consultancy proposal to nyc dohmh

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Proposal to the NYC DOHMH on how best to implement free/low-cost physical activity programming to economically depressed neighborhoods.


  • 1. Practicum Final Presentation Access to Free and Low-Cost Physical Activity Programs Team: Kristina Capron, Ellen Davidson, Talar Khatchadourian, Mina Nabizada, Thea Rome, Brian Stern and Eda Tekeoglu Supervisor: Stacey Flanagan Graduate Program in International Affairs The New School May 13, 2011
  • 2. The Project
    • NYC Department of Health and Mental Hygiene (DOHMH)
      • Department of Built Environment
      • Bureau of Chronic Disease Prevention and Control
    • Increasing access to free and low-cost physical activity programs and spaces in the five highest-needs NYC neighborhoods:
      • North/Central Brooklyn
      • East/Central Harlem
      • South Bronx
  • 3. Methodology
    • Primary research composed of surveys and interviews
    • Assessment of physical activity programs abroad and in NYC (including Shape-Up and walking groups)
    • Analysis of non-profit physical activity partnerships
    • Business wellness surveys
    • Final proposal and recommendations to NYC DOHMH
  • 4. Active Design Guidelines
    • Built Environment Program
    • Active Design Guidelines:
    • Taking the stairs: Choosing the stairs instead of the elevator is a quick way for people to add physical activity to their day
    Google Image
  • 5. The Obesity Epidemic in NYC
    • Obesity increases the likelihood of and burden of various chronic diseases
    • East Harlem : Almost two thirds of adults are overweight or obese
    • Central Brooklyn : 32% of adults have high blood pressure and 26% have high cholesterol
    • South Bronx: 1 in 4 adults ( 25% ) is obese and almost half of adults ( 45% ) report doing no physical activity
    Source: Take Care NYC Community Profile, 2006
  • 6. Deliverable I
    • Comparative Analysis of Physical Activity Programs
  • 7. International and Domestic Physical Activity Campaigns
    • Domestic analysis :
    • Little to no successful programs exist
    • International analysis :
    • Paris offers interactive campaign
    • Key findings :
    • Client requests
    • for Paris and
    • Taiwan overview
    City Paris, France London, UK Los Angeles, California Chicago, Illinois Low Cost/Free Physical Activity Programming to Specific Demographic No No No No Low Cost/Free Physical Activity Advice and/or Guides Yes Yes Yes No Park Locator Yes Yes Yes No Online Tools for Managing Health Yes Yes Yes No Interactive Website Yes Yes Yes No
  • 8. I: Comparative Analysis of Physical Activity Programs continued
    • Paris
    • Posters promote 30 min of physical activity
    • Walking signs as reference for pedestrians
    • Physical elements not well suited for NYC high needs neighborhoods
    Bouger campaign: Signage showing walking distance Google Image
  • 9.
    • Our conclusions
    • Need for greater use of signs, posters and advertisements
    • Caution - consider the demographics
    I: Comparative Analysis of Physical Activity Programs continued
    • Taiwan
    • Greater social marketing techniques could help promote physical activity
    Signs in Taiwan: Walk 1000 steps Google Image
  • 10. Deliverable II
    • Walking Group Feasibility Case Study
  • 11. City Life is Moving Bodies (CLIMB)
    • Columbia University Medical Center
    • Community-based initiative: community health depends on safe parks and neighborhoods
    • Since 2003, created and physically linked multi-use hiking trails, linked organizations, institutions, and the community
    Annual Hike the Heights promotes initiative and multi-generational activities Google Image
  • 12. Walk it Out! At the Harlem Hospital Center You have to make walking fun in order to motivate people - Monique Hedmann, Walk it Out!
    • Sponsored by the NYS DOH
    • Comprehensive physical activity program for senior citizens residing in Harlem
    • Partners with Columbia University student walking instructors
    • Partners with 10 senior centers in Central Harlem
    • High turn-out due to incentives: t-shirts, water bottles, sweatshirts, and drawstring bags
    Google Image
  • 13.
    • Empire BCBS/City of New York Parks and Recreation
    • Empire BCBS: targeting blood pressure among senior citizens in all 5 boroughs
    • Low to no turn out reported at Thomas Jefferson Park in East Harlem As of today, location is cancelled
    Walk NYC Team Photo of Walk NYC Flyer
  • 14. Findings
    • Walking groups for seniors are difficult: Promoting health benefits is not effective
    • Dr. Hernndez-Cordero,CLIMB
    • We learned from CLIMB and Walk it Out! that incentives , promoting multi-generational activities, socializing/bonding with peers, and walking with a purpose are great motivators
    Google Image
  • 15. Deliverable III
    • Shape-Up Feasibility Study
  • 16. III: Shape-Up Feasibility Study N= 53 , 100% Female The line for Shape-Up Zumba class outside of the East Harlem Asthma Center Team Photo
  • 17. III: Shape-Up Feasibility Study 100% of the 45-54 group say they would be interested in leading a walking group
  • 18. III: Shape-Up Feasibility Study continued Team Photo
  • 19. III: Shape-Up Feasibility Study continued * Dance includes all forms noted: zumba, belly, salsa, merengue
  • 20.
    • Children present: 87%
    • Limited time for activity: 33%
    • Of those, 100% would bring children to Shape-Up programs
    Google Image III: Shape-Up Feasibility Study continued
  • 21. Deliverable IV
    • Nonprofit Assessment of Physical Activity Programming and Partnership
  • 22. IV: Nonprofit Assessment of Physical Activity Programming and Partnership
    • 6 out of 7 selected organizations offer physical activity programming
    • 71% of non-profits partner with other agencies in physical activity initiatives
    • All 7 of the organizations are interested in partnering with DOHMH in its physical activity initiatives
    • 4 out of 7 organizations cater programming to 35-54 year olds
    • 4 out of 7 organizations provide walking groups and group fitness classes such as Zumba and Aerobics
    Google Image
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