data intro new format
TRANSCRIPT
USING DATA FORUSING DATA FOR ACTIONACTION
HEAL STRATEGIC PLAN
DATA Planning Process:
Reviews data, community
t
Creates 3 Year Vision for HE/AL
HEAL staff reviews
it d t
assets, identifies gaps
Community members share
diti f
community data, risk and protective factors, and literature
conditions for a healthy community
Given limited funds and personnel, how will we choose the “most important” issues in our
community on which to focus limited resources?
DATA PROCESS TODAYDATA PROCESS TODAYREVIEW COMMUNITY INPUT
AND STATISTICS
ASSESS WHERE DISPARITIES EXIST
ASSESS CURRENT ASSETS AND GAPSAND GAPS
WHAT COMMUNITY ENVIRONMENT CHANGES ARE NEEDED• “UPSTREAM FOCUS”
COMMUNITYCOMMUNITY
BARHII UPSTREAM FRAMEWORKPOLICYPOLICY INDIVIDUALINDIVIDUAL HEALTHHEALTHCOMMUNITY COMMUNITY
FACTORSFACTORS
WELL PAYING JOBS
POLICY POLICY OPPORTUNITIES OPPORTUNITIES
Land Use
INDIVIDUAL INDIVIDUAL FACTORSFACTORS
Physical A ti it
HEALTH HEALTH OUTCOMESOUTCOMES
Overweight/ Ob it
AFFORDABLE HOUSING
AFFORDABLE HEALTHY FOODS
Food Policies
Housing Policies
Activity
Diet
Stress
Obesity
High Cholesterol
High Blood PressureHEALTHY FOODS
COMMUNITY GARDENS
TRANSPORTATION
Policies
Education Policies
Transpor-
Pressure
Arthritis
Cancers
Coronar HeartTRANSPORTATION
PHYSICAL ACTIVITY FOR ALL/YOUTH
COMMUNITY COMING
Transportation
Coronary Heart Disease
Osteoporosis
StrokeTOGETHER
WALKING / BIKING ROUTES
Stroke
Diabetes
CONDENSED UPSTREAM FRAMEWORKFRAMEWORK
Community Factors
Individual Factors
Health Outcomes
OVERWEIGHT•WALKING •OVERWEIGHT OR OBESITY
•HEART
•DIET
•PHYSICAL ACTIVITY
•WALKING PATHS
•COMMUNITY DISEASE
•DIABETES
ACTIVITY
•STRESS
GARDENS
•FOOD ACCESSACCESS
INTENTIONAL
Why is Jason Sick?
HOUSING INJURY
PARNETS CAN’T
IS EXPENSIVE
UN
INTENTIONAL
CUT ON LEG
PLAY IN JUNK YARD
RUN DOWN
NEIGHBOR‐HOOD
CAN’T AFFORD NICER PLACE
MOTHER OFTEN SICK
FATHER WORKS TWO JOBS
BEHAVIORBEHAVIOR PHYSICAL/ ECONOMIC ENVIORNMNET
PHYSICAL/ ECONOMIC ENVIORNMNET
PHYSICAL/ ECONOMIC ENVIORNMNET
PHYSICAL/ ECONOMIC ENVIORNMNET
LIVING CONDITIONSLIVING CONDITIONS
SOCIAL INEQUITIESSOCIAL INEQUITIES
INSTITUTIONAL POWERINSTITUTIONAL POWER
PHYSICAL/ ENVIORNMNETPHYSICAL/ ENVIORNMNET
WHY ‘UPSTREAM’? We now know that the community where we live, work, play and
learn strongly influences our behavior how we live our lives and ourlearn strongly influences our behavior, how we live our lives and our health.
90% of our HEAL work has focused on educating individuals to change their behavior. Need interventions that will affect an entire community, not just individuals.
As a community, in addition to encouraging individuals or groups to adopt healthy behaviors, we must move beyond to creating an
i t th t k it EASY f i di id l t k th h lthenvironment that makes it EASY for individuals to make the healthy choice.
The community needs to move toward more innovative, broadly focused strategies for prevention.
TOBACCO SUCCESSTOBACCO SUCCESS Educational Strategies / Management of Nicotine
Addi tiAddiction
Regulatory Efforts Advertising and PromotionAdvertising and Promotion Product Regulation Clean Indoor Air Regulation Minors' Access to TobaccoMinors Access to Tobacco
In the 1990s, it became increasingly apparent that a public health success in reducing tobacco use requires activity on all fronts. A
h i h th t ti i fcomprehensive approach---one that optimizes synergy from a mix of strategies---has emerged as the guiding principle for future efforts to reduce tobacco use.
TOBACCO SUCCESSCommunity
FactorsIndividual Factors
Health OutcomesFactors Factors Outcomes
ff•Individual Education
•Lung Cancer •Other Respiratory Issues
Regulatory Efforts•Advertising and Promotion•Product Regulation
•Management of Nicotine Addiction
Product Regulation•Clean Indoor Air Regulation•Minors' Access to T bTobaccoEconomic Approaches•Taxes, supply, pricing
Success in reducing tobacco use requires activity on all fronts. A comprehensive approach---one that optimizes synergy from a mix of strategies---has emerged as the guiding principle for future efforts to reduce tobacco use.
Community Factors
Individual Factors
Health Outcomes
H lth F d N t
48%50%
30% Eat Fast Food 1 in 2 overweightHealthy Food Not Available
48%
44%
46%
48%
of Adults
42%
38%
40%
42%
Percent
38%2001 2003 2005 2007 2009
Year
Community Factors
Individual Factors
Health Outcomes
HALF f kid t L th HALFC it t HALF of kids get little or no exercise
Less than HALF physically FIT
Community not Safe
Marin County 5th, 7th and 9th Grade Students Meeting all 6 Fitness Criteria
54%55%
60%
ts
5th Grade
7th Grade
It’s not always safe t lk
52% Some or No Exercise
42%
35%
45%44%
46%
54%
35%
40%
45%
50%
Perc
ent o
f Stu
den 7th Grade
9th Gradeto walk around the community 48% Daily
E i 30%
2005‐2006 2006‐2007 2007‐2008 2008‐2009 2009‐2010 2010‐2011
Years
Exercise
STRATEGIC PLAN FOCUSED ‘UPSTREAM’UPSTREAM
Community Factors
Poor Diet and No Exercise
High Cholesterol
Educate adults withEducate
Work with large
Create policies to improve access to adults with
high cholesterol to prevent
Educate Individuals to eat healthy and exercise
large organizations in Marin to build healthy
k
healthy foods, create food buying clubs, reduce costs of to prevent
heart attackswork environments
reduce costs of healthy foods
What does the data tell us about community changesabout community changes that can stimulate HEAL?
Look at the Data to see what story the data is telling us about our communityabout our community.
Make sense of the data from your experience in the communitycommunity.
Think about how we can improve where we live, work, play and learn so our community is designed toplay and learn, so our community is designed to support healthy lives.
HEAL STAFF Review
DATADATA Hundreds of
Pieces of
DATA•Reflects Needs/Assets
•Risk and Protective Factors
HEAL VISIONPieces of
Information on
Health of C it
•Literature
•AVAILABLE
•Local Community Voice
VISION
Community
HEAL Planning Group
Review Assets and Gaps