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  • Healthy Kids Healthy America:Healthy Kids, Healthy America:   Preventing Childhood Obesity in

    L i i S h l d C itiLouisiana Schools and Communities

    Pam Romero  Louisiana Council on Obesity Prevention & Management

    Denise Holston LSU AgCenter

  • Impacting ObesityImpacting Obesity

    “Greater likelihood of success whenGreater likelihood of success when  public, private, and voluntary  organizations manage theirorganizations manage their 

    strengths to ensure coordinated and  sustained long term effort”sustained long term effort

    Institute of Medicine  (IOM) C itt(IOM) Committee

  • Louisiana School Based Health  Centers  2007‐2008 Data 

     12 000 children (2‐19 yrs old) 12,000 children (2‐19 yrs old)

     46.53% overweight or obese 

  • Why does this matter?Why does this matter?

     Poor nutrition/health is linked to poor Poor nutrition/health is linked to poor  academic performance

     Children diagnosed with adult diseases

     At risk for chronic diseases such as diabetes  and heart disease 

     Overweight children are 80% likely to be g y overweight or obese as an adult

  • Louisiana Council on  Obesity Prevention & Management

     C t d b t t l i l ti 1999 Created by state legislation 1999

     Mission “To promote an environment that  supports opportunities for all Louisianasupports opportunities for all Louisiana  residents to make healthy food choices  and to be physically active in order toand to be physically active in order to  achieve or maintain a healthy weight.”

  • National Governors Association (NGA) Center for Best Practices

     Healthy Kids Healthy America Program Healthy Kids, Healthy America Program

     Provided Governors opportunity and  means to make progress in addressing  childhood obesity  Supported by Robert Wood Johnson 

    Foundation and CDC

     Louisiana one of 15 states to receive  grant

  • School Wellness Policy  Implementation Project

    Avenue to increase healthy eating and  physical activity in schools and 

    communities.

    Project Team Louisiana Council on Obesity Prevention & Management Louisiana Dept of Health & Hospitals’ Nutrition Section

    Louisiana Dept of Education LSU Agricultural Center (LSU AgCenter)g ( g )

    Governor’s Office

  • School Wellness PolicySchool Wellness Policy

     Child Nutrition & WIC Reauthorization Act 2004 Child Nutrition & WIC Reauthorization Act, 2004

     Requires school districts participating in  National School Meals Program to implement aNational School Meals Program to implement a  Local Wellness Policy

     I l i t f t t d t h l Involves input from parents, students, school  administrators, local school board, school food  service representativesservice representatives

     Builds on existing state policies, laws and  activitiesactivities

  • School Wellness Policy  Implementation Project

    Phase 1: Information Gathering

    • Principal survey • Focus group discussions

    Phase 1: Information Gathering

    • Focus group discussions

    Phase 2: Action Plan Guide Development

    • Quick reference

    • Continuation of project

    Phase 3: Action Plan Guide Distribution

  • Phase 1: Information GatheringPhase 1: Information Gathering

     Principal Survey Principal Survey

     Public elementary & middle schools   Invitation to participate Invitation to participate  Administered by LSU Public Policy Research Lab   Survey designed to better understand the Survey designed to better understand the 

    status of school wellness policy implementation  412 completed surveys (44% response rate) 412 completed surveys (44% response rate)  Access full report on LA Obesity Council 

    website or pick up a copy of the summarywebsite or pick up a copy of the summary

  • Key FindingsKey Findings

     See wellness policy primarily in terms of See wellness policy primarily in terms of  physical education and improving physical  fitness of students and meeting federalfitness of students and meeting federal  requirements.  

     L h i idi t d t ith Less emphasis on providing students with  nutritional information.

  • Key FindingsKey Findings

     Believe they need support from parents the Believe they need support from parents, the  school administration, teachers and students.

     See school wellness policy implementation as See school wellness policy implementation as  internal school activities.

     Elementary & middle school principals report Elementary & middle school principals report  limited progress in implementing local school  wellness policy.p y  8% met all 5 minimum requirements

     3% exceeded requirements

  • Identified NeedIdentified Need

    I l l itIncrease local capacity  to advance the level of  implementation of the  School Wellness Policyy

  • Focus Group Discussions (FGD)Focus Group Discussions (FGD)

     Objective: Objective:

    To gather information on the successes  and barriers to school wellness policy  development and implementation in  elementary and middle schools in  Louisiana at the district and local levels

  • MethodsMethods

     2 FGD d t d i h f th 5 2 FGD were conducted in each of the 5  School Foodservice Regions (10 total)

    l Development

     Implementation

     LSU AgCenter Extension Agents served  as moderatorsas moderators

  • Key FindingsKey Findings

     Successes Successes

     Support from administrationpp  An active, representative School 

    Wellness Policy committeeWellness Policy committee  Multi‐channel communication to all

  • Key FindingsKey Findings 

     Most participants reported using Most participants reported using   community‐based programs and/or  online resources to facilitate Wellnessonline resources to facilitate Wellness  Policy development and implementation

  • ChallengesChallenges

    Who’s in charge?

     Increasing   knowledge and  awareness of theawareness of the  Wellness Policy

    Time to monitorTime to monitor  implementation at  the school level

  • Phase 2: Action Plan Guide  Development

  • Phase 3: Action Plan Guide  Distribution

     The School Wellness Action Plan The School Wellness Action Plan  Guide will be updated annually and  available onlineavailable online.

     Continuation of project:

  • What can you do?What can you do?

     Learn about the extent of School Wellness Learn about the extent of School Wellness  Policies in your local schools

     “adopt a school get involved” “adopt a school—get involved”

     Support formation of local School Health  d i ilAdvisory Councils

     Join LA Action for Healthy Kids Team in your  region (www.actionforhealthykids.org)

  • AFHK Membership RegionsAFHK Membership Regions

    Claiborne

    Lincoln

    MorehouseUnion Region 1

    Bienville

    CaldwellDeSoto Franklin

    Jackson Madison Ouachita

    Red River

    Richland

    TensasWinn

    Region 2

    Region 3

    Region 4

    Avoyelles

    Grant

    La Salle

    Rapides

    Sabine

    Vernon

    Region 4

    Region 5

    Allen

    Avoyelles

    Beauregard E. Baton Rouge

    Evangeline

    Livingston

    St. Helena

    St. Landry

    Washington

    WBR

    West Feliciana

    Pointe Coupee

    East Feliciana

    AcadiaCalcasieu

    Cameron Iberia

    Jefferson Davis

    St. Bernard

    St. James

    St. Martin

    St. Mary

    Vermilion

    Terrebonne

    www.actionforhealthykids.org

  • QuestionsQuestions