+ upstream public health dr. tia henderson research coordinator health impact assessment hb 2800:...
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Upstream Public HealthDr. Tia Henderson Research Coordinator
Health Impact AssessmentHB 2800: Farm to School and School Gardens
FundingHealth Impact Project, a collaboration between PEW Charitable Trusts and the Robert Wood Johnson Foundation& Northwest Health Foundation*Opinions expressed here do not reflect those of the funders
2+Overview
HB 2800 HIA
Participation
Policy and HIA separation
Communication
HIA finding examples
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HB 2800 Components
Reimbursement @ $19.58 million
Schools buy Oregon foods with 15 cents for lunch and 7 cents for breakfast
Part of National Lunch and Breakfast Programs
Federal matching funds
2% ODE administration funds
Food, Garden, Agriculture Education Grants @ $3 million
Support food, garden and agriculture-based activities
Support gardens in schools
+ HB 2800 Components & HIA Scope:Health Determinant Pathways
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+Participation
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Screening
Scoping
Assessment
Recommendations
ReportingTwo Advisory Committees: 30+ Expert Advisors
Community Forums: 100+ CitizensUmatilla (Rural)Eugene (Urban)Monitoring & Evaluation
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Upstream Public Health – Health Advocacy Organization
Co-Director & Campaign Manager
Roles:
Connect to coalition
Explain HIA findings to legislators
Explain policy recommendations to legislators
Research Coordinator & Co-Director, Committee members
Roles:
Collect data & community information
Convene community members and advisors
Connect to coalition
Inform Policy Advocacy Team
Develop DRAFT policy recommendations
Policy Advocacy Team HIA Research Team
Lesson Learned: Separate Research from Direct Policy Advocacy & Involve Experts
+Connect and Separate
Upstream Public Health Human Impact Partners
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+HIA Practice and HIA Communication
Inform Oregon legislature decision making process.
Outline linkages & magnitude of interactions between the policy and health outcomes
Inform agency work plans.
Inform regional institutional procurement efforts.
Create model F2SSG policy HIA.
Share findings with legislators
Share findings with relevant Oregon F2SSG stakeholders
Share findings with relevant HIA stakeholders
Increase desire for people to READ about the health and policy linkages
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F2SSG HIA Goals Communication Goals
+ Lesson Learned: Legislative Testimony is Part of Communications Strategy
Why HIA?
Basics of HB 2800
Relevance to their constituents Current employment conditions Current poverty and health conditions Impact of HB 2800 from HIA predictions…
General Advocate Message: You can make people’s lives better with this bill
HIA Message: Here are specific health outcomes you will affect
Upstream Public Health Human Impact Partners
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+ 10Testimony ExcerptEmployment - Findings
Mental health, life span, chronic disease
Jobs
ESTIMATED JOBS CREATED
2009 HB 2800 @ $19.6 first Biennium(Sodexo and PPS/Gervais #s)
2011 HB 2800 with Inspired Increases Over Time
Direct 101
(x3)
302
Indirect 101 302
Induced 67 201
Totals: 269 806
Employment Multiplier: 2.67
HB 2800 IMPACT:
Life span
Mental/physical health issues
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Oregon: Seasonally Adjusted Unemployment Rates by AreaDecember 2010 (Preliminary Estimates)
Unemployment Rate
Less Than 10%
10% - 14%
Higher Than 14%
+ 12Testimony ExcerptDiet and NutritionFood Insecurity
School Meal Programs
Student Learning, Achievement and Educational Attainment
HB 2800 IMPACT:
Promotion and use of Oregon products
Meal participation
Positive behavior, learning, cognitive development and educational attainment
food insecurity for families with children
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Testimony ExcerptFarm to School and School Garden K-12 EducationFarm to School and School Garden Programs: 3 Core Elements
Procurement – Buying Oregon food
Promotion – Promoting Oregon food
Education – Gardening, Food and Agriculture-based Activities
Farm to School & School Garden Programs:
2010: ~ 50% of SD’s bought local (ODE)
2007: 75 school districts had active gardens (ODE)
HB 2800 IMPACT:
SD purchase of Oregon products
150 new gardens
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Testimony ExcerptFarm to School and School Garden K-12 EducationChild Learning Outcomes,
Physical Activity
Child Self-Efficacy – Belief they can accomplish their goals
Child Diet and Nutrition
Overweight and Obesity
(1 in 4 kids overweight, 2009 OHTS)
HB 2800 IMPACT:
Offerings of fruits and vegetables
Child preferences for fruits and veggies
Child consumption of fruits and veggies
Physical activity, positive class behaviors
Overweight and obesity
Knowledge, learning, academic achievementImage from Samuel Mann
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Upstream Public Health Human Impact Partners
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+ 18Testimony ExcerptHIA Policy RecommendationsTo increase positive job growth and food security:
#1 Modify the eligible items for reimbursement program to “produced” or “processed”
To increase child nutrition, food security, and student learning:
# 2 Education Grants – prioritize schools serving:
a. Low income populations or
b. Ethnically and culturally diverse student populations or
c. Food insecure areas
#3 Education Grants – prioritize schools developing multi-component programs
Procurement
Promotion
Education
Community Support
** All of #1, ½ of #2 and all of #3 were included in the amended version of HB 2800
+Policy Recommendations – Committee and Community InputBeginning:
Policy – 3
Operations – 5
Committees: Refine and expand
Community Forums: Refine/add and prioritize
Final (Prioritized):
Policy – 3 (expanded details)
Operations – 10
Upstream Public Health
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+ Communication Workshop: Training Stakeholders Communication Exercise Example (From Metropolitan Group)
Breakout into groups by target audience
+Example Message Results
Value: If we want to live healthful lives, we need to be able to make healthy choices.
Barrier: Too often health isn’t factored into all of the decisions policy-makers are making or it might not always seem relevant.
Outcome: HIA provides policy-makers with objective data they need to consider health in decisions, and increase our access to healthy options
Value: Healthy kids; strong communities.
Barrier: In tough economic times, our state legislature has to make choices.
Outcome: This HIA shows Farm to School programs and school gardens lead to: more jobs, kids eating more fruits and vegetables, and a stronger local economy.
Upstream Public Health
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HIA Messages F2SSG Messages
+Summary Lessons Learned
HIA Communications includes Community participants Existing advocacy efforts (e.g. coalitions) Legislative testimony
Separating policy advocacy from HIA research maintains integrity
Build relationships with advocates AND legislators
Inform community members, advocates and legislators
Upstream Public Health Human Impact Partners
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+Sources and Abbreviations
WHO = World Health Organization
ODE = Oregon Department of Education
OHTS = Oregon Healthy Teens Survey
ACS = American Community Survey (Part of the Census Bureau)
USDA ERS = United States Department of Agriculture, Economic Research Service
OLMIS = Oregon Labor Market Information System (From Oregon Employment Department)
Grussing, J. and Edwards, M. 2006, Non-Metropolitan Hunger and Food Insecurity In the Northwest, Rural Studies Program Working Paper Series, RSP 06-02
Jin et al., 1995. The impact of unemployment on health: A review of the evidence. Canadian Medical Association Journal, 153(5), 529-540.
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