Download - The Role of State Government in Public Health Nutrition Assessment Policy Development Assurance
The Role of State The Role of State Government in Public Government in Public
Health NutritionHealth Nutrition
AssessmentAssessment
Policy DevelopmentPolicy Development
AssuranceAssurance
AssessmentAssessment
State level assessment of population State level assessment of population nutrition assessmentnutrition assessment
Identify high risk areas of stateIdentify high risk areas of state Coordinate state and local assessment Coordinate state and local assessment
initiativesinitiativesProvide data to local agenciesProvide data to local agenciesProvide technical assistance & trainingProvide technical assistance & training
AssuranceAssurance
Manage/administer/deliver federal nutrition Manage/administer/deliver federal nutrition programs: WIC, NSLP, SNAPprograms: WIC, NSLP, SNAP
Manage/deliver state funded programs: Manage/deliver state funded programs: MSSMSS
Build state capacity to address nutritionBuild state capacity to address nutritionTechnical assistance/capacity building, Technical assistance/capacity building,
networking, communicationnetworking, communicationSecure and distribute resources for long term Secure and distribute resources for long term
goalsgoals
Policy Development Policy Development
Advise governor and legislatureAdvise governor and legislature State-level planningState-level planning
InfrastructureInfrastructure
MissionMission Objectives, StrategiesObjectives, Strategies
& Activities& Activities
HealthHealth Improve healthImprove health
outcomes for theoutcomes for the
people of Washingtonpeople of Washington
StateState
Increase access toIncrease access to
healthy foods andhealthy foods and
opportunities foropportunities for
physical activityphysical activity
Agri-Agri-cultureculture
Facilitate the movement of Facilitate the movement of Washington agricultural products in Washington agricultural products in domestic anddomestic and
international marketsinternational markets
Promote the economicPromote the economic
vitality of the agriculture industry,vitality of the agriculture industry,
safeguard the environmentsafeguard the environment; ; assistassist
growers and agribusinessesgrowers and agribusinesses
to enter new markets to enter new markets
DSHS DSHS Improving the Improving the healthhealth status of vulnerable populations status of vulnerable populations Improving Improving economic stabilityeconomic stability, employment and self-sufficiency , employment and self-sufficiency Improving individual and public Improving individual and public safetysafety Improving individuals’ readiness and ability to Improving individuals’ readiness and ability to succeed in schoolsucceed in school Increasing public trust through Increasing public trust through strong management practicesstrong management practices that ensure that ensure quality and leverage all resourcesquality and leverage all resources
Governor’s Executive Order: Washington Food Governor’s Executive Order: Washington Food
System Interagency WorkgroupSystem Interagency Workgroup
Members: DSHS, DOH, DOAMembers: DSHS, DOH, DOA Invited: OSPI, Conservation CommissionInvited: OSPI, Conservation Commission Charged to: “produce a report to the Governor Charged to: “produce a report to the Governor
and Legislature which provides an assessment and Legislature which provides an assessment of existing data and identifies remaining gaps of existing data and identifies remaining gaps and opportunities in Washington State food and opportunities in Washington State food policy to help address food security, nutrition, policy to help address food security, nutrition, and health challenges faced by Washington and health challenges faced by Washington citizens and to support realistic solutions to citizens and to support realistic solutions to these issues.” these issues.”
http://www.governor.wa.gov/execorders/eo_10-02.pdf
The report is intended to help agencies, The report is intended to help agencies, stakeholders and legislators: stakeholders and legislators:
Explore ways to promote nutrition, especially for those Explore ways to promote nutrition, especially for those who are most in need. who are most in need.
Identify ways to educate the public and policy makers on Identify ways to educate the public and policy makers on the status of hunger in Washington State and the role the status of hunger in Washington State and the role they play in addressing the issue of food security, they play in addressing the issue of food security, nutrition, and health. nutrition, and health.
Educate the public and policy makers on the importance Educate the public and policy makers on the importance of farmland preservation and the importance of of farmland preservation and the importance of promoting Washington-grown products to farmer’s promoting Washington-grown products to farmer’s markets, food banks, and institutions. markets, food banks, and institutions.
