BUI LDI NG THE MOVEMENT TO REVERSE OBESI TY I N SOUTH CAROLI NA Carole Garner MPH, RD,LD Team Leader Engagem ent and Coordination, Robert W ood Johnson Foundation Center to Prevent Childhood Obesity April 14, 2010
Groundw ork STATE OF ARKANSAS The Impact of Obesity: Economics, Health, Prevention & Treatment 2000 Presented by Obesity Task Force
Robert W ood Johnson Foundation Center to Prevent Childhood Obesity Leadership provided by the Arkansas Center for Health Improvement in strategic partnership with PolicyLink
Goals of the RW JF Center • Reduce the prevalence of overweight and obesity among children in the U.S. • Decrease disparities in childhood obesity – Communities of color – Impoverished areas – Disproportionately affected regions • Create systemic, sustainable changes
RW JF Strategies/ Program s Healthy Kids, Healthy Communities Creating Communities Healthy Environments Healthy Schools Program Faith-Based Advocacy: (Alliance for a Healthier Galvanizing Communities Generation) to End Childhood Obesity New Jersey Partnership for Leadership for Healthy ACTI ON ADVOCACY Healthy Kids Communities Safe Routes to School Mobilizing Health Care National Partnership: State Professionals as Network Project Community Leaders in the Fight Against Childhood Pioneering Healthier Obesity Communities: YMCA of the EVI DENCE USA National Policy and Legal Analysis Network to Prevent Childhood Obesity Campaign for Healthy Kids RWJF Center to Prevent Active Living Research (Save the Children) Food Marketing & Youth Childhood Obesity Project (Yale Univ Rudd Ctr) African American Collaborative Obesity Healthy Eating Research Research Network (AACORN) Salud America! Bridging the Gap
Energy Balance Fram ew ork of the RW JF Center • Increasing children’s consumption of healthy foods and beverages and decreasing consumption of unhealthy alternatives • Increasing physical activity • Building awareness and support
Factors Linked to Creating Energy I m balance • Food Environm ent • Built Environm ent – Transportation – Parks – Safety • Education and the School Setting • Health Care
Policy Priorities for Energy Balance • Federal • Local • State
Federal Policy Opportunities • Child Nutrition and WIC Reauthorization
Federal Policy Opportunities K–12 Education •
Federal Policy Opportunities • Transportation
Federal Policy Opportunities • Federal Trade Commission and Food Marketing
Federal Policy Opportunities • Health Care • Other Opportunities
State and Local Opportunities • I nstitute of Medicine – Local Government Actions to Prevent Childhood Obesity – 58 action steps / 12 prioritized strategies • Centers for Disease Control and Prevention – Recommended Community Strategies and Measurements to Prevent Obesity (7/ 09) – 24 Recommendations and assessments • Leadership for Healthy Com m unities – Action Strategies Toolkit for local policy-makers (5/ 09) – 31 policy options and resources
HI GHLI GHTS OF KEY LOCAL STRATEGI ES TO ADDRESS CHI LDHOOD OBESI TY • http:/ / w w w .reversechildhoodobesity.org/ w ebfm _ send/ 1 1 5 1 6
I OM & CDC Recom m ended Strategies Healthy Eating • Incentives to attract supermarkets in underserved neighborhoods • Discourage consumption of sugar- sweetened beverages and improve access to fresh drinking water • Improve access to healthy foods from farms
I OM & CDC Recom m ended Strategies • Improve and increase availability of affordable healthier food and beverage choices in public service venues including public schools • Menu labeling
I OM & CDC Recom m ended Strategies Physical Activity • Joint use agreements • Increase opportunities for physical activity in preschool, school, afterschool and child- care programs • Improve safety and security of streets and park use, especially in higher-crime neighborhoods
I OM & CDC Recom m ended Strategies • Develop safe and secure walking environments including safe routes to schools Social Marketing • Media campaigns to promote healthy eating and active living
Resources
Com m unities Putting Prevention to W ork : MAPPS Products
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Location of Alliance for a Healthier Generation Healthy Schools Program by Type of Site and Location of Robert W ood Johnson Foundation Funded Grantees
“ Juntas Podem os [ Together W e Can] : Em pow ering Latinas To Shape Policy To Prevent Childhood Obesity” • Juntas Podem os - researchers, com m unity leaders and Latino fam ilies – Effective policy recommendations regarding physical activity in Latino children from West Columbia – Use Photovoice to collect data from Latina mothers and community stakeholders, document and analyze the issues. Interviews and focus groups from the community and local schools to document their perspective – Develop recommendations regarding physical activity among children and disseminated to policy-makers at many different levels. Dr. Myriam E. Torres, University of South Carolina Research • Foundation 2 8
Greenville • Activate Greenville, a partnership anchored by the YMCA, w ill focus on school-related initiatives. – Safe Routes to School – Healthy snack program • And on neighborhood-based initiatives. – trails and green spaces for physical activity I n three com m unities: Berea, Nicholtow n and • Sterling. • Eleanor Dunlap, Director
Spartanburg County • Advocate “connectivity” to parks and healthy food outlets in four at-risk com m unities: the city’s predom inantly African-Am erican northw est neighborhoods, w here nearly all students qualify for free or reduced-price school lunch program s, and the m ajority-W hite rural com m unities of Boiling Springs, Pacolet and W oodruff • I nitiatives such as farm ers-m arkets; Hub Cycle, bicycle lending program expansion; initiating Safe Routes to School; form ation of a Food Policy Council • Laura Ringo, Director
Cam paign for Healthy Kids • Farm to School Act in partnership w ith Eat Sm art, Move More SC • March Advocacy Day
New Opportunities • National Association of County & City Health Officials • National Association of State Boards of Education • National Conference of State Legislatures
Potential Partners • National Association for the Education of Young Children • National Com m unity Developm ent Association • Am erican Planning Association • Points of Light I nstitute Youth HandsOn Netw ork
South Carolina Program s & Projects • Eat Sm art, Move More… SC • W alterboro farm er's m arket • Color Me Healthy • South Carolina I nstitute for Childhood Obesity and Related Disorders • Coordinated School Health • Legislation – Students Health and Fitness Act of 2005 – Act 269 of 2006 protects a woman's right to breastfeed in public – Bicycle Safety
Conclusion • Reversing the epidem ic • Targeting those m ost at risk – Low-income, rural, children of color • Building a legacy of healthy com m unities
Contact inform ation w w w .reversechildhoodobesity.org carole@reversechildhoodobesity.org
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