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Marshfield Area Healthy Lifestyles Coalition ( MAHLC ). WOOD COUNTY: COMMUNITY HEALTH PLAN 2001 - 2005. KEY INITIATIVES: *PERINATAL *CHILD/ADOLESCENT *ADULT *MENTAL HEALTH *ENVIRONMENTAL HEALTH. Message is based upon:. Local Health Care Data Wood County Health Plan - PowerPoint PPT Presentation
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Healthy Lifestyles Coalition
Executive Committee
Business & IndustryCommittee
EducationCommittee
CommunityCommittee
MedicalCommittee
Ad HocSteering Committee
Preschool
CommunityChange
PhysicalActivity
K - 12
Prevention
EarlyIntervention
EmployeePrograms
CommunityChange
PostSecondary
Marshfield Area Healthy Lifestyles Coalition( MAHLC )
WOOD COUNTY: COMMUNITY HEALTH PLAN
2001 - 2005
KEY INITIATIVES:
*PERINATAL*CHILD/ADOLESCENT
*ADULT*MENTAL HEALTH
*ENVIRONMENTAL HEALTH
Message is based upon:
• Local Health Care Data
• Wood County Health Plan
• Northern Wisconsin Cardiology Symposium – April 2001
Trends in the Prevalence of Overweight Trends in the Prevalence of Overweight among Children in Marshfield Compared among Children in Marshfield Compared
to the US Population* (1982-2002)to the US Population* (1982-2002)
Trends in the Prevalence of Overweight Trends in the Prevalence of Overweight among Children in Marshfield Compared among Children in Marshfield Compared
to the US Population* (1982-2002)to the US Population* (1982-2002)
* from NHANES studies
7
14
8
16
0
2
4
6
8
10
12
14
16
18
20
1980-1982 1999-2002
Year
(%)
NHANESMarshfield
Childhood Obesity
Adult Obesity
Metabolic Syndrome
Focus of Change
• “Childhood Obesity” - hoping to effect change in “Metabolic Syndrome” in early and young adulthood
• First participant in “Coalition” is MPSS / Marshfield Public School System
Secondary Focus of Change
• Adult Health via Industry and Community
How to Wrestle with a Giant
BEST PRACTICE MODEL FOR COMMUNITY CHANGE
• LOCAL GOV’T – PLANNING• STATE GOV’T• SCHOOL (PUBLIC/PRIVATE/
PAROCHIAL)• GROCERY STORES• FAST FOOD• CIVIC CLUBS• MEDICAL• PUBLIC HEALTH• CHURCHES• PRESCHOOL• PARK & REC
• INDUSTRY• RETAIL• MEDIA• FARMS• CHAMBER OF COMMERCE• INSURANCE• HEADSTART• WIC• MARKETING• SOFT INDUSTRY• TRANSPORTATION• FITNESS CENTERS
Composition of MAHLC Executive Committee(Cross-section of community )
• Roehl Transportation• Deputy Fire Chief, Marshfield FD• Superintendent, MPSS• Owner, Style Inn• Manager, Family Resource Center• Unitarian Universalist Fellowship• Atty, Human Resources, Marshfield Clinic• Wick Building Systems• Director, Mainstreet Marshfield• Teacher, Coordinator, MPSS• Marshfield Area Catholic Schools• Manager, Family Health Center, MC• Cardiology, Marshfield Clinic
“THE SCHOOL UMBRELLA OF PUBLIC RELATIONS”MARKETING CURRICULUM FORMAT TO TEACHERS/PARENTS
{NEWLETTERS, PTO INFO, RADIO}
CURRICULUM
*review existing*identify gaps*time/training
resources*district initiative*principal driven
*marketing
NON-NUTRITIONDIETARY
*healthy food rewards{no bad foods}
*drinking fountains*recess
scheduling*policies –
parties, dances,etc.
*fund raisers*vending
*bag lunches*school bkfst,
lunch, afterhoursprogram
*walk to schoolprograms
NUTRITIONDIETARY
*studentadvisory
committee*20 meal plan
*graphics,banners
*brown bagcost*milk
promotion*marketingParent ed
ACTIVITY/PE
*add teacher5x/wk
*pedometer*hr monitor*PEP grant
*classroom time*walk to school
programs{monthly}
RESEARCH/DEVELOPMENT
*grants*longterm ed
*student healthPorfolio
*outcomes data
School Changes
• 24 new menus since January 2003
• Wednesday City wide meal
• Ala carte changes• Fund raising policy
• Walk to Springfield, etc
• Teacher walks• Grant school program• Curriculum (2 year
process)
HEALTHY LIFESTYLESCOALITION
(HLS)
MARSHFIELDSCHOOLS
MSS-HLSMINI-COALITION
CITYPLANNING
LOCALFOOD
INDUSTRYETC.
