| Adams County Health Department |
1 |
Access to Health Services |
1.)Increase the number of individuals who have health care coverage (Target: 95% by 2016). |
1.)inability to access care 2.)limited financial resources 3.)patient apathy |
1.)Increase the proportion of people with a usual primary care provider (Target: 90% by 2014). 2.)Decrease the number of children without health coverage (Target: 6% by 2014). 3.)Increase the proportion of persons who have had a routine check-up in the past year (Target: 80% by 2014). 4.)Reduce the proportion of individuals who are unable to obtain or delay in obtaining necessary medical care, dental care, or prescription medicines (Target: 4.5% (doctor), 11% (dentist), 8% (prescriptions)). |
1.)providers/facility for care 2.)knowledge of services 3.)transportation 4.)primary care practices 5.)indigent care facility availability 6.)provider willingness to provide care 7.)lack of available specialists 8.)social service agency referrals 9.)lack of single resource for care 10.)minimal marketing of programs 11.)geographic disparity 12.)lack of rural transportation 13.)lack of resources/programs 14.)unable to afford cost to utilize 15.)limited referral sources to follow-up chronic disease care 16.)low compensation rates 17.)cost of care/RX/supplies 18.)malpractice insurance costs 19.)program availability 20.)legislation 21.)un- or under-insured, low-income, or working poor 22.)physician/dentist accepting 23.)limited availability of RX/supplies 24.)lack of indigent care program 25.)Medicaid population 26.)low reimbursement rates 27.)physicians/dentist accepting 28.)slow Medicaid claim turnaround 29.)cost of care 30.)knowledge of long-term benefits 31.)socioeconomic status/cultures 32.)laws and legislation 33.)denial 34.)lack of general health education 35.)fear and rejection of risk 36.)limits parenting/family skills |
1.)Shared Technology: A community linking system would provide a community-wide information and intake system that facilitates social and health services needs identification, referral, enrollment and management, while minimizing the need for multiple client inquiries and referrals. 2.)Care Management: Care management includes helping individuals make appointments with their health care provider; assisting with transportation to appointments; talking to clients after appointments to help them follow their provider's plan of treatment; providing appointment reminders; providing disease education; serving as an advocate for the client when needed; and making sure they are connected to all appropriate health and support programs. 3.)Network of Providers: By formalizing a network of providers for the uninsured, people who qualify for use of the network can have identified entry point for the system and distribution of patients can be sensitive to the capacity of participating providers. Access Health has organized such a network, and this strategy is included to recognize that effort and expand it. 4.)Illinois Kids Care: Kids Care is Illinois' program for children who need comprehensive, affordable health insurance, regardless of immigration status or health condition. With All Kids, children are able to get the care they need, when they need it. All Kids is complete health insurance for children. Illinois children can get All Kids health insurance if they are under 18 and meet the insurance and income requirements. 5.)Med Assist Program: A program of Quincy Catholic Charities, the staff of the Med Assist program help individuals determine their eligibility and assist their applications for programs that the pharmaceutical companies have for the poor. Every dollar contributed provides $7 in medication. 6.)Fast Care: Blessing Health Systems have opened a Fast Care clinic in the Quincy Shopko. While it does not provide a "medical home" for those who visit there, the impact on usage of the hospital emergency room is predicted to be substantial. The ailments which can be addressed are limited, but the model is interesting and possibly replicable in the smaller communities on a limited basis. 7.)Other existing programs: In addition, there are established programs in the community specifically addressing the needs of the target population. These include Blessing Hospital's Community Outreach Clinic, the Adams County Dental Clinic, Quincy Catholic Charities (Med Assist), and the East Adams Clinic. |
| Adams County Health Department |
2 |
Oral Health |
1.)Increase the proportion of children, adolescents, and adults who use the oral health care system. (Target 80%). |
1.)lack of dental care 2.)lifestyle choices 3.)physical environment 4.)substance abuse and tobacco use |
1.) Reduce the proportion of children and adolescents with untreated dental decay. 2.)Reduce the proportion of adults with untreated dental decay. 3.)Increase the proportion of children, adolescents, and adults who used the oral health care system in the past year. |
1.)access and availability 2.)lack of Medicaid providers 3.)lack of financial arrangements available 4.)financial resources 5.)high cost of care/low income 6.)un- or under-insured 7.)attitudes and behaviors 8.)lack of dental health education 9.)fear and apathy 10.)lack of knowledge of available services 11.)diet 12.)lack of knowledge 13.)poor eating habits/nutrition 14.)poor oral hygiene 15.)inability to afford resources/supplies 16.)limited knowledge of overall benefits 17.)apathy 18.)non-fluoridated water 19.)exposure to toxins 20.)inadequate knowledge of linkage 21.)minimal private water testing 22.)limited resources 23.)limited cessation 24.)lack of public/employer action 25.)lack of resources/ follow-up care 26.)financial barriers 27.)low social attachment 28.)low self-esteem/sense of belonging 29.)lack of personal relationships 30.)marketing/peer pressure 31.)young age at first use 32.)easy availability 33.)lack of enforced regulation 34.)easy access 35.)poor statutory intervention 36.)insufficient parental supervision 37.)physical addiction 38.)frequency of use 39.)physical/mental stress 40.)alcohol use 41.)primary care practices 42.)limited use of screening and intervention at primary care level 43.)moderate physician willingness to address personal health issues 44.)limited physician knowledge of cessation program resources |
1.)Give Kids a Smile: The ADA's Give Kids a Smile program enhances the oral health of large numbers of needy children. Give Kids a Smile (GKAS) activities also highlight for policy makers the ongoing challenges that disadvantaged families face in finding dental care. 2.)Adams County Dental Clinic: the dental clinic, a program of the Adams County health Department, currently 3 full-time dentists on staff, that number will be reduced to 2 in May 2012. 3.)Illinois Kids Care 4.)Assess, identify, and engage in sustainable relationships with community partners that will participate in more effectively planning and implementing community oral health initiatives (including non-traditional partners). 5.)Effectively utilize dental health professionals and health care professionals in partnership to impact parents, family members, and caretakers. 6.)Initiative nutrition and prenatal care education in partnership with the nutrition and weight status and maternal, infant, and child working groups. |
| Adams County Health Department |
3 |
Mental Health and Mental Disorders |
1.)Increase the proportion of children with mental health problems who receive treatment. 2.)Increase the proportion of adults with mental disorders who receive treatment. |
1.)access to care 2.)heredity/chemical imbalance 3.)life/environmental stressors |
1.)Increase the proportion of primary care facilities that provide mental health treatment onsite or by paid referral. 2.)Increase the proportion of persons with co-occurring substance abuse and mental disorders who receive treatment for both disorders. 3.)Increase depression screening by primary care providers. 4.)Decrease the percentage who report feeling depressed, sad, or blue 1 or more days in the past month. (target 45% by 2014) 5.)Decrease the percentage who report they stopped activities sometime in the past 12 months due to sadness. 6.)Decrease the percentage who report they felt worried 10 or more days in the last 30 days. (Target: 19% by 2014) |
1.)lack of provider resources 2.)lack of financial resources 3.)attitudes and behaviors 4.)primary care practices 5.)shortness of in-patient care 6.)limited knowledge of resources 7.)need for affordable providers 8.)un- or under-insured 9.)unable to afford treatment 10.)poor program availability 11.)negative social stigma 12.)patient knowledge/denial 13.)fear/apathy 14.)concerns and misconceptions regarding personal privacy 15.)limited use of screening and intervention at primary care level 16.)moderate physician willingness to address mental health issues 17.)limited physician knowledge of mental health community resources 18.)inadequate medication 19.)lack of knowledge 20.)denial of mental illness 21.)improper use of medication 22.)unable to afford medication 23.)inadequate public education 24.)negative social stigma 25.)public apathy 26.)inappropriate privacy concerns 27.)undeveloped coping skills 28.)limited family/parenting skills 29.)poor self-esteem 30.)insufficient education on skills to manage stress 31.)physical environment 32.)socioeconomic status 33.)limited employment satisfaction 34.)poor household dynamics/abuse 35.)inadequate physical activity 36.)reduced motivation/self-esteem 37.)scarcity of time and resources 38.)insufficient knowledge of short and long-term benefits |
11.)Build a qualified and adequately trained workforce with a sufficient number of professionals to serve children and their families. 2.)Integrate mental health services into all primary care settings. 3.)Identify all children with social-emotional problems through a systematic community-wide screening process and link them to services. 4.)Create a cross system network of providers that encourage case consultation and strength-based planning for complex children and their families. 5.)maximize engagement of natural supports (faith community, etc.) 6.)community Education and Screening: Blessing Health Systems and its affiliated organizations have long been dedicated to community outreach programs, investing millions of dollars in recent years to these efforts. There are available speakers, educational opportunities, and support groups. Most utilized are the numerous free or low cost screenings, some of which are provided more than once a year and can be provided onsite for companies and local clubs. The screenings include: blood pressure, cancer (colorectal, oral, prostate, skin) cardiac risk assessment, carotid, cholesterol, depression, glucose, kidney, peripheral vascular disease, and mammograms. |
| Adams County Health Department |
4 |
Substance Abuse |
1.)Reduce the proportion of adults who drank excessively in the previous 30 days. 9target: 15%) 2.)Increase the proportion of adolescents never using substances. (Target 75%, 12th graders, alcohol and 90%, 12th graders, marijuana) |
1.)inadequate medical attention 2.)social factors 3.)heredity 4.)life/environment stressors |
1.)Reduce the proportion of adolescents who report that they rode, during the previous 30 days, with a driver who had been drinking alcohol. 2.)Increase the proportion of adolescents who disapprove of substance abuse. 3.)Increase the proportion of adolescents who perceive great risk associated with substance abuse. 4.)Increase the proportion of persons who are referred for follow-up care for alcohol problems, drug problems after diagnosis, or treatment for one of these conditions in a hospital emergency department. 5.)Reduce past month use of illicit drugs. 6.)Reduce the proportion of persons engaging in binge drinking of alcoholic beverages. 7.)Reduce the past year nonmedical use of prescription drugs. 8.)Reduce the proportion of adolescents who use inhalants. |
1.)accessibility and availability 2.)attitudes and behaviors 3.)primary care practices 4.)lack of financial resources 5.)limited program availability 6.)transportation 7.)patient knowledge/denial 8.)fear, apathy, and social stigma 9.)concerns about personal privacy 10.)limited use of screening/intervention 11.)poor knowledge of SA resources 12.)easy access 13.)community/family attitudes 14.)low social attachment 15.)insufficient parental supervision 16.)lack of accountability 17.)need for parental responsibility 18.)peer/media influence 19.)low self-esteem/sense of belonging 20.)lack of personal relationships 21.)family history 22.)lack of treatment 23.)stress, poor mental health 24.)unrecognized symptoms 25.)family attitudes/behaviors 26.)unable to afford 26.)lack of knowledge 27.)treatment stigma 28.)undeveloped coping skills 29.)limited family/parenting skills 30.)poor self-esteem 31.)physical environment 32.)socioeconomic status 33.)limited employment satisfaction 34.)poor household dynamics/abuse 35.)inadequate physical activity 36.)limited motivation/self-esteem 37.)scarcity of time/resources 38.)inferior knowledge of benefits |
1.)Social norms: The social norms marketing campaign gives adults and youth correct information about alcohol and substance use. Various data are used to promote positive social norms in our community. The social norms campaign uses print medical, radio, television, and billboards to reach parents and other adults in the community. 2.)In-school curricula: ACHD staff partners with the Great River Recovery Resources to provide classroom instruction using a curriculum called Too Good For Drugs. This is offered in middle and junior high school classes. 3.)Vendor training: Great River Recovery Resources and the law enforcement agencies provide TIPS training for server and merchants. These trainings are conducted by a TIPS trainer and local law enforcement officers and are offered fee of charge to all vendors that sell tobacco and alcohol. The training covers all the federal, state and local laws and penalties pertaining to alcohol and tobacco. 4.)Compliance: Compliance checks for underage purchasing of alcohol and tobacco are conducted by the Quincy Police department and the Adams County Sheriff's Department at least twice a year. 5.)Safe HOMES: A booklet is developed that enables parents to identify the network of SAFE HOMES that provide alcohol-free and drug-free environments for children. This booklet also contains suggestions and ways to talk to their children about alcohol. 6.)Community education: The coalition offers presentation and trainings about meth, its precursors, and its potential dangers to the community and what to do if you suspect a lab. The community presentations are done in conjunction with information sheets for community members. 7.)Youth leadership: Out-of-school time programming has been identified as a key strategy for addressing these challenges and helping young people build on their assets. the critical need for out-of-school-time programming has emerged in large part because of the unprecedented numbers of parents who are working outside of the home. 8.)Teen REACH (Responsibility, Education, Caring and Hope): This program is to expand the range of choices and opportunities that enable, empower and encourage youth to achieve positive growth and development, improve expectations and capacities for future success, and avoid risk-taking behavior. it is a nine-month program that provides the core services of improving academic performance; life skills education; parental involvement; recreation, sports, cultural/artistic activities; and positive adult mentors. 9.)Community education and screening: |
| Adams County Health Department |
5 |
Nutrition and Weight Status |
1.)Reduce the proportion of adults who are obese (Target:28% by 2014). 2.)Reduce the proportion of children and adolescents who are considered obese. (Target: 18% by 2014). |
1.)unhealthy diet and eating habits 2.)lack of physical activity |
1.)Increase the proportion of schools that offer nutritious foods and beverages outside of school meals. 2.)Increase the proportion of primary care physicians who regularly measure the body mass index of their patients. 3.)Increase the proportion of physician office visits that include counseling or education related to nutrition or weight. 4.)Increase the proportion of worksites that offer nutrition or weight management classes or counseling. |
1.)cost 2.)low income 3.)medications 4.)education 5.)food "desert" 6.)substandard housing 7.)availability/lack of access to healthy foods 8.)transportation 9.)food advertising 10.)time constraints 11.)lack of appliances/storage 12.)mental health 13.)stress 14.)depression 15.)emotional eating 16.)food insecurity 17.)lack of knowledge 18.)oversized portion 19.)culture 20.)lack of knowledge on nutritional content 21.)underutilization of available resources 22.)screen time 23.)lack of parental guidance 24.)lack of motivation/interest 25.)resistance to change 26.)lack of access to exercise program 27.)busy work/school schedule 28.)lack of value of exercise 29.)perception of unsafe neighborhood 30.)economy/program cut back 31.)lack of PE in schools 32.)unable to buy exercise equipment 33.)lack of time 34.)lack of family exercise program 35.)rely on car and modern technology 36.)lack of personal responsibility 37.)lack of knowledge 38.)misconception 39.)underutilization of available resources 40.)knowledge deficit about health benefits 41.)lack of positive role modeling |
1.)Friends of the trails: Friends of the trails mission is to collaborate, promote and educate the community on the multi-use trail system and greenways while providing organizational and fundraising capacities to supplement and lessen the burden of the City of Quincy, Quincy Park District, and Adams County. The goal is to complete the Quincy Greenways and Trails Plan and assist in the development of the Adams County Trails Plan in an attempt to meet the following objectives: provide free, health-related recreational opportunities for which families can participate together; allow safer access to our existing parks; provide linkage throughout the community for all socioeconomic populations; increase educational opportunities for children and adults to learn bike safety, increase educational opportunities for motorists through public awareness and media coverage; and enhance the economic benefits for the community. 2.)Safe routes to schools: these programs enable community leaders, schools and parents across the United States to improve safety and encourage more children, including children with disabilities, to safely walk and bicycle to school. In the process, programs are working to reduce traffic congestion and improve health and the environment, making communicates more livable for everyone. 3.)CATCH (Coordinated Approach to Child Health): CATCH is an evidence-based coordinated school health program designed to promote physical activity and healthy food choices, and prevent tobacco use in elementary school-aged children. 4.)health Care Provider Education Program: The Health Care provider Education Program is designed to improve health care approaches for the treatment and management of overweight and obese populations. programs to educate health care professionals and providers on the current status and best practices for the treatment of overweight and obesity are planner based on results of an education needs assessment on this topic that was distributed to health care providers in Adams County. 5.)Patient self-management programs (diabetes and cardiovascular): The Patient Self-Management Program for diabetes and cardiovascular disease is designed to help patients maintain good control over diabetes and/or cardiovascular disease by helping them learn how to better self-manage their disease utilizing the support of specially trained coaches who help patients effectively change their behavior. 6.)Comprehensive Worksite Wellness program (CWWP): CWWP is a wellness program that integrates self-reported health risk assessment data with an onsite wellness exam. The program that increases employee awareness of personal health risk factors for making appropriate lifestyle changes. 7.)Fit for the Future: The Fit for the Future program educates and supports children between the ages of 7-14 that have a high level BMI (above the 85th percentile) and are considered by their doctor to be obese and at a risk for disease. The program is designed to better the lives of children involved by helping to teach them how to lower their BMI through education on strength, flexibility, endurance and nutrition over the course of 12 weeks. 8.)Pioneering healthy Communities: Quincy is one of 16 communities in Illinois, Michigan and Ohio chosen by the YMCA of the USA to join its Activate America: Statewide Pioneering healthier Communities (PHC) initiative, which aims to reduce childhood obesity through policy, systems and environmental changes. The Quincy family YMCA received a two-year grant from the Robert Wood Johnson Foundation to cover Pioneering Healthier Communities training for the local team, and to seed the implementation of a community action plan. 9.)Quincy medical Group's Gold Medal Moves: Gold Medal Moves is a 10 week, comprehensive community based exercise initiative lead by Quincy medical group and six time Olympic medalist Jackie Joyner-Kersee, and the Salvation Army Kroc Center. Gold Medal Moves is designed to promote movement of all kinds, as well as fitness and weight loss. 10.)Community education and screening: Blessing Health Systems and its affiliated organizations have long been dedicated to community outreach programs, investing millions of dollars in recent years to these efforts. There are available speakers, educational opportunities, and support groups. Most utilized are the numerous free or low cost screenings, some of which are provided more than once a year and can be provided onsite for companies or local clubs. The screenings include: blood pressure, cancer, cardiac risk assessment, carotid, cholesterol, depression, glucose, kidney, peripheral vascular disease, and mammograms. |
