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Healthy Food and Beverage Standards: Experience from the Field in the Development, Adoption, and
Implementation of Healthy Food and beverage Guidelines
Carma Okerberg, Health Program Specialist, NEOPB - CDPH
Elaini Negussie, Public Health Department Prevention Wellness Program, County of Marin
Dr. Eddy Jara, NEOP Program Coordinator, Community Development Department City of Riverside
Marin City’s
Health and Wellness Policy
Marin County HHS Nutrition Wellness Program
SNAPSHOT OF MARIN CITY
Marin City CX3 Key Neighborhood Findings
Our neighborhoods are out-of-balance from a nutrition and health perspective
• A FOOD DESERT
• No Grocery Store
• No Farmer’s Market
• No Public Community Garden
• Characterized by NO access to affordable, healthy foods
• Dominated by stores where packaged, unhealthy foods dominate
Opportunities • Create a Healthy Food Access Coalition • Establish a Healthy, Affordable Grocery Store
– Better serve neighborhood – Offer access to healthy foods – Play role in improving health
• Work with MCCSD, County Government, the
Sheriff’s Department and the Marin Transportation Authority to improve overall safety in the community
• Continue and Expand CX3 Nutrition
Education/Physical Activity Classes • Develop Chronic Disease Management/Obesity
Prevention Programs
Opportunities • Work with Church Leadership to implement
Health and Wellness Policies, Provide Nutrition Education and Physical Activity Classes
• Work with Community Partners to improve
nutrition environment for access to healthy food, nutrition and physical activity education
• Work with Community Partners to
Adopt and Implement Wellness Policy
• Work with County to develop strategies to decrease overweight/obese youth and adults in Marin City
• The CSD Campus is the central hub of most activities in Marin City
• The Campus houses:
• The Marin City Community Health and Wellness Clinic
• Recreational programming for afterschool and summer
• Athletic/fitness programming
• Meetings and special events
• Senior Center
• The CSD campus serves over 150 children and about 100 adults each day
Marin City Community Services District (CSD) Health and Wellness Policy
Marin City Community Services District Health and Wellness Policy
• Creating partnerships to develop Wellness Policy:
• Marin City Community Services District (CSD)
• Marin County HHS
• Marin City Health and Wellness Clinic
• Marin City CSD Rec. Center
• Public Health Institute
• California Center for Public Health Advocacy
• HEAL Cities Campaign
Marin City Community Services District (CSD) Health and Wellness Policy
• Marin City Wellness Policy adopted December 5th 2013
• Policy highlights include:
• Healthy options to be provided at vending machines, meetings, programming, and all CSD events
• Requires 75% of foods and 100% of beverages to be healthy at events that CSD sponsors food
• Establishes the CSD campus, parking lots, vehicles, open spaces, and parks as smoke free
Marin City Community Services District (CSD) Health and Wellness Policy
Post policy adoption activities:
o 2 trainings for CSD staff on policy support – provided by HHS staff and Marin City CX3 Team, Spring 2014, 2015
o Healthy Food Action webinar presentation, Summer 2014
o Presentation at County-wide HEAL Cities campaign event, Fall 2014
o Organizational Food and Beverage training, Summer 2015
Marin City Community Services District (CSD) Health and Wellness Policy
Challenges
• Marin City is still a Food Desert
• Overcoming initial resistance to Wellness policy
• Keeping community and partners engaged
Marin City Community Services District (CSD) Health and Wellness Policy
Lessons Learned
• Collective Impact approach
• Developing Partnerships
• Importance of moving multiple goals forward
• Connecting the dots for the Big picture
Marin City CX3 – Creating Healthy Changes
• San Francisco Federal Reserve Bank partnership to establish grocery store
• Food Policy Council Food Resolution passed by Board of Supervisors
• Public Park Built
• Park Prescriptions Programs in place
• 100% Organic, Non GMO Healthy Meals Served at local school
Community Based Organizations
