Healthy Carolinians Action Plan

 

County -McDowell  Partnership - Partnership for a Healthy McDowell -  Period Covered 2005-2010

 

LOCAL PRIORITY ISSUE

á       Priority issue: Obesity/ Physical Activity and Nutrition

á       Was this issue described in your countyÕs most recent Community Health Assessment?  X  Yes __ No

á       List other sources of information about this priority issue:

á       Original Baseline: WNC RegionÕs Middle School Adolescents- 17.6% are overweight and 16% are obese (above 95th percentile).

á       Date and source of original baseline data:  2005 NC Youth Risk Behavior Survey for Middle Schools

á       Original Baseline: Ages 5-11 Yrs: 15.4% >=85th to <95th Percentile    26.9% >=95th Percentile

á       Date and source of original baseline data:  2006 NC-NPASS

á       Original Baseline: Ages 2-4 Yrs: 15.3% >=85th to <95th Percentile    13.9% >=95th Percentile

á       Date and source of original baseline data:  2006 NC-NPASS

 

LOCAL COMMUNITY OBJECTIVE - Please check one: _x_ New __ Ongoing from last re/certification

á       By: 2010

á       Objective: Maintain current percentage of children whose BMI is over the 90th percentile.

á       Original Baseline: 18% of McDowell County 6th graders were between the 85th  and 95th percentile and 23% were over 95th  percentile (n=464)

á       Date and source of original baseline data: 2004  6th Grade BMI screenings by McDowell Health Department

á       Updated information (For continuing objective only):

á       Date and source of updated information:

 

POPULATION(S)

á       Local population(s) experiencing disparities in relation to this local objective: students at elementary schools with high percentage of low income, Latino, and rural students

á       Describe the local population(s) that will benefit: 1150 Preschool and elementary school students and their families (estimated above 95 percentile BMI), all county residents will benefit from the greenway

á       Total number in population: 3450 target obese students and their parents + 43,000 county residents who will benefit from a greenway 

á       Number you plan to reach: 43,000

 

NC 2010 FOCUS AREA AND NC 2010 HEALTH OBJECTIVE ADDRESSED

á       Check one NC 2010 focus area:


__ Access to Health Care

_x_ Chronic Disease

__ Community Health

__ Disability

__ Environmental Health

__ Health Promotion

__ Infant Mortality

__ Infectious Diseases

__ Injury

__ Mental Health

__ Older Adult Health

__ Oral Health

        __ Other - Please Describe:  ______________________________________________________________________

 

á       NC 2010 Health Objective:  Reduce the percent of children and adolescents who are overweight or obese to 10%. 

 

INTERVENTIONS, SETTING, & TIMEFRAME

COMMUNITY PARTNERS

Roles and Responsibilities

EVALUATION PLAN &

PROGRESS TO DATE

1. In order to secure the active involvement of the priority population(s), our Partnership will:

Recruit low income, Latino, rural parents of kids with 95th percentile to action team, or regularly checking with these folks about planning and implementation via presentations to target school PTO meetings.

 

Progress to Date:  School nurses are meeting with parents of obese students

2. Marketing/Communication activities related to this community objective:

á                Nutrition Displays at PTO meetings in each elementary school

á                Booklet with school nutrition policy survey results will be disseminated to school staff

á                School Nurses will write letters to parents of students with screening  results from student health fairs.  StudentsÕ BMI will be included.

á                School nurses will include referral information to parents for students who are above the 95th BMI percentile.

á                School nurses will communicate with parents about resources available for students with BMI above 95th percentile and try to set up a meeting with a registered dietitian

á                Nutrition education on cafeteria bulletin boards

á                Provide school gardens training to interested elementary school teachers

Lead agency:  McDowell Schools and McDowell Health Department

Other agencies:

á       Baxter International grant  will fund educational materials – Staff Nutrition Booklet, Food For Thought Curriculum, parent information, and staff training

á       Health Departments Health Promotions/Eat Smart Move will provide health promotion messages to students and parents

á       School Nutrition Program will display nutrition education on bulletin boards in cafeterias

á       School nurses will communicate to families, students and staff

 