| Adams County Health Department |
6 |
Physical Activity |
1.)Reduce the proportion of adults who engage in no leisure-time physical activity. (Target 45%) |
1.)unhealthy diet and eating habits 2.)lack of physical activity |
1.)Increase the proportion of adults who meet current federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity (Target: 45% by 2014) 2.)Increase the proportion of adolescents who meet current federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity. 3.)Increase the proportion of adolescents who participate in daily school physical education. 4.)Increase the proportion of school districts that require or recommend elementary school recess for an appropriate period of time. 5.)Increase the proportion of physician office visits that include counseling or education related to physical activity. 6.)Increase the proportion of employed adults who have access to and participate in employer-based exercise facilities and exercise programs. |
1.)cost 2.)low income 3.)medications 4.)education 5.)food "desert" 6.)substandard housing 7.)availability/lack of access to healthy foods 8.)transportation 9.)food advertising 10.)time constraints 11.)lack of appliances/storage 12.)mental health 13.)stress 14.)depression 15.)emotional eating 16.)food insecurity 17.)lack of knowledge 18.)oversized portion 19.)culture 20.)lack of knowledge on nutritional content 21.)underutilization of available resources 22.)screen time 23.)lack of parental guidance 24.)lack of motivation/interest 25.)resistance to change 26.)lack of access to exercise program 27.)busy work/school schedule 28.)lack of value of exercise 29.)perception of unsafe neighborhood 30.)economy/program cut back 31.)lack of PE in schools 32.)unable to buy exercise equipment 33.)lack of time 34.)lack of family exercise program 35.)rely on car and modern technology 36.)lack of personal responsibility 37.)lack of knowledge 38.)misconception 39.)underutilization of available resources 40.)knowledge deficit about health benefits 41.)lack of positive role modeling |
1.)Friends of the trails: Friends of the trails mission is to collaborate, promote and educate the community on the multi-use trail system and greenways while providing organizational and fundraising capacities to supplement and lessen the burden of the City of Quincy, Quincy Park District, and Adams County. The goal is to complete the Quincy Greenways and Trails Plan and assist in the development of the Adams County Trails Plan in an attempt to meet the following objectives: provide free, health-related recreational opportunities for which families can participate together; allow safer access to our existing parks; provide linkage throughout the community for all socioeconomic populations; increase educational opportunities for children and adults to learn bike safety, increase educational opportunities for motorists through public awareness and media coverage; and enhance the economic benefits for the community. 2.)Safe routes to schools: these programs enable community leaders, schools and parents across the United States to improve safety and encourage more children, including children with disabilities, to safely walk and bicycle to school. In the process, programs are working to reduce traffic congestion and improve health and the environment, making communicates more livable for everyone. 3.)CATCH (Coordinated Approach to Child Health): CATCH is an evidence-based coordinated school health program designed to promote physical activity and healthy food choices, and prevent tobacco use in elementary school-aged children. 4.)health Care Provider Education Program: The Health Care provider Education Program is designed to improve health care approaches for the treatment and management of overweight and obese populations. programs to educate health care professionals and providers on the current status and best practices for the treatment of overweight and obesity are planner based on results of an education needs assessment on this topic that was distributed to health care providers in Adams County. 5.)Patient self-management programs (diabetes and cardiovascular): The Patient Self-Management Program for diabetes and cardiovascular disease is designed to help patients maintain good control over diabetes and/or cardiovascular disease by helping them learn how to better self-manage their disease utilizing the support of specially trained coaches who help patients effectively change their behavior. 6.)Comprehensive Worksite Wellness program (CWWP): CWWP is a wellness program that integrates self-reported health risk assessment data with an onsite wellness exam. The program that increases employee awareness of personal health risk factors for making appropriate lifestyle changes. 7.)Fit for the Future: The Fit for the Future program educates and supports children between the ages of 7-14 that have a high level BMI (above the 85th percentile) and are considered by their doctor to be obese and at a risk for disease. The program is designed to better the lives of children involved by helping to teach them how to lower their BMI through education on strength, flexibility, endurance and nutrition over the course of 12 weeks. 8.)Pioneering healthy Communities: Quincy is one of 16 communities in Illinois, Michigan and Ohio chosen by the YMCA of the USA to join its Activate America: Statewide Pioneering healthier Communities (PHC) initiative, which aims to reduce childhood obesity through policy, systems and environmental changes. The Quincy family YMCA received a two-year grant from the Robert Wood Johnson Foundation to cover Pioneering Healthier Communities training for the local team, and to seed the implementation of a community action plan. 9.)Quincy medical Group's Gold Medal Moves: Gold Medal Moves is a 10 week, comprehensive community based exercise initiative lead by Quincy medical group and six time Olympic medalist Jackie Joyner-Kersee, and the Salvation Army Kroc Center. Gold Medal Moves is designed to promote movement of all kinds, as well as fitness and weight loss. 10.)Community education and screening: Blessing Health Systems and its affiliated organizations have long been dedicated to community outreach programs, investing millions of dollars in recent years to these efforts. There are available speakers, educational opportunities, and support groups. Most utilized are the numerous free or low cost screenings, some of which are provided more than once a year and can be provided onsite for companies or local clubs. The screenings include: blood pressure, cancer, cardiac risk assessment, carotid, cholesterol, depression, glucose, kidney, peripheral vascular disease, and mammograms. |
| Adams County Health Department |
7 |
Heart Disease and Stroke |
1.)By the year 2016, maintain deaths in Adams county attributable to coronary heart disease at no more than the baseline of 229 per 100,000. (2006 IPLAN Data Summary) |
1.)tobacco use 2.)high cholesterol 3.)hypertension |
1.)Decrease the number of adults who have been told their blood pressure was high. (Target: 30% by 2014). 2.)Reduce the proportion of persons in the population with hypertension (30% by 2014). 3.)Increase the proportion of adults who have had their blood cholesterol checker within the preceding 5 years. (Target 84% by 2014) 4.)Reduce the proportion of adults with high total blood cholesterol levels. (Target: 30% by 2014) 5.)Increase the proportion of adults aged 20 years and older who are aware of, and respond to, early warning symptoms and signs of a heart attack. |
1.)physical addiction 2.)marketing/peer pressure 3.)limited cessation practices 4.)primary care practices 5.)frequency of use 6.)physical/mental stress 7.)alcohol use 8.)young age at first use 9.)easy availability 10.)regulation enforcement 11.)shortage of public/employer action 12.)insufficient resources/follow-up care 13.)financial barriers 14.)limited use of screening 15.)minimal early screening/follow-up 16.)limited knowledge. Denial of risk 17.)diet 18.)poor eating habits 19.)lack of knowledge 20.)stress 21.)heredity 22.)absence of genetic screening/counseling 23.)inadequate nutrition knowledge 24.)family attitudes/behaviors 25.)obesity 26.)ineffective exercise habits 27.)substandard eating habits 28.)poor knowledge 29.)sedentary lifestyle 30.)absence of motivation 31.)perceived lack of time and resources 32.)substandard family/social issues 33.)inadequate utilization of counseling 34.)insufficient medical attention 35.)minimal early screening/follow-up |
1.)Friends of the trails: Friends of the trails mission is to collaborate, promote and educate the community on the multi-use trail system and greenways while providing organizational and fundraising capacities to supplement and lessen the burden of the City of Quincy, Quincy Park District, and Adams County. The goal is to complete the Quincy Greenways and Trails Plan and assist in the development of the Adams County Trails Plan in an attempt to meet the following objectives: provide free, health-related recreational opportunities for which families can participate together; allow safer access to our existing parks; provide linkage throughout the community for all socioeconomic populations; increase educational opportunities for children and adults to learn bike safety, increase educational opportunities for motorists through public awareness and media coverage; and enhance the economic benefits for the community. 2.)Safe routes to schools: these programs enable community leaders, schools and parents across the United States to improve safety and encourage more children, including children with disabilities, to safely walk and bicycle to school. In the process, programs are working to reduce traffic congestion and improve health and the environment, making communicates more livable for everyone. 3.)CATCH (Coordinated Approach to Child Health): CATCH is an evidence-based coordinated school health program designed to promote physical activity and healthy food choices, and prevent tobacco use in elementary school-aged children. 4.)health Care Provider Education Program: The Health Care provider Education Program is designed to improve health care approaches for the treatment and management of overweight and obese populations. programs to educate health care professionals and providers on the current status and best practices for the treatment of overweight and obesity are planner based on results of an education needs assessment on this topic that was distributed to health care providers in Adams County. 5.)Patient self-management programs (diabetes and cardiovascular): The Patient Self-Management Program for diabetes and cardiovascular disease is designed to help patients maintain good control over diabetes and/or cardiovascular disease by helping them learn how to better self-manage their disease utilizing the support of specially trained coaches who help patients effectively change their behavior. 6.)Comprehensive Worksite Wellness program (CWWP): CWWP is a wellness program that integrates self-reported health risk assessment data with an onsite wellness exam. The program that increases employee awareness of personal health risk factors for making appropriate lifestyle changes. 7.)Fit for the Future: The Fit for the Future program educates and supports children between the ages of 7-14 that have a high level BMI (above the 85th percentile) and are considered by their doctor to be obese and at a risk for disease. The program is designed to better the lives of children involved by helping to teach them how to lower their BMI through education on strength, flexibility, endurance and nutrition over the course of 12 weeks. 8.)Pioneering healthy Communities: Quincy is one of 16 communities in Illinois, Michigan and Ohio chosen by the YMCA of the USA to join its Activate America: Statewide Pioneering healthier Communities (PHC) initiative, which aims to reduce childhood obesity through policy, systems and environmental changes. The Quincy family YMCA received a two-year grant from the Robert Wood Johnson Foundation to cover Pioneering Healthier Communities training for the local team, and to seed the implementation of a community action plan. 9.)Quincy medical Group's Gold Medal Moves: Gold Medal Moves is a 10 week, comprehensive community based exercise initiative lead by Quincy medical group and six time Olympic medalist Jackie Joyner-Kersee, and the Salvation Army Kroc Center. Gold Medal Moves is designed to promote movement of all kinds, as well as fitness and weight loss. 10.)Community education and screening: Blessing Health Systems and its affiliated organizations have long been dedicated to community outreach programs, investing millions of dollars in recent years to these efforts. There are available speakers, educational opportunities, and support groups. Most utilized are the numerous free or low cost screenings, some of which are provided more than once a year and can be provided onsite for companies or local clubs. The screenings include: blood pressure, cancer, cardiac risk assessment, carotid, cholesterol, depression, glucose, kidney, peripheral vascular disease, and mammograms. |
| Adams County Health Department |
8 |
Maternal, Infant, and Child Health |
1.)Increase the proportion of pregnant women who receive early and adequate prenatal care. (Target: 90% by 2014) |
1.)teen pregnancy 2.)low birth weight 3.)patient apathy |
1.)Increase the abstinence from alcohol, cigarettes, and illicit drugs among pregnant women. (Target: 80% by 2014) 2.)Increase the proportion of pregnant women who attend a series of prepared childbirth classes. 3.)Decrease the percentage of low weight births (7.5% by 2014). 4.)Decrease the percentage of teen births Target:1.8% by 2014) 5.)Reduce postpartum relapse of smoking among women who quit smoking during pregnancy. 6.)Increase the proportion of women giving birth who attend a post partum care visit with a health worker. 7.)Increase the proportion of children, including those with special health care needs, who have access to a medical home. 8.)Increase the proportion of children with special health care needs who receive their care in family-centered, comprehensive, coordinated systems. |
1.)lack of education 2.)societal acceptance 3.)lack of self-esteem 4.)lack of agreement on curriculum 5.)parental involvement 6.)lack of funding 7.)generational social norms 8.)life skills 9.)decision-making 10.)lack of prenatal care/wellness visits 11.)cigarette smoking 12.)low pregnancy weight gain 13.)access to medical care 14.)lack of time/transportation 15.)awareness of resources 16.)stress 17.)societal factors 18.)environmental 19.)proper nutrition 20.)lack of access to nutritional foods 21.)cost of care 22.)knowledge of long-term benefits 23.)socioeconomic status/culture 24.)laws and legislation 25.)denial 26.)lack of general health education 27.)fear and rejection of risk 28.)limited parenting/family skills |
1.)Family Case Management: The FCM Program heals families with a pregnant woman, infant, or young child obtain the health care services and other assistance they may need to have a healthy pregnancy and to promote the child's health development. The goals of FCM are to: provide access to primary health care; identify and resolve access barriers; provide health education to all legible clients; and reduce infant mortality. 2.)WIC: The Mission of WIC is to improve the health and nutritional status of women, infants, and children, reduce the incidence of infant mortality, premature births and low birth weights, aid in the development of children, and refer women to other health care and social service providers. 3.)Social Norms marketing: the social norms marketing effort that attempts to increase knowledge of teen pregnancy and promote the assets of youth. There are a variety of studies that have found social norms to be an effective intervention. 4.)All Our Kids network (AOK): The Adams County AOK Network is committed to building a community wide partnership that promotes a system of services that are comprehensive, coordinated, and user friendly to families of young children. 5.)Community Education and Screening: Blessing healthy Systems and its affiliates organizations have long been dedicated to community outreach programs, investing millions of dollars in recent years to these efforts. There are available speakers, educational opportunities, and support groups. Most utilized are the numerous free or low cost screenings, some of which are provided more than once a year and can be provided onsite for companies or local clubs. The screenings include: blood pressure, cancer, cardiac risk assessment, carotid, cholesterol, depression, glucose, kidney, peripheral vascular disease, and mammograms. |
| Adams County Health Department |
9 |
Environmental Health |
|
1.)chronic exposure to indoor radon |
1.)Reduce blood lead levels in children. 2.)Increase recycling of municipal solid waste. 3.)Increase the percentage of homes with an operating radon mitigation system for persons living in homes at risk for radon exposure. |
1.)low geology high in radon 2.)homes insufficiently ventilated and/or home foundations 3.)behavioral choices 4.)lack of public awareness 5.)new energy efficient home construction presence of radon entry routes in foundation 6.)governments lacking radon-resistant construction policies 7.)costs associated with measuring and mitigating radon 8.)testing for radon considered low priority 9.)mitigating indoor radon considered low priority or unnecessary |
1.)Educate the medical community. 2.)Work with area builders to promote the inclusion of radon mitigation in new home construction as appropriate. 3.)Develop an educational campaign to promote recycling in all Adams County Communities. |
| Bond County Health Department |
1 |
Heart Disease |
"1.)By 2016 reduce the crude rate for coronary heart disease to 190/100,000. (Baseline: 2006 IPLAN 224.7 per 100,000) |
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1.)smoking 2.)high cholesterol 3.)hypertension 4.)obesity |
"1.)Reduce level of reported sedentary lifestyle by 20% by 2014. (Baseline:40.8% BRFS 2008) 2.)Reduce by 5 the number of hospitalizations due to uncontrolled hypertension by June 2014. (Baseline: Local hospital reports 657 admissions with primary diagnosis of hypertension in 2009, GRH) 3.)By 2014, pregnant women who smoke in Bond County will decrease to 20%. |
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| (Baseline 27.0%, 2006 IPLAN Data) 4.)Increase the percentage of residents who have had their blood pressure |
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| measured in the last two years and can state that their blood pressure is normal or high. Increase percentage to 84% by 2014. (According to BRFS 2008 Bond County residents 22.7% reported they had been told they had high BP; 36.59% ages 45-64 & 50.7% ages 65 & over) 5.) By 2014 decrease the prevalence of blood cholesterol levels of 200mg/dl or greater to no more than 45% for those adults aged 45 through 64. (Baseline: 53.6% BRFS 2008). 6.)By 2014 increase the number of adults age 20 and over who are aware of and respond to early warning signs and symptoms of a heart attack. |
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1.)family history 2.)addiction 3.)age 4.)diet 5.boredom 6.)pleasure 7.)peer pressure 8.)advertising 9.)image 10.)lifestyle 11.)finances 12.)lack of screening and follow-up 13.)motivation 14.)programs 15.)knowledge 16.)exercise 17.)staff time for programs |
