Presentation Slides - Society for Public Health Education
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Presentation Slides - Society for Public Health Education

www.preventioninstitute.orgCB1001-51 04/04

Beyond Funding:Expanding Efforts to PromoteSustainability Increasing provider capacity Building community capacity through trainingand partnerships Supporting systems changes Generating community-wide norms change Securing ongoing funding

Objectives• Who was involved• Provide a local example of a tobacco freecity parks policy process• How partners are sustaining efforts7

Cherokee Nation• Located in Northeast Oklahoma- nearTulsa• 2 nd Largest tribe in the nation• 14 County Jurisdictional Area• Serve entire community- not a reservation8

CHEROKEE NATIONTribal Jurisdictional Service Area(TJSA)Nowata Health CenterVinita Health ClinicBartlesville Health ClinicClaremore Indian HospitalA-Mo Salina Health CenterSam Hider Jay Community ClinicLegendCherokee Nation ClinicIHS HospitalMain ComplexHastings Indian Medical CenterWilma P. Mankiller Health CenterThree Rivers Health CenterRedbird Smith Health Center

Cherokee Nation SAH• Began working in four counties of the CherokeeNation- Cherokee, Adair, Mayes, Sequoyah• Focus on policy, system and environmentalchange strategies• Community and School sectors• Priority strategies- physical activity, healthy foodoptions and tobacco use prevention10

Cherokee Nation SAHCommunity Consortium• Alliance of coalitions and partners• Engaged in setting priorities for theCommunity Action Plan (CAP)• Assist in implementing CAP goals andobjectives• Mentor other communities to implementPSE strategies11

Tobacco Free City ParksPolicy Process• Planning and Development• Action• Enforcement• Sustaining efforts13

Identify Coalition and Partners• Cherokee County Tobacco Coalition a partner withCherokee Nation SAH Community Consortium• Established group already working on tobaccoprevention issues in the county- Shared Vision!!• Helped to expand and enhance resources used in theprocess14

Established a Tobacco Free ParksSub-CommitteeRole- coordinate, lead and support tobacco free parks policy processSub-Committee members included:– Tribal Health Educator– Hospital Board Member– School District Staff Member– Local Health Agency Representative– Tobacco Coalition Chairperson– SWAT Youth Coordinator15

Community Needs Assessment& Review Local Data• Inventory of existing local tobacco free environment policies• 24/7 tobacco free school campus policies• 24/7 tobacco free worksite policies– Cherokee Nation worksite– Tahlequah City Hospital– Northeastern State University• Three cities in Oklahoma had a tobacco free outdoor public placepolicy.16

Community Needs Assessment& Review of Local Data• CHANGE tool assessment• Community At Large Sector• Opportunities identified to increase level ofaction on tobacco prevention in the City ofTahlequah17

Develop a Plan of Action• Determine goals andobjectives for tobacco freeparks policy strategy• Helped to identify roles,responsibilities, andresources needed• Commitment to worktogether to get the jobdone.18

Begin discussion of Evaluation• Policy adopted• Signage& Sustainability• Youth Tobacco clean up events- monitorlitter• Ongoing community awareness- mediacampaign19

Developed a Tobacco FreeParks CampaignPurpose: Build community and stakeholder supportand buy-in• Meetings with Local Decision makers• Involved local Students Working AgainstTobacco Teams in outreach and awarenessactivities• Community Awareness Event in the parks20

Tobacco Free Parks CampaignKey Message• The dangers of second hand smoke as apublic health concern• The danger of tobacco litter to people,animals and our environment• Need to change social norms for a healthiercommunity21

Coalition Advocacy• Set up meetings with local decision makers• Introduced Tobacco Free Parks Campaignmaterials and message• Helped to identify the level of localleadership support on this issue• This step identified a champion- our Mayor22

Identify how policy is adoptedin your community• Mayor helped to explain the cities policy process• Gave support to get tobacco free parks policy onthe city councils agenda• Suggested to be prepared for community andleadership & community opposition• Having Mayors support moved process forwardsooner than expected.23

Prepare a Draft Tobacco FreeParks Policy• Worked with the city attorney to preparedraft• Provided sample tobacco free parkspolicies• Important to review the draft policy forlanguage and content before first review bycity council24

Community Awareness Event• Mayor Proclaimed KickButts day in Tahlequah.• Included coalitionmembers, communitypartners, youth.• Provided informationabout dangers of secondhand smoke and gaveexamples of TobaccoFree Parks ordinances25

Engaging PartnersInvolve PartnersInvolve Youth

Take Action & Make the CaseElected OfficialsCoalition Members

TAKE ACTION Through AdvocacyCommunity PartnersSWAT Youth


Youth Champions for HealthWe are asking for Tobacco FreeParks.Unanimous Vote supporting aTobacco Free Parks Ordinance

