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Building and Sustaining Community and State Capacity for Policy, Environmental, and Infrastructure Change

Building and Sustaining Community and State Capacity for Policy, Environmental, and Infrastructure Change. National Association of Chronic Disease Directors General Member Call June 23, 2011 3:00-4:00pm ET. Agenda. John Robitscher, NACDD Chief Executive Officer. Jennie Hefelfinger,

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Building and Sustaining Community and State Capacity for Policy, Environmental, and Infrastructure Change

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  1. Building and Sustaining Community and State Capacity for Policy, Environmental, and Infrastructure Change National Association of Chronic Disease Directors General Member Call June 23, 2011 3:00-4:00pm ET

  2. Agenda

  3. John Robitscher, NACDD Chief Executive Officer Jennie Hefelfinger, ACHIEVE Project Director Welcome and Introductions

  4. Ali Patty, Project Coordinator Ann Ussery-Hall, Project Evaluator NACDD ACHIEVE Staff Jaclyn King, Project Coordinator

  5. What is ACHIEVE? Action Communities for Health, Innovation and EnVironmentalChangE National and state partnership that provides training and technical assistance to empower communities to find local solutions and to take local action to prevent and control chronic disease.

  6. Communities working in partnership to create healthier places where people live, work and play. Focusing on promoting and implementing policies, systems and environmental changes that support and sustain healthy living. What is ACHIEVE?

  7. 123 communities creating local solutions to change the landscape to improve health and the environment

  8. NACDD ACHIEVE TEAMS • Over 3,328,000 people now have increased access to lead healthy lifestyles • $10,000,000leveraged in additional funds over the past two years to support community efforts • 53 strategies now in communities to support people being healthy (08 only) (2008, 2009 and 2010 teams)

  9. Partnerships are Critical to Success and Sustainability • National • NACDD, Y-USA, NRPA, NACCHO, SOPHE, and CDC • State Heath Department Chronic Disease Prevention Programs • Community Coalitions-- CHARTs

  10. Commitment (Coalition Building) Assessment Planning Implementation Evaluation Five-phase Model

  11. NACDD Supports Communities through: • Training and skill development to help make the healthy choice the easy choice • Linkages to national and state resources and expertise • Funding to support collaboration and partnership • Referrals to other resources and funding opportunities

  12. Creating Healthy Communities: Success Stories from ACHIEVE To read this and more NACDD Success Stories please visit NACDD website. http://www.chronicdisease.org/policy/state-success-stories

  13. Successes ‘Where they live’ Healthy Communities • Over 35,000 residents now live in communities with Complete Streets policies in place • Bike racks have been added to communities, allowing 7,000 community members to chose biking over driving • Over 7,000 people have better access to fresh fruits and vegetables because their local farmers markets accept senior and WIC vouchers • 200,000 people live in a community where healthy choices are now highlighted on restaurants’ menus

  14. Successes ‘Where they learn’ Healthy Schools • 17,000 students can safely walk to school because their communities have implemented Safe Routes to School efforts • Over 1,000students are receiving an extra 50 minutes of physical activity weekly • Over 4,000 students now attend schools that have an “active recess” policy, • 1,230students have healthy smoothies and healthy meals-to-go options to purchase at school

  15. Successes ‘Where they work’ Healthy Worksites • 15,000 employees have healthier items to chose from in the vending machines at work • 4,000workers have physical activity options at their workplace • More than 4,000 employees have indoor and/or outdoor walking paths where they can safely be physically active • 1,500 county employees are protected from second-hand smoke by a tobacco-free workplace policy

  16. Lessons from the field • Multnomah, OR • Salamanca, NY • Allentown, PA • Oregon State Health Department

  17. ACHIEVE: Multnomah County Health Department 2009 ACHIEVE Community Portland, Oregon Rachael Banks, Program Supervisor Community Wellness and Prevention Program Multnomah County Health Department (503) 988-3663 ext. 22975 rachael.m.banks@multco.us http://www.multco-itstartshere.org Yugen Rashad yugen.rashad@multco.us503 988-3663 Ext. 27205

  18. Examples of Nutrition Policy Efforts • Faith-based settings • Healthy Worksites • Healthy Retail Initiative

  19. Keys to Success • Build on past efforts • Engage community • Coordinate with other coalitions and initiatives • Focus on policy; link to other efforts • Build a legacy and have fun!