"1.)High-Risk Approach: identify high-risk individuals through population screenings and refer them for treatment. 2.)Have blood pressure clinics on regular basis, offer screenings daily at health department. 3.)Offer cardiac risk profiles at a reduced cost on a regular basis at BCHD. 4.)Sponsor/co-sponsor and or attend health fairs and seminars and offer free BP screenings. 5.)Co-sponsor with the hospital and University of Illinois Extension an annual Women's Wellness Seminar to promote women's health. 6.)The annual hospital health fair will provide comprehensive blood test. 7.)Health department will offer lipid profiles every September, also on daily basis. 8.)Health department will provide anti-smoking educational programs in the school setting 9.)Family planning clients will be given information on smoking cessation with education on the associated risk factors at each clinic visit. Promote IDPH Quit Line. 10.)Clients in WIC program will receive information on the risk of tobacco use, exposure to environmental tobacco smoke and the associated risk of heart disease and be instructed on ways to reduce the risk at least two visits annually to the health department for services. Promote IDPH Quit line. Additionally, they will receive information on childhood overweight/obesity sedentary life style. Parents will be instructed on proper nutrition and physical activities. 11.)Clients screened each year for high blood pressure and those being monitored for high blood pressure will receive education and counseling on the risk of hypertension and the associated increase risk for heart disease. 12.)University of Illinois Extension will send newsletters to college students addressing health topics. |
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| Bond County Health Department |
2 |
Cancer |
1.)By 2016, reduce all cancer deaths by 20% (Baseline 24% IPLAN 2006) |
1.)family history 2.)environmental factors 3.)lifestyle 4.)lack of screening, follow-up and care 5.)second hand smoke 6.)smoking |
"1.)By 2014, maintain at least 90% those women who have had a pap smear and were referred to treatment as appropriate. (Baseline: 99.4% ever had pap smear; BRFS 2008). 2.)By 2014, increase to at least 85% those (men) aged 40 and older who have received a PSA screening and clinical digital exam and were referred to treatment as appropriate. (Baseline: 76.5% received digital exam, BRFS 2008; 8 PSAs identified in the BCHD 2010 Annual Report). 3.)By 2014, reduce by 5 high school students who smoke. 4.)By 2014 pregnant women who smoke in Bond County will decrease to 20%. (2006 IPLAN data, Baseline 27%). |
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1.)family history 2.)lack of knowledge 3.)addiction 4.)peer pressure 5.)pollution: leaf burning, cleaning solutions, insect/pesticides 6.)second hand smoke 7.)access to health care |
"1.)High Risk Approach: identify high-risk individuals through population screenings and refer them for treatment. 2.)Health department will provide anti-smoking educational programs in the school setting. Promote IDPH Quit Line. 3.)Increase the participation in the breast and cervical cancer program. 4.)Provide educational articles regarding screenings and the importance of early detection. 5.)Health department will do PSA screenings during Prostate Cancer Awareness 6.)Month and provide education. 7.)Education will be provided to family planning clients regarding pap smears and sexual activity. 8.)Offer PSA screenings at the hospital health fair. 9.)Co-sponsor with hospital and University of Illinois Extension an annual Women's Wellness Seminar to promote women's health. 10.)University of Illinois Extension will address prostate cancer in newsletters. 11.)University of Illinois Extension will send newsletters to college students addressing health topics. |
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| Bond County Health Department |
3 |
Diabetes |
1.)By 2016, reduce the crude rate for diabetes to 100/100,000. (Baseline 130.4/100,000, IPLAN 2000) |
1.)obesity 2.)age |
"1.)By 2014 increase by 20% the Bond County residents who are physically active (Baseline:40.8% inactive, BRFS 2008) 2.)By 2014 reduce the number of overweight people by 15%. (Baseline: 60.8% Bond County residents are overweight/obese, BRFS 2008). 3.)By 2015 reduce infant and children at risk for being overweight/obese by 20% (Baseline: 50% of Bond County WIC children at risk for being overweight/obese, Cornerstone data system). |
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1.)diet 2.)inactivity 3.)family history 4.)hypertension 5.)high cholesterol 6.)lack of health care |
"1.)High Risk Approach: identify high-risk individuals through screenings and provide appropriate education and referrals. 2.)Health department will provide screenings and education 3.)Provide educational articles regarding screenings and the importance of early detection 4.)Hospital will conduct annual health fair and continue with the diabetic support group 5.)University of Illinois Extension will provide nutritional programs to the members and community 6.)Health department will co-sponsor with the hospital and extension center the Women's Wellness program. |
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| Bond County Health Department |
4 |
Inadequate Access to Health Care |
1.)By 2016, Reduce the number of Bond County adults who avoid the doctor due to cost from 10.3% (BRFS 2008) to 7.2%. |
1.)limited providers 2.)lack of adequate insurance 3.)lack of accessibility and acceptability 4.)unemployed/loss of wages |
1.)By 2012 work with the local hospital on physician recruitment. 2.)By 2014 increase the number of PCP in Bond County that will accept Medicaid and or the working poor. 2002 IPLAN figures show Medicaid Enrollees at 13.9% for Bond County adults and 23.9% for those under age 21. Increase PCPs from 8 to 11 in Bond County. |
1.)increased number of unemployed residents 2.)increased number of un- or under-insured residents 3.)increased number of residents on Medicaid 4.)unaware of availability of public transportation |
"1.)Hospital to recruit PCPs utilizing physician recruiters. 2.)LHD to explore feasibility of developing a FQHC/Community Healthcare Center. 3.)Apply for federal grant to assist with FQHC and work with IL Primary Health Care. 4.)Promote the means for public transportation through distribution of pamphlets |
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| Boone County Health Department |
1 |
Obesity |
Decrease the percentage of Boone County residents who are obese from 31.2% (Boone County Baseline) to the Illinois benchmark of 27.6% by December 2017 (IDPH Illinois Behavioral Risk Factor Surveillance Survey (BRFSS)). |
1.) Poor Nutrition 2.) Inactivity |
1.) Increase the percentage of Boone County adults who eat more than two servings of fruits and vegetables per day to the national benchmark of 32.8% (Baseline is 27% for the Boone County population) by December 2015. (BRFSS, 2007 (accessed through CDC)). 2.) Increase the number of Boone County residents who engage in physical activity to 63.1% (Baseline is 56.7% for the Boone County population) by December 2017. Based on the Illinois State data retrieved from CDC. |
1.) Lack of coping skills/stress management 2.) Indirect 3.) Lack of available resources, Sedentary lifestyle 4.)Lack of behavior change 5.) Lack of time 6.) Stress 7.) Diet 8.)Poor Nutrition 9.)Social related stress (work, family, friends) 10.) Lack of skills/knowledge 11.) Availability of food choices 12.) Dietary choices/portions 13.) Inadequate counseling |
1.) Increase adolescent participation in school-based health programs (through the We Choose Health grant), in collaboration with community partners. 2) Encourage physical activity and proper diet through educational programs. 3.) Promote community activity through the Women Out Walking program (WOW). 4.) Educate the community on healthy dieting, nutrition, and the importance of physical activity. 5.) Encourage and inform the residents of the numerous parks and facilities available, including the local YMCA and Belvidere Park District |
| Boone County Health Department |
2 |
Type II Diabetes |
Reduce the percentage of Boone County adults, ages 45-64 who report they have been diagnosed with diabetes from 10.1% to 9.1% by the end of December, 2017. (Healthy People 2020 Objectives) 2.)Reduce the percentage of Boone County adolescents, ages 18 years and younger who have been diagnosed with diabetes from 26% (baseline calculated based on the CDC prevalence of diabetes in the U.S.) to 16% (based on Healthy People 2020 D-1 objective of 10% improvement among adults), by December 31, 2017. |
1.) High Blood Pressure 2.) Overweight |
1.) Offer low cost or free blood glucose screenings to 1,000 people (estimated 200 persons per year) at the health department and/or other community screening sites by July 1, 2016. 2.) Increase the number of Stanford Chronic Disease Self-Management Programs offered to Boone County residents to ten offered programs by December 31, 2017. 3.) Reduce the number of Boone County adults who are overweight or obese from 31.2% to below 27.6% based on body mass index, by the end of December 2017. |
1.) Lack of physical activity 2.) Lack of opportunity/skills/time 3.) Lack of behavior change 4.) Social related stress (work, family, friends) 5.) Lack of physical activity 6.) Limited access to care (resources)7.) Stress eating8.) Perceived lack of time 9.) Sedentary lifestyle 10.) Perceived barriers (resources) 11.) Lack of coping skills/stress management 12.) Poor diet 13.) Stress |
1.) To increase the adolescent participation in school-based health programs (through the We Choose Health grant). 2.) Collaborate with the Boone County Council on Aging and the Northwestern Illinois Chapter to provide the proven Stanford Chronic Disease Self-Management Program. 3.) Promote and market physical fitness, exercise, and diet through a media and marketing campaign utilizing our community partners (i.e. YMCA, Belvidere Park District). 4) Educate Boone County residents about the importance of diabetic screenings. 5.) Increase the number of Boone County residents being screened at the health department and community screening sites |
| Boone County Health Department |
3 |
Chronic Disease Screening |
1.) Increase the number of Boone County women who receive mammogram screenings from 67.4% (baseline for Boone County population) to 74% (national benchmark) by December 31, 2017. Baseline data based on the Illinois Behavioral Risk Factor Surveillance System (BRFS). 2.) Increase the number of Boone County men and women, ages 50 and older, who receive colorectal cancer screening exams from 60.6% (baseline for Boone County population) to 62% by December 31, 2017. (Illinois Behavioral Risk Factor Surveillance System (BRFS)). 3.) Increase the number of adults having their blood glucose screened from 64% (baseline for Boone County population) to the Illinois state benchmark of 66% by December 31, 2017. Baseline data based on the Illinois Behavioral Risk Factor Surveillance System (BRFS) and Illinois state benchmark based on County Health Rankings. |
1.) Unhealthy Lifestyle 2.) Poor Nutrition |
1.) Provide low cost or free blood glucose screenings to 200 persons per year at the health department and other community screening sites by July 1, 2013. 2.) Increase the number of Stanford Chronic Disease Self-Management Programs offered to Boone County residents to ten offered programs by December 31, 2017.3.) Promote the importance of colorectal cancer screening in both early detection and prevention of colorectal cancer within the community by December 31, 2017. 4.) Increase community awareness of the importance of glucose screenings for detecting elevated blood pressure levels by December 31, 2017. 5.) Provide access to information to the community of resources available for accessing affordable screenings by December 31, 2017. |
1.) Lack of Physical activity 2.) Lack of Preventative services 3.) Diet 4.) Sedentary lifestyle 5.) Lack of access to facilities 6.) Lack of transportation 7.) Lack of screenings 8.) Lack of resources in area 9.) Dietary choices unhealthy 10.) Availability of foods 11.) High lipids |
1.) Collaborate with the Boone County Council on Aging and the Northwestern Illinois Chapter to provide the proven Stanford Chronic Disease Self-Management Program. 2.) Encourage chronic disease screenings to high risk populations through education programs and material promotions. 3.) Collaborate with community partners to provide affordable or free blood pressure and blood glucose screenings throughout Boone County. 4.) Promote physical activity and well balanced nutrition through educational programs and activities |
| Boone County Health Department |
4 |
Access to Healthcare |
1.) To reduce the number of adults in Boone County who avoided the doctor due to cost from 17.2% to 13% (2009-2010 Illinois Department of Public Health Behavioral Risk Factor Surveillance System, IDPH BRFS) by the end of December 2017. 2.) To implement and streamline the 2-1-1, 24 hour service line, to Boone County residents in order to access healthcare and human services information (as measured by pilot counties using 2-1-1) by the end of December 2017. |
1.) No healthy Insurance 2.) Lack of Health Literacy/Education |
1.) Create a Boone County Directory of Services for residents by July 31, 2015. 2.) Educate the importance of seeing a physician and the options for both insurance holders and non-insurance holders hosted at the health department by July 31, 2016. 3.) Provide marketing materials that explain where a resident in Boone County may obtain services by July 31, 2016. 4.) Increase the number of people in Boone County who receive appropriate evidence-based preventative services through a 2-1-1 hotline by December 31, 2017. |
1.) Language barriers 2.) Lack of resources 3.) Lack of access 4.) Loss of Job 5.) Cost/Money 6.) Lack of services |
To implement the 2-1-1 hotline, increasing access to public health information in Boone County. |
| Brown County Health Department |
1 |
Obesity |
1.)By 2016, the percent of adults who are overweight or obese will decrease to 25%. 2.)By 2016, the percent of residents told they have diabetes will decrease to 5.5%. |
1.)hypertension 2.)lifestyles 3.)lack of exercise 4.)poor diets 5.)disabilities 6.)overweight 7.)poor nutrition 8.)social influences |
1.)By 2014, the percent of adults participating in moderate physical activity for 30 minutes five or more days per week will increase to 45%. 2.)By 2014, the percent of residents eating 5 or more servings of fruits and vegetables will increase to 15%. |
1.)improper diet 2.)family history 3.)overweight 4.)tobacco use (smoke/chew) 5.)lack of time 6.)limited income 7.)TV 8.)poor eating habits |
"1.)Clients seen in MCH programs will receive education on weight control, physical activity and eating 5 or more servings of fruits and vegetables each day at each office visit. 2.)BCHD will work with other community organizations to provide education programs on weight control and physical activity each year. 3.)BCHD will annually work with local agencies to provide a local farmer's market to promote consumption of fruits and vegetables. 4.)Blood pressure screenings will be provided monthly with cholesterol and blood sugar screenings. 5.)At least one news article or radio interview will be presented annually on the risk factors for overweight and obesity and on type II diabetes. |
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| Brown County Health Department |
2 |
Stress |
1.)Reduce the number of reported days that mental health was not good to 15% for 1-7 days (Baseline: 4th Round BRFSS; No report 69.5%; 1-7 days 23.4%; 8-30 days 7.1%) |
1.)family history 2.(environmental (radiation and air pollution 3.)smoking status/chewing tobacco 4.)chemical exposure 5.)age/race/gender 6.)unhealthy diet |
1.)Awareness of factors which contribute to stress. 2.)Increase smoking prevention classes in the County and decrease number of residents who smoke by 5% by 2016. |
1.)lack of exercise 2.)lack of education 3.)denial 4.)occupation 5.)lack of insurance 6.)TV 7.)limited income 8.)decrease in population 9.)stigmatism |
1.)Educational material continues to be available to the public through newspaper releases, pamphlets, and the use of a local billboard along the highway next to the school which has pictures drawn by students about the ill effects of smoking. In addition, we will continue to offer educational programs in the school to reduce and prevent youth tobacco use. Funding for tobacco related prevention and cessation is provided by Illinois Department of Public Health. 2.)Utilization of existing community resources, and expanding those available, providing education regarding depression that will include: screening and screening information; information regarding treatment options, signs and symptoms of depression; and how to access services by working with the mental health center and medical community. |
| Brown County Health Department |
3 |
Guidance to Care |
1.)Reduce the proportion of individuals that experience difficulties or delays in obtaining necessary medical care, dental care, or prescription medicines. 2.)Increase the population's knowledge regarding community health care resources by 20% by 2016. |
1.)disabled population 2.)cost of medical care 3,)limited health care available 4.)rural area lifestyle 5.)under/non insured 6.)distance to specialized healthcare 7.)low income |
1.)Increase number of WIC clients who sign up for Kids Care by 5% by 2016. 2.)Increase the information available to the public by 10% through the Brown County Health Department. |
1.)no vehicles 2.)lack of doctors 3.)inability to pay market wages 4.)decrease in population 5.)population aging 6.)poor communication- TV/radio 7.)lack of dentists 8.)distance to specialized care |
1.)Provide public health services outside of agency to public sector. 2.)Make public aware of the Western Illinois Rural Transportation System. 3.)Public Health Agency to act as resource in providing information regarding health services. |
| Bureau-Putnam County Health Department |
1 |
Substance Abuse |
By 2016, decrease the percentage of 10th and 12th graders who have used alcohol, tobacco or marijuana in the past month by 5%. Baseline: According to 2010 data 27 % of Bureau & Putnam County 10th graders and 50% of 12th graders used alcohol , 11% of 10th graders and 27% of 12th used tobacco and 11% of 10th graders and 8% of 12th graders used marijuana in the past month. |
1.) Cycle of Addiction 2.) Stress 3.) Mental Health |
"1.) By 2014, increase the percentage of 10th and 12th graders who perceive a moderate or great risk of harm from regular alcohol use by 5%. |
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| Baseline: According to the 2010 Illinois Youth Survey, 62% of Bureau & Putnam County 10th graders and 47% of 12th graders perceived a moderate or great risk of harm from regular alcohol use. 2.) By 2014, increase the percentage of 10th and 12th graders who report that their parents/guardians talked to them about not using alcohol by 2%. Baseline: When asked if their parents/guardians had talked to them about not using alcohol in the past year, 61% of 6th graders, 52% of 8th graders, 57% of 10th graders, and 55% of 12th graders answered yes. (2010 Illinois Youth Survey) 3.) By 2014, reduce the percentage of 10th & 12th graders who report that alcohol is ?sort of easy or very easy? to get by 3%. Baseline: In 2010, 65% of Bureau & Putnam County 10th graders and 83% of 12th graders reported that alcohol is ?sort of easy or very easy? to get. (IL Youth Survey) |
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1.) Poor self image (peer pressure, society, body image, abuse) 2.) PTSS/coping skills (return from war, grief, loss, poor role model/parenting) 3.) Drug induced psychosis (access to care) 4.) Heredity 4.) Work related stress (overworked, poor work relationships, poor compensation) 5.) Social influences (school/bullying, lack of parental support) 6.) Economics (one-parent household) 7.) Physical health (obesity, chronic illness) 8.) Social influences (availability, acceptability/peer pressure) 9.) Family environment (codependency, lack of consequences, no alternative activities, age of first use) 10.) Access to care 11.) Mental health/denial, |
1.) Promote a mentoring and counseling program by collaborating with school counselors, law enforcement resource officers and parents. 2.) Provide evidence-based program, Alcohol EDU to 300 9th graders. 3.) Conduct a social marketing campaign to serve 22,189 adults ages 21-64, with the purpose of increasing parent/adult concern about underage drinking so that they will talk to their children/youth about not drinking alcohol. 4.) Partner with the IL Liquor Control Commission to reach 150 parents with parental responsibility meetings in three separate communities. 5.) Advocate for the passage of Social Host Ordinances and Keg Registration Ordinances in Princeton, Illinois which will serve 4,142 adults ages 21-64 and duplicate efforts in other communities as possible. |
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| Bureau-Putnam County Health Department |
2 |
Nutrition, Physical Activity & Obesity |
By 2016, decrease number of Bureau & Putnam County residents that are overweight or obese by 5%. Baseline: In 2007-2009 64.8% of Bureau County residents and 65.6% of Putnam County residents were overweight or obese. (IL BRFSS) |
1.) Unhealthy Eating & Exercise Habits 2.) Unhealthy Eating & Exercise Habits |
