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Seizing the Moment and the Momentum: Opportunities for Advancing Community Prevention

Seizing the Moment and the Momentum: Opportunities for Advancing Community Prevention Sana Chehimi, MPH Prevention Institute. May 2010 Sacramento, CA. Prevention. Prevention.

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Seizing the Moment and the Momentum: Opportunities for Advancing Community Prevention

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  1. Seizing the Moment and the Momentum: Opportunities for Advancing Community Prevention Sana Chehimi, MPH Prevention Institute May 2010 Sacramento, CA

  2. Prevention Prevention a systematic process that promotes healthy behaviors and environments and reduces the likelihood or frequency of an incident, condition, or illness occurring. Primary Prevention Primary Prevention taking action to prevent problems from occurring before the onset of symptoms 4

  3. Elements of Quality Community Prevention • Social and health equity: determinants of health and safety • Comprehensive approach – policy, environmental, and systems change • Multi field collaboration • Community engagement ownership and leadership • Evidence and innovation • Sustainability and norms change • Communication: making the case 5

  4. Elements of Quality Community Prevention • Social and health equity: determinants of health and safety • Comprehensive approach – policy, environmental, and systems change • Multi field collaboration • Community engagement ownership and leadership • Evidence and innovation • Sustainability and norms change • Communication: making the case 6

  5. The health inequities we see…are not about just individual bad choices: “ ” they are about things not being fair Nancy Krieger, Harvard School of Public Health 7

  6. Elements of Community Health EQUITABLE OPPORTUNITY MEDICAL SERVICES • Preventative services • Access • Treatment quality, disease management, in-patient services, & alternative medicine • Cultural competence • Emergency response • Racial justice • Jobs & local ownership • Education PLACE • What’s sold & how it’s promoted • Look, feel & safety • Parks & open space • Getting around • Housing • Air, water, soil • Arts & culture PEOPLE • Social networks & trust • Participation & willingness to act for the common good • Acceptable behaviors & attitudes 8

  7. Elements of Quality Community Prevention • Social and health equity: determinants of health and safety • Comprehensive approach – policy, environmental, and systems change • Multi field collaboration • Community engagement ownership and leadership • Evidence and innovation • Sustainability and norms change • Communication: making the case 9

  8. A good solution solves multiple problems. Prevention Institute 10

  9. Health and Equity in all Policies

  10. Elements of Quality Community Prevention • Social and health equity: determinants of health and safety • Comprehensive approach – policy, environmental, and systems change • Multi field collaboration • Community engagement ownership and leadership • Evidence and innovation • Sustainability and norms change • Communication: making the case 12

  11. Intersectoral Partnerships Environmental Health Health Education Transportation Agriculture Law Enforcement Business 13

  12. Addressing the Intersection:Preventing Violence and Promoting Healthy Eating and Active Living Healthy Eating & Physical Activity Safety & Preventing Violence 14

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  14. Elements of Quality Community Prevention • Social and health equity: determinants of health and safety • Comprehensive approach – policy, environmental, and systems change • Multi field collaboration • Community engagement ownership and leadership • Evidence and innovation • Sustainability and norms change • Communication: making the case 16

  15. Engage Communities in Leadership 17

  16. It’s not about building sidewalks. It’s about building the knowledge and will and capacity and policies to continuously build sidewalks for decades to come. Ashland, KY Rapid City, SD Slide courtesy of Mark Fenton

  17. Elements of Quality Community Prevention • Social and health equity: determinants of health and safety • Comprehensive approach – policy, environmental, and systems change • Multi field collaboration • Community engagement ownership and leadership • Evidence and innovation • Sustainability and norms change • Communication: making the case 19

  18. Building on the Evidence 20

  19. Elements of Quality Community Prevention • Social and health equity: determinants of health and safety • Comprehensive approach – policy, environmental, and systems change • Multi field collaboration • Community engagement ownership and leadership • Evidence and innovation • Sustainability and norms change • Communication: making the case 21

  20. Triple Bottom Line 22

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  22. Truth Campaign 24

  23. Elements of Quality Community Prevention • Social and health equity: determinants of health and safety • Comprehensive approach – policy, environmental, and systems change • Multi field collaboration • Community engagement ownership and leadership • Evidence and innovation • Sustainability and norms change • Communication: making the case 25

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  25. What’s Happening in CA? 27

  26. The Strategic Growth Council, established to: improve air and water quality protect natural resource and agriculture lands increase the availability of affordable housing • improve infrastructure systems • promote public health • assist state and local entities in the planning of sustainable communities and meeting AB 32 goals 28

  27. CA Environmental Protection Agency Health and Human Services CA Natural Resources Agency Public Member Robert Fisher Business, Transportation and Housing SGC: Strategic Partnership Office of Planning and Research 29

  28. Governor Schwarzenegger’s 8 Actions to Promote Healthy Living • Increase Access to Free Drinking Water during School Mealtimes • Eliminate Electrolyte Replacement Beverages from California Public Schools • Increase Moderate to Vigorous Physical Activity in After-School Programs • Increase Moderate to Vigorous Physical Activity in PE Classes • Increase Flexibility to Develop Joint Use Facilities • Simplify and Focus Safe Routes to Schools • Strategic Growth Council Executive Order 30

  29. California’s Health in All Policies (HiAP) Task Force “…to improve health outcomes, agencies should collaborate with each other to ensure that health is considered when policies are developed.” Governor Arnold Schwarzenegger, Executive Order S-04-10, signed on February 23, 2010. 31

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  34. Prospect Park Before Revival Brooklyn, NY 36 Photo: Librado Romero/The New York Times

  35. Prospect Park Revival Brooklyn, NY 37 Photo: Librado Romero/The New York Times

  36. www.preventioninstitute.org sana@preventioninstitute.org • 221 Oak Street Oakland, California 94607 phone: 510-444-7738 fax: 510-663-1280 38

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