communities of excellence 3 a blueprint for community action valerie quinn, m.ed. cancer prevention...
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Communities of Excellence3
A Blueprint for Community Action
Valerie Quinn, M.Ed. Cancer Prevention & Nutrition SectionCalifornia Department of Health ServicesAPHA, December 2005
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Picture of traffic, sprawl
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Schools
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Food deserts
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FOOD DESERTS
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Role for Public Health
Provide dataConvene interested partiesConduct needs assessments & evaluationEducate publicAdvocate for specific policy and environmental change
Policy and Environmental Change: New Directions for Public Health, ASTDHPPHE & CDC, 2001
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Technology Transfer
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Built environment
Healthy foods
Physical activity
Reduce TV viewing
Reduce hunger/food insecurity
Breastfeeding
Health care
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CX3 Defined
A planning model that involves assessing communities in relation to a variety of obesity prevention benchmarks known as community indicators and assets. 3 = nutrition, physical activity and obesity preventionStandardized indicators & assets – big plus!
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Key Vision
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CX3 Goal
Empower communities!!! Assess a community’s strengths,
assets, gaps & weaknesses Set priorities based on data Strategic local data-driven action
plans Broaden participation Evaluate progress
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Indicators & AssetsCommunity Indicators Specific, observable
characteristics of a community’s environments & norms.
Example “Supermarkets and grocery stores
offering healthy, affordable food choices are located in low-income neighborhoods and readily accessible to residents.”
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Indicators & AssetsAssets A community’s
“readiness” for addressing policy and environmental change.
Example“Extent of local officials who
advocate for local government action to promote environments that support healthy eating… “
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Creating CX3
Gather all possible indicators & assets. Refine.
Total: 151 Indicators44 Assets
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Creating CX3
Indicators organized in 6 Community Environments:
Neighborhood Preschool School After-school Worksite Government
Assets organized into:
Health department infrastructure
Political will Community
infrastructure
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Creating CX3
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Creating CX3 -- Cont.Raters by Type of Organization
(n=142)
23.9
16.216.2
10.6
7.76.3
4.9 4.94.2
2.1 2.10.7
0
5
10
15
20
25
30
Organization Type
Per
cen
t o
f R
ater
s
Local Health Department
School
State Government
Non profit/Community BasedOrganizationOther*
Community Clinics/Hospital
University
UC Cooperative Extension
Federal Government
Advocacy Organization
Voluntary Health Organization
Faith Based Organization
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CX3 Top Picks
Community IndicatorsNeighborhood: 12
indicators (42 total)
Preschool: 5 indicators (14 total)
School: XX indicators (45 total)
After-school: 6 indicators (11 total)
Worksite: 6 indicators (20 total)
Government: 4 indicators (19 total)
Community AssetsLocal Health Dept. Infrastructure: 3 assets
(14 total)
Political Will: 3 assets (10 total)
Community Infrastructure:
11 assets (20 total)
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CX3 FocusNeighborhood Environment
Supermarkets in low income neighborhoods If not, do small neighborhood stores offer healthy
food? Transportation available CA 5 a Day program Nutrition info provided Limit unhealthy advertising & displays aimed at
kids Food banks provide healthy food Farmers’ markets accept EBT cards Alternative sources of health food available Density of FF outlets restricted Outdoor “unhealthy” advertising restricted Neighborhoods safe and walk-able
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CX3 Focus – Cont.
Community Assets: Local Health Department
InfrastructureObesity prevention… formal or expressed dept priority (Report Card)Actively develops collaborative relationshipsDedicated staff with expertise
Political WillLocal elected officials supportiveExtent of supportive media coverageState/federal elected officials supportive
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CX3 – What’s Next?
1. Assessment tools; strategies outlined Start: Focus within Neighborhood, Local
Health Dept, Political Will Eventually -- all Top Picks in all environments
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CX3 – What’s Next?
1. Assessment tools; strategies outlined
2. Pilot Projects test tools
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CX3 – What’s Next?
1. Assessment tools; strategies outlined
2. Pilot Projects3. Materials/training provided &
implemented by local health departments and others
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CX3 – What’s Next?
1. Assessment tools; strategies outlined
2. Pilot Projects3. Implemented by local health
departments and others4. Breastfeeding indicators and WIC
assets coming soon
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Benefits to Participation
Advances local policy change – Proven!Puts local groups at forefront for obesity preventionGives standardized indicators for ALL types of work in obesity preventionAppealing to funders
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Challenges – so far…
Dynamic environment – build to growGrowing research base + limitationsNarrowing the “Top Picks” Funding changesID instruments – practical for local level, limited resources
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Change the environment, do not try to change
the person.Buckminister Fuller, architect, engineer, mathematician, poet
and cosmologist.