The document provides guidance on advocating for healthy eating policies within local governments. It discusses determining why the community would benefit from a policy change, identifying strategies to influence the change, and necessary interim steps before the desired change can be achieved. Specific policies mentioned include healthy food retail, urban agriculture zoning, and including health objectives in comprehensive planning documents. Meeting with relevant agencies, building partnerships, and providing expertise are recommended advocacy approaches.
1. How to Advocate for Healthy Eating Within City Government Noelle Dobson Amy Gilroy [email_address] [email_address] May 20, 2011 Community Food Security Coalition Conference
2. Health Happens in Places Where Oregonians Live, Work, Learn and Play We see tomorrow's health, and we’re here to make it happen today.
5. Healthy Food Retail Urban Agriculture Zoning Code Comprehensive Plan Farmers Markets SNAP and Health Nutrition Standards Menu Labeling Sugar Sweetened Beverage Tax Multi-family Gardening Worksite Breastfeeding Accommodation Hospital Breastfeeding Practices
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8. Desired Policy Change WHY will our community be better off AFTER the policy or environmental change has been achieved? HOW: What strategies will our coalition implement to influence the desired change? WHAT interim steps of change need to be reached BEFORE the desired policy or environmental change can be achieved? Strategy Map
9. What does it mean to create policy and environmental change?
11. • Develop a good strategy • Identify, measure and celebrate milestones along the way • Access what is in your control • Distinguish between Big Advocacy and little advocacy
12. • Become indispensible experts • Use maps to highlight environmental context • Consider trade offs and competing factors • Reframe the issue
13. • Build knowledge, trust and partnership • Connect public process to community needs and actions • Share resources with partners • Look for opportunities to create short-term change in communities on the ground
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18. Tips: Build knowledge, trust, and partnership Share resources with partners
21. Strategies/actions to influence desired changes WHAT needs to happen or WHO needs to change BEFORE the desired P/E change can be achieved? WHAT is the P/E change our coalition seeks to achieve? Meet with Bureau of Development Services and code writers from Bureau of Planning Convene meetings with health and equity stakeholders Develop health and planning communication materials that reflect City’s Public Involvement Principles Organize public workshops and events with organizations who have been historically excluded from public decision making process Planning and Sustainability Commission supports health and equity implications of code changes Bureau of Planning and Sustainability utilizes the Public Involvement Advisory Council and Public Involvement Principles to conduct meaningful outreach Organizations who have not been involved in the Project Advisory Group attend meetings and have meaningful engagement opportunities Bureau of Planning and Sustainability staff incorporate health and equity language into public documents Urban food codes maximize health and equity benefits and minimize burdens. Increase in accessible culturally relevant food Increase in access Increase in consumption Increase in C02 capture/decrease in CO2 emissions Improved air quality Improved soil quality Decrease in chronic disease rates Why will our community be better off AFTER the P/E change has been achieved?
22. Tips: Distinguish between Big Advocacy and little advocacy Connect the public process to community needs and actions
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24. Desired Policy Change WHY will Portlanders be better off with a Portland Plan that includes healthy food objectives, activities and measures? HOW will OPHI advocate for a Portland Plan that includes health objectives, activities & measures? WHAT interim steps of change need to be reached for the Portland Plan to include healthy food objectives, activities, and measures? Residents will have more equitable and greater access to healthier foods, Public resources for healthy food infrastructure will be distributed to communities that are currently most underserved Health disparities will be reduced over-time Portland Plan includes goals, objectives, and measures that address healthy food access for communities throughout the city. OPHI - Healthy Portland Plan Strategy Map
26. • Identify, measure and celebrate milestones along the way • Access what is in your control • Reframe the issue • Become indispensible experts • Build knowledge, trust and working partnership
27. Desired Policy Change WHY will Portlanders be better off with a Portland Plan that includes healthy food objectives, activities and measures? HOW will OPHI advocate for a Portland Plan that includes health objectives, activities & measures? Convene Healthy Portland Plan Workgroup and support member advocacy efforts Advocate to city officials and BPS-project leads to include health concepts in Portland Plan Proactively provide health-related information & expertise to BPS Build advocacy capacity of community organizations to engage in on-going Portland Plan activities Provide technical input into BPS planning documents WHAT interim steps of change need to be reached for the Portland Plan to include healthy food objectives, activities, and measures? Residents will have more equitable and greater access to healthier foods, Public resources for healthy food infrastructure will be distributed to communities that are currently most underserved Health disparities will be reduced over-time Portland Plan includes goals, objectives, and measures that address healthy food access for communities throughout the city. OPHI - Healthy Portland Plan Strategy Map
29. Desired Policy Change WHY will Portlanders be better off with a Portland Plan that includes healthy food objectives, activities and measures? HOW will OPHI advocate for a Portland Plan that includes health objectives, activities & measures? Convene Healthy Portland Plan Workgroup and support member advocacy efforts Advocate to city officials and BPS-project leads to include health concepts in Portland Plan Proactively provide health-related information & expertise to BPS Build advocacy capacity of community organizations to engage in on-going Portland Plan activities Provide technical input into BPS planning documents WHAT interim steps of change need to be reached for the Portland Plan to include healthy food objectives, activities, and measures? BPS has institutional knowledge of connection between health and planning BPS-produced health-related documents & outreach events include input from OPHI City officials and BPS-project leads support health concepts included in Portland Plan Community organizations work with BPS/city officials to communicate neighborhood’s visions for “their” healthy communities Residents will have more equitable and greater access to healthier foods, Public resources for healthy food infrastructure will be distributed to communities that are currently most underserved Health disparities will be reduced over-time Portland Plan includes goals, objectives, and measures that address healthy food access for communities throughout the city. OPHI & HPPW members utilized as expert resources by Bureau of Planning & Sustainability (BPS) on advisory groups OPHI - Healthy Portland Plan Strategy Map
33. HEALTHY & AFFORDABLE FOOD IN THE PORTLAND PLAN • Expand access to healthy, affordable food; • Prioritize grocery stores as essential components of neighborhood hubs; • Make it possible for all Portlanders, including those without yards, to grow their own food. 1. Identify and better understand neighborhood food access issues by conducting local food assessments and market basket surveys. 2. Retain and recruit grocery stores as key components of neighborhood hubs. 3. Create 1,000 community garden plots, focusing in areas accessible to higher- density housing, by pursuing opportunities to repurpose publically- owned land and through public-private partnerships. 4. Amend the zoning code to support urban food production and distribution.
