+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
+
Community Needs & Values
Scientific Evidence
Resources
(adapted and modified from Muir Gray)
+
+
No sidewalks
+
Too narrow to share with bikes
+ There are many types of Complete Streets
A residential street with sidewalks
+
A street where cyclists can ride comfortably
+
A commercial arterial w bike lanes & sidewalks
+
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
+
Ingham County Health Department
Winter Gardening
+
Ingham County Health Department
Hunter Park
Ingham County Health DepartmentHunter Park in Lansing
+
Ingham County Health DepartmentAllen Street Farmers’ Market in Lansing
+
Marquette County Jackson Mine Farmers’ Market
+
Kalamazoo County Health DepartmentNew sidewalk
+Walking and Biking to School….
+
Marquette County Health Department Negaunee Lion's Club putting down a plank walkway for disabled users
+
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
+
Advocates of Healthy Weight in Children
www.americanheart.org/healthykidshealthymichigan
+
Goal: to implement a 5-year strategic policy plan to reduce childhood obesity in Michigan
+
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
+
Structured for Success!
Policy Action Teams are key Community Policy Action Team Health, Family & Child Care
Services Policy Action Team Education Policy Action Team
+
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
+
Thank you!
45
www.michigan.gov/healthycommunities