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MDCH Healthy Communities


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This is a presentation of the CVD prevention programs currently in progress through the Michigan Department of Community Health.

Published in: Health & Medicine
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MDCH Healthy Communities

  1. 1. Michigan’s Healthy Communities and Healthy Kids, Healthy Michigan Programs PRC Meeting Rochelle Hurst & Lisa Grost February 3, 2010
  2. 2. Building Healthy Communities Introduction <ul><ul><ul><li>Policy and Environmental Change Program which focuses on reducing cardiovascular disease, stroke, obesity and other chronic diseases. </li></ul></ul></ul>
  3. 3. Building Healthy Communities Introduction <ul><ul><ul><li>Interventions are to: </li></ul></ul></ul><ul><ul><ul><ul><li>Increase physical activity levels </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Increase fruit and vegetable intake </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Increase tobacco-free environments </li></ul></ul></ul></ul>
  4. 4. Healthy Communities Grant Programs Healthy Communities Building Healthy Communities Grants CDC Healthy Communities Safe Routes To School HKHM Complete Streets/ ARRA Michigan Nutrition Network ACHIEVE
  5. 5. Building Healthy Communities Introduction Social Ecological Model
  6. 6. Evidence-based public health is a process of <ul><li>Engaging stakeholders </li></ul><ul><li>Assessing what influences health, health behaviors and community health (literature, local needs, academic theory) </li></ul><ul><li>Developing programs based on assessment (science) </li></ul><ul><li>Evaluating process, impact, and outcome </li></ul><ul><li>Learning from our work and sharing it in ways that are accessible to ALL stakeholders </li></ul>
  7. 7. Building Healthy Communities Project <ul><li>Zoning and Planning </li></ul><ul><li>City Engineers </li></ul><ul><li>Parks & Recreation </li></ul><ul><li>School Districts </li></ul><ul><li>Colleges/Universities </li></ul><ul><li>Law Enforcement </li></ul><ul><li>Key Businesses </li></ul><ul><li>Health Care Professionals </li></ul><ul><li>Hospitals </li></ul><ul><li>Community Service Orgs </li></ul><ul><li>Local Cool Cities Org </li></ul><ul><li>Local Transportation </li></ul><ul><li>Faith-based Organizations </li></ul><ul><li>Public Health Department </li></ul><ul><li>Residents </li></ul><ul><li>Media </li></ul><ul><li>Health Clubs </li></ul><ul><li>Farmers </li></ul><ul><li>Public Officials </li></ul><ul><li>Chamber of Commerce </li></ul><ul><li>Downtown Development Authorities </li></ul><ul><li>Bicycle, running and skiing groups </li></ul><ul><li>Develop a strong and diverse local health </li></ul><ul><li>coalition in a community. </li></ul>
  8. 8. Building Healthy Communities Project <ul><li>Complete community health policy and environmental assessments and review community data </li></ul><ul><ul><ul><li>Healthy Communities Checklist </li></ul></ul></ul><ul><ul><ul><li>Promoting Active Communities Award and Assessment </li></ul></ul></ul><ul><ul><ul><li>Nutrition Environmental Assessment Tool </li></ul></ul></ul><ul><ul><ul><li>Smoke Free Community Assessment Tool </li></ul></ul></ul><ul><ul><ul><li>BRFSS </li></ul></ul></ul><ul><ul><ul><li>Local Data </li></ul></ul></ul><ul><ul><ul><li>Survey Target Population </li></ul></ul></ul><ul><ul><ul><li> </li></ul></ul></ul>
