Arnette Cowan, MS, RD, LDNNC Division of Public HealthJason RivasWestern Michigan UniversityApril 12, 2012

North Carolina ranks 11th for childhood obesity in the nation (Trust for America’s Health).

Over 30% of children (2-4 years) were overweight or obese in 2009 (NC Pediatric Nutrition Surveillance System).

Grant Components Statewide Activities

Child Care Nutrition and Physical Activity Standards

Educational Materials for Parents Breastfeeding Feeding Childcare Nutrition and Physical Activity Module

w/CommunityCollege System

Web-based Nutrition Education and physical Activity Behavior Change System

Grant Components Training Sub grants NAPSACC

Statewide Activities

Nutrition and Physical Activity Standards

Collaborating with Carolina Global Breastfeeding Institute

Sample breastfeeding policy 10 step checklist for child care Designation program Logo design Training

Ensure that all families we serve are able to properly store and label milk for child care center use.

Provide a breastfeeding-friendly environment.

Support breastfeeding employees. Develop a breastfeeding-friendly feeding

plan with each family. Contact and coordinate with local skilled

breastfeeding support and actively refer. Continue updates and learning about

protection, promotion, and support of breastfeeding.

Ten Steps for Breastfeeding-Friendly Child Care*

*Ten Steps developed by the Carolina Global Breastfeeding Institute, UNC-CH http://sph.unc/edu/breastfeeding

Ten Steps for Breastfeeding-Friendly Child Care*

Make a commitment to the importance of breastfeeding, especially exclusive breastfeeding, and share this commitment with fellow staff.

Train all staff to promote optimal infant and young child feeding.

Inform women and families about the importance of breastfeeding.

Provide learning and play opportunities for children which normalize breastfeeding.

*Ten Steps developed by the Carolina Global Breastfeeding Institute, UNC-CH http://sph.unc/edu/breastfeeding

Breastfeeding-Friendly Child Care

Nutrition and Physical Activity Module

Partnering with the NC Community College System

Best Practices in Nutrition and Physical Activity

20 hour course Target Audience – Child Care Staff

Best Practices in Nutrition and Physical

Activity Best Practices in Menu Planning Shopping on a Budget Feeding Our Youngest Children Physical Activity for Preschool Children Implementing Best Practices

KidsESMM.org Modeled after www.wichealth.org Five self-help online modules

Happy, Healthy, Active Children: Toddlers and Preschoolers should be allowed 60 minutes up to several hours of unstructured physical activity (or free play) each day. Toddlers should be allowed at least 60-90 minutes of vigorous activity and preschool-age children should get 90-120 minutes of vigorous physical activity each day.

Fun and Healthy Drinks for Kids: Skim or 1% milk and water are the best choices. Provide water throughout the day. Try to serve whole fruits instead of 100% fruit juice when possible.

Fruits and Veggies Grow Healthy Kids: Provide a variety of fruits and vegetables each day, or according to the new "MyPlate", make half their plate fruits and vegetables. Encourage serving dark green vegetables at least twice per week, orange vegetables at least twice per week, legumes at least once per week, and starchy vegetables no more than twice per week in childcare.

Healthy Whole Grains: Half of all grains served to children should be whole grains.

Help Your Child Make Good Eating Choices: The division of responsibility between parents (or daycare providers) and children. Adults are responsible for planning and preparing healthy meals and snacks for children. Children are responsible for deciding which of the healthy foods offered they would like to eat and deciding how much they would like to eat. Our goal is not to just feed children, but rather, to meet the child’s nutritional needs today and create positive eating habits that last a lifetime through family style dining.

KidsESMM.org

Data collection: Time spent on site Pathway taken Which links were

clicked Time spent on each

link Number of comments

for each link Number of times each

lesson is visited

Number of users in each stage of change

Stage of change progressionLessons completed

Survey data? Profile data (e.g.,

age, ethnicity, age of children)?

Kids ESMM Regional Trainings 6-Hour Training on Nutrition and Physical Activity

Adapting NAP SACC slides Incorporating activities from recommended resources

CATCH Early Childhood Active Play! Choosy Kids, etc.

November 2 – Lenoir November 9 – Wilmington December 13 - Wilson

Promote nutrition and physical activity interventions that reflect 2011 Dietary Guidelines for Americans and IOM recommendations

Technical assistance and training to child care staff

Community outreach campaigns Quarterly and final progress reports

Independents Centers - $2,500 Sponsoring Organizations of Centers – $10,000

Maximum of $2,500 per child care center Sponsoring Organizations of Homes - $5,000

Maximum of $500 per child care home Sponsoring Organizations of Centers and Homes

- $15,000 Maximum of $2,500 per center Maximum of $500 per home

Kids ESMM County Representation

54 grants = $238,419.6435 counties

-High risk county

- County with Kids ESMM grant

Allowable:Allowable:

Food demonstrations or tastings

Small exercise equipment (jump ropes, balls, cones)

Nutrition training Small gardening supplies

or tools Print material related to

nutrition or activity

Not Allowable:Not Allowable:

Reimbursable meal components

Purchase of large equipment (playground or large kitchen equipment)

Bulk gardening supplies Clinical assessments

(blood pressure, cholesterol, height, weight, etc.)

Summary of Activities Gardening – most popular Breast feeding room In-door activity area Changed menus CATCH

Nutrition Curriculum /Classroom Activity 24 Grantees Color Me Healthy More than Mudpies Active Play Partner with LHD

Nutrition Equipment Water Dispensers

Menu Enhancement 8 Grantees Increasing whole grains Fresh Fruits and Vegetables Contracting with R.D.

Physical Activity 26 grantees Be Active SPARK Active Play CATCH

Field Trips 4 grantees Local Farmer’s Market Recreation centers Grocery Stores

Family Activity/Outreach 22 Grantees Monthly parent meetings Cooking demonstrations for families Taste Testing for families Family Fun Day

Breastfeeding 8 Grantees Enhance breastfeeding room

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The Nutrition and Physical Activity Self-Assessment for Child Care1) Self-Assessment2) Action Planning3) Workshop Delivery (through CACFP training)4) Technical Assistance5) Evaluate, Revise, and Repeat

Subgrantees will conduct at baseline and end of intervention

The Nutrition and Physical Activity Self-Assessment for Child Care

1)Self-Assessment2)Action Planning3)Workshop Delivery (through CACFP

training)4)Technical Assistance5)Evaluate, Revise, and Repeat

Healthy Futures Starting in the Kitchen Issue a separate RFA Mecklenburg County (January – June, 2012)

Four 8-hour courses 30 people in each class Require at least two participants from each facility

Take the show on the road (July – October, 2012)

Cookbook/DVD training

Summary of Activities Partnered with Mecklenburg Health

Department and Piedmont Community College

64 facilities were selected (124 people) Provide hands on training on healthy

cooking Required to come to a Building a Healthy

Menu training Cookbook Development

Reissue of Kids ESMM RFA Institutions that submitted applications and were

approved to receive grant funding from the first round of Kids ESMM RFAs are not eligible to apply for this second round of grant awards.

Eligibility requirements Participate with CACFP and in “good standing”. Serve children, birth to 6 years old.

More user-friendly application format To access: www.nutritionnc.com under “What’s

New”.

Challenges Staffing Funding for Institutions RFA process Reimbursement process

Lessons Learned Need to work with/train child care

Institutions on how to write grants Streamline RFA process