A P R E S E N T A T I O N T E M P L A T E
Systems and Environmental Changes to Support Optimal
Nutrition and Physical Activity
OVERVIEW
• The Problem • Why focus on the environment?
• Systems and Environmental Changes• Our role
• The built environment in our community
• What can be done? • Sample strategies
• Physical Activity• Nutrition• Breastfeeding
ASK A QUESTION HERE
For example:
• How safe is your neighborhood now for riding a bike to school? (think complete sidewalks, crosswalks, bike lanes, etc)
• Have you seen your lactation room at your work? Is it clean and inviting?
• How close is a Farmer’s Market from your home? Your work?
THE PROBLEM FOR THE MATERNAL, CHILD AND ADOLESCENT HEALTH POPULATION
Concerns include:• Overall physical
environment • For kids • For adults• For moms and babies
• Food environment • Biking/walking to school
WHAT WE KNOW
To highlight issues of chronic disease, inactivity, or lack of access in your county, use data from these sources:• Overall physical environment:
http://www.countyhealthrankings.org/#app/
• For kids: http://www.kidsdata.org
• For adults: http://www.cdc.gov/obesity/data/adult.html/
• For moms and babies: http://www.cdph.ca.gov/data/surveys/Pages/MaternalandInfantHealthAssessment(MIHA)survey.aspx
• Food environment: http://www.publichealthadvocacy.org/RFEI/presskit_RFEI.pdf
• Biking/walking to school* http://nhts.ornl.gov/2009/pub/stt.pdf
EXAMPLE DATA SLIDE: HOW CHILDREN* GET TO SCHOOL, COMPARING 1969 AND 2009
1969 20090
10
20
30
40
50
60
Walked/bikedDriven
*Children ages 5-14Data from the 2009 National Household Travel Survey (NHTS)
SYSTEMS AND ENVIRONMENTAL CHANGES
Also known as the built environment
• The man-made space in which people live, work, and play.
• Can include:• Food access• Walkability • Breastfeeding accommodations
• Mixed land use• Safety
WHY FOCUS ON OUR ENVIRONMENT?
“Fifty years ago, children did not avoid obesity by making healthy choices; they simply lived in an environment that provided fewer calories and included more physical activity for all.”
David B. Allen MDNew England Journal of MedicineApril 29th, 2012
MCAH HAS A UNIQUE INTEREST IN ADDRESSING SYSTEMS AND ENVIRONMENTAL CHANGE
• Addresses a large portion of the population• Existing partnerships with organizations• Skills and capacity to build new partnerships
• Systems change is cost-effective and sustainable
WOULD YOU RATHER WALK HERE….
Add a local photo of a broken sidewalk, unsafe crosswalks, or badly lit areas
COULD YOUR CHILDREN PLAY HERE?
Add a local photo of a badly maintained playground, locked up school-yard, etc.
WE CAN PROMOTE PHYSICAL ACTIVITY THROUGH CLEAN AND SAFE RECREATIONAL AREAS
Add a local photo of a safe and clean park, playground, school yard, etc. here
WILL YOU FIND NUTRITIOUS FOODS HERE?
Add a local photo of a fast food outlet, convenience store, or a liquor store here
Add a local photo of fresh produce or a farmers’ market here
WE CAN PROMOTE NUTRITIOUS EATING WITH HEALTHIER FOOD OPTIONS
WE CAN PROMOTE BREASTFEEDING THROUGH LACTATION ACCOMMODATION
Add a local photo of a lactation room, lactation room signage, Baby-Friendly sign, refrigerator for storing breast milk, or breast pump here.
SAMPLE INTERVENTION 1: SAFE ROUTES TO SCHOOL (SRTS)
What is it? • An initiative to
help communities assess the bike and pedestrian conditions around schools in order to make the routes safer through various projects:
SAMPLE INTERVENTION 1: SAFE ROUTES TO SCHOOL (SRTS)
Why? • SRTS provides a safe, convenient,
and fun way for children to exercise regularly by actively commuting to school.
SAMPLE INTERVENTION 2: FARMERS’ MARKETS
What is it? • Direct-to-
consumer markets that provide access to locally grown, farm-fresh produce.
Why? • Access to
neighborhood supermarkets and farmers’ markets reduces the risk of chronic diseases such as overweight and obesity.
SAMPLE INTERVENTION 2: FARMERS’ MARKETS
SAMPLE INTERVENTION 3: LACTATION ACCOMMODATION
What is it?
• Providing the time, space, and/or resources (such as a breast pump) for mothers to pump and store their milk.
Why? • It’s the law, both
federal and state.• Breastfeeding is
beneficial to babies, mothers and the community.
SAMPLE INTERVENTION 3: LACTATION ACCOMMODATION
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