healthy, active oregon training institute bend, oregon april 28, 2006 chris kabel

April 28, 2006Chris Kabel

Northwest Health Foundation

Alliance for the Promotion ofPhysical Activity and Nutrition

(APPAN)An initiative of the Northwest Health

Foundation

Healthy, Active Oregon Training Institute

Bend, OregonApril 28, 2006

Chris KabelNorthwest Health Foundation



Obesity Trends Among U.S. AdultsSource: BRFSS; Obesity = BMI of 30 or greater

1985 No Data <10% 10%–14%




1986 No Data <10% 10%–14%




1987 No Data <10% 10%–14%




1988 No Data <10% 10%–14%




1989 No Data <10% 10%–14%




1990 No Data <10% 10%–14%




1991 No Data <10% 10%–14% 15%–19%




1992 No Data <10% 10%–14% 15%–19%




1993 No Data <10% 10%–14% 15%–19%




1994 No Data <10% 10%–14% 15%–19%




1995 No Data <10% 10%–14% 15%–19%




1996 No Data <10% 10%–14% 15%–19%




1997 No Data <10% 10%–14% 15%–19% ≥20




1998 No Data <10% 10%–14% 15%–19% ≥20




1999 No Data <10% 10%–14% 15%–19% ≥20




2000 No Data <10% 10%–14% 15%–19% ≥20




2001No Data <10% 10%–14%

15%–19% 20%–24% ≥25%




2002No Data <10% 10%–14%

15%–19% 20%–24% ≥25%




2003No Data <10% 10%–14%

15%–19% 20%–24% ≥25%




2004No Data <10% 10%–14%

15%–19% 20%–24% ≥25%




(APPAN)What does NWHF plan to do about these alarming

trends?• Alliance for the Promotion of Physical Activity and

Nutrition:• Rationale for our approach;• What we hope to see in applicant coalitions;• What we hope to achieve;• What we hope to learn;• “Best Practice Matrix”• FAQ: Available funding, deadlines, proposal

structure, etc.




(APPAN)Why fund community coalitions?• Local coalitions are often best positioned to know:

– The needs, assets and priorities;– The methods that will be most widely accepted and

effective;– The players that need to be at the table;– The challenges that must be overcome;

• Recognition that factors in the social, physical and policy environments are driving the obesity epidemic

• Positive results with similar activity (e.g., tobacco)• Produces improved community capacity that can

be harnessed to address a host of other issues.




(APPAN)Advantages of the community coalition

approach• Provides opportunities for leadership development;• Reduces duplication of services and improves coordination;• Raises public awareness and community competence;• Enables organizations to become involved in a broader

scope of issues;• More likely to develop widespread public support for

issues;• Opportunities to involve diverse representation of the

community;• Maximizes the power of individuals and groups.




(APPAN)Disadvantages of Forming Community

Coalitions

• Potential for turf issues, mistrust and miscommunication;

• Slow decision making;

• Diverts resources from other activities and issues;

• Loss of autonomy;

• Potential for diluted messages in an effort to appease all;

• Potential for “dead weight”

• It’s hard work!




(APPAN)APPAN: Does it make sense for your

organization?• Is the prevention and reduction of obesity part

of your core mission?• Does your organization have an interest and/or

experience in addressing social and policy determinants of health?

• Does your organization want to work with others to address this issue? Will you be committed for the long-term?

• Don’t do it just to “chase the money!”




(APPAN)Qualities of Competitive Coalitions• Demonstrate broad-based community involvement in the

development of proposed initiatives;

• Plan to address factors in the social, physical and policy environments that affect health behaviors;

• Build on existing community assets;

• Incorporate best practices into their plan, where available;

• Present a workplan based on an inventory of assets, needs and opportunities, or include such an assessment in their workplan;

• Incorporate aspects of the Best Practices Matrix developed by Oregon DHS for this program (copies available).




(APPAN)Qualities of Competitive Coalitions• Coalitions should have established clearly defined

roles and responsibilities among all partners;• Where appropriate, inter-agency agreements

should be in place, or in development.• Balance is important; while every coalition needs

a lead agency, no one partner should be too dominant;

• Involvement of both professional and non-professional community representatives often strengthens coalitions.




(APPAN)What we hope to achieve with APPAN:• Communities that have the social and

policy supports necessary to promote physical activity and healthy eating behaviors, ultimately leading to decreased obesity prevalence;

• Communities that are more engaged, competent and empowered to improve the conditions affecting their health, and other important aspects of their lives.




(APPAN)What we hope to learn from APPAN:• What makes these sorts of coalitions work?• What factors facilitate or inhibit their

development and function?• How effective are they at influencing local

policies (e.g., school boards, planning commissions, state legislature, etc.)?

• What lessons can be disseminated nationally?• Importance of evaluation – participation in

Healthy, Active Oregon conferences.




(APPAN)Funding Availability and Budgets• We will fund projects for up to 4 years;• Maximum of $25,000 in Year 1; potential for

increased amounts in subsequent years;• NWHF views this as “priming the pump” –

encourages coalitions to solicit additional support from other local and national funders;

• Budgets can include staff support, consultants, facilitators, training, travel, printing, office supplies, etc.

• Ineligible items: capital costs such as building new athletic facilities, swimming pools, etc.




(APPAN)

Contact info for further questions:Chris Kabel

Program OfficerNorthwest Health Foundation

(503) [email protected]

mailto:[email protected]

healthy, active oregon training institute bend, oregon april 28, 2006 chris kabel

Documents

brfss obesity

greater1985 obesity

greater1986 obesity

greater1987 obesity

greater1988 obesity

greater1989 obesity

greater1990 obesity

greater1991 obesity