HANCOCK COUNTY - North Central Health District · Physical Activity Strategy Collaborate with partners to improve physical activity in priority population(s) to connect sidewalks,

HANCOCK COUNTY

Community Based Participatory SWOT Analysis

Physical Activity Strategy

Community Based Participatory SWOT Analysis | Physical Activity StrategyHANCOCK COUNTY PAGE 2

Technical Report Prepared by

The Center for Public Health Practice and Research

with faculty and students from

Jiann-Ping Hsu College of Public Health1

College of Behavioral and Social Sciences2

atGeorgia Southern University

Team membersThomas Sweeney, Ph.D., Faculty2

John Peden, Ph.D., Faculty2

Angie Peden, MPH, Faculty1

Linda Kimsey, Ph.D., Faculty1

Deborah Harvey, Graphic Designer1

Michela Hizine, BSPH, Graduate Assistant1

Stephanie Riddle, Undergraduate Student2

Suggested Citation Sweeney, T., Peden, J., Peden, A., Kimsey, L., Harvey, D., Hizine, M., & Riddle, S.

Hancock County Community Based Participatory SWOT Analysis: Activity Strategy. Statesboro, GA: Georgia Southern University, Center for Public Health Practice and Research.


Page

1. Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

2. Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

3. Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

4. Summary of Data Scan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

5. SWOT (Strengths, Weaknesses, Opportunities, and Threats) Analysis . . . . . . . . . . . . . . . . . . . . . . . 7 – 19

a. Discussion Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

b. Raw Data Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 – 9

c. SWOT Quotes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

d. SWOT Data Treemaps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 – 14

e. SWOT Data Word Clouds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 – 16

f. SWOT Synthesis Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 – 18

6. Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 – 20

7. Appendices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 – 45

a. Agenda . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

b. Session PowerPoint Slides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 – 42

c. Attendance Sheets and Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 – 46

Outline


Executive SummaryThe North Central Health District (NCHD) was awarded a 2018 CDC Racial and Ethnic Approaches to Community Health (REACH) Grant to complete work in Hancock County with the African American priority population. The Center for Public Health Practice and Research (CPHPR) was contacted in spring of 2019 to assist with the planning and facilitation of three SWOT Workshops focused on community-clinical linkages, physical activity strategies, and nutrition strategies.

The Physical Activity SWOT Workshop was held on May 14th, 2019 at the Hancock County Youth Center in Sparta Georgia. Attendees included five members of the CPHPR team, three members of the Hancock County REACH team, and 41 community members.

The REACH team was very successful in recruiting participants to the workshop, which strengthened both the data collection process and the quality of the data. They also hosted the workshop in a central location and provided a healthy lunch along with incentive gift cards. All of these factors greatly impacted the overall success of the workshop.

The workshop facilitation went smoothly and the community members were eager to participate and share their ideas.

The top three inputs in each SWOT category were:Strengths1. TSPLOST renewal 20222. HHIP (partner)3. Parks and Rec

Weaknesses 1. No urgent care/hospital2. Lack of after school programs3. Lighting at night (streets)

Opportunities 1. Boys & Girls Club CDBG (Community

Development Block Grant) funding 2. TSPLOST dollars3. Rails to Trails grant

Threats 1. Job opportunities2. Lack of clean water3. Funding/Tax Base (mandate with no funding)

Treemaps, word clouds, and a synthesis matrix were developed to examine and better understand the collected data. The CPHPR team made some minor modifications to the raw data to ensure that ideas were properly characterized into appropriate SWOT categories to facilitate further consideration for taking action. This process helped to highlight the main points from the workshop and potential connections between ideas generated by the community.

PurposeThe CPHPR team worked in partnership with the North Central Health District to complete a series of Strength, Weaknesses, Opportunities, and Threats (SWOT) Analysis Workshops designed to inform work towards achieving grant objectives for the District’s CDC Racial and Ethnic Approaches to Community Health (REACH) Grant. This report will summarize the Physical Activity SWOT Workshop and provide an analysis of the collected data along with recommendations.

Hancock County


MethodologyThe CPHPR team worked closely with the NCHD REACH team to plan and organize the workshop. The CPHPR team planned the agenda, synthesized the county data scan presentation, and facilitated the workshop. Recruitment, location logistics, and participant incentives were all led by the NCHD REACH Team.

The CPHPR team used the SWOT process described in NACCHO’s “Developing a Local Health Department Strategic Plan: A How-To Guide” to guide the workshop. The CPHPR team gathered local public health data, along with information on activity friendly routes, everyday locations, and potential physical activity assets. This information was presented to the group as an environmental scan, along with a brief description of the CDC REACH strategy and an explanation of its importance (see Summary of Data Scan; Appendix B). A short discussion followed to fill in any gaps prior to the SWOT process.

