community health assessment #5, march 23 · nutritionists. coalition ?s in report did you create a...

Community Health Assessment #5, March 23rd

Moving to the Future: Nutrition and

Physical Activity Program Planning

A S S O C I A T I O N O F S T A T E P U B L I C H E A L T H N U T R I T I O N I S T S

Karen L. Probert, MS, RDNExecutive Director

Moving to the Future authorCommunity health planner

karen@asphn.org

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A S S O C I A T I O N O F S T A T E P U B L I C H E A L T H N U T R I T I O N I S T S

A S S O C I A T I O N O F S T A T E P U B L I C H E A L T H N U T R I T I O N I S T S

Non-profit membership organization of public health

nutritionists and related professionals

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Basis for Today’s Webinar

March 8th Webinar Evaluation Results

Progress Reports submitted to me earlier this month

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March 8th Webinar Agenda

✔Needs Assessment Report

✔Coalitions✔Data

✔Opinion✔Resources✔Environment✔Work Plan Format

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Moving to the Future: Nutrition & Physical Activity

Program Planning

Quick Overview

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Specifically, to get this

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www.movingtothefuture.org

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1. Community Assessment

2. Priorities, Goals, and Objectives

3. Nutrition and Physical Activity Plan

4. Implementation

5. Evaluation

5-Step Planning Process

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Planning and implementing community-based programs is not work that can be done perfectly.

Assess

Flexible and Realistic

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The intent of Moving to the Future is to provide guidance. Use what is helpful and modify materials to meet your needs.

Flexible and Realistic

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Do the best you can, given your real-world limitations, and commit to making improvements every year.

Flexible and Realistic

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Do You Have a Question?Enter it in the chat box

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Needs Assessment ReportProcess

Outcomes

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ODH….

Wants a Summary✔of what you did at each step✔of what you learned

Has created and distributed a template for your needs assessment report!

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Webinar Outline

✔Follows the Needs Assessment Report sections

✔Key points✔Questions in the report✔Tips to answering the questions

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Coalitions – key points

✔Use an existing team if you have one; form a team if you don’t

✔Engage someone from target audience✔Where folks are

• 43% closer to existing partners• 29% no changes• 24% at least 1 new partner

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Coalition ?s in Report

✔Did you create a new coalition or utilize an existing coalition?

✔ Is your coalition missing any key partners?✔Does your coalition include a community

member?✔Provide a brief success story (4-5 sentences)

describing specifically how a coalition member helped in the process.

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Tips to Answering ?s

✔Be honest – in the long run it will help you✔“Include a community member”----not you

and professional colleagues; you need to include the population of focus

✔Tell a story – more powerful than you can imagine

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Target Population – key points

✔Narrow this down – MCH isn’t narrow✔Engage your population of focus in your

planning and implementation✔Community engagement webinar slides

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Target Population ?s in Report

✔Define your target population and how it was decided.

✔Who (individuals or institutions) or what influenced your target audience?

✔Describe any populations or demographics unique to your community.

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Tips to Answering ?s

Our target population is 3rd graders. We chose this narrow focus because we have another project with 3rd graders in the county and have good partnership with entities that influence this population. Also from this needs assessment we learned that this is a common age for parents to send their children to after-school programs vs neighbors or friends. Over past 5 years we’ve had a growing number of refugee families move to our county.

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Gather and Analyze Data

Your Progress✔Community data – 2.7✔Existing services and program – 2.2✔Community opinion and perceptions – 2.0✔Community environment – 1.8

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Gather and Analyze Data ?s in Report✔Data Collection - 1✔Community opinion – 4 ✔Community Environment and Resources - 3

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Data Collection – key points

✔Use the Worksheets and Summary Sheets✔Move on✔Heard from Belmont County last webinar✔It was really helpful to use the worksheets and

“Analysis of Data” sections; it seems like a simple idea, but it helped us

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Data

CFHS & RHWP 2015 Health Status Profiles• Demographics• MCH vital stats, cancer rates, STD rates, • Child health including overweight and obese• Disparities data

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Other Sources for Data

✔County Health Rankings Robert Wood Johnson Foundation

✔ Kids Count DataAnnie E. Casey Foundation

✔ High School YRBSCDC

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Data Collection ?s in Report

✔Provide an overview on how you gathered data. (Include how and where you found data.)

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Tips to Answering ?s

✔ Don’t say “We used our 2017 CHA data”…the end✔ Do say, “We used our 2017 CHA data plus

additional data relevant to food, nutrition and physical activity from County Health Rankings, Kids County Data, and YRBS. The additional data indicated a high proportion of children on food assistance programs and a very low proportion of adolescents eating the recommended amount of fruits and vegetables.”

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Community Opinion – key points

IRB thingy – develop your survey and submit to Lisa Heinbach at ODH (March 9th email)

Just Dive In and Do It!!

Be sure to have questions that solicit stories or specifics

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Community Opinion ?s in Report

✔ Describe how you discovered community opinion.✔ For example, if using a survey, who received it and

how was it distributed?✔ If interviewing key informants, who was selected

and why?✔ Describe the community perspectives and

opinions on nutrition and physical activity -related issues.

