The Role of State The Role of State Government in Public Government in Public

Health NutritionHealth Nutrition

AssessmentAssessment

Policy DevelopmentPolicy Development

AssuranceAssurance

AssessmentAssessment

State level assessment of population State level assessment of population nutrition assessmentnutrition assessment

Identify high risk areas of stateIdentify high risk areas of state Coordinate state and local assessment Coordinate state and local assessment

initiativesinitiativesProvide data to local agenciesProvide data to local agenciesProvide technical assistance & trainingProvide technical assistance & training

AssuranceAssurance

Manage/administer/deliver federal nutrition Manage/administer/deliver federal nutrition programs: WIC, NSLP, SNAPprograms: WIC, NSLP, SNAP

Manage/deliver state funded programs: Manage/deliver state funded programs: MSSMSS

Build state capacity to address nutritionBuild state capacity to address nutritionTechnical assistance/capacity building, Technical assistance/capacity building,

networking, communicationnetworking, communicationSecure and distribute resources for long term Secure and distribute resources for long term

goalsgoals

Policy Development Policy Development

Advise governor and legislatureAdvise governor and legislature State-level planningState-level planning

InfrastructureInfrastructure

MissionMission Objectives, StrategiesObjectives, Strategies

& Activities& Activities

HealthHealth Improve healthImprove health

outcomes for theoutcomes for the

people of Washingtonpeople of Washington

StateState

Increase access toIncrease access to

healthy foods andhealthy foods and

opportunities foropportunities for

physical activityphysical activity

Agri-Agri-cultureculture

Facilitate the movement of Facilitate the movement of Washington agricultural products in Washington agricultural products in domestic anddomestic and

international marketsinternational markets

Promote the economicPromote the economic

vitality of the agriculture industry,vitality of the agriculture industry,

safeguard the environmentsafeguard the environment; ; assistassist

growers and agribusinessesgrowers and agribusinesses

to enter new markets to enter new markets

DSHS DSHS Improving the Improving the healthhealth status of vulnerable populations status of vulnerable populations Improving Improving economic stabilityeconomic stability, employment and self-sufficiency , employment and self-sufficiency Improving individual and public Improving individual and public safetysafety Improving individuals’ readiness and ability to Improving individuals’ readiness and ability to succeed in schoolsucceed in school Increasing public trust through Increasing public trust through strong management practicesstrong management practices that ensure that ensure quality and leverage all resourcesquality and leverage all resources

Governor’s Executive Order: Washington Food Governor’s Executive Order: Washington Food

System Interagency WorkgroupSystem Interagency Workgroup

Members: DSHS, DOH, DOAMembers: DSHS, DOH, DOA Invited: OSPI, Conservation CommissionInvited: OSPI, Conservation Commission Charged to: “produce a report to the Governor Charged to: “produce a report to the Governor

and Legislature which provides an assessment and Legislature which provides an assessment of existing data and identifies remaining gaps of existing data and identifies remaining gaps and opportunities in Washington State food and opportunities in Washington State food policy to help address food security, nutrition, policy to help address food security, nutrition, and health challenges faced by Washington and health challenges faced by Washington citizens and to support realistic solutions to citizens and to support realistic solutions to these issues.” these issues.”

http://www.governor.wa.gov/execorders/eo_10-02.pdf

The report is intended to help agencies, The report is intended to help agencies, stakeholders and legislators: stakeholders and legislators:

Explore ways to promote nutrition, especially for those Explore ways to promote nutrition, especially for those who are most in need. who are most in need.

Identify ways to educate the public and policy makers on Identify ways to educate the public and policy makers on the status of hunger in Washington State and the role the status of hunger in Washington State and the role they play in addressing the issue of food security, they play in addressing the issue of food security, nutrition, and health. nutrition, and health.

Educate the public and policy makers on the importance Educate the public and policy makers on the importance of farmland preservation and the importance of of farmland preservation and the importance of promoting Washington-grown products to farmer’s promoting Washington-grown products to farmer’s markets, food banks, and institutions. markets, food banks, and institutions.