MEDICALCOMMUNITY
ADVISORY COMMITTEE
Executive Committee
• Bylaws• PR Subcommittee• Community
Conference Subcommittee
• Finance Subcommittee
• Quarterly Coalition Meetings – Rotated throughout Town
• Speakers Bureau• Member Benefits
PR Subcommittee
• Poster boards throughout community
• Media – print, web, Radio
• Logo – letterhead, etc.
• Speakers Bureau Training
• Donor identification – community lists
• Buttons, magnets, Fact Sheet
• Letter to the editor process
• Media Brochure
Community conference Subcommittee (April 2003)
• Budget – Wish List conference vs coalition needs
• Children community school poster contest
• Local exhibits• Invited Speakers
• Workshops• NPR Radio• Arboretum Walk• Grocery Store exhibit• School displays• Food service
personnel workshop
Community Committee
• Neighborhood pathways
• Activity guide book• Park & Rec
networking – needs assessment
• Endorsement of city wide non-motorized plan
• Political action group• Friends of the trails
meetings ( April 2003 – 51 attending)
• Networking with county land use and Marsh 21
• Saturday L&J walk – (30 walking)
Business & Industry Committee
• Worker identification category
• Implementation strategies for worksite change
• Food Guidelines/Snack Guidelines
• Worksite activity Guidelines
• Business policy change
• B&I Workshop – CEO / Union Leadership (30 attendees)
• Chamber of Commerce network
• Roehl Transport news network
• On-site presentations per shift
Education Committee
• Group identification
• Daycare• Schools – grade• Schools – Jr/Hi• Athletes• Elderly
• Interactive Boards – rotated throughout community
Medical Committee
• Message resource for web
• Guidelines critic
Wood County Public Health
• 5-a-day • Farm markets• Community gardens
Grocery
• Family meals• End cap displays• Icons
• Poster boards• Formal display • Tastings
Personal “Buy-in” by Community
• One on One contacts ( over 100 )• May 30, 2002 HLI Symposium for “Invited
Guests” (120 participants)• Community Conference - April 2003
(400 participants)• Importance of the “Timeline” – Momentum• Reaffirmation of Personal Responsibility• Empowerment
Healthy Lifestyles Coalition
Executive Committee
Business & IndustryCommittee
EducationCommittee
CommunityCommittee
MedicalCommittee
Ad HocSteering Committee
Preschool
CommunityChange
PhysicalActivity
K - 12
Prevention
EarlyIntervention
EmployeePrograms
CommunityChange
PostSecondary
Marshfield Area Healthy Lifestyles Coalition( MAHLC )
EDUCATIONLO/HI/POSTGRAD
HLSSTEERING INDUSTRY
INFO/$
HHSPUBLIC HEALTH
LIVING STANDARDS
R&DEDUC.
OUTCOMES
REGIONALSTEERING
REGIONAL REGIONAL
ACTION PLAN ACTION PLAN
Spectacular Achievements
• Grant School Program
• Copp’s Food Store• Activity in Schools• Food program
changes in both Public and Catholic schools
• Conference Poster Contest for children
• Walking Paths• PAC committee• Food service
Personnel Workshop
Problems along the way
• No faith based buy-in• The other grocery store
did not feel the need to participate
• Apathy (young & old)• Generalized fear for child
safety• Teachers Pet projects• Biased Adult opinion
• No local media Buy-in• No restaurant Buy-in• Parents blocking
progress• Lack of community esprit
de corps by non- community owned businesses i.e.banks
• Fear to enforce school policies regarding food and fund raising
Student advisory groups
• Food choice at meals• No Mac & Cheese• No chicken nuggets• No hamburgers• No tacos• No corn dogs
• Snacks during the day
• Apples• Grapes• Oranges• Water• Whenever
Bottom Line: Listen to the Kids
School barriers
• School policies• Control issues
– Local– State– Mandates– Parent– Teacher– Principal
• Space• Time• Curriculum• Utensils• Independent budget• Continuing education• Volunteers
– Union
Research Projects
• Marshfield Area Restaurants – survey of food choices offered
• Marshfield Youth Health Study (My Health Study)
• The Marshfield Behavioral Risk Factor Telephone Survey
• Completed – Summer Intern School Menu Analysis - 2002
What do we think?
• Schools must be the primary participant• Physicians must be empowering leaders• Momentum is critical• Message must be clear and simple• Community committee and B&I committee
are critical components• Regional cooperation is mandatory for
success at the community level