Oceana County
Community Plan
Bridgett Weldon, Catherine Drzewiecki, Holly Leveille, Julie Walker, & Kelli Benson
Community
Stre
ng
ths
Diversity exists in Oceana county with Hispanic people taking up 14.0% of the population vs. 4.5% in Michigan
WIC is available along with Free/Reduced lunches to those who can’t afford it in the schools
There is a lower percentage of patients who have no HCP, no access due to cost, and uninsured compared to DHD #10 and Michigan
(DHD, 2013)
Strengths of Oceana County
Lower rates of STD’s in Oceana County compared to the rest of Michigan
78% of 19-35 month children have immunizations
Lower rates of prostate, lung, and breast cancer exist in Oceana County
Head-start, daycare, and preschools are available
Dental clinics are available for families
(DHD, 2013)
Strengths Cont.
Community
Weakn
esse
s
High rate of children under 18 years old High rate of adults over 65 years old High level of poverty with 19.1% (Michigan
rate 15.7%) Income for Oceana County $40,422 and rest
of Michigan $48,669 Low rate of high school grads Low rate of bachelor degrees
(DHD, 2013)
Weaknesses of Oceana County
3968 people per 1119 health care providers 9258 people per 2853 mental health providers High teen pregnancy rate with elevated low
birth rates and high infant mortality rates compared to Michigan rates
Oceana County has high rates of overweight individuals, obesity, most people lack physical exercise, and state they do not adequately eat fruits and vegetables daily
(DHD, 2013)
Weaknesses Cont.
Nursing
Process
Overweight and obesity are calculated by self-reported height and weight. Healthy People 2020 target for obesity is 30.6 %.
40.5% of Oceana is Overweight 38.5% is Obese 12.5% have Diabetes
(DHD, 2013)
Assessment: Obesity
Physical activity is measured as the percent of adults who reported not participating in any leisure-time physical activities or exercises such as running, calisthenics, golf, gardening, or walking during the past month.
26.8% lack physical activity
(DHD, 2013)
Assessment: Physical Activity
◦Poverty status is based on those living below the poverty threshold in 2011
20.7% of Oceana County are in the Poverty range
88.3% versus 50.5% of Michigan use WIC in Oceana County
69.3% qualify for free or reduced lunch
12.6% unemployment rate
19.1% people live below poverty level compared to Michigan which is at 15.7%
(DHD, 2013)
Assessment: Poverty
◦ Education is based on persons over age 25 and from 2007-11. High school
graduates: Oceana County 83.0 % (Michigan 88.4%)
Bachelor’s Degree or higher: 14.8% (Michigan 25.3%)
(DHD, 2013)
Assessment: Education
Community
Diagnosis
Risk of obesity among adults related to lack of physical exercise, inadequate fruits and vegetable intake secondary to lack of financial income and education as evidenced by higher than average obesity rates in Oceana County compared to the State of Michigan.
Specific: Obesity rates of Oceana community members will be reduced by 7.9% from 38.5% in 2012, to 30.6 % in 2020 (consistent with Healthy People goals). The focus will be primarily on children and families, however all members of the community are encouraged to participate.
Measurable: Community members will visit Oceana Health Department for an annual weigh in at six months and one year.
Smart Goal
Achievable: Community members will increase activity for 30 minutes three times a week either at community exercise programs, individual home-based programs, or family centered programs.
Relevant: The goal of a 10lb. weight reduction in 20% of community members is relevant to decrease the obesity rates.
Time-bound: Community members will weigh in two times from the start of the program to have their progress monitored.
Smart Goal Cont.
Implementation
“Research shows that in order to help prevent obesity among children, we must focus on both diet and exercise in the communities where children live and go to school since the environment is a key contributor to obesity risk. Focusing on the community is especially important for children since they generally have little or no control over their environment“ (“Community-based,” 2013).
Childhood obesity
Hart Public Schools New Era Christian School Oceana Christian School Oceana Intermediate
School District Pentwater Public Schools Shelby Public Schools Walkerville Public Schools(Oceana County,2013)
Oceana County Schools
Walking clubs in elementary schools
NEEDS CALENDAR
Volunteers to chaperone clubs (teachers, parents, grandparents)
Local businesses to donate healthy snacks, pedometers, prizes
Map of walking trails (1 mile, 2 mile, etc.)
Clubs meet once weekly after school to walk
Monthly family events planned
Prizes for goals met
Teachers receive special training and recommendations of at least one period of activity during the day lasting at least 5-10 minutes.
BENEFITS All activities can be completed in a small space. This has been proven to help children focus more
during school. Children have been noted to have a 32% increase in
physical activity when compared to the control group.
(Erwin, Beighle, Morgan, & Noland, 2011)
Intervention: Classroom activity
“When a child is given an opportunity, during recess, to be involved in an activity, most are willing to participate” (Huberty et al., 2011).
BENEFITS Teachers are already outside at recess
supervising children, so having them organize a game or activity is a cost-effective means to improving physical activity in children.