 

Progress to Date:

á       Presented obesity statistics and 6ht Grade BMI results to Board of Health, School Health Advisory Council, McDowell County Health Summit, Child Health Summit

á       BMI results on 6th graders sent to parents in 2004

á       Health promotion messages sent to studentsÕ families

á       Newspaper articles about obesity in McDowell Newspaper

á       McDowell SchoolÕs Student, Staff, Parent Survey completed in January 2006 n=880 about attitudes towards food policies and physical activity and nutrition behaviors and presented to School Health Advisory Council

á       Information presented at Child Health Summit for School Staff and area agencies on 1/26/2007

á       McDowell Obesity, Physical Activity and Nutrition Action Team organized in May 2006 and wrote Eat Smart Move More ÒSeeds of Change Grant and received $18,300

3. Intervention: BMI screening; school nurses refer families of elementary students whose BMI > 95th percentile to meet with a dietitian and YMCA fitness consultant

Setting: schools

Start Date - End Date: 09/2006 - 05/2010

Lead agency:

á       School nurses and health department staff collect BMI data.  School nurses make referrals.

Other agencies:

á       NC DHHS PAN branch provided form for BMI screening.

á       Head Start collects BMI data on kindergarteners.

á       Health Department collects BMI on kindergartners

á       YMCA staff will issue an prescription for physical activity by providing physical assessments and counseling parents and their children on how to be more physically active and where those opportunities are in McDowell County.

á       Registered dietitian will counsel families and >95%BMI students to manage childÕs weight, eat healthier and track their progress

á       Registered dietitian, school nurses and families will work together to improve childÕs eating and increase physical activity

á       Baxter International Grant will fund consultations with registered dietitian and YMCA staff

á       Health Department Health Educator will provide/facilitate educational programs for target audience

This intervention is:
_x New_ Ongoing _ Completed

Process:

# children screened, # over 95th percentile, # referrals made

Output/ Impact: # referrals kept

Health/ Safety Outcomes: Track BMI of referred students

Progress to Date:

4. Intervention: Promoting active community environment by creating a greenway including canoe launch sites along the Catawba River and writing a pedestrian plan

Setting: community

Start Date - End Date: 10/2005 - 12/2010

Lead agency:

á       McDowell Trails Association secured donation of land from personal owner to City of Marion, applied for grant for canoe put-in on county land, wrote greenway master plan, displayed plans at local festivals and presents to local groups.

Other agencies:

á       City of Marion, City of Old Fort, and McDowell county government each developing a greenway and bicycle plan.

á       McGill Associates prepared feasibility study.

á       Chamber of Commerce, City of Marion, local surveyor, and private residents contributed funds towards greenway development.

á       Nature Conservancy negotiating with private landowners for access to greenway.

This is x New_ Ongoing  _ Completed Process:

á       McDowell Trails Association has recruited 300 members.

á       Presentations about greenway made to 15 civic groups and at 5 community festivals.

á       $35,000 raised locally

Output/ Impact:

á       Greenway masters plans completed. 

á       Miles of greenway/trails constructed

Health/ Safety Outcomes:

á       More McDowell residents engaged in regular physical activity.

Progress to Date:

á       McDowell Trails Association incorporated as nonprofit.

á       Applied for Fit Together grant (did not receive it).

á       Feasibility study completed, and topographical survey of 1.5 mile greenway nearly completed.

á       Applied for a NCDNR 2007-08 Adopt a Trail Grant  (pending)

á       McDowell Trails Association took 1 county commissioner and their board members on a canoe trip to see proposed greenway and ÒbluewayÓ firsthand

5. Intervention:  Create gardens in one elementary school and three pre-K/ daycare sites.

Setting: daycare, school

Start Date - End Date: 09/06 – 06/10

Lead agency:

á       Health department wrote Eat Smart Move More grant and partnered with school who wrote Baxter International grant.

Other agencies:

á       State Eat Smart Move More and Baxter Foundation provided grants.

á       Children Services Network recruited daycares for garden project

á       Children Services Network will provide training to daycare staff.

