kansas snap-ed pses and fnp…what’s this mean? october 7, 2014
TRANSCRIPT
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 PolicyGrocery 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’ Markets
Dedicated local budget for SmartBucks
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
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-Program-Promotion
• Use programs as onramps and wrap-arounds
• Leverage policy & environmental changes• Grow a constituency for change (e.g.
demand
Impact Reach Exposure Potency
many people
with frequent exposure
in a comprehensive way
Focus on changing things that affect
A Formula for Impact
Artfully Blend Policy-Program-Promotion - 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.
MessageEnvironment
Leadership Development and Information
Assess Progress
SchoolEnvironment
RetailEnvironment
Civic Environment
Health Care and Work
Environment
Early Childhood
Environment
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.
Copyright ©2010 American Public Health Association
Frieden, T. R. Am J Public Health 2010;100:590-595
The health impact pyramid
Sedgwick
Barton
Butler
Cherokee
Clay
Douglas
Ellis
Finney
Ford
Franklin
Greeley
Harper
Harvey
Gray
Jefferson
Johnson
Lane
Leavenworth
Lyon
Marion
Marshall
McPherson
Miami
Chautauqua
Morris
Neosho
Reno
Rice
Riley
Russell
Saline
Seward
Shawnee
Sherman
Sumner
Thomas Wyandotte
Decatur
Sheridan
Stafford
Pratt
Ellsworth
Pottawatomie
Nemaha
Cowley
Bourbon
Osage
Chase
Cheyenne
Cloud
Dickinson
Edwards
Gove
Greenwood
Lincoln
Montgomery
Osborne
Ottawa
Rawlins
Rooks
Trego
Washington
Wichita
NortonPhillips Smith Jewell Republic Brown
Doniphan
Atchison
JacksonMitchellGraham
Wallace
Logan
ScottNess
Rush
WabaunseeGeary
Pawnee
HodgemanHamilton Kearny
StantonGrant
Haskell
MortonStevens Meade Clark
Kiowa
Comanche Barber
Kingman
Labette
Crawford Elk
Wilson
Woodson
Allen
Coffey AndersonLinn
Healthy Communities Initiative – Round 1 HCI – Round 2
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• 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 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.
Statewide Partnerships
• The American Heart Association• Kansas Action for Children• Kansas Hospital Association• Kansas Rural Center• KC Healthy Kids
Healthy Communities Initiative
Healthy Kansas Schools
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.
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.
Food Policy Councils: Common Themes
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
farmersCoordinate
Support school local food purchasing policies Organize community gardens and SNAP at farmers’ markets