Intervention: Recess Activity
Co-ed sports nightsFlag football, volleyball, kickball, tag
Dance nights: Hip-hop, Zumba, Swing
Swimming
Intervention: After School Programs
YogaKickboxingWalking/runningBicycle groupsLocal gym
Intervention: Adult Exercise Programs
Community 5K
NEEDS CALENDAR
Volunteers Local businesses to donate
prizes & advertisement Schools, churches,
businesses to post information
Location
Healthy food vendors
Monthly events for training Yearly 5K rotating location
between communities
Intervention: Healthy Foods in School
Healthy Eating in Schools
Assess Educate
Ask the kids◦ What is healthy?◦ What healthy food
do you like?◦ What is your favorite
fruit?◦ What is your favorite
vegetable?
Help kids make posters about healthy foods
Hand out coloring pages
Hand out information to take home for family
Give samples of different healthy snacks
Family event
Local businesses invited to participate
Local farmers can bring fresh produce
Bakers/Chefs can teach kids how to make healthy snacks
Community members will have the option to try new fruits or vegetables
Food Fair at School
Cooking ClassesIntervention:
Focus on quantity & quality of food
Educate about healthy choicesWeight loss is a benefit of healthy eating
Let participants decide what healthy meals they want to learn to make
COOKING CLASSES
Designated area within community
Local businesses donate supplies
Encourage social interaction
Decreases family budgets
Conserves resources Provides for cross-
cultural relations Reduces crime
Intervention: Community Garden
Studies have shown that people who participate in a community garden have an increase in the amount of fruits and vegetables consumed.
Gardens can serve as a positive influence on public policy by increasing awareness in the community.
(Castro, Samuels, & Harman, 2013)
Benefits of Community Garden
Teach meal pairings How to buy cost effective meals Shopping techniques Mobile pantries Increasing community donor's Increasing community volunteers
Intervention: Food Pantry
Evaluation
Provide cards that can be swiped or hole-punched as activities are engaged in to track participation
Grocery purchases Attendance at cooking classes or local fitness center Participation at walking club
For best results, we partner with local businesses to provide a small discount when card is swiped or punched.
10% off fresh produce purchase Collect 20 punches in a card and receive small gift or
no entry free for 5K and other activities.
Evaluation
Attendance logs
◦ The organizers of the walking clubs, cooking classes, etc. will track participation to ensure that individuals are staying engaged.
◦ If attendance begins to dwindle, the organizers should seek out the reasons in order to see if adjustments can be made.
◦ This is not in an attempt to “police” the participants, only to measure what activities are of most interest to the community and direct resources accordingly.
Evaluation
Journals
◦ At the kick-off for the program, each participant will be given a journal.
◦ This journal can be used as a daily log to record participation in exercise activities or record meals.
◦ Additionally, this journal can be used by the individual to write down their successes and frustrations as they work through the program.
◦ Kids will be encouraged to write down or draw pictures of what games they played at recess
Evaluation
Weigh-Ins
◦ Participants’ weights will be recorded at the inception of the program.
◦ A weigh-in will also be recorded at the 6 month mark to evaluate progress thus far.
◦ Finally, a weigh-in will be done at the 1 year mark to evaluate whether community and individual weight loss and BMI goals have been reached.
Evaluation
End of year packet
◦ At the end of the year, participants will be provided with a packet that includes:
Sign-up page for re-enrollment for following year.
Stats page showing how the community’s health had been impacted at the 6 month mark by participation in the program.
A survey inquiring about what did and did not work for the participants this year with free text space for ideas for the upcoming year.
Evaluation
ReferencesCastro, D., C., Samuels, M., & Harman, A., E. (2013). Growing healthy
kids: A community garden-based obesity prevention program. Journal of Preventive Medicine, 44 (3), 193-199. Retrieved from http://0www.sciencedirect.com.libcat.ferris.edu/science/article /pii/S079379712009075#
Community-based programs may help prevent childhood obesity. (2013, July 6). Obesity, Fitness & Wellness Week, pp. 196. Retrieved from http://go.galegroup.com/ps/i.do?id=GALE
%7CA335857654&v=2.1&u=lom_ferrissu&it=r&p=AONE&sw=w&asid=6bf38150d19fa1d54a932fe7f00b6b71
District Health Department # 10 (DHD). (2013). Health profile chartbook 2012: Oceana County. Retrieved from http://dhd10.org/images/Oceana_Chartbook_2012_April_2_20 13.pdf
References
Erwin, H. E., Beighle, A., Morgan, C. F., & Noland, M. (2011). Effect of a Low-Cost, Teacher-Directed Classroom Intervention on Elementary Students' Physical Activity. Journal Of School Health, 81(8), 455-461. doi:10.1111/j.1746- 1561.2011.00614.x
Huberty, J. L., Siahpush, M., Beighle, A., Fuhrmeister, E., Silva, P., & Welk, G. (2011). Ready for Recess: A Pilot Study to Increase Physical Activity in Elementary School Children. Journal Of School Health, 81(5), 251-257. doi:10.1111/j.1746- 1561.2011.00591.x
Oceana County. (2013). Local schools. Retrieved from http://www.oceanacounty.net/schools.html