Community Health Assessment - #4, March 8th

Moving to the Future: Nutrition and

Physical Activity Program Planning

A S S O C I A T I O N O F S T A T E P U B L I C H E A L T H N U T R I T I O N I S T S

Karen L. Probert, MS, RDNExecutive Director

Moving to the Future authorCommunity health planner

karen@asphn.org

mailto:karen@asphn.org

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A S S O C I A T I O N O F S T A T E P U B L I C H E A L T H N U T R I T I O N I S T S

A S S O C I A T I O N O F S T A T E P U B L I C H E A L T H N U T R I T I O N I S T S

Non-profit membership organization of public health

nutritionists and related professionals

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Quick audio checkType in chat box your sound quality

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Ohio is awesome!

You have strong public health nutrition and physical activity programs plus excellent staff in the state health department.✔You get state Title V funds to do planning✔Creating Healthy Communities program✔Early care and education setting work

http://www.asphn.org/resource_files/642/642_resource_file1.pdf

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Why are we doing this?

State Title V MCH Block Grant work plan• National Performance Measure #8 – active

school kids for at least an hour a day• Support local communities in planning• Nutrition education• Physical activity curriculums

• Access to healthy foods

http://mchb.hrsa.gov/maternal-child-health-initiatives/title-v-maternal-and-child-health-services-block-grant-program

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Why?Nutrition Program Deliverables Grid from the state’s RFP and that you must follow✔ Attend trainings✔ Needs assessment✔ Local coalition✔ Action plan✔ Monthly progress report

✔ Nutrition education program in schools

✔ Report on knowledge gained

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The Real Why

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Basis for Today’s Webinar

Community Assessment Progress Reports✔As of last Friday, I received 13✔Report to state

Webinar Evaluation Results

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March 8th Webinar Agenda

✔Coalitions✔Data✔Opinion✔Resources✔Environment

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Progress and Evaluation

✔People understand how to conduct an assessment

✔Folks are sort of comfortable with Moving to the Future

✔You want to know what others are doing

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Progress and Evaluation

✔Everyone has data✔Some are starting to collect opinion✔Environment✔More people gathering information on

existing programs and services✔I’m seeing less mention of built environment

and social environment

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Most Important Messages

Dive In

Just Do Something

Go For It

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More specifically

✔Use the worksheets✔Use the summary sheets✔Use the questions in the Community

Opinion Survey✔Modify the summary sheets✔Write down your observations

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Moving to the Future: Nutrition & Physical Activity

Program Planning

Quick Overview

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Specifically, to get this

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www.movingtothefuture.org

http://www.movingtothefuture.org/

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1. Community Assessment

2. Priorities, Goals, and Objectives

3. Nutrition and Physical Activity Plan

4. Implementation

5. Evaluation

5-Step Planning Process

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Planning and implementing community-based programs is not work that can be done perfectly.

Assess

Flexible and Realistic

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The intent of Moving to the Future is to provide guidance. Use what is helpful and modify materials to meet your needs.

Flexible and Realistic

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Do the best you can, given your real-world limitations, and commit to making improvements every year.

Flexible and Realistic

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Three Steps1. Define Community

2. Gather and Analyze Information

3. Summarize and Report Information

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Tips regarding coalition requirement✔Coalition requirement – clarification from

the state✔Do a short report or give an update at an

existing coalition meeting✔Propose an Ad Hoc group so you have

others to help you

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Data

CFHS & RHWP 2015 Health Status Profiles• Demographics• MCH vital stats, cancer rates, STD rates, • Child health including overweight and obese• Disparities data

https://www.odh.ohio.gov/odhprograms/cfhs/cf_hlth/cha/hsprofiles.aspx

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Other Sources for Data

✔County Health Rankings Robert Wood Johnson Foundation

✔ Kids Count DataAnnie E. Casey Foundation

✔ High School YRBSCDC

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Questions About Collecting Data

✔What do I do if there isn’t county data?✔What do I do if there isn’t state data to

which I can compare?✔What does that 3rd grade obesity data

mean?

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Tips on Collecting Data

✔Use the Worksheets and Summary Sheets✔Move on✔Don’t be collecting your own data✔Linda from Belmont County✔Used the worksheets and “Analysis of Data”

section✔Used the Summary Sheet

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Community Opinion

Do people in your community have opinions about nutrition and physical activity?

And, what are those opinions?

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Questions about Collecting Community OpinionWe don’t have time to gather community reaction to our proposed intervention. That could be a problem.

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Tips about Collecting Community OpinionJust Dive In!!

Surveys have been completed and printed and will be distributed at next coalition meeting (Alayna in Knox County)

Survey coalition members and ask partners to distribute some surveys

Be sure to have questions that solicit stories or specifics

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Next I looked at information that was missing like citizen opinion and developed a survey. Some of the questions were about what prevents citizens from walking or buying fresh fruits and vegetables. Surveys are handed out at the front desk of partners (hospital, extension, YMCA, WIC, health center, etc.)

