Articles

The Delaware Approach (part one)

Posted: 03.16.07 by Mark Marosits to HP/HP

As I’ve said before, the Healthy People/Healthy Places Framework was designed to be applied to myriad scenarios. Its application to childhood obesity is currently being fielded in Delaware a complement to the overarching work of Nemours Health & Prevention Services (NHPS).

NHPS is the health promotion and preventive services division of Nemours, one of the nation’s preeminent children’s healthcare systems. In early 2004, NHPS set the bold goal of making Delaware’s children the healthiest in the nation. A key component of that goal was addressing the challenge of childhood obesity.

Childhood obesity and the attendant health risks have reached epidemic proportions. Most of the efforts to reverse these alarming trends prescribe interventions in the areas of healthy eating and/or physical activity. There is some evidence-based best practice with regard to the promotion of healthy eating and physical activity. However, most interventions studied were not specifically focused on childhood obesity. The connections to be drawn are intuitive and many public health organizations are still left struggling with the question of, “How do we reach the greatest number of children in the shortest period of time with the most efficient and sustainable use of resources to combat childhood obesity and promote healthier lifestyles?”

The NHPS strategy has many facets, including a social marketing campaign based on the People/Places framework. Currently, Ed Maibach and I are proudly serving as advisors to NHPS, and Worldways is in the midst of helping to implement the statewide program to combat childhood obeseity. Healthy People/Healthy Places has proven to be very relevant by: fostering an understanding of the dynamics of childhood obesity from both a behavioral and environmental perspective; providing a framework for codifying prospective interventions and determining the best mix of people- vs. place-based strategies; and determining the types of marketing, communications, program, policy, and environmental initiatives most likely to result in change.

Over the next few weeks in HP/HP, we’ll be talking about the People/Places Framework, its application to challenging childhood obesity, key strategies evolved in Delaware and other places, and opportunities for future applications.

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