coquille indian tribe healthy communities project m7572
TRANSCRIPT
Coquille Indian Tribe
Healthy Communities Project
M7572
Healthy Places, Healthy People: A Framework for Oregon*
Together heart disease, stroke, diabetes and chronic respiratory disease account for three of five deaths in Oregon. 61% of adults have one of the following: arthritis,
asthma, diabetes, heart disease, high blood pressure, high cholesterol and stroke.
89% have one of the risk factors for these conditions: current smoker, overweight or obese, physical inactivity or consumption of too few fruits and vegetables.
*Healthy Places Healthy People: A Framework for Oregon; OR DHS, Public Health Division, Health Promotion Chronic Disease Prevention. December 2008
Healthy Places, Healthy People: A Framework for Oregon
Oregon Health Promotion Chronic Disease Prevention Program Vision 2020: All People in Oregon live, work, play and learn
in communities that support health and optimal quality of life. Mission: To advance policies, environments and systems
that promote health, and prevent and manage chronic disease.
Work together to reduce exposure to tobacco products and secondhand smoke, make it easier to access healthy foods and be physically active, and assure people can easily manage their chronic diseases.
Coquille Indian Tribe Healthy Communities Project
The Healthy Communities Project: Gathering partners and stakeholders to access the
environmental and policy factors that affect the health of the community and the chronic disease environment.
Identify community health strengths and needs of the Coquille Indian Tribe.
Develop a multi-year plan focused on improvements to help community members be as healthy as possible.
Purpose Reduce the incidence of chronic disease most closely linked
to tobacco use, physical inactivity , and poor nutrition. Improvements to policy and environmental factors, policies,
social norm and best practices to improve healthy behaviors.
Coquille Indian Tribe Healthy Communities Project
Examples Tobacco Free Worksite Policy
Examples of Health Policy that are now expectation: New York City Tenements Sanitation Indian Health Service
Water and Sanitation Tobacco Use
Surgeon General’s Report 1964 Seat Belts and Car Seats
Coquille Indian Tribe Healthy Communities Project
OR Health Authority Health Promotion Chronic Disease Prevention (H.P.C.D.P.) Tobacco Prevention Education Program (T.P.E.P.) “Healthy Communities” Funding
Conduct Community Health Assessment based on CDC CHANGE (Community Health Assessment and Group Evaluation) Tool Modified to meet the needs of the Coquille Indian Tribal
Community
T.P.E.P. Stakeholders
Health and Human Services Administrator Assistant Health and Human Services
Administrator Tribal Council Representative Elders Program Coordinator Community Health Representative Coquille Indian Tribe Police Representative Coquille Indian Tribe Housing Authority Human Resources Director Prevention Coordinator Health Advisory Board Representative
Coquille Indian Tribe Healthy Communities Project
Environmental Changes: physical, social, economic factors that influence practices
Examples Walking path around the
Kilkich Community Nasomah Healthy
Traditions Incentive
Policy Changes: laws, regulations, rules, protocols that guide behavior
Examples Policies that require
healthy food choices be offered at meetings
Policies Smoke Free Tribal Events
Framework
C.H.A.N.G.E.
Sample Questions
Community-At-Large Sector Physical Activity To what extent does the
Tribe encourage walking by developing, maintaining, and/or promoting walking routes to, from and around tribal properties?
To what extent does the tribe offer, promote, or provide access to traditional cultural physical activities like dancing?
Leadership Does the Tribe have a health
promotion budget?
Nutrition To what extent does the
Tribe use locally grown and traditional foods at Tribal restaurants and events?
Tobacco To what extent does the
Tribe prohibit commercial tobacco use for outdoor public places?
Chronic Disease Management
To what extent does the Tribe educate Tribal members about obesity prevention?
C.H.A.N.G.E. Sample Questions
Health Care Sector
Physical Activity To what extent do health care
providers assess patients’ physical activity during routine office visits?
