HW2020 Community Engagement Survey II - Nutrition

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					            Community Engagement Survey II
            Survey Dates: October 8-15, 2009

                               ADEQUATE, APPROPRIATE AND SAFE NUTRITION
                                                            Provisional Objectives
             Health Across the Lifespan: By 2020, Wisconsin residents will have increased intake of nutrient-
             rich foods through support and promotion of breastfeeding, increased access to fruits and
             vegetables, and decreased access to sweetened beverages and other foods of minimal-nutrient
             value or “junk foods”, in the home, school, workplace and community settings.

             Health Equity: By 2020 all Wisconsin residents will have sufficient and assured access to high
             quality, affordable, safe and healthy foods and beverages.
              #            Group                 Sector        What do you suggest are the best ways to move these objectives forward?
              1   Member Wisconsin         Public Sector (Non- Going not only into the early childhood classes but all levels of student
                  Public Health Council or Government)         education. Increasing outcomes for the Nutrition coalitions in the county.
                  a standing committee
              2   Wisconsin Department       Government (State 1) Nutrition education for Food Share participants 2)Provide incentives for
                  of Health Services         or Local)           FS participants to purchase nutrient dense foods and beverages3)Increase
                  program or management                          FS participation among the low-income elderly and disabled population by
                  staff                                          streamlining the application process.
              3   Registered for fall 2008   Public Sector (Non- Changes in the school food subsidy program so that there are better foods
                  Community Engagement       Government)         coming to schools for their breakfast and lunch programs. Include this in
                  forum                                          WIC. Increase taxes on junk foods. Increase policies to support
                                                                 breastfeeding women at work and community sites. ( As a nurse and a
                                                                 mom who breastfed my children; it was humiliating to have to sit on a toilet
                                                                 stool to nurse a baby...we have not made our community settings breast
                                                                 feeding friendly. Additionally; work sites see this as lost work productivity
                                                                 for women to take a break to pump; etc. This needs to be addressed
                                                                 through policy changes.
              4   Wisconsin Department Government (State Public awareness in all sectors of society - families; churches; retail;
                  of Health Services    or Local)        farmers; schools; etc.Ensure that nutrient dense fruits and vegetables are
                  program or management                  fresh/raw.
                  staff;Member Focus
                  Area Strategic
                  Leadership Team
                  (FAST)




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              #             Group             Sector         What do you suggest are the best ways to move these objectives forward?
              5   Wisconsin Department Government (State     1. Financial incentive for residents of the state to plant gardens; fruit
                  of Health Services    or Local)            bearing trees. 2. Free educational seminars statewide to teach people
                  program or management                      how to succeed with gardens/trees.3. Subsidize fruits and vegetables
                  staff                                      available year-round to make them more cost effective than junk food.
                                                             Inversely; tax items considered junk food to make them more costly than
                                                             fruits/vegetables.4. Increase nutritional value of meals within schools.
                                                             Current meals may meet nutritional guidelines but many are high in
                                                             fat/calories. 5. Teach nutrition by example within schools. All snacks
                                                             brought in by parents must meet health guidelines; rewards must be
                                                             healthy or non-food based. This occurred temporarily but has been put
              6   Wisconsin Local Health                     aside by teachers within effective.
                                           Government (State support programs as not each targeted sector
                  Department               or Local)
                  Officer;Member
                  Wisconsin Public Health
                  Council or a standing
                  committee;Member
                  Focus Area Strategic
                  Leadership Team
              7   (FAST) Focus Area
                  Member                  Nonprofit Sector     I would focus on policies that would encourage investment in poor
                  Strategic Leadership                         communities; improvement of public transportation for access to grocery
                  Team (FAST)                                  stores and/or build grocery stores in low-income neighborhoods;
                                                               development of community gardens; farmer's markets and partnerships
                                                               between local; sustainable growers and low-income neighborhoods;
                                                               elimination of sugar and corn subsidies to large manufacturers in favor of
                                                               locally grown fruits and vegetables; guaranteeing a living wage so families
                                                               can afford fruits and vegetables.
              8   Member Focus Area        Public Sector (Non- * Implement a sin tax on sugar sweetened foods and beverages. Use the
                  Strategic Leadership     Government)         revenue from this tax to support physical projects - stimulate local food
                  Team (FAST)                                  markets and farmers markets.*Put more teeth into the wellness policies
                                                               that all school have adopted. Some wellness policies are very loose and
                                                               say nothing. Be more prescriptive. No vending machines in schools. No
                                                               candy bar sales in schools; etc.
              9   WI Aging                 Government (State First; you must identify clean water as part of this goal.Nutritional
                  network;Wisconsin        or Local)           objectives need to address the high rates of malnutrition among the elderly
                  Department of Health                         and the relationship between diet and chronic disease.These objectives
                  Services program or                          are too focused on kids (important) and neglect the elderly (the fastest
                  management staff                             growing and most expensive populations.) Access to Farmer's Markets
                                                               and local produce; and support for nutrition of home-bound elders are two
                                                               key strategies.



