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FORWARD History
August , 2008- Planning Group AssemblesFebruary, 2009- FORWARD Begins WorkMay, 2009- Advisory Board is FormedSummer, 2009- 3 committees developed:
Resource and PartnershipMarketing and CommunicationsData and Research
October, 2009- First Coalition MeetingMarch, 2010- FORWARD launched to publicJune, 2010- Grant Funding AwardedSummer , 2010- Community Assessments ConveneFall, 2010- BMI Surveillance System Launched and YMCA’s launch Core Leadership Teams
Distribution of DuPage County schools by percent of low income students
0
10
20
30
40
50
60
0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95Percent
Nu
mb
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of
sc
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DuPage Selected Participated
Percent of Student Population that is Low Income
No. (%) of schools by Income Status
DuPage Selected Participating
Low (<16%) 123 (46%) 59 (47%) 50 (52%)
Mid (16-35%) 90 (34%) 43 (34%) 29 (30%)
High (>35%) 55 (20%) 24 (19%) 17 (17%)
FORWARD Data Collection Phase II:
• Further analyze these data• Collect data from 90% of all DuPage County Schools in 2011-2012 school year• CHILI data collection in 32 municipalities
FitTrac• Created by Bill Casey, a Physical Education Teacher and Founder of YourLink• Donated to FORWARD by the Regional Office Of Education• Adopted and Modified by FORWARD with a grant from JR Albert Foundation
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ACTIVATE AMERICA ®
Activate America® is the YMCA’s response to the nation’s growing health crisis. Our mission compels us to transform the way we work, both internally and externally, to support all Health Seekers and communities in their pursuit of well-being in spirit, mind and body.
Develop community and state level policy & environmental change strategies
Raise awareness and strengthen the framework for community-wide and national movements to reverse the trends in physical inactivity, poor nutrition, and chronic conditions
Strengthen community capacity to initiate and sustain promising practices for healthy communities;
PHC Goals
Utilize mechanisms and strategies to transform healthy community principles into practice;
Identify cost-effective, practical, and sustainable solutions and tools to educate and mobilize communities and
Build complementary community, state and national efforts for physical activity and healthy eating
PHC Goals
SocialService
Faith
Edu-cation
Bus
Healthcare
FORWARD
/PHC
Central-East Region
South-East Region
South-West
Region
North-West
Region
North-East Region
Core Leadership
Teams
Childhood obesity rates in Kane County
1 out of every 6 or 16% of all Kane County children and adolescents are obese 30% to 46% of our children and adolescents who are from low income families and are African-American and Latino are obese
Kane County
Campaign to reverse the epidemic of childhood obesity in Kane County
November 2007- Announced plans for campaign
Spring 2008- Held kick-off event
Summer 2008- Formed FFK Funder’s Consortium
Fall 2008- Released competitive request for proposals
Fall 2008- Released request for proposals
Spring 2009 Fit for Kids grants fundedImplementation grant for Activate ElginPlanning grants awarded to: Aurora Healthy Living Council & Delnor Fit 4Kane
January 2010-RWJF Funding Received funding from Robert Wood Johnson Foundation as part of Healthy Kids Healthy Communities Initiative. Working in partnership with Kane County Development Department.