á       Eat Smart Move More NC Local Program Coordinator will facilitate training for elementary teachers, provide resources on school gardening and nutrition education

á       McDowell Obesity, Physical Activity and Nutrition Action Team (McOPANAT) will develop an evaluation tool to determine the impact of garden programming on fruit and vegetable consumption

This is x New_ Ongoing  _ Completed Process:

# gardens started

# students served by gardens

# of teachers trained

Output/ Impact:

á       Students report eating more fruits and vegetables.

Health/ Safety Outcomes:

á       Reduced obesity among students at garden sites.

Progress to Date:

6. Intervention:  Provide nutrition training for daycare staff and directors.

Setting: daycare

Start Date - End Date: 2/07-6/10

Lead agency:

á       McDowell Children Services Network will recruit participating daycares, facilitate training

Other agencies:

á       Eat Smart Move More NC local program coordinator & Children Services Network will provide training healthy snacks and provide menu consultations by a registered dietitian

á       Head Start will provide annual training in nutrition to staff

This is x New_ Ongoing  _ Completed Process:

# trainings held

# daycare staff/directors trained

Output/ Impact:

# daycares who changed policies or food offerings after training

Health/ Safety Outcomes:

á       Reduced obesity among participating daycares.

Progress to Date:

7. Intervention:  Train kindergarten and 4th grade teachers in ÒFood for ThoughtÓ curriculum.

Setting: schools

Start Date – End Date: 5/06 – 12/07

Lead agency:

á       Health department provide training, funding from  Baxter Foundation grant in Partnership with the McDowell County Schools. 

Other agencies:

á       Schools offering CEUs, location for training.

á       Eat Smart Move More Local Program Coordinator  and Registered Dietitian will train teachers in Food For Thought Curriculum

This is x New_ Ongoing  _ Completed Process:

# teachers trained

Output/ Impact:

# classrooms using curriculum

Health/ Safety Outcomes:

á       Reduced obesity among students in participating classrooms.

Progress to Date:

á       Eastfield Elementary School kindergarten and 4th grade teachers trained (Pilot)

8. Intervention: Provide kits with nutritional teaching/ visual aids & videos, as well as ÒFood for ThoughtÓ curriculum (all grade levels) for all elementary school libraries. 

Setting: schools

Start Date – End Date: 10/06 – 12/07

Lead agency:

á       Health department facilitates training, printing curriculum, assembling kits.

Other agencies:

á       McDowell County Schools will oversee funding from Baxter Foundation grant.

á       Baxter International grant will fund the nutrition kits, video libraries and other training materials

á       School libraries cataloging/ keeping track of nutritional kits & videos.

This is x New_ Ongoing  _ Completed Process:

# nutrition kits distributed

Output/ Impact:

Average # times kits Òchecked outÓ to teachers

Health/ Safety Outcomes:

á       Reduced obesity among students in participating classrooms.

Progress to Date:

á       Eastfield Elementary School (Pilot) received a nutrition education kit and library received copy of entire curriculum

Survey on use distributed 4/06

9.  Intervention:  Provide training to school staff that will increase studentsÕ physical activity.

Setting:  schools

Start Date – End Date: 01/2007-12/2007

Lead agency:

á       McDowell Schools will require teachers to be trained and provide opportunities for students to be physically active 30 minutes/day

Other agencies:

á       Health Department/Eat Smart Move More facilitated Be Active NC Train the trainer workshops

á       Be Active NC – Appalachian Partnership will train trainers and provide curriculum to each teacher who is trained.

á       McDowell Schools will coordinate trainings in each elementary school (8 schools)

á       Eat Smart Move More local program coordinator will facilitate a STRETCH  program training for interested school staff.  The STRETCH program provides training for brain development to enhance academic performance.

á       Baxter International grant will fund STRETCH training for staff

This is x New_ Ongoing  _ Completed Process:

á       # trainers trained

á       # teachers trained

Output/ Impact:

á       # of minutes of physical activity added to each school day

Health/ Safety Outcomes:

á       Reduced obesity among students in participating classrooms.

Progress to Date:

á       2 teachers trained as trainers

 

 

                                                        

Office of Healthy Carolinians – last revised 3/06