Franklin County Community Health Action Plan 2012
Designed to address Community Health Assessment priorities
County: Franklin
Partnership, if applicable:
LOCAL PRIORITY ISSUE

Priority issue: Physical Activity and Nutrition

Period Covered: 2012-2015
Was this issue identified as a priority in your county’s most recent CHA? _X_ Yes __ No
LOCAL COMMUNITY OBJECTIVE Please check one: X_ New
_Ongoing (was addressed in previous Action Plan)

By (2015):

Objective (specific, measurable, achievable, realistic, time-lined change in health status of population)

By 2015, Increase the percentage of High School Students who are neither overweight not obese by 5%.

By 2015, increase the percentage of adults who consume five or more servings of fruits and vegetables per
Day by 3.5-4%.
By 2015, Increase the percentage of adults getting the recommended amount of physical activity by 3.5-4%%.

Original Baseline: 2009: 18.9% Franklin County students were overweight and 22.9% were obese with
percentages higher than the state percentages
2009: number of adults eating 5 or more serving of fruits and vegetables
Fruit servings: 0-1 (73 out of 100); 2 servings (86/100); 3 servings (62/100)
4 servings (39/100); 5 servings (69/100
Vegetable servings: 0-1 (27 out of 100); 2 servings (46/100); 3 servings (58/100)
4 servings (50/100); 5 servings (71/100)
2009: number of adults getting the recommended amount of physical activity
Activity level of adults in Franklin Co. 30 mins. 60% yes, and 36% said no

Date and source of original baseline data: 2011 Community Health Assessment
POPULATION(S)

Describe the local population(s) experiencing disparities related to this local community objective:
Person’s with low income, minorities’ adults and students.
●
Total number of persons in the local disparity population(s):
Approximately 32% of the 60,000+ residents of Franklin County are in a minority group.
5% percent of Franklin County residents live below the poverty level, with 31% of children under 18 yrs. of age living
below the poverty level
Total number of high school student’s grades (9-12) is 2847
Total percentage of adults is 72% of the population approx. 43, 000 over the age of 20.

Number you plan to reach with the interventions in this action plan:
We will reach 5% (150) students and 3.5 -4.0% (1500) adults
Revised January 2011
HEALTHY NC 2020 FOCUS AREA ADDRESSED
__ Tobacco Use
X Physical Activity and Nutrition
__ Substance Abuse
__ STDs/Unintended Pregnancy
__ Environmental Health
__ Social Determinants of Health
(Poverty, Education, Housing)
__ Maternal and Infant Health
__ Injury
__ Mental Health
__ Oral Health
__ Infectious Diseases/
Food-Borne Illness
__ Chronic Disease (Diabetes,
Colorectal Cancer,
Cardiovascular Disease)
__ Cross-cutting (Life Expectancy,
Uninsured, Adult Obesity)

Check one Healthy NC 2020 focus area: (Which objective below most closely aligns with your local community objective?)

List HEALTHY NC 2020 Objective: (Detailed information can be found at http://publichealth.nc.gov/hnc2020/ website)

Increase the percentage of High School Students who are neither overweight not obese

Increase the percentage of adults getting the recommended amount of physical activity

