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7 A Statewide Strategy in the Battle Against Child Obesity in Delaware
Pages 47-56

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From page 47...
... (Riley) • Key elements of successful school programs focused on physi cal activity include state-initiated policy changes, leadership, and a wellness committee; sustaining the programs requires supporting individuals who are implementing them.
From page 48...
... Four speakers presented an overview of the Nemours experience: Debbie Chang, who created NHPS and is enterprise vice president of policy and prevention at Nemours; Helen Riley, executive director of St. Michael's School and Nursery in Wilmington, Delaware, which was a pilot site for the first early care and education NHPS project in the state; Mary Beth French, a physical educator who is content chair for physical education and health teachers in the Christina School District and chairs the Health and Physical Education Committee for the Christina School District, an NHPS partner; and Mary Kate Mouser, operational vice president of NHPS.
From page 49...
... as with Sesame Street -- aimed R02812at promoting healthy eating and physical activity. Most recently, the initiative has gone national: Nemours is now Figure 7-1 working with the Centers for Disease Control and Prevention on diffusing vector editable its collaborative approach to nine other states across the nation.
From page 50...
... GETTING KIDS MOVING IN THE CHRISTINA SCHOOL DISTRICT French shared the Christina School District's perspective on creating sustainable change in health prevention as a partner with NHPS. In 2006, Delaware state lawmakers concerned about childhood obesity passed legislation to pilot physical education and physical activity programs for
From page 51...
... The school district also has embedded physical activity into the busy school day with morning exercises and into subject areas with such programs as Take 10! and North Carolina Energizers.4 Some of the elementary schools in the Christina School District, such as Brader Elementary, have a review process in place that entails using data and student surveys to measure progress.
From page 52...
... In the Christina School District, the work started with French, as a member of its wellness committee, giving a presentation on the obesity-fighting and academic benefits of physical activity for students. Twelve schools signed onto a physical activity pilot program.
From page 53...
... Reprinted with permission. R02812 Figure 7-2 all the community partners for tracking improvement in child health outcomes so as to demonstrate the collective impact of their efforts, Mouser bitmapped, rasterized, not editable said.
From page 54...
... The bottom-line requirement for establishing a sustainable statewide strategy to combat childhood obesity, Mouser emphasized, is to have effective leadership at all levels across sectors -- leaders willing to make the investment to create policy systems and make environmental changes that help children grow up healthy. According to Mouser, effective leadership means coordinating programs and connecting services so that program silos are eliminated, building trusting relationships with partners to foster shared goals and leverage resources, and identifying and supporting "champion integrators." As to the question of whether leadership must come from the top, Mouser said that leaders come in all shapes and sizes and that leadership is about "having the dream and the vision." Although Delaware's statewide prevention initiative got off the ground with Nemours' support, Mouser said, the health care system from the outset sought to work closely with community partners to determine how to make that happen.
From page 55...
... Mouser added that Nemours is starting to look at multigenerational approaches that entail involving families in its prevention work. Nemours has had a great deal of success in working with partners to get parents, grandparents, and children gardening together, she said.


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