221517 CDC's Integrated Approach to Sustainable Community Change Using Policy, Systems, and Environmental Change Strategies

Monday, November 8, 2010 : 12:45 PM - 1:00 PM

Phyllis Nichols, MPH , Division of Adult and Community Health - Healthy Communities Program, Centers for Disease Control and Prevention, Atlanta, GA
Shannon Griffin-Blake, PhD , Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, GA
Ann Ussery-Hall, MPH , Achieve, National Association of Chronic Disease Directors, Decatur, GA
Branalyn Williams, MPH , CDC's Healthy Communities Program, CDC, Atlanta, GA
Characteristics that determine the health of a community are interdependent and ongoing and require crosscutting, sustainable approaches to change. These characteristics include the built environment (sidewalks, bike paths, mixed-use developments, and smoke-free public places), access to healthy foods (in restaurants, cafeterias, corner stores, farmer's markets), and health behavior (using stairs vs. elevators). Addressing these root causes of community health using an integrated approach and strategies that are sustainable not only supports public health system capacity, but it also ensures efficient and effective use of resources across a broad range of public health concerns, improving the health of the greatest number of people with the least investment of resources. Additionally, chronic diseases and conditions such as asthma, cardiovascular disease, diabetes, and obesity and their associated risk factors — tobacco use and exposure, poor nutrition, and physical inactivity — are inter-related and cannot be effectively addressed in isolation of one another. CDC's Healthy Communities Program funds national networks and communities across the country to work together with coalitions and a multitude of partners, across sectors of their populations and across chronic diseases and risk factors, to promote health and prevent disease by addressing the root causes and using policy, systems, and environmental change strategies that will remain when federal funding ends. CDC's Healthy Communities Program is changing the way public health agencies conduct business—making more efficient use of federal funds and resources; helping put an end to work being done in “disease silos,” minimizing duplicate effort, and promoting sustainable change.

Learning Areas:
Chronic disease management and prevention
Program planning
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
Objectives: At the end of this presentation, participants will be able to: 1) Discuss at least three components of the integrated approach used by CDC’s Healthy Communities Program to decrease the burden of chronic disease 2) Explain how the use of policy, systems, and environmental change strategies promotes sustainable change in communities 3) Describe the importance of non-traditional partnerships in sustaining policy, systems, and environmental change initiatives in communities. 4) Describe at least three policy, systems, and environmental change strategies that can be employed at the local level to increase opportunities for physical activity, improve access to good nutrition, and decrease the use of and exposure to tobacco smoke.

Keywords: Policy/Policy Development, Health Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee programs that work to reduce chronic disease and that implement policy, systtems, and environmental change strategies.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.