After a brief break, the SWOT process was explained to the audience. Workshop attendees were then divided into four groups, one for each SWOT component, and given approximately 15 minutes to brainstorm related ideas. Information was recorded on large format poster boards and passed between groups so that additional ideas could be added. The session concluded once each group had the opportunity to provide input for all four SWOT categories. Results for each category were then shared with the audience by a representative from the individual groups.

After a break for lunch, the poster boards were placed at the front of the room, and attendees given 12 stickers, three for each SWOT component. Using these stickers, attendees were asked to vote for the items in each component which they perceived to be of high importance. The results of the nominal voting technique can be found in the raw data of this report.

Data Analysis The CPHPR team recorded the raw data and items that were present in multiple categories were classified where deemed most appropriate by the researchers. For example, the renewal of the TSPLOST appeared as both a strength and an opportunity. Given that this is a future external event, it is more appropriately classified as an opportunity. Additionally, many issues identified as threats were more properly classified as weaknesses that are internal/inherent to the county. For example, insufficient healthy eating options describes the current situation in Hancock county rather than a possible external event that could threaten the county’s eating options. Word clouds, treemaps, and a synthesis matrix were developed for each component of the SWOT analysis to clearly identify the themes/issues that received the highest votes and highlight potential assets/constraints to connecting activity friendly routes with everyday locations. .


Summary Of Data ScanPhysical Activity StrategyCollaborate with partners to improve physical activity in priority population(s) to connect sidewalks, paths, bicycle routes and public transit with homes, early care and education, schools, worksites, parks, or recreation centers through implementing master plans and land use interventions.

Activity Friendly Route: one that is a direct and convenient connection with everyday destinations. Includes crosswalks, bicycle lanes, multi-use trails, greenways, or bikeable shoulders.

Everyday Destinations: places people can get to from where they live or work by walking, bicycling, or using public transit systems. Includes workplaces, grocery stores, early care and education facilities, schools, libraries, parks, restaurants, faith-based institutions, senior centers, cultural and natural features, and healthcare facilities.

ImportancePhysical activity fosters normal growth and development and can make people feel better, function better, sleep better, and reduce the risk of a large number of chronic diseases.

Weight Control: Reduced risk of cardiovascular disease; Reduced risk of diabetes; Strengthen muscles and bones; Reduced risk of some cancers; Improve mental health and mood.

The CDC offers the following recommendations for addressing this strategy:1. Improve access to outdoor recreational facilities such as parks and green spaces.

2. Build or enhance infrastructures such as sidewalks, paths and trails to support walking and bicycling for transportation and recreation.

3. Locate schools within easy walking distance of residential areas.

4. Improve access to public transportation.

5. Support mixed-use development where people can live, work, play and meet everyday shopping and lifestyle needs within a single neighborhood.

6. Enhance personal and traffic safety in areas where people are or could be physically active.

7. Participate in community coalitions or partnerships to address obesity.

Current County Assets» Crosswalks and sidewalks

downtown Sparta» Bike lane» Hancock County Parks and Rec.

» 4H Youth Development» Hancock County Youth Center» SWAH Fitness Center

» Hancock County Senior Center» UGA Cooperative Extension» FVSU Cooperative Extension

SWOT Analysis DescriptionThe last part of the presentation provided information on what a SWOT analysis is and what its components represent. SWOT stands for:

Strengths (internal: what the county does well)

Weaknesses (internal: what the county does not do well)

Opportunities (external factors the county can take advantage of to meet goals)

Threats (external factors beyond the county’s control that may make it difficult to reach goals)

Strengths and weaknesses focus on internal assessments, whereas opportunities and threats focus on external assessments.


SWOT AnalysisDiscussion QuestionsThe following questions were offered to guide participants in their discussions:

STRENGTHS1. What does Hancock County do well when thinking about activity-friendly routes and how they connect the

community to everyday destinations?

2. What assets already exist in the county that support an active lifestyle?

3. Who are our partners in the COUNTY who can implement built environment change (sidewalks, greenways, bike lanes, etc.)? Consider both individuals and organizations.

WEAKNESSES1. What does Hancock County NOT do well when thinking about activity-friendly routes and how they connect

the community to everyday destinations?

2. What infrastructure is lacking in the County to promote an active lifestyle?

3. Can the community safely and easily access the physical activity and recreation opportunities currently available?

OPPORTUNITIES1. Can current routes be improved or expanded?

