sneapa healthy communities_ppt_mapc
TRANSCRIPT
BuildingHealth intoCommunities
Source: Kevin Cortes, The Eagle Hill Place-making Photo Project
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What determines health?Healthcare Genetics Social, Environmental, Behavioral Factors
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Based on: Slide from The American Healthcare Paradox, Lauren Taylor; Original Source: McGinnis et al, 2002
OUR NEIGHBORHOODS SHOULD NOT BE HAZARDOUS TO OUR HEALTH.
Why do we do this work as planners?
Counseling &
Education
Clinical Interventions
Long-Lasting Protective
InterventionsChanging the Context to make individuals’ default decisions
healthySocioeconomic Factors
Smallest Impact
Largest Impact
“Eat healthy, be physically active”
Rx for high blood pressure, high cholesterol,
diabetes
Vaccinations, cessation treatments
(e.g. for smoking)
Fluoridation, tobacco tax, smoke-free
laws
Income, Race,
Education
Complete streets, speed limits, walkability, access to green space
Housing, Zoning, Economic Development
Examples from Other SectorsTraditional Public Health
CDC Health Impact Pyramid
Slower vehicle speeds make people feel safe and encourage them to be active and walk and bike more. For example, we know that is you are hit by a car going 25 mph, you have a less that a 1 in 10 chance of being killed; at 40mph, you have a nearly 7 in 10 chance of being killed.
It’s not right that residents of certain neighborhoods have to experience speeding vehicles and be at greater risk for severe injury and death while others do not. To change this, the officials, planners and public health professionals should use community strategies like traffic calming and slower speed limits to reduce speeding.*
* Adapted from Talking about Health in All Policies, Dorfman & Krasnow, Berkeley Media Studies Group
Speed Limit HIA
Speed Limit HIA
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• Adopt slow zone policy or enact local legislation
Policy Change
• Reducing design speeds used as part of local engineering guidance and regulations
Systems Change
• Traffic calming measures like speed humps, neighborhood traffic circles, and chicanes
Environmental
ChangeSources: Adapted from The National Association of County and City Health Officials definition of PSE Changes
Targets of Change
Housing insecurity results from individuals and families can no longer afford to live in stable and safe housing. Sadly, housing insecurity is issue in our community and having real effects. For instance, children who experience housing insecurity have been associated with poor health, lower weight, and developmental risk.
We can’t address the housing insecurity problem working in isolation. We need to work with partner in housing and community development to incorporate health criteria into our housing priorities. Working together, we can address the issue of housing insecurity and fix multiple problems at the same time. It will create more stability in people’s lives, improve childhood outcomes, and strengthen our economy.*
* Adapted from Talking about Health in All Policies, Dorfman & Krasnow, Berkeley Media Studies Group
Housing Production Plans
Housing Production Plans
Healthy Neighborhood Fund HIA
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• Adopt inclusionary zoning policy
• Develop HPP with health element
Policy Change
• Use Managing Neighborhood Change Approach (Anti-Displacement Strategies Toolkit)
Systems Change
• Use or leverage resources to increase affordable housing choices
Environmental Change
Sources: Adapted from The National Association of County and City Health Officials definition of PSE Changes
Targets of Change
People are healthier when they have a say in how in their neighborhoods are maintained and how they change. We need to engage residents, especially those who do not typically participate in neighborhood activities, so that we can make improvements like fixing sidewalks and parks so that everyone feels as part of the neighborhood. To do that, the officials, planners and public health professionals should work with residents to support mutual goals that create inclusive and resilient neighborhoods.*
* Adapted from Talking about Health in All Policies, Dorfman & Krasnow, Berkeley Media Studies Group
Photovoice• Record and reflect on community
strengths and concerns• Promote critical dialogue and
knowledge about important issues through group discussion of photographs
• Reach decision-makers
PlacemakingAllows people to create places and streets which are healthy, safe, active, and useful.
Photo Credit: Principle+
Incremental, small-scale improvements
Local ideas for local planning challenges
Short-term commitment and realistic expectations
Low-risk, with a possibly of high reward
Tactical Urbanism by The Street Plans Collaborative
Photovoice + Placemaking
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• Develop community/public engagement guidance (promote adult education approach)
Policy Change
• Support training of municipal staff and residents in photovoice
Systems Change
• Use available materials to make short-term changes and test ideas
Environmental Change
Sources: Adapted from The National Association of County and City Health Officials definition of PSE Changes
Targets of Change
HEALTH STARTS LONG BEFORE ILLNESS, IN OUR HOMES, SCHOOLS, AND JOBS