Enforcement Measures• The ordinance was adopted May 2010 and became law in June 2010• It prohibits any form of tobacco use in city parks, including in andaround all public restrooms, and in or around all parking lots adjacent tothe parks• Includes any land owned by the city that is used for recreationalactivities, such as walking and bicycle trails, golf courses, ball fields,skate parks and other fields or facilities used for sporting events• Violation of the law is a misdemeanor that can impose a fine of not lessthan $10 or more than $100.31

Enforcement Measures• Cherokee Nationpurchased tobacco freecity parks signage• Collaborated with cityofficials to develop thedesign of signs• City provided resourcesto install signage32

EnforcementLesson Learned• Involving local law enforcement• Identify a law enforcement champion• Provide training and awareness to lawenforcement staff• Ensure law enforcement is an investedpartner33

Sustaining EffortsShare Success

Community Celebration Event35

Next Steps & SustainingEfforts• Continue outreach and awareness- localmedia• Provide training for law enforcement• Identifying a law enforcement champion• Inventory Signage- need for additionalsignage/areas of concern• Mentor other communities36

Tobacco Free ParksReaching other Communities• Tahlequah 4 th city in Oklahoma to adopt this typeof ordinance• There are now a total of 12 communities inOklahoma that have adopted policies for outdoorpublic places such as parks and recreation areas.37

Thank You!Julie Deerinwater-AndersonCherokee Nation Healthy Nationjdeerinwater@cherokee.org38


Policy:The rules that guide the activitiesof government or quasigovernmentalorganizations, andthat provide authority for theallocation of resources.

Photo © Rachel Cooper, licensed to, Inc.

Useful policyis oftendevelopedlocally.www.preventioninstitute.orgCB1001-22 04/04

Solana Beach:California’s 1 st Smoke- Free BeachOrdinance

10ReasonsLocal Policy isCriticalLocal policies can be tailored to individual community needs.Local initiatives raise community awareness and support.Local communities are not burdened with the bureaucracy that ofteninhibits progress at the state and national levels.Local initiatives are often a laboratory for broader policy change,providing valuable clues to the most effective and appropriatemodels.www.preventioninstitute.orgCB1001-23 04/04

Policy as an Equity Tool:People of color disproportionately live inenvironments that do not foster health.Policy can impact:• Amount of parks/open space• Affordable housing• Food access/quality/costs• Education• Transportation• Air quality• Noise pollution

“Policy making at this level is oftenundervalued and misunderstood, yet it isthe central role of the city, town, andcounty legislative bodies.”- Municipal Research & Services Center

Key barriers to Public Health Workers doingPolicy:• Health still viewed as responsibility of individual• Lack of funding, time, and staff• Focus on regulatory functions such as restaurantinspections• Working for government and unsure aboutappropriate roles

The HOWof LocalPolicy

PART 1: Develop a Policy StrategyPART 2: Develop Key PartnersPART 3: Back Up Your CasePART 4: Plan for Implementation

A good solutionsolvesmultipleproblems.Prevention Institute

Triple Bottom Line

Community FarmAllianceLouisville, Kentucky

Community Farm Alliance Markets provide fresh fruitsand vegetables to WestLouisville residents whootherwise lack access toaffordable healthy food.Louisville, Kentucky Grasshoppers, a farmer-owneddistributor uses mobile marketsto deliver fresh food tounderserved areas Through, Urban Fresh, youthentrepreneurs deliver food toseniors and housing projects.

“Don't expect politicians,even good ones,to do your job for you.Politicians are like weathervanes. Our job is to makethe wind blow.”David Brower, environmentalist

“Community participation,when it’s real, is yourmain investment in accountability.It’s your main investment insustainability…community participation iswhen, truly, you involve people in creating amechanism for themselves to define change.”-- America Bracho, Executive DirectorLatino Health Access8 SAMHSA TRN1 -08 02/04

Building the Movement


The Spectrum of PreventionInfluencing Policy & LegislationChanging Organizational PracticesFostering Coalitions & NetworksEducating ProvidersPromoting Community EducationStrengthening Individual Knowledge & Skills

ENACT Local Policy DatabasePromising Practices in Nutrition andPhysical ActivityCatalogues promisingpolicies in nutrition andactivity at the local level

MODULE6The Importance of Local PolicyPhotograph: Erin- ‘magnopere’via Flickrfor Achieving Equitable Outcomes

Communities Taking Action

www.preventioninstitute.org221 Oak StreetOakland, California 94607Phone: 510-444-7738

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