barbara jackman presentation
DESCRIPTION
Transforming a Community's HealthTRANSCRIPT
Building a healthy community, one piece at a time.
Martinsville Henry County
Highest Unemployment (Mar 2010):◦Martinsville 22%◦Henry County 15.6%
>80% clients/patients with income <200% FPL◦ Family 1 <$21,660◦ Family 2 <$29, 140◦ Family 4 <$44, 100
Martinsville Henry County
Rate of children eligible for free and reduced lunch is nearly 2x the state average
38% of Households on Medicaid
24% of Households on Food Stamps
MHC Coalition for Health and Wellness
1. Promote Health and the Reduction of Health Risk Behaviors Healthy Community Initiative Activate Martinsville Henry County Chronic Disease Self-Management
2. Increase Access to Health Services, primarily for the uninsured and underinsured FQHC Medication Assistance Case Management/Care Coordination
Preparation
Audience-Utilitarian? Recreation? Health?Assessment-Identify Key Stakeholders
Public Works Fire and EMS Community Planners Bike Club Revitalization Association Parks and Recreation VDOT Economic Development Corp. Rivers and Trails Group Interested Citizens Health Organizations Medical Community
WalkaboutsSurveys
Promotion• Effective communication is vital
LocalStateNational
Promotion
Avoid JargonInfrastructureTransformationComplete Streets
Develop a PR PlanChronic Disease PreventionTrail DevelopmentProgram PromotionPartnership Successes
ProgramsCommunity Programs that:Encourage and enable consistent physical
activityDisseminate information to assist citizens in
making healthier nutrition choicesPartner with local school systems, employers
and other community agencies to reduce barriers to healthier activities at school, at work and during leisure time
Create opportunities for participants to use their new skills in convenient, fun settings
Raise awareness, change behavior, promote environmental changes
ProgramsInventory existing programs
Enhance not duplicateWhat’s missing?Survey citizensKeep enthusiasts
engaged
Events International Walk to School Day
Hosted by School Systems & Activate126% increased participation 4,512 students & 14 schools
Great Goblin Gallop 5K Run Hosted by Park and Recreation & Activate150% increase in participation
Tour De Scholar Hosted by Chamber & Activate1st bike ride for locality
Historic Walk & TalkHosted by Historical Museum, Martinsville
Uptown Revitalization Assoc. & ActivateScripts developed so anyone can lead
ProgramsWalk-Up WednesdaysHosted by Albert Harris Elem., PTO
& ActivateOffered quarterlyIncrease in student’s attentivenessStudents are eager to learnStudents & staff enthusiastic
Tuesday Morning Strolls Hosted by Dan River Basin Assoc., Parks & Recreation, YMCA & Activate
Offered monthly Capacity building thru partneringParticipation growing New experiences for citizens
ProgramsMall Walkers ClubHosted by Mall, Parks & Recreation
& ActivateOffered dailyRejuvenated programSeven years ago – 50 membersToday – >328 members
On average 121 walkers per day
Low Impact Beginners Walk Hosted by YMCA & Activate
Offered three days a week Audience: Obese, Seniors, Disabled63% increase – 80 participants Psychological/physiological successes Building capacity/community champions
Family AerobicsWater AerobicsRockin’ 4 Health StepInstructor’s ChoiceCardio DanceYogaPilatesChair AerobicsZumba
Programs
Free Family Aerobics• Reasons for joining
• Barriers
Programs
To Lose Weight 70%
Increase energy/feel better 68%
Increase physical activity 64%
Improve health/quality of life 61%
Fun 60%
Free 59%
Reduce stress 55%
Improve self confidence 47%
Need encouragement 34%
Lack of motivation 25%Financial issues/cannot afford facilities 21%Lack of Interesting Activities 18%I don’t know how to get started 12%Appearance hinders exercising In public 6%
ProgramsEducational Series
Healthy LifestylesWeight managementNutrition basicsMeal planningLabel reading
Results
Number of participants reporting impact of classes:Improved nutrition 100%Increased physical activity 100% ; most doubled weekly
leisure exerciseIncreased confidence to make healthier lifestyle choices 78%
ProgramsEducational Series
Diabetes Self ManagementManaging blood sugarBlood glucose monitoringCarbohydrate counting
Results
Patients reporting: Target ResultsMonitor blood sugar daily 80% 98%HbA1c <7 65% 91% at 6 mo and 12 moAnnual foot exam 85% 85%Annual eye exam 65% 74%Annual cholesterol test 75% 54%
ProgramsEducational Series
Healthy HeartBlood pressure basicsCholesterol basicsSodium and fat intake
Results
Participant feedback regarding impact of classes:Reduced Stress 60%Improved nutrition, increased intake of fruits/vegetables 100%
Tried new cooking methods, use less salt 60%Drop in blood pressure within 6 weeks 40%Increased confidence about overcoming barriers to a “Healthy Heart” 100%
Feel better overall as a result of the classes 100%
Regular blood pressure monitoring is crucial for effective heart health.
Influencing Employers
Relationship Building
Policy
Advocacy
Educating Public
Influencing Schools
Policy• Public PoliciesComprehensive PlanComplete Street LanguageWalkable-Bikeable Community GoalActive living tie-ins
6 Year Secondary Road PlanRoad expansion re-designsNew construction sidewalk requirement
Other Plan AdoptionsRecreational Use PlanInfrastructure Priority PlanRegional Bicycle Plan
Bike Smart Basics
Physical ProjectsTrails
Smith River Fieldale TrailUptown Rail TrailGravely Nature Preserve7 River Accesses
Pedestrian ImprovementsEnhanced crosswalks
Bicyclist AmenitiesBike racksShare the Road signs
• Inventory/ build upon natural resources• Identify skill sets needed and leaders who are
committed to the vision• Provide encouragement, tools, resources• Be flexible and patient• Celebrate Success
Conclusion
www.healthycommunitymhc.org
www.activatemhc.org