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Creating a Vibrant Healthy Eating Culture: A Complex Systems ApproachVeronica Graham APDFood Systems & Nutrition PoliciesState Government of Victoria
Healthy Together Victoria, funded by the Victorian Government, is improving the health of our community.
Thursday 10th September
Local Government : Opportunity to influence
Unhealthy food choices are everywhere….…train stations and post offices
Unhealthy food options are everywhere……….sport and leisure centres
Food outlet mapping – takeaway/fast food vs fruit and vegetable outlets
For every fresh food outlet there are almost 5 times as many takeaway or fast food outlets
Data
At a population level : eating patterns are inconsistent with DG’s : chronic disease increases
Prevention Challenge of the 21st Century
Healthy Together Victoria is a complex systems approach to prevention, at scale, and at multiple levels of the system, to impact on population health outcomes.
“The systems approach is a new and more complex way to reduce obesity, but ultimately it promises to be more
sustainable and effective.” B. Swinburn and A. Wood (2013) Progress on obesity prevention over 20 years in Australia and New Zealand in
Obesity Reviews, 14/2, p60-68.
Whole of System : State Prevention Effort
Whole of system approach targeting 14 local government areas
• over 1.3 million Victorians
Including:
• 4,409 workplaces and
• 520 schools
• HTV is a complex systems approach, at scale, at multiple levels to impact on population health outcomes
• 938 early childhood centres
25% of the population
Healthy Eating Advisory Service
Achievement Program – Frameworks and benchmarks for health promotion
Healthy Choices Policy Guidelines : for all settinngs Minister and
Mayors Network
Victorian Healthy Eating Enterprise – Creating a vibrant and healthy eating culture
Networks of practice
Better Health Channel redevelopment
Leadership for Prevention Strategy
Healthy Together ExchangeHealthy Together Patrons
Healthy Food Charter Health promotion policy for children and young people
Networks of practice
Fresh Food RecoveryHealthy Food ConnectHealth Champions
Local social marketing campaigns
Healthy Living Programs and Strategies
Jamie’s Ministry of Food in Victoria
Localised websites
Prevention teams
Local leadership networks
Healthy Eating Advisory Service
Achievement Program
Healthy Living Programs and Strategies
Business and industry leadership network
Achievement Program
Healthy Eating and Food Literacy in Secondary Schools
Healthy Eating Advisory Service
Life!
Victorian public health and wellbeing plan 2015–2019
Complex Whole of System Approach @ Scale across LG’s and State
CollaborationLeadership
outside health
Settings as systems
e.g. Food, LG’s, Education, Planning
WorkplacesState Support Infrastructure
& Benchmarks
Policies and Line of sight
Complex Whole of System Approach @ Scale across LG’s and State
Policies and Line of sight
Policy line of sightPolicies
and Line of Sight
Municipal Public Health Plans &
The Healthy Choices Policy frameworkPolicies
and Line of sight
Healthy policies: creating multiple changes in food supply
Figure 2: Spend per pool entry
Policies and Line of sight
Healthy Food Connect – It’s about connecting
Agricultural production
Post-Consumption
Consumption Distribution
Processing
Local Food
System
Retail 'In a way, HFC gave us a roadmap to bring together the actions being undertaken across council’(HTC council staff)
Healthy Food Connect – an enabling framework
Built Natural
Health Economic
Framework available for
the State
Policies and Line of
sight
Creating Healthier Food Systems
Applying the Healthy Food Connect Framework – an overview supported with
implementation examples
Healthy Food Connect : Driving food system change in local government
Progress in 12 Healthy Together Communities:
• All HTCs built comprehensive understanding of their local food environment using the VLGA food scanning tool.
• Nine HTCs have adopted council healthy catering policies.
