The View from the Ground: NACCHO s work with Local Health Departments in Diabetes Prevention and Control Programming

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1 The View from the Ground: NACCHO s work with Local Health Departments in Diabetes Prevention and Control Programming Diabetes Council Webinar March 15, 2012, 3-4 pm

2 NACCHO is the Voice of Local Health Departments The National Association of County and City Health Officials (NACCHO): Represents 2,800 local health departments in the U.S. Founded in the 1960s as NACHO, a 501(c) 3 non-profit Became NACCHO in 1994 Focuses exclusively on local health departments Leader, partner, catalyst, and voice Promotes health and equity, combats disease, and improves the quality and length of all lives NACCHO provides: Leadership Advocacy Up-to-date information Subject matter expertise Stories from the field Spokespeople Resources Training Technical assistance

3 NACCHO Focus Areas COMMUNITY HEALTH Chronic and infectious disease prevention; maternal, child, and adolescent health promotion; injury prevention; tobacco control; and building healthier communities ENVIRONMENTAL HEALTH Clean air and water; climate change; food safety; and land use planning PUBLIC HEALTH INFRASTRUCTURE AND SYSTEMS Health information technology; accreditation and quality improvement; workforce; and public health capacity-building PUBLIC HEALTH PREPAREDNESS Planning and readiness for natural disasters, bioterrorism, and infectious disease outbreaks

4 2010 National Profile of Local Health Departments

5 2010 National Profile of Local Health Departments

6 2010 National Profile of Local Health Departments

7 Sample Local Health Department Programs The Men s Health League, Cambridge Public Health Department, Cambridge, MA Kids Growing Healthy, Tarrant County Public Health, Fort Worth, TX STOP (Strategies to Overcome Prediabetes), Washington County Health Department, Hagerstown, MD Don t Ask Get Answers, South Carolina DHEC Region 8, Hampton County, SC Clark County Diabetes Group, Southern Nevada Health District, Las Vegas, NV Long Beach DHHS Latino Diabetes Prevention and Management Program, City of Long Beach Department of Health and Human Services, Long Beach, CA Lifestyle Balance Diabetes Prevention Program, Pueblo City-County Health Department, Pueblo, CO Diabetes Center of Excellence, Madison County Health Department, Richmond, KY Diabetes Education Program, Philadelphia Department of Public Health, Philadelphia, PA

8 Publications and Activities Examining how diabetes prevention and control activities interface with other chronic disease activities in local health departments 2010 National Profile of Local Health Departments: Diabetes Prevention and Control Diabetes Expert Group - policy priorities - emerging issues Collaboration on Diabetes Today Curriculum revisions LHD Diabetes Action Planning Support and Technical Assistance Monitoring Progress and Outcomes Exploring state and local collaborations on diabetes prevention and control 2010 Diabetes Compendium

9 Diabetes Today Grantees

10 Diabetes Today Program Components ü ü ü ü ü Needs Self-Assessment Required on-line learning tutorials In person classroom instruction and practice o Coalition Building o Action Planning Post Assessment Technical Assistance (on request) o elearning Community Resources & tools Shared learning and interaction Current programs and practices

11 Fall 2010 Diabetes Today Sites Jackson County Health Department, IL Douglas County Health Department, MO Cambridge Public Health Department, MA Monroe County Health Department, MI Jefferson County Public Health Service, NY Yellowstone City-County Health Department dba RiverStone Health, MT Jefferson County Health Department, KS Columbia/Boone County Department of Public Health and Human Services, MO

12 Spring 2011 Diabetes Today Sites Martin-Tyrrell-Washington District Health Department, NC Oneida County Health Department, NY Public Health-Dayton & Montgomery County, OH Fulton County Department of Health Services, GA Clark County Combined Health District, OH Douglas County Health Department, NE Schenectady County Public Health Services, NY Champaign-Urbana Public Health District, IL City of Bethlehem, Bureau of Health, PA Chautauqua County Health Department, NY Barren River District Health Department, KY Linn County Public Health Department, IA

13 2012 Diabetes Today Sites: Appalachia Davie County Health Department, NC Greenup County Health Department, KY Greenville County Health Department, SC Hancock County Health Department, WV Mid-Ohio Valley Health, WV Steuben County Department of Health, NY Walker County Health Department, AL Whitley County Health Department, KY

14 Examples of Activities Post-Training and Action Planning Jefferson County, KS Public Health Dayton - Montgomery County, OH Established contact with KS state diabetes program manager. Formed the Jefferson County Diabetes Coalition. Launched media campaign, including editorial in local newspaper and PSAs on local radio stations. Conducted a diabetes focus group to provide data to the Ohio Department of Health sstate diabetes plan. Reviewed local diabetes data (compiled by PH- D&MC) and prioritized at risk populations and geographical areas of greatest need. Contacted community members with type 1 or type 2 diabetes to talk about community needs and answer questions for the coalition. Developed coalition Facebook page ( County-Diabetes-Coalition/ ) Developed an informational brochure featuring diabetes-related resources and referrals.

15 Examples of Activities Post-Training and Action Planning Fulton County, GA Established the Diabetes Action Coalition. Participated in State of Georgia s 5-year Diabetes Strategic Planning and the Diabetes Awareness Forum. Hosted Georgia Diabetes Coalition and Georgia Medical Care Foundation s first Coffee and Conversation Diabetes Forum; planning five additional similar opportunities throughout Georgia. Took the lead on planning and implementing the Division of Health Promotion Advisory Council using the Diabetes Today: Planning for Coalition Action. Obtained verbal agreement from Emory Univ. Div. of Endocrinology, Metabolism, and Lipids to provide training/certificates for community members with no medical background who can assist with diabetes education. Established relationship with Kennesaw State University to assist in development/summarization of assessment tools. Met with 14 city mayors within Fulton County, all of whom gave commitments of support to the Fulton County Diabetes Initiative.

16 Survey evaluation of the January 2012 Diabetes Today training Participants gained the most confidence in their ability to: measure and evaluate coalition success over time. engage coalitions in policy-related activities. facilitate coalitions in strategic action planning. choose coalition strategies in support of evidence-based diabetes intervention.

17 Survey evaluation of the January 2012 Diabetes Today training Initially ranked level of confidence relatively high in: understanding basic terminology used in explaining diabetes and diabetes data. assess community resources available to support diabetes action. tailoring interventions to the cultural needs of the community. assessing community resources available to support diabetes action. assisting the coalition in connecting or collaborating with other community groups.

18 For More Information Amy Henes, MPH Senior Program Analyst, Community Health Phone: Julie Nelson Ingoglia, MPH Program Manager, Community Health Phone: Thank You!

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