sussex county child health promotion coalition may 17, 2006

Sussex County Child Health Promotion Coalition

May 17, 2006

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Overview

• I. Strategic Platform• II. Theory of Change• III. Target Audience• IV. Strategic Options• V. From Strategic Options to Strategic Action

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I. Strategic Platform

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Mission

• We exist to engage the entire community in collaborative, family-focused efforts to improve the health of our children.

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Community Vision

• We envision a community in which our citizens and institutions (public, private, and not-for-profit) are actively engaged in child health promotion as a shared community good, and working together to create a cultural and physical environment which supports health lifestyles for our children and their families.

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Coalition Vision

• Our Coalition will be viewed by our community as inclusive, welcoming, respectful, trustworthy, non-partisan, mission-driven, listening, responsive, action-oriented, and accountable.

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Core Strategies• 1. Monitoring child health status• 2. Raising community awareness of

child health issues.• 3. Giving voice to community concerns

and ideas.• 4. Facilitating development of child and

family health promotion strategies.• 5. Developing and mobilizing resources

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Core Strategies• 6. Building community capacity for policy and

program development• 7. Supporting collaborative efforts to improve

community policies, programs and practices• 8. Expanding and publicizing the knowledge

base on child health promotion• 9. Evaluating and reporting on the impact of

our actions.

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Initial Focus: 5-2-1-Almost None

• Our initial focus is to promote healthy eating and physical activity for children and their families in Sussex County using the 5-2-1-Almost None concept as a guideline for healthy behavior.

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Initial Focus: 5-2-1-Almost None• The 5-2-1-Almost None guidelines:

– At least 5 servings of fruits and vegetables per day

– No more than 2 hours of screen time per day

– At least one hour per day of physical activity

– Almost no sugared beverages– (All adjusted for age as necessary)

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5-2-1-Almost None Goals1. A full range of community institutions

(public, private, and not-for-profit) will provide consistent messages and supports for 5-2-1-AN throughout the physical and cultural environment surrounding children and their families

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5-2-1-Almost None Goals2. The 5-2-1-Almost None concept will be

widely recognized, understood, and accepted within the community as a guideline for healthy behavior

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5-2-1-Almost None Goals3. Community citizens will actively

promote 5-2-1-Almost none as a community good, regardless of whether they have children in their care

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5-2-1-Almost None Goals4. Parents and caregivers will have the

information and support needed to model and implement 5-2-1-Almost None for their children

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5-2-1-Almost None Goals

5. More children will meet the 5-2-1-Almost None guidelines.

6. The community prevalence of childhood overweight will be reduced.

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II. Theory of Change

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Hierarchy of Effects Model of Individual Change

Exposure to Change Stimulus

Awareness

Attention

Understanding

Intention

Behavior Change

•A percentage of the audience is lost at each step

•Reinforcement is required to sustain change

Behavior Maintenance

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Social-Ecological Theory of Supporting Change

Kids

Family

Community

Schools

Faith Communities

Child Care CentersHealth Care

Providers

Stores

Restaurants

Parks & Rec. Programs

Community-based

Organizations

Media

Public Agencies

Social Networks

Employers

PhilanthropyPublic Officials

Academia

Health Plans

Built Environment

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An Integrated Theory of Change

• The Coalition will aim to:– Achieve sustained change in nutrition,

physical activity, and screen time for children by

• Promoting individual behavior change in children and their families

• Using the Hierarchy of Effects Model of individual change

• Alongside with the Social-Ecological Model of supporting individual change

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An Integrated Theory of Change

• In other words:– We aim to promote individual change

through community change; or– We aim to wrap this community around our

children and their families to help them practice 5-2-1-Almost None.

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III. Target Audience

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Ultimate Audience

• Children age 0-17 and their families

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An additional 100-200 non-family households with children should also be included in the strategic plan

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First two bars combined

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Child Population by Census Tract

Children Age 0-172005 Estimate

1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)


1,604 to 2,588 (6)1,074 to 1,604 (7)

859 to 1,074 (10)704 to 859 (7)259 to 704 (6)

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ge 2-17 w/BMI 85+ Percentile2005 Estimate

707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)


707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)

BMI 85+Percentile by Census Tract

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IV. Strategic Options

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Strategic Framework• Given:

– The Strategic Platform of the Coalition– The Theory of Change to be employed– The size and characteristics of the Target

Audience

• What kinds of strategies might make sense?