2. What are examples of successful activity-friendly routes outside of the County that could be replicated here?

3. Are there any recent state or federal policy changes that could positively impact the expansion or development of activity-friendly routes?

4. Who are partners in the region (outside of the County) who can implement built environmental changes (i.e. sidewalks, greenways, bike lines, etc.)? Consider both individuals and organizations.

THREATS1. What are external threats to improving

activity-friendly routes and access to physical activity?

2. Are there any recent state or federal policy changes what could negatively impact the expansion or development of activity-friendly routes?

3. Are there things outside of the County that are impeding the creation and improvement of safe routes and access?

Hancock County REACH team


Strengths Votes Rank

TSPLOST Renewal 2022 11 1

HHIP (Partner)* 10 2

Parks and Rec* 7 3

Open Land 5 4

Maintenance of Roads 4 5

HealthMPowers* 3 6

Tours of Historic Buildings 2 7

Speed Bumps to Slow Traffic 2 7

Handicap Accessibility Sidewalks 2 7

Elmer J. Warren Stadium (Track around Field) 2 7

Low Crime Rate 2 7

Water Ways and Ponds 1 8

SWAH Fitness 1 8

Road Department (Partner) 1 8

Powell Grove Church Walking Trail 1 8

Phase 2 Building for Rec Basketball 1 8

Perimeter Around Schools 1 8

FVSU Extension* 1 8

Fishing at the Lake Oconee/ Lake Sinclair 1 8

City and County Government (Partner) 1 8

YDC (Elderly Walking) 0 9

UGA Extension* 0 9

Tour of Train Depot 0 9

State DOT 0 9

Silver Sneakers 0 9

Sidewalks on Getty Street 0 9

Rural route 4 way 0 9

Reynolds Plantation 0 9

Playgrounds at two schools(Public) 0 9

Local cleanup day(partnership) 0 9

Lake Areas Availability 0 9

Hwy 22 West Bike Lane 0 9

Headstart Program Playground 0 9

Family Connections (Partner)* 0 9

Crosswalk 0 9

Connected community 0 9

CJE Walking Trail 0 9

Bike Tours 0 9

5k run 0 9

Weaknesses Votes Rank

No urgent care/hospital* 16 1

Lack of after school programs 15 2

Lighting at night (streets) 10 3

Lack of program and facilities (i.e. dance,karate, swimming, dirt trails for 4 wheelers)

9 4

Funding to pave roads etc 9 4

Lack of animal control (safety) 8 5

Economy* 8 5

Truck routes (safety) 7 6

Distance of communities 7 6

Lighting at parks 6 7

Broad band access* 6 7

Lack of gas stations 5 8

Lack of bicycle lanes 4 9

Timber tax legislation (robs county) 4 9

Lack of 24-hour stores 4 9

Sidewalks 3 10

General transportation* 2 11

Programs that are offered- residents don’t come to receive education

2 11

Excessive dirt roads 1 12

Lack of knowledge of walking trails 0 0

Raw DataVote tallies for each of the four categories are presented below.

SWOT Analysis, Raw Data, continued

*Indicates comment or idea that appeared in two or more of the three SWOT sessions.


Opportunities Votes Rank

Boys and Girls Club (CDBG funding) 14 1

TSPLOST dollars 14 1

Rails to Trails- Grant Opp. 8 2

County agency departments to work together 6 3

Tourism* 6 3

Community teams or travel teams 5 4

Private Developers 4 5

Grant writers 4 5

Add on to the play park a rubber trail and outdoor fitness center

3 6

Economic Investors* 3 6

Land/ Water Conservation Fund- Federal Funding/ State Conservation Fund

2 7

Federal Hub Zone 2 7

Hamburg State Park (Sandersville) 1 8

Waco Transit 1 8

GDNR 1 8

Walk GA 1 8

Track (water, play, and dog park)* 1 8

Walter B. Williams Park- MV 0 0

Moss Recreation - Warrenton 0 0

Georgia Power 0 0

Private Foundations 0 0

Jewell House 0 0

USFS- Public Land 0 0

Church Organizations Transportation* 0 0

Steven Park (Crawfordville) 0 0

Nonprofit partners 0 0

9-hole golf course (public) 0 0

Threats Votes Rank

Job opportunities* 19 2

Clean water 15 3

Funding/ Tax Base (mandate with no funding) 12 5

Cuts in state funding 8 6

Transit for everyone* 8 6

Road issues 7 7

Technology 6 8

Lack of proper census count 6 8

Broad band limitations* 5 9

More developed parks outside county 5 9

Housing 5 9

Healthier food options outside county* 4 10

Competition with other counties for funding 3 11

Lack of voter participation 3 11

Opportunities in neighboring counties* 2 12

Lack of variety of sports 2 12

Budget/ wage decreasing 2 12

Logging (safety and bonding) 2 12

Competitive prices (grocery and gas)* 1 13

Lack of pro rural support at state levels 1 13

Transportation to parks and rec 0 0

Declining population (younger generation)* 0 0

Tax increase 0 0

SWOT Analysis, Raw Data, continued

*Indicates comment or idea that appeared in two or more of the three SWOT sessions.


