1. Communities of Excellence 3 A Blueprint for Community Action Valerie Quinn, M.Ed. Cancer Prevention & Nutrition Section California Department of Health Services APHA, December 2005

2. Picture of traffic, sprawl

4. Schools

5. Food deserts FOOD DESERTS

7. Role for Public Health Provide data Convene interested parties Conduct needs assessments & evaluation Educate public Advocate for specific policy and environmental change Policy and Environmental Change: New Directions for Public Health, ASTDHPPHE & CDC, 2001

8. Technology Transfer

9. Built environment Healthy foods Physical activity Reduce TV viewing Reduce hunger/food insecurity Breastfeeding Health care

10. CX 3 Defined A planning model that involves assessing communities in relation to a variety of obesity prevention benchmarks known as community indicators and assets. 3 = nutrition, physical activity and obesity prevention Standardized indicators & assets – big plus!

11. Key Vision

12. CX 3 Goal Empower communities!!! Assess a community’s strengths, assets, gaps & weaknesses Set priorities based on data Strategic local data-driven action plans Broaden participation Evaluate progress

13. Indicators & Assets Community Indicators Specific, observable characteristics of a community’s environments & norms. Example “Supermarkets and grocery stores offering healthy, affordable food choices are located in low-income neighborhoods and readily accessible to residents.”

14. Indicators & Assets Assets A community’s “readiness” for addressing policy and environmental change. Example “Extent of local officials who advocate for local government action to promote environments that support healthy eating… “

15. Creating CX 3 Gather all possible indicators & assets. Refine. Total: 151 Indicators 44 Assets

16. Creating CX 3 Indicators organized in 6 Community Environments: Neighborhood Preschool School After-school Worksite Government Assets organized into: Health department infrastructure Political will Community infrastructure

17. Creating CX 3

18. Creating CX 3 -- Cont.

19. CX 3 Top Picks Community Indicators Neighborhood: 12 indicators (42 total) Preschool: 5 indicators (14 total) School: XX indicators (45 total) After-school: 6 indicators (11 total) Worksite: 6 indicators (20 total) Government: 4 indicators (19 total) Community Assets Local Health Dept. Infrastructure: 3 assets (14 total) Political Will: 3 assets (10 total) Community Infrastructure: 11 assets (20 total)

20. CX 3 Focus Neighborhood Environment Supermarkets in low income neighborhoods If not, do small neighborhood stores offer healthy food?  Transportation available  CA 5 a Day program  Nutrition info provided  Limit unhealthy advertising & displays aimed at kids Food banks provide healthy food Farmers’ markets accept EBT cards Alternative sources of health food available Density of FF outlets restricted Outdoor “unhealthy” advertising restricted Neighborhoods safe and walk-able

21. CX 3 Focus – Cont. Community Assets: Local Health Department Infrastructure Obesity prevention… formal or expressed dept priority (Report Card) Actively develops collaborative relationships Dedicated staff with expertise Political Will Local elected officials supportive Extent of supportive media coverage State/federal elected officials supportive

22. CX 3 – What’s Next? 1. Assessment tools; strategies outlined Start: Focus within Neighborhood, Local Health Dept, Political Will Eventually -- all Top Picks in all environments

23. CX 3 – What’s Next? 1. Assessment tools; strategies outlined 2. Pilot Projects test tools

24. CX 3 – What’s Next? 1. Assessment tools; strategies outlined 2. Pilot Projects 3. Materials/training provided & implemented by local health departments and others

25. CX 3 – What’s Next? 1. Assessment tools; strategies outlined 2. Pilot Projects 3. Implemented by local health departments and others 4. Breastfeeding indicators and WIC assets coming soon

26. Benefits to Participation Advances local policy change – Proven! Puts local groups at forefront for obesity prevention Gives standardized indicators for ALL types of work in obesity prevention Appealing to funders

27. Challenges – so far… Dynamic environment – build to grow Growing research base + limitations Narrowing the “Top Picks” Funding changes ID instruments – practical for local level, limited resources

28. Change the environment, do not try to change the person. Buckminister Fuller, architect, engineer, mathematician, poet and cosmologist.

29. For more information List of Top Picks, etc.: Valerie Quinn vquinn@dhs.ca.gov 916-552-9908