WHEELING WALKS COMMUNITY HEALTH PARTICIPATION PLANNING C H P P Empowers Communities C OMMUNITY H...

WHEELING WALKS COMMUNITY HEALTH PARTICIPATION PLANNING

C H P PEmpowers

Communities

COMMUNITY

HEALTH

PARTICIPATORY

PLANNINGBill Reger-Nash, EdD

Holli Smith, MS, MSW, CHES

Linda Cooper, MSW, LCSW

Linda Holmstrand, MPA


WORLD HEALTH ORGANIZATION1st International Conference on Health Promotion

November 21, 1986Ottawa, CANADA

OTTAWA CHARTER FOR HEALTH PROMOTION“Health promotion is the process of enabling

people to increase control over, and to improve, their health…People cannot achieve their fullest health potential unless they are able to take control of those things which determine their health.”


One of the most significant challenges in community health is how to assist communities in making meaningful

and significant changes.

Most change programs focus on individuals. Sustainable change occurs only when an empower community affects policy and environment change.


TO ADDRESS IMPORTANT HEALTH PROBLEMS:

A community must learn how to make change happen

and then do it.


Premise of Community Health

Participatory Planning

•The more ownership within a community,

the more likely a program will be effective.

Richardson and Bensley, 1991; Glasglow, et al., 1993; Purdey, Adhikari, Robinson, and Cox, 1994.


Community Health Participatory Planning

capitalizes on the resources, sophistication, and diversity of a community.



teaches program developers how to HELP communities:

identify their problems, set their goals, mobilize their resources, and

develop their own strategies for achieving their goals. Minkler and Cox, 1980, Glanz, 1997.


Involvement of local community members

is essential for:

•Effective community-based public health interventions

•Essential policy and environmental changes to support behavior change


What is “COMMUNITY” ?

1. A geographic area with boundaries and usually a name, e.g., Sutton, Pine Grove, Blacksville.

2. Individuals with shared characteristics, interests, goal(s), values, sense of identity, norms, and/or communication. Functional definition.


CHPP builds

FUNCTIONAL “COMMUNITY”

Individuals with shared characteristics, interests, goal(s), values,sense of identity, norms, and/or

communication.


NEVER underestimate what a small group of dedicated folks CAN DO !

(a functional community)


Specifically, Community Health Participatory Planninginvolves local community members in:

•defining, learning first-hand

and •cooperatively addressing local health problems

and•having FUN in the process.

Used in 5 interventions, to date, and now an integral part of all our interventions.


[ PUT MANUAL SLIDE HERE ]

Our CHPP Training Manual explains and details the step-by-step process for utilizing CHPP in local communities.

To receive a copy, contact Bill at: [email protected]

Harvard Forum June 11, 2003


Community Health Participatory Planning’s

4 PHASES1. Commence with 1-3 individuals interested in the specific

topic to recruit others, plan the sessions, see to details.

2. Establish a diverse-sector steering committee—public, private sectors, local gov. officials, businesses, schools, seniors, minorities, community-at-large, etc.

3. Conduct weekly sessions--10-12, one hour only in length.

4. From participants, establish an on-going community advisory board to do the hard work; achieve goals.


In the Community Health Participation Planning process

participants’ experience firsthand

personal, societal, policy, and environmental

barriers to living a healthy lifestyle

while addressing the health needs of their

own community environment.


This FIRSTHAND experience

is achieved through participants’

simultaneous involvement

in three types of structured experiences

over a 10-12 week period:

INFORMATIONAL EXPERIENTIAL ACTION / TASK FORCES


INFORMATIONWhat IS wellness?

What does it take to be healthy?

•What should I eat? How much? When?

•How much physical activity? When? How often?

•What’s stress got to do with it?

•Am I addicted to …?

•What about this community is helpful? Not helpful?


• Personal health screening

• Healthy eating

• Physical activity

• Stress reduction

• The essence of spirituality/ connectedness

• Social support

EXPERIENTIAL- actually experiencing what wellness involves


ACTION / TASK FORCESAnalyze information and make specific

recommendations for addressing the problem in the local community

•Nutrition ·Policy change

•Physical activity ·Organizational Structure

•Stress reduction ·Funding

•Mental /emotional care ·Other

•Addictive behaviors


• Sessions 1,2,3,4,5 -Wellness information

• Sessions 6,7,8, - Needs/Issues defined

• Sessions 9,10/12 - Planning/recommendations

Outline of Sessions


Following the 10-12 weekly sessions:

•Some or all of the

TASK FORCEs

continue to work.


Through their work and success, they TRANSFORM themselves into recognized local groupsand organizations.

Official


•and

they address

critical

POLICY and ENVIRONMENT

issues in the community


Physical activity patterns in communities are positively influenced by increasing access to safe walking trails and bike paths, convenient exercise clubs, sidewalks with well-marked street crossings, enjoyable scenery, observation of others exercising, having others with whom to walk, and limiting vehicular traffic.

King, Jeffery, Fridinger, et al., 1995; Linenger, Chesson, Nice. 1991; Brownson, Housemann Brown, et al.

2000; Brownson, Baker, Houseman, Brennan, Bacak. 2001.


So, in the POLICY and ENVIRONMENT arena, there is much to achieve:

Ѣ in our communities

Ѣ in our state

Ѣ in our nation.


Following WHEELING WALKS, the Community Health Participatory Planning

group in Wheeling

became the city mayor-sanctioned

WALKABLE WHEELING TASK FORCE

.


Today, theWALKABLE WHEELING TASK FORCEcontinues to work:

• with local clubs to develop walking opportunities like o Upgrading and connecting local trails

o Adding rest rooms and telephones

o Improving overall safety & aesthetics

o Planning for an urban state park

• with local schools to expand youth physical activity

• University engineering team

to develop walkable community plan



helps

it

happen.


C H P PEMPOWERING COMMUNITIES

TO HELPCHANGE HAPPEN

To receive a copy of the

Community Health Participatory Planning Training Manual, contact Bill at:

[email protected]

WHEELING WALKS COMMUNITY HEALTH PARTICIPATION PLANNING C H P P Empowers Communities C OMMUNITY H...

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