208fa8ec-8ca0-4501-aa3a-9f523dad0ff5.xls                                                                                                     Page 2 of 5
              #          Group                Sector         What do you suggest are the best ways to move these objectives forward?
             10 Registered for fall 2008 Government (State   Funding for urban gardens/work with Boys and Girls club; other youth
                Community Engagement or Local)               based organizations; paid maternity leave; farmer's markets throughout
                forum                                        the year/subsidized CSA memberships for low income residents; farmer's
                                                             markets located in low income neighborhoods; increase WIC vouchers to
                                                             farmer's marketsBan low nutrient foods in schools
             11 Registered for fall 2008 Nonprofit Sector    Increase access; education and awareness of urban & central city
                Community Engagement                         community gardensIncrease access; education and awareness of local
                forum                                        farmers marketsConduct supermarket tours lead by local
                                                             dietitian/chefDevelop & promote user friendly food options charts (instead
                                                             of...choose)Create a statewide nutritional campaign targeted to primary
                                                             care health practitioners (with patient incentives)Expand programs that
                                                             distribute free/low cost produce to city neighborhoods
             12 Registered for fall 2008 Nonprofit Sector    Access to locally grown fruits and vegetables through community gardens;
                Community Engagement                         community and worksite farmers markets ; inner-city food
                forum                                        cooperatives.Possible state mandate to remove sweetened beverages;
                                                             junk foods from schools.Encourage higher nutrient food choices at
                                                             worksites and vending machines.Possible state mandate to require
                                                             worksites; community settings to provide private; secure environments for
                                                             breastfeeding mothers.
             13 Registered for fall 2008 Nonprofit Sector    Parent education; and early childhood education reinforcing the benefits of
                Community Engagement                         breastfeeding.Public campaigne on back to basics--growing vegetables;
                forum                                        and cooking at home.
             14 expert panel             Nonprofit Sector    Social marketing campaign to educate on the difference between non junk
                member;Registered for                        food and junk food . Not calling food junk food but calling it occasional
                fall 2008 Community                          food or healthy food called everyday foods .
                Engagement
                forum;Member Focus
                Area Strategic
                Leadership Team
                (FAST)
             15 Registered for fall 2008 Nonprofit Sector    Schools provide us an opportunity to promote healthy eating with children
                Community Engagement                         and educate youth on the importance of good food choices. Ideally;
                forum                                        schools should be a place where children can get a low-cost; well
                                                             balanced meal that will give them the necessary foundation to have a good
                                                             diet and maintain a healthy weight leading to overall lifelong disease
             16 Registered for fall 2008 Nonprofit Sector    prevention.
                                                             Schools provide us an opportunity to promote healthy eating with children
                Community Engagement                         and educate youth on the importance of good food choices. Ideally;
                forum                                        schools should be a place where children can get a low-cost; well
                                                             balanced meal that will give them the necessary foundation to have a good
                                                             diet and maintain a healthy weight leading to overall lifelong disease
                                                             prevention.


