Sussex County Child Health Promotion Coalition
May 17, 2006
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Overview
• I. Strategic Platform• II. Theory of Change• III. Target Audience• IV. Strategic Options• V. From Strategic Options to Strategic Action
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I. Strategic Platform
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Mission
• We exist to engage the entire community in collaborative, family-focused efforts to improve the health of our children.
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Community Vision
• We envision a community in which our citizens and institutions (public, private, and not-for-profit) are actively engaged in child health promotion as a shared community good, and working together to create a cultural and physical environment which supports health lifestyles for our children and their families.
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Coalition Vision
• Our Coalition will be viewed by our community as inclusive, welcoming, respectful, trustworthy, non-partisan, mission-driven, listening, responsive, action-oriented, and accountable.
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Core Strategies• 1. Monitoring child health status• 2. Raising community awareness of
child health issues.• 3. Giving voice to community concerns
and ideas.• 4. Facilitating development of child and
family health promotion strategies.• 5. Developing and mobilizing resources
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Core Strategies• 6. Building community capacity for policy and
program development• 7. Supporting collaborative efforts to improve
community policies, programs and practices• 8. Expanding and publicizing the knowledge
base on child health promotion• 9. Evaluating and reporting on the impact of
our actions.
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Initial Focus: 5-2-1-Almost None
• Our initial focus is to promote healthy eating and physical activity for children and their families in Sussex County using the 5-2-1-Almost None concept as a guideline for healthy behavior.
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Initial Focus: 5-2-1-Almost None• The 5-2-1-Almost None guidelines:
– At least 5 servings of fruits and vegetables per day
– No more than 2 hours of screen time per day
– At least one hour per day of physical activity
– Almost no sugared beverages– (All adjusted for age as necessary)
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5-2-1-Almost None Goals1. A full range of community institutions
(public, private, and not-for-profit) will provide consistent messages and supports for 5-2-1-AN throughout the physical and cultural environment surrounding children and their families
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5-2-1-Almost None Goals2. The 5-2-1-Almost None concept will be
widely recognized, understood, and accepted within the community as a guideline for healthy behavior
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5-2-1-Almost None Goals3. Community citizens will actively
promote 5-2-1-Almost none as a community good, regardless of whether they have children in their care
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5-2-1-Almost None Goals4. Parents and caregivers will have the
information and support needed to model and implement 5-2-1-Almost None for their children
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5-2-1-Almost None Goals
5. More children will meet the 5-2-1-Almost None guidelines.
6. The community prevalence of childhood overweight will be reduced.
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II. Theory of Change
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Hierarchy of Effects Model of Individual Change
Exposure to Change Stimulus
Awareness
Attention
Understanding
Intention
Behavior Change
•A percentage of the audience is lost at each step
•Reinforcement is required to sustain change
Behavior Maintenance
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Social-Ecological Theory of Supporting Change
Kids
Family
Community
Schools
Faith Communities
Child Care CentersHealth Care
Providers
Stores
Restaurants
Parks & Rec. Programs
Community-based
Organizations
Media
Public Agencies
Social Networks
Employers
PhilanthropyPublic Officials
Academia
Health Plans
Built Environment
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An Integrated Theory of Change
• The Coalition will aim to:– Achieve sustained change in nutrition,
physical activity, and screen time for children by
• Promoting individual behavior change in children and their families
• Using the Hierarchy of Effects Model of individual change
• Alongside with the Social-Ecological Model of supporting individual change
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An Integrated Theory of Change
• In other words:– We aim to promote individual change
through community change; or– We aim to wrap this community around our
children and their families to help them practice 5-2-1-Almost None.
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III. Target Audience
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Ultimate Audience
• Children age 0-17 and their families
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An additional 100-200 non-family households with children should also be included in the strategic plan
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First two bars combined
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Child Population by Census Tract
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
Children Age 0-172005 Estimate
1,604 to 2,588 (6)1,074 to 1,604 (7)
859 to 1,074 (10)704 to 859 (7)259 to 704 (6)
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ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
ge 2-17 w/BMI 85+ Percentile2005 Estimate
707 to 908 (4)384 to 707 (7)292 to 384 (12)208 to 292 (9)87 to 208 (4)
BMI 85+Percentile by Census Tract
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IV. Strategic Options
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Strategic Framework• Given:
– The Strategic Platform of the Coalition– The Theory of Change to be employed– The size and characteristics of the Target
Audience
• What kinds of strategies might make sense?