SWOT Quotes“Money’s not circulating in the community. It’s going out.”

“There’s 241 thousand acres of pine trees that are constantly being cut and the county only gets 9 dollars an acre.”

“The biggest thing is that every thing’s so spread out. The distance between each community is at least 30 minutes and that’s what I have a problem grasping. You can’t physically build a sidewalk from one community to the next and can link it.”

“We have the land. We just don’t have the facilities and man power on the land to make us of it.”

“The logging is just bad. They tear up the roads and don’t even pay enough in bonds. Roads have to get fixed 364. Can’t bike on those roads.”

“Truck routes were being taken care of in the last TSPLOST but we’re in the last phase of that TSPLOST. We’re going to have a bypass but that will be at 2022. It will go from Highway 15 all the way back around to 15. That will take 900 big trucks off the roads coming through downtown.”

“We need a place to tell our stories because we have the best stories in the state of Georgia.”

“In Greenville, SC they have the Swamp Rabbit Trail and it linked up downtown Greenville all the way up the Traveler’s Rest and that’s kind of what they’re doing in Athens (GA) now, from Athens, to Maxeys, then to Union Point. They’re doing a bike trail to link those communities. We went to Greenville and my wife and I did the bike trail. Those outer communities that hadn’t had anything, suddenly had microbreweries, taco shops, and all these restaurants and different artists pop up along this trail. I think this is what the hope is with the Firefly Trail that they’re currently trying to develop from Athens on to Union Point.”

“You can’t connect the entire county, but I bet you can connect a lot more than you realize downtown.”

“There is nothing for the kids to do after school. That would be the biggest help. There’s nothing for them to do except get into trouble.”

SWOT Analysis, Quotes, continued

FACILITIES

PEOPLE FUNDING

Strengths

Parks and Recs(7)

Maintenance of roads(4)

Speed bumps to slow traffic (2)

Elmer J. Warren Stadium (track around field) (2)

SWAH fitness (1)

Powell Grove Church walking trail (1)

Phase 2 building for rec basketball (1)

Fishing at Lake Oconee/Lake Sinclair (1)

Perimeter around all schools (1)

Water areas in parts of county (1)

Handicap accessibility sidewalks (2)

Tours of historic buildings(2)

Open land(7)

HHIP (partner)(10)

Health powers(3)

TSPLOST renewal 2022(11)

Low crime rate(2)

FVSU extension(1)

City and county government (partner)(1)

Road department (partner)(1)


SWOT Data TreemapsTreemaps were created from the vote tallies, using Facilities, Funding, and People as categories for classification (Figures 1-4). Orange represents the participant input that was most pertinent to facility resources, blue represents input that relates to funding, and green represents the input that relates to people. This three way split provides an additional perspective on the participants’ priorities. The size of each box correlates to the number of votes each piece of input received. Ideas that did not receive any votes are not included.

Figure 1. Strengths TreemapThe Strengths Treemap illustrates that SWOT participants voted more often for assets we categorized as facility related. Thirteen ideas are categorized as facility strengths, one as funding, and six relate to people or organizations in the county.

SWOT Analysis, Data Treemaps, continued

PEOPLE

FACILITIES FUNDING

Weaknesses

No Urgent Care/Hospital(16)

Lighting at parks(6)

Lack of gas stations(5)

Lack of clean water(15)

Funding to pave roads(9)

Technology(6)

Timber Tax Legislation (robs county)(4)

Lack of 24 hour stores(4)

Inadequate sidewalks(3)

Housing(5)

Lack of bicycle lanes(4)

Distance of Communitites to Activities(7)

Truck Routes (safety)(7)

Lack of Programs & Facilities (ie dance,karate, swimming, dirt trails for 4 wheelers)(9)

Poor Lighting at Night (streets)(10)

Excessive dirtroads (1)

Lack of a�er school programs(15)

Lack of animal control (safety)(8)

Little attraction to the city(6)

Poor broadband access(6)

Lack of Voter Participation(3)

Weak economy(8)

No Boys and Girls Club(14)

Programs that are offered- residents don't come to receive education (2)

General Transpor-tation(2)


Figure 2. Weaknesses TreemapThe Weaknesses Treemap illustrates that SWOT participants voted more often for weaknesses we categorized as facility related. Twelve ideas are categorized as facility weaknesses, four as funding, and nine relate to people or organizations in the county.