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Strategic Options• Option 1

– Establish a surveillance and evaluation program to monitor changes in 5-2-1-AN behaviors over time

• Links to Core Strategies 1, 9; feeds all other strategies

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– Execute a public education campaign aimed at raising awareness of childhood weight concerns and promoting 5-2-1-AN behaviors in the target audience

• Links to Core Strategies 2, 4, 5• Engage media as partners• Engage schools, child care centers, health care

providers, libraries, community organizations• Expand partnership to other sectors over time

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– Execute a public input campaign to collect community ideas and concerns

• Links to Core Strategy 3• Engage media as partners• Collect community input through multiple

vehicles

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– Develop a policy agenda for supporting children and their families in 5-2-1-AN

• Links to Core Strategies 4, 5, 6, 7, 8• Engage key partners• Include both public and private sector policies

in evaluation of options

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– Execute a technical assistance strategy for community organizations engaged in 5-2-1-Almost None programming and practices

• Links to Core Strategies 4, 5, 6, 7, 8• Best practice research• Program ideas• Training, tools, information

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– Execute a resource development strategy to generate support for policy, program, and practice initiatives

• Links to Core Strategies 4, 5, 6, 7, 8• Focused on financial resources to support

research, development, implementation, evaluation of promising policies, programs, practices

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V. From Strategic Planning to Strategic Action

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What Is Needed• Strategic Action Plan

– We need a clear Strategic Action Plan for 5-2-1-Almost None

• Coalition Operating Plan– We need a clear Operating Plan for the

Coalition (formal structure, membership, leadership, staff, resources)

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Staff Recommendations• Strategic Action Planning

– Aim to implement a Strategic Action Plan by September

– Establish Action Planning Teams to develop components of the Strategic Action Plan between now and September

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Staff Recommendations• Coalition Operations Planning

– Aim to implement a formal Coalition Operating Plan by September

– Let the structure and operations of the Coalition be driven by the requirements of the Strategic Action Plan

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Staff Recommendations• Getting the Work Done

– Continue to meet monthly as a full coalition to share status reports and coordinate Action Plan development

– NHPS will staff the Action Planning Teams and the monthly meetings

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Staff Recommendations• Suggested Action Planning Teams

– Media and Development– Schools– Child Care Centers– Health Care Providers– Community Organizations

• (Libraries, Boys and Girls Clubs, etc.)

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Staff Recommendations• Scope of Work for Action Planning Teams

– How can we engage members of this sector as 5-2-1-AN partners?

– How could this sector raise community awareness of 5-2-1-AN?

– How could this sector support children and their families in implementing 5-2-1-AN?

• What policies? What programs? What practices?

– What supports (money, technical assistance, other) would members of this sector need to become fully engaged partners?

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Staff Recommendations• Additional questions for Media &

Development Action Team– An effective initiative will require resources from

the community– Potential public and private supporters deserve

positive publicity in return for their investment– Key questions:

• Who are the potential resource providers and how can they be engaged?

• How can media sponsorship be used to both raise awareness of 5-2-1-AN and acknowledge the support of public and private organizations who provide resources for the initiative?

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Staff Recommendations• Items to be handled at full Coalition

meetings:– Coalition Operating Plan

• Staff will present options based on evolving Strategic Action Plans

– Surveillance and Evaluation• Staff will present options based on evolving

Strategic Action Plans

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Summary Process Map

May June July August September

Action Planning

Team Meetings

Full Coalition Meetings

Implement Coalition Operating

Plan

Implement Strategic

Action Plan

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Next Steps• Coalition members join an Action Planning

Team – (Media & Development, Schools, Child Care,

Health Care Providers, Community Organizations)

• NHPS staff facilitate:– Action Planning Team Meetings– Full Coalition Meetings– Documentation of Plans

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Next Steps• What kind of time commitment?

– For Coalition members, about a day a month including a half-day meeting and some prep work outside of meetings

• How do we get started?– Staff will send out a survey describing the

Task Groups and requesting your first, second, and third choice of Task Group assignment

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Questions?

sussex county child health promotion coalition may 17, 2006

Documents

community citizens

community policies

entire community

community capacity

community visionwe

community concerns

shared community good

child health promotion9