MDCH Healthy Communities

+Michigan’s Healthy Communities and

Healthy Kids, Healthy Michigan

Programs

PRC Meeting

1

Rochelle Hurst & Lisa GrostFebruary 3, 2010

+Building Healthy Communities

Introduction

Policy and Environmental Change Program which focuses on reducing cardiovascular disease, stroke, obesity and other chronic diseases.

+Building Healthy Communities

Introduction

Interventions are to:

Increase physical activity levels Increase fruit and vegetable intake Increase tobacco-free environments

+ Healthy Communities Grant Programs

Healthy Communities

BuildingHealthy

CommunitiesGrants

CDCHealthy

Communities

SafeRoutes

ToSchool

HKHMCompleteStreets/

ARRA

MichiganNutritionNetwork

ACHIEVE

+Building Healthy Communities

Introduction Social Ecological Model

+Evidence-based public health

is a process of

Engaging stakeholders

Assessing what influences health, health behaviors and community health (literature, local needs, academic theory)

Developing programs based on assessment (science)

Evaluating process, impact, and outcome

Learning from our work and sharing it in ways that are accessible to ALL stakeholders

+ Building Healthy Communities Project

Zoning and Planning

City Engineers

Parks & Recreation

School Districts

Colleges/Universities

Law Enforcement

Key Businesses

Health Care Professionals

Hospitals

Community Service Orgs

Local Cool Cities Org

Local Transportation

Faith-based Organizations

Public Health Department

Residents

Media

Health Clubs

Farmers

Public Officials

Chamber of Commerce

Downtown Development Authorities

Bicycle, running and skiing groups

1. Develop a strong and diverse local health coalition in a community.

+ Building Healthy Communities Project

2. Complete community health policy and environmental assessments and review community data

- Healthy Communities Checklist- Promoting Active Communities Award and

Assessment- Nutrition Environmental Assessment Tool- Smoke Free Community Assessment Tool- BRFSS- Local Data- Survey Target Population- www.mihealthtools.org

+ Building Healthy Communities Project

3. Develop a 3-5 year Action Plan focusing on the higher levels of the social ecological model.

Program Goal

Objective

Data Source

Rationale

9

Activities Target Completion

Date

Lead Staff Partners Indicators

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Community Needs & Values

Scientific Evidence

Resources

(adapted and modified from Muir Gray)

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+

No sidewalks

+

Too narrow to share with bikes

+ There are many types of Complete Streets

A residential street with sidewalks

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A street where cyclists can ride comfortably

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A commercial arterial w bike lanes & sidewalks

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A street where school children can safely cross

+Building Healthy Communities

Interventions & Successes

New and enhanced trails*

Enhanced parks*

New and enhanced farmers markets*

Grocery store policy

Gardens*

Complete streets

Non-motorized plans

Food Systems

*Tobacco Free Policies

+Building Healthy Communities:

Highlights

+Building Healthy Communities Data

25 local health departments and 8 county extension agencies funded, covering 46 counties and Detroit in Michigan!

Local coalitions have leveraged more than $5 million in additional funding to support projects.

+ Building Healthy Communities Data: Physical Activity

Across the state: 17 trails covering 72 miles were created or

enhanced 10 parks with 129 acres enhanced with new

equipment, benches or lighting to improve safety 11 new bicycle facilities, including bike racks and

bike lanes, were implemented

+Building Healthy Communities Data:

Healthy Eating

Across the state: 6 new farmers markets opened; most

process EBT (Electronic Benefits Transfer or Food Stamps)

8 new school and community gardens started >6,400 Senior Project FRESH coupon books

distributed to low income seniors

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Ingham County Health Department

Winter Gardening

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Ingham County Health Department

Hunter Park

Ingham County Health DepartmentHunter Park in Lansing

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Ingham County Health DepartmentAllen Street Farmers’ Market in Lansing

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Marquette County Jackson Mine Farmers’ Market

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Kalamazoo County Health DepartmentNew sidewalk

+Walking and Biking to School….

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Marquette County Health Department Negaunee Lion's Club putting down a plank walkway for disabled users

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Marquette County Health DepartmentTrail Grand Opening ribbon cutting

+SOPARC: More Than Just An Evaluation Tool!

+ Building Healthy CommunitiesData

Michigan Trail Data Primarily white males Males – walking and running Women – walking Perceived maintained Perceived safe Use with someone else Duration 1-2 hours Increased use with promotion

+ Building Healthy Communities2010

Michigan Park Data Large number of diverse populations Male and female youth getting vigorous

physical activity Children and teens were primary users Duration 1-2 hours Increased usage

+Building Healthy Communities

Sharing Healthy Communities Successes International Congress Meeting on Physical Activity, 2010 Michigan Recreation and Parks Association, 2010 National Association of State Legislators, 2009 Centers for Disease Control Healthy Communities, 2009 National Association of Chronic Disease Directors: CD Prevention

Success, 2009 Centers for Disease Weight of the Nation Conference, 2009 Other state webinars, 2009 SOPHE Michigan Chapter, 2009 Michigan Association of Local Public Health Conference, 2009, 2007 Mid-American Trails Conference, 2009 American Public Health Association, 2007

+Local Public Health & Health Coalitions

New Funding

HealthyCommunities

$$$$$$$+ BHC

4 ACHIEVEGrants

2 PioneeringHealthy

Communities

2 RobertWood Johnson

Foundation

SafeRoutes to

School

LocalFoundation

Grants

ARRACompleteStreets

+ Building Healthy CommunitiesKey Partners

Chronic Disease Division and other Sections

Michigan Association of Local Public Health & Health Departments

Michigan Public Health Institute

Michigan State University Extension (MSUE) & Michigan Nutrition Network (MNN)

Michigan Department of Transportation

Centers for Disease Control and Prevention

Furman University

Altarum Institute

Michigan Association of Planning

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Advocates of Healthy Weight in Children

www.americanheart.org/healthykidshealthymichigan

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Goal: to implement a 5-year strategic policy plan to reduce childhood obesity in Michigan

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Accomplishments:

Medicaid “L” Letter

PA 231

Legislative Highlights:

Health and Physical Education Legislation

Coordinated School Health Program Legislative Breakfast

Complete Streets Resolution

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Advocates of Healthy Weight in Children

Timeline

2007 2008 2009 20132010 2011 2012

NGA GrantNGA Grant 5 Year Strategic Policy Plan

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Structured for Success!

Policy Action Teams are key Community Policy Action Team Health, Family & Child Care

Services Policy Action Team Education Policy Action Team

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2010 Education: Policy Areas

Physical and Health Education Requirements

Mandating District Coordinated School Health Councils

State Nutrition Standards for the School Campus

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2010 Health, Family and Child Care

Services: Policy Areas

Medicaid Coverage of Childhood Obesity

BMI Surveillance

Childcare Nutrition & Physical Activity Policies

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2010 Community: Policy Areas

Access to Fresh and Healthy Foods

School & Community Gardens

Complete Streets

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Thank you!

45

www.michigan.gov/healthycommunities