PEOPLE FACILITIES

FUNDING

Opportunities

TSPLOST dollars(14)

Boys and Girls Club (CBDG funding)(14)

Rails to Trails – grant opportunity(8)

Economic investors(3)

Land/water conservation fund– federal funding/state conservation fund (2)

Federal hub zone(2)

County agencies collaborate(6)

Start community teams/travel teams(5)

Bring in private developers(4)

Add rubber trail & outdoor fitness center on to play parks(3)

Waco transit(1)

Hamburg State Park (Sandersville)(1)

GDNR(1)

Increase participation in walk GA (1)

Hire grant writers(4)

Increase tourism opportunities(6)

Track(water, play, and dog park)(1)


Figure 3. Opportunities TreemapThe Opportunities Treemap illustrates that SWOT participants voted more often for opportunities we categorized as funding related. Four ideas are categorized as facility opportunities, six as funding, and seven relate to people or organizations in the county.


FUNDING FACILITIES

PEOPLELoss of job opportunities(19)

Shrinking funding/tax base (mandate with no funding)(12)

Cuts in State Funding(8)

More developed parks outside county(5)

Competition with other counties for funding(3)

Budget/wages decreasing(2)

Lack of proper census count(6)

Healthier food options are outside county(4)

Greater opportunities in neighboring counties(2)

Increasing logging activities (safety and bonding)(2)

Competitve prices (grocery and gas)(1)

Lack of pro rural support at state levels (1)

Threats


Figure 4. Threats TreemapThe Threats Treemap illustrates that SWOT participants voted almost equally for threats we categorized as either people or funding related. One idea is categorized as a facility opportunity, four as funding, and seven relate to people or organizations in the county.



SWOT Word CloudsWord clouds were created using the vote tallies to create a visual representation of those items which the group found to be most important in each SWOT component. The size of the word reflects the number of votes, with larger words receiving more votes and smaller words receiving less. The words have also been color coded to better differentiate between each term.

Strengths

Weaknesses

SWOT Analysis, Word Clouds, continued


Opportunities

Threats

SWOT Analysis, Word Clouds, continued


SWOT Synthesis MatrixMinor modifications of the raw data were made when attempting to synthesize. For example, there were cases where overlap between SWOT categories occurred for any given issue. In these cases, we classified where most appropriate and eliminated from the secondary category. For example, no urgent care/lack of hospital appeared as both a weakness and threat. This was reclassified as a weakness. Additionally, some issues that were identified only as threats were more properly classified as weaknesses that are internal/inherent to the county. For example, Lack of affordable housing and lack of a Boys and Girls Club describe the internal situation in Hancock County and were moved from threats to weaknesses.

Using this modified data, main ideas, as identified through the group voting process were created and placed in a SWOT matrix (Figure 5). Finally, plausible connections between ideas were proposed only as possible recommendations for future work (Figure 6).

Figure 5. SWOT Matrix

SWOT Analysis, Synthesis Matrix, continued

HHIP Organization

TSPLOST Rails to Trails Funding

Loss of Job Opportunities

Enhance County Agency Collaboration

No Hospital

Incorrect Census Count

No Funding for Paving Roads

Poor Street Lighting

Boys & Girls CDBG Funding

Parks & Recreation & open land No Animal Control

No After School Programs

Shrinking Tax Base

Possible Cuts in State Funding

Increase Tourism Opportunities

Lack of Programs & Facilities

STRENGTHS

OPPORTUNITIES THREATS

WEAKNESSES


Capitalize on HHIP and enhance county agency collaboration to increase physical activity offerings (e.g. after school, athletic, and other recreation programs).

Aggressively seek funding opportunities (TSPLOST, CDBG, Rails to Trails, etc.) for infrastructure improvements such as street lighting, bike lanes, walking paths, and greenways.

Investigate grant opportunities through the newly authorized Georgia Outdoor Stewardship Trust Fund.

Facilitate public-private partnerships to transport residents to facilities that promote physical activity.

Utilize vacant land to create a local food forest and community garden with walking trails.

Leverage available parks and recreational assets and open land to enhance tourism; seek LWCF funding for acquisition, restoration, and improvement.

Allocate community resources to public safety programs (e.g. animal control).

Reopen hospital and use location to deliver community health education programs that promote physical activity.

