DATA Planning Process: Creates 3 Year Reviews data, Vision for HE/AL community assets, t identifies gaps HEAL staff reviews community d t it data, risk and protectiveCommunity factors, andmembers share literatureconditions for a diti fhealthycommunity
Given limited funds and personnel, how will we choose the “most important” issues in ourcommunity on which to focus limited resources?
DATA PROCESS TODAY REVIEW COMMUNITY INPUT AND STATISTICS ASSESS WHERE DISPARITIES EXIST ASSESS CURRENT ASSETS AND GAPS WHAT COMMUNITY ENVIRONMENT CHANGES ARE NEEDED • “UPSTREAM FOCUS”
BARHII UPSTREAM FRAMEWORK POLICY COMMUNITY INDIVIDUAL HEALTHOPPORTUNITIES FACTORS FACTORS OUTCOMES Land Use WELL PAYING JOBS Physical Overweight/ Activity A ti it Obesity Ob it Food AFFORDABLE Policies HOUSING Diet High Cholesterol Housing AFFORDABLE Stress High Blood Policies HEALTHY FOODS Pressure Education COMMUNITY Arthritis Policies GARDENS Cancers Transpor Transpor- TRANSPORTATION Coronary Coronar Heart tation Disease PHYSICAL ACTIVITY FOR ALL/YOUTH Osteoporosis COMMUNITY COMING Stroke TOGETHER Diabetes WALKING / BIKING ROUTES
CONDENSED UPSTREAM FRAMEWORKCommunity Individual Health Factors Factors Outcomes•WALKING •OVERWEIGHT OVERWEIGHTPATHS •DIET OR OBESITY•COMMUNITY •PHYSICAL •HEARTGARDENS ACTIVITY DISEASE•FOOD •STRESS •DIABETESACCESS
Why is Jason Sick? INTENTIONAL HOUSING INJURY IS EXPENSIVE PARNETS UN PLAY IN RUN CAN’T CAN’T MOTHER CUT ON AFFORD JUNK DOWN OFTEN INTENTIONAL LEG YARD NEIGHBOR NICER SICK ‐HOOD PLACE FATHER WORKS TWO JOBS PHYSICAL/ PHYSICAL/ PHYSICAL/ INSTITUTIONAL SOCIAL BEHAVIOR LIVING ENVIORNMNET ECONOMIC ECONOMIC CONDITIONS POWER INEQUITIES ENVIORNMNET ENVIORNMNET
WHY ‘UPSTREAM’? We now know that the community where we live, work, play and learn strongly influences our behavior how we live our lives and our behavior, health. 90% of our HEAL work has focused on educating individuals to change their behavior. Need interventions that will affect an entire community, not just individuals. As a community, in addition to encouraging individuals or groups to adopt healthy behaviors, we must move beyond to creating an environment th t makes it EASY for individuals to make the healthy i t that k f i di id l t k th h lth choice. The community needs to move toward more innovative, broadly focused strategies for prevention.
TOBACCO SUCCESS Educational Strategies / Management of Nicotine Addiction Addi ti Regulatory Efforts Advertising and Promotion Product Regulation Clean Indoor Air Regulation Minors Minors Access to Tobacco In the 1990s, it became increasingly apparent that a public health success in reducing tobacco use requires activity on all fronts. A comprehensive approach---one th t optimizes synergy f h i h that ti i from a mix of strategies---has emerged as the guiding principle for future efforts to reduce tobacco use.
TOBACCO SUCCESS Community Individual Health Factors Factors OutcomesRegulatory Efforts ff •Lung Cancer•Advertising and •Individual •Other RespiratoryPromotion Education Issues•Product Regulation Product•Clean Indoor Air •Management ofRegulation Nicotine Addiction•Minors Access toTobaccoT bEconomic Approaches•Taxes, supply, pricingSuccess in reducing tobacco use requires activity on all fronts. A comprehensiveapproach---one that optimizes synergy from a mix of strategies---has emerged asthe guiding principle for future efforts to reduce tobacco use.
Community Individual Health Factors Factors Outcomes Healthy Food Not H lth F d N t 30% Eat Fast Food 1 in 2 overweight Available 50% 48% Percent of Adults 48% 46% 44% 42% 40% 42% 38% 2001 2003 2005 2007 2009 Year
Community Individual Health Factors Factors OutcomesCommunity notC it t HALF of kids get f kid t Less th HALF L than Safe little or no exercise physically FIT Marin County 5th, 7th and 9th Grade Students It’s not 52% Some or Meeting all 6 Fitness Criteriaalways safe No Exercise 60% 5th Grade 55% P e r c e n t o f S tu d e n ts to walk t lk 50% 54% 46% 7th Grade 7th Grade 9th Gradearound the 45% 40% 44% 45% 42%community 48% Daily 35% 35% E i Exercise 30% 2005‐2006 2006‐2007 2007‐2008 2008‐2009 2009‐2010 2010‐2011 Years
STRATEGIC PLAN FOCUSED ‘UPSTREAM’ UPSTREAM Community Poor Diet and High Factors No Exercise CholesterolCreate policiesto improve Work with Educateaccess to large Educate adults withhealthy foods, organizations Individuals to highcreate food in Marin tobuying clubs, eat healthy cholesterol build healthyreduce costs of and exercise to prevent workkhealthy foods environments heart attacks
What does the data tell us about community changes that can stimulate HEAL? Look at the Data to see what story the data is telling us about our community. community Make sense of the data from your experience in the community. community Think about how we can improve where we live, work, play and learn, so our community is designed to learn support healthy lives.
HEAL STAFF Review DATA DATA •Reflects Needs/AssetsHundreds of •Risk and Protective HEAL Pieces of FactorsInformation •Literature VISION on •AVAILABLE Health of •Local Community VoiceCommunityC it HEAL Planning Group Review Assets and Gaps