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Promoting Healthy Habits in Ohio Child Care Centers: Policy and Menu Changes

This initiative focuses on improving child health outcomes in Ohio's early care and education settings through enhanced policies and menu changes. Developed since 2004, it involves training for child care providers, ensuring they are equipped to offer nutritious meals and healthy activity options. Key components include promoting breastfeeding, reducing screen time for infants, and crafting menus with whole grains, non-fried vegetables, and low-fat milk. The Ohio Healthy Program encourages parent participation and seeks to create sustainable changes in child care environments across the state.

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Promoting Healthy Habits in Ohio Child Care Centers: Policy and Menu Changes

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  1. A Child Care Center Intervention Promoting Policy and Menu Change in Early Care and Education in Ohio Autumn Trombetta MS, RD, LD Cheryl Graffagnino MS, RD, LD

  2. Obesity In Ohio(BMI > 95% %ile) Newborns 10-17 yr olds2 Adults2 2-5 yr olds1 <5% 5-9.9% 10-14.9% 15-19.9% 20-24.9% 25-29.9% ≥30% NS ¹ Pediatric Nutrition Surveillance System (PedNSS), CDC and ODH, 2006 2 Ohio Family Health Survey (OFHS), ODJFS/ODH/ODI/ODMH, 2008

  3. Program Development • Began in 2004 • Focus groups with parents • Identified child care providers as trusted source of health information • Created training & toolkit for child care provider staff

  4. Evolution of a Statewide Initiative • Began in 2010 • Voluntary designation • Provides Step Up To Quality • Education CEUs • Monitored through Professional Development Registry

  5. Becoming an Ohio Healthy Program.. • Attend Step Up To Quality approved trainings • Implement a healthy policy • Increase the nutritional content of menus • Include parent participation

  6. Becoming an Ohio Healthy Program…1. SUTQ-Approved Trainings • Session 1: Healthy Habits (10 Hour series) • Healthy Activity • Healthy Eating and Feeding • Healthy Growing • Healthy Families • Session 2: Healthy Menus (2.5 hours) • Session 3: Healthy Policies (2.5 hours)

  7. Becoming an Ohio Healthy Program…2. Implement a Healthy Policy • “Television, video, computers and other visual recordings shall not be used with children under two years of age.” • “Breastfeeding mothers shall be provided a private and sanitary place to breastfeed their babies or express milk. The area will have an electrical outlet, comfortable chair, and nearby access to running water.” • “Staff members consume the same food and drinks as the children. Staff members do not consume other foods and drinks in front of the children. “

  8. Becoming an Ohio Healthy Program…3. Ohio Healthy Programs Menu • Includes variety every day of the week • Non-fried Vegetables • Whole Fruit • Whole Grain Food • Offers fried foods no more than twice a week • Offers only low fat milk (1% or skim) to children ages 2 and up (adapted from Healthier US School Challenge 2010)

  9. Becoming an Ohio Healthy Program…4. Parent Participation • Parent Bulletin Board • Parent Newsletter

  10. Statewide Train-The-Trainer • Local Resource and Referral agencies • 27 Education Specialists • Ohio Department of Health’s Healthy Child Care Ohio • 37 Nurses • 1 Dietitian

  11. Ohio Healthy Programs Results • January 2010 – March 2011 • 65 statewide trainers • 349 trainings • 1300 child care staff • 608 centers • 13 Ohio Healthy Programs

  12. Local Programming • Recruiting child care centers • Technical assistance • RD and/or DTR • 2 week menu review and recommendations • Parent/Policy Handbook review and recommendations • Environmental Assessment

  13. Local Programming • Sustainable Supporting Materials • $100 for Ohio Healthy Program Menu • $100 for Ohio Healthy Program designation • $100 per policy • maximum of $300

  14. Intervention MeasureCenter Policies • Since January 2011 • 26 licensed centers • 404 policies(mean=15): • 284 nutrition • 9 breastfeeding • 110 physical activity • 10 Nutrition and physical activity promotion for parents

  15. Child Care Centers & Number of Policies by Zip, Columbus, OH

  16. Adult Obesity by Zip CodeColumbus, Ohio

  17. Pre- & Post Intervention Measures Menu Changes 29.0% 287.6% 53.2% 27.7%

  18. Pre- & Post Intervention Measures Menu Changes 50.1% 56.6%

  19. Next Steps • Statewide: • Incorporate Ohio’s Healthy Program criteria into statewide voluntary quality rating systems • Enhance parent engagement efforts • Local: • Ongoing evaluation of long-term, sustained environmental change • Continue to seek sustainable funding source

  20. Questions? • Autumn Trombetta altrombetta@columbus.gov • Cheryl Graffagnino clgraffagnino@columbus.gov http://publichealth.columbus.gov/healthy-children-healthy-weights.aspx

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