  20. ACHIEVE: Cattaraugus County Health Department 2008 ACHIEVE Community Salamanca, NY Deb Nichols Public Health Educator, Public Information Officer Cattaraugus County Health Department djnichols@cattco.org

  21. Salamanca, NY Demographics American Indian – 15% Hispanic – 3% African American – 1% Asian – 1% 2 or more races – 3% White – 77% 6.2 square miles (city) 43.7 square miles (Res) 22.2% residents below poverty level compared to 14.6% NYS 41.7% children living below poverty level compared to 19.1% NYS Median family income = $32,004 compared to $56,003 NYS Salamanca HS ranked 120 out of 133 schools in WNY

  22. Salamanca ACHIEVE PROJECTS: Youth Possession of Tobacco Products • Prohibits use of tob products by minors • Tob products are confiscated/destroyed • NO arrests or penalties; education only Young Lungs @ Play (YLAP) • NO smoking allowed in public parks • Self-enforced Reclamation of the PENNSY Trail • Annual Clean-up Day • Adopt-a-Trail program • Brochures project

  23. ACHIEVE: Allentown, PA Health Bureau 2008 ACHIEVE Community Allentown, PA Tina Amato, Nutrition and Physical Activity Manager Chronic Disease Programs Allentown Health Bureau amato@allentowncity.org

  24. Supplemental ACHIEVE Grant Funding

  25. Overall Positive Changes Lesson length increased at all three (3) schools “Active Time”(MVPA) increased in 2 of 3 schools Incorporating activity into the roll-taking process Changed their warm-ups Introducing more co-ed activities at the upper levels Stopped using "elimination” games • Common Barriers • Space/Facilities • Class Size • Separation of Grade Levels (high schools) • Scheduling

  26. Oregon State Health Department Expert • ACHIEVE supports state and local coordination as key to success • ACHIEVE complements existing efforts for local capacity building for policy advocacy • ACHIEVE develops leadership in public health staff and partners • ACHIEVE reinforces effectiveness and accountability in engagement, assessment, planning, policy development, and sustainability

  27. Health Promotion & Chronic Disease Prevention Luci Longoria, MPHCommunity Programs Team LeadOregon Public Health Division971-673-1064luci.longoria@state.or.us

  28. NACDD Services and Resources • In support, NACDD provides technical assistance and support for: • Technical assistance and training • Coalition development and maintenance • Project sustainability • Peer to peer learning opportunities • Evaluation strategies • Communications and social media

  29. Technical Assistance and Training • Face to face meetings to provide training and technical assistance (Coaches Meeting and Action Institute) • One on one conference calls • Group conference calls • Site visits to communities • Webinars

  30. Technical Assistance and Training • Topics such as: • Coalition development and maintenance • Assessment and data collection • Policy, systems and environmental strategies • Developing an ‘Community Action Plan’ • Evaluation • Communication planning • Using Social Media • Project sustainability

  31. Peer Learning Network (PLN) • For whom? • Leaders/coaches working to support local ‘Healthy Community’ efforts • What? • Opportunity to learn and share experiences and best practices with other leaders/coaches • How? • Teams meet over facilitated conference call and are provided additional opportunities to connect over email and phone

  32. NACDD: Evaluation Resources • Assessment processes and tools • Evaluation plans • Data analyses and reporting • Sharing data and results

  33. Assessment processes and tools • CHANGE • Photovoice • Surveys • Focus groups • Environmental scans

  34. Other Assessments

  35. Evaluation Plans • Logic models • Goals and objectives • Data sources • Reporting schedules

  36. Evaluation Plan: Example Goal By December 2012, increase physical activity in 100% of schools from 30 to 150 minutes/week Strategy Active recess policy Objective By December 2011, increase the physical activity minutes from 30 to 150 in 10 elementary schools Data source Kentucky Department of Education’s Nutrition and Physical Education Report Card Annual Report

  37. Data analyses and reporting • Process and outcome • Progress updates • Summary data • Local, state and national data

  38. Sharing data and results • Summary reports • Success stories • Presentations • Abstracts • Articles

  39. Sustaining Your Efforts Through Social Media

  40. Why Use Social Media for Public Health? • Fundamental shift in the way we communicate • Reach people when, where, and how they want to receive health messages • Leverage social networks to encourage participation, conversation, and community • Spread key messages and influence decision making • Variety of social media tools can be used as part of an integrated health communications plan Source: CDC “The Health Communicator’s Social Media Toolkit” available at: http://www.cdc.gov/healthcommunication/ToolsTemplates/SocialMediaToolkit_BM.pdf

  41. NACDD ACHIEVE Expands Communication Strategy; Creates Social Media Network • Podcasts • Facebook • Twitter • YouTube • Flickr • LinkedIn

  42. Communities Continue to Spread the ACHIEVE Message

  43. Where to Find Us:  Watch: http://www.youtube.com/user/ACHIEVEingHealth Share: https://www.facebook.com/ACHIEVENACDD Follow: http://twitter.com/#!/NACDDACHIEVE Listen: http://www.achievecast.com/ Connect: http://www.linkedin.com/groups?about=&gid=3928586&trk=anet_ug_grppro

  44. NACDD is ready to assist you on Community Transformation Grants • Coalition/Capacity Building • Peer Learning Networking and Mentoring • Using Social Media to Build Momentum • Community-based Evaluation Strategies • Policy, Systems and Environmental Change Academy • State Technical Assistance and Review (STAR) Program • State Success Stories • EBPH State Based Program • State Chronic Disease Academy • Technical Assistance in Developing and Implementing Evaluation Programs

  45. Questions??

  46. Adjourn Thank you for your participation today. For more information about ACHIEVE please visit: www.chronicdisease.org www.achievecommunities.org www.achievecasts.com www.achievecasts.com/retro

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