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Combating Obesity:
From Service Approaches to Systems Approaches
Doreleena Sammons Hackett, SM, CPM
Policy, Environment and Systems Change Director
LaQueisa Haynes-Smith. MS, MCHES
Training Manager
Elizabeth Traore, MPH
Epidemiologist/Evaluation Manager
November 16, 2015
Past vs. Present to Future
Past: Traditional Approach
– One-on-one Health/Nutrition Education
– Health Fairs/Flyers
– ROI
Present: Population-based Approach
– Relies on the science
– Practices the “art”
– Uses Social Determinants of Health
– Improve policies, systems, and environments
9
What is Systems Change for Health?(Formerly known as Shaping Policy for Health™)
Designed to strengthen the work of CDC’s funded partners in the
crucial area of systems change with a health equity lens.
Competency based curriculum
Developed by James Emery, MPH and Carolyn Crump, PhD,
University of North Carolina’s Gillings School of Global Public Health
Audiences:
– State and local public health agencies
– Community Coalitions
– CDC Project Officers
Utilizes National Cadre of diverse trainers
Adult Learning Theory
Obesity and Tobacco Case Studies
How SCH is Unique
21 Competencies & PH Core FunctionsPublic Health Core Functions and Ten Essential Services
Course 1:problem identification
Course 4:implementation
Course 5:evaluation Course 2:
policy analysis
Course 3: advocacy
www.cdc.gov/od/ocphp/nphpsp/EssentialPHServices.htm
Systems Change for Health Courses
Introduction to the Systems Change Process
(A one day knowledge-based workshop)
Five 2-day competency-based, skills-building courses:
Course 1: Assessing and Framing the Problem
Course 2: Analyzing Potential Solutions
Course 3: Influencing the Systems Change Process
Course 4: Implementing Enacted Policies
Course 5: Evaluating Systems Change Interventions
5
High Burden State Initiative
In 2011, CDC supported use of funds to provide training to 5 states with
high burden of disease and low resources to address it: Alabama,
Arkansas, Mississippi, Louisiana and Oklahoma.
2 other states added: Kentucky and West Virginia.
Table 1 (excludes last quarter of Yr. 05)
Median Range Total #
AL 4 24 16 - 34 98
AR 5 22 16 - 26 110
KY 2 25 23 - 27 49
LA 6 18 6 - 45 124
MS 9 31 21 - 51 286
OK 8 26 22 - 46 235
WV 4 23 19 - 35 102
Total 38 24 6 - 51 1,004
Table 1. Number of workshops DHPE sponsored
for each state
State# of
trainings
# of Participants
Use of SPH Skills/Techniques
Follow-up Survey Results for Shaping Policy for Health Courses 1
through 5 (April 2014 and October 2014)
On average 55 to 71 percent of participants used one or more
skills/techniques from the course that they attended. Table s 4
through 8 show use for each skill/technique taught in courses 1
through 5.
Although achieving PSE is a long process, there are successes,
challenges/barriers, and progress that occur throughout the
planning, revising, and implementation of PSE.
DHPE Training and Support Team Contacts:
Doreleena Sammons Hackett, SM, CPM
Director, Policy, Environment and Systems Change (PES)
[email protected] (202) 659-2248
LaQueisa Haynes-Smith, MS, MCHES
Training Program Manager
Liz Traore, MPH
Epidemiologist and Evaluation Manager
www.dhpe.org