"1.) By 2014, increase the proportion of Bureau & Putnam County residents who consume 4 or more servings of vegetables and fruits by 5%. Baseline: In 2007-2009 32% of adults and in 2010, 15% of youth in Bureau & Putnam Counties consumed 4 or more servings of vegetables and fruits a day. (IL BRFSS, IL Youth Survey) 2.) By 2014, increase the proportion of Bureau & Putnam County residents who meet the current federal physical activity guidelines by 5%. Baseline: In 2007-2009 49.7% of Putnam County adults and 59% of Bureau County adults met the |
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1.) Attitude 2.)Poor self esteem 3.) Poor role modeling 4.) Lack of motivation 5.) Lack of perceived time 6.) Accessibility 7.) Availability 8.) Distance to resources 9.) Affordability 10.) education 11.) medical problems 12.) A family history of obesity and lack of access to care. |
1.) Establish a community-wide coalition to develop partnerships with businesses, youth groups and community groups and provide on-going collaboration, ideas and focus on reducing obesity in Bureau & Putnam County. 2.) Provide worksite health assessments and feedback, nutrition and physical activity programs designed to improve health related behaviors and health outcomes. (Healthy People 2020 Initiative) 3.) Reduce screen time. Provide behavioral interventions to reduce screen time by working at improving children's and parents' knowledge, attitudes or skills. (Healthy People 2020 Initiative) 4.) Provide education / information healthy lifestyles. (Healthy People 2020 Initiative) 5.) Healthier food access: Encourage schools to increase healthy food choices, such as at lunch through the use of salad bars, whole grain foods and fresh fruit in vending machines, healthy foods at concession stands and at special school events by suggesting to parents or creating a policy that only healthy foods are brought into the schools. 6.) Healthier food access / decrease food insecurity: work on bringing another farm-to-table program (such as the one at Bureau Valley High School) to another school in our area. |
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| Bureau-Putnam County Health Department |
3 |
Access to Care |
By 2016, increase the percentage of Bureau & Putnam County residents with a primary care provider or regular source of health care by 5%. Baseline: In 2007-2009, 7,9% of Bureau County residents and 5.7% or Putnam County residents did not have a primary care provider. (BRFSS, 2007-2009) |
1.) Lack of health insurance 2.) Lack of capacity 3.) Cost of health care |
1.) By December 31, 2015, increase the number of primary care providers to treat the target group. 2.) By 2015, improve sources of information on access to care (website, social media, print). Baseline Data: As of May 2012, there are two primary care providers in central-western Bureau County that accept new patients in the target group. |
1.) Economics 2.) employment status3.) unemployment 4.) underemployment 5.) low level of education 6.) lack of knowledge about health care system 7.) changing eligibility 8.) inability to navigate the system 9.) language barriers 10.) strain on providers 11.) low reimbursement rates 12.) lack of providers willing to accept Medicaid 13.) slow payments by state 14.) lack of free or low cost STD clinic 15.) inefficient health care system 16.) lack of fully integrated health IT system 17.) limited access to low cost Rx drugs 18.) reimbursement 19.) regulatory and legal factors. |
1.) Explore different sources of funding to expand or maintain existing programs. 2.) Provide consumer resources on access to care issues on social media and website. 3.) Increase the capacity to provide medical, dental and mental health care for the target group through a local clinic, such as a Federally Qualified Health Clinic. 4.) Expand immunization services by providing immunizations for younger siblings at school clinics. |
| Bureau-Putnam County Health Department |
4 |
Mental Health |
By 2016, increase the percentage of Bureau & Putnam County residents that state they have 0 days where their mental health is not good by 5%. Baseline: In 67.4% of Bureau County residents and 68.1% of Putnam County residents stated they have 0 days where their mental health was not good. (IL BRFSS) |
1.) Social isolation 2.) Stress |
By 2016, decrease by 2% the percentage of youth in Bureau & Putnam Counties who felt so sad and hopeless in the past 12 months they stopped their usual activities. Baseline: In 2008 & 2010, 23-33% of our youth in 8th-12th grades indicated they had felt so sad and hopeless in the past 12 months they stopped their usual activities. (IL Youth Survey) |
1.) Access to mental health care 2.) Lack of focus on positive 3.) Lack of appreciation of individuals/focus on inclusion 4.) Poor coping skills 5.) Rural community6.) Economy 7.) Aging population8.) Emphasis often on sports 9.) Over scheduling 10.) Little time with family 11.) No one to talk to about problems 12.) Too many activities/too little down time lack of support 13.) Lack of social activities/outlets |
1.) Develop a social marketing campaign aimed at increasing parental involvement. 2.) Incorporate mental health education and coping skills into existing programs (such as enrichment, after school, summer and faith-based programs for youth). 3.) Research bringing additional programs such as Big Brother/Big Sister, or a Challenge Day/Pay it Forward program to our community. 4.) Research ways to increase the number of providers to treat mental health. 5.) Distribute mental health resource information through schools, local health fairs & website. 6.) Develop a mental health committee to coordinate mental health activities. |
| Calhoun County Health Department |
1 |
Cardiovascular Disease |
1.)By 6/30/2016, decrease the number of mortality deaths due to diseases of the heart by 10%. (Baseline: mortality due to disease of heart 2006 29%, 18 out of 62 deaths) |
1.)hypertension 2.)hyperlipidemia |
1.)By 6/30/2015, decrease diagnosed high B/P by 10%. (Baseline: BRFSS 2007-2009 38.3% of people in Calhoun were told they have high blood pressure. 87.5% medication was prescribed. 2.)By 6/30/2015, decrease by 20% the number of abnormal lipid panels drawn at the Health Department. (Baseline: Total lipids 2010 142, Total B/P's 142, 83 out of 142 lipid panels were abnormal-58%) |
1.)smoking 2.)lack of support 3.)peer pressure 4.)stress 5.)obesity 6.)lack of education 7.)unhealthy eating patterns 8.)limited food choices 9.)non-compliance with treatment 10.)lack of medical care 11.)lack of education 12.)inability to pay for services 13.)age/gender 14.)sedentary lifestyle 15.)lack of facilities 16.)lack of motivation 17.)lack of knowledge 18.)diet 19.)unavailability of healthy goods |
1.)Freedom from smoking classes twice/year. 2.0Education on Quit line (IDPH). 3.)Incorporate educational programs in schools about smoking and effects. 4.)nutrition/exercise education during lipid draws/WIC/FCM, etc. Illinois Health Alliance helps with funding for lipid screenings. B/P screenings offered daily. 5.)Educational grants pertaining to heart health, nutrition and addressing obesity (recently funded through Women's Health grant- $8,000.) |
| Calhoun County Health Department |
2 |
Obesity |
1.)By 6/30/2016, reduce the obesity rate for Calhoun County by 10%. (Baseline: Calhoun adult obesity 27.7%, American Cancer Society 2004-2006) (Baseline:31.9% obese, 33.7% overweight, BRFSS 2007-2009) |
1.)poor nutrition 2.)lack of physical activity |
1.)By 6/30/2015, nutrition will improve in Calhoun County by increasing the percentage of fruits/vegetables consumed by 10%. (Baseline: Calhoun total servings fruits/vegetables/day 0-2-59.6% 3-4-26.4% 5 or more/day-14.0% (BRFSS 2007-2009) 2.)By 6/30/2015, physical inactivity rate will decrease by 20%. (Baseline: Calhoun physical inactivity 28%, Illinois 23%, County Health Rankings 2011) |
1.)expense of healthy foods 2.)low income community 3.)lack of availability 4.)not willing to spend money on 5.)lack of knowledge 6.)lack of education 7.)resistance to education 8.)lack of medical care/resources 9.)limited healthy foods available 10.)limited grocery access 11.)very rural county 12.)sedentary lifestyle 13.)lack of motivation 14.)lack of support 15.)lack of facilities 16.)lack of programs available 17.)now wellness facility 18.)program/budget cuts 19.)lack of funding 20.)environment 21.)no parks/recreational areas 22.)limited walking areas 23.)very rural |
1.)Education through programs, grants, schools, physician offices. 2.)Programs to teach proper nutrition, exercise, proper ways to exercise (recently funded through Women's Health Grant for $8,000) 3.)Promote new wellness facility to be opened to the public in near future. |
| Calhoun County Health Department |
3 |
Chronic Lower Respiratory Disease |
1.)By 6/30/2016, decrease mortality rates by 10%. (Baseline: Chronic Lower Respiratory Disease- 15%, IPLAN data 2006) 112.4 COPD deaths per 100,000 age 45 and older in 2007 (Target: 98.5 deaths/100,000) |
1.)smoking/second hand smoke 2.)lack of physical activity |
1.)By 6/30/2015, smoking will decrease by 10%. (Baseline: smoker in Calhoun County 24.2%, BRFSS 2007-2009) 2.)By 6/30/2015, adults who do not meet regular and sustained physical activity guidelines will decrease by 10%. (Baseline: 28.8% currently do not meet the standard guidelines, BRFSS 2007-2009) |
1.)peer pressure 2.)small, rural community 3.)lack of education 4.)low income 5.)county below poverty level 6.)higher unemployment rates 7.)very rural county 8.)stress/anxiety 9.)sedentary lifestyle 10.)lack of resources 11.)lack of facilities 12.)lack of support/motivation 13.)environment 14.)lack of recreational areas/parks 15.)lack of resources 16.)lack of programs available 17.)lack of funding 18.)lack of health educators |
1.)Freedom from Smoking classes twice/year (funding through IDPH). 2.)Education on smoking in schools and public facilities-fair, relay for life, Spring Fest at schools, etc. 3.)Education on the Quit line or support groups (IDPH). |
| Carroll County Health Dept |
1 |
Access to Care for Uninsured & Underinsured |
By 2014, increase physician to patient ratio to at least 1:2000 (Baseline:1:3,562 vs. 1:2,000, HRSA, 2006). |
1.) Lack of insurance 2.)Lack of service providers 3.)Limited urgent care |
1.) Help local residents in accessing assisted care and Medicaid programs. 2.)Reduce the ratio of Medicaid enrollees to Medicaid physician vendors to 400:1 by the year 2012. (The current ratio is 572.3:1.) Establish FQHC resources locally. 3.)Assist local medical systems with physician recruitment/ retention for urgent and preventative care. |
"1.) reduced employee benefits, including lack of sick leave 2.) lack of availability (lack of extended hours) 3.) distance to urgent care 4.) financial limitations 5.) lack of public transportation 6.) high deductibles 7.) unemployment 8.) availability and cost of preventative care. |
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1.) Market services available at the health department, such as low-cost immunizations and screenings. 2.) Provide health education to the public, pregnant women, WIC clients, and school-aged children. 3.)Establish a county transportation committee. 4.) Educate and motivate the public concerning nutrition and lifestyle changes that support good health. 5.) Encourage area clinics to provide services after "normal" business hours. 6.) Coordinate services between area providers and educators such as schools, CGH, FHN, DHS, and CCHD. 7.) Establish a broad-based community health committee. 8.) Coordinate service directories by various agencies. |
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| Carroll County Health Dept |
2 |
Substance Abuse |
By 2014, decrease the percentage of 8th graders who have used alcohol, tobacco or marijuana in the past month by 10% (IL Youth Survey) (DHS Chestnut Health Systems Youth Study). |
1.) Mental Health 2.) Stress 3.) Family |
1.) By 2011, increase the percentage of 8th graders who perceive a moderate or great risk of harm from regular alcohol use from 55% to 61% [Baseline: 55% vs. 61% State of IL] (DHS Chestnut Health Systems Youth Study). 2.) By 2011, increase the percentage of 8th graders who perceive a moderate or great risk of harm from regular tobacco use from 85% to 88% (IL Youth survey). Baseline: 85% vs. 86% State of IL. 3.)By 2011, increase the percentage of 8th graders who feel their parent(s) disapprove of alcohol use from 87% to 91% (IL Youth Survey) [Baseline: 87% vs. 90% State of IL). |
"1.)local social influence 2.)low perception of risk or harm 3.)family structure 4.)social/community norms 5.)physical dependency 6.)availability, acceptability, and peer pressure 7.)media influences 8.)lack of parental support and involvement 9.)social access by friends, family, parties, parents 10.)lack of alternative activities 11.)the age of first use 12.)lack of access to care 13.)parental unemployment 14.)one-parent households 15.)physical health 16.)poor self-image. |
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"1.)Support the enforcement of the Smoke-Free Illinois Act. 2.)Provide health education to the public, pregnant women, WIC clients, and school-aged children. 3.)Increase the number of pregnant mothers participating in the "Freedom from Smoking" Program at CCHD. |
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| 4.)Provide "Smoke-Free That's Me" to 2nd and 4th grade children. 5.)Support the Illinois Tobacco Quit line. |
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| 6.)Policy changes - change alcohol ordinances to reflect requirement of Beverage Server Training to reduce youth access and train store personnel in refusal skills. |
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| 7.)Social norms campaign. |
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| 11.)Policy changes - schools, communities, retailers. 12.)Media advocacy campaign. 13.)Provide health education on preventing alcohol use to adolescents ages 12-17 and their parents. |
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| 14.)Promote a mentoring and counseling program by collaborating with school counselors, the law enforcement resource officer, and parents. |
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| Carroll County Health Dept |
3 |
Heart Disease |
By 2014, decrease the number of adults who die from heart disease in Carroll County by 10% from 56 people in 2005 to 50 people (IPLAN Data Set). For the period 2001-2005, 31% died from heart disease, an average of 59.8 people (IPLAN Data Set). |
1.)Tobacco Use 2.)Hypertension 3.)Cholesterol |
1.)By 2012, decrease the proportion of adults, aged 18 and older, who use tobacco products from 20.3% to 18% (BRFSS Report, 2007). 2.)By 2012, increase the proportion of adults aged 18 and older with high blood pressure who are taking action to control their blood pressure from 74% to 80% (BRFSS Report, 2007). 3.)By 2012, increase to at least 65% the proportion of adults who have had their blood cholesterol checked within the preceding year (Baseline :58.4%, BRFSS Report, 2007). |
"1.)access to preventative care 2.)stress 3.)lifestyle (including poor/high fat diet, lack of exercise, obesity) 4.)lack of transportation |
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| 6.)heredity |
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| 7.)social acceptance and perception of tobacco use 8.)self-esteem issues |
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| 9.)tobacco marketing and availability |
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"1.)Provide low cost screenings such as cholesterol, glucose, and blood pressure at CGH, Carroll County Health Department, and other community locations. 2.)Provide health education to the public, school-aged children, pregnant women, and WIC clients on healthy eating and physical activity. 3.)Support the enforcement of Smoke-Free Illinois legislation by investigating complaints. 4.)Provide health education to families and providers on hypertension by utilizing DHHS guidelines. This would be provided through WIC, FCM, and public forums. 5.)Acknowledge businesses that promote healthy lifestyles. 6.)Begin a restaurant campaign to acknowledge the restaurants that offer healthy choices. |
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| Cass County Health Department |
1 |
Heart Disease |
By the year 2017, reduce the rate of deaths from heart disease in Cass County residents from 34.3 percent (2008 Cass County, Illinois Death Statistics) to no more than 32 percent of total deaths. |
1.) High Blood Pressure and High Serum Cholesterol Levels 2.) Nutrition (Obesity) and Physical Activity 3.) Smoking |
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| 1.) By August 2017, reduce the number of Cass County residents who smoke from 28.7 percent (2009 Illinois Behavioral Risk Factor Surveillance System Survey) to 25 percent. 2.) By August 2017, reduce the percentage of Cass County residents who are considered overweight from 39.4 percent (2009 Illinois Behavioral Risk Factor Surveillance System Survey) to no more than 36 percent. 3.) By August 2017, increase the percentage of Cass County residents who eat more than three servings of fruits and vegetables per day from 57 percent (2009 Illinois Behavioral Risk Factor Surveillance System Survey) to 60 percent. 4.) By August 2017, increase the percentage of Cass County residents who participate in physical activities from 35.7 percent (2009 Illinois Behavioral Risk Factor Surveillance system Survey) to 38 percent. |
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1.) age 2.) gender 3.) high blood pressure 4.) high serum cholesterol levels 5.) tobacco smoking 6.) excessive alcohol consumption 7.) family history 8.) obesity 9.) lack of physical activity 10.) psychosocial factors 11.) diabetes mellitus 12.) air pollution. |
1.) The Cass County Health Department will provide QUITLINE information to Cass County smokers to receive counseling about quitting the tobacco habit. The health department will provide patches to help smokers quit. Educational information and funding will be provided to the health department by the Illinois Department of Public Health. 2.) By September 1, 2012 the Cass County Health Department will implement the referral of tobacco cessation programs by standardizing a process of assessment, education and referral of clients seen in direct clinical services. 3.) Health department will enforce Smoke Free Illinois in all public establishments. 4.) Staff at the Cass County Health Clinic will ask all clients who are thirteen years of age and older if they smoke. If they respond that they smoke, education will be given about the hazards of smoking and information about the Illinois QUITLINE. 5.) The CCHD health educator and public health nurse will provide education to children at all three school districts in Cass County about tobacco and the health issues that it can cause. 6.) Education will be provided to school children involved in the CATCH program in county schools regarding proper nutrition, physical activities and a healthy lifestyle. 7.) The CCHD health educator and public health nurse will work with the cooks in school cafeterias to provide nutritional education about the meals they can serve children. 8.) Wellness fairs will be conducted at county businesses to educate employees on good nutrition and physical activity to help control weight. 9.) Nutrition and physical activity education will be provided to all WIC moms. 10.) Information about breastfeeding to reduce child obesity will be provided to all WIC moms through breastfeeding classes. 11.) WIC staff will encourage all moms to join the Breastfeeding Peer Counselor Program. 12.) Education will be provided to all patients at Cass County Health Clinics regarding high measurements of blood pressure and/or high cholesterol. Medication, diet and physical activity instructions, along with information about heart disease will be given to patients as needed. 13.) Education will be provided to all patients at Cass County Health Clinics regarding obesity including information about proper diet and physical activity. BMIs will be taken on all patients including children. 14.) Education will be provided to children and their parents when the children come for school and sports physicals about the importance of a proper diet and physical activity. Information will include proper nutrition that includes at least five fruits and vegetables a day. 15.) Physical activities and nutrition education will be provided to Teen Reach participants. 16.) Heart Smart for Teens will be implemented at the Virginia Teen Reach site during the school year. It was presented at the Beardstown site during the spring of 2012. 17.) Access to nutrition education will be available in computers in both health department offices for the public to use. 18.) Routine health screenings will be conducted at clinics, health fairs, and other events throughout Cass County. 19.) The health department will collaborate with Springfield Community Federation to reach out to minority populations to promote good nutrition and physical activity. |
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| Cass County Health Department |
2 |
Cancer |
