Transcript Document

Kansas SNAP-Ed
PSEs and FNP…What’s This Mean?
October 7, 2014
What is Policy, Systems and
Environmental Change?
Policy, systems and environmental change is a way
of modifying the environment to make healthy choices
practical and available to all community members. By
changing laws and shaping physical landscapes, a
big impact can be made with little time and resources.
By changing policies, systems and/or environments,
communities can help tackle health issues like
obesity, diabetes, cancer and other chronic diseases
(Cook County Public Health).
Why is Policy, Systems and
Environmental Change Important?
 Major health problems will not be solved solely by
individual actions
 Health problems are influenced by societal policies
and environments that promote unhealthy behaviors
or fail to foster healthier choices
 Chronic disease prevention requires an “upstream”
approach that improves the environments where we
live, work, learn, play, and receive health care
Programs and PSEs
Setting
Program/Events
Policy, Systems, and
Environmental Change
School
Celebrate national nutrition
month
Add fruits and vegetables
to the a la carte options in
schools
Community
Host a community bike ride
and parade
Implement a Complete
Streets policy
Worksite
Staff Challenges
Healthy meeting policies
Food Deserts
Food Pantries
Economic development
incentives for full service
grocery stores
Program
Policy
Grocery Tours
Zoning policy limiting number of fast food
restaurants and requiring corner/convenience store
to meet WIC standards
Featured Recipe
Healthy nutrition standards in park and recreation
food contract
SmartBucks for Farmers’ Dedicated local budget for SmartBucks
Markets
Restaurant rating
program
Healthy rating program tied to license
Educational Program
promoting Water
Building design standards requiring water fountains
near high traffic areas and vending facilities
Community Garden
Zoning code allowing for small-scale agriculture in
residential and commercial areas
Policy, not program or projects
Policies
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Ordinances
Resolutions
Planning & zoning
Purchasing
policies
• Economic
development
incentives/budget
Program
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Farmers markets
Food pantries
Eat local dinners
Brochures
Booths at special
events
• Cooking classes
Policy
Any written plan or course of action
designed to influence and determine
decisions
About Policy Change
• Passing of laws, ordinances, resolutions,
mandates, regulation, or rules
• Governmental bodies, schools, parks and rec.,
worksites and other community organizations all
make policy change
• Policies greatly influence the choices we make in
our lives. Laws passed influence the daily
decisions we make about our health.
• Examples: Adding a tax on unhealthy food,
passing a laws allowing for community gardens
in public spaces, prohibiting junk food in school
fundraising, etc.
About Systems Change
• Involves change made to the rules within an
organization. Systems and policy change often
work hand-in-hand
• Systems change impacts all elements of an
organization
• Examples: Creating a community plan to account
for health impacts of new projects, creating a
certification system for school bake sales to
ensure they are in line with school wellness
policy
About Environmental Change
• Environmental change is a change made to the
physical environment
• Can be as simple as installing bike signage on
established bike routes or as complex as
sidewalk installation
• Examples: Bicycle/pedestrian master plan,
placement of healthy & unhealthy foods in retail
or vending environments.
Artfully Blend Policy-ProgramPromotion
• Use programs as onramps and wrap-arounds
• Leverage policy & environmental changes
• Grow a constituency for change (e.g. demand
A Formula for Impact
Impact
Reach
Exposure
Potency
Focus on changing things that affect
many people
with frequent exposure
in a comprehensive way
Adding Up Strategies…
50% healthy vending slots
Walk to school day
Ban on unhealthy foods in
cafeteria
Walk to school year
Whole school reform
Safe Routes to School
Whole school reform
School reform +
+Corner
corner
stores
Stories
Safe Routes
to School
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Safe Routes
+
Complete
Streets
Complete Streets
Artfully Blend Policy-ProgramPromotion - Discussion
• Think of the work you are or have been doing:
 What behaviors are being modified?
 What environments or systems are your
target audience in?
 Finally, develop a list of policies that would
help support the behaviors that are being
modified in the environments of your target
audiences.
Leadership Development and Information
The Healthy Behaviors
framework recognizes action
must occur at all levels –
individual, family, community,
and the broader society – to
address the challenges posed
by tobacco use, lack of
physical activity and poor
nutrition in Kansas.
The environments identified
in the framework represent
important sectors of society
where significant changes can
occur to support health.
