251791 Evaluating Meso-Level Municipal Barriers to Implementing Obesity Policy Change

Tuesday, November 1, 2011: 4:50 PM

Jennifer Hixon, MPH , School of Public Health, San Antonio Regional Campus, University of Texas, San Antonio, TX
Jennifer Bolduc , San Antonio Regional Campus, UT School of Public Health, San Antonio, TX
Jennifer L. Shaw, MAP, MPH, DrPH , School of Public Health, San Antonio Regional Campus, University of Texas, San Antonio, TX
Ximena Urrutia-Rojas, DrPH , Management Policy and Community Health, University of Texas School of Public Health, San Antonio, TX
The CPPW program, led by the City of San Antonio Metropolitan Health District, is comprised of more than 40 initiatives to reduce and prevent obesity in children and adults through partnerships with local organizations, school districts, and various city departments. Designed around the MAPPS strategies, SA-CPPW goals include increasing physical activity, improving nutrition, and improving the built environment through community-wide and school-based policy, systems and environmental changes. Seven city agencies are charged with changing policy to improve the obesogenic environment. A complicated set of municipal regulations limit the arenas in which municipal agencies are allowed to advocate for policy change. To ultimately impact social determinants of health, both macro- and meso-level policy must be coordinated to support shifting the fundamental causes of disease distribution at the community level. As has been established with individual behavior change, the choices we make are determined by the choices we have. However, little attention has been paid to municipal structures that enable community based and municipal organizations to effect meso-level policy change. Meso-level governance structures have important impacts on the efficacy of any one agency or coalition of agencies to make policy change. The session will focus on the development of a set of measures to document meso-level barriers and facilitators of policy change by organizations attempting to reduce community obesity burden.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Public health or related public policy

Learning Objectives:
Explain the significance of meso-level municipal structures in policy change Describe evaluation techniques to measure related policy change

Keywords: Policy/Policy Development, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Co-investigator of the San Antonio CPPW Evaluation Project
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.