Increase the percentage of adults who consume five or more servings of fruits and vegetables per day
RESEARCH RE. WHAT HAS WORKED ELSEWHERE*
List the 3-5 evidence-based interventions (proven to effectively address this priority issue) that seem the most suitable for
your community and/or target group. *Training and information are available from DPH. Contact your regional consultant
about how to access them.
Intervention
Energizer Program
Eat Smart Move More
Community Enhancement of Infrastructure
to support Walking
(Insert rows as needed)
Describe the evidence of
effectiveness (type of evaluation,
outcomes)
Energizers are classroom based
physical activities that help teachers
integrate physical activity with
academic concepts. These are short
(about 10 minute) activities that
classroom teachers can use to
provide physical activity to children in
accordance with the request from the
North Carolina State Board of
Education’s Healthy Active Children
Policy.
ESMM is a statewide movement that
promotes increased opportunities for
healthy eating and physical activity
wherever people live, learn, earn,
play and pray through programs and
tools
“The Community Guide reports
sufficient evidence that street scale
urban design and land use policies
that support walking are effective in
increasing levels of physical activity”
Source
http://eatsmartmovemorenc.com/
Energizers/Middle.html
http://eatsmartmovemorenc.com/
ProgramsNTools.html.
“Recommended Community
Strategies and Measurements to
Prevent Obesity in the United
States” Morbidity and Mortality
Weekly Report 58,no.RR-7 (2009)
WHAT INTERVENTIONS ARE ALREADY ADDRESSING THIS ISSUE IN YOUR COMMUNITY?
Are any interventions/organizations currently addressing this issue? Yes_X__ No___ If so, please list below.
Intervention
Lead Agency
Progress to Date
Farmers Market
The farmers market is an
NC Cooperative Extension
opportunity for citizens to purchase
fresh fruits and vegetables grown
locally. It provides WIC clients an
opportunity to use farmer’s market
summer vouchers to purchase fresh
fruits and vegetables. The farmers
market also has festivals during the
seasons, providing educational and
health prevention screenings (Blood
Pressure) for the public.
Franklin County Eat Smart Move More
The Cooperative Extension is
NC Cooperative Extension
Nurturing Parenting Project
holding its first set of parenting
classes, with EFNEP (Expanded
Foods Nutrition Education Program)
This curriculum is to encourage
parents to increase healthy eating
and physical activity in the home.
Alliance for a Healthier Generation
3 Franklin County Schools have
Franklin County Schools
received Alliance for a Healthier
Generation awards either bronze or
silver levels.
(Insert rows as needed)
WHAT RELEVANT COMMUNITY STRENGTHS AND ASSETS MIGHT HELP ADDRESS THIS PRIORITY ISSUE?
Community, neighborhood, and/or
demographic group
Individual, civic group,
organization, business, facility,
etc. connected to this group
NC Cooperative Extension
Farmers Market
Franklin County Residents
Franklin County Parks and Rec.
Municipalities
Franklin County Residents
Local Government
African –Americans/Hispanic groups
Local churches
Families
Franklin County Schools, Child Care
Centers
Senior Centers
Franklin County and Franklinton
How this asset might help
The farmers market is an
opportunity for citizens to purchase
fresh fruits and vegetables grown
locally. It provides WIC clients an
opportunity to use farmer’s market
summer vouchers to purchase fresh
fruits and vegetables. The farmers
market also has festivals during the
seasons, providing educational and
health prevention screenings (Blood
Pressure) for the public.
Partnering, defining plans for
building parks and trails
Zoning, regulations for physical
activity opportunities and walkable
communities
Reach out to their congregations
and to the community about the
importance of physical activity and
healthy eating.
Reach out to parents and the
community about the importance of
physical activity and healthy eating.
FC Senior Center and Franklinton
Center has exercise equipment for
adults 5 days a week.
(Insert rows as needed)
Revised January 2011
INTERVENTIONS:
SETTING, & TIMEFRAME
COMMUNITY PARTNERS’
Roles and Responsibilities
PLAN HOW YOU WILL EVALUATE
EFFECTIVENESS
INTERVENTIONS SPECIFICALLY
TARGETING HEALTH DISPARITIES
Intervention: Inform the public,
targeting low income and minority
students and adults about physical
activity opportunities and healthy
eating programs in Franklin County
and the importance of physical activity
and healthy eating.
The lead agency is Health
Department and it will publicize
information about physical activities
in the county and why it is important
to be active
1. Quantify what you will do
A. Quarterly the health department
will list or link resources that are
available to county residents on
the health department website.
The health department will
detail the importance of meeting
the recommended daily amount
of physical activity and
increasing the number of fruits
and vegetables consumed daily.
B. Franklin County Health Dept.
will distribute 500 physical
activity/fruits and vegetables
guides to the public.
C. Franklin County School nutrition
cafeteria staff will use bulletin
boards as a means of informing
students on importance of fruits
and vegetables in daily diets.
D. FCHD and FC Schools Nutrition
staff will participate in the
annual 2nd grade nutrition fair to
promote fruits and vegetables to
all 2nd graders in Franklin
County.
1.Intervention:
_x_ new __ ongoing __ completed
Setting: Community
Start Date – End Date (07/12-06/15)
Level of Intervention - change in:
__X Individuals __ Policy &/or
Environment
Partners:
Franklin County Libraries
Franklin County Cooperative
Extension
Franklin Regional Medical Center