Civic
Environment
Health Care
and Work
Environment
School
Environment
Message
Environment
Retail
Environment
Early
Childhood
Environment
Assess Progress
The health impact pyramid
Frieden, T. R. Am J Public Health 2010;100:590-595
Copyright ©2010 American Public Health Association
HCI – Round 2
Healthy Communities Initiative – Round 1
Cheyenne
Rawlins
Decatur
Norton
Phillips
Smith
Jewell
Republic Washington Marshall Nemaha Brown
Doniphan
Atchison
Sherman
Cloud
Thomas
Sheridan
Graham
Rooks
Osborne
Mitchell
Clay
Pottawatomie Jackson
Riley
Lincoln
Wallace
Logan
Gove
Trego
Ellis
Leavenworth
Jefferson
Wyandotte
Ottawa
Shawnee
Geary
Russell
Saline
Wabaunsee
Douglas
Dickinson
Ellsworth
Morris
Johnson
Osage
Franklin
Greeley
Wichita Scott
Lane
Ness
Rush
Barton
McPherson
Rice
Marion
Lyon
Chase
Coffey
Hamilton Kearny
Finney
Hodgeman
Anderson
Harvey
Reno
Edwards
Butler
Stanton
Grant
Greenwood
Stevens
Pratt
Haskell
Seward Meade
Woodso Allen
n
Bourbon
Ford
Kiowa
Sedgwick
Kingman
Elk
Morton
Linn
Pawnee
Stafford
Gray
Miam
i
Clark
Comanche
Barber
Harper
Sumner
Cowley
Wilso
n
Neosho Crawford
MontgomeryLabette Cherokee
Chautauqua
Healthy Communities Initiative Team
 HCI Leadership Teams
• Build support for policy, systems and environmental
changes that promote healthy eating and active living.
 Kansas Health Foundation
• Support leadership teams to implement the community
change framework.
 Technical Assistance Providers
• Center for Community Support & Research
• Public Health Law Center
HCI Implementation Grant
Kansas Health Foundation will provide:
 Funding
• Up to $25,000 per year over three years contingent
upon a local cash match of $.50 on the dollar or
$12,500 each year.
• Cash Match FAQ
 Significant technical assistance
• To implement the community change framework to
create an environment that supports the policy priority
identified during the planning grant year.
Policy Priorities
 Healthy Eating
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Food Policy Councils
Healthy foods in public service venues
Healthy Concessions
Land Banking for Community Agriculture
 Active Living
• Safe Routes to School
• Complete Streets
• Active Transportation
Statewide Partnerships
• Statewide Partnership grantees will build
support for policy, systems and environmental
changes that ensure healthy food and
beverage options are the routine, easy
choice.
• We envision this initiative as a strong
partnership among the grantees and
Foundation.
Healthy Communities Initiative
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The American Heart Association
Kansas Action for Children
Kansas Hospital Association
Kansas Rural Center
KC Healthy Kids
Healthy Kansas Schools
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K-FIT
Let’s Move in Kansas Schools
School Wellness Policy Program
Healthier US Schools Challenge Incentive Grant
Youth Risk Behavior Survey
Team Nutrition Fresh Fruits and Vegetable
Program
WorkWell Kansas
• Working with 30 communities over three
years.
• Engaging 210 worksites.
• Developing a network of worksites interested
in enhancing employees’ health and
wellness through cultural, environmental,
systematic, and policy changes at worksites
across Kansas.
Food Policy Councils
What is a food policy council?
Function as: food system planning venue.
Bring together members from:
government, universities, farmers and
gardeners, food banks, restaurants, retailers,
and faith communities.
Focus on: economic development, health,
agriculture, and social services.
Tools: regulations, budgeting, legislation,
programs and administration.
Why create food policy
councils?
Economy: Economic development and
entrepreneurial opportunities in local food
production = jobs.
Wellness: Improved health outcomes with
access to wholesome foods.
Environment: Improved environmental
quality.
Equity: Increased access to healthy food
for all residents, regardless of income.
What is happening around the country?
Food Policy Councils: Common
Themes
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Diverse stakeholders
Common interest – the food system
Connection to policymakers
Systems-level approach
Desire to bring about change
What do they do?
Educate
 Commission market demand and feasibility studies for locally-produced
meat and produce
 Create maps of local resources, connect producers with buyers
 Host booth at the County Fair to conduct surveys
Shape Policy
 Advocate for ordinances that support urban farming (i.e. raising
chickens on city lots)
 Advocate for policy that supports ag land and beginning farmers
Coordinate
 Support school local food purchasing policies
 Organize community gardens and SNAP at farmers’ markets