Washington State Department of Health

Board of HealthBoard of Health

  SecretarySecretary

Mary C. SeleckyMary C. Selecky

  DevelopmentalDevelopmental

Disabilities CouncilDisabilities Council     

Deputy SecretaryDeputy SecretaryGregg GrunenfelderGregg Grunenfelder

            State Health OfficerState Health OfficerMaxine Hayes, MD, MPHMaxine Hayes, MD, MPH           

     

Public Health Systems Public Health Systems DevelopmentDevelopmentAllene MaresAllene Mares

DirectorDirector

      Policy,  Legislative, and Policy,  Legislative, and Constituent RelationsConstituent Relations

Brian PeytonBrian PeytonDirectorDirector

       

     Office of CommunicationsOffice of Communications

Tim ChurchTim ChurchDirectorDirector

      Public Health Preparedness Public Health Preparedness and Response Programand Response Program

John EricksonJohn EricksonDirectorDirector

       

                    

                   

                       

     

Community and Family HealthCommunity and Family HealthAllene MaresAllene Mares

Assistant SecretaryAssistant Secretary

Environmental HealthEnvironmental HealthMaryanne GuichardMaryanne GuichardAssistant SecretaryAssistant Secretary

Epidemiology, Health Statistics Epidemiology, Health Statistics and Public Health Laboratoriesand Public Health Laboratories

Jennifer TebaldiJennifer TebaldiAssistant SecretaryAssistant Secretary

Health Systems Quality AssuranHealth Systems Quality Assurancece

Karen JensenKaren JensenAssistant SecretaryAssistant Secretary

Financial ServicesFinancial Services Human ResourcesHuman Resources Performance and Performance and Accountability Accountability Information Resource Information Resource Management Management Risk ManagementRisk Management Adjudicative Service UnitAdjudicative Service Unit Privacy/Public DisclosurePrivacy/Public Disclosure

Office of Infectious Disease anOffice of Infectious Disease and Reproductive Healthd Reproductive Health

Office of Maternal and Child HeOffice of Maternal and Child Healthalth

Community Wellness and PrevCommunity Wellness and Preventionention

Drinking WaterDrinking Water Radiation ProtectionRadiation Protection Shellfish and Water ProtectionShellfish and Water Protection Environmental Health, Safety aEnvironmental Health, Safety and Toxicologynd Toxicology

Communicable Disease EpideCommunicable Disease Epidemiologymiology

Non-Infectious Conditions EpidNon-Infectious Conditions Epidemiologyemiology

Health StatisticsHealth Statistics Public Health LaboratoriesPublic Health Laboratories InformaticsInformatics

Customer ServiceCustomer Service Community Health SystemsCommunity Health Systems Health Professions and FacilitiHealth Professions and Facilitieses

Investigation and InspectionInvestigation and Inspection Legal servicesLegal services

Community Wellness & PreventionCommunity Wellness & Prevention

Asthma Asthma

Breast & Cervical HealthBreast & Cervical Health Cancer Registry Cancer Registry

Heart Disease and Stroke PreventionHeart Disease and Stroke Prevention

Tobacco Prevention & Control Tobacco Prevention & Control

WICWICNutrition, Physical Activity, Obesity Prevention Nutrition, Physical Activity, Obesity Prevention SNAP-EDSNAP-EDDiabetes Control Diabetes Control

Washington State’s Nutrition Washington State’s Nutrition & & Physical Activity PlanPhysical Activity Plan

The Six ObjectivesThe Six Objectives

ObjectivesObjectives

Access to Health Promoting FoodsAccess to Health Promoting Foods

Food InsecurityFood Insecurity

Proportion of Mothers Who Breastfeed Proportion of Mothers Who Breastfeed Their Infants & Toddlers Their Infants & Toddlers

Free and Low-Cost Opportunities forFree and Low-Cost Opportunities for Recreation and Physical Activity Recreation and Physical Activity