Nutrition To what extent do the health
care facilities provide free or low cost weight management or nutrition programs?
Tobacco To what extent do health care
providers provide regular counseling about the harm of commercial tobacco use and exposure during routine office visits?
Chronic Disease Management To what extent do the health
care facilities have a systematic approach to diabetes care?
Leadership To what extent do the health
care facilities provide access to medical services outside of regular working hours ?
C.H.A.N.G.E. 20-40 Questions in each sector
Major Community Events, Health Care, Education, Tribal Government, Work Site
Score Policy
1 - Not identified as a problem 3 – Policy formulation and adoption 5 – Policy evaluation and enforcement
Environment 1 – Elements not in place 3 – Some elements in place 5 – All elements in place
C.H.A.N.G.E. Findings
Chronic Disease Management Received high scores except Major Community Events
had scores less than 3 Reason: No onsite preventative medical
screenings and chronic disease management education and prevention
Education (Afterschool/Summer Programs/ Head Start and Tutoring)
Lower score due to inconsistent engaging of parents in chronic disease prevention for Tribal youth
Tribal Community low scores for use of traditional wellness to address chronic disease
CHANGE Findings
Nutrition Low policy scores but high environmental.
Many evaluated a 2 for policy and a 3 for environmental support. Indicating support from some but not consistent enough for policy.
Examples: nutrition labeling of foods at Tribal events, healthy options at all Tribal events, healthy vending machines, access to refrigeration for staff, weight loss programs, promotion and education regarding traditional foods, programming to support community gardens, etc.
C.H.A.N.G.E. Findings
Physical Activity Most differences between sectors
For Example: Education and Tribal Community had only one score below 3 but worksite had many 1 and 2 scores.
The environmental score for traditional cultural physical activities was 4 however, the policy score was 1.
Midwinter gathering and Restoration Celebration had both scored low for policy but high in environmental.
C.H.A.N.G.E. Findings -Physical Activity
CHANGE Findings - Physical Activity
CHANGE Findings
Commercial Tobacco Use Overall the Tribe’s policies and environmental
support for commercial tobacco cessation received high scores.
Access to commercial tobacco cessation products and services was indentified as particularity strong.
Three questions scored low: Education sector scored a 2 for referring
participants for tobacco cessation. Tribal Community received a 1 for
environmental elements in place to prohibit commercial tobacco promotions, and prizes.
CHANGE Findings – Commercial Tobacco
Healthy Communities Discussion Draft: Community Health Action Plan
Goal: To support Tribal members and Tribal employees making
healthy choices, improving their health and well-being.
Strategies: Develop policies and programs that make it easier for Tribal
members and employees to: Choose to eat healthy foods Engage in physical activity Self-manage chronic disease Reduce, quit, or never start using commercial tobacco
products
Coquille Indian Tribe Sample Strategies
Policy Actions: Healthy Foods Develop a “Healthy Food” policy for all Tribe-
hosted events and meetings with food that requires: Healthy food choice alternatives at all events and
meetings with food. Traditional food options, with labeling that describes
the food and its nutritional value, be available at all Tribe-hosted events and meetings with food.
Smaller or half portions and “tasting options” with serving size labeling to be offered at all Tribe-hosted events and meetings with food.
Coquille Indian Tribe Sample Strategies
Program Activities Physical Activity Develop informational materials about walking
trails on Kilkich community land. Create maps or brochures of walking trails, include
mileage information, elevation gain, and level of difficulty.
Funding Opportunity
Next Steps
Currently in the Process of Completing the Healthy Communities Action Plan.
Goal to complete 6-30-12.
Gain support and approval through the appropriate Coquille Tribal Channels.
RFP “Oregon Healthy Communities Implementation Program”.
Healthy Tribal Communities
Contact: Kelle Little, RD, CDE
Health and Human Services Administrator
Coquille Indian Tribe Community Health Center
541-888-9494 , ext: 20217