Online Program

Healthy-by-Default REACH Project: Impacting Minority Health with Policy, Systems and Environmental Changes to Improve Active Living and Healthy Eating in Norfolk, Virginia

Wednesday, November 4, 2015 : 11:10 a.m. - 11:30 a.m.

Amy C. Paulson, MPH, AE-C, Department of Pediatrics, Division of Community Health and Research, Consortium for Infant and Child Health (CINCH), Eastern Virginia Medical School, Norfolk, VA
Kaethe P. Ferguson, EdD, MS, Department of Pediatrics, Division of Community Health & Research, Eastern Virginia Medical School, Norfolk, VA
Amanda Clarke, BS, Department of Pediatrics, Division of Community Health and Research, Consortium for Infant and Child Health (CINCH), Eastern Virginia Medical School, Norfolk, VA
The Healthy Norfolk Racial and Ethnic Approaches to Community Health (REACH) focused on making the healthy choice the easy choice to improve healthy eating and physical activity in Norfolk’s minority communities. Working with 10 churches  impacting over 7,000 people, one housing authority and a city government impacting over 200,000 people over 8 months, Healthy Norfolk assessed each site using the CDC CHANGE Tool, provided recommendations, assisted each site in creating an action plan and provided material resources and technical support for creating policy, systems and environmental changes. Each site received material goods, technical support and guidance to ensure sustainability of the policy and environmental changes. REACH assessed the community for walking/biking and healthy eating barriers and facilitators through a series of community dialogues to influence the implementation of the city’s bicycle and pedestrian master plan as part of the REACH project.  The project collaborated with the city’s health coalition, Healthy Norfolk, as a means to sustain the initiative. All sites demonstrated improvements in their CHANGE Tool scores pre and post intervention over the 8 month funded REACH project. Improvements for faith sites ranged from 4-15% for policy & environments for Physical Activity; from 1-36% for Nutrition; and, from 4-24% for Leadership.  Leadership engaged in the project and adopted sustainable interventions for policy and environments, such as Healthy Meeting Guidelines, Healthy Eating Policies and policies supporting increased physical activity.  Site Leaders committed to the project by following a Pathway to Success Cycle:  Assessment, Recommendations, Action Planning, Cost Analysis/Prioritizing, Intervention and Reassessment.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe a city coalition approach to implementing policy, systems and environmental change through the CDC REACH Project. Identify three different approaches to implementing changes at the city government level, local public housing authority and local faith-based organizations. Discuss barriers and challenges to working with community partners to implement the REACH model. Explain the utility of utilizing the CDC CHANGE Tool in measure pre/post outcomes for a policy, system and environmental change project.

Keyword(s): Community-Based Partnership & Collaboration, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked in public health for 19 years. I have managed healthy communities initiatives, with multiple federal sources of funding, serving as PI in many cases, over the last 14 years. I was lead coach in the CDC ACHIEVE initiative in Portsmouth and the PI for our CDC REACH grant for Healthy Norfolk. I oversee multiple city coalitions and initiatives that utilize a policy, systems and environmental change approach in communities.
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.