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From Farm to Fingers – A BC School Fruit and Vegetable Snack Program

BC Place – Session 3, Tuesday, May 30, 2006 from 10:30 – 12:00

Abstract Title: From Farm to Fingers – A BC School Fruit and Vegetable Snack Program

Presenting Author:
Dr. Patti-Jean Naylor
Assistant Professor, School of Physical Education
University of Victoria
PO Box 3015, STN CSC
Victoria, BC V8W 3P1

Additional Authors:
Brent Warner
BC Ministry of Agriculture and Lands
808 Douglas Street
Victoria, BC V8W 2Z7
Or PO BOX 9120, STN PROV GOVT
Victoria, BC V8W 9B4

Lisa Forster-Coull
Provincial Nutritionists
Healthy Living / Chronic Disease Prevention
BC Ministry of Health
4 t h Floor, 1515 Blanshard Street
Victoria, BC V8W 3C8

Ann Britton
Program Coordinator
BC School Fruit and Vegetable Snack program
BC Agriculture in the Classroom Foundation
1767 Angus Campbell Road
Abbotsford, BC V3G 2M3

Lindsay Babineau
Executive Director
BC Agriculture in the Classroom Foundation

Objective:
To evaluate the impact of twice-weekly delivery of BC fruit or vegetable snacks to elementary students in 10 schools on increased awareness and consumption of BC produce.

Methods:
A Provincial Advisory Committee worked with educators, industry and other stakeholders to develop systems and product plans to efficiently and cost-effectively bring fresh BC fruits and vegetables into the classrooms of ten pilot schools. In-school coordinators helped to receive, record and deliver fruit from distributors to classrooms. Coordinator and teacher guides were produced and promotion materials were distributed (e.g. Branded brochures, hand-washing signs, posters, magnets). A quasi-experimental non-equivalent comparison group design was used and student knowledge, attitudes and eating behavior were measured (24 hour recall). Process evaluation included tracking by in-school and provincial coordinators, interviews with teachers, administrators and custodians. BC Agriculture in the Classroom Foundation evaluated product sourcing, pricing, distribution and associated costs.

Results:
Baseline knowledge and attitudes measures showed that children participating in the project were more likely to have talked about where fruit and vegetables come from with parents (x2 = 7.764, p = .021). Hand-washing before eating wasn’t associated with condition. Control students were more likely to have eaten grapefruit, mango and papaya than intervention students. Results of the February 2006 follow-up evaluation will be presented.

Conclusion:
Findings will examine the feasibility of expanding the program to all 1600 elementary schools by 2010 and possibly all BC schools.

 

Making It Happen – Healthy Eating in Schools in BC

BC Place – Session 3, Tuesday, May 30, 2006 from 10:30 – 12:00

Abstract Title: Making It Happen – Healthy Eating in Schools in BC

Presenting Author:
Rola Zahr
Nutrition Educator
BC Dairy Foundation
3636 Beta Avenue
Burnaby, BC V5G 4K4

Additional Authors:
Lisa Forster-Coull
Provincial Nutritionists
Healthy Living / Chronic Disease Prevention
BC Ministry of Health
4th Floor, 1515 Blanshard Street
Victoria, BC V8W 3C8

Sydney Massey
BC Dairy Foundation

Debbie Leach
Consultant
BC Ministry of Health
1st Floor, 1515 Blanshard Street
Victoria, BC V8W 3C8

Objective:
To evaluate and improve the effectiveness and reach of the Making It Happen toolbox, a three-phase project designed to build capacity among school communities. The toolbox includes three videos and a website on school nutrition policy and practices.

Methods:
• An ongoing project between the BC Ministry of Health, BC Dairy Foundation and Knowledge Network.
• A Public Relations campaign included direct mail flyers and order forms to the target audience and press releases to community media and stakeholders in early 2005.
• A focus testing by a research firm measured the effectiveness of website tools.
• The Dairy Foundation interviewed those who ordered videos to determine their effect.

Results:
• Knowledge Network contributed over $300,000 air time for the videos, monitored website traffic and feedback from viewers.
• Presentations, posters and bookmarks were featured at conferences of teachers, parent advisory committees, school trustees, principals and vice-principals.
• BC Dairy Foundation, DASH and Dietitians of Canada developed a partnership that led to cross-promotional materials featuring the Making it Happen URL.
• Feedback from Phase 1 and focus testing were used to improve website navigation and include new resources such as the 2005 “Guidelines for Food and Beverage Sales in BC Schools.”

Conclusion:
Further research is required to evaluate the project’s effectiveness for building capacity among school communities.

Modern Public Health Legislation – moving from a prescriptive approach to a health outcomes approach

BC Place – Session 2, Monday, May 29, 2006 from 14:00 – 15:30

Abstract Title: Modern Public Health Legislation – moving from  a prescriptive approach to a health outcomes approach

Presenting Author:
Paul Bailey
Director, Strategic Policy
BC Ministry of Health
4th Floor, 1515 Blanshard Street
Victoria BC V8W 3C8

Additional Authors:
Dr. Ron Dovell
Executive Director, Health Protection
Population Health and Wellness

And
Dr. Brian Emerson
Medical Consultant
Population Health and Wellness
BC Ministry of Health
4th Floor, 1515 Blanshard Street
Victoria BC V8W 3C8

Objective:
To outline the background and process of key steps for modernization of public health legislation in British Columbia.