(FRMC)
FC Schools
Include how you’re marketing the
intervention
The intervention will be marketed
through the health department
webpage and through the use of
Franklin County public libraries to
distribute the physical activity
guides.
Franklin County Extension and
FRMC will promote their programs in
the newspaper, newsletters and
individual website
Franklin County School's nutrition
program will promote through
cafeteria bulletin boards the
importance of increasing fruits and
vegetables in daily diets.
2. Expected outcomes:
A. Posting on the Franklin County
Health Dept. website and
distributing physical activity
/fruits and vegetables guides
will help raise public awareness
of physical activity opportunities
and healthy eating programs.
B. It will promote the benefits of
being active for a healthy life
and benefits of increasing fruits
and vegetables to help guard
against many chronic diseases.
C. Increase awareness of
importance of Fruits and
Vegetables in daily diets among
FC students.
D. Evaluation:
Data on number of times
websites visited and data on
number of brochures distributed
and number of outlets used for
distribution of brochures.
Number of school cafeteria’s
participating in the bulletin
board initiative.
Number of students visiting the
2nd grade annual nutrition fair
and number of participating
schools.
Evidence:
Good nutrition is essential to good
health and healthy weight. Fruits and
vegetables are nutritious foods that
have been shown to guard against
many chronic diseases, including
cardiovascular disease, type 2
diabetes and some cancers.
NC Institute of Medicine-Healthy
NC2020
http://www.health.gov/dietaryguidelin
es/dga2005/document/pdf/DGA2005.p
df. Published January 2005.
Accessed September 18, 2008.
Physical activity is an important
factor affecting overall health as well
as body weight. Regular physical
activity reduces the risk of heart
disease, stroke, hypertension, and
type 2 diabetes. Regular physical
activity also reduces risk for certain
cancers, strengthens bones and
muscles, and improves mental
health.
NC Institute of Health-Healthy NC
2020 Objectives for Physical Activity
and Nutrition.
Centers for Disease Control and
Prevention, US Department of Health
and Human Services. Physical
activity for everyone.
http://www.cdc.gov/physicalactivity/e
veryone/health/index.html. Accessed
October 10,2008.
http://www.health.gov/dietaryguidelin
es/dga2005/document/pdf/DGA2005.p
df. Published January 2005.
Accessed September 18, 2008..
2. Provide physical activity
opportunities and education on
benefits of physical activity for adults
in Franklin County.
The lead agency is Louisburg
Senior Center provides physical
activity for seniors in Franklin county
by offering aerobic classes and chair
exercise classes.
Intervention:
____ new _X_ ongoing ___completed
Setting: Community
Start Date_ End Start (07/12-06-15)
Level of Intervention-change in:
__X_Individuals__ Policy &/or Environment
Partners:
Franklin County Health
Department will provide educational
component on physical activity and
its benefits.
Curves-Silver Sneakers Program
Exercise program for adults
Marketing:
These activities will be marketed
with FCHD placing flyers in the
county announcing classes and
FC Senior Center promoting
classes in the Senior newsletter.
Curves will be asked to place
flyers in each location in the
county.
1. Quantify what you will do:
A. Senior Center offers weekly aerobic
classes and chair exercise classes.
These classes are published in the
Louisburg Senior Center Newsletter.
B. Franklin County Health Department
offer educational classes on physical
activity and benefits for adults.
C. Explore Curves -Silver Sneakers
Program and raise awareness of
program to seniors.
2.Expected outcomes:
A. Adults in Franklin County will stay
active and also increase physical activity
levels therefore, helping seniors to
maintain strength, balance, flexibility, and
endurance. Eval: number of classes and
participation)
Revised January 2011
B. Evaluation:
Data on number of classes offered and
number of participants in each class.
Survey of class participants on aerobics
class.
Evidence:
The National Institutes of Health
(NIH) report that even moderate
exercise and physical activity can
improve the health of seniors who
are frail, or who have diseases that
accompany aging.”
Source: Senior Living about.com and
Franklin County Dept. of Aging
Newsletter
POLICY OR ENVIRONMENTAL
CHANGE INTERVENTIONS
Intervention: Develop walking trail and or
park.
Intervention:
___ new __x_ ongoing ___ completed
The lead agency is _Franklin
County Health Dept. and it will
partner with local schools to develop
walking trails and local governments
to help develop a park.
Setting: Community
Partners:
Start Date – End Date (07/2012-06/2015)
Level of Intervention-change in:
__Individuals X__ Policy&/or Environment
Franklin County Schools and
Franklin County Parks and Rec.
Include how you’re marketing the
intervention
This intervention will be marketed
through FCHD website FC Parks
and Rec website ,articles in the
newspaper, FC school website
1.
Quantify what you will do
The Health Department will partner
to develop at least one walking trail
or park.
2.
Expected outcomes:
A.
Members of the community and
students of the schools will have
additional physical activity
resources to be active, therefore
increasing their level of activity,
and also decreasing obesity in
high school students.
B.
Evaluation:
Data on number of walking
trails or parks developed.
Data on number of
participants that visited
website.
Evidence:
“Research shows child and youth
health behaviors and risk taking are
heavily influenced by the
communities in which they live.”
Source: Action for Children 2011 NC
Child Health Report Card
(Insert rows as needed)