A P R E S E N T A T I O N T E M P L A T E

Systems and Environmental Changes to Support Optimal

Nutrition and Physical Activity

OVERVIEW

• The Problem • Why focus on the environment?

• Systems and Environmental Changes• Our role

• The built environment in our community • What can be done?

• Sample strategies • Physical Activity• Nutrition• Breastfeeding

ASK A QUESTION HEREFor example:• How safe is your neighborhood now for riding

a bike to school? (think complete sidewalks, crosswalks, bike lanes, etc)

• Have you seen your lactation room at your work? Is it clean and inviting?

• How close is a Farmer’s Market from your home? Your work?

THE PROBLEM FOR THE MATERNAL, CHILD AND ADOLESCENT HEALTH POPULATION

Concerns include:• Overall physical

environment • For kids • For adults• For moms and babies

• Food environment • Biking/walking to school

WHAT WE KNOWTo highlight issues of chronic disease, inactivity, or lack of access in your county, use data from these sources:• Overall physical environment:

http://www.countyhealthrankings.org/#app/• For kids: http://www.kidsdata.org • For adults: http://www.cdc.gov/obesity/data/adult.html/ • For moms and babies: http://

www.cdph.ca.gov/data/surveys/Pages/MaternalandInfantHealthAssessment(MIHA)survey.aspx

• Food environment: http://www.publichealthadvocacy.org/RFEI/presskit_RFEI.pdf

• Biking/walking to school* http://nhts.ornl.gov/2009/pub/stt.pdf

EXAMPLE DATA SLIDE: HOW CHILDREN* GET TO SCHOOL, COMPARING 1969 AND 2009

1969 20090

10

20

30

40

50

60

Walked/bikedDriven

*Children ages 5-14Data from the 2009 National Household Travel Survey (NHTS)

SYSTEMS AND ENVIRONMENTAL CHANGES

Also known as the built environment• The man-made space in

which people live, work, and play.

• Can include:• Food access• Walkability • Breastfeeding accommodations

• Mixed land use• Safety

WHY FOCUS ON OUR ENVIRONMENT?

“Fifty years ago, children did not avoid obesity by making healthy choices; they simply lived in an environment that provided fewer calories and included more physical activity for all.”

David B. Allen MDNew England Journal of MedicineApril 29th, 2012

MCAH HAS A UNIQUE INTEREST IN ADDRESSING SYSTEMS AND ENVIRONMENTAL CHANGE

• Addresses a large portion of the population• Existing partnerships with organizations• Skills and capacity to build new partnerships

• Systems change is cost-effective and sustainable

LET’S LOOK AT THE BUILT ENVIRONMENT IN OUR

COMMUNITIES…

WOULD YOU RATHER WALK HERE….

Add a local photo of a broken sidewalk, unsafe crosswalks, or badly lit areas

…OR HERE?

Add a local photo of a safe, creative, and inviting sidewalk

COULD YOUR CHILDREN PLAY HERE?

Add a local photo of a badly maintained playground, locked up school-yard, etc.

WE CAN PROMOTE PHYSICAL ACTIVITY THROUGH CLEAN AND SAFE RECREATIONAL AREAS

Add a local photo of a safe and clean park, playground, school yard, etc. here

WILL YOU FIND NUTRITIOUS FOODS HERE?

Add a local photo of a fast food outlet, convenience store, or a liquor store here

Add a local photo of fresh produce or a farmers’ market here

WE CAN PROMOTE NUTRITIOUS EATING WITH HEALTHIER FOOD OPTIONS

FARMERS’ MARKET

FARMERS’ MARKET

FARMERS’ MARKET

WE CAN PROMOTE BREASTFEEDING THROUGH LACTATION ACCOMMODATION

Add a local photo of a lactation room, lactation room signage, Baby-Friendly sign, refrigerator for storing breast milk, or breast pump here.

SAMPLE INTERVENTION 1: SAFE ROUTES TO SCHOOL (SRTS)

What is it? • An initiative to

help communities assess the bike and pedestrian conditions around schools in order to make the routes safer through various projects:

SAMPLE INTERVENTION 1: SAFE ROUTES TO SCHOOL (SRTS)

Why? • SRTS provides a safe, convenient,

and fun way for children to exercise regularly by actively commuting to school.

SAMPLE INTERVENTION 2: FARMERS’ MARKETS

What is it? • Direct-to-

consumer markets that provide access to locally grown, farm-fresh produce.

Why? • Access to

neighborhood supermarkets and farmers’ markets reduces the risk of chronic diseases such as overweight and obesity.

SAMPLE INTERVENTION 2: FARMERS’ MARKETS

SAMPLE INTERVENTION 3: LACTATION ACCOMMODATION

What is it? • Providing the time,

space, and/or resources (such as a breast pump) for mothers to pump and store their milk.

Why? • It’s the law, both

federal and state.• Breastfeeding is

beneficial to babies, mothers and the community.

SAMPLE INTERVENTION 3: LACTATION ACCOMMODATION

ACKNOWLEDGEMENTS

The End

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