Physical Activity Opportunities for ChildrenPhysical Activity Opportunities for Children

Active Community EnvironmentsActive Community Environments

Planned ActivitiesPlanned Activities

Partner with agencies, coalitions & local Partner with agencies, coalitions & local communitiescommunities

Provide technical assistance, training, Provide technical assistance, training, tools & resourcestools & resources

Support pilot programs and development Support pilot programs and development of local action plansof local action plans

Encourage development & implementation Encourage development & implementation of policy recommendations by sectorof policy recommendations by sector

Planned OutcomesPlanned Outcomes

Short-TermShort-Term Partnerships Partnerships

established & workingestablished & working Partners knowledgeable Partners knowledgeable

about environ. & policy about environ. & policy issues that impact issues that impact nutrition & phys. activitynutrition & phys. activity

Partners incorporate Partners incorporate Plan into their work Plan into their work plansplans

Financial support for Financial support for nutrition & phys. activity nutrition & phys. activity efforts increasesefforts increases

IntermediateIntermediate Changes in Changes in

policy & the policy & the environmentenvironment

Increased phys. Increased phys. activity & activity & improved dietary improved dietary behaviorbehavior

Long-TermLong-Term Decreased Decreased

obesityobesity Decreased Decreased

incidence of incidence of chronic chronic diseasedisease

Why “Partners of the Plan”? Why “Partners of the Plan”?

Assessment and EvaluationAssessment and Evaluation

Annual Survey of PartnersAnnual Survey of PartnersInvolvement with the Plan’s objectives, settings impacted, and scope of Involvement with the Plan’s objectives, settings impacted, and scope of influenceinfluence

Key Informant Interviews, 2007Key Informant Interviews, 2007Partners’ perceptions of working with the Plan, gaps in plan Partners’ perceptions of working with the Plan, gaps in plan implementation, communication needsimplementation, communication needs

Statewide Interviews, 2010Statewide Interviews, 2010Partners and potential Partners, familiarity with the Plan, knowledge of Partners and potential Partners, familiarity with the Plan, knowledge of Partners, communication needs, ideas for sustainability Partners, communication needs, ideas for sustainability

Why Partners of the Plan?: Why Partners of the Plan?: Partnering to Achieve the Plan’s Partnering to Achieve the Plan’s ObjectivesObjectives

Partners pledge to work toward one or more Partners pledge to work toward one or more of the Plan’s 6 objectivesof the Plan’s 6 objectives

Potential Partners: Anyone in WA Potential Partners: Anyone in WA working on initiatives related to the Planworking on initiatives related to the Plan

Recruited by pledge cards distributed at Recruited by pledge cards distributed at meetings and available onlinemeetings and available online

Partners of the Plan Partners of the Plan MembershipMembership

Members Represent more than Members Represent more than 250 organizations in 31 250 organizations in 31 counties, including:counties, including:

Local & state health departmentsLocal & state health departments Healthcare organizationsHealthcare organizations Schools & universitiesSchools & universities BusinessesBusinesses Community groups, nonprofit Community groups, nonprofit

organizations & coalitionsorganizations & coalitions Government agenciesGovernment agencies Tribal organizationsTribal organizations

Partners of the Plan Cumulative Listserv Membership

113

282351

584657

718802

882

0

200

400

600

800

1000

2003 2004 2005 2006 2007 2008 2009 2010Nu

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www.wapartnersinaction.orgwww.wapartnersinaction.org

Partners in Action Web SitePartners in Action Web Site

Communicate about needs Communicate about needs identified by Partnersidentified by Partners

Inform about policy and Inform about policy and environmental changes environmental changes supporting the Plansupporting the Plan

Highlight activities, Highlight activities, programs, events and programs, events and resourcesresources

Quarterly E-newsletterQuarterly E-newsletter

What We’ve Learned: What We’ve Learned:

Annual Survey of PartnersAnnual Survey of Partners

Partner Involvement with the Plan's Nutrition Objectives

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Access toHealthy Foods

Hunger/FoodInsecurity

IncreasingBreastfeeding

Pa

rtic

ipa

tio

n R

ate

s

2004 2005 2006 2007 2008 2009 2010

Partner Involvement with the Plan's Physical Activity Objectives

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Low CostRecreation

Physical Activityfor Children

Active Comm.Environments

Par

ticip

atio

n R

ates

2004 2005 2006 2007 2008 2009 2010

What We’ve Learned: What We’ve Learned:

Annual Survey of PartnersAnnual Survey of Partners

Settings Impacted By Partners

0

10

20

30

40

50

60

70

Scho

ols

Wor

ksite

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uth

Prog

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ec.

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Pla

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Trai

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arke

ts

Rest

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Heal

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Oth

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2004 2005 2006 2007 2008 2009 2010

Num

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pons

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What We’ve Learned: What We’ve Learned:

Annual Survey of PartnersAnnual Survey of Partners

Partners' Scope of Influence

0

10

20

30

40

50

60

70

County City

Statew

ide

Institu

tion

Neighbo

rhood

Region o

f stat

eOth

er

Num

ber

of R

espo

nses

2004 2005 2006 2007 2008 2009 2010

What We’ve Learned: What We’ve Learned:

In Key Informant Interviews with Partners (2007, n=17)In Key Informant Interviews with Partners (2007, n=17)

they described:they described:

Using the Plan to establish priorities and select activitiesUsing the Plan to establish priorities and select activities

Positive experiences associated with the PlanPositive experiences associated with the Plan New partnerships – “something that we need to celebrate!”New partnerships – “something that we need to celebrate!” Plan puts everyone “on the same page”Plan puts everyone “on the same page” Plan lends legitimacy and a “selling point” for local effortsPlan lends legitimacy and a “selling point” for local efforts

What We’ve Learned: What We’ve Learned: Key Informant Interviews with Partners (2007, n=17)Key Informant Interviews with Partners (2007, n=17)

Partners described:Partners described:

Common barriers and challengesCommon barriers and challenges Funding, time, resourcesFunding, time, resources Involving necessary partners and working with non-traditional Involving necessary partners and working with non-traditional

partnerspartners Learning curve associated with policy and environmental Learning curve associated with policy and environmental

approaches. – “People still want to focus on the individual.”approaches. – “People still want to focus on the individual.”

What We’ve Learned: What We’ve Learned: Partners Evaluation (2010, n=113)Partners Evaluation (2010, n=113)

Key Findings:Key Findings:

Plan-related activities are being implemented statewide.Plan-related activities are being implemented statewide.

Funding, tools, materials and resources, and decision maker buy-in are Funding, tools, materials and resources, and decision maker buy-in are the top three things respondents reported needing to be able to the top three things respondents reported needing to be able to implement new and existing policy and environmental initiatives related implement new and existing policy and environmental initiatives related to nutrition and physical activity.to nutrition and physical activity.

Initiatives are being sustained through creative funding sources, Initiatives are being sustained through creative funding sources, fostering partnerships, sharing resources, and building community fostering partnerships, sharing resources, and building community support.support.

What We’ve Learned: What We’ve Learned: Partners Evaluation (2010, n=113)Partners Evaluation (2010, n=113)

Key Findings:Key Findings:

Respondents identified many of the current activities of Partners, Respondents identified many of the current activities of Partners, including providing relevant resources, tools and funding opportunities, including providing relevant resources, tools and funding opportunities, and sharing success stories from across the state, to be helpful.and sharing success stories from across the state, to be helpful.

The interviews and surveys served a dual role of promoting the Plan The interviews and surveys served a dual role of promoting the Plan and Partners.and Partners.

More work needs to be done to tell Washingtonians engaged in More work needs to be done to tell Washingtonians engaged in physical activity and nutrition work about the Plan and Partners.physical activity and nutrition work about the Plan and Partners.