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Marshfield Area Healthy Lifestyles Coalition ( MAHLC ). WOOD COUNTY: COMMUNITY HEALTH PLAN 2001 - 2005. KEY INITIATIVES: *PERINATAL *CHILD/ADOLESCENT *ADULT *MENTAL HEALTH *ENVIRONMENTAL HEALTH. Message is based upon:. Local Health Care Data Wood County Health Plan
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KEY INITIATIVES:*PERINATAL*CHILD/ADOLESCENT*ADULT*MENTAL HEALTH*ENVIRONMENTAL HEALTH
Message is based upon: Local Health Care Data Wood County Health Plan Northern Wisconsin Cardiology Symposium – April 2001
Trends in the Prevalence of Overweight among Children in Marshfield Compared to the US Population* (1982-2002) * from NHANES studies
Focus of Change • “Childhood Obesity” - hoping to effect change in “Metabolic Syndrome” in early and young adulthood • First participant in “Coalition” is MPSS / Marshfield Public School System
Secondary Focus of Change • Adult Health via Industry and Community
LOCAL GOV’T – PLANNING STATE GOV’T SCHOOL (PUBLIC/PRIVATE/ PAROCHIAL) GROCERY STORES FAST FOOD CIVIC CLUBS MEDICAL PUBLIC HEALTH CHURCHES PRESCHOOL PARK & REC INDUSTRY RETAIL MEDIA FARMS CHAMBER OF COMMERCE INSURANCE HEADSTART WIC MARKETING SOFT INDUSTRY TRANSPORTATION FITNESS CENTERS BEST PRACTICE MODEL FOR COMMUNITY CHANGE
Composition of MAHLC Executive Committee(Cross-section of community ) • Roehl Transportation • Deputy Fire Chief, Marshfield FD • Superintendent, MPSS • Owner, Style Inn • Manager, Family Resource Center • Unitarian Universalist Fellowship • Atty, Human Resources, Marshfield Clinic • Wick Building Systems • Director, Mainstreet Marshfield • Teacher, Coordinator, MPSS • Marshfield Area Catholic Schools • Manager, Family Health Center, MC • Cardiology, Marshfield Clinic
“THE SCHOOL UMBRELLA OF PUBLIC RELATIONS” MARKETING CURRICULUM FORMAT TO TEACHERS/PARENTS {NEWLETTERS, PTO INFO, RADIO} CURRICULUM *review existing *identify gaps *time/training resources *district initiative *principal driven *marketing NON-NUTRITION DIETARY *healthy food rewards {no bad foods} *drinking fountains *recess scheduling *policies – parties, dances, etc. *fund raisers *vending *bag lunches *school bkfst, lunch, afterhours program *walk to school programs NUTRITION DIETARY *student advisory committee *20 meal plan *graphics, banners *brown bag cost *milk promotion *marketing Parent ed ACTIVITY/PE *add teacher 5x/wk *pedometer *hr monitor *PEP grant *classroom time *walk to school programs {monthly} RESEARCH/ DEVELOPMENT *grants *longterm ed *student health Porfolio *outcomes data
24 new menus since January 2003 Wednesday City wide meal Ala carte changes Fund raising policy Walk to Springfield, etc Teacher walks Grant school program Curriculum (2 year process) School Changes
ADVISORY COMMITTEE ETC. HEALTHY LIFESTYLES COALITION (HLS) LOCAL FOOD INDUSTRY MARSHFIELD SCHOOLS CITY PLANNING MSS-HLS MINI-COALITION MEDICAL COMMUNITY
Bylaws PR Subcommittee Community Conference Subcommittee Finance Subcommittee Quarterly Coalition Meetings – Rotated throughout Town Speakers Bureau Member Benefits Executive Committee
Poster boards throughout community Media – print, web, Radio Logo – letterhead, etc. Speakers Bureau Training Donor identification – community lists Buttons, magnets, Fact Sheet Letter to the editor process Media Brochure PR Subcommittee
Budget – Wish List conference vs coalition needs Children community school poster contest Local exhibits Invited Speakers Workshops NPR Radio Arboretum Walk Grocery Store exhibit School displays Food service personnel workshop Community conference Subcommittee (April 2003)
Neighborhood pathways Activity guide book Park & Rec networking – needs assessment Endorsement of city wide non-motorized plan Political action group Friends of the trails meetings ( April 2003 – 51 attending) Networking with county land use and Marsh 21 Saturday L&J walk – (30 walking) Community Committee
Worker identification category Implementation strategies for worksite change Food Guidelines/Snack Guidelines Worksite activity Guidelines Business policy change B&I Workshop – CEO / Union Leadership (30 attendees) Chamber of Commerce network Roehl Transport news network On-site presentations per shift Business & Industry Committee
Group identification Daycare Schools – grade Schools – Jr/Hi Athletes Elderly Interactive Boards – rotated throughout community Education Committee
Message resource for web Guidelines critic Medical Committee
5-a-day Farm markets Community gardens Wood County Public Health
Family meals End cap displays Icons Poster boards Formal display Tastings Grocery
Personal “Buy-in” by Community • One on One contacts ( over 100 ) • May 30, 2002 HLI Symposium for “Invited Guests” (120 participants) • Community Conference - April 2003 (400 participants) • Importance of the “Timeline” – Momentum • Reaffirmation of Personal Responsibility • Empowerment
EDUCATION LO/HI/POSTGRAD HLS STEERING HHS PUBLIC HEALTH INDUSTRY INFO/$ LIVING STANDARDS R&D EDUC. OUTCOMES REGIONAL STEERING REGIONAL REGIONAL ACTION PLAN ACTION PLAN
Grant School Program Copp’s Food Store Activity in Schools Food program changes in both Public and Catholic schools Conference Poster Contest for children Walking Paths PAC committee Food service Personnel Workshop Spectacular Achievements
No faith based buy-in The other grocery store did not feel the need to participate Apathy (young & old) Generalized fear for child safety Teachers Pet projects Biased Adult opinion No local media Buy-in No restaurant Buy-in Parents blocking progress Lack of community esprit de corps by non- community owned businesses i.e.banks Fear to enforce school policies regarding food and fund raising Problems along the way
Food choice at meals No Mac & Cheese No chicken nuggets No hamburgers No tacos No corn dogs Snacks during the day Apples Grapes Oranges Water Whenever Student advisory groups Bottom Line: Listen to the Kids
School policies Control issues Local State Mandates Parent Teacher Principal Space Time Curriculum Utensils Independent budget Continuing education Volunteers Union School barriers
Research Projects • Marshfield Area Restaurants – survey of food choices offered • Marshfield Youth Health Study (My Health Study) • The Marshfield Behavioral Risk Factor Telephone Survey • Completed – Summer Intern School Menu Analysis - 2002
What do we think? • Schools must be the primary participant • Physicians must be empowering leaders • Momentum is critical • Message must be clear and simple • Community committee and B&I committee are critical components • Regional cooperation is mandatory for success at the community level