Figure 6. Possible Connections of Physical Activity SWOT Elements

SWOT Analysis, Synthesis Matrix, continued

PL

AU

SIB

LE

CH

AL

LE

NG

ING


RecommendationsAfter reviewing the data collected during the workshop, the CPHPR team has the following recommendations for moving forward:

1. Compare the SWOT data discussed above with the NCHD Physical Activity REACH Work Plan. Focus on the highly ranked issues and the plausible connections suggested above but be sure to review all the data. If there are emerging issues from the SWOT that are not included in the Work Plan, examine these issues using a prioritization process. We suggest a matrix such as the Dual Bottom Line Matrix that focuses on viability and mission impact. Funding is a big factor in executing these ideas and the matrix will help determine which issues are both viable and make an impact to the program mission.

HIGH MISSION IMPACT LOW VIABILITY

LOW MISSION IMPACT LOW VIABILITY

HIGH MISSION IMPACT HIGH VIABILITY

LOW MISSION IMPACT HIGH VIABILITY

Business Decision: Star: Invest in continuance and growth

Business Decision: Money Maker: Enhance impact

Business Decision: Heart: Keep but contain costs

Business Decision: Question Mark: Discontinue or give away

CompassPoint’s Dual Bottom Line MatrixHigh

HighLow

MIS

SIO

N I

MP

AC

T

F INANCIAL VIABILITY(Masoka, CompassPoint, 2005)

*Zimmerman, S., & Bell, J. (2014). The matrix map: A powerful tool for mission-focused nonprofits. Non Profit News for Nonprofit Organizations| Nonprofit Quarterly.


2. Develop measurable objectives to add to the Work Plan based on the prioritization matrix.

3. Create work groups. Here are some potential partner groups that came from the SWOT based on the plausible connections mentioned above:

Ideas Potential Partners

Capitalize on HHIP and enhance county agency collaboration to increase physical activity offerings (e.g. after school, athletic, and other recreation programs).

County Health DepartmentHealth DistrictCity/County/State GovernmentParks and Recreation DepartmentLocal Schools/School Board

Aggressively seek funding opportunities (TSPLOST, CDBG, Rails to Trails, etc.) for infrastructure improvements such as street lighting, bike lanes, walking paths, and greenways.

City/County/State GovernmentU.S. Department of Housing and Urban DevelopmentUSDOTRails to Trails Conservancy

Investigate grant opportunities through the newly authorized Georgia Outdoor Stewardship Trust Fund.

Georgia ConservancyGA Dept. of Natural Resources

Facilitate public-private partnerships to transport residents to facilities that promote physical activity.

City/County/State GovernmentPrivate businesses Senior CenterLocal Schools/School BoardLocal churches

Utilize vacant land to create a local food forest and community garden with walking trails.

City/County/State GovernmentParks and Recreation DepartmentLocal churches

Recommendations, continued


Appendices a. Agenda

Hancock County Physical Activity Assessment Workshop

Hancock County Youth Opportunity Center Tuesday, May 14th, 2019, 10am-1pm

I. WELCOME

II. Hancock County Physical Activity Data Scan Presentation

III. Group Discussion

IV. BREAK

V. SWOT Analysis Process

a. Strengths

b. Weaknesses

c. Opportunities

d. Threats

VI. LUNCH

VII. Prioritization

VIII. Next Steps and Close


Appendices, b. Power Point Slides, continued

b. Power Point Presentation Slides

Hancock County:Physical Activity

WELCOME!



Review of HHIP Community Health Improvement Plan:Physical Activity Initiatives

u Empower all Hancock County residents with the confidence and knowledge to lead happier, healthier, more active lives by providing access to physical activity opportunities.

u Increase the availability of outdoor opportunities for physical activity in the county.

u Increase the availability of opportunities for physical activity in the school setting.

u Increase the availability of opportunities to participate in group sports.

u Increase physical activity opportunities for Hancock County senior citizens.

Additional Physical Activity Strategy

Collaborate with partners to improve physical activity in priority population(s) to connect sidewalks, paths, bicycle routes, public transit with homes, early care and education, schools, worksites, parks, or recreation centers through implementing master plans and land use interventions.

Activity Friendly Route: one that is a direct and convenient connection with everyday destinations. Includes crosswalks, bicycle lanes, multi-use trails, greenways, or bikeable shoulders.

Everyday Destinations: places people can get to from where they live or work by walking, bicycling, or using public transit systems. Includes workplaces, grocery stores, early care and education facilities, schools, libraries, parks, restaurants, faith-based institutions, senior centers, cultural and natural features, and healthcare facilities.



