Assuring the Implementation of Effective Public Health Strategies for Nutrition

Assuring Functions of Public Health IOM 1994Proposed by Aday Enforce laws and regulations that protect health and ensure safety Design model legislation to promote population health- centered programs within and across sectors Link people to needed personal health services and assure the provision of health care when otherwise unavailable Collaborate to develop and finance an integrated continuum of primary prevention, treatment, and long-term care programs and services in the community. Aday, LA. Reinventing Public Health. 2005

Assuring Functions of Public Health IOM 1994Proposed by Aday Assure a competent public health and personal heath care workforce Train pubic health, planning and development professionals in the population-based health approach Evaluate effectiveness, accessibility, and quality of personal and population-based public health services Evaluate public health and intersectoral initiatives in terms of their population health impact. Aday, LA. Reinventing Public Health. 2005

Serving All Functions IOM 1994Proposed by Aday Research for new insights and innovative solutions to health problems Design and conduct transdisciplinary research to address fundamental determinants of population health Aday, LA. Reinventing Public Health. 2005

Obesity SustainabilityFood Security Leading Nutrition Concerns

Effective Strategies to Address these Concerns require: Transdisciplinary research base Population-heath focus Grounding in fundamental social and economic determinants of health Intersectoral engagement

Ecological Framework for Influences on What People Eat

It’s all about Collective Impact Roadmaps to Health “Large-scale social change requires broad cross-sector coordination, yet the social sector remains focused on the isolated intervention of individual organizations.” Conditions of collective success: 1.Common agenda 2.Shared measurement systems 3.Mutually reinforcing activities 4.Continuous communication 5.Backbone support organizations

An Intersectoral Approach to Public Health IOM. The Future of the Public’s Health, 2002

Academia: Responsibilities of Schools of Public Health Educate educators, practitioners and researchers – prepare leaders Transdisciplinary research Contribute to policy Work with other professional schools to assure quality public health content Assure access to lifelong learning for practitioners Actively engage in communities Who Will Keep the Public Healthy? IOM 2002.

Healthy Communities Projects Healthy Communities don’t happen by accident. Communities are concerned about health effects of rising obesity rates and are taking action. Community leaders recognize that their residents can’t move more or eat healthier foods without changes in their community environment. Education and awareness alone won’t result in change. Safe sidewalks, trails, and bicycle lanes make it easier for people to move about and leave their car at home. Healthy food choice in school cafeterias and restaurants, well supported food banks, and neighborhood farmers markets offer options for healthier food. Making sustainable community changes involves long term partnerships among public health, private business, municipal government, community advocates, transportation planners, and schools. ies_projects/default.htm

Health Care – Actions Implement coordinated comprehensive strategy Advocate for policies and organizational change to improve community environments Mobilize patient populations to engage in changing community environments. Strengthen partnerships Establish model organizational practices Prevention Institute

Media Ubiquitous advertising for unhealthy foods has a powerful impact on nutritional health herfoodmarketing.pdf

Media Actions Nutrition advocates can use “framing” and media advocacy.

Key Components of the Food Sector ProductionFarming, gardening, aquaculture, wild foods TransformationProcessing, packaging, labeling, marketing DistributionTransportation, wholesaling, warehousing AccessRetail, food safety, food security ConsumptionPurchasing, preparing, preserving, eating Resource & Waste Mgmt. Disposal, recycling Muller, Tagtow, Roberts, MacDougall. J Hunger Envir Nutr. 2009

Emerging Model for an Intersectoral Approach to Public Health Nutrition Assuring conditions for access to adequate and appropriate food Media public health Academia Food System Sectors Communities Business Institutions NGOs Health Care Agriculture Education Environment

Today’s Work Build on your work on the nutrition problem you addressed in the systems discussion. For each point where public health might make a difference : –Choose an approach or intervention to improve the system –Designate At least 5 sectors that could play a role –Outline the roles each sector could play to assure that the intervention is well designed, effective and sustainable