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Upstream Public HealthDr. Tia Henderson Research Coordinator

Health Impact AssessmentHB 2800: Farm to School and School Gardens

FundingHealth Impact Project, a collaboration between PEW Charitable Trusts and the Robert Wood Johnson Foundation& Northwest Health Foundation*Opinions expressed here do not reflect those of the funders

2+Overview

HB 2800 HIA

Participation

Policy and HIA separation

Communication

HIA finding examples

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HB 2800 Components

Reimbursement @ $19.58 million

Schools buy Oregon foods with 15 cents for lunch and 7 cents for breakfast

Part of National Lunch and Breakfast Programs

Federal matching funds

2% ODE administration funds

Food, Garden, Agriculture Education Grants @ $3 million

Support food, garden and agriculture-based activities

Support gardens in schools

+ HB 2800 Components & HIA Scope:Health Determinant Pathways

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+Participation

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Screening

Scoping

Assessment

Recommendations

ReportingTwo Advisory Committees: 30+ Expert Advisors

Community Forums: 100+ CitizensUmatilla (Rural)Eugene (Urban)Monitoring & Evaluation

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Upstream Public Health – Health Advocacy Organization

Co-Director & Campaign Manager

Roles:

Connect to coalition

Explain HIA findings to legislators

Explain policy recommendations to legislators

Research Coordinator & Co-Director, Committee members

Roles:

Collect data & community information

Convene community members and advisors

Connect to coalition

Inform Policy Advocacy Team

Develop DRAFT policy recommendations

Policy Advocacy Team HIA Research Team

Lesson Learned: Separate Research from Direct Policy Advocacy & Involve Experts

+Connect and Separate

Upstream Public Health Human Impact Partners

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+HIA Practice and HIA Communication

Inform Oregon legislature decision making process.

Outline linkages & magnitude of interactions between the policy and health outcomes

Inform agency work plans.

Inform regional institutional procurement efforts.

Create model F2SSG policy HIA.

Share findings with legislators

Share findings with relevant Oregon F2SSG stakeholders

Share findings with relevant HIA stakeholders

Increase desire for people to READ about the health and policy linkages

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F2SSG HIA Goals Communication Goals

+ Lesson Learned: Legislative Testimony is Part of Communications Strategy

Why HIA?

Basics of HB 2800

Relevance to their constituents Current employment conditions Current poverty and health conditions Impact of HB 2800 from HIA predictions…

General Advocate Message: You can make people’s lives better with this bill

HIA Message: Here are specific health outcomes you will affect

Upstream Public Health Human Impact Partners

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+ 10Testimony ExcerptEmployment - Findings

Mental health, life span, chronic disease

Jobs

ESTIMATED JOBS CREATED

2009 HB 2800 @ $19.6 first Biennium(Sodexo and PPS/Gervais #s)

2011 HB 2800 with Inspired Increases Over Time

Direct 101

(x3)

302

Indirect 101 302

Induced 67 201

Totals: 269 806

Employment Multiplier: 2.67

HB 2800 IMPACT:

Life span

Mental/physical health issues

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Oregon: Seasonally Adjusted Unemployment Rates by AreaDecember 2010 (Preliminary Estimates)

Unemployment Rate

Less Than 10%

10% - 14%

Higher Than 14%

+ 12Testimony ExcerptDiet and NutritionFood Insecurity

School Meal Programs

Student Learning, Achievement and Educational Attainment

HB 2800 IMPACT:

Promotion and use of Oregon products

Meal participation

Positive behavior, learning, cognitive development and educational attainment

food insecurity for families with children

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Testimony ExcerptFarm to School and School Garden K-12 EducationFarm to School and School Garden Programs: 3 Core Elements

Procurement – Buying Oregon food

Promotion – Promoting Oregon food

Education – Gardening, Food and Agriculture-based Activities

Farm to School & School Garden Programs:

2010: ~ 50% of SD’s bought local (ODE)

2007: 75 school districts had active gardens (ODE)

HB 2800 IMPACT:

SD purchase of Oregon products

150 new gardens

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Testimony ExcerptFarm to School and School Garden K-12 EducationChild Learning Outcomes,

Physical Activity

Child Self-Efficacy – Belief they can accomplish their goals

Child Diet and Nutrition

Overweight and Obesity

(1 in 4 kids overweight, 2009 OHTS)

HB 2800 IMPACT:

Offerings of fruits and vegetables

Child preferences for fruits and veggies

Child consumption of fruits and veggies

Physical activity, positive class behaviors

Overweight and obesity

Knowledge, learning, academic achievementImage from Samuel Mann

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Upstream Public Health Human Impact Partners

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+ 18Testimony ExcerptHIA Policy RecommendationsTo increase positive job growth and food security:

#1 Modify the eligible items for reimbursement program to “produced” or “processed”

To increase child nutrition, food security, and student learning:

# 2 Education Grants – prioritize schools serving:

a. Low income populations or

b. Ethnically and culturally diverse student populations or

c. Food insecure areas

#3 Education Grants – prioritize schools developing multi-component programs

Procurement

Promotion

Education

Community Support

** All of #1, ½ of #2 and all of #3 were included in the amended version of HB 2800

+Policy Recommendations – Committee and Community InputBeginning:

Policy – 3

Operations – 5

Committees: Refine and expand

Community Forums: Refine/add and prioritize

Final (Prioritized):

Policy – 3 (expanded details)

Operations – 10

Upstream Public Health

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+ Communication Workshop: Training Stakeholders Communication Exercise Example (From Metropolitan Group)

Breakout into groups by target audience

+Example Message Results

Value: If we want to live healthful lives, we need to be able to make healthy choices.

Barrier: Too often health isn’t factored into all of the decisions policy-makers are making or it might not always seem relevant.

Outcome: HIA provides policy-makers with objective data they need to consider health in decisions, and increase our access to healthy options

Value: Healthy kids; strong communities.

Barrier: In tough economic times, our state legislature has to make choices.

Outcome: This HIA shows Farm to School programs and school gardens lead to: more jobs, kids eating more fruits and vegetables, and a stronger local economy.

Upstream Public Health

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HIA Messages F2SSG Messages

+Summary Lessons Learned

HIA Communications includes Community participants Existing advocacy efforts (e.g. coalitions) Legislative testimony

Separating policy advocacy from HIA research maintains integrity

Build relationships with advocates AND legislators

Inform community members, advocates and legislators

Upstream Public Health Human Impact Partners

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+Sources and Abbreviations

WHO = World Health Organization

ODE = Oregon Department of Education

OHTS = Oregon Healthy Teens Survey

ACS = American Community Survey (Part of the Census Bureau)

USDA ERS = United States Department of Agriculture, Economic Research Service

OLMIS = Oregon Labor Market Information System (From Oregon Employment Department)

Grussing, J. and Edwards, M. 2006, Non-Metropolitan Hunger and Food Insecurity In the Northwest, Rural Studies Program Working Paper Series, RSP 06-02

Jin et al., 1995. The impact of unemployment on health: A review of the evidence. Canadian Medical Association Journal, 153(5), 529-540.

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