Greenways

u Greenways are areas of land that connect people and places together.

u Can add both health and economic value to a community.

u Improve health through active living.

u Protect the environment.

http://www.greenways.com/benefits-of-greenways

Public Transportation

u When it is difficult to get to safe places to be active, public transportation can help.

u Public transportation can also connect people to everyday destinations.



Bikes Lanes and Wide Shoulders

u Fewer injuries.

u More people ride bikes because they feel safer doing so.

u Promotes physical fitness.

u Connects people to local businesses and everyday destinations.

https://www.bluegrassjustice.com/advantages-bike-lanes/

Sidewalks and Crosswalks

u A pedestrian-friendly community can encourage a more livable and enjoyable place to live and be active.

u Cross-walks encourage safe access to walk and visit local businesses.



Why is this important?

u Physical activity fosters normal growth and development and can make people feel better, function better, sleep better, and reduce the risk of a large number of chronic diseases.

u Weight Control

u Reduced risk of cardiovascular disease

u Reduced risk of diabetes

u Strengthen muscles and bones

u Reduced risk of some cancers

u Improve mental health and mood

https://www.cdc.gov/healthyplaces/healthtopics/physactivity.htm


u Too few Americans get the recommended amount of physical activity.

u Weight Control






https://www.cdc.gov/physicalactivity/activepeoplehealthynation/this-work.html





u Weight Control








u Weight Control








CDC Recommendations

u Improve access to outdoor recreational facilities such as parks and green spaces.

u Build or enhance infrastructures such as sidewalks, paths and trails to support walking and bicycling for transportation and recreation.

u Locate schools within easy walking distance of residential areas.

u Improve access to public transportation.

u Support mixed-use development where people can live, work, play and meet everyday shopping and lifestyle needs within a single neighborhood.

u Enhance personal and traffic safety in areas where people are or could be physically active.

u Participate in community coalitions or partnerships to address obesity.

Addressing the base of the pyramid has the greatest potential to improve population.

Addressing the top of the pyramid is least effective, but most readily available.

Health Impact Pyramid



Hancock County, GA

Hancock County is the 135th most populated county out of 159 in the state of Georgia

Hancock County borders Baldwin County, Glascock County, Greene County, Putnam County, Taliaferro County, Warren County, and Washington County.

Data from https://datausa.io/profile/geo/hancock-county-ga/

Source: hancockcountyga.gov/

Hancock County PopulationPast and Future

0

2,000

4,000

6,000

8,000

10,000

12,000199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017202020252030

Hancock County has experienced a 9% decrease in population size over the last 7 years.

Source: Hancock CHIP 2018



Cancer Prevalence


u From 2012-2016, there were 103 deaths associated with cancer in Hancock County which is a rate of 161 deaths per 100,000 people. This is slightly lower than the rate for Georgia which is 162 deaths per 100,000 people.

u African-American males and white females have a significantly higher risk than their counterparts

u Nearly 2/3 of cancer related deaths can be attributed to behavioral factors such as tobacco use, diet, obesity, and lack of physical activity. Many of these associated factors are prevalent within the County.

Diabetes


u Hancock County has reported significantly higher diabetes-related ER visits compared to the state of Georgia as a whole

u 88% of Medicare enrollees ages 65-75 receive regular HbA1C monitoring

u African-American females have the highest diabetes related ER visits while African-American males have the highest diabetes related hospitalization rates



Physical Activity, Obesity and Heart Disease

Existing Community “Active Lifestyle” Assets

Resources/SitesuHancock County Parks and

Recreationu4H Youth DevelopmentuHancock County Youth CenteruSWAH Fitness CenteruHancock County Senior CenteruUGA Cooperative ExtensionuFVSU Cooperative Extension



Asset Map

Hancock Co Parks & Rec4-H Youth DevelopmentUGA Coop ExtensionHancock Co Senior Center

Little Hudson Park

Existing Community “Active Lifestyle” Assets

Activity Friendly Routes

uCrosswalks downtown

uSidewalks downtown

uBike Lane



Gap in sidewalk

Fenced off crosswalk tunnel

Existing Routes

There is no crosswalk/sidewalk or caution light to cross this major highway to our park.

A dirt trail that leads from the local gas station to the local grocery store (IGA) behind main street.

Existing Routes



Everyday Destinations in Hancock County

Hancock County Park and Playground

Drummer’s Home Park


Hancock County Parks and Recreation

Old Football Field




Youth Opportunity Center and Skating Rink

Library






Headstart Playground

M.E. Lewis Elementary School Playground



GROUP DISCUSSION

SWOT: Strengths, Weaknesses, Opportunities and Threats

u SWOT stands for:

u Strengths (what the county does well)

u Weaknesses (what the county doesn’t do well)

u Opportunities (external factors the county can take advantage of to meet goals)

u Threats (external factors beyond the county’s control that may make it difficult to reach goals)

u Strengths and weaknesses focus on internal assessments, whereas opportunities and threats focus on external assessments.