"1.) By August 2017, reduce the number of Cass County residents who smoke and/or use other tobacco products from 28.7 percent (2009 Illinois Behavioral Risk Factor Surveillance System Survey) to 26 percent.2.) By August 2017, reduce the percentage of Cass County residents who are considered overweight from 39.4 percent (2009 Illinois Behavioral Risk Factor Surveillance System Survey) to no more than 36 percent. 3.) By August 2017, increase the percentage of Cass County residents who eat more than three servings of fruits and vegetables per day from 57 percent (2009 Illinois Behavioral Risk Factor Surveillance System Survey) to 60 percent.4.) By August 2017, increase the percentage of Cass County residents who participate in physical activities from 35.7 percent (2009 Illinois Behavioral Risk Factor Surveillance system Survey) to 38 percent. |
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1.) Growing older 2.) Tobacco 3.) Sunlight 4.) Ionizing radiation 5.) Certain chemicals and other substances 6.) Some viruses and bacteria 7.) Certain hormones 8.) Family History of cancer 9.) Alcohol 10.) Poor diet/nutrition 11.) Lack of physical activity 12.) Obesity |
1.) By September 1, 2012, the Cass County Health Department will implement the referral of tobacco cessation programs by standardizing a process of assessment, education and referral of clients seen in direct clinical services. 2.) By July 31, 2013, the Cass County Health Department will establish a baseline of persons in Cass County who use tanning beds in facilities within the county in order to standardize a process of assessment and education of clients seen in direct clinical services and in local school districts. |
1.) Patient apathy and denial of risks are barriers that can be expected to occur when educating people about the risk of cancer. 2.) Patients tend to be incompliant with screening for cancer such as mammograms and pap smears. Appointments are cancelled for various reasons. 3.) Another barrier could be financial resources as 14 percent of Cass County residents live below the poverty level. Plus, the health department and other local social service agencies have less funding to provide enough staff and resources as they would like. 4.) Language is always a barrier in Cass County as we learn to work with Spanish-speaking and French-speaking persons who have come to our county to work at Cargill Meat Solutions. Persons from Latino countries other than Mexico often have different dialects that we must learn to interpret. Trained and trusted interpreters are often hard to find and to keep employed. 5.) Medications are expensive and many people, especially our seniors, are finding the new laws that the Illinois government have put in place have made it very difficult to buy their drugs and healthy food choices. Sometimes they must choose which to buy on a monthly basis. Because they have to eat, they often don't take their medications as prescribed for their high blood pressure or cholesterol or don't purchase them at all. 6.) There are a couple community parks in the county that offer nice walking paths but more walking or biking paths and more public exercise facilities would be helpful to many people who cannot afford the price of a gym. 7.) There are no employee wellness programs in the county. Some employers will pay for their employees to get a flu shot but more is needed to prevent heart disease and employers could help with this plan if they would implement wellness programs at their place of business for employees. 8.) There is a lack of fresh fruits and vegetables in the county. We have one farmer's market in place but it would be good to have one in each community. Fresh fruits and vegetables in the county's four or five grocery stores are expensive to purchase. 9.) There are different education levels and cultures in Cass County and some of the cultures believe that a fat baby is a healthy baby. The WIC program is working towards changing this belief. 10.) Nutritious foods are expensive and there are cheap fast food places in the county that offer non-nutritious foods very inexpensively. Many families find it easier to eat out at a fast food restaurant than to fix a home cooked meal because of school and sporting activities. |
1.) The Cass County Health Department will provide QUITLINE information to Cass County smokers to receive counseling about quitting the tobacco habit. The health department will provide patches to help smokers quit. Educational information and funding will be provided to the health department by the Illinois Department of Public Health. 2.) Health department will enforce Smoke Free Illinois in all public establishments. 3.) The CCHD health educator and public health nurse will provide education to children at all three school districts in Cass County about tobacco and the health issues that it can cause. 4.) Education will be provided to school children involved in the CATCH program in county schools regarding proper nutrition, physical activities and a healthy lifestyle. 5.) The CCHD health educator and public health nurse will work with the cooks in school cafeterias to provide nutritional education about the meals they can serve children. 6.) Wellness fairs will be conducted at county businesses to educate employees on good nutrition and physical activity to help control weight. 7.) Nutrition and physical activity education will be provided to all WIC moms. 8.) Information about breastfeeding to reduce child obesity will be provided to all WIC moms through breastfeeding classes. 9.) WIC staff will encourage all moms to join the Breastfeeding Peer Counselor Program. 10.) WIC staff will encourage all pregnant women to stop smoking during their pregnancy and to encourage all women to stop smoking for the benefit of themselves and their children. Information about secondhand smoke will be provided to these women. 11.) Education will be provided to all patients at Cass County Health Clinics on their risk of cancer diseases regarding tobacco use, too much exposure to sun and tanning beds, and nutrition and physical activity. Diet and physical activity instructions, along with information about cancer will be given to patients as needed. 12.) Education will be provided to all patients at Cass County Health Clinics regarding obesity including information about proper diet and physical activity. BMIs will be taken on all patients including children. 13.) Education will be provided to children and their parents when the children come for school and sports physicals about the importance of a proper diet and physical activity. Information will include proper nutrition that includes at least five fruits and vegetables a day. 14.) Physical activities and nutrition education will be provided to Teen Reach participants. 15.) Heart Smart for Teens will be implemented at the Virginia Teen Reach site during the school year. It was presented at the Beardstown site during the spring of 2012. 16.) Access to nutrition education will be available in computers in both health department offices for the public to use. 17.) Routine health screenings will be conducted at clinics, health fairs, and other events throughout Cass County. 18.) The health department will collaborate with Springfield Community Federation to reach out to minority populations to promote good nutrition and physical activity. 19.) The CCHD health educator and public health nurses will provide presentations at all three school districts about the importance of applying sunscreen when playing or working outside. They will also provide information about the danger of tanning beds and sun lamps. 20.) The health department sponsors a 5K race every June in Virginia at the town's annual festival. The health department will have sunscreen available for all participants and workers to help avoid sunburn. 21.) The health department has received funding from the Illinois Department of Public Health for a prostate grant. We have received this grant for the past several years and continue to successfully serve many men in Cass County for screenings. 22.) The health department provides screenings for a minimal cost for all Cass County residents. The clinics provide pap smears. Referrals are given for mammograms and colonoscopies and many other tests for possible cancer diseases. |
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| Cass County Health Department |
3 |
Obesity |
By the year 2017, reduce the rate of obesity in Cass County residents from 30.7 percent (2008 Cass County, Illinois Death Statistics) to no more than 27 percent. |
1.) Genetics - A person's genes may affect the amount of body fat that is stored and where that fat is distributed. Genetics may also play a role in how efficiently the body converts food into energy and how the body burns calories during exercise. Even when someone has a genetic predisposition, environmental factors ultimately can cause a person to gain more weight. 2.) Inactivity - If a person is not active, he or she does not burn as many calories. With a sedentary lifestyle, it is easy to take in more calories every day that burn off the calories through exercise and normal daily activities. 3.) Unhealthy diet and eating habits - Having a diet that is high in calories, eating fast food, skipping breakfast, intake of most of daily calories at night, drinking high-calorie beverages, and eating oversized portions all contribute to weight gain. 4.) Lack of sleep - Getting less than seven hours of sleep a night can cause changes in hormones that increase appetite. It can cause a person to crave foods high in calories and carbohydrates which can contribute to weight gain. 5.) Certain medications - Some medications can lead to weight gain if a person doesn't compensate through diet or activity. These medications include some antidepressants, anti-seizure medications, diabetes medications, antipsychotic medications, steroids and beta blockers. 6.) Medical problems - Obesity can sometimes be traced to a medical cause, such as Prader-Willis syndrome, Cushing's syndrome, polycystic ovary syndrome, and other diseases and conditions. Some medical problems, such as arthritis, can lead to decreased activity, which may result in weight gain. A low metabolism is unlikely to cause obesity, as is having low thyroid function. |
1.) By August 2017, reduce the percentage of Cass County residents who are considered overweight from 39.4 percent (2009 Illinois Behavioral Risk Factor Surveillance System Survey) to no more than 37 percent. 2.) By August 2017, increase the percentage of Cass County residents who eat more than three servings of fruits and vegetables per day from 57 percent (2009 Illinois Behavioral Risk Factor Surveillance System Survey) to 62 percent. 3.) By August 2017, increase the percentage of Cass County residents who participate in physical activities from 35.7 percent (2009 Illinois Behavioral Risk Factor Surveillance system Survey) to 40 percent. |
1.) Nutrition 2.) Physical activity 3.) lack of access to healthy foods |
1.) Education will be provided to school children involved in the CATCH program in county schools regarding proper nutrition, physical activities and a healthy lifestyle. 2.) The CCHD health educator and public health nurse will work with the cooks in school cafeterias to provide nutritional education about the meals they can serve children. 3.) Wellness fairs will be conducted at county businesses to educate employees on good nutrition and physical activity to help control weight. 4.) Nutrition and physical activity education will be provided to all WIC moms. 5.) Information about breastfeeding to reduce child obesity will be provided to all WIC moms through breastfeeding classes. 6.) WIC staff will encourage all moms to join the Breastfeeding Peer Counselor Program. 7.) Education will be provided to all patients at Cass County Health Department screening clinics regarding diet and physical activity instructions who are considered overweight or obese. 8.) Education will be provided to all patients at Cass County Health Clinics regarding obesity including information about proper diet and physical activity. BMIs will be taken on all patients including children. 9.) Education will be provided to children and their parents when the children come for school and sports physicals about the importance of a proper diet and physical activity. Information will include proper nutrition that includes at least five fruits and vegetables a day. 10.) Physical activities and nutrition education will be provided to Teen Reach participants. 11.) Heart Smart for Teens will be implemented at the Virginia Teen Reach site during the school year. It was presented at the Beardstown site during the summer of 2012. 12.) Access to nutrition education will be available in computers in both health department offices for the public to use. 13.) Routine health screenings will be conducted at clinics, health fairs, and other events throughout Cass County. 14.) The health department will collaborate with Springfield Community Federation to reach out to minority populations to promote good nutrition and physical activity. 15.) The health department will implement employee wellness programs with employers in the county. |
| Champaign Co Public Health Dept |
1 |
Access to Care |
Over the next 5 years, decrease the proportion of adults who report not having a usual health care provider by 5%. Baseline: 21.3% (2009) |
1.)lack of health insurance 2.)lack of primary care providers willing to provide Medicaid services |
1.)Over the next 5 years, decrease the number of Champaign County residents without health insurance. Baseline: 12.6 (2009) 2.)Increase the number of primary care providers who accept Medicaid in Champaign County |
1.)increased cost of treatment 2.)too few and overburdened free clinics 3.)low Medicaid enrollment rates among those who are eligible 4.)delayed and lowered Medicaid reimbursements 5.)Inadequate transportation for both insured and uninsured to reach health care services |
1.)Focus on cheaper and more effective preventative care 2.)Support free and reduced cost clinics 3.)Increasing enrollment in Medicaid amongst those who are eligible 4.)Culturally competent care 5.) collectively advocate for higher Medicaid reimbursements 6.)Work with public transit authorities to ensure comprehensive transportation to health care providers |
| Champaign Co Public Health Dept |
2 |
Accidents |
Decrease morbidity and mortality by 5% due to accidents over the next 5 years. Baseline: 49 accidental deaths (2009) |
1.)distracted driving 2.)alcohol and drug abuse, especially in teens and college students |
1.)Decrease proportion of drivers engaging in distracted driving over the next 5 years. 2.)Decrease proportion of population abusing alcohol and drugs over the next 5 years |
1.)Policies and laws concerning distracted driving 2.)Installing infant car seats correctly 3.)Lack of education about accidents 4.)Lack of effective education about drinking and drugs in college students in teens 5.) Bicycle accidents |
1.)Ban use of cell, phones while driving for talking in addition to texting 2.)Education and publicity campaigns against drinking and driving 3.)Education campaigns about infant car seat installation in hospitals and public health department. 4.)Decrease in serving and selling alcohol and tobacco to minors 5.) More effective education to high school and college students about drinking and drugs 6.)Educate parents and kids about safety 7.)Bicycle safety programs 8.)Expanding infrastructure: changes designed to enhance pedestrian and bicycle safety |
| Champaign Co Public Health Dept |
3 |
Obesity |
1.)Increase proportion of adults in Champaign County who report meeting or exceeding the CDC guidelines for physical activity. Baseline: 68.6% 2.)Increase the proportion of adults who report being at a healthy weight by 5%. Baseline: 45.8% 3.)Increase proportion by 5% of adults in Champaign County who report eating 5+ servings of fruits and vegetables per day. Baseline: 16.9% |
1.)physical inactivity 2.)poor nutrition |
1.) CATCH in all schools 2.) Health and Wellness beat reports for the Illinois Public media 3.) Link cards for Farmers Market |
1.)Physical limitations which prevent exercise 2.)Education 3.)Lack of financial means 4.) food desserts 5.)Lack of cooking knowledge/skills 6.)Family eating behavior 7.)Marketing of poor food choices 8.)Fast food availability |
1.)CATCH programs 2.)Community gardens 3.)Stress reduction 4.)Weight Watchers 5.)Mobile farmers markets 6.)Cooking classes |
| Champaign Co Public Health Dept |
4 |
Violence |
1.)Reduce violent crime rate by 5% 2.)Reduce domestic violence/IPV rate by 5% 3.)Reduce child abuse and neglect rate to at or below national average. (9.4 victims/1000 children) (Baselines vary per jurisdiction.) |
1.)Socioeconomic status/income 2.)Neighborhood/environment 3.)Risk behaviors (walking alone at night, use of alcohol or drugs) 4.)Students |
1.)Improved lighting 2.)Vacant building ordinances 3.)Unmanned video trucks 4.)Print Safe Ride, Safe Walk numbers on iCards 5.)Mandatory alcohol server training to prevent underage drinking and over-intoxication |
1.)Unemployment 2.)Decreased access to social services 3.)Poverty 4.)Substance abuse 5.)Gang activity 6.)Mental illness 7.)lack of patrol/surveillance |
1.)Increased surveillance/patrols 2.)Youth development (education, family interaction, communication) 3.) Community activities 4.)Job training 5.)Parental education and support 6.)Crime prevention training and programs 7.)Alcohol and drug policies |
| Champaign-Urbana Public Health District |
1 |
Access to Care |
Over the next 5 years, decrease the proportion of adults who report not having a usual health care provider by 5%. Baseline: 21.3% (2009) |
1.)lack of health insurance 2.)lack of primary care providers willing to provide Medicaid services |
1.)Over the next 5 years, decrease the number of Champaign County residents without health insurance. Baseline: 12.6 (2009) 2.)Increase the number of primary care providers who accept Medicaid in Champaign County |
1.)increased cost of treatment 2.)too few and overburdened free clinics 3.)low Medicaid enrollment rates among those who are eligible 4.)delayed and lowered Medicaid reimbursements 5.)Inadequate transportation for both insured and uninsured to reach health care services |
1.)Focus on cheaper and more effective preventative care 2.)Support free and reduced cost clinics 3.)Increasing enrollment in Medicaid amongst those who are eligible 4.)Culturally competent care 5.) collectively advocate for higher Medicaid reimbursements 6.)Work with public transit authorities to ensure comprehensive transportation to health care providers |
| Champaign-Urbana Public Health District |
2 |
Accidents |
Decrease morbidity and mortality by 5% due to accidents over the next 5 years. Baseline: 49 accidental deaths (2009) |
1.)distracted driving 2.)alcohol and drug abuse, especially in teens and college students |
1.)Decrease proportion of drivers engaging in distracted driving over the next 5 years. 2.)Decrease proportion of population abusing alcohol and drugs over the next 5 years |
1.)Policies and laws concerning distracted driving 2.)Installing infant car seats correctly 3.)Lack of education about accidents 4.)Lack of effective education about drinking and drugs in college students in teens 5.) Bicycle accidents |
1.)Ban use of cell, phones while driving for talking in addition to texting 2.)Education and publicity campaigns against drinking and driving 3.)Education campaigns about infant car seat installation in hospitals and public health department. 4.)Decrease in serving and selling alcohol and tobacco to minors 5.) More effective education to high school and college students about drinking and drugs 6.)Educate parents and kids about safety 7.)Bicycle safety programs 8.)Expanding infrastructure: changes designed to enhance pedestrian and bicycle safety |
| Champaign-Urbana Public Health District |
3 |
Obesity |
1.)Increase proportion of adults in Champaign County who report meeting or exceeding the CDC guidelines for physical activity. Baseline: 68.6% 2.)Increase the proportion of adults who report being at a healthy weight by 5%. Baseline: 45.8% 3.)Increase proportion by 5% of adults in Champaign County who report eating 5+ servings of fruits and vegetables per day. Baseline: 16.9% |
1.)physical inactivity 2.)poor nutrition |
1.) CATCH in all schools 2.) Health and Wellness beat reports for the Illinois Public media 3.) Link cards for Farmers Market |
1.)Physical limitations which prevent exercise 2.)Education 3.)Lack of financial means 4.) food desserts 5.)Lack of cooking knowledge/skills 6.)Family eating behavior 7.)Marketing of poor food choices 8.)Fast food availability |
1.)CATCH programs 2.)Community gardens 3.)Stress reduction 4.)Weight Watchers 5.)Mobile farmers markets 6.)Cooking classes |
| Champaign-Urbana Public Health District |
4 |
Violence |
1.)Reduce violent crime rate by 5% 2.)Reduce domestic violence/IPV rate by 5% 3.)Reduce child abuse and neglect rate to at or below national average. (9.4 victims/1000 children) (Baselines vary per jurisdiction.) |
