Slide 1 - Cities Association of Santa Clara County by niusheng11


									           Be Sugar Savvy/Rethink
             Your Drink Initiative
          A Public Policy Success Story
                                         Presented By

                                  Bonnie Broderick, MPH, RD

May 2010 SCC Cities Association
The Value of Combing Social Marketing and
Educational Campaigns with Policy Making

  • Allowed education and discussion to take place and helped
    to get greater buy-in from community partners and

  • Connected individual behaviors to creating an environment
    that supports health.

  • Helped to create an environment with greater acceptance,
    and did not eliminate people’s right to choose.
       Local Educational Campaign
“Be Sugar Savvy/Rethink Your Drink” began as a public health
campaign called “Soda Free Summer”. Developed by our sister
county, Alameda, in recognition of the role that sugar plays in our
individual and community health.

The campaign was adopted by BANPAC (Bay Area Nutrition &
Physical Activity Collaborative), which expanded the educational and
social marketing to the Bay Area region, including Santa Clara County.
The County BOS proclamations and media were done across the

The Steps to a Healthier Santa Clara County program, within the
Public Health Department, expanded the initiative further to include
wider community reach, organizational, and policy change.
      Santa Clara County Board of
      Supervisors Adopted Policy
• The Santa Clara County Board of Supervisors adopted the Be Sugar
  Savvy/Rethink Your Drink Policy which covered all county facilities,
  employees, contractors, and contracts.

• Policy ensures that all beverages served (or vended) at county
  facilities, meetings, or county sponsored functions, will meet defined
  beverage standards.

• County dollars cannot be used to purchase sugar-sweetened
  beverages by county programs, nor by county contractors.

• Includes beverages that are served free of charge to individuals and
  groups participating in county department or program (unless
  specifically exempted by BOS policy or by the County Executive.
                Approved Beverages*
          (as adopted by the Board of Supervisors on 10/22/08)

A. Water (with no additives)

B. 100% fruit juices with no added sugars, artificial flavors or colors
      (limited to a maximum of 10 ounces per container)

C. Dairy milk, not-fat, 1% and 2% only (no flavored milks)

D. Plant derived (i.e. rice, almond, soy etc.) milks (no flavored milks)

E. Artificially-sweetened, calorie-reduced beverages that do not
       exceed 50 calories per 12-ounce container (i.e. teas, electrolyte

F. Other non-caloric beverages, such as coffee, tea and diet soda
     Note: In event of an emergency or in light of medical necessity, these requirements
           would be waived.

     *Standards based on Santa Clara County’s Vending Machine Policy.
                      The Process
2007, October   Board of Supervisors (BOS) makes referral to the Public
                Health Department (PHD) to look at the feasibility of
                implementing both a beverage policy and an educational

2008, April     PHD reports back to the Health and Hospital Committee
                (HHC) of the BOS and then the full Board. The BOS
                approves plan for studying the feasibility of implementing
                such a policy.

2008 October    PHD reports back to HHC, then BOS, with feasibility
                study that includes an implementation plan. The board
                accepts the feasibility study and unanimously approves
                adoption of the beverage policy and the plan for its
                implementation throughout county departments and
                     Feasibility Plan

PHD surveyed six major Santa Clara County departments and
programs including Social Services, Corrections, Mental
Health, Probation, and VMC (the county hospital) to determine
if this policy was feasible. Findings revealed no “undue
hardship”, from a business perspective, and no arguments
were made against the prospective health benefits.

• In departments and programs in which the County acts as food
  service provider, what is the feasibility that all drinks served would
  adhere to the beverage criteria?

• Feasibility of adding the criteria to language in contracts and
  agreements for service whenever beverages are served at county
  sponsored events, meetings or in county-owned facilities?
              Feasibility Plan (continued)
• Inclusion of “Be Sugar Savvy/Rethink Your Drink” educational
  messages and promotional materials in county departments,
  facilities, and at county-sponsored events?
• Provisions for staff training on specifications made to county
  purchasing departments and those departments’ staff involved in
  processing county agreements for service and contracts.
• Distribution of updated nutritional specifications for beverages
  served at county sponsored meetings and events to all Department
  Directors so that staff can be properly notified.
• Posting of educational materials that visually depict the nutritional
  specifications for beverages in conference rooms and other facilities
  that are frequently utilized for county sponsored meetings and
• Exploration of other policy initiatives relative to being a “Sugar
  Savvy” county.
              Implementation Plan
• Notification by County Executive to all Department Heads on the
  newly adopted beverage standards to be used in all county facilities
  and for all county sponsored meetings and events.

• Language incorporated into contracts, agreements for service, and
  applications for the use of county space.

• Procurement updated policies and included policy language into all
  boiler plate purchase orders.

• Implemented social marketing and education campaigns to inform
  employees and contractors, and to explain the benefits of the
  policy change.
       Implementation Plan (continued)
• Social marketing campaign included the following:

    • Ongoing technical assistance offered to County Departments.
      Calls received from Parks, Senior Nutrition, and others.

    • Educational packets sent to all departments - packets included
      cover letter about the policy change, the new policy, a letter
      from the CEO, how to sign up for department-specific trainings,
      and Rethink Your Drink handouts and posters.

    • Rethink Your Drink Educational Sessions offered to all
      interested departments and their staffs. Targeted/encouraged
      participation by staff involved in contracts and purchasing for
      their departments.
                 Lessons Learned

• Get to know your purchasing system experts. Engage those groups,
 individuals, and departments, especially those who make food
 (beverage) decisions and purchases, early in the planning process.

• Search for and get to know existing organizational committees. For
  example, the Sugar Savvy Referral was presented at the Nutritional
  & Wellness Committee, but the Food Service Procurement
  Committee was initially overlooked.

• Educate yourself about your purchasing/procurement infrastructure.
  Strategies may need to be adjusted depending on whether your
  system is centralized or decentralized.
 Next Steps in Santa Clara County
           Sugar Savvy
• Post implementation survey of departments as part of our
  evaluation of the initiative.

• Participate in the regional Bay Area Nutrition & Physical Activity
  Collaborative’s (BANPAC) initiative this year, and continue to
  provide ongoing education.

• Share the policy work we have done to date with others in the
  county, region, state, and nation.

• Continue to partner with other localities and agencies, to share,
  learn, and bring back best practices to Santa Clara County.

• Establish food standards for county-sponsored meetings, events
  and …
                               Contact Information
Bonnie Broderick, MPH, RD
  Chronic Disease & Injury Prevention Director
  Santa Clara County Public Health Department
  (408) 793-2706

Lori Martin, MS, RD
  Steps Program Manager
  Santa Clara County Public Health Department
  (408) 793-2706

Marty Fenstersheib, MD
  Health Officer
  Santa Clara County Public Health Department
  (408) 792-3798

 Laura Jones
   Health Policy Aide, Supervisor Ken Yeager
   Santa Clara County Board of Supervisors
   (408) 299-5040

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