Web-Based Tools for Policy Change: The Environmental Nutrition and Activity (ENACT) Local Policy Database Linda Shak, MSW World Cancer Congress Conference August 30, 2012 www.preventioninstitute.org
Oakland, CA
Born in West Oakland, an African-American person can expect to die almost 15 years earlier than a White person born in the Oakland Hills. SOURCE: Life and Death from Unnatural Causes – Health and Social Inequity in Alameda County. Alameda County Public Health Department. August 2008
M OVING “ We are sti till sta tanding on th the bank of th the U PSTREAM riv river, rescu er, rescuin ing people w people who are drow o are drownin ing. . We have not t gone to to the head of th th the river to to keep th them from fa falling lling in. in. That t is th the 21st t centu tury ta task. ” Gloria Steinem Photo Source: http://static.flickr.com/90/207590972_a30260c293_b.jpg
What’s Health Got To Do With It?
Photo Courtesy of Andrew Seidenberg
Photo courtesy of Latino Health Access
Photo courtesy of Latino Health Access
Is it just individual choice?
“ The health th inequiti ties we see are th the embodied expressions of social inequality ty. They are not t about t just t individual bad choices: th they are ” about t th things not t being fair. Nancy Krieger, Harvard School of Public Health
ENVIRONMEN EN ENT HEA EALTH & SAFET ETY Y BEH EHAVIOR BEH EHAVIOR
“ It is is unr unreas easona onable ble to o expect xpect tha hat people people will ill change hange their heir beha behavior ior eas easil ily when hen so o many many for orces ces in in the he social, ocial, cult cultur ural, al, and and phy physical ical en envir ironment onment ” cons conspir pire e agains gainst suc uch h change. hange. Institute of Medicine Source: Institute of Medicine. (2000). Promoting health: Intervention strategies from social and behavioral research (B. D. Smedley & L. S. Syme, Eds.). Washington, DC: National Academies Press.
One Key Fact: Useful policy is often developed locally
Local Policy Database Promising Practices in Nutrition and Physical Activity Catalogues promising policies in nutrition and activity at the local level http://preventioninstitute.org/sa/policies/ !
www.preventioninstitute.org/sa/policies
www.preventioninstitute.org/sa/policies
www.preventioninstitute.org/sa/policies
www.preventioninstitute.org/sa/policies
Complet omplete e Street eets Polic olicy La#Crosse#County,#WI # Photo credit: Matt Picio via flickr (flickruser: Matt.Picio)
Healt Healthy hy Polic olicy Yields ields Healt Health h Minds inds Baldwin#Park,#CA # Photo by Tim Wagner/HEAC
Sant anta a Clar lara a Count ounty Kids Kids’ Meal eal Toy oy Or Ordinance dinance
Joint oint Us Use e of of Facilit acilities ies Pitt County, NC
“. . .We could use this place as a place to play sports. ! We don’t get to interact as much because we don’t have places to play. The bond is broken. We could build a park so that kids my age can stay active healthy and connected.” ! Daisy Romero, Age 13 ! Photo Voice Project, Santa Ana, CA !
Support Local Agriculture Woodbury County, Iowa
Local Local Produce oduce Procur ocurement ement Jefferson#County#Public#Schools,#Louisville,#KY # Photo Courtesy of San Francisco Food Systems
Health and Equity in all Policies
“ “ Don't expect politicians, even good ones, to do your job for you. Politicians are like weather vanes. Our job is to make ” ” the wind blow. David Brower, environmentalist
www.preventioninstitute.org. 221 Oak Street Oakland, CA 94607 Tel: (510) 444-7738 Follow us on: Sign up for our media alerts: http://www.preventioninstitute.org/alerts
T OOLS . Photo credit: Emily Barney www.preventioninstitute.org
Local Policy Database Promising Practices in Nutrition and Physical Activity Catalogues promising policies in nutrition and activity at the local level http://preventioninstitute.org/sa/policies/ !
ENACT Environmental Nutrition & Activity Community Tool
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