1.)Socioeconomic status/income 2.)Neighborhood/environment 3.)Risk behaviors (walking alone at night, use of alcohol or drugs) 4.)Students |
1.)Improved lighting 2.)Vacant building ordinances 3.)Unmanned video trucks 4.)Print Safe Ride, Safe Walk numbers on iCards 5.)Mandatory alcohol server training to prevent underage drinking and over-intoxication |
1.)Unemployment 2.)Decreased access to social services 3.)Poverty 4.)Substance abuse 5.)Gang activity 6.)Mental illness 7.)lack of patrol/surveillance |
1.)Increased surveillance/patrols 2.)Youth development (education, family interaction, communication) 3.) Community activities 4.)Job training 5.)Parental education and support 6.)Crime prevention training and programs 7.)Alcohol and drug policies |
| Chicago Department of Public Health |
1 |
Tobacco Smoke |
Reduce Morbidity and mortality related to tobacco use and the exposure to secondhand smoke |
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1.) Reduce smoking prevalence among adults by 12% 2.) Reduce smoking prevalence in youth to 11.4% |
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1.) Work with health center and physician practice to integrate systems to consistently utilize the Ask, Advise, Refer method for cessation services. 2.) Work with community based organizations to provide nicotine replacement therapy to over 15, 000 smokers in Chicago with an emphasis on vulnerable populations and female clients receiving services at community health centers and WIC sites. 3.) Support 750 undercover stings of tobacco vendors to prevent tobacco sales to minors. 4.) In partnership with the RHAMC and Howard Brown Health Center, provide 6 week cessation clinics and up to 15 smoke-free community events for the lesbian, gay, bisexual and transgendered community. 5.) Partner with the Chicago Department of Housing and Economic Development to analyze tobacco retail data and use this information to target interventions. |
| Chicago Department of Public Health |
2 |
Obesity Prevention |
Prevent and control overweight, obesity and related Chronic Disease. |
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1.) Reduce adult and childhood obesity by 10%. 2.) Decrease the proportion of youth and adults consuming less than five servings of fruits and vegetables per day by 10%. 3.) Reduce the number of Chicagoans who live in food desserts to 200,000 by 2015 and to zero by 2020. |
See plan on website |
"1.) Partner with community health centers to develop a prescription for Health program whereby overweight and obese patients receive vouchers to purchase produce from Farmers Markets and wellness prescriptions for Chicago Park District exercise facilities. |
| 2.) Continue to convene the City's Interdepartmental Task Force on Childhood Obesity and expand healthy eating and physical activity opportunities through Chicago Wellness Campuses and other venues. |
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| 3.) Continue to work with the Chicago Department of Housing and Economic Development and other City agencies to expand urban agriculture opportunities for both commercial entities and residential community groups. |
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| 4.) Conduct 19 fitness sessions weekly to over 5000 Chicagoans annually. |
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| 5.) Develop a toolkit for faith based organizations and their community groups to promote healthy food choices and physical activity. |
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| 6.) Work with Chicago Public Schools to access and analyze health records data to determine prevalence of childhood obesity among kindergartners, sixth and ninth graders. |
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| 7.) Work with healthcare providers to increase access to data that will better inform an understanding of obesity in Chicago. |
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| Chicago Department of Public Health |
3 |
HIV prevention |
Prevent human immunodeficiency virus infection (HIV) and its related illness and death. |
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Reduce the number of HIV infections by 25% from 1166 to 875. |
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"1.) Implement the Get Real, Get Care campaign to promote linkage care to persons newly diagnosed with HIV. |
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| 3.) Deliver a menu of basic and advanced HIV prevention trainings to over 900 providers annually. |
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| 4.) Implement state of the art HIV prevention interventions via technology, including social networks. |
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| Chicago Department of Public Health |
4 |
Adolescent Health |
Improve the health, safety and wellbeing of adolescents. |
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"1.) Reduce the teen birthrate by 10% to 29 per 1000 |
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| 3.) Reduce the percent of youth who experience teen dating violence by 10% to 11%. |
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| 4.) Increase the percent of adolescents age 13-17 receiving doses of HPV vaccination from 15.6% to 60%. |
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"1.) Establish an office of Adolescent and School Health to better coordinate services to youth and children. |
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| 3.) Promote medically accurate sex education in public schools. |
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| 4.) Deliver the evidence based Teen Outreach Program to 9500 ninth graders annually at 23 high schools in communities with high STI and teen birth rates. |
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| 5.) Annually provide targeted Chlamydia and Gonorrhea education and screening to students in at least 16 high schools in communities with high STI prevalence. |
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| 6.) Provide HPV vaccine to 56 adolescent health providers annually, including school based health centers and Planned Parenthood. |
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| Christian County Health Department |
1 |
Coronary Heart Disease |
1.) By the year 2017, reduce coronary heart disease deaths to 120 deaths per 100,000 population in Christian County. Current: 128.9 deaths per 100,000 population. |
1.) Unhealthy blood cholesterol levels. 2.) Obesity. 3.) High blood pressure. 4.) Lack of physical activity. 5.) Smoking. 6.) Unhealthy diet. 7.) Insulin resistance . 8.) Aging. 9.) Diabetes.10.)Family history of early heart disease |
1.) 1. Obesity - By 2016, reduce the proportion of Christian County's adults who are obese to no more than 30.6%. Current: 30.5%. 2.) 2. High Cholesterol - By 2016, reduce the proportion of Christian County's adults with high total blood cholesterol to 30%. Current: 41.7%. 3.) 3. Physical Inactivity - By 2016, increase the proportion of adults who meet current federal physical activity guidelines to 55%. According to present statistics, Christian County has met this goal which was 50.9% of residents who have claimed to have met Federal guidelines and 74.9% in Illinois who have claimed to have exercised in the past 30 days in 2011; however, the national percentage was 48.8% in 2011. Healthy People 2020 reports that 80% of adults do not meet the guidelines yet the target for 2020 is 47.9%. |
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1.) Promote free physical fitness activities. 2.) Increase access to screenings and community health activities that address risk factors. 3.) Assist with coordination and promotion of health promotion and wellness activities. 4.) Increase community awareness of screenings for risk factors. 5.) Promote public awareness of health hazards associated with obesity and other risk factors. 6.)Increase community awareness and promote the Child and Adolescent Trial for Cardiovascular Health (CATCH) Program in Illinois and Christian County. With other community organizations such as the YMCA, schools, the hospitals, and Christian County Health Department will promote the CATCH Program by sending out 500 copies of a CATCH Newsletter to at-risk families to promote physical fitness. |
| Christian County Health Department |
2 |
Cerebrovascular Disease |
1.) The Healthy People 2020 national health target is to reduce the stroke death rate to 33.8% deaths per 100,000 population. Christian County shows a death rate of 44.5% due to stroke. Our outcome objective is to reduce the stroke deaths to 40% by 2017. |
1.) High Blood Pressure 2.) Tobacco Use 3.) Obesity 4.) Physical Inactivity |
1.) Hypertension - The Healthy People 2020 national health target is to reduce the proportion of adults aged 18 years and older with high blood pressure to 26.9%. In Behavioral Risk Factor Surveillance System 2007 - 2009, Christian County's current rate is 42.0%. Our objective for Christian County is to reduce the number of adults with hypertension to 38% by 2016. 2.) Tobacco use - The Healthy People 2020 national health target is to reduce the proportion of adults aged 18 years and older who smoke cigarettes to 12.0%. Our goal in Christian County is to reduce the number of adults who smoke to 22% by 2016. |
"1.) Obesity 2.) Physical inactivity 3.) Poor diet 4.) Lack of knowledge 5.) Smoking 6.) Addiction |
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| 7.) Stress 8.) Lack of motivation to quit 9.) High sodium diet 10.) Lack of knowledge regarding nutrition 11.) Inadequate funds to buy healthy food 12.) Addiction 13.) Nicotine levels, 14.) Excessive use 15.)Availability of products 16.) Lack of knowledge or use 17.) Inadequate resources/programs of cessation programs 18.) Difficult to quit, lack of motivation 19.) Societal acceptance 20.) Peer pressure, intensive marketing 21.) Poor eating habits 22.) Lack of nutritional knowledge 23.) Time/schedule; stressors/fast food 24.) Physical inactivity 25.) Lack of motivation 26.) Time stressors/busy schedules 27.) Low self-esteem 28.) Genetic factors 29.) Family history 30.) Obesity 31.) Poor eating habits 32.) Sedentary lifestyle 33.) Low self-esteem |
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| 34.) Poor nutrition 35.) Inadequate funds for healthy food 36.) Large portions/higher calories |
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| 37.) Lack of knowledge regarding nutrition 38.) Physical inactivity 39.) Lack of motivation |
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| 40.) Low self-esteem 41.) Time/schedule stressors |
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1.) Promote free physical fitness activities. 2.) Increase access to screenings and community health activities that address risk factors. 3.) Assist with coordination and promotion of health promotion and wellness activities. 4.) Increase community awareness of screenings for risk factors. 5.) Increase community awareness of controllable risk factors. 6.) Provide access to smoking cessation activities within the community. 7.) Promote public awareness of the health hazards of second-hand smoke. 8.) Promote anti-tobacco programs and campaigns, such as the Illinois Tobacco Quit Line and the "Great American Smoke Out." 9.) Coordinate programs with other stakeholders to implement policies to reduce tobacco use among youth and adults. |
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| Christian County Health Department |
3 |
Lung Cancer |
1.) The Healthy People 2020 national health target is to reduce the lung cancer death rate to 45.5 deaths per 100,000 population. Christian County's lung cancer death rate is 75.4 per 100,000 population and Illinois' lung cancer death rate is 51.8 per 100,000 population. Christian County's goal is to reduce the rate to 60 per 100,000 population by 2017. |
1.) Tobacco Use 2.) Radon 3.) Radiation Therapy and Food and Dietary Supplements |
1.) Tobacco Use: The percentage of adults who currently smoke cigarettes in Christian County is 26.5% and 20.9% in Illinois. The Healthy People 2020 national target is to reduce the number of adult smokers to 12%. The goal for Christian County is to reduce the number of adults who smoke to 21% by 2016. (Center for Disease Control, Behavioral Risk Factor Surveillance System, Healthy People 2020) |
"1.) Physical addiction 2.) Lack of motivation to quit 3.) Lack of discipline 4.) Nicotine level |
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"1.) Increase access to community health activities that address risk factors. 2.) Provide access to smoking prevention education and smoking cessation activities within the community to include schools. 3.) Promote anti-tobacco programs and campaigns, such as the Illinois Tobacco Quit Line and the "Great American Smoke Out." |
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| Clark County Health Department |
1 |
Cardiovascular Disease |
1.)By 2017 reduce the number of cardiovascular deaths in Clark County to less than 211 per 100,000 residents. |
1.)tobacco use 2.)obesity |
1.)By Round 6 of the Illinois Behavioral Risk Factor Surveillance System 33.1% of Clark County residents who report not having received a screening of blood cholesterol to 25%. (Baseline:33.1% BRFSS) 2.)By 2015, decrease the number of residents who identify as being a smoker to less than 10%. (Baseline:16.5% BRFSS) |
1.)poverty 2.)addictive quality of cigarettes 3.)low perceived risk 4.)diet 5.)physical inactivity 6.)isolated activities 7.)unemployment 8.)education 9.)cycle of poverty 10.)nicotine 11.)routine habit 12.)enjoyable activity 13.)youth 14.)long term health 15.)misinformation 16.)poor food decisions 17.)cost 18.)ease of preparation 19.)time management 20.)access to facilities 21.)ease of modern life 22.)watching television 23.)playing video games 24.)use of social media |
"1.)Work with local emergency response organizations to expand preventative screening opportunities for members. 2.)Coordinate and expand as needed existing community based initiatives that focus on heart disease, stroke, obesity and/or diabetes. 3.)Utilize new technology to increase screening opportunities for the general public. 4.)Develop and distribute program material such as brochures and other printed material |
| and content specifically for smokers who are pregnant. 5.)Increase participation in the Illinois Quit Line Program. " |
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| Clark County Health Department |
2 |
Obesity |
1.)By 2017 reduce the number of overweight/obese residents in Clark County to less than 20%. (Baseline: 24.4% BRFSS). |
1.)high BMI 2.)poverty |
1.)By 2013 increase the proportion of adults who engage in aerobic physical activity of at least moderate activity for at least 150 minutes/week to 50% of the Clark County population. (Baseline: 48.1%, BRFSS) |
1.)physical inactivity 2.)poor diet 3.)high cholesterol 4.)quality of food 5.)stress 6.)marketing 7.)unemployment 8.)education 9.)cycle of poverty 10.)cost of healthy food 11.)low fruit/vegetable intake 12.)lack of nutrition education 13.)high saturated fat intake 14.)family history 15.)age 16.)low-wage work 17.)transportation issues 18.)poor housing 19.)fast food 20.)sugary beverages 21.)television/video |
1.)Coordinate with physical events such as fun runs, mini-marathons, 5 K races and bike events to create an ongoing health theme that is larger than the event itself. 2.)Coordinate with physical events that are currently in place to include a free or reduced price portion as a way for low-income residents to participate. 3.)Encourage and develop health and fitness programs in established participating organizations such as church and community groups. 4.)Establish and maintain an ongoing county health and wellness committee to develop and maintain any programs created. |
| Clark County Health Department |
3 |
Access to Care |
"1.)By 2015 increase the proportion of persons who have a specific source of ongoing care |
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| by 3%. (Baseline: 92.4% BRFSS)" |
1.)system inefficiency 2.)life changing events |
1.)By 2013 reduce the proportion of individuals who are unable to obtain or delay in obtaining necessary medical care, dental care or prescription medicines by three percent below the established baselines. (According to Round 4 (2007-2009) of the Illinois Behavioral Risk Factor Surveillance System: 8.2% had not seen a doctor in the last 12 months due to cost; 12.3% had not gotten medications filled due to cost; 18.6% could not afford a dentist.) |
1.)lack of provider education 2.)program changes 3.)lack of coordination 4.)pregnancy 5.)domestic violence 6.)incarceration 7.)new organizations 8.)funding reductions 9.)lack of communication 10.)changes in eligibility criteria 11.)reductions in funding 12.)lack of communication 13.)duplication of services 14.)new organizations providing services 15.)teen pregnancy 16.)unplanned pregnancy 17.)low income pregnancy 18.)child abuse/neglect 19.)sexual assault 20.)drug alcohol abuse 21.)substance abuse 22.)poverty 23.)lack of education |
1.)Work with other low-income service providers to increase training in the use of Medicare based programs. 2.)Coordinate quarterly meetings with county based service providers to expand training opportunities and to foster a knowledge base among those agencies. 3.)The creation of a county wide service directory. |
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| Clay County Health Department |
1 |
Obesity/Healthy Living |
By 2017, decrease Clay County adult and childhood overweight/obesity rates by 10%. Clay County adult baseline: Overweight -40.5% in 201; Obese- 30% in 2011. Clay County childhood obesity baseline: estimated 34.9% overweight or obese in 2009. |
1.) Physical activity 2.) Unhealthy diets 3.) Smoking |
1.) Increase by 10% the number of Clay County youth who meet the recommended daily physical activity standards by 2015. 2.) Increase by 10% the number of Clay County adults who met the recommended physical activity standards by 2015 (baseline: 49.7% in 2008). 3.) Increase the number of WIC mothers who initiate breastfeeding to 67% by 2014. 4.) Increase the proportion of Clay County adults who consume 5 or more servings of fruits/veg. per day to 15% by 2015. (Baseline: 10.5% in 2011) |
1.) Too much screen time 2.) inadequate access to recreational facilities 3.) lack of motivation 4.) time conflicts 5.) illness 6.) inadequate education 7.) unemployment |
1.) Coordinate with Clay County school districts to collect BMI data from students in K-the, 6th and 9th grades to obtain baseline data and monitor obesity rates. 2.) Partner with school nurses to create annual childhood BMI reports utilizing the CDC's Children's BMI Tools for Schools. 3.) establish a baseline for the number of Clay County youth who meet the recommended physical activity and dietary standards through a survey administered to all Clay County youth grades 9-12. 4.) Extend University of Illinois Extension Office programming (nutrition and physical activity) into all the county elementary schools. 5.) Develop and implement a physical activity and nutrition curriculum into the TEEN REACH Program schedule beginning summer 2012. 6.) Research and determine feasibility of starting a community garden for Teen Reach. 7.) Local chapter of Girl Scouts will develop and implement a healthy living event that targets girls in the community. This will be a one-day event held in the summer that provides nutrition and physical activity education for girls age 5-17 years. 8.) Create and implement a poster campaign to promote better nutrition and increased physical activity to a community-at-large. 9.) Post 3 banners promoting local farmers markets during the summer months. 10.) Clay County Health Department will promote Breastfeeding Per Counselor Program (BFPC) to all WIC mothers. |
| Clay County Health Department |
2 |
Cancer |
By 2017, improve the outcome for individuals diagnosed with cancer by decreasing cancer mortality by 5% (Baseline: 237.7 deaths per 100,000 for males in 2008; 156.2 deaths per 100,000 for females in 2008). |
1.) lack of participation in early cancer detection 2.) lack of awareness of prevention measures 3.) Obesity 4.) lack of physical activity 5.) poor diet |
1.) By 2017, increase the proportion of Clay County residents that obtain their recommended cancer screenings by 10% 2.) By 2017, decrease the number of Clay County adults who smoke to 21.9% (Baseline: 24.3% BRFSS 2011). 3.) By 2017, decrease the percentage of Clay County youth who identify as "smokers" by 10% 4.) Determine the extent of the burden of cancer on patients and their family in Clay County and develop an action plan to address this burden by December 2012. |
1.) Lack of insurance coverage 2.) Cost of screenings 3.) Time 4.) Fear 5.) Denial 6.) Embarrassment 7.) Lack of motivation 8.) Educational Attainment 9.) Lack of resources ( money, counselors, transportation) 10.) Access to healthcare 11.) Medical provider availability |