208fa8ec-8ca0-4501-aa3a-9f523dad0ff5.xls                                                                                                   Page 3 of 5
              #           Group                  Sector      What do you suggest are the best ways to move these objectives forward?
             17 Member Focus Area          Government (State 1.) Develop a Statewide social marketing promotion for community based
                Strategic Leadership       or Local)         organizations on the importance of eating healthy foods and beverages; 2.)
                Team (FAST)                                  develop and implement public policies that limit sweetened beverages and
                                                             other foods of minimal nutritional value (FMNV)on school campus; 3.)
                                                             Increase local breastfeeding promotion and support services to low income
                                                             and populations of color with low breastfeeding rates; 4.) Expand; through
                                                             adequate funding; the Governor's Healthy Workplace Award ; Healthy
                                                             School Award ; and Healthy Community Award to provide incentives for
                                                             documented environmental and policy initiatives implemented.
             18 Wisconsin Department Government (State        Working on changing the systems and improving the culture - calorie and
                of Health Services    or Local)               nutrition labeling more prevalent on restaurant meals; higher taxes on
                program or management                         unhealthy foods; more healthy options available in schools and
                staff                                         universities. Improve access to fruits and vegetables - figure out how to
                                                              reduce cost. Food is not appropriately costed at its value to the body -
                                                              highly processed unhealthy food is cheaper than healthy alternatives. Not
                                                              sure how to change that.
             19 Member Focus Area         Community Sector Use a tool to give feedback on whether someone is at a healthy body
                Strategic Leadership                       weight--establish that they are obese/overweight. To establish self-
                Team (FAST)                                efficacy within every citizen for weight management; people can go to
                                                           www.cdc.gov/bmi and calculate their own BMI and the BMIs of their
                                                           children. This feedback can/will drive decisions around activity and
                                                           nutrition behavior (less calories). Promote this site like we do the Tobacco
                                                           Quit Line. The site is also loaded with nutrition and activity
                                                           recommendations. It is free; and universally available. If people do not
                                                           have computers; they can access through their cellphones; or get help
                                                           from their local libraries.In addition; providers need better information
                                                           about calories and weight. For example; the number of calories a person
                                                           consumes is calculated by taking the person's weight in pounds time 13.
                                                           To lose weight; all the person needs to do is consume 500 calories a day
                                                           less than that number and the weight will melt off! Also; portions size is
                                                           critical!
             20 Registered for fall 2008 Government (State Develop policy or pursue grants to move at least the 20 largest birthing
                Community Engagement or Local)             facililies in the state to being Breastfeeding Friendly - all 10 steps
                forum                                      implemented.Promote and disseminate standards for workplace vending
                                                           machines and cafeterias.
             21 Wisconsin Tribal Chair    Tribe            Additional funding sources for school systems that which to incorporate
                or Tribal Health Director                  more indigenous foods into the school system diet and not be penalized for
                                                           moving away from DPI or incorporate more flexibility into the DPI sources.
             22 Grant Coordinator for      Nonprofit Sector   Need to ensure healthy meals and snacks in school and workplace.
                Healthiest Manitowoc                          Provide grant dollars for Got Dirt programs at schools
                County 2010


208fa8ec-8ca0-4501-aa3a-9f523dad0ff5.xls                                                                                                  Page 4 of 5
              #           Group                  Sector      What do you suggest are the best ways to move these objectives forward?
             23 Member Focus Area          Government (State Excellent Health Equity objective
                Strategic Leadership       or Local)
                Team (FAST)
             24 Wisconsin Department       Government (State Be sure this objective includes language that addresses the needs of
                of Health Services         or Local)         Wisconsin residents of all ages; not just children.
                program or management
             25 staff
                County Administrator       Government (State Advertising campaigns and approaches to change behaviors. Private
                                           or Local)         sector companies need to advertise for these changes - if public sector
                                                             works a cross purposes from the private companies; public sector
                                                             becomes the bad guy. Need collaborative approaches.




208fa8ec-8ca0-4501-aa3a-9f523dad0ff5.xls                                                                                               Page 5 of 5

				
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