Public Health Policy Gettin Sticky With It What is a Policy A - - PowerPoint PPT Presentation

Public Health Policy

Gettin’ Sticky With It

What is a “Policy Analyst”?

My Stairwell Speech

“New Public Health”

Programs for Individual Behavior Change versus Policy, Systems, and Environmental (PSE) Change

• Programs are:
• Activities, individual or group instruction, curricula, counseling, and training
• Services targeted to individuals that teach behavioral skills
• Personal choices are made in context of larger environment
• Many health and social problems are related to conditions outside the

individual’s control

• Recently there is a growing sense of importance of broader societal trends and

policies that affect behaviors

• While programs can lead to behavior changes in individuals and/or communities

during course of programs, unless scaled up and instituted through formal and informal PSE changes, programs may not be sustainable

Programs/Events

Policy, Systems and Environmental Changes

Celebrate National Nutrition Month Work with the local farmers markets to accept EBT Participate in/display at a health fair for community residents Work with physicians and other health care providers to take BMI during annual exams and talk to patients about healthy eating and active living opportunities in their community Conduct a community media campaign to eat healthy and move more Work with local restaurants to provide menu labeling; work with corner stores to offer fresh produce; participate in safe routes to schools; work on increasing trail systems or walking paths and promote their use Host a bike rodeo Establish Complete Streets policies to ensure walkable, bikeable pathways Promote the Great American Smokeout Work with multi unit housing establishments, parks, county fairs, etc to adopt smoke free policies

Examples for Communities

The Cliff Analogy

…wrong Cliff!

Falling off the cliff of good health:

• rigins of The Cliff Analogy

Developed by Camara Phyllis Jones at CDC

To emphasize fact that non-health sector interventions are needed to improve health outcomes and achieve health equity

FQHCs Hospitals, Urgent Care Centers, etc Weight loss challenges Clinics, pharmacies, school based health care centers Smoking cessation classes Screenings, BMI, etc. Walking programs Health and Physical Education Classes Walking school bus, SR2S, Complete Streets policies Pricing healthy foods lower than unhealthy foods Comprehensive clear air policies Ban the marketing of unhealthy foods in schools Baby-friendly hospital policies Joint use agreements Menu labeling Jump Rope for Heart program School/ Community Garden Community run/walk Limit screen time in child care settings

Cliff Analogy for Communities

Policy Options

Big P Policies Middle P Policies Little P Policies

• Affordable Care Act
• Farm Bill
• Healthy Hunger Free Kids

Act

• Federal Tobacco Tax
• State Tobacco Tax
• Clean Indoor Air Act
• SSB or Trans Fat Tax
• State Child Care Licensing
• PE Graduation

Requirements

• Smoke Free City

Ordinances

• Complete Streets

Policies

• Zoning Regulations
• Land Use Plans
• City Child Care

Licensing

• Procurement Policies
• Menu Labeling
• School Wellness Policies
• Joint Use Agreements
• Worksite Wellness

Policies

• Smoke Free Campuses
• EBT and WIC at

Farmers’ Markets

• Baby Friendly Hospital

Policies

Health In All Policies

The Policy Making Process… In with a Cadillac, out with a Pinto

Best- a.k.a. Promising- Practices in Public Health Policy

• The Community Guide to Preventive Services

http://www.thecommunityguide.org/index.html

• Network for Public Health Law
• The Prevention Institute
• Public Health Institute
• Change Lab Solutions
• NACCHO
• Yale Rudd Center for Food Policy and Obesity
• Robert Wood Johnson Foundation
• CDC Community Transformation Grant Communities

Why I Do It…

Questions?

Rebecca Lemmons, MHS Policy Analyst- Division of Community Health Central District Health Department rlemmons@cdhd.idaho.gov 208-327-8619