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Strategic Options• Option 1
– Establish a surveillance and evaluation program to monitor changes in 5-2-1-AN behaviors over time
• Links to Core Strategies 1, 9; feeds all other strategies
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Strategic Options• Option 2
– Execute a public education campaign aimed at raising awareness of childhood weight concerns and promoting 5-2-1-AN behaviors in the target audience
• Links to Core Strategies 2, 4, 5• Engage media as partners• Engage schools, child care centers, health care
providers, libraries, community organizations• Expand partnership to other sectors over time
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Strategic Options• Option 3
– Execute a public input campaign to collect community ideas and concerns
• Links to Core Strategy 3• Engage media as partners• Collect community input through multiple
vehicles
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Strategic Options• Option 4
– Develop a policy agenda for supporting children and their families in 5-2-1-AN
• Links to Core Strategies 4, 5, 6, 7, 8• Engage key partners• Include both public and private sector policies
in evaluation of options
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Strategic Options• Option 5
– Execute a technical assistance strategy for community organizations engaged in 5-2-1-Almost None programming and practices
• Links to Core Strategies 4, 5, 6, 7, 8• Best practice research• Program ideas• Training, tools, information
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Strategic Options• Option 6
– Execute a resource development strategy to generate support for policy, program, and practice initiatives
• Links to Core Strategies 4, 5, 6, 7, 8• Focused on financial resources to support
research, development, implementation, evaluation of promising policies, programs, practices
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V. From Strategic Planning to Strategic Action
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What Is Needed• Strategic Action Plan
– We need a clear Strategic Action Plan for 5-2-1-Almost None
• Coalition Operating Plan– We need a clear Operating Plan for the
Coalition (formal structure, membership, leadership, staff, resources)
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Staff Recommendations• Strategic Action Planning
– Aim to implement a Strategic Action Plan by September
– Establish Action Planning Teams to develop components of the Strategic Action Plan between now and September
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Staff Recommendations• Coalition Operations Planning
– Aim to implement a formal Coalition Operating Plan by September
– Let the structure and operations of the Coalition be driven by the requirements of the Strategic Action Plan
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Staff Recommendations• Getting the Work Done
– Continue to meet monthly as a full coalition to share status reports and coordinate Action Plan development
– NHPS will staff the Action Planning Teams and the monthly meetings
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Staff Recommendations• Suggested Action Planning Teams
– Media and Development– Schools– Child Care Centers– Health Care Providers– Community Organizations
• (Libraries, Boys and Girls Clubs, etc.)
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Staff Recommendations• Scope of Work for Action Planning Teams
– How can we engage members of this sector as 5-2-1-AN partners?
– How could this sector raise community awareness of 5-2-1-AN?
– How could this sector support children and their families in implementing 5-2-1-AN?
• What policies? What programs? What practices?
– What supports (money, technical assistance, other) would members of this sector need to become fully engaged partners?
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Staff Recommendations• Additional questions for Media &
Development Action Team– An effective initiative will require resources from
the community– Potential public and private supporters deserve
positive publicity in return for their investment– Key questions:
• Who are the potential resource providers and how can they be engaged?
• How can media sponsorship be used to both raise awareness of 5-2-1-AN and acknowledge the support of public and private organizations who provide resources for the initiative?
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Staff Recommendations• Items to be handled at full Coalition
meetings:– Coalition Operating Plan
• Staff will present options based on evolving Strategic Action Plans
– Surveillance and Evaluation• Staff will present options based on evolving
Strategic Action Plans
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Summary Process Map
May June July August September
Action Planning
Team Meetings
Full Coalition Meetings
Implement Coalition Operating
Plan
Implement Strategic
Action Plan
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Next Steps• Coalition members join an Action Planning
Team – (Media & Development, Schools, Child Care,
Health Care Providers, Community Organizations)
• NHPS staff facilitate:– Action Planning Team Meetings– Full Coalition Meetings– Documentation of Plans
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Next Steps• What kind of time commitment?
– For Coalition members, about a day a month including a half-day meeting and some prep work outside of meetings
• How do we get started?– Staff will send out a survey describing the
Task Groups and requesting your first, second, and third choice of Task Group assignment
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Questions?
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