The Power of Partnerships to Prevent Chronic Disease and Improve Community Health Quinney Harris, MPH, Principal Investigator & Senior Manager, National WIC Association

Disclaimer This presentation was supported by the Cooperative Agreement Number, U58 DP005645-03, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.

Background NWA’s Community Partnerships for Healthy Mothers and Children (CPHMC) project is part of a large CDC grant, called National Implementation and Dissemination for Chronic Disease Prevention (Partnering4Health) This 3-year cooperative agreement supports national organizations and their members in building/strengthening community infrastructure to implement population-based strategies to improve communities’ health. The National Organization Awardees include: Category A National WIC Association (NWA) American Planning Association (APA) American Heart Association (AHA) Category B Society for Public Health Education (SOPHE) Directors of Health Promotion and Education (DHPE) Community Capacity Building and Implementation Dissemination and Training

Purpose of the Project To create and implement community-driven plans to reduce chronic disease through policy, systems, and environmental (PSE) strategies. Risk Factors: Poor nutrition Lack of access to chronic disease prevention, risk reduction, and management opportunities Target population: Mothers and children

Project Partners National WIC Association (NWA) Centers for Disease Control and Prevention (CDC) National WIC Association (NWA) American College of Obstetricians and Gynecologists (ACOG) Altarum Institute 30 local WIC agencies in 18 target states

CPHMC Projects To accomplish our goals, NWA funded 31 communities in 18 different states to implement policy, systems, and environmental change interventions in their local communities.

Structure of the Project 15 Months Total First 6 months: Capacity Building Coalition, needs assessment, leadership team, community action plan Remaining 9 months: Community Action Plan Implementation Nutrition and Community/Clinical Linkages Average Sub-Recipient Funding from NWA: $173,000

Twin Approach Target Population: Low-income women and children Reach of Project: Collective reach of all interventions must be at least 50% of the total population in the defined geographic area Some interventions were aimed at the target population and others at segments of the total population

Full Spectrum of Support for WIC Clients Policy, Systems, and Environmental Change Strategies Target the Organizational, Community, and Public Policy Levels (Potential for additional support for clients) WIC Program: Direct Services

Policy, Systems and Environmental Change Examples of CPHMC policy interventions include food ordinances and breastfeeding policies at worksites and local businesses Examples of CPHMC systems interventions are green prescription pads and comprehensive breastfeeding and lactation support resulting from alignment between WIC, local hospitals, FQHCs, and other local providers Examples of CPHMC environmental interventions are farmer’s markets, community gardens, healthy corners,

NWA’s Vision Promoting WIC Assets Trusted community resource Insights on client and community needs Knowledgeable staff Established community relationships Serving clients beyond the clinic walls Empowering WIC staff and clients to be engaged in a leadership role Leveraging WIC strengths in a larger public health context Consider the external and home environment Programming based on the identified needs of the target population Community partnerships Consistent messaging with other stakeholders Evaluation

Sector Sub Categories 1. Medical and Public Health Organizations Pharmacies, Department of State and Health Services, Health Departments, Hospitals, Eye Center, Family Planning, Family Medicine/Primary Care, WIC, Women’s Services, American Academy of Pediatricians (State Affiliate), Health Systems, Health Insurance Companies, Behavioral Health Center   2. Local Businesses and Community Organizations Convention & Visitors Bureau, YMCA, Community Center, Community Development Organizations, Farm Bureau, United Way, Community Action Organizations, Chamber of Commerce, Local Newspaper, Hispanic Center, Foundations, Rural Health Services, Planning Council, Radio Station, Local Coalitions, Racial/Ethnic Affinity Organizations, Banks, Health Care Advocacy Organization, La Leche League, Food Policy Initiative, Charities, Neighborhood Improvement Council, Environmental Organizations, Parenting Center, Boys and Girls Club, Gym 3. Education Public Schools, Public Library, Master Gardeners, Head Start, Cooperative Extension, Department of Nutrition and Dietetics (Local University), Medical School, Community College, Smart Beginnings, SNAP-Ed, School District, Nursery, Universities 4. Food Retail Grocery Stores/Supermarkets, Food Pantries, School Food Service, Local Farmers/Farm Stands, Corner Store Owners, Food Processors, Farmers Markets, Food Markets, Mobile Grocery, Food Companies, Meals on Wheels, Food Distributors, Farmers Market Association, 5. Local and State Government Department of Social Services, State Senator, Department of Human Resources, County Administrators, County Planning Department, State Representative, Housing Authority, Mayor, County Sheriff’s Office, Parks and Recreation Services, Public Relations Officer, Commissioners Office, County Senior Center, City Government, Food and Nutrition Service, 6. Religious Organizations  Churches (Multiple Denominations) 7. Military  Air Force Base, Army Installation Department of Public Health, Army Hospital The sub-recipients partnered with a variety of organizations and established multisector coalitions to improve the health of the community

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Additional Tools and Resources Healthy Food Pantry Toolkit, Tri-County Health Department, Colorado Resource Navigator Manual, CCI Health & Wellness, Inc., Maryland WIC 101 Trainings for Pediatricians, OB/GYNs, and Community Service Providers, Richmond City Health District, Virginia Eat Well Wichita County website, Wichita Falls- Wichita County Public Health District, Texas Choose Fresh, Angelina County & Cities Health District, Texas Choosing Health in Lake County (CHIL) website, District Health Department #10, Michigan Bonner County Coalition for Health Healthy Lifestyle Rx website, Panhandle Health District, Idaho

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