Oceana County Community Plan

Oceana County

Community Plan

Bridgett Weldon, Catherine Drzewiecki, Holly Leveille, Julie Walker, & Kelli Benson

Community

Stre

ng

ths

Diversity exists in Oceana county with Hispanic people taking up 14.0% of the population vs. 4.5% in Michigan

WIC is available along with Free/Reduced lunches to those who can’t afford it in the schools

There is a lower percentage of patients who have no HCP, no access due to cost, and uninsured compared to DHD #10 and Michigan

(DHD, 2013)

Strengths of Oceana County

Lower rates of STD’s in Oceana County compared to the rest of Michigan

78% of 19-35 month children have immunizations

Lower rates of prostate, lung, and breast cancer exist in Oceana County

Head-start, daycare, and preschools are available

Dental clinics are available for families

(DHD, 2013)

Strengths Cont.

Community

Weakn

esse

s

High rate of children under 18 years old High rate of adults over 65 years old High level of poverty with 19.1% (Michigan

rate 15.7%) Income for Oceana County $40,422 and rest

of Michigan $48,669 Low rate of high school grads Low rate of bachelor degrees

(DHD, 2013)

Weaknesses of Oceana County

3968 people per 1119 health care providers 9258 people per 2853 mental health providers High teen pregnancy rate with elevated low

birth rates and high infant mortality rates compared to Michigan rates

Oceana County has high rates of overweight individuals, obesity, most people lack physical exercise, and state they do not adequately eat fruits and vegetables daily

(DHD, 2013)

Weaknesses Cont.

Nursing

Process

Overweight and obesity are calculated by self-reported height and weight. Healthy People 2020 target for obesity is 30.6 %.

40.5% of Oceana is Overweight 38.5% is Obese 12.5% have Diabetes

(DHD, 2013)

Assessment: Obesity

Physical activity is measured as the percent of adults who reported not participating in any leisure-time physical activities or exercises such as running, calisthenics, golf, gardening, or walking during the past month.

26.8% lack physical activity

(DHD, 2013)

Assessment: Physical Activity

◦Poverty status is based on those living below the poverty threshold in 2011

20.7% of Oceana County are in the Poverty range

88.3% versus 50.5% of Michigan use WIC in Oceana County

69.3% qualify for free or reduced lunch

12.6% unemployment rate

19.1% people live below poverty level compared to Michigan which is at 15.7%

(DHD, 2013)

Assessment: Poverty

◦ Education is based on persons over age 25 and from 2007-11. High school

graduates: Oceana County 83.0 % (Michigan 88.4%)

Bachelor’s Degree or higher: 14.8% (Michigan 25.3%)

(DHD, 2013)

Assessment: Education

Community

Diagnosis

Risk of obesity among adults related to lack of physical exercise, inadequate fruits and vegetable intake secondary to lack of financial income and education as evidenced by higher than average obesity rates in Oceana County compared to the State of Michigan.

Specific: Obesity rates of Oceana community members will be reduced by 7.9% from 38.5% in 2012, to 30.6 % in 2020 (consistent with Healthy People goals). The focus will be primarily on children and families, however all members of the community are encouraged to participate.

Measurable: Community members will visit Oceana Health Department for an annual weigh in at six months and one year.

Smart Goal

Achievable: Community members will increase activity for 30 minutes three times a week either at community exercise programs, individual home-based programs, or family centered programs.

Relevant: The goal of a 10lb. weight reduction in 20% of community members is relevant to decrease the obesity rates.

Time-bound: Community members will weigh in two times from the start of the program to have their progress monitored.

Smart Goal Cont.

Implementation

“Research shows that in order to help prevent obesity among children, we must focus on both diet and exercise in the communities where children live and go to school since the environment is a key contributor to obesity risk. Focusing on the community is especially important for children since they generally have little or no control over their environment“ (“Community-based,” 2013).

Childhood obesity

Hart Public Schools New Era Christian School Oceana Christian School Oceana Intermediate

School District Pentwater Public Schools Shelby Public Schools Walkerville Public Schools(Oceana County,2013)

Oceana County Schools

Walking clubs in elementary schools

NEEDS CALENDAR

Volunteers to chaperone clubs (teachers, parents, grandparents)

Local businesses to donate healthy snacks, pedometers, prizes

Map of walking trails (1 mile, 2 mile, etc.)

Clubs meet once weekly after school to walk

Monthly family events planned

Prizes for goals met

Teachers receive special training and recommendations of at least one period of activity during the day lasting at least 5-10 minutes.

BENEFITS All activities can be completed in a small space. This has been proven to help children focus more

during school. Children have been noted to have a 32% increase in

physical activity when compared to the control group.

(Erwin, Beighle, Morgan, & Noland, 2011)

Intervention: Classroom activity

“When a child is given an opportunity, during recess, to be involved in an activity, most are willing to participate” (Huberty et al., 2011).

BENEFITS Teachers are already outside at recess

supervising children, so having them organize a game or activity is a cost-effective means to improving physical activity in children.

