1. Building a Policy Roadmap to Advance Organizational Practice Change and Public Policy for Healthy Eating and Active Living
Virginia Lee, MPH, CHES American Public Health Association November 5, 2007

2. Building momentum for quality primary prevention
Characterized by a strong commitment to community participation, social justice, and equitable health outcomes among all social and economic groups
Groundbreaking work and looking at prevention in new ways. PI’s focus is putting primary prevention at the focus of community health and wellbeing.
strong commitment to community participation, social justice, and equitable health outcomes among all social and economic groups

3. Supersizing America
It also doesn’t help when we are living in a culture where the norm is “the bigger the better.”
This is my son Ezekiel. Don’t worry, I didn’t let him eat the whole hotdog. We shared it among three of us, but I indulged him a little so that I could get a picture of him. It is however, frustrating as a mom….
TRANSITION: Let’s compare our culture to another….

4. Is it just individual choice?
The first shift in thinking is moving away from this notion of individual choice and trying to engage in healthy behaviors.
For example, we’re told that we need to exercise 30 minutes or more each day, but then this person can’t even walk around in her neighborhood safely.

5. “
It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change.
“It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change.” ”
Institute of Medicine

6. The same injuries and illnesses only more so
HEALTH DISPARITIES:
The same injuries and illnesses only more so
And unfortunately, low income communities and communities of color suffer from the same injuries and illnesses ONLY MORE SO

7. Building a Movement for
Healthy Eating & Active Living

8. ENACT Local Policy Database
Our Learnings
ENACT Local Policy Database

9. Inter-Sectoral Collaboration
Education
Transportation
Health Care
Public Health
Sustainable
Agriculture
Government
Level 4: Fostering Coalitions and Networks
I like the notion of a jigsaw puzzle because each piece is important in and of itself, and yet, interlocked, the pieces make a more complete picture.
The important thing to consider about coalitions is who do you need at the table to accomplish your goals.
Example:
Faith
Business
Environment

10. Collaboration Math Health Education Social Services Nutritionists
Data
Concepts
Funding
Training
Partners
Key Issues
Outcomes
Sum Remainder:
Average:
Sum:
Product:
Exponential Product:
Health
Education
Social Services
Nutritionists
Business
Media
Public Planning
TOTALS

11. Convergence of Interests Preliminary Findings
Sectors
Built Environment Strategies
Land Use Planning
Active
Transportation
Environment
Planning
Advocates
Public Health
Education
Sustainable Agriculture
Healthcare

12. Policy Criteria
Consider whether proposed policies have the potential for significant impact and whether they are politically feasible.
Ensure the right elements are in place for successful implementation and to inform future policy

13. Cross-Cutting Strategies for Healthy Activity
Medical care is not the primary determinant of health
Of the 30-year increase in life expectancy since the turn of the century, only about five years of this increase are attributed to medical care interventions.
Blum asserts that the most important determinant of health is environmental conditions, followed by lifestyle. Medical care ranks third as a determinant of health.
Medical care treats one person at a time
By focusing on the individual and specific illnesses as they arise, medical treatment does not reduce the incidence or severity of disease among groups of people.
Treatment does not always restore health
Medical care is usually sought after people are sick. Many common chronic health problems, such as heart disease, diabetes, asthma, and HIV/AIDS, are never cured.
There are disparities in medical treatment
A growing body of evidence shows that people of color experience disparities in treatment across all socioeconomic levels. Therefore, even if the medical care infrastructure could address the sheer number of people being sick, it is unlikely that the outcomes would be as positive for people of color as for the general population.

14. Cross-Cutting Strategies for Healthy Eating

15. Taking Action for a Healthier California
Strategic Alliance recently crafted a set of recommendations to articulate the specific changes that industry and government leaders can take to re-shape California’s eating and activity environments.
Businesses, community and government leaders can use their resources to ensure that all Californian’s have convenient, affordable and safe access to quality, healthy food and opportunities for activity.

16. Opportunities to Take Action
Transportation Equity Act
Childhood Nutrition Reauthorization
No Child Left Behind
Farm Bill

17. TOOLS

19. CHAPTER 2 Achieving Health Equity and Social Justice By Wayne H
CHAPTER 2 Achieving Health Equity and Social Justice By Wayne H. Giles & Leandris Liburd

20. CHAPTER 13 Creating Healthy Food Environments, Preventing Chronic Disease By Leslie Mikkelsen, Catherine S. Erickson, & Marion Nestle

21. THRIVE Toolkit for Health and Resilience In Vulnerable Environments
Eliminating Health Disparities Through a Focus on Community Resilience

22. The Built Environment and Health: 11 Profiles of Neighborhood Transformation
Changes to the neighborhood environment can improve community access to healthy food options. In the Upper Falls community of Rochester, New York, a dynamic collaborative of community members increased access to healthy food by organizing for over five years to bring a full-service supermarket into a community which had had none.
Profile: Partners Through Food increases access to healthy food by bringing a full-service supermarket into the community (Rochester, New York)
Funded by: Centers for Disease Control and Prevention, Division of Emergency and Environmental Health Services (EEHS), National Center for Environmental Health (NCEH)

23. www.preventioninstitute.org www.eatbettermovemore.org
221 Oak Street
Oakland, California 94607
phone: fax: