Chronic Disease Prevention Initiative : Pathways to Healthy Living

1. Chronic Disease Prevention Initiative : Pathways to Healthy Living Burntwood Health Region

2. What is CDPI? Chronic Disease Prevention Initiative • A 5-year demonstration project of Manitoba Health and Healthy Living • for the prevention of chronic disease • A community-based model where communities design and deliver healthy living activities and programs for their communities each year

3. Timelines • Started as a 5-year project April 2005 – March 2010 • Currently coming to end of Year 5 -2009/2010 • There will be a Year 6 - “transition year”

4. What Are Some of the Chronic Diseases that CDPI aims to prevent? • Heart Disease and stroke • Type 2 Diabetes • Cancer- Certain types like breast, prostate, lung & colon cancer. • Kidney disease • Lung disease

5. How Does CDPI prevent these Chronic Diseases? • By addressing risk factors that we can control or change • Physical Activity • Healthy Eating • Tobacco Use • Mental Well- Being We call these risk factors- Pathways Communities design activities and programs that can help people change or improve their health behavior in these areas.

6. Why are these Risk Factor Areas Important for Chronic Disease prevention? We know that: (CCHS 2007) • 64.7 % of people in the Burntwood Region are overweight or obese (vsMb 55.6%, Can 50.8%) • Only 29.4 % of people in Burntwood region consume 5 or more servings of vegetables and fruit every day.(vs Mb 37.2%, Can 43.9%) • 35.1% of people in Burntwood Region smoke, (vs 22.5% in Manitoba , Can 22.0%) Even though still quite high, this is a decline in smokers from 43.3% in 2003- a big success in the region.

7. Why are the Risk Factors important?... • Only 25% of people in the Burntwood Region are considered active enough to get the health benefits. (vs 24% Mb, 2008). • 53.7% are inactive (vs Mb 51.5%) • Mental Health issues were listed among the most important health issues facing communities in the Burntwood Region (Burntwood Region Community Health Assessment, 2004).

8. Why are Risk Factors Important? • And one of the most dominant themes from Community Consultations (CHA 2009) was a concern with mental health resources being available at both the acute care and community level. • Burntwood region has the highest suicide rate in the province. (CHA 2009, 2001-2005 stats)

9. Delivery Structure for CDPI Community Planned and Delivered (by participating communities- you)  Regionally Coordinated (by Burntwood Regional Health Authority)  Government Supported (by Manitoba Health and Healthy Living)

10. Burntwood CDPI Delivery Structure 22Communities 16-19 BRHA Liaisons BRHA CDPI Lead- Regional Committee BRHA Health Promotion Committee BRHA Executive Lead Chief Executive Officer BRHA Board of Directors

11. Granville Lake 22 CDPI Communities

12. Funding Amount $2 per capita, per community, per year, when action plan is completed and approved. $1 per capita, per community where requested. To pay a “facilitator” to help implement local action plans

13. What Is the Role of the Community? • Bring interested people together in your community in a CDPI Committee or some structure. • Submit an Annual Plan to apply for funding each year. • Address the 4 risk factor areas over the 5 yr project- Physical Activity, Healthy Eating, Tobacco Use, Mental Well-Being

14. What is the Role of the Community ? … cont’d • Implement your plan each year. Assess what is working and what is not. • Keep track of your CDPI spending as it is being spent • Complete Monitoring Reports after each activity happens • Submit the Monitoring Reports in Sept and March • Complete and submit Facilitator dollars spending report in March.

15. Timeline- when this all occurs • March 19th- Community Action Plan and Budget for Year 6 due • March 31st- All year 5, 2009-2010 Monitoring Reports due • Determine unspent funds. A plan is required for these carried-over funds. Revise plan and add carry-over amount to year 6 budget amount. • August- Funding flows to communities Aug or later (may begin using c.o. dollars)

16. What is the Role of the BRHA? • Support- from Liaison and Project Lead • Provide Funding to communities • Coordinate paper reports- action plans and monitoring reports. • Review and approve annual plans And…

17. What is Role of BRHA? ... • Training • Annual CDPI Conference in Thompson ($) • Offer and fund other CDPI workshops ($) Share and Learn, National Conf • Share info about other education opportunities

18. Summary Project Goals • CDPI is led by the communities, using evidence and best approaches for prevention of chronic disease in Manitoba. 2. Develops strong partnerships that will help CDPI projects continue and grow in communities.

19. Project Goals continued… 3. Add value to existing activities in the community by incorporating or adding CDPI into what we are already doing. 4. Improve the health of Manitobans, by increasing the ability of communities to address health needs of high priority populations in their community.

20. Looking to Year 6 and Beyond • How can you keep prevention activities moving forward in your community? • What activities would you keep going and which would you stop? • What do you need to keep activities going?

21. Some Ways To Keep It Going • Gain the support of key community members or agencies • Build on good things already happening in your community • Continue to plan programs that are effective in helping people change their habits and live healthy lifestyles

22. Some Ways We Can Continue… • Celebrate and recognize your own, and each others successes in your community. • Focus a few really good things that are working well. • Be a positive role model ,choosing the pathway to healthy living every day.

23. Thank You Congratulations everyone on a job well done!