34. Desired Policy Change WHY will Portlanders be better off with a Portland Plan that includes healthy food objectives, activities and measures? HOW will OPHI advocate for a Portland Plan that includes health objectives, activities & measures? Convene Healthy Portland Plan Workgroup and support member advocacy efforts Advocate to city officials and BPS-project leads to include health concepts in Portland Plan Proactively provide health-related information & expertise to BPS Build advocacy capacity of community organizations to engage in on-going Portland Plan activities Provide technical input into BPS planning documents WHAT interim steps of change need to be reached for the Portland Plan to include healthy food objectives, activities, and measures? BPS has institutional knowledge of connection between health and planning BPS-produced health-related documents & outreach events include input from OPHI City officials and BPS-project leads support health concepts included in Portland Plan Community organizations work with BPS/city officials to communicate neighborhood’s visions for “their” healthy communities Residents will have more equitable and greater access to healthier foods, Public resources for healthy food infrastructure will be distributed to communities that are currently most underserved Health disparities will be reduced over-time Portland Plan includes goals, objectives, and measures that address healthy food access for communities throughout the city. OPHI & HPPW members utilized as expert resources by Bureau of Planning & Sustainability (BPS) on advisory groups OPHI - Healthy Portland Plan Strategy Map
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Editor's Notes
Goals for the day
Who in the audience has health as a main driver for their work? It’s not that the larger food system doesn’t have an impact on access to healthy food, but our healthy food work is more about small scale production and access to healthy retail food. Unlike when you are talking about agriculture, when you are talking about healthy eating you come up against those who see it as all up to individual behaviors. We have to educate about the role that the environment plays in whether families have options to eat healthy. (Is this where we bring up that maps have played a big role in this? And also community members increasingly talking about food retail access as an important part of their neighborhood?) Local food doesn’t necessarily mean healthy food, maybe ask the audience if anyone has come up against this? What strategies have been effective in getting decision makers to care about health? For us, promoting health is about reducing health disparities, which means you have to talk about how to make healthy food affordable.
This category is more about details or activities, maybe more about implementation rather than planning a good strategy.
And these are more about partnership and institutionalizing relationships with city staff
And these are more about partnership and institutionalizing relationships with city staff
And these are more about partnership and institutionalizing relationships with city staff
USDA definition of food deserts Income- 1 – a poverty rate of 20 percent or greater; less than 80% of MFI Spatial Access - 2- relationship between population density/and distance to full service grocery (look this up….)
A couple of tips..build knowledge, trust, and partnership using the healthy food retail white paper and zoning analysis to engage with community partners doing retail work on the ground…for example…the Village Market… Recognizing Challenges and competing factors - for example, grocer owners assume some risk in operating in underserved communities Aligning health goals with existing efforts underway – Providing opportunity for dialogue and building knowledge of issues - providing case studies, best practices, and finding agency champions who have the expertise to improve your level of understanding. Leverage community efforts – Village Market (non profit model can be effective in reducing health disparities. Recognizing challenges - Economic Development PHLP examples and P. specific Aligning health goals with existing political – targets for food retail Bringing experts together – BDS, BPS, Leveraging community’s efforts – Village market (why non profit model can be effective in reducing health disparities)
Second example of how we’ve been advocating for health in city food policy… Existing conditions…activities already underway in Portland… Concern about regulating these activities and how they could have unintended consequences
The official zoning code establishes zones within city limits to permit certain land uses or activities conducted on property within the city – these are established to promote and protect health, safety, and general community welfare…These are the base zone categories
Challenges in determining policy target… What is our target of change? What part of the process do we want to impact? (since these changes (both retail initiative and urban food code update) are happening anyway..how do we maximize this opportunity to improve access to healthy food for underserved communities) Health complementary to goals of urban food production and distribution Health language in materials Health and equity stakeholders are intentionally engaged Align with public participation principles Maximize zoning as a planning tool to address healthy equity – meeting with bps, learning terminology…
Break..ok, who has been thinking about their target?
-Strong built environment and social determinants frame with less emphasis on individual behavior. -Highlight on disparities in health outcomes among communities of color and low-income portlanders -Policy recommendation provided were used throughout the report -Strong evidence-base for connections between the social determinants of health and urban planning -strong evidence-base for the impact of build environments on health outcomes -Discussion of economic costs of poor health outcomes.
These next two slides are the draft Health directions and objectives. Over the last three years…quickly summarize HPPW work and OPHI invovlement These that you see here in health section are focused primarily on the built environment. You won’t see transportation. Other social determinants are in other action areas, and we’re working with them as well.
Start to introduce that we’ll all be working through a strategy map later