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