February 2010- Fit for Kids Leadership Summit
March 2010- 9 Sector Specific Workgroups Formed to determine policy level strategies and action steps
November 2010-Preview of Fits Kids 2020 Released
January 2011-Fit Kids 2020 Plan presented
November 2011-Fit Kids 2020 Plan incorporated into Kane County 2040; Smart Growth is Healthy Living Plan
Sector Specific Workgroups Healthcare and Medicine Mobility Recreation and Lifestyle Food System Family, Culture and Community Schools and Education Faith Community Economic Strength Built and Natural Environment
Over the next 10 years, how will your sector:Increase physical activity & decrease sedentary habitsIncrease access and consumption of fruits/vegetables & decrease consumption of unhealthy foods
Determine policy level strategies & action steps
Local EffortLocal ability to address local needsEngaging local stakeholders Creating a base of committed community members and
partnerships to carry out Fit Kids 2020 PlanCoordination of multiple effortsCentralized technical support & sharing of ideasLeveraging local resources to attract additional outside
funding to help Kane County residents
Planning;Fit Kids 2020 Plan
Implementation;Community GardensWalk to School Day
46 Kane County Schools representing
8 of the 9 school districts participated
International Walk to School
Day
Gardening SummaryOver 1000 community plots for lease in the county new plots in Aurora, Geneva, Batavia
Gardens at 3 Public Housing Complexes
Private and public partnerships
Increase in partners donating to the NIFB and local pantries
Over 50 directly engaged garden partners 2 Hospitals 5 Churches 2 Schools 26 Farmers
The Problem
• Rising rates of chronic diseases/ conditions, including obesity
• Actual causes of death
• Lack of prevention $
• Unequal socioeconomics, leading to health inequities
• Geopolitical complexity of suburban Cook County
The Solution:Medical Care Alone Cannot Improve Health
• Not the primary determinant of health
• Treats one person at a time
• Often comes late; can’t always restore health
Alliance for Healthy & Active Communities
• A collaborative led by CCDPH, formed in Summer 2009
• Brings together a diverse group of partners
Turning the Tide on the Obesity Epidemic:Communities Putting Prevention to Work
a partnership project of theCook County Department of Public Health and
the Public Health Institute of Metropolitan Chicago
Communities Putting Prevention to Work
• Nearly 16 million dollars was awarded for obesity prevention
• Fiscal management through Public Health Institute of Metropolitan Chicago
• Aimed at broad-based policy change that shapes the nutrition, physical activity landscape
Policy Agenda to TransformSuburban Cook County
Policy Agenda
• Promotes broad-based policy changes at state, county and local levels
• Focuses on promoting breastfeeding; enhancing school environments; and building healthier communities; addresses barriers to obesity prevention
• Requires broad-based collaborations
State-Level Action
• Explore feasibility of increasing price of unhealthy food/drink
• Support establishment of Illinois Fresh Food Fund
• Promote breastfeeding- Illinois Hospital Report Card- Referral systems that promote/support breastfeeding - Reimbursement of breastfeeding support
and promotion by health insurance payers
County-Level Action
• Establish a suburban Cook County Food Council• Modify nutritional standards for vending machines
in Cook County Government buildings • Advance implementation of Complete Streets (for
County Highway networks)• Institutionalize non-motorized planning within Cook
County Government• (Regional) Create/Update Sub-Regional Bike/Walking
Plans• (Regional) Include healthy/PA impacts as a criteria in
at least 1 regionally administered transportation funding program (e.g., CMAQ)
Local Action: Model Communities
• Aims to transform communities and school environments that support health eating, active living– Supports “proven” strategies– Key themes are policy, systems and
environmental change; reducing health inequities; and creating collaborations/coalitions
– Provision of financial and technical resources
Sustainable Impact
Long-term Results
A constituency base that can be engaged to support advocacy efforts
On-going initiatives that continue to build local capacity to advance change (e.g., continued community access to on-line platform with access to trainings, evidence-based info, etc.)
Systems of coordination & communication
Health in All Policies Co-benefits @ Federal, State, Local
Policy Alignment
Leadership for Healthy Communities
• What we know• What we are doing• What lies ahead
Presentation Outline
What we know
White House Task Force on Childhood Obesity
Obese children and adolescents are more likely to develop chronic conditions when they are young, and are more likely to be obese as adultsObesity may reduce the life expectancy of today’s generation of children and diminish their overall quality of their lives
Illinois has the 27th highest rate of adult obesity in the nation, at 25.9 percent and the 10th highest of overweight youths (ages 10-17) at 34.9 percent, …Source: Trust for America's Health’s ‘F as in Fat 2009’ – July 2009
…and Chicago kindergarten-aged children are over weight at more than twice the national rateSource: 2003 CLOCC Annual Report
Child Overweight, 2003-2004
0%
5%
10%
15%
20%
25%
30%
National Chicago National Illinois Chicago
Three KeyFood DesertsIn Chicago
Sponsored by LaSalle BankCopyright and authorship:
Commute to Grocery
Fast/Fried Food > 4 Times a Weekand Obese
Percent of Adults Who Are Obese
Percent of Children (2-12 yrs) Who Are Overweight and Obese
What we are doing
Local Government Actions to Prevent Childhood Obesity
Goal 1: Improve access to and consumption of healthy, safe, and affordable foods.