Transportation Authority
Business/Retail Service Providers
Government Officials
Schools
Community Members
HHS CX3
Team
Faith Based Organizations
Creating a Healthier Community Everyone Has a Role to Play
RiversideCa.gov
Arts & Innovation
RiversideCa.gov
Enacting Food and Beverage Guidelines Within a Health-
Promoting City
SNAP-Ed LIA Forum January 13, 2016
Andrea Morey Program Coordinator
County of Riverside
Eddy Jara Program Coordinator
City of Riverside
RiversideCa.gov
Overview • City-level Healthy Food and Beverage Standards
(HFBS)
• City of Riverside Context
• Policy Adoption Process
• Implementation and Evaluation Plans
• Lessons Learned
RiversideCa.gov
Value of City-level HFBS
• Urban Shift
• HFBS Educate and Show Commitment
• Influence Within Jurisdiction & Geography
• Health Insurance Premiums
• Growing Trend
RiversideCa.gov
25 California Cities With Existing Food/Beverage Standards
Baldwin Park Bell Gardens Brentwood Burlingame Carson Chula Vista Daly City El Monte Hawaiian
Gardens
Huntington Park
La Puente Long Beach Pasadena Pico Rivera Rancho
Cucamonga Redding Riverside
Sacramento San
Fernando San
Francisco San Jose Santa Ana South El
Monte Visalia Victorville
RiversideCa.gov
Challenges of City-level HFBS • Competing Priorities
• Adherence Goals
• Achieving Indented Impact
• Implementation & Evaluation
• Definition of Healthy
RiversideCa.gov
Case Study City of Riverside HFBS Adoption Process
Nov. 10, 2015 RIVERSIDE, Calif. – City Council unanimously adopts Healthier Food and Beverage Guidelines
RiversideCa.gov
Scope & Adherence Goals
RiversideCa.gov
City of Riverside Context
Population: 313,673 Median Household Income: $ 56,403 Poverty Level: 17.5 %
RiversideCa.gov
On a Culture of Health Journey…
City % Perris 44.2 Moreno Valley 42.3 San Jacinto 39.5 Riverside 39.2 Palm Springs 38.8 Lake Elsinore 38.2 Beaumont 38.1 Hemet 38.1 Wildomar 36.7 Menifee 36.1 Corona 35.0 Norco 33.7 Murrieta 29.2 Temecula 27.6
Childhood Overweight/Obesity in Riverside County (2008)
Source: CA Center for Public Health Advocacy (CCPHA).
RiversideCa.gov
EASTSIDE Momentum
RiversideCa.gov
vending machines
community events
youth programs
EASTSIDE and Pilot Policy Success
RiversideCa.gov
• Building support from stakeholders -Community/youth groups -City Leadership -Wellness Ambassadors • Assistant City Manager guides HFBS to and through
City Council -Mayor and Councilmember co-sponsor -Adherence goals agreement
Taking Eastside Success City-wide
RiversideCa.gov
Presentation to City Council • Explain the journey
• Mayor & Councilmember as co-presenters
• Comments from Partner Agencies
• City Department leader to answer questions
RiversideCa.gov
Implementation • Campaign launch: February 2016
• E-Toolkits and Workshops for Implementing Staff - Menu for healthy catering/snack options - Shopping lists for youth/seniors programs
• Communicating the Policy - Administrative Manual - Wellness Ambassadors - Coincide with the “healthy new year” Human Resources
initiative and City-wide fitness challenges in Winter 2016
RiversideCa.gov
Estimated Reach Settings Estimated Reach
Community Events 42,000 Attendees Youth and Senior Programs
28,000 Duplicated
9 Public Vending Machine
230,000 Impressions 12,000 Duplicated $24,000 Sales
25 Staff Vending Machines
1400 Non-duplicated $30,000 Sales
Workplace Meetings 2200 Non-duplicated
RiversideCa.gov
Evaluation
Case Study
Evaluation
Reflection on lessons
learned
Key Informant Interviews
Observations Vending Machine
Sales Data
Catering/ Snack
purchases
RiversideCa.gov
Reflections Adoption •Partner with agencies and city departments •Tell story of the journey •Guidance from Assistant City Manager
Support System •Health-promoting city •Core team; technical assistance; partner agencies Customizing Best Practices •Default staff vending adherence is 100% •Guidelines vs Policy
RiversideCa.gov
Thanks!
Contact Information Andrea Morey Program Coordinator, NEOP Riverside University Health System – Public Health (951) 385-5985 desk (951) 358-5311 main [email protected]
Eddy Jara Program Coordinator, NEOP Office of the Mayor & Community and Economic Development Department City of Riverside (951) 826-5813 [email protected]