SWOT Analysis

Let’s Review!

u Keep our focus on ideas that:

u Connect community members to safe and accessible places for physical activity

u Increase access to safe and accessible places for physical activity.

Activity friendly routes that connect the

community to everyday

destinations.



Strengths (Internal)

u What does Hancock County do well when thinking about activity-friendly routes and how they connect the community to everyday destinations?

u What assets already exist in the county that support an active lifestyle?

u Who are our partners in the COUNTY who can implement built environment change (sidewalks, greenways, bike lanes?

u Consider both individuals and organizations.

Weaknesses (Internal)

u What does Hancock County NOT do well when thinking about activity-friendly routes and how they connect the community to everyday destinations?

u What infrastructure is lacking in the County to promote an active lifestyle?

u Can the community safely and easily access the physical activity and recreation opportunities currently available?



Opportunities (External)

u Can current routes that connect the community to everyday destinations be improved or expanded?

u What are examples of successful activity-friendly routes outside of the County that could be replicated here?

u Any recent state or federal policy changes that could positively impact the expansion or development of activity-friendly routes?

u Who are our partners in the REGION (outside of our county) who can implement “built environment” change (sidewalks, greenways, bike lanes?u Consider both individuals and organizations.

Threats (External)

u What are the external threats to improving activity-friendly routes and access to physical activity?

u Any recent state or federal policy changes that could negatively impact the expansion or development of activity-friendly routes?

u Are there things outside of the County that are impeding the creation and improvement of safe routes to everyday destinations?



LUNCH BREAK

Group Exercise

u Time to review our SWOT and prioritize.



Next StepsWhere do you go from here?

How do you plan to use this information?

Contact Information

u Angie Peden, [email protected] 912-478-2581

u Tom Sweeney, [email protected] 912-478-4726

u Stephanie Riddle, [email protected]

u John Peden, [email protected] 912-478-5684

u Michela Hizine, [email protected]


c. Attendance Sheets & Table

Appendices, c. Attendance Sheets & Table, continued







Physical Activity

Name Organization Email Carolyn B. Minter HHIP/ REACH [email protected] Jeffrey Ingram HCRP [email protected] O. Lawrence ROD - Jimmy Rhodes Road Dept. - Je. Pe Road Dept. - Curtis Walker Water - Joel Grant Sr Road Dept - Frank Ransom Road Dept. - Winston S. Road Dept. - Alvin Dunn Raod Dept. - Ryan Smith NCHD - Annie S. Ingram Hancock CO BOE HHIP - Sistie Hudson Hancock BOE [email protected] Sylvia Woodford NCHD DPH [email protected] Martha Harris Ruvall Hancock Animal [email protected] Knakia Huff Hancock Senior/ Transit [email protected] Sernario Barns Hancock/ Rec. Dept. - Alma C. Brown Hancock Co. - Karen Ebey- Tessandry North Central Health District [email protected] Chambree Harris NCHD [email protected] Mattie West [email protected] Michela-E. Hizine Georgia Southern University [email protected] Regina Jackson Health M. Powers [email protected] Angile Warthen [email protected] Ezell Bundage Road Dept. - Grady Charleston Road Dept. - Dem. Rh. Road Dept. - Victor L Road Dept. - S. T. Road Dept. - Charles Moss Water Dept. - Charles Allen Road Dept. - Freank Ransom Road Dept. - Cedric Ingram Road Dept. - Joe B. Thomas Road Dept. - Dennis Brown Road Dept. - Ollivette Ling DFCS ( Hancock) - Jimavis Glover DFCS ( Hancock) - Ginger Chastine Fort Valley State University [email protected] Terrell Reid FC/CIS [email protected] Lynette Samuel East Ga. Cancer Coalition [email protected] David Ingram Courthouse [email protected] Jennine DeLane UGA SNAP Ed. [email protected] Roshiba McCrary Hancock Co. BOE [email protected] Jamarcus Walls Hancock Co. BOE [email protected] Partrich Graney Hancock Co. BOE [email protected] Larry Horten Parks & Recreation - Angie Peden Georgia Southern University [email protected] John Peden Georgia Southern University [email protected] Thomas Sweeney Georgia Southern University [email protected] Stephanie Riddle Georgia Southern University [email protected]

Documents

HANCOCK COUNTY - North Central Health District · Physical Activity Strategy Collaborate with partners to improve physical activity in priority population(s) to connect sidewalks,