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We tried to do a survey electronically but ran into a snag with size

I’ve thought about putting a polling question on Facebook or other social media platforms

Tiffani from Fairfield

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Media SurveyAsked coalition members to completeSearch website of local papers for articles

Community SurveyUsed survey in Moving to the Future and will be distributed at community events

Key Informant InterviewsCoalition members gave suggestions of people to interview

Natasha from Carroll

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Assessing Resources, Assets, Policies, and EnvironmentWhat is influencing health behaviors in your community?

Note: Moving to the Future section title is “Community Environment”

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What?Is it easy to eat healthy foods

and be physically active in your community?

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This phase of community assessment tells you✔Who else is providing programs or

services in your community?

✔Is the community supportive of healthy eating and physical activity?

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Community Resources & AssetsExisting nutrition and physical activity programs and services designed for or used by your target audience

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Survey

Who else does nutrition and physical activity?What types of programs and services do

these agencies offer?

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Community Environment

The conditions and influences that negatively effect the outcome of the nutrition services you provide, or that contribute to mixed messages about nutrition and health.

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Audit

Built Environment

Social Environment

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Community Environment Audit

✔Built Environment✔Neighborhoods✔Roadways✔Parks & Other Community Recreation Areas✔Businesses and Retail Centers

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Built EnvironmentNeighborhoods

✔Are neighborhoods designed to promote physical activity?

✔Are there sidewalks? Are they maintained and/or well lit?

✔Are there neighborhood associations and what do their covenants include?

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Built Environment Parks & Other Recreation Areas✔How many parks, trails, recreation

centers? Are they utilized? Do people have access?

✔Does the community have adequate and safe public space?

✔What assets are underutilized? ✔What are the future develop-

ment plans?

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Social Environment In Moving to the Future the social environment refers to policies, standard practices and other societal factors that influence people’s ability to eat healthy and be active.

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Social Environment Policies & Practices

Businesses (Worksites)Food RetailFaith

OrganizationsService Clubs

Health CarePhilanthropic

OrganizationsLocal GovernmentSchools

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Policies and PracticesFood Retail

✔What are your community’s grocery stores like?

✔What types of restaurants are in your community? What are standard portion sizes?

✔What is the support for locally-grown foods?

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Policies and PracticesFaith OrganizationsIs the faith community concerned about people’s physical health?

• On-site health services (education classes, screening, parish nurse, support groups, etc.)

• Printed materials (newsletters and/or bulletins) and opportunity to insert physical health information

• Food events (variety, nutritional quality)• Policy that encourages healthy food choices at

events

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Policies and PracticesSchools

✔What are the exercise policies and opportunities?✔During school day✔After-school programs✔Community use of gyms and tracks

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Policies and PracticesSchools

✔What kinds of foods are available at school?✔Teacher’s lounge✔Classroom✔Concession stands

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Tools to Use

✔Progress Report✔Summary Sheets

• Community data• Community opinion• Community environment

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Next Webinar March 23rd at 11:30 am

March 29th at 3 pm

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Until then….

1. Gather and Analyze Information• Data• Community Opinion• Community Environment

2. Fill out summary sheets

A S S O C I A T I O N O F S T A T E P U B L I C H E A L T H N U T R I T I O N I S T S

Evaluation – E-mail link distributed later today

Questions or more information: karen@asphn.org

mailto:karen@asphn.org

Community Health Assessment - #4, March 8th Karen L. Probert, MS, RDNSlide Number 3Non-profit membership organization of public health nutritionists and related professionalsQuick audio checkOhio is awesome!Why are we doing this?Why?The Real WhyBasis for Today’s WebinarMarch 8th Webinar AgendaProgress and EvaluationProgress and EvaluationMost Important MessagesMore specificallyMoving to the Future: �Nutrition & Physical Activity �Program PlanningSpecifically, to get thiswww.movingtothefuture.org 5-Step Planning ProcessFlexible and RealisticFlexible and RealisticFlexible and RealisticThree StepsTips regarding coalition requirementDataOther Sources for DataQuestions About Collecting DataTips on Collecting DataCommunity OpinionQuestions about Collecting Community OpinionTips about Collecting Community OpinionSlide Number 32Slide Number 33Slide Number 34Assessing Resources, Assets, Policies, and EnvironmentWhat?This phase of community assessment tells youCommunity Resources & AssetsSurveyCommunity EnvironmentAuditCommunity Environment AuditBuilt �Environment�NeighborhoodsBuilt Environment �Parks & Other Recreation AreasSocial Environment Social Environment �Policies & PracticesPolicies and Practices�Food RetailPolicies and Practices�Faith OrganizationsPolicies and Practices� SchoolsPolicies and Practices� SchoolsTools to UseNext Webinar Until then….Slide Number 54