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ASTPHND DNPA (O) Update June 10, 2007. Update on the Division of Nutrition, Physical Activity, and Obesity. DNPA Organizational Structure. Deputy Director. Office of the Director. Admin Services/ Resource Management. Communication Team. Associate Director for Science. NPAO Team.
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ASTPHND DNPA (O) UpdateJune 10, 2007 Update on the Division of Nutrition, Physical Activity, and Obesity
DNPA Organizational Structure Deputy Director Office of the Director Admin Services/ Resource Management Communication Team Associate Director for Science NPAO Team Associate Director for Policy and Planning Chronic Disease Nutrition Branch Maternal and Child Nutrition Branch Physical Activity and Health Branch
Integrated Input • Feedback from: • Staff • States • Expert Panel • Division Directors • Center Leadership • Other partners
DNPA(O) Vision and Mission Vision: A world where regular physical activity, good nutrition, and healthy weight are part of everyone's life. Mission: Lead strategic public health efforts to prevent and control obesity, chronic disease, and other health conditions through regular physical activity and good nutrition.
Goals Increase health-related physical activity through population-based approaches. Improve those aspects of dietary quality most related to population burden of chronic disease and unhealthy child development. Decrease prevalence of obesity through prevention of excess weight gain and maintenance of healthy weight loss.
Strategic Priorities Strengthen relationships with all state, territorial and tribal health departments so that we are partners in promoting physical activity, nutrition, and obesity prevention and control. Develop and implement a research agenda that supports public health practice. Develop and implement an agenda that clarifies and defines strategic public health leadership in obesity prevention and control.
Strategic Priorities Prioritize, initiate and improve linkages within CDC to align and disseminate consistent public health recommendations and promising practices. Develop an agenda for addressing health disparities in physical activity, nutrition, and obesity prevention and control. Seek new and creative approaches to integrate nutrition and physical activity initiatives for obesity prevention and control.
Proposed DNPA Functional Model Leadership, Management & Accountability Long-Range Planning Policy Analysis Admin./ Clerical Services Research Surveillance Partnerships and External Relations Training Translation &Dissemination Program Development and Technical Assistance
Proposed DNPAO Organizational Structure Office of the Director Program Resource Management Associate Director for Translation and Dissemination Associate Director for Science Associate Director for Policy and Planning • Nutrition Branch • Proposed Team Structure: • Research & Surveillance Team • Surveillance Systems Team • Guidelines Development & Recommendations Team • International Unit (M/M) • Physical Activity Branch • Proposed Team Structure: • Research Team • Surveillance Team • Guidelines Development & Recommendations Team • Obesity Prevention & Control Branch • Proposed Team Structure: • Research & Surveillance Team • Guidelines Development and Recommendations Team • Program Development & Evaluation Branch • Proposed Team Structure: • Technical Assistance & Consultation Team • Program Development Team • Evaluation Team
Summary of Considerations to be Achieved by Organizational Design • Raise priority, scope, and visibility of obesity efforts • Maintain identity of the health promotion aspects of nutrition and physical activity • Prioritize coordination of cross-unit activities within division and for relations outside of division • Raise visibility of translation and dissemination activities • Retain the skills of the communication team within the division • Raise priority of state program services and improve coordination and cohesiveness of these services in the division
New Developments PA Guidelines Fruits and Veggies: More Matters
Strategies to Increase Fruit and Vegetable Consumption Early exposure Fruit and vegetable program Access Community gardens and farmers markets Competitive pricing Stealth interventions (Garden Market)
New Developments Medical settings Release of Expert Panel recommendations NICHQ Network Schools Revision of the 1994 PA and Nutrition Guidelines White paper on BMI screening in schools Monitor adherence to Alliance agreement
New Developments Worksites CDC Healthier worksite initiative (cdc.gov/hwi) Obesity cost calculator - validation Community Guide recommendations Impact of interventions on costs Communities Early assessment project Measures project Guide chapter on obesity Capture community successes
CDC Projects Related to Worksites Community Guide Recs Translate Findings Focus groups Promising Practices Develop Toolkits Disseminate Implement Evaluate Develop Cost Calculator Evaluate
New Developments Worksites CDC Healthier worksite initiative (cdc.gov/hwi) Obesity cost calculator - validation Community Guide recommendations Impact of interventions on costs Communities Early assessment project Measures project Guide chapter on obesity Capture community successes
Lessons from Tobacco Control Surveillance – advocacy and policy Comprehensive, multidimensional Efficacy and effectiveness research Advocacy frames the issue Funded programs Explicit, measurable goals and objectives Threshold spending Local initiatives fed national action
Arkansas Act 1220 (2003) Universal BMI measurements in schools CME courses for primary care providers Child Health Advisory Committee Local parent advisory committees Limited vending machines access Disclosure of contract information with beverage companies 30’ physical activity/day Education for cafeteria workers
Changes in BMI in Arkansas Category Year 1 Year 2 Year 3 2003-4 2004-52005-6 Overweight 20.9% 20.8% 20.4% At risk 17.2% 17.2% 17.1% Healthy weight 60.1% 60.1% 60.6% Underweight 1.8% 1.9% 1.9% Total students 348,710 372,369 371,082 All available data for years 1 & 2, and all data received by 6/14/06 for year 3 analysis
Successful Community-based Interventions for Children El Paso Texas (Paso del Norte Health Foundation) Somerville Massachusetts Colac (Australia) EPODE (Ensemble Prevenons L’Obesite des Enfants – Fleurbaix Laventie, FR)
Paso del Norte El Paso Project CATCH in elementary schools (Coordinated Approach to Child Health) Bike/walk paths Walk El Paso Que Sabrosa Vida
Changes in the Prevalence of Overweight: Paso del Norte El Paso Project 2001-022004-05 4th grade 26% 23% 8th grade 19% 15%
Strategies to Improve Community Interventions • Local surveillance • Common indicators – outcome and community level; proximal and distal • Links with academic centers for design, evaluation, and technical assistance • Early assessment • Mechanism(s) to share knowledge and experience
A National Convergence Around Healthy Eating, Active Living? YMCA Steps to a Healthier US