1.) develop an action plan to increase physician-patient dialogue on recommended cancer screenings 2.) Create and promote special pricing/promotions for cancer screenings 3.) Educate community on cancer risk and recommended screenings guidelines using print, social, and broadcast media by submitting one educational item/public service announcement monthly beginning June 2012 4) provide education on cancer risk reduction and women's health issues (self-breast exam, PAP smears, HPV immunizations) by being a guest speaker in Clay County High Schools 5.) Create a media campaign that compares the cost of cigarettes t the cost of gas to raise community awareness on the cost of purchasing cigarettes. 6.) Increase community awareness of the Break the Habit program and the Illinois Tobacco Quit line by promoting the program and Quit line number in six new locations each month in 2012 and 2013. 7.) Conduct an annual survey of Clay County youth grades 7-12th on tobacco, drug and alcohol use in October of each year. 8.) Create and implement a positive social norms campaign in clay County schools through the Tobacco reality Grant 9.) Conduct a literature review to examine the quality of life issues among cancer patients, effect on caregivers of cancer patients, possible methods of assessment, and evidence-based practices that address these issues. 10.) Identify person who will participate in one on one facilitator training in the America Cancer Society's reach to recovery training by December 2012. |
| Clay County Health Department |
3 |
Access to Healthcare |
1.) By 2017, Clay County Hospital will implement the medical home model to manage and prevent 4 chronic diseases-diabetes, heart disease, cancer and hypertension. 2.) By 2017, recruit 2 additional primary care providers through the physician recruitment pipeline. 3.) By 2017, recruit two additional physician specialists and/or medical services that are not currently available in Clay County. 4.) By 2017, increase access to dental care for Medicaid recipients by collaborating with an FQHC to open at least one additional clinic in a neighboring county. |
1.) Medical provider shortage 2.) Number of individuals without a primary care provider 3.) Delay in seeking medical care. |
1.) By December 2014, Clay County Hospital will receive AHRQ- Medical Home certification. 2.) Create and disseminate a community resource manual by June 2013. 3.) Increase the number of potential Clay County young adults in the physician recruitment pipeline to seven by June 2013 (baseline: 4Clay County young adults, May 2012). 4.) Identify a potential provider for dialysis to serve Clay County residents by June 2012. 5.) Determine the need for additional physician specialists (possible specialties include dermatology, general surgery, and orthopedics) by June 2013. 6.) By January 2014, 75% of children ages 0-3 in WIC will receive a dental varnish (Baseline: 0%) |
1.) Poor medical management of chronic disease 2.) Insufficient time for physician to educate patient 3.) High patient volume per physician 4.) patient fear or discomfort with medical visits 5.) Long distance to travel to see medical specialists |
1.) implement electronic health records to support tracking of diabetic patients within the primary care setting by December 2012. 2.) reorganize PCC to focus and develop a system of managing chronic disease patients by September 2012. 3.) Clay County Hospital applies fro medical home certification from AHRQ by December 2014. 4.) Increase current electronic health record capability and complete electronic registry to track an additional 3 chronic diseases by December 2014 5.) Lunch and Learn sessions on Affordable Care Act 6.) Ascertain number and status of students currently in medical profession pipeline by March 2013. 7.) Create a "contact? schedule for all students in the pipeline to assist them with education success and incentivize them to return to Clay County to practice medicine by 2013. 8.) Obtain statistics on the number of Clay County residents that need dialysis and develop a plan to provide dialysis services in Clay County by June 2012 9.) Conduct a physician-needs analysis to determine the need for additional specialists by December 2012. 10.) Clay County Health department providers (RN's, dentists, physicians, and hygienists) will receive training for dental varnish program by September 2012. 11.) Launch dental varnish program in WIC and promote program to all WIC clients by January 2014. |
| Clinton County Health Dept. |
1 |
Heart Disease |
1.)By 2016, reduce the number of heart disease deaths by 20 percent. (Baseline: Clinton County had 100 deaths in 2006) 2.)By 2016, increase the number of people who have had their cholesterol level checked in the past year to 90 percent. (Baseline: 64.8%, BRFSS 2009) 3.)by 2016, increase to 75 percent the number of people who know what their blood pressure measured in the preceding year and could state whether it was normal or high. (Baseline: 32.8% BRFSS 2009) |
1.)smoking 2.)diet 3.)inactivity |
1.)By 2014, increase percent of healthy weight adults to 50 percent. (Baseline: 31.3%, BRFSS, 2009) 2.)By 2014 increase the number of people who exercise on a regular basis to 60 percent. (baseline: 45%, BRFSS Data 2009) |
1.)age 2.)physical addiction 3.)environmental 4.)poor food choices 5.)stress 6.)over consumption 7.)sedentary lifestyle 8.)image 9.)advertising 10.)peer pressure 11.)levels of nicotine in tobacco 12.)social pressure to smoke 13.)frequency of use 14.)secondhand smoke 15.)lack of knowledge 16.)limited resources 17.)finances 18.)fast foods 19.)fast pace lifestyle 20.)deadlines 21.)poor self control 22.)easy access 23.)occupation 24.)lack of motivation 25.)disability |
1.)Health fairs 2.)"Let's Move" Campaign program 3.)Increase screening activities regarding blood pressure and cholesterol. 4.)Increase healthy lifestyle education. |
| Clinton County Health Dept. |
2 |
Cancer |
1.)By 2016, reduce the overall cancer death rate by 10 percent. Target 160.6 deaths per 100,000 (Baseline:178.4 cancer deaths per 100,000 population occurred in 2007) 2.)By 2016, reduce colorectal cancer death rate to 14.5 deaths per 100,000. (Baseline: 17.0 colorectal deaths per 100,000 population occurred in 2007.) 3.)By 2016, reduce the female breast and cancer death rate to 20.6 deaths per 100,000. (Baseline:22.9 female breast cancer deaths per 100,000 females occurred in 2007) 4.)By 2016, increase the proportion of women who received cervical cancer screening based on the most recent guidelines in 2008 to 93 percent. (baseline: 84.5 percent of women age 21 to 65 years received a cervical cancer screening in 2008. 5.)By 2016, reduce the prostate cancer death rate to 21.2 deaths per 100,000 males. (Baseline: 23.5 prostate cancer deaths per 100,000 males occurred in 2007) |
1.)smoking 2.)environment 3.)physical inactivity 4.)nutrition |
1.)By June 2014 increase smoking cessation program success rate to 60 percent of those in BTH program. (Baseline: 47% Clinton County BTH program 2009) 2.)By June 2014 reduce the deaths due to lung cancer to no more than 5 percent of total deaths. (Baseline: 7%, IDPH IPLAN Data 2006) 3.)By June 2014 continue to increase number of calls to Illinois Quit line by 25%. (Baseline: 403, IDPH Quit line Data 2010) 4.)By June 2014 increase by 10 percent the proportion of women over 40 who have had a mammogram. (Baseline: 86%, BRFSS 2009) 5.)By June 2014 increase by 20% the proportion of county residents over 50 who have had a colorectal screening. 6.)By June 2014 increase by 2 percent the proportion of women 21 to 65 who have had a cervical cancer screening. 9baseline: 92.5%, BRFSS 2009) 7.)By June 2014 increase by 20 percent the proportion of men over 50 who have had a prostate screening. (Baseline: 71.9%, BRFSS 2009) |
1.)age 2.)addiction 3.)environment 4.)second hand smoke 5.)exposure to pollutants 6.)ultraviolet radiation 7.)physical limitations 8.)education 9.)financial means 10.)lack of cooking knowledge 11.)poor food choices 12.)advertising 13.)image 14.)peer pressure 15.)nicotine 16.)pleasure 17.)family 18.)work place 19.)public places 20.)pesticides/herbicides 21.)burning/smoke 22.)auto emissions 23.)tanning beds 24.)workplace 25.)excess exposure to sunlight 26.)lack of time 27.)disability 28.)injury prevention 29.)lack of education 30.)SES 31.)family income 32.)fitness centers expensive 33.)lack of time 34.)eating habits 35.)food costs 36.)fast food available 37.)lack of prep time |
1.)"Break the Habit" smoking cessation program 2.)increase Illinois Smoke Free Act Enforcement 3.)Increase awareness of smoking cessation program. 4.)Increase awareness of screening programs 5.)Education about screening and importance of early detection of cancer. 6.)Nutrition education programs. 7.)Involve media to promote public health awareness. 8.)provide community opportunities for physical activity programs. |
| Clinton County Health Dept. |
3 |
Obesity |
1.)By 2016, increase the proportion of adults who report meeting or exceeding the CDC guidelines for physical activity by 5 percent. (baseline:45% in 2009) 2.)By 2016, decrease the proportion of adults who report being overweight and obese by 10 percent. (Baseline: 68.8% in 2009) |
1.)physical inactivity 2.)poor nutrition |
1.)By 2014, ensure that the "Let's Move Campaign" is being implemented in at least 35 percent of the communities in Clinton County. (baseline: to be determined) 2.)By 2014 increase number of farmers markets in Clinton County to two communities. (Baseline: 1) 3.)by 2014 establish a health and Wellness column in at least two newspapers serving Clinton County. (Baseline: to be determined) |
1.)physical limitations 2.)education 3.)financial means 4.)food deserts 5.)lack of cooking knowledge 6.)marketing of poor food choices 7.)lack of time 8.)lack of motivation 9.)injury prevention 10.)lack of health education 11.)health/fitness centers expensive 12.)family income 13.)lack of time 14.)poor food choices 15.)calorie intake 16.)family eating habits 17.)portion size 18.)unhealthy foods are cheaper 19.)fast foods readily available 20.)lack of preparation time |
1.)"Let's Move Campaign" 2.)Media awareness regarding a healthy lifestyle-proper nutrition and physical activity. 3.)Weight Watchers 4.)Stress reduction. |
| Clinton County Health Dept. |
4 |
Alzheimer's Disease |
1.)Increase proportion of individuals diagnosed with early onset of Alzheimer's disease. (Baseline: to be determined) |
1.)age 2.)family history |
1.)By 2012, determine extent Alzheimer's clients in Clinton County. (Baseline: to be determined) 2.)By 2013, determine extent of diabetic clients in Clinton County. (Baseline: to be determined) 3.)By 2014, those persons with diabetes are aware of AD risks and early detection screening by 25 percent. |
1.)education 2.)smoking 3.)exercise 4.)social interaction 5.)chronic disease 6.)genetics 7.)known family history 8.)financial 9.)mental stimulation 10.)addiction 11.)social norm 12.)lack of time 13.)physical ability 14.)lack of family support 15.)lack of adult day care 16.)no health insurance 17.)lack of early detection 18.)financial 19.)available testing labs 20.)lack of insurance 21.)unknown family history |
1.)Utilize the Alzheimer's Early Detection Alliance program. 2.)Referrals to Alzheimer's Association- St. Louis 3.)Education CVD and Diabetes clients on AD 4.)Provide information on genetics testing programs. |
| Coles County Health Dept |
1 |
Underage Binge Drinking |
1.)By 2015 reduce the number of patients aged 0-21 who present to Sarah Bush Lincoln Health Center for alcohol and drug related illness by 10 percent. (Baseline: 99, 2009) |
1.)Family environment 2.)Social environment |
By the release of the 2012 I Sing the Body Electric Survey, reduce the number of youth who reported heavy episodic drinking. |
1.)Access 2.) Child Abuse 3.)Parent with alcohol problem 4.)Social pressure 5.)View of role models 6.)Parents who willingly supply 7.)Parents who unwillingly supply 8.)Other adults who supply 9.)Parents who were abused 10.)Anger management issues at home 11.)Socioeconomics 12.)Illicit drug use 13.)Family history 14.)Friends who drink 15.)Lax enforcement at point of sale 16.)Perception of alcohol in the media 17.)Perception of "social norms" 18.)Perception of alcohol at home 19.)Lack of positive role models 20.)Influenced by bad role models 21.)Lack of any role models at all |
1.) Implement Life Skills Training to all 6th grade students in Coles County 2.)Support the efforts of organizations currently working with youth such as I Sing the Body Electric on youth binge drinking issues. |
| Coles County Health Dept |
2 |
Heart Disease |
By 2015 reduce the number of cardiovascular deaths in Coles County to less that 211 per 100,000 residents. (Baseline: 21.1%, 2006) |
1.)Obesity 2.)Diabetes |
By Round 5 of the Illinois Behavioral Risk Factor Surveillance System (2010-2012) decrease the level of cardiovascular related deaths in Coles County to less than 261.8 per 100,000 residents. (Baseline: 261.8 per 100,000, 2006) |
1.)Hypertension 2.)Physical inactivity 3.)Alcohol/tobacco use 4.)Obesity 5.)Poor diet 6.)salt intake 7.)physical inactivity 8.)access to facilities 9.)poor time management 10.)addiction 11.)perceived social "norms" 12.)low perceived risk 13.)unawareness of importance 14.)money 15.)education |
1.) Compile a database of physical activity programs currently available in the community and make that information available on our website. 2.)Increase the number of local participants in the Illinois Diabetes Control Program 3.)coordinate and expand as needed existing community based initiatives that focus on heart disease, stroke, obesity and/or diabetes. |
| Coles County Health Dept |
3 |
Access to Care |
By 2015 increase the number of referrals to Coles County service agencies providing direct case management by 10%. |
1.)Lack of insurance 2.)Inefficient use of system |
By 2012 increase the number of referrals to Coles County service agencies providing direct case management by 3%. |
1.)poverty 2.)job loss 3.)lack of knowledge 4.)provider education 5.)services currently provided 6.)lack of formal education 7.)education not in the job marker 8.)language barriers 9.)inability to navigate the system 10.)changing eligibility 11.)new organizations within county 12.)current organizations with new roles 13.)communication within organization 14.)reductions in state funding 15.)lack of communication |
1.)Create sustainable printed county-wide directory of services that is updated a minimum of every 2 years. 2.)Provide training in available resources to providers likely to interact with residents who could benefit from early intervention. This can include school teachers and administrators, police officers, emergency service workers, and emergency department staff. 3.) create a feasibility study regarding the costs and potential implementation of a local "one call" number such as 211 for access to social service agencies. |
| Coles County Health Dept |
4 |
Lung Cancer |
By 2015, decrease the incidence of ling cancer by 10%. (Baseline: 229 per 100,000 2007) |
1.)smoking 2.radon |
1.) By 2013, decrease the number of women who smoke during pregnancy to no more that 125 per 100,000 in Coles County. (Baseline:240 per 100,000, 2006) 2.)By 2013, increase the number of homes tested for Radon to greater than 100. (Baseline:26, 2010) |
1.)second hand smoke 2.)addiction 3.)ease of obtaining 4.)homes with a basement 5.)homes with a sump pump 6.)geology 7.)smoking at home 8.)smoking by friends or family 9.)smoking in public 10.)lack of resources to quit 11.)lack of initiative to quit 12.)unintended consequences 13.)affordable 14.)readily available 15.)wide selection 16.)older homes 17.)low-income homes 18.)homes of the elderly 19.)homes within flood prone areas 20.)natural occurring isotope |
1.)Increase communication efforts with the OB/GYN community regarding stop smoking campaigns. 2.)Develop and distribute program materials such as brochures and other printed material and content specifically for smokers who are pregnant. 3.)Educate Coles County realtors to provide home buyers with brochures or other written information and materials on Radon and to follow-up with testing. 4.)Educate the public on the dangers of radon and dispel common myths concerning radon removal |
| Cook County Department of Public Health |
1 |
Chronic Disease: Cardiovascular Disease Prevention |
1.)By 2015, reduce coronary heart disease (CHD) mortality to no more than 123.2 deaths/100,000 in SCC. (SCC baseline: 145.2 deaths/100,000. HP2020: 100.8/100,000) 2.)By 2015 reduce Cerebrovascular (stroke) disease mortality to no more than 39.5 deaths per 100,000 in SCC (HP2020: 33.8 per 100K; SCC Baseline 45.2 per 100K) |
1.)high blood pressure 2.)tobacco use 3.)high cholesterol 4.)diabetes mellitus, especially Type II diabetes 5.)physical inactivity 6.)obesity 7.)stress |
1.)By 2013 reduce the prevalence of diabetes to 8% among adults in suburban Cook County. (BRFSS 2007: 9.5%) 2.)Reduce the prevalence of obesity in suburban Cook County. 3.)By 2013 reduce the prevalence of obesity (BMI>=30) to less than 24% among adults. (HP 2020:30.6%; SCC Baseline 25.4%) 4.)By 2013 reduce the prevalence of obesity in children (>=95% percentile) to 15% (SCC Baseline 17%) 5.)By 2013 reduce the prevalence of tobacco use to 12.0% (HP2020) [SCC Baseline: (BRFSS 2009) 15.9%] 6.)By 2013, increase the proportion of the population in SCC that meet the moderate physical activity standard to 25%. [SCC Baseline (BRFSS 2009) 20.8%] |
1.)poverty/lack of resources 2.)low health literacy 3.)less educated 4.)minority populations 5.)reduced access to healthy food/poor nutrition--high cost of nutrient dense food/low cost of calorie dense food 6.)neighborhood violence 7.)lack of access to safe places for physical activity 8.)community resources/built environment 9.)lack of access to age places for physical activity 10.)community resources/built environment 11.)lack of access to tobacco cessation 12.)lack of access to primary care 13.)ease of access to tobacco 14.)social acceptability of tobacco 15.)social/cultural norms-acceptability of fast food 16.)family structure |
1.)Increase awareness of both individual and community related risk factors for cardiovascular disease. 2.)Increase the number of SCC communities with policy/systems/environmental best practices/policies to support cardiovascular disease prevention. 3.)Develop comprehensive region-wide policies to reduce exposure to tobacco. 4.)Assures the sustainability of public health prevention activities. |
| Cook County Department of Public Health |
2 |
Improve Sexual Health Status of Youth |
1.)By 2015, the incidence of unintended pregnancies and STIs will be reduced by 10% among youth in SCC where rates are higher than HP2020. |
1.)unprotected sexual activity 2.)early initiation of sexual activity 3.)multiple sexual partners 4.)coercive sexual relationships 5.)mental health disorders (depression) 6.)low self-esteem |
1.)By 2013, reduce by 10% the proportion of youth who report sexual intercourse by 17 years of age. (Baseline: 37.3% 2010) 2.)By 2013, increase by 10% the proportion of sexually active youth who report condom use at last sexual intercourse. (Baseline: 62.1%) |
1.)nonuse/misuse of condoms and other protection 2.)cultural and media influences 3.)lack of sexual health curriculum in schools 4.)unsupervised time for youth especially after school |
1.)Increase awareness of the sexual health status of youth, the implications of early and unprotected sexual activity and the factors influencing youth sexual decisions. 2.)Advocate for policy change on the state and local levels to address implementation of sexuality health education curricula in schools. 3.)Assess the needs of youth in communities with higher rates of teen pregnancy and STIs to advocate for increased funding to provide opportunities for building youth resiliency. 4.)Increase coordination of youth health and social service providers to increase understanding of current community resources and to better meet the needs of youth. |
| Cook County Department of Public Health |
3 |
Violence Prevention |
1.)By 2015, there will be a 10% improvement in the incidence of violent acts including homicide. Firearm-related deaths and acts of sexual violence in populations experiencing rates greater than Healthy People 2020. (Baseline: 6.3/100,000 deaths from homicide; HP2020 goal: 5.5/100,000: African Americans 25.5/100,000 and 6.1/100,000 for Hispanics) |
1.)access to firearms 2.)untreated mental illness 3.)substance abuse 4.)past history of violence 5.)past history of violence 6.)neighborhood gangs 7.)bullying |
1.)By 2013, 80% of the SCC communities impacted by violent incidents will show a minimum of five or greater community protective factors representing community cohesion. (Baseline: TBD) 2.)By 2013, 100% of the communities impacted most by youth violence will be informs on the issues contributing to youth violence and active in advocating for policies to promote healthy youth. |