Washington State Department of Health
Board of HealthBoard of Health
SecretarySecretary
Mary C. SeleckyMary C. Selecky
DevelopmentalDevelopmental
Disabilities CouncilDisabilities Council
Deputy SecretaryDeputy SecretaryGregg GrunenfelderGregg Grunenfelder
State Health OfficerState Health OfficerMaxine Hayes, MD, MPHMaxine Hayes, MD, MPH
Public Health Systems Public Health Systems DevelopmentDevelopmentAllene MaresAllene Mares
DirectorDirector
Policy, Legislative, and Policy, Legislative, and Constituent RelationsConstituent Relations
Brian PeytonBrian PeytonDirectorDirector
Office of CommunicationsOffice of Communications
Tim ChurchTim ChurchDirectorDirector
Public Health Preparedness Public Health Preparedness and Response Programand Response Program
John EricksonJohn EricksonDirectorDirector
Community and Family HealthCommunity and Family HealthAllene MaresAllene Mares
Assistant SecretaryAssistant Secretary
Environmental HealthEnvironmental HealthMaryanne GuichardMaryanne GuichardAssistant SecretaryAssistant Secretary
Epidemiology, Health Statistics Epidemiology, Health Statistics and Public Health Laboratoriesand Public Health Laboratories
Jennifer TebaldiJennifer TebaldiAssistant SecretaryAssistant Secretary
Health Systems Quality AssuranHealth Systems Quality Assurancece
Karen JensenKaren JensenAssistant SecretaryAssistant Secretary
Financial ServicesFinancial Services Human ResourcesHuman Resources Performance and Performance and Accountability Accountability Information Resource Information Resource Management Management Risk ManagementRisk Management Adjudicative Service UnitAdjudicative Service Unit Privacy/Public DisclosurePrivacy/Public Disclosure
Office of Infectious Disease anOffice of Infectious Disease and Reproductive Healthd Reproductive Health
Office of Maternal and Child HeOffice of Maternal and Child Healthalth
Community Wellness and PrevCommunity Wellness and Preventionention
Drinking WaterDrinking Water Radiation ProtectionRadiation Protection Shellfish and Water ProtectionShellfish and Water Protection Environmental Health, Safety aEnvironmental Health, Safety and Toxicologynd Toxicology
Communicable Disease EpideCommunicable Disease Epidemiologymiology
Non-Infectious Conditions EpidNon-Infectious Conditions Epidemiologyemiology
Health StatisticsHealth Statistics Public Health LaboratoriesPublic Health Laboratories InformaticsInformatics
Customer ServiceCustomer Service Community Health SystemsCommunity Health Systems Health Professions and FacilitiHealth Professions and Facilitieses
Investigation and InspectionInvestigation and Inspection Legal servicesLegal services
Community Wellness & PreventionCommunity Wellness & Prevention
Asthma Asthma
Breast & Cervical HealthBreast & Cervical Health Cancer Registry Cancer Registry
Heart Disease and Stroke PreventionHeart Disease and Stroke Prevention
Tobacco Prevention & Control Tobacco Prevention & Control
WICWICNutrition, Physical Activity, Obesity Prevention Nutrition, Physical Activity, Obesity Prevention SNAP-EDSNAP-EDDiabetes Control Diabetes Control
Washington State’s Nutrition Washington State’s Nutrition & & Physical Activity PlanPhysical Activity Plan
The Six ObjectivesThe Six Objectives
ObjectivesObjectives
Access to Health Promoting FoodsAccess to Health Promoting Foods
Food InsecurityFood Insecurity
Proportion of Mothers Who Breastfeed Proportion of Mothers Who Breastfeed Their Infants & Toddlers Their Infants & Toddlers
Free and Low-Cost Opportunities forFree and Low-Cost Opportunities for Recreation and Physical Activity Recreation and Physical Activity
Physical Activity Opportunities for ChildrenPhysical Activity Opportunities for Children
Active Community EnvironmentsActive Community Environments
Planned ActivitiesPlanned Activities
Partner with agencies, coalitions & local Partner with agencies, coalitions & local communitiescommunities
Provide technical assistance, training, Provide technical assistance, training, tools & resourcestools & resources
Support pilot programs and development Support pilot programs and development of local action plansof local action plans
Encourage development & implementation Encourage development & implementation of policy recommendations by sectorof policy recommendations by sector
Planned OutcomesPlanned Outcomes
