Nutrition and Physical Activity 5-Year Action Plan Sample



Deliverable Form D – 5-Year Action PlansOverweight/Obesity – Children, Adolescents, or Women (For further instructions see separate document titled “Action Plan Guidelines”)MCAH SOW Goal X:Problem Category(ies)From Deliverable Form B of your Title V Needs Assessment.Problem Statement(s)From Deliverable Form B of your Title V Needs Assessment.Five Year Local Goal(s)Develop one or more five year local goal(s) that state the desired results of your interventions. Examples: Promote healthy nutrition and physical activity among MCAH populations throughout the lifespan by instituting a nutrition and physical activity plan in the community, such as the workplace and child care centers.Risk/Contributing FactorsList LHJ-specific contributing factors using a problem analysis. Examples:High overweight/obesity within the MCAH population.Lack of workplace wellness policies supporting optimum nutrition and physical activity.Many communities have poor walkability scores.Pregnant and postpartum weight is irregularly tracked within MCAH programs.Not all child care providers have implemented model physical activity practices.Best Practice Strategies/ InterventionsList best practice strategies and/or interventions to address your problems. Examples:Develop a nutrition and physical activity plan.Address workplace nutrition and physical activity in the Public Health Department (PHD).Improve walkability of communities at high risk of obesity.Implement a weight tracking intervention for pregnant and postpartum women.Implement physical activity standards in child care centers.California Department of Public Health/Maternal, Child and Adolescent Health: Nutrition and Physical Activity Initiative: California Department of Public Health/Maternal, Child and Adolescent Health: Breastfeeding Program: Intervention Population(s)List the populations you will be focusing on for the next five years. Examples: Pregnant and postpartum women, children, MCAH and other public health programs/staff, healthcare and child care providers, and community leaders able to influence built environment changes.See Breastfeeding Action Plan for objectives specific to breastfeeding.Short and/or Intermediate Objective(s)1Inputs, including Community Partner InvolvementIntervention Activities to Meet ObjectivesPerformance MeasuresShort and/or IntermediateProcess Description and Measure(s) including Data SourceOutcome Measure(s) including Data SourceFiscal Year 1By June 30, 20XX, to address overweight/obesity, (X) population will implement nutrition and physical activity (NUPA) plan(Define population, such as, schools, child care centers, parent/teacher organizations, faith-based groups for families, etc.) (This objective may be repeated in subsequent years for specific populations)Public Health Department (PHD) staff serving the MCAH populationCommunity planners, faith-based organizations, parks and recreation departments, and other partners/Stakeholders Community Transformation Grant (CTG) staff(Insert LHJ specific partners and resources, such as funding)Review nutrition and physical activity ideas found in the 2010 California Obesity Prevention Plan and the County Obesity PlansDevelop a process to ensure partner involvement and engage them to draft a nutrition and physical activity plan utilizing the life course perspective to address obesity for the (X) MCAH populationDevelop and implement the planDevelop a process to evaluate effectiveness of the planDevelop and implement a Continuous Quality Improvement/Quality Assurance (CQI/QA) process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process, and a plan to evaluate its impactList the names of stakeholders/community partner organizations included in the planList results of stakeholder meetings, including key problems, and strategies to address problemsList resources and interventions identified and/or createdBrief description of the rationale for selecting specific interventions or resources and target populationsBriefly describe barriers, challenges, and solutions to developing and implementing the NUPA plan Briefly describe the CQI/QA process developedDescribe the NUPA plan, including the implementation and evaluation plan for (X) population Provide a copy of the NUPA planBriefly describe the outcomes of implementation of the NUPA plan, for example, any knowledge and or policy/practice change, weight loss, etc.Brief description of outcomes of the plan effectivenessDescribe the outcome of the CQI/QA process including methods of measurements and resultsFiscal Year 2By June 30, 20XX, (X/X) employees at the PHD will report they have increased their fruit and vegetable intake and/or increased the duration of their daily physical activity (This objective may be repeated in subsequent years with different workplaces)LHJ staff serving the maternal, child and adolescent populationPHD workplace administration and employeesCTG staff(Insert LHJ specific partners and resources, such as funding)In preparation for developing the nutrition and physical activity (NUPA) workplace initiative, review the workplace nutrition and physical activity resources found at the NUPA website , LHJ NUPA plan (if one was developed) and the worksite lactation accommodation services: Develop and implement the nutrition and physical activity workplace initiativeDevelop a process to ensure employee involvement and engagement in implementing the nutrition and physical activity workplace initiative to address issues, such as vending machines, cafeteria foods, meeting foods and physical activity, on-site exercise classes or walking clubs, on-site Farmer’s Markets and vending contractsEngage workplace administration and employees to develop and implement policies and procedures to promote the nutrition and physical activity workplace initiativeDevelop a process to evaluate effectiveness of the implemented workplace NUPA plan, such as a pre and post employee wellness surveyDevelop and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process, and a plan to evaluate its impactList the titles of employees included in implementing the workplace initiativeProvide summaries of employee meetings, including barriers and strategies to address themDescribe the workplace initiative interventions and resources Brief description of the rationale for selecting specific interventions Briefly describe the process to develop and implement the workplace activities Describe process to measure increase in physical activity and fruit/vegetable consumptionBriefly describe barriers, challenges and solutions to implementing the workplace portion of the NUPA plan Briefly describe the CQI/QA process developed Number of employees at the PHD that report they have increased their fruit and