighborhoods? • What is the density of FF outlets in neighborhood and around schools? • How much and what are the types of healthy/unhealthy marketing messages on billboards around schools? • Is it safe to walk to store? Is it accessible? • What kinds of food are available from emergency food outlets? Nutrition education? • And more!

15. Tier 1 Tier 2 Community Assets

16. Building aNeighborhood Profile… …to inspire community action!

18. Key to success: Community involvement

19. CX3 Benefits • Advances local change – Proven! • Puts local groups at forefront for obesity prevention • Standardized indicators, measures, tools • Appealing to funders

20. CX3 Team • Valerie Quinn, M.Ed. Network 916.552.9908, valerie.quinn@cdph.ca.gov • Alyssa Ghirardelli, RD, MPH, Network916.449.5342, alyssa.ghirardelli@cdph.ca.gov • Lynn Moreno - Fuhrman, - Network 916.552.9862, lynn.moreno@cdph.ca.gov • Chris Bilbrey – Network 916.319.9809, chris.bilbrey@cdph.ca.gov • Network Program Managers • CX3 Local Health Departments YOU!!!

21. Real Freshness!

22. Neighborhood Selection

23. CX3Neighborhood Selection • Don’t take it lightly! • Investment in Community, Future So… ponder, connect, discuss!

24. CX3 Neighborhood Selection– cont. 4 Requirements • SNAP-Ed eligible census tracts (>50% at <185% FPL; aka dark blue zones)

25. CX3 Neighborhood Selection– cont. • BUT now required to use American Community Survey data. • Race/ethnicity data layers by 185% FPL due soon (early 2012)

26. CX3 Neighborhood Selection – Cont. 2a. Pick 3 – 7 neighborhoods: Urban, rural, suburban, remote, dense... What mix do you want?

27. CX3 Neighborhood Selection – Cont. 2b. Reassessing- Which ones did you implement interventions in? Must do those for program evaluation purposes.

28. CX3 Neighborhood Selection – Cont. 3. “Recognized” Neighborhood

29. CX3 Neighborhood Selection – Cont. 4. Middle or High School (preferred)

30. CX3 Neighborhood Selection – Cont. If not using SNAP-Ed funding, #1 and 2 don’t apply. Do a middle/upper income neighborhood?

31. CX3 Neighborhood Selection – Cont. Population Considerations • Level of Poverty • Racial/Ethnic Makeup • Geographic Diversity • Obesity rates • Comparison neighborhoods– upper income (if other funding sources)

32. CX3 Neighborhood Selection – Cont. Program Considerations • Research/New Focus Area • Map More, Survey Fewer • Community Activism • Additional Program Resources, Partnerships or Similar Initiatives • Political Will • Other?

33. CX3 Neighborhood Selection – Cont. Strategic, leveraging resources • Building Healthy Communities grants- TCE foundation, 10 year commitment  • Community Transformation Grants- Several CA counties! • Strategic Growth Council’s Sustainable Communities Planning grants http://sgc.ca.gov/selected_apps_2010.html

34. CX3 Neighborhood Selection – Cont. Tip: Set up a special CX3 planning team or workgroup to participate in making decisions about neighborhoods.

35. Thank you! This material was produced by the California Department of Public Health’s Network for a Healthy California with funding from USDA SNAP, known in California as CalFresh (formerly Food Stamps). These institutions are equal opportunity providers and employers. CalFresh provides assistance to low-income households and can help buy nutritious foods for better health. For CalFresh information, call 877-847-3663. For important nutrition information, visit www.cachampionsforchange.net.

36. Reassessing • Of CX3 neighborhoods, which ones did you implement interventions? • As program evaluation: • Required to reassess any neighborhood where conducted intervention work. • Comparison CX3 neighborhood if possible (and no intervention work) • Data complexities, expecting more precise federal data in early 2012 (Race/ethnicity data layers by 185% FPL)