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Tips to Answering ?s

Next I looked at information that was missing like citizen opinion and developed a survey. Some of the questions were about what prevents citizens from walking or buying fresh fruits and vegetables. Surveys are handed out at the front desk of partners (hospital, extension, YMCA, WIC, health center, etc.)

Tiffani from Fairfield

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Media SurveyAsked coalition members to completeSearch website of local papers for articles

Community SurveyUsed survey in Moving to the Future and will be distributed at community events

Key Informant InterviewsCoalition members gave suggestions of people to interview

Natasha from Carroll

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Community Environment and Resources – key points✔Focus on built and social environment✔This segment of this community health

assessment is what makes this CHA different.

✔Information gathered in this segment is where you’ll get most of your intervention ideas.

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Assessing Resources, Assets, Policies, and EnvironmentWhat is influencing health behaviors in your community?

Note: Moving to the Future section title is “Community Environment”

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What?Is it easy to eat healthy foods

and be physically active in your community?

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This phase of community assessment tells you✔Who else is providing programs or

services in your community?

✔Is the community supportive of healthy eating and physical activity?

X

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Community Environment

The conditions and influences that negatively effect the outcome of the nutrition services you provide, or that contribute to mixed messages about nutrition and health.

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Audit

Built Environment

Social Environment

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If you have narrowed your target audience you can narrow this phase of the

assessment

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Community Environment Audit

✔Built Environment✔Neighborhoods✔Roadways✔Parks & Other Community Recreation Areas✔Businesses and Retail Centers✔Safe Routes has a walkability checklist

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Built EnvironmentNeighborhoods

✔Are neighborhoods designed to promote physical activity?• Walkability assessment – Living Streets

Alliance✔Are there sidewalks? Are they maintained

and/or well lit?✔Are there neighborhood associations and what

do their covenants include?

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Built Environment Parks & Other Recreation Areas✔How many parks, trails, recreation

centers? Are they utilized? Do people have access?

✔Does the community have adequate and safe public space?

✔What assets are underutilized? ✔What are the future develop-

ment plans?

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Social Environment In Moving to the Future the social environment refers to policies, standard practices and other societal factors that influence people’s ability to eat healthy and be active.

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Social Environment Policies & Practices

Businesses (Worksites)Food RetailFaith

OrganizationsService Clubs

Health CarePhilanthropic

OrganizationsLocal GovernmentSchools

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Policies and PracticesFood Retail

✔ What are your community’s grocery stores like? Healthy Corner Stores

✔ What types of restaurants are in your community? What are standard portion sizes?

✔ What is the support for locally-grown foods?

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Policies and PracticesFaith OrganizationsIs the faith community concerned about people’s physical health?

• On-site health services (education classes, screening, parish nurse, support groups, etc.)

• Printed materials (newsletters and/or bulletins) and opportunity to insert physical health information

• Food events (variety, nutritional quality)• Policy that encourages healthy food choices at

events

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Policies and PracticesSchools

✔What are the exercise policies and opportunities?✔During school day✔After-school programs✔Community use of gyms and tracks

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Policies and PracticesSchools

✔What kinds of foods are available at school?✔Teacher’s lounge✔Classroom✔Concession stands✔School garden assessment; Farm to School

assessment

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Vending Machines and Child Care✔NEMS-V is a tool to help you evaluate the

food choices in the vending machines at worksites, recreation centers,

✔Let’s Move! Child Care assessment

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Community Environment and Resources ?s in Report✔How did you assess community environment

related to nutrition/physical activity?✔Describe what your community has in place

to support healthy eating and active living for MCH population.

✔Describe any barriers within your community that impede or discourage healthy eating and active living.

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Tips to Answering ?s

✔ Supports – services and environment✔Cooperative Extension offers classes to SNAP

recipient families and they are willing to do grocery store tours

✔ Interviews with some corner store owners indicate interest in our help carrying healthy food choices

✔Brown Elementary has a hugely successful Walking School Bus program and they are willing to help other schools replicate

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Tips to Answering ?s

✔Barriers After-school programs offer only unhealthy

foods Vending machines at worksites of young

workers stock chips and candy Parks in the neighborhoods of our target

audience are in disrepair

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Summarize and Report ?s in Report✔What did you learn from completing the

assessment?✔Describe priorities, goals and objectives✔How did your committee work together to

develop these goals and objectives?

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General Tips regarding Moving to the Future✔Use the worksheets✔Use the summary sheets✔Use the questions in the Community

Opinion Survey✔Modify the summary sheets✔Write down your observations

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Tools to Use✔Progress Report✔Summary Sheets

• Community data• Community opinion• Community environment

ODH Needs Assessment Report Template

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Next Webinar March 29th at 3 pm

Chat Box: Type 1 question you still have

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Until then….

1. Start Completing Needs Assessment Report

2. Submit 1 question to be answered on last webinar

3. ODH working on a Work Plan Template

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Evaluation – E-mail link distributed later

Questions or more information: karen@asphn.org