vegetable intake and/or increased the duration of their daily physical activity/(X)Briefly describe the outcomes of the strategies and future plansBriefly describe the change in behavior, such as an increase in physical activity and fruit/vegetable consumptionDescribe the outcome of the CQI/QA process including methods of measurements and resultsFiscal Year 3By June 30, 20XX, the walkability of (X), street(s) or route(s) (define) will be improved to optimize walking opportunities(This objective may be repeated in subsequent years depending on your capacity to implement strategies. You may also write objective(s) targeting a specific walkability barrier you wish to change)Chronic disease and MCAH staff, urban/community planners, schools, and programs addressing the MCAH populationCTG staff(Insert LHJ specific partners and resources, such as funding)Assess walkability of communities at risk of obesity. If the LHJ has completed the CX3, consider using the walkability results. Otherwise, use a tool such as or walking checklist: Research strategies to address walkability in the neighborhoods at-risk of obesity with low walkability scores. See Systems and Environmental Change for Nutrition and Physical Activity: and ; if LHJ has an existing nutrition and physical activity (NUPA) plan, review it for walkability strategiesEngage community leaders to promote walking. Develop PowerPoint slides for PHD staff to educate community leaders on MCAH specific needs (e.g. use MCAH data such as the MIHA and CHIS survey) in relationship to build environment changes that support optimum nutrition and physical activity. For ideas, see the MCAH Built Environment PowerPoint Presentation Template. Implement strategies selected from research and community engagement. (may take multiple years)Develop and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process, and a plan to evaluate its impactDescribe the methodology used for evaluating the walkability and which communities were evaluatedList strategies considered and the selection criteria including how the strategy improves walkabilityList the community leaders that you engaged, the process used and lessons learnedDescribe barriers, challenges and solutions to promoting walkability changes. Briefly describe the CQI/QA process developedThe walkability of, street(s) or route(s) (define) were improved to optimize walking opportunities/(X)Describe strategies chosen and the process for implementation and evaluationDescribe the outcomes of the implementation of selected strategies. Describe the outcome of the CQI/QA process including methods of measurements and resultsFiscal Year 4By June 30, 20XX, (X/X) programs (define program(s)-, CPSP, AFLP and BIH are priority), addressing the health of pregnant and postpartum women, will implement a frequent weight tracking intervention.(This objective may be repeated in subsequent years with other programs)LHJ, Epi and Nutrition staff, PSCs, AFLP, BIH, and CPSP programsCTG staff(Insert LHJ specific partners and resources, such as funding)Involve CPSP, AFLP and BIH within the LHJ in developing and implementing the interventionDesign or adopt a culturally-appropriate frequent weight tracking method that includes weighing at every visit and considers home weighing. Utilize or adopt tracking logs and charting methods to give to programs, such as those found on page 71 in “The Practical Guide Identification, Evaluation, and Treatment of Overweight and Obesity in Adults” at the following for utilizing in your frequent weight tracking intervention: HYPERLINK "" Information Network: Health and Nutrition Information for Pregnant and Breastfeeding Women: frequent weight tracking interventions in MCAH programsTrain staff to implement weight tracking interventions and provide consistent healthy nutrition and physical activity messages to maintain/obtain healthy weightDevelop a process to measure self-efficacy, knowledge change and policy implementationDevelop and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process, and a plan to evaluate its impactDescribe the process to engage MCAH or other programs Describe the process to develop, adopt and implement a weight tracking interventionDescribe barriers, challenges, and solutions to implementing the interventionDescribe the methodology to measure staff knowledge change and resultsBriefly describe the CQI/QA process developedNumber/name of programs that implemented a frequent weight tracking intervention/(X)Describe the weight tracking intervention(s) implemented and any complementary education providedDescribe self-efficacy change and knowledge gainedList policies and procedures developed to put weight tracking system in placeDescribe the outcome of the CQI/QA process including methods of measurements and resultsFiscal Year 5By June 30, 20XX, (X/X) child care providers will adopt model physical activity standards(This objective could be repeated for multiple years depending on the number of locations you are trying to reach and your capacity)MCAH Director and staff, local child advocates, child care providers, and parentsCTG staff(Insert LHJ specific partners and resources, such as funding)Engage existing child care sites to assess their physical activity practices (if any) Educate child care providers on model physical activity standards. Use resources, such as , Early Childhood Obesity Prevention Policies, Keeping Children Healthy in California’s Child Care Environments, HYPERLINK "" Increasing physical activity in childcare (Butte section) and San Francisco’s Healthy Apple Award.Develop a process to evaluate the child care providers’ knowledge and behavior change Provide technical assistance and ongoing support for child care providers to adopt the model physical activity standardsDevelop and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process, and a plan to evaluate its impactNumber of childcare providers contactedDescribe existing physical activity practices Number of child care providers who received education on model physical activity standardsDescribe the education methodology, model physical activity standards promoted, and the barriers addressed Describe the process to measure the child care providers’ knowledge change and intent to adopt model physical activity standardsBriefly describe the number/types of technical assistance provided to child care providersBriefly describe the CQI/QA process developedNumber of child care providers who adopt model physical activity standards/(X)List the standards implemented and the outcome(s)Describe the knowledge change and intent to adopt model physical activity standardsDescribe the outcome of the CQI/QA process including methods of measurements and results ................
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