• Four councils committed to council wide food policies
• Five HTCs have established local food networks,
• All HTCs have food/healthy eating in their Municipal Public Health & Wellbeing plans for 2013-17
Policies and Line of sight
Complex Whole of System Approach @ Scale across LG’s and State
Collaboration
Victorian Healthy Eating EnterpriseCollaboration
Working across systems and settings connecting with new partners to deliver on health
Built environment
Children’s services in
schools
Public Facilities – community &
health
Workplaces
Community food programs
Retail – greengrocers, supermarkets
Local government
Farming Processing & manufacturing
Retail Consumer skills &
education
Consumer access
Consumer demand & marketing
Waste & reuse
Healthy Choices: hospitals Better
Health Channel
Green Light – Eat Right
Port ProduceProject
Mullum Mullum
Aboriginal Food Co-op
Healthy Food Charter
Healthy Choices:
workplacesHealthy Food Procurement
for government
Health Champions
“Starts with…social
marketing”
Fresh Food Recovery
Healthy Food Connect
Victorian Healthy Food Basket Survey
Healthy eating and food literacy
Achievement program
Achievement program
Jamie’s Ministry of
Food Victoria
Healthy Eating Advisory Service
Healthy Choices: sport and rec
YMCA
Healthy Vending
Healthy Supermarkets
Health Star Rating
Melbourne Markets
Healthy Food Connect - Thrive
Community guide to working with
local greengrocers
LiveLighter
Healthy Dining
Healthy Choices: Parks Victoria
Reducing sugary drinks (2015
VHEE priority)
Soft drink free community
events
Healthy Lunchbox resource
Nutrition standards for menu items in hospitals/ aged
care
Cross-departmental
work with food manufacturers
(SMEs)
Healthy Dining (pubs & clubs)
Trending fruit & veg (2015 VHEE
priority)
Collaboration
Central Gippsland Food Map
Working across local food systemsNote VHEE priority for collective impact
Built environment
Children’s services in
schools
Public Facilities – community &
health
Workplaces/Sporting
Community food programs
Retail – greengrocers, supermarkets
Local government
Farming Processing & manufacturing
Retail Consumer skills &
education
Consumer access
Consumer demand & marketing
Food Redistribution
Healthy Bites
Healthy Food Vendor Trial
Mildura Small Stores
TrialBendigo Healthy
Supermarkets Trial
Healthy Food Procurement and Catering
Policy
Food Skill
Healthy Choices
Achievement program
Healthy eating and
food literacy
Jamie’s Ministry of
Food VictoriaFresh Food Recovery
Healthy Vending
Healthy Choices
Traralgon Sport and Rec Centre
Open Food Network
Workplace Fruit and Vegetable
Boxes
HBD embedded Residential
Development Wyndham
South East Food Hub
Soft Drink Free Event
Mildura Community FoodShare
Hub
Healthy Schools
Breakfast Program
Stakeholder relations with Food Producer
Collaboration
• Clear line of policy sight• Prevention at scale• Equity at the front and centre• Collaboration for collective impact• Adaptation – feedback and reflection• Culture of experimentation• Leadership for systems change
Principles for a whole of system effort
Complex Whole of System Approach @ Scale across LG’s and State
Leadership outside health
Leadership from all sectors at all levels within and outside of health
Leadership outside health
Complex Whole of System Approach @ Scale across LG’s and State
Settings as systems
e.g. Food, LG’s, Education, Planning Workplaces
Settings as systems and then scale up :Soft drink free event via Local government
81% happy with food options 70% noticed that unhealthy options were not available
Settings as systems
e.g. Food, LG’s, Education, Planning
Workplaces
Healthy Choices – Sport and recreation centresCommunity grants
Community Sports Infrastructure Fund
Complex Whole of System Approach @ Scale across LG’s and State
State Support Infrastructure & Benchmarks
Healthy Eating Advisory Service (HEAS)
Statewide assistance via:• phone, email & onlinemenu assessments to:• 80 schools• 223 early childhood services• 51 workplaces • 11 hospitalsproduct assessments:• 41 food industry organisations (1,036 products)training to:• 793 attendees from LGAs, ECSs, schools, retail
food outlets/caterers
Established March 2012, & delivered by Nutrition Australia, HEAS promotes access to healthy food & drinks where people live, learn, work & play
State Support Infrastructure &
Benchmarks
A quality framework for prevention
Creating healthy environments in
• Early childhood services
• Schools
• Workplaces
• Sport & Leisure
• Communities…
Benchmarks for the State Achievement Program
State Support Infrastructure
& Benchmarks
Influencing the SystemLOCAL Government
How your role influences the complexity and determinants of healthy eating
Victorian public health and wellbeing plan 2015–2019
Conduct a local food access needs assessment
• Recommended tool – VLGA Municipal Food Security Scanning tool
• A scanning process of the local food environment using the Environments for Health framework
• Provides a structured framework
• Adopting a collaborative and systematic approach
• Developing your local food system profile
• Inform local government policy and plans (Municipal Public Health Plans)
NaturalBuiltEconomicSocial and culturalHealth
Healthy catering and procurement – Changing the culture – staff and visitors
Creating healthier food environments – support for local infrastructureInfrastructure
Local government: ‘Moving beyond rates, roads and rubbish’
•Enable supportive environments for food
• Create spaces and places that meet many diverse needs by integrating food production and exchange with housing, enjoyment of open spaces recreational areas, skills and jobs, socialising and community celebration.
• Protect high quality peri-urban agricultural land, Green Wedge areas and natural environments.
• Provide supportive operating environments for healthy and sustainable food outlets/enterprises.
• Create places that facilitate people’s access to healthy food in urban environments.
• Provide opportunities for those who wish to participate in growing, exchanging, cooking and sharing food.
Local Government : Opportunity to influence
