Public Health Policy Gettin ’ Sticky With It
What is a “Policy A nalyst”? My Stairwell Speech
“New Public Health”
Programs for Individual Behavior Change versus Policy, Systems, and Environmental (PSE) Change Programs are: • Activities, individual or group instruction, curricula, counseling, and training • Services targeted to individuals that teach behavioral skills • Personal choices are made in context of larger environment • Many health and social problems are related to conditions outside the • individual’s control Recently there is a growing sense of importance of broader societal trends and • policies that affect behaviors While programs can lead to behavior changes in individuals and/or communities • during course of programs, unless scaled up and instituted through formal and informal PSE changes, programs may not be sustainable
Examples for Communities Programs/Events Policy, Systems and Environmental Changes Celebrate National Nutrition Month Work with the local farmers markets to accept EBT Participate in/display at a health fair for Work with physicians and other health care community residents providers to take BMI during annual exams and talk to patients about healthy eating and active living opportunities in their community Conduct a community media campaign to eat Work with local restaurants to provide menu healthy and move more labeling; work with corner stores to offer fresh produce; participate in safe routes to schools; work on increasing trail systems or walking paths and promote their use Host a bike rodeo Establish Complete Streets policies to ensure walkable, bikeable pathways Promote the Great American Smokeout Work with multi unit housing establishments, parks, county fairs, etc to adopt smoke free policies
The Cliff Analogy …wrong Cliff!
Falling off the cliff of good health: origins of The Cliff Analogy Developed by Camara Phyllis Jones at CDC To emphasize fact that non-health sector interventions are needed to improve health outcomes and achieve health equity
Jump Rope for Heart Community Comprehensive School/ Menu labeling program run/walk clear air policies Community Health and Physical Garden Education Classes Joint use Walking Limit screen agreements programs time in child care settings Weight loss Ban the challenges marketing of unhealthy Smoking foods in cessation schools classes Pricing Screenings, healthy foods Baby-friendly Walking BMI, etc. lower than hospital school bus, unhealthy policies SR2S, foods Complete FQHCs Streets policies Hospitals, Clinics, Urgent Care pharmacies, Centers, etc Cliff Analogy for school based Communities health care centers
Policy Options Big P Policies Middle P Policies Little P Policies • Affordable Care Act Smoke Free City School Wellness Policies • • • Farm Bill Ordinances Joint Use Agreements • • Healthy Hunger Free Kids Complete Streets Worksite Wellness • • Act Policies Policies • Federal Tobacco Tax Zoning Regulations Smoke Free Campuses • • Land Use Plans EBT and WIC at • • • State Tobacco Tax City Child Care Farmers’ Markets • • Clean Indoor Air Act Licensing Baby Friendly Hospital • SSB or Trans Fat Tax • • State Child Care Licensing Procurement Policies Policies • • PE Graduation Menu Labeling • Requirements
Health In All Policies
The Policy Making Process… In with a Cadillac, out with a Pinto
Best- a.k.a. Promising- Practices in Public Health Policy The Community Guide to Preventive Services • http://www.thecommunityguide.org/index.html Network for Public Health Law • The Prevention Institute • Public Health Institute • Change Lab Solutions • NACCHO • Yale Rudd Center for Food Policy and Obesity • Robert Wood Johnson Foundation • CDC Community Transformation Grant Communities •
Why I Do It…
Questions? Rebecca Lemmons, MHS Policy Analyst- Division of Community Health Central District Health Department rlemmons@cdhd.idaho.gov 208-327-8619
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