Background:
Modern public health legislation is necessary to guide government action with respect to assessing and managing risk to the public’s health. During the last quarter of the 20th century, public health legislation and infrastructure in Canada did not kept pace with the rapid changes in biotechnology, globalization, and information technology and as a result, the capacity of public health to respond to the demands placed on it became seriously compromised, as evidenced by the serious recent public health issues such as contamination of water supply in communities in Ontario and Saskatchewan, the spread of West Nile Virus and SARS and increasing concerns regarding food safety. In response to this need, beginning in 2001 the BC Ministry of Health began to modernize its public health legislation.

Results:
Public health legislation is a cornerstone of effective public health service delivery. It provides the powers, duties, and functions for the government, health authorities, and public health officials to do their jobs, and assures the public that government is working
to protect and improve their health. The approach for the development of modern legislation in BC will be presented for discussion in three categories:

1. The context for the need for modern public health legislation in BC
2. Priority needs resulting in four new pieces of legislation
a. Food Safety Act
b. Drinking Water Protection Act
c. Community Care and Assisted Living Act
d. Public Health Act.
3. Key challenges and processes in developing public health legislation

Significance of Modern Legislation:
Up-to-date public health legislation is required to protect and improve the health of the population and to influence planning to address issues across the determinants of health.


BC HealthGuide Program – An Integrated Self-Care Platform

BC Place – Session 4, Tuesday, May 30, 2006 from 15:00 – 16:30

Abstract Title: BC HealthGuide Program – An Integrated Self-Care Platform

Presenting Author:
Kevin Brown
Executive Director, BC HealthGuide Program
BC Ministry of Health
4th Floor, 1515 Blanshard Street
Victoria BC V8W 3C8

Objective:
The BC HealthGuide Program is designed to empower consumers to make the right health decisions for themselves and their families. Evidence-based health information, advice and support is provided 24 hours a day, 7 days a week through an integrated suite of print, web and telehealth resources. This presentation will provide an overview of the BC HealthGuide Program and the Ministry of Health’s vision for a comprehensive approach to self-care and health system navigation.

 

Implementing Performance Improvement for Core Public Health Functions in BC

BC Place – Session 2, Monday, May 29, 2006 from 14:00 – 15:30

Abstract Title: Implementing Performance Improvement for Core Public

Health Functions in BC – A Preliminary Report

Presenting Author:
Dr. Trevor Hancock
Public Health Consultant
BC Ministry of Health
4th Floor, 1515 Blanshard Street
Victoria BC V8W 3C8

Additional Authors: Lorna Storbakken
Director, Core Programs Implementation
Population Health and Wellness
BC Ministry of Health
4th Floor, 1515 Blanshard Street
Victoria BC V8W 3C8

Objective:
At the end of this session, participants will have an understanding of the basic concepts of performance in public health, an understanding of how these concepts are being implemented in BC, and the progress to date and the issues raised and lessons learned in the process, as well as an overview of the core programs website.

Background:
The BC Ministry of Health is committed to strengthening and renewing public health in BC. A key part of the strategy has involved defining a set of core public health functions that health authorities are expected to carry out. Now the Ministry is working with the health authorities and the public health field to implement these core functions, using a performance improvement process. This process, which will take place over the next 5 – 6 years, begins with the development of an evidence-based model core program and performance measures for each of the 21 programs. Then each health authority will develop a performance improvement plan with targets tailored to its unique circumstances. The whole process is part of the performance agreement between the Ministry and the health authorities, and is supported by an extensive website. In this presentation, we will present the conceptual and theoretical base for this process, review the progress to date, demonstrate the website, and engage participants in a discussion of performance improvement in public health.

ActNow BC

BC Place – Session 1, Monday, May 29, 2006 from 10:30 – 12:00

Abstract Title: ActNow BC – a platform for a cross-sectoral approach to  promoting a healthy and active lifestyle – for chronic disease prevention

Presenting Author:
Andrew Hazlewood
Assistant Deputy Minister
Population, Health and Wellness
BC Ministry of Health
4th Floor, 1515 Blanshard Street
Victoria, BC V8W 3C8

Additional Authors:
Wayne Mitic
A/Manager, Chronic Disease Prevention
Healthy Living/Chronic Disease Prevention
BC Ministry of Health

Objective
To provide an overview of the approach for the design, development, implementation and evaluation of ActNowBC, as a part of the foundation for the BC Government’s prevention (of chronic disease) and wellness platform.

Background
2010 Olympic and Paralympic Winter Games provides an opportunity to take advantage of the enthusiasm associated with the hosting of the Games in BC through an initiative designed to optimize the health of the people of BC. ActNowBC, as a prevention strategy, takes a unique approach to health and wellness – as it targets common risk factors for chronic disease through an integrated approach to reduce the common risk factors of physical inactivity, unhealthy eating, overweight and obesity, tobacco-use and alcohol use during pregnancy. ActNowBC is designed to foster partnerships among several ministries, private industry and NGOs to develop a cross-sectoral collaborative approach to improving health.

Anticipated Results
ActNowBC initiative will motivate and support people to improve their health through initiatives developed and delivered by the provincial and municipal governments, non-government organizations, communities and the private sector, resulting in BC being one of the healthiest jurisdictions to host an Olympic Games.