1.)current gun legislation 2.)poverty/unemployment 3.)family structure/single parent 4.)lack of education 5.)access to mental health and substance abuse treatment 6.)lack of social support 7.)neighborhood environment 8.)denial/image protection |
1.)Increase neighborhood cohesive factors to improve safety. 2.)Increase collaborative and networking opportunities to address community resources and referral processes and provide synergistic opportunities to address multiple health issues, i.e., preventing violence and promoting healthy eating and physical activity. 3.)Conduct social media and education campaigns to increase awareness of the issues contributing to violence. 4.)Improve information available to schools, churches, health providers and public safety personnel on DV and bullying. |
| Cook County Department of Public Health |
4 |
Access to Healthcare Services |
1.)By 2015, increase the percentage of adults with a usual primary source of care by 10% in populations above the HP2020 goal. (Baseline: SCC BRFSS 2009: 13.2%) |
1.)lack of access to healthcare contributes to: unnecessary illness, more complicated and advance illness, decreased quality of life, decreased productivity, premature disability and death, increased use of ED for primary care services and resources will be used inappropriately. |
1.)By 2013, reduce the rate of hospitalizations for uncontrolled hypertension and diabetes (Baseline: SCC Uncontrolled Hypertension Hospitalization: 115/100,000; African Americans: 392/100,000; SCC Diabetes Related Hospitalization: 1,066/100,000; African Americans: 2,243/100,000); and visits to the emergency department for primary-care-sensitive conditions (Baseline TBD using ESSENCE) especially in the populations impacted most. 2.)By 2013, increase the percentage of adults who have been to a doctor for a routine checkup in the past 1-2 years by 10%. (Baseline: SCC BRFSS 2009: 83.7%) |
1.)affordability 2.)increased uninsured due to immigration status 3.)increased unemployment 4.)inconsistent insurance coverage 5.)state budget cuts 6.)delays in payments to providers 7.)fewer providers accepting public insurance 8.)poverty/economics 9.)level of education 9.)family structure 10.)malpractice/legal issues 11.)language and transportation barriers to receiving care 12.)changing demographics in N and S suburbs 13.)limited availability and access to specialty providers 14.)no coordination of current providers and services |
1.)Monitor the proportion of the population who are uninsured/insured. 2.)Assess the capacity in the suburbs to provide comprehensive healthcare services especially for the uninsured. 3.)Promote the importance of preventative services and monitor utilization of preventative services such as smoking cessation assistance, EPSDT, vision and hearing screening for children, influenza immunizations, mammograms, pap smears, cholesterol, diabetes and colorectal cancer screening. 4.)Increase coordination between health providers of the uninsured/underinsured and community services and private providers of oral, mental health, prescriptions drugs and specialty services. 5.)Identify strategies to improve access to healthcare and work in partnership with clinical providers to improve access. |
| Crawford County Health Department |
1 |
Mental Health |
"By 2017, increase the proportion of Crawford County residents with co-occurring substance abuse and mental health disorders who received treatment for both disorders to 3.2%. |
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| Baseline: Healthy 2020 People reported 3.0% of persons in the U.S. with co-occurring substance abuse and mental disorders received treatment for both disorders in 2008. |
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1.) Life Circumstances 2.) Stress |
"By 2015, reduce the percentage of Crawford County residents who described themselves as being depressed, sad, or blue more than 2 days per month on the BRFSS to no more than 30%. |
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| Baseline: Round 4 BRFSS reported 33.2% of surveyed Crawford County residents described themselves as being depressed, sad, or blue more than 2 days per month. |
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1.) Domestic issues 2.) Substance Abuse 3.) Social Issues 4.) Poverty 5.) Genetic Predisposition 6.) Environment 7.) Broken Home 8.) Cultural Tradition 9.) Economics 10.) Family Environment 11.) Health Status 12.) Self Concept 13.) Work Place 14.) School 15.) Complacency 16.) Lack of Understanding 17.) Lack of education/training/skills 18.) Family Demands 19.) Denial 20.) Lack of social Services 21.) Economic pressure 22.) Family Dynamics 23.) Illness |
1.) Increase awareness of local available services. 2.) Collaborate with local healthcare partners to develop support groups. 3.) Educate local businesses on importance of mental healthcare. 4.) Encourage worksite programs. |
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| Crawford County Health Department |
2 |
Obesity |
"By 2017, reduce the percentage of Crawford County residents who describe themselves as overweight or obese on the BRFSS to no more than 68%. |
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| Baseline: Round 4 BRFSS reported 71.5% of surveyed Crawford County residents described themselves as overweight or obese. |
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1.) Lack of exercise 2.) Diet |
"By 2015, increase the percentage of Crawford County residents who report themselves as meeting or exceeding regular and sustained physical activity guidelines on the BRFSS by 3%. |
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| Baseline: Round 4 BRFSS reported 58% of surveyed Crawford County residents described themselves as meeting or exceeding regular and sustained physical activity guidelines. |
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1.) Lack of motivation 2.) Lack of services 3.) Lack of Time 4.) Ease and availability of fast food 5.) Poverty 6.) Complacency 7.) Denial 8.) Depression 9.) Low self-esteem 10.) Money 11.) Time 12.) Geographic Location 13.) Economics 14.) Family Demands 15.) Time Management 16.) Fast Paced Life 17.) Unemployment 18.) Low Educational Level 19.) Cycle of Generations 20.) Lack of knowledge 21.) Denial 22.) Stress |
1.) Investigate worksite wellness programs. 2.) Increase worksite wellness programs/Weight-Watchers, reimbursement, etc. in collaboration with Community Transformation Grant (We Choose Health). 3.) Encourage utilization of local walking trails. 4.) Utilize social media for education and promotion of local resources. |
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| Crawford County Health Department |
3 |
Cancer |
"1.) By 2017, reduce the rate Crawford County deaths due to malignant neoplasm's to no more than 290 per 100,000. |
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| Baseline: 2008 IPLAN Summary Data reported a rate of 300.85 per 100,000 for deaths due to malignant neoplasm's in Crawford County. |
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| 2.) By 2017, reduce the rate of Crawford County deaths due to lung cancer to no more than 100 per 100,000. |
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| Baseline: 2006 IPLAN Summary Data reported a rate of 106.2 per 100,000 for deaths due to lung cancer in Crawford County. |
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1.) Genetic Predisposition 2.) Environment |
"1.) By 2015, increase availability of preventative screening services in Crawford County. |
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| 2.) By 2015, reduce the percentage of Crawford County residents who describe themselves as a current smoker on the BRFSS to no more than 23%. |
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| Baseline: Round 4 BRFSS reported 25.1% of surveyed Crawford County residents described themselves as a current smoker. |
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| 3.) By 2015, reduce the percentage of pregnant mothers who smoke to no more than 25%. |
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| Baseline: 2006 IPLAN Summary Data reported 26.8% of pregnant Crawford |
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1.) Ancestors 2.) Complacency 3.) Air pollution 4.) Diet 5.) Lifestyle 6.) Unknown Family History 7.) Economic restraints for genetic studies and testing 8.) Denial 9.) Lack of knowledge 10.) Industries 11.) Radon 12.) Tobacco smoke 13.) High Fat/Low fiber foods 14.) "Fast Food" Consumption 15.) Lack of Understand and Availability of Healthy Foods 16.) Tobacco use 17.) Lack of Screening 18.) Sedentary Lifestyle |
"1.) Offer free or reduced-cost screenings. 2.) Educate on recommended screenings and importance of knowing family history via social media and outreach efforts. |
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| Cumberland County Health Department |
1 |
Cancer- Diabetes Link |
By 2017 increase the number of individuals diagnosed with diabetes who receive formal diabetes education by 10%. Baseline: 56.8% of adults aged 18 years and older with diagnosed diabetes reported they never received formal diabetes education in 2008 (age adjusted to the year 2000 standard population). |
Diabetes. 1.) lifestyle choices 2.) Pre-disposition Cancer 1.) lifestyle choices 2.) Environment |
By 2014 increase the proportion of persons with diabetes whose condition has been diagnosed by 5%. Baseline: 56.8% of adults aged 20 years and older with diabetes had been diagnosed, as reported in 2005-2008 (age adjusted to the year 2000 standard population). |
Diabetes..1.) High fat diet 2.) lack of physical activity 3.) Absence of routine physical exams 4.) Learned food preparation at home 5.) lack of nutritional education 6.) Convenience of fast foods 7.) Depression 8.) Physical disability 9.) Sedentary occupation 10.) Lack of local Physicians 11.) Lack of finances 12.) Lack of transportation 13.) Family history 14.) Ethnic background 15.) Gestational Diabetes 16.) accepting of perceived stigma 17.) Learned unhealthy traits 18.) favorable view of family members with diabetes 19.) Unhealthy cultural norms 20.) accepting of stereotypes 21.) Multiple pregnancies 22.) maintaining unhealthy habits after pregnancy .. Cancer 1.) Tobacco use 2.) High fat diet 3.) Absences of routine physical exams 4.) sun exposure 5.) Chemicals and toxins 6.) Second hand tobacco smoke 7.) Stress 8.) Social pressures 9.) Physical addiction 10.) Learned food preparation at home 11.) lack of nutritional education 12.) Convenience of fast foods 13.) Lack of local Physicians 14.) Lack of finances 15.) Lack of transportation 16.) High Agricultural occupations 17.) lack of knowledge 18.) Outdoor recreational activities 19.) unsafe drinking water 20.) excessive skin exposure 21.) Home environment 22.) Workplace 23.) Social activities |
1.) Increase the number of Cumberland County residents in the Cumberland County Diabetic Support group. 2.) Coordinate and expand as needed existing community based initiatives that focus on diabetes and cancer 3.) Compile a database of physical activity and healthy eating programs currently available in the community and make that information available on our website. |
| Cumberland County Health Department |
2 |
Obesity |
By 2017, reduce the number of Cumberland County residents aged 18 and up who engage in no leisure time physical activity by 4%. Baseline: According to the National Health Interview Survey( NHIS) 36.2% of adults engaged in no leisure-time physical activity in 2008. |
1.) poor diet 2.) Lack of exercise |
By the release of 2014 data on the Illinois Behavioral Risk factor Surveillance System, reduce the number of Cumberland County adults not meeting the regular and sustained physical activity guidelines by 3%. Baseline: The 4th Round of the BRFS fro Cumberland County (21107-2009) reported that 47.5% of Cumberland County adults do not meet the regular and sustained physical activity guidelines. |
1.) Fast food 2.) Oversized portions 3.) Consuming high calorie drinks 4.) Sedentary lifestyles 5.) barriers 6.) Inadequate time 7.) Convenience 8.) Inability to cook 9.) Inadequate cooking equipment at home. 9.) Thirst 10.) Desire to consume caffeine 11.) Inexpensive to upsize drinks 12.) Desk jobs 13.) Depression 14.) Laziness 15.) lack of funds for gym membership 16.) Competing commitments 17.) work long hours 18.) desire to do other things with free time. |
1.) Compile a database of physical activity programs currently available in the community and make that information available on the website. 2.) Coordinate and expand as needed existing community based initiatives that focus on obesity |
| Cumberland County Health Department |
3 |
Substance Abuse at High School Level |
By 2017, increase the number of Cumberland County students who perceive great risk associated with big drinking by 10% Baseline: According to the National Survey on Drug Use and Health (NSDUH) , 40.5% of adolescents aged 12-17 reported that they perceived great risk associated with consuming five or more alcoholic drinks at a single occasion once or twice a week in 2008. |
1.) family Environment 2.) Social Environment |
By the release of the 2014 I Sing the Body Electric Survey, reduce the number of youth who report participating in episodic heavy drinking by 4%. Baseline: The 2012 I Sing the Body Electric Survey, reported that 27.2% of males and 21.7% of females surveyed reported episodic heavy drinking. |
1.) Access 2.) Child abuse 3.) Parent with drug or Alcohol abuse problem 4.) Social Pressure 5.) View of role models 6.) Parents who willingly supply 7.) Parents who unwillingly supply 8.) Other adults who supply 9.) parents who were abused 10.) Parents with drug or alcohol issue 11.) Anger Management issues at home 12.) Socioeconomics 13.) illicit drug use 14.) Family History 15.) friends who drink and use drugs 16.) other adults who supply 17.) lax enforcement at point of sale 18.) perception of alcohol/drugs in the media 19.) perceptions of social norms 20.) perception of alcohol/drugs at home 21.) lack of positive role models 22.) influence of bad role models 23.) lack of any role models at all |
1.) implement Life Skills training to all Junior High Students in Cumberland County. 2.) Support the efforts of organizations currently working with youth such as I Sing the Body Electric on youth drug and alcohol abuse programs. |
| DeKalb County Health Department |
1 |
Cancer |
1.) Reduce the DeKalb County lung cancer death rate from an age-adjusted 2007- 2009 death rate of 41.5 per 100,000 by 10% to 37.3 in 2013-2015. (CDC WONDER) 2.) Reduce the DeKalb County incidence of lung cancer from an age-adjusted rate of 61.2 per 100,000 in 2004-2008 (Illinois Cancer registry) by 10% to 55.1 in 2013-2017. |
1.) Smoking 2.) Exposure to second hand smoke |
1.) Reduce the proportion of DeKalb County adult smokers from 29.5% in 2009 (BRFSS) to the 2009 Illinois rate of 16.9% by 2014. 2.) Reduce the percentage of DeKalb County 12th graders who report cigarette use from 25% (2012) to 15% by 2015 (DeKalb County Illinois Youth Survey, September 2012). |
1.) Absence of smoke-free policies in public places. 2.) marketing/peer influence. 3.) Addiction to nicotine. |
1.) DCHD will collaborate with multi-unit housing entities to implement smoke-free policies. 2.) DCHD will engage youth in project to advocate for smoke-free public places in collaboration with DeKalb park District. 3.) Kishwaukee Community Hospital (KCH) will conduct a series of onsite "Courage to Quit" American Lung Association smoking cessation classes in two DeKalb County Housing Authority housing sites. 4.) DCHD will promote use of the Illinois Tobacco Quit line that provides free counseling and nicotine replacement products to assist individuals to quit smoking. 5.) KCH will provide the evidence-based Tar Wars education program in one DeKalb County elementary classroom in spring 2013 and on in the fall 2013. |
| DeKalb County Health Department |
2 |
Cardiovascular Disease |
1.) Reduce the DeKalb County age adjusted coronary heart disease death rate from 168.9 per 100,000 in 2007-2009 to 148.9 in 2013-2015. (CDC WONDER). |
1.) High Cholesterol 2.) Hypertension 3.) Diabetes |
1.) Reduce the risk of overweight/obesity by increasing the breastfeeding level at Kishwaukee Community Hospital from 83.7% in 2011(IDPH Hospital Report Card) to 88.7% in 2015. 2.) Increase physical activity by making three outdoor leisure system and environmental changes by 2015 leading to increased usage of biking and walking trails in DeKalb County. |
1.) Overweight 2.) Lack of knowledge/skills for community activities 3.) Lack of physical activity |
1.) Kishwaukee Community Hospital (KCH) will work toward achievement of Baby-Friendly Designation, a UNICEF and World Health Organization initiative promoted by the CDC and accredited by Baby-friendly USA. 2.) DCHD will explore opportunities to increase breastfeeding initiation and duration rates for participants in WIC Program by exploring counseling methods, collaborating with the KCH Baby Friendly team, and promoting use of the KCH Breastfeeding Center and services. 3.) The Active Transportation subcommittee of Live Healthy DeKalb County (LHCD) will meet monthly to: Create and distribute trail maps; purchase, design and place trail signage and kiosks; recommend and promote repair of trails; increase the number of bike racks available; plan and implement public events and awareness of the benefits of biking and walking. |
| DeKalb County Health Department |
3 |
Diabetes |
1.) Reduce the prevalence of diabetes in DeKalb County persons 65+ from 18.9% currently (2009 BRFSS) by 10% to 17% by 2015. 2.) Reduce the DeKalb County diabetes age-adjusted death rate from 25.6 per 100,000 in 2007-2009 to the US 2007-2009 rate of 21.7 by 2015. (CDC WONDER). |
1.) Overweight 2.) Heredity |
1.) Reduce the proportion of overweight or obese DeKalb County residents from 64.4% (BRFS 2009) to the state 2009 level of 61.5% by 2015. |
1.) Diet 2.) lack of physical activity, sedentary lifestyle 3.) Lack of knowledge/awareness of genetic predisposition. |
1.) Kishwaukee Community Hospital (KCH) will expand the Coordinated Approach to Child Health (CATCH) program in the County by conducting the program in two schools in addition to the DeKalb School District by the end of 2014. Additionally, DCHD will expand the Coordinated School Health (CSH) model in the County by adding two additional school districts to the DeKalb School District by the end of 2015. The CSH model will support expansion and sustainability of CATCH. 2.) Kishwaukee YMCA will increase participation in the Diabetes Prevention Program for at risk persons aged 18+ from 14 to 28 persons per year by 2015. 3.) Live Healthy DeKalb County (LHDC) and the participating organizations will explore and pursue avenues to fund scholarships for eligible low-income persons to participate in the YMCA Diabetes Prevention Program. |
| DeWitt-Piatt Bi-County Health Department |
1 |
Communicable Disease |
1.) (Developmental) Reduce the incidence rate of tick-borne diseases in DeWitt and Piatt County residents by 2018. |
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1.) (Developmental) Reduce exposure to tick bites in DeWitt and Piatt County residents by 2016. |
1.) Depression 2.) Anxiety 3.) Genetic factors. |
1.) The DeWitt/Piatt Bi-County Health Department will implement a media plan to promote personal precautions against vector-borne disease by 2014. |
| DeWitt-Piatt Bi-County Health Department |
2 |
Chronic Disease and Related Risk Factors |
1.) (Developmental) Reduce the diabetes death rate by 2018. |
1.) Poor Diet 2.) Lack of Physical activity 3.) Working varied shifts 4.) Medical Conditions and Medications 5.) Quitting Smoking 6.) Age 7.) Genetic Factors 8.) Age |
1.) (Developmental) Increase the proportion of persons with diabetes who receive formal diabetes education by 2016. |
1.) Overweight and Obesity 2.) Poor diet 3.) Lack of physical activity 4.) Race 5.) Working varied shifts 6.) Age 7.) genetic factors 8.) Medical conditions and medications |
1.) The DeWitt/Piatt Bi-County Health Department will train at least 2 staff to implement the Chronic Disease Self-Management Program in local settings to DeWitt and Piatt County residents by 2014. |
| DeWitt-Piatt Bi-County Health Department |
3 |
Access to Care (Emphasizing Mental/Behavioral Health) |
1.) (Developmental) Increase the proportion of adults with mental health disorders who receive treatment by 2018. |
1.) prevention of disease and disability 2.) detection and treatment of health conditions. 3.) quality of life 4.) preventable death |
1.) (Developmental) Increase depression screening by primary care providers by 2016. |
1.) interaction of social 2.) environmental. 3.) genetic factors throughout the lifespan |
1.) The DeWitt/Piatt Bi-County Health Department will screen clients for depression and develop a referral system with local mental health providers beginning in 2014. |
| Douglas County Heath Dept. |
1 |
Heart Disease, Diabetes, Obesity |
1.)Decrease the hospitalization rate associated with diabetes, and heart disease by 5% by the year 2016. 2.)Reduce the obesity rate for Douglas County