Chapter 9 National and State Initiatives to Promote Health and Well-being

After reviewing the PowerPoint, review a local health departments Illinois Project for Local Assessment of Needs (IPLAN) and answer the following questions. Think about using the county you grew up in. Most IPLANS are available on the website, if you cannot locate it, choose another health department.

1. Which local health department’s IPLAN did you choose?
2. What are some of the data resources the local health department used?
3. What are the identified health priorities?
4. If programs are mentioned on how they will identify the priorities please discuss and/or how would YOU address any of the identified priorities in that community?

Chapter 9 National and State Initiatives to Promote Health and Well-being Healthy People 1979-2020 • Ten-year national health objectives for Americans set by the US Department of Health and Human Services • Aims of Healthy People:  Encourage collaboration across communities and sectors.  Empower individuals toward making informed health decisions.  Measure the impact of prevention activities Healthy People 2020 • Released December 2, 2010 • Four overarching goals: 1. 2. 3. 4. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups. Create social and physical environments that promote good health for all. Promote quality of life, healthy development, and healthy behaviors across all life stages. Healthy People 2020 • 26 health indicators  Continuously tracked, measured, and reported throughout the decade to evaluate progress • User-friendly website provides access to information and resources particular to their needs.  www.healthypeople.gov US Department of Health and Human Services (HHS) • The United States government’s principal agency for protecting the health of all Americans. • Programs administered by eleven operating divisions. Centers for Disease Control and Prevention • Mission: Collaborate to create the expertise, information, and tools that people and communities need to protect their health. • Activities include:         Monitoring health Detecting and investigating health problems Conducting research to enhance prevention Developing and advocating sound public health policies Implementing prevention strategies Promoting healthy behaviors Fostering safe and healthful environments Providing leadership and training. National Institutes of Health • Nation’s medical research agency; comprised of 27 institutes and centers • Chronic Disease Institutes  National Heart, Lung, and Blood Institute  Heart Truth program  Provides resources and tools for the public on heart disease, cholesterol, heart attacks, high blood pressure, sleep disorders, being overweight, and physical activity  National Institute of Diabetes and Digestive and Kidney Diseases  National Diabetes Program provides resources to individuals, families, and communities on preventing, managing, and treating diabetes. US Department of Agriculture (USDA) • Responsible for the development and dissemination of the Dietary Guidelines for Americans.  Updated every 5 years • Recommendations based on two major concepts:  Maintain caloric balance over time to achieve and sustain a healthy weight.  Focus on consuming nutrient-dense foods and beverages • See Table 9.2 for specific recommendations Monitoring the Nation’s Health • Behavioral Risk Factor Surveillance Survey (BRFSS)  World’s largest ongoing telephone health survey system, tracking and reporting on health conditions and risk behaviors in the United States annually  Helps to identify emerging public health problems, track trends, develop objectives, and formulate policies and program at the national and state levels. Monitoring the Nation’s Health • Youth Risk Behavior Surveillance Survey (YRBSS) • Conducted among middle and high school students to assess health-risk behaviors that typically contribute to the leading causes of death and disability in this age group  Behaviors that contribute to unintentional injuries and violence  Sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases  Alcohol and drug use  Tobacco use  Unhealthy dietary behaviors  Inadequate physical activity Monitoring the Nation’s Health • National Health and Nutrition Examination Survey (NHANES) • Combines interviews and physical exams to assess the health and nutritional status of adults and children in the United States. • Nationally representative sample of 5,000 people each year. • NHANES consist of:  Health measurements  Lab tests on urine  Lab tests on blood  Lab tests on water  Other lab tests  Private health interview State Initiatives • Provide data-based information and resources to citizens  Arizona: Department of Health Services launches quarterly initiatives to integrate physical health and behavioral health to improve the general health of individuals.  Maine: Department of Health and Human Services provides seasonal information to citizens.  Florida: Developed a State Health Improvement 2012-2015 which includes action items such as health protection, chronic disease prevention, and community relationships and partnerships. State Organizations • Association of State and Territorial Health Officials (ASTHO)  National nonprofit organization representing state-level public health agencies in the United States.  Primary function is to track, evaluate, and advise members on the impact and formation of public or private healthy policy that may affect them and to provide them with guidance and technical assistance on improving the nation’s health. • National Conference of State Legislatures (NCSL)  Bipartisan organization that serves the legislators and staff of the nation’s state and territories.  Provides research, technical assistance, and opportunities for policy makers to exchange ideas. Local Programs • Programs established through organizations (such as the YMCA) or by the city health departments. • Implemented to specifically address health issues within a defined area.  DC Greens works to bridge the gap in the local food system to ensure that all the residents of the district can afford fresh, local fruits and vegetables.  Richmond City Health Department offers programs that address adolescent health and teen pregnancy prevention

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