Now onto Laurie's talk....Laurie went through the training when WIC trained 50 IBCLC's. One year ago when the CDC Grant was funded for Obesity she left WIC and is now with the Cancer Control Branch (Nutrition and Physical Activity trying to change name).
First off, thank you for all the help that you are going to give over the next 2 days. Laurie is going to go into detail so forgive the post if it says I and should be Laurie!
The first work group has already been started for you and your expertise is needed in all areas! Lets work from previous reports to add, change, and make better. Some may ask why we are putting together another plan with such a great report? Because this is an Obesity plan and breastfeeding is only part of that. WIC supports BF and so does the MCH branch...thank you Suzanne Haydu! The bad news per Laurie is that she is the only one with a background in BF promotion in her area so she needs help!!!! BF is not really on the table so we need to find what is most important to put into this new plan....on Obesity. Some counties have applied for funding to help in some of these areas and the state is working with the smaller counties (Tulare and Sonoma).
So what strategies and activities are most important to you? We are going to give you 15 strategies to look at; do you think something is missing? We can put it back in or add it!
History lesson on Obesity Prevention: 2005 the Governor had a vision for a healthy california which put Obesity on the radar and made it a priority. Then a Get Healthy workgroup came together and made the CA Obesity Prevention Plan in 2006. There was originally a large pot of money to help, but we could not get all that. Then the Dept of PH split from the DHS and this current plan was applied for! So we are actually enhancing out plan and making it more detailed. $730,398 per year for 5 years. Laurie is one of five connecting everyone to create and implement the creation plan through policy and environmental changes.
Goals: central point of contact within state government, statewide media campaign frames healthy eating and active living as CA living, support local assitance grants and multi-sectoral policy strategies, and create and implement a statewide tracking and evaluation plan. We do not have money now; however if we had money what we would like to see done? What would help? This is why we are making this plan!
CDC told us that breastfeeding had to be in this plan which is very important! There are 6 target areas: decrease high energy dense foods, drink less sugar sweetened beverages, decrease television viewing time, and increase physical activity, increase fruit and vegetable consumption, and increase breastfeeding promotion to raise rates and duration.
So what is the evidence for intervention for obesity? There were several documents reviewed such as the IOM local government actions from Sept 2009, CDC community strategies July 2009, Robert Wood Johnson Tool Kit....and what is out there? Lots of counties have plans, lots of local areas have plans...even CalTrans has a plan!
How does this tie into breastfeeding? There are only 3 in the original plan that apply : health care and insurers and providers support breastfeeding through supporting mothers in exclusive and prolonged breastfeeding and providing continuing education for providers, as well as employers posting and enforcing policies. We have looked at these and made more defined:
Hospital Policies
Peer Counseling
Lactation Accomodation
So we convened a provisional committee to get this rolling....there were 13 strategies to review and asked to prioritize to top 8. Put into workgroups and drafted work in all areas. We will be looking at what we wrote that day! Modify as you wish. Also 2 new stratgies were added into state and local government areas; mother to mother support and breastfeeding data collection strategy will be reviewed by the Evaluation Advisory Committee at a later date.
We will be evaluating the progress on this plan. We want to see that people change their behavior, policies change, environment changes, and overall OBESITY changes! So this is a public plan. There were listening sessions held at the network conference, childhood obesity conference, school wellness conference and then community forums in Orange County, Redding, Central Valley, and the Bay Area.
Now we need you to choose a workgroup (there are 5) to identify recommended activities, determine whether there are missing strategies, and prioritize strategies for the CBR to tackle. So we cannot all work together in every group; please choose a group and look at the workgroups. There are the following for workgroups with 5 panel members in each committee and then the audience will work into groups as well:
State and Local Government
Healthcare Insurers/Providers
All Employers/Families/Communities/Schools
Food & Beverage Industry
Entertainment & Professional Sports
Our timeline: draft document to management by the end of this month, we are supposed to publish the plan in the spring. We know this is quick...there will be more conference calls we are sure to get this done!
At lunch we will be moving some tables and when you come back we will be working on groups!
Signing off for a break...Emily Lindsey, BSPsy, IBCLC Communications Coordinator CBC
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