1. Assuring the Implementation of Effective Public Health Strategies for Nutrition

2. Objectives Students will be able to: Describe the characteristics of public health approaches to assuring nutritional health Apply basic constructs of systems thinking to a public health nutrition concern

3. Obesity SustainabilityFood Security Leading Nutrition Concerns

4. Effective Strategies to Address these Concerns require: Transdisciplinary research base Population-heath focus Grounding in fundamental social and economic determinants of health Intersectoral engagement

5. Systems Thinking the only way to fully understand why a complex problem occurs and persists is to understand the part in relation to the whole (O'Connor & McDermott, The Art of Systems Thinking: Essential Skills for Creativity and Problem- Solving) Traditional scientific approach = isolating small parts of the system Systems thinking = taking many interactions into account

6. Systems thinking is needed for problems that are: Complex problems that involve helping many actors see the "big picture" and not just their part of it Recurring problems or those that have been made worse by past attempts to fix them Issues where an action affects (or is affected by) the environment surrounding the issue, either the natural environment or the competitive environment Problems whose solutions are not obvious http://www.thinking.net/Systems_Thinking/Intro_to_ST/intro_to_st.html

7. Ecological Framework for Influences on What People Eat

8. Assuring Functions of Public Health IOM 1994Proposed by Aday Enforce laws and regulations that protect health and ensure safety Design model legislation to promote population health- centered programs within and across sectors Link people to needed personal health services and assure the provision of health care when otherwise unavailable Collaborate to develop and finance an integrated continuum of primary prevention, treatment, and long-term care programs and services in the community. Aday, LA. Reinventing Public Health. 2005

9. Assuring Functions of Public Health IOM 1994Proposed by Aday Assure a competent public health and personal heath care workforce Train pubic health, planning and development professionals in the population-based health approach Evaluate effectiveness, accessibility, and quality of personal and population-based public health services Evaluate public health and intersectoral initiatives in terms of their population health impact. Aday, LA. Reinventing Public Health. 2005

10. Serving All Functions IOM 1994Proposed by Aday Research for new insights and innovative solutions to health problems Design and conduct transdisciplinary research to address fundamental determinants of population health Aday, LA. Reinventing Public Health. 2005

11. Responsibilities of Schools of Public Health Educate educators, practitioners and researchers – prepare leaders Transdisciplinary research Contribute to policy Work with other professional schools to assure quality public health content Assure access to lifelong learning for practitioners Actively engage in communities Who Will Keep the Public Healthy? IOM 2002.

12. An Intersectoral Approach to Public Health IOM. The Future of the Public’s Health, 2002

13. Key Components of the Food Sector ProductionFarming, gardening, aquaculture, wild foods TransformationProcessing, packaging, labeling, marketing DistributionTransportation, wholesaling, warehousing AccessRetail, food safety, food security ConsumptionPurchasing, preparing, preserving, eating Resource & Waste Mgmt. Disposal, recycling Muller, Tagtow, Roberts, MacDougall. J Hunger Envir Nutr. 2009/

14. Emerging Model for an Intersectoral Approach to Public Health Nutrition Assuring conditions for access to adequate and appropriate food Media Govt.: public health, agriculture, education, environment AcademiaFood System Sectors Communities Business Institutions NGOs