  9. 9. Building Healthy Communities Project <ul><li>3. Develop a 3-5 year Action Plan focusing on the higher levels of the social ecological model. </li></ul><ul><li>Program Goal </li></ul><ul><li>Objective </li></ul><ul><li>Data Source </li></ul><ul><li>Rationale </li></ul>Activities Target Completion Date Lead Staff Partners Indicators
  10. 10. Community Needs & Values Scientific Evidence Resources (adapted and modified from Muir Gray)
  11. 12. <ul><li>No sidewalks </li></ul>
  12. 13. <ul><li>Too narrow to share with bikes </li></ul>
  13. 14. There are many types of Complete Streets <ul><li>A residential street with sidewalks </li></ul>
  14. 15. <ul><li>A street where cyclists can ride comfortably </li></ul>
  15. 16. <ul><li>A commercial arterial w bike lanes & sidewalks </li></ul>
  16. 17. <ul><li>A street where school children can safely cross </li></ul>
  17. 18. Building Healthy Communities Interventions & Successes <ul><li>New and enhanced trails* </li></ul><ul><li>Enhanced parks* </li></ul><ul><li>New and enhanced farmers markets* </li></ul><ul><li>Grocery store policy </li></ul><ul><li>Gardens* </li></ul><ul><li>Complete streets </li></ul><ul><li>Non-motorized plans </li></ul><ul><li>Food Systems </li></ul><ul><li>*Tobacco Free Policies </li></ul>
  18. 19. Building Healthy Communities: Highlights
  19. 20. Building Healthy Communities Data <ul><li>25 local health departments and 8 county extension agencies funded, covering 46 counties and Detroit in Michigan! </li></ul><ul><li>Local coalitions have leveraged more than $5 million in additional funding to support projects. </li></ul>
  20. 21. Building Healthy Communities Data: Physical Activity <ul><li>Across the state: </li></ul><ul><ul><li>17 trails covering 72 miles were created or enhanced </li></ul></ul><ul><ul><li>10 parks with 129 acres enhanced with new equipment, benches or lighting to improve safety </li></ul></ul><ul><ul><li>11 new bicycle facilities, including bike racks and bike lanes, were implemented </li></ul></ul>
  21. 22. Building Healthy Communities Data: Healthy Eating <ul><li>Across the state: </li></ul><ul><ul><li>6 new farmers markets opened; most process EBT (Electronic Benefits Transfer or Food Stamps) </li></ul></ul><ul><ul><li>8 new school and community gardens started </li></ul></ul><ul><ul><li>>6,400 Senior Project FRESH coupon books distributed to low income seniors </li></ul></ul>
  22. 23. Ingham County Health Department Winter Gardening
  23. 24. <ul><li>Ingham County Health Department </li></ul><ul><li>Hunter Park </li></ul>Ingham County Health Department Hunter Park in Lansing
  24. 25. Ingham County Health Department Allen Street Farmers’ Market in Lansing
  25. 26. Marquette County Jackson Mine Farmers’ Market
  26. 27. Kalamazoo County Health Department New sidewalk
  27. 28. Walking and Biking to School….
  28. 29. Marquette County Health Department Negaunee Lion's Club putting down a plank walkway for disabled users
  29. 30. Marquette County Health Department Trail Grand Opening ribbon cutting
  30. 31. SOPARC: More Than Just An Evaluation Tool!
  31. 32. Building Healthy Communities Data <ul><li>Michigan Trail Data </li></ul><ul><ul><li>Primarily white males </li></ul></ul><ul><ul><li>Males – walking and running </li></ul></ul><ul><ul><li>Women – walking </li></ul></ul><ul><ul><li>Perceived maintained </li></ul></ul><ul><ul><li>Perceived safe </li></ul></ul><ul><ul><li>Use with someone else </li></ul></ul><ul><ul><li>Duration 1-2 hours </li></ul></ul><ul><ul><li>Increased use with promotion </li></ul></ul>
  32. 33. Building Healthy Communities 2010 <ul><li>Michigan Park Data </li></ul><ul><ul><li>Large number of diverse populations </li></ul></ul><ul><ul><li>Male and female youth getting vigorous physical activity </li></ul></ul><ul><ul><li>Children and teens were primary users </li></ul></ul><ul><ul><li>Duration 1-2 hours </li></ul></ul><ul><ul><li>Increased usage </li></ul></ul>
  33. 34. Building Healthy Communities <ul><li>Sharing Healthy Communities Successes </li></ul><ul><ul><li>International Congress Meeting on Physical Activity, 2010 </li></ul></ul><ul><ul><li>Michigan Recreation and Parks Association, 2010 </li></ul></ul><ul><ul><li>National Association of State Legislators, 2009 </li></ul></ul><ul><ul><li>Centers for Disease Control Healthy Communities, 2009 </li></ul></ul><ul><ul><li>National Association of Chronic Disease Directors: CD Prevention Success, 2009 </li></ul></ul><ul><ul><li>Centers for Disease Weight of the Nation Conference, 2009 </li></ul></ul><ul><ul><li>Other state webinars, 2009 </li></ul></ul><ul><ul><li>SOPHE Michigan Chapter, 2009 </li></ul></ul><ul><ul><li>Michigan Association of Local Public Health Conference, 2009, 2007 </li></ul></ul><ul><ul><li>Mid-American Trails Conference, 2009 </li></ul></ul><ul><ul><li>American Public Health Association, 2007 </li></ul></ul>
  34. 35. Local Public Health & Health Coalitions New Funding Healthy Communities $$$$$$$ + BHC 4 ACHIEVE Grants 2 Pioneering Healthy Communities 2 Robert Wood Johnson Foundation Safe Routes to School Local Foundation Grants ARRA Complete Streets
  35. 36. Building Healthy Communities Key Partners <ul><li>Chronic Disease Division and other Sections </li></ul><ul><li>Michigan Association of Local Public Health & Health Departments </li></ul><ul><li>Michigan Public Health Institute </li></ul><ul><li>Michigan State University Extension (MSUE) & Michigan Nutrition Network (MNN) </li></ul><ul><li>Michigan Department of Transportation </li></ul><ul><li>Centers for Disease Control and Prevention </li></ul><ul><li>Furman University </li></ul><ul><li>Altarum Institute </li></ul><ul><li>Michigan Association of Planning </li></ul>
  36. 37. Advocates of Healthy Weight in Children
  37. 38. <ul><li>Goal: to implement a 5-year strategic policy plan to reduce childhood obesity in Michigan </li></ul>
  38. 39. <ul><li>Accomplishments: </li></ul><ul><li>Medicaid “L” Letter </li></ul><ul><li>PA 231 </li></ul><ul><li>Legislative Highlights: </li></ul><ul><li>Health and Physical Education Legislation </li></ul><ul><li>Coordinated School Health Program Legislative Breakfast </li></ul><ul><li>Complete Streets Resolution </li></ul>
  39. 40. Advocates of Healthy Weight in Children Timeline 2007 2008 2009 2013 2010 2011 2012 NGA Grant NGA Grant 5 Year Strategic Policy Plan
  40. 41. <ul><li>Policy Action Teams are key </li></ul><ul><ul><li>Community Policy Action Team </li></ul></ul><ul><ul><li>Health, Family & Child Care Services Policy Action Team </li></ul></ul><ul><ul><li>Education Policy Action Team </li></ul></ul>Structured for Success!
  41. 42. <ul><li>Physical and Health Education Requirements </li></ul><ul><li>Mandating District Coordinated School Health Councils </li></ul><ul><li>State Nutrition Standards for the School Campus </li></ul>2010 Education: Policy Areas
  42. 43. <ul><li>Medicaid Coverage of Childhood Obesity </li></ul><ul><li>BMI Surveillance </li></ul><ul><li>Childcare Nutrition & Physical Activity Policies </li></ul>2010 Health, Family and Child Care Services: Policy Areas
  43. 44. <ul><li>Access to Fresh and Healthy Foods </li></ul><ul><li>School & Community Gardens </li></ul><ul><li>Complete Streets </li></ul>2010 Community: Policy Areas
  44. 45. Thank you!