Short-TermShort-Term Partnerships Partnerships
established & workingestablished & working Partners knowledgeable Partners knowledgeable
about environ. & policy about environ. & policy issues that impact issues that impact nutrition & phys. activitynutrition & phys. activity
Partners incorporate Partners incorporate Plan into their work Plan into their work plansplans
Financial support for Financial support for nutrition & phys. activity nutrition & phys. activity efforts increasesefforts increases
IntermediateIntermediate Changes in Changes in
policy & the policy & the environmentenvironment
Increased phys. Increased phys. activity & activity & improved dietary improved dietary behaviorbehavior
Long-TermLong-Term Decreased Decreased
obesityobesity Decreased Decreased
incidence of incidence of chronic chronic diseasedisease
Why “Partners of the Plan”? Why “Partners of the Plan”?
Assessment and EvaluationAssessment and Evaluation
Annual Survey of PartnersAnnual Survey of PartnersInvolvement with the Plan’s objectives, settings impacted, and scope of Involvement with the Plan’s objectives, settings impacted, and scope of influenceinfluence
Key Informant Interviews, 2007Key Informant Interviews, 2007Partners’ perceptions of working with the Plan, gaps in plan Partners’ perceptions of working with the Plan, gaps in plan implementation, communication needsimplementation, communication needs
Statewide Interviews, 2010Statewide Interviews, 2010Partners and potential Partners, familiarity with the Plan, knowledge of Partners and potential Partners, familiarity with the Plan, knowledge of Partners, communication needs, ideas for sustainability Partners, communication needs, ideas for sustainability
Why Partners of the Plan?: Why Partners of the Plan?: Partnering to Achieve the Plan’s Partnering to Achieve the Plan’s ObjectivesObjectives
Partners pledge to work toward one or more Partners pledge to work toward one or more of the Plan’s 6 objectivesof the Plan’s 6 objectives
Potential Partners: Anyone in WA Potential Partners: Anyone in WA working on initiatives related to the Planworking on initiatives related to the Plan
Recruited by pledge cards distributed at Recruited by pledge cards distributed at meetings and available onlinemeetings and available online
Partners of the Plan Partners of the Plan MembershipMembership
Members Represent more than Members Represent more than 250 organizations in 31 250 organizations in 31 counties, including:counties, including:
Local & state health departmentsLocal & state health departments Healthcare organizationsHealthcare organizations Schools & universitiesSchools & universities BusinessesBusinesses Community groups, nonprofit Community groups, nonprofit
organizations & coalitionsorganizations & coalitions Government agenciesGovernment agencies Tribal organizationsTribal organizations
Partners of the Plan Cumulative Listserv Membership
113
282351
584657
718802
882
0
200
400
600
800
1000
2003 2004 2005 2006 2007 2008 2009 2010Nu
mb
er o
f P
artn
ers
Reg
iste
red
www.wapartnersinaction.orgwww.wapartnersinaction.org
Partners in Action Web SitePartners in Action Web Site
Communicate about needs Communicate about needs identified by Partnersidentified by Partners
Inform about policy and Inform about policy and environmental changes environmental changes supporting the Plansupporting the Plan
Highlight activities, Highlight activities, programs, events and programs, events and resourcesresources
Quarterly E-newsletterQuarterly E-newsletter
What We’ve Learned: What We’ve Learned:
Annual Survey of PartnersAnnual Survey of Partners
Partner Involvement with the Plan's Nutrition Objectives
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Access toHealthy Foods
Hunger/FoodInsecurity
IncreasingBreastfeeding
Pa
rtic
ipa
tio
n R
ate
s
2004 2005 2006 2007 2008 2009 2010
Partner Involvement with the Plan's Physical Activity Objectives
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Low CostRecreation
Physical Activityfor Children
Active Comm.Environments
Par
ticip
atio
n R
ates
2004 2005 2006 2007 2008 2009 2010
What We’ve Learned: What We’ve Learned:
Annual Survey of PartnersAnnual Survey of Partners
Settings Impacted By Partners
0
10
20
30
40
50
60
70
Scho
ols
Wor
ksite
sYo
uth
Prog
s.
