1. Health and Wellness for all Arizonans Arizona Nutrition Network A Comprehensive Approach Stephanie H Martinez Nutrition Network Administrator

2. Health and Wellness for all Arizonans Overview AzNN Overview Comprehensive Approach – Public Health Approaches – Social Marketing – Direct Education Resource Allocation for FY15 Collaboration Examples

3. Health and Wellness for all Arizonans Arizona Nutrition Network Joined SNAP-Ed (FSNE) in 1998/1999 Leadership/Program Management – 1998-2013  2 Managers – 2013-present  3 Managers (2 interim) Single Implementing Agency Contracts – Cooperative Extension – Local Health Departments – Other

4. Health and Wellness for all Arizonans 6 Local Health Departments 10 County Extension Offices (regional awards) 2 “Other” External Partners

5. Health and Wellness for all Arizonans Internal Partners ADHS PHPS BNPA OCI AzNN Arizona Department of Health Services Division of Public Health Prevention Services Bureau of Nutrition and Physical Activity Office of Community Innovations Arizona Nutrition Network

6. Health and Wellness for all Arizonans Comprehensive Approach Direct Social Marketing Direct PHAs Social Marketing

7. Health and Wellness for all Arizonans PHA Strategies Menu of options provided to contractors – 52 strategies organized by Live, Learn, Work, and Play – Each domain included a strategy for direct education Modeled after SNAP-Ed Interventions Toolkit Aligned with other ADHS programs Lessons learned

8. Health and Wellness for all Arizonans Live Domain - PHA Strategies 14 available strategies – 11 selected by contractors – Most selected (aside from direct education): 1.05 – Encourage participation in community and home gardens 1.10 Support structured family-friendly physical activity opportunities throughout the year, throughout the community.

9. Health and Wellness for all Arizonans Learn Domain - PHA Strategies 21 available strategies (10 ECE & 11 K-12) – 20 selected by contractors – Most selected (aside from direct education): 2.05 – ECE: Improve capacity of child care providers and feed service staff in nutrition education and healthy meal planning, family-style meal service and food preparation 2.11 – K-12: Support the development, implementation, and evaluation of nutrition and physical activity Local Wellness Policies in collaboration with Local Education Agencies

10. Health and Wellness for all Arizonans Work Domain - PHA Strategies 8 available strategies – 7 selected by contractors – Most selected (aside from direct education): 3.07 – Promote participation in and use of physical activity resources, including partnerships with parks and trails organizations.

11. Health and Wellness for all Arizonans Play Domain - PHA Strategies 9 available strategies – 7 selected by contractors – Most selected (aside from direct education): 4.05 Work with local coalitions and Food Policy councils to promote healthy eating and active living 4.09 Promote participation in and use of free area physical activity resources, including partnerships with parks and trails organizations, and other community organizations

12. Health and Wellness for all Arizonans Social Marketing State level project – Customization at local level as needed (i.e. Navajo Nation) Common messages across public health nutrition and physical activity programs Consistent with Dietary Guidelines 2013-2015 message calendar Tailoring messages for specific audiences

13. Health and Wellness for all Arizonans Social Marketing Components Print Materials – Fun Food News (Kids & Parents) – Senior Bulletin – Posters – Recipe Cards Online Ads Website refresh Social Media – Twitter – Facebook – YouTube – Pinterest If budget permits: – Incentives – Billboards – TV/Radio

14. Health and Wellness for all Arizonans Comprehensive Approach Example Farmer’s Markets Direct Education Social Marketing PHA Direct Education – F/V education, FM promotion, food demos at the farmer’s markets, etc. Social Marketing – Fruit and veggies campaign set in a farmer’s market. TV, print, website. English/Spanish PHA – 1.08 Increase availability of healthy food retail, including mobile vendors, farmer’s markets, corner/country stores, and grocery stores in low-income residential communities

15. Health and Wellness for all Arizonans

17. Direct Education Research-tested and/or practice-tested Current material/resource list – Review process – Condense Required in “communities” where PHAs are taking place Complimentary to PHA strategies

18. Health and Wellness for all Arizonans Resource Allocation WRO Recommendation – 50% of funds for high-impact education, empowerment and community-wide marketing of healthy behaviors – 30 % of funds for nutrition and physical activity policy, environmental, and organizational practice changes through partnerships – 10 % of funds for leadership and administration – 10% of funds for evaluation and reporting.

19. Health and Wellness for all Arizonans Resource Allocation ProposedActual

20. Health and Wellness for all Arizonans Collaboration Example 1 Local Wellness Policies USDABTCD Empower Schools AzNN SNAP-Ed Contractors Dept. Education

21. Health and Wellness for all Arizonans Collaboration Example 2 Breastfeeding WIC Empower LicensingSNAP-Ed CDC Strong Families Domains – Live – Learn – Work NEW

22. Health and Wellness for all Arizonans Questions? Stephanie H. Martinez Arizona Nutrition Network Administrator stephanie.martinez@azdhs.gov (602)364-1490