Intervention: Recess Activity

Co-ed sports nightsFlag football, volleyball, kickball, tag

Dance nights: Hip-hop, Zumba, Swing

Swimming

Intervention: After School Programs

YogaKickboxingWalking/runningBicycle groupsLocal gym

Intervention: Adult Exercise Programs

Community 5K

NEEDS CALENDAR

Volunteers Local businesses to donate

prizes & advertisement Schools, churches,

businesses to post information

Location

Healthy food vendors

Monthly events for training Yearly 5K rotating location

between communities

Intervention: Healthy Foods in School

Healthy Eating in Schools

Assess Educate

Ask the kids◦ What is healthy?◦ What healthy food

do you like?◦ What is your favorite

fruit?◦ What is your favorite

vegetable?

Help kids make posters about healthy foods

Hand out coloring pages

Hand out information to take home for family

Give samples of different healthy snacks

Family event

Local businesses invited to participate

Local farmers can bring fresh produce

Bakers/Chefs can teach kids how to make healthy snacks

Community members will have the option to try new fruits or vegetables

Food Fair at School

Cooking ClassesIntervention:

Focus on quantity & quality of food

Educate about healthy choicesWeight loss is a benefit of healthy eating

Let participants decide what healthy meals they want to learn to make

COOKING CLASSES

Designated area within community

Local businesses donate supplies

Encourage social interaction

Decreases family budgets

Conserves resources Provides for cross-

cultural relations Reduces crime

Intervention: Community Garden

Studies have shown that people who participate in a community garden have an increase in the amount of fruits and vegetables consumed.

Gardens can serve as a positive influence on public policy by increasing awareness in the community.

(Castro, Samuels, & Harman, 2013)

Benefits of Community Garden

Teach meal pairings How to buy cost effective meals Shopping techniques Mobile pantries Increasing community donor's Increasing community volunteers

Intervention: Food Pantry

Evaluation

Provide cards that can be swiped or hole-punched as activities are engaged in to track participation

Grocery purchases Attendance at cooking classes or local fitness center Participation at walking club

For best results, we partner with local businesses to provide a small discount when card is swiped or punched.

10% off fresh produce purchase Collect 20 punches in a card and receive small gift or

no entry free for 5K and other activities.

Evaluation

Attendance logs

◦ The organizers of the walking clubs, cooking classes, etc. will track participation to ensure that individuals are staying engaged.

◦ If attendance begins to dwindle, the organizers should seek out the reasons in order to see if adjustments can be made.

◦ This is not in an attempt to “police” the participants, only to measure what activities are of most interest to the community and direct resources accordingly.

Evaluation

Journals

◦ At the kick-off for the program, each participant will be given a journal.

◦ This journal can be used as a daily log to record participation in exercise activities or record meals.

◦ Additionally, this journal can be used by the individual to write down their successes and frustrations as they work through the program.

◦ Kids will be encouraged to write down or draw pictures of what games they played at recess

Evaluation

Weigh-Ins

◦ Participants’ weights will be recorded at the inception of the program.

◦ A weigh-in will also be recorded at the 6 month mark to evaluate progress thus far.

◦ Finally, a weigh-in will be done at the 1 year mark to evaluate whether community and individual weight loss and BMI goals have been reached.

Evaluation

End of year packet

◦ At the end of the year, participants will be provided with a packet that includes:

Sign-up page for re-enrollment for following year.

Stats page showing how the community’s health had been impacted at the 6 month mark by participation in the program.

A survey inquiring about what did and did not work for the participants this year with free text space for ideas for the upcoming year.

Evaluation

ReferencesCastro, D., C., Samuels, M., & Harman, A., E. (2013). Growing healthy

kids: A community garden-based obesity prevention program. Journal of Preventive Medicine, 44 (3), 193-199. Retrieved from http://0www.sciencedirect.com.libcat.ferris.edu/science/article /pii/S079379712009075#

Community-based programs may help prevent childhood obesity. (2013, July 6). Obesity, Fitness & Wellness Week, pp. 196. Retrieved from http://go.galegroup.com/ps/i.do?id=GALE

%7CA335857654&v=2.1&u=lom_ferrissu&it=r&p=AONE&sw=w&asid=6bf38150d19fa1d54a932fe7f00b6b71

District Health Department # 10 (DHD). (2013). Health profile chartbook 2012: Oceana County. Retrieved from http://dhd10.org/images/Oceana_Chartbook_2012_April_2_20 13.pdf

References

Erwin, H. E., Beighle, A., Morgan, C. F., & Noland, M. (2011). Effect of a Low-Cost, Teacher-Directed Classroom Intervention on Elementary Students' Physical Activity. Journal Of School Health, 81(8), 455-461. doi:10.1111/j.1746- 1561.2011.00614.x

Huberty, J. L., Siahpush, M., Beighle, A., Fuhrmeister, E., Silva, P., & Welk, G. (2011). Ready for Recess: A Pilot Study to Increase Physical Activity in Elementary School Children. Journal Of School Health, 81(5), 251-257. doi:10.1111/j.1746- 1561.2011.00591.x

Oceana County. (2013). Local schools. Retrieved from http://www.oceanacounty.net/schools.html