•Increase community access to healthy •Promote efforts to provide fruits and vegetables•Ensure that publicly-run entities implement policies and practices to promote healthy foods and beverages •Encourage breastfeeding
Communities Putting Prevention to Work
Improve access to healthy food and safe opportunities for physical activityImplement policy and environmental change strategiesConduct a public media campaignImplement point-of-purchase strategiesPromote breast-feedingPromote the use of public transportation
1. Chicago Department of Public Health (lead agency) 2. Chicago Department of Environment3. Chicago Department of Family and Support Services
– Children Services Division, – Youth Services Division, and – Senior Services Area Agency on Aging
4. Chicago Department of Transportation5. Chicago Department of Zoning and Land Use Planning6. Chicago Housing Authority7. Chicago Park District8. Chicago Police Department9. Chicago Public Schools10. Chicago Transit Authority11. Mayor’s Office for People with Disabilities
Inter-Departmental Task Force onChildhood Obesity
IDTF Plan At A Glance: A
Phased and Tiered Approach
Tier 3:Wellness Campus
Activities for10,000At-Risk
Preschoolers
750,000 Chicago Children
130,000Children Age 3-5
Tier 2:Early Childhood
Focused Activities
Tier 1:Primary Prevention Activities Tier 1: Primary Prevention
Activities
Tier 2: Early Childhood Focused Activities
Tier 3: Wellness Campus Activities
IDTF AccomplishmentsTier 1: Primary Prevention Activities
Tier 2: Early Childhood Focused Activities
Tier 3: Wellness Campus Activities
October 2009 IDTF participates in citywide healthy lifestyle campaign oCTA – All buses and trains oCDPH – 30 JCDecaux bus shelters oCPS – Message mailed to 453,000 studentsoCLOCC – 33 billboards
Passage of resolution to change child care standardsCLOCC received $150,000 evaluation grant from RWJF to evaluate changes
Abbott funding of 2 Park District Wellness CentersCLOCC evaluation found increased physical activity levels among children in Wellness Center program Blue Cross/Blue Shield will fund 4 more
Chicago Park District Wellness Centers
What lies ahead
Where do we start?• "The first thing to do is to recognize that there's
a problem, and to see that maybe it didn't start at age 4 or 5, or 6 or 7, but maybe before then,"
• "The longer you're overweight, the more likely it is that you're going to be overweight as an adult."
“HOW MUCH DID I WEIGH WHEN MY WEIGHT PROBLEMS BEGAN? 7 LBS. 9 OZ.”
Dr. John Harrington, Associate Professor of Pediatrics at Eastern Virginia Medical School and Children's Hospital of The King's Daughters
Bending the Curve
The success or failure of any government in the final analysis must be measured by the well-being of its citizens. Nothing can be more important to a state than its public health; the states paramount concern should
be the health of its people.
Franklin Delanor Roosevelt 1932
Lake County
Lake County Health Department / Community Health Center
Lake County At a Glance
Lake County has 52 municipalities and approximately 715,000 citizens. The vision of the Lake County Health Department is to engage with the entire county.
Lake County Health Department / Community Health Center
Initial Assessment of the Problem
Synthetic estimate for Lake County – Students from ages 12-19 years old: 21.2% are at or above the 85th percentile (Overweight or Obese). This strongly contrasts with the Healthy People 2010 standard of 5.0%.
Lake County Health Department / Community Health Center
Connecting with our Schools
Lake County has approximately 48 public school districts and 223 public schools. There are approximately 75 certified school nurses in the Lake County School Nurses Association. These are valued and strategic alliances with whom we are looking forward to partnering.
Lake County Health Department / Community Health Center
Assessing Rules about Physical Educationin our Schools
•Do the rules vary from district to district?•How many PE teachers are there in our County?•What programs/districts/schools are doing well with fitness and PE?
Lake County Health Department / Community Health Center
Assessing Regulations/Standards Regarding School Nutrition
•What kind of food is being served?•How many vending machines are in our schools? What types of foods/drinks are in them?•What are the standards regarding Health Education?•What programs/districts/schools are doing well with Nutrition and Health Ed?
Lake County Health Department / Community Health Center
Potential Community Partners
Lake County School Nurse AssociationRegional Office of Education – Superintendent of SchoolsIllinois Association for Health, Physical Education, Recreation, and DanceWe Can! - 2 sites in Lake CountyIllinois Dietetic AssociationChildren’s Health Center – private pediatric medical practice Northwestern Lake Forest HospitalAdvocate Condell Medical CenterRosalind Franklin University / Nutrition programYMCA of Lake CountyChildServUnited WayNorthern Illinois Food BankLake County Forest PreserveCorporate PartnersFaith Communities
Lake County Health Department / Community Health Center
Our Strategic Approach
Lake County Health Department / Community Health Center
Our first County-wide Community Forum
Wednesday, January 19, 2011
Lake County Health Department / Community Health Center
We’re grateful for all of these new partnerships with all of you. And we are grateful for the team that we have at the Lake County Health Department: Irene Pierce, Executive DirectorMark Pfister, Director of Population Health ServicesPat Donald, Associate Director
of Population Health Services
Northern Illinois Regional Forum
What is the Illinois Alliance to Prevent Obesity?
The Illinois Alliance to Prevent Obesity (IAPO) is a statewide coalition comprised of a broad range of stakeholders working for
a state-level response to the obesity epidemic.
The IAPO works to shape and advance solutions to reverse dangerous obesity trends.
IAPO supporters believe that Illinois must respond to the obesity epidemic by developing coordinated systems, policy
improvements and investment on the scale of the problem.
This initiative was launched and is coordinated by the Illinois Public Health Institute (IPHI). To learn more about the Illinois Alliance to Prevent Obesity,
please visit www.preventobesityil.org.
Statement of Support Illinois is experiencing an epidemic of obesity, contributing to
increased rates of costly and debilitating chronic disease. We need regular and reliable information about the state of
obesity in Illinois to understand where action is needed the most.
Local, collaborative initiatives exist and are demonstrating how to make an impact on the problem, but inadequate funding means they are limited in scope, with limited capacity for evaluation and expansion to scale.
There’s growing national consensus on effective strategies to combat obesity which are not currently employed in Illinois.
A state-level response is needed. Development of coordinated systems, changes in policy and investment on the scale of the problem must be undertaken.
Illinois Alliance to Prevent ObesityApril-December 2010
Goal: To promote nutrition and physical activity policies and
interventions to reverse obesity trends in Illinois
IAPO Outcome ObjectivesApril-December 2010
1. Develop a State Obesity Action Roadmap• Organize regional forums in Cook County, Northern, Central, Eastern,
and Southern Illinois to engage stakeholders in providing feedback/input
• Synthesize ideas based on ten identified categories to improve nutrition and increase physical activity
• Convene a statewide summit on December 3, 2010 to reach consensus on the State Obesity Action Roadmap
2. Build a visible movement to reduce obesity3. Raise obesity reduction/prevention to the top of the policy
and public health agendas4. Disseminate and promote best practices and current
information (developmental)
State Obesity Action Roadmap
• Broad social changes in our environment and in the way in which we work, play, live and eat are major contributors to the obesity epidemic.
• No single agency can attack this problem alone.• Build consensus for state-level policies and
environmental changes to reverse the obesity trends.
• Identify local policies and environmental changes for communities to pursue.
• Highlight areas for coordination and collaboration.
State Obesity Action RoadmapCategories
1. Implement coordinated approaches to address the obesity epidemic that generates and maximizes resources, and supports state and community-level coordination and interventions.
2. Increase consumption of healthy food and beverages in relation to consumption of unhealthy food and beverages.
3. Promote breastfeeding.4. Increase opportunities for safe and affordable physical activity in communities.5. Increase opportunities for safe and affordable physical activity in senior centers,
schools, childcare settings and after-school programs.6. Promote safe and active transportation.7. Promote healthy and active lifestyles in workplaces.8. Promote healthy and affordable food consumption in senior centers, schools, parks,
child care centers and afterschool programs.9. Increase access to food retailers who serve or sell healthy and affordable food
options. 10. Establish a statewide health surveillance system that includes obesity indicators. 11. Increase access to comprehensive health care services.
IAPO Statewide Summit
• Statewide Summit, December 3, 2010 to reach consensus on the State Obesity Action Roadmap
• Advocate Christ Medical Center/Hope Children's Hospital at the Nurse Conference Center in Oak Lawn, IL
• Tyler Norris, Social Entrepreneur & Kevin Dedner, RWJ Center to Prevent Childhood Obesity
Get Involved! More IAPO Activities• Join the IAPO mailing list• Like IAPO on Facebook• Become a Supporting Organization• Letters to the Editor: A letter to the editor is a free and
effective way to build visibility and bring attention to the issue.
• Watch for Summit results/Obesity Action Roadmap, and sign on.
www.preventobesityil.org
What do we know…about the nature of our problems?
Healthy Cities and Communities
Current nutritional default
$$$$$
Source: Rudd Center for Food Policy - Yale
Current physical activity default
Places that have developed safe, activity-friendly environments with access to affordable fresh,
healthy foods will have healthier people.
健走社區—長榮社區 Community Experiences in Walking
Tainan Healthy City Research Centre 社區健走步道導覽圖—環繞社區中庭及公園全長 1000公尺
• Private and public impact
• Sustainability• Population
wide impact• A small amount
of money goes a long way!
WHY FOCUS ON POLICY?WHY NOT JUST START NEW
PROGRAMS?
Neighborhood Community State National
Statewide PHC Target
Pop
ulat
ion
Sca
le
Geographic Scale
Where many
efforts are now
Individual
Single Sector
Multiple Sectors
Entire Population
POLICY CHANGE TARGET
POLICY CHANGE• A law, regulation, guideline, procedure, ordinance, rule (both formal and informal) or course of action that is adopted on a collective basis•Guides the behavior of groups and/or individuals•Ideally there should be a plan and commitment by administration to enforce the policy•This leads toward system/culture change
ENVIRONMENTAL CHANGE
•A change to the environment•Affecting an individual’s propensity to engage in healthy behaviors•People may be aware of healthier choices but their environment may be prohibitive
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SYSTEMS CHANGE•A change in the way people (culture) and institutions (systems) think and behave•This type of change modifies the way “business is done” and becomes the established norm or way of doing something
•Policy, Systems and Environmental Change is too big for one group or organization•Shared Leadership•Utilize the strengths and expertise of each partner•Create a decision-making process that works•Consider traditional and non-traditional partners
ENGAGING THE COMMUNITY
Work Group Activity1. Healthcare2. Infants3. Childcare-PA/PE4. Childcare-Nutrition5. Schools-PA/PE6. Schools Nutrition7. Workplace Wellness8. Neighborhood Nutrition9. Neighborhood PA/PE10.Restaurants/Food Service
Step 1: Select a Workgroup:Step 2: Discuss the Policy ideas presented by the facilitatorStep 3: Determine the priorities for each policy:
•What is happening already that we can build on? •What’s desirable that may be more winnable?•What’s desirable that may be more challenging?•What’s feasible in your community/region that you’d like to see considered at the statewide summit?
Step 4: Come to consensus for top two priorities Report out to the group
Policy Workgroup Activity
Northern Illinois Regional Forum
PolicyWorkgroup Report
Out
The major public health problems of our time will not be solved merely by individual actions and health choices, but by individuals coming together to make our society one in which healthy choices are easy, fun and popular. Communities that focus on the latter approach will be healthier and more satisfying places to live, work, and play.”