Park
s/R
ec.
City
Pla
nnin
g
Trai
lsFa
rm. M
arke
ts
Rest
aura
nts
Heal
th c
are
Food
Ret
ail
Child
car
eTr
ansp
orta
tion
Oth
er
2004 2005 2006 2007 2008 2009 2010
Num
ber o
f Res
pons
es
What We’ve Learned: What We’ve Learned:
Annual Survey of PartnersAnnual Survey of Partners
Partners' Scope of Influence
0
10
20
30
40
50
60
70
County City
Statew
ide
Institu
tion
Neighbo
rhood
Region o
f stat
eOth
er
Num
ber
of R
espo
nses
2004 2005 2006 2007 2008 2009 2010
What We’ve Learned: What We’ve Learned:
In Key Informant Interviews with Partners (2007, n=17)In Key Informant Interviews with Partners (2007, n=17)
they described:they described:
Using the Plan to establish priorities and select activitiesUsing the Plan to establish priorities and select activities
Positive experiences associated with the PlanPositive experiences associated with the Plan New partnerships – “something that we need to celebrate!”New partnerships – “something that we need to celebrate!” Plan puts everyone “on the same page”Plan puts everyone “on the same page” Plan lends legitimacy and a “selling point” for local effortsPlan lends legitimacy and a “selling point” for local efforts
What We’ve Learned: What We’ve Learned: Key Informant Interviews with Partners (2007, n=17)Key Informant Interviews with Partners (2007, n=17)
Partners described:Partners described:
Common barriers and challengesCommon barriers and challenges Funding, time, resourcesFunding, time, resources Involving necessary partners and working with non-traditional Involving necessary partners and working with non-traditional
partnerspartners Learning curve associated with policy and environmental Learning curve associated with policy and environmental
approaches. – “People still want to focus on the individual.”approaches. – “People still want to focus on the individual.”
What We’ve Learned: What We’ve Learned: Partners Evaluation (2010, n=113)Partners Evaluation (2010, n=113)
Key Findings:Key Findings:
Plan-related activities are being implemented statewide.Plan-related activities are being implemented statewide.
Funding, tools, materials and resources, and decision maker buy-in are Funding, tools, materials and resources, and decision maker buy-in are the top three things respondents reported needing to be able to the top three things respondents reported needing to be able to implement new and existing policy and environmental initiatives related implement new and existing policy and environmental initiatives related to nutrition and physical activity.to nutrition and physical activity.
Initiatives are being sustained through creative funding sources, Initiatives are being sustained through creative funding sources, fostering partnerships, sharing resources, and building community fostering partnerships, sharing resources, and building community support.support.
What We’ve Learned: What We’ve Learned: Partners Evaluation (2010, n=113)Partners Evaluation (2010, n=113)
Key Findings:Key Findings:
Respondents identified many of the current activities of Partners, Respondents identified many of the current activities of Partners, including providing relevant resources, tools and funding opportunities, including providing relevant resources, tools and funding opportunities, and sharing success stories from across the state, to be helpful.and sharing success stories from across the state, to be helpful.
The interviews and surveys served a dual role of promoting the Plan The interviews and surveys served a dual role of promoting the Plan and Partners.and Partners.
More work needs to be done to tell Washingtonians engaged in More work needs to be done to tell Washingtonians engaged in physical activity and nutrition work about the Plan and Partners.physical activity and nutrition work about the Plan and Partners.