6/13/2008 Diabetes Initiative Synergy Grant: Building Capacity through Partnership for Environmental and Policy Change to Prevent Ob it in Obesity i Children Child Preventing Obesity in Children The Robert Wood Johnson Foundation funded four Diabetes Initiative grantees Marjorie Sawicki, MS, RD, LDN Diabetes Initiative Synergy Grant: Preventing Obesity in Children Saint Louis University, School of Public Health St. Louis, Missouri Purpose Purpose was to build capacity within four high-risk communities to make policy and environmental changes g to reduce the risk of obesity among children. Holyoke MA Middletown, CT Mt. Hope, WV Somerton, AZ Policy and Environmental Change Social ecological framework used to focus grantee efforts efforts. Needs assessment, gap analysis and strategy development. Community partnerships crucial. Conference Meetings Ecologic Framework Policy Process Environment Effective Partnerships PRS Report System Strengthen Partnerships Collaboration Youth Leadership School Wellness Policy Technical Assistance IOM Report Preventing Childhood Obesity Biweekly Phone Calls Internet Resources Biweekly Colloquium Discussions Progress reports Problem solving Feature Topics Site Visits Strengthen Partnerships Industry and Government Society School and Peers Community Family Child Child Campesinos Sin Fronteras Grantee Training Demonstration projects in policy and environmental change Improve access to healthy foods and physical activity Targeted children 3 - 12 years in high risk communities. Somerton, AZ Mobilizing Parents for Healthier Environments Population - Hispanic Field Workers Focus - Develop modules to train parents to advocate f their for th i children hild iin th the school h l and d community it Partnership - Promotoras, SAG committee, City administration Outcome - Hispanic Voice, Advocacy, School Board policy, City donated building for Child & Family Wellness Center 1 6/13/2008 Community Health Center Holyoke Health Center Middletown, CT Holyoke, MA Healthy Macdonough School Population - Children and surrounding neighborhood of Macdonough Elementary School Focus - Environmental and Policy Change in the school for physical activity and healthy foods Partnership - CHC hub of community network for children and families (Wesleyan University, Vinnie’s Jump & Jive) Outcome - School Wellness Policy led to lunch and recess changes Population - Rural Appalachian community Focus - create a model to mobilize community to create an environment that supports access to healthy foods and physical activity Partnership - Mayor, Mt. Hope Principal, SBHC, WV Board of Education, community-at-large Outcome - policy and environmental changes in town Energy Balance for Fayette County Vision Walk Around the World & community walking trails Mt. Hope EATS (everyone at the table served) Food and fitness council School opened doors to collaboration Lessons Learned Mt. Hope, WV Mt. Hope Healthy Kids Coalition Population - Latino children of the “flats” Focus - Increased opportunities for physical activity f children for hild iin school; h l evolved l d tto community it ffocus Partnership - Community College, Nuestras Raices Puerto Rican community & economic development Outcome - Evolution in community participation “Recess Rocks” “Summer Food Program” expanded in neighborhood. Marshall University Stepping Up to Health with Sullivan School Establish trust within the community. Policy champion is essential to maintaining momentum for policy and environmental change. Change takes time and evaluation needs to look at how groundwork was laid for change. Paradigm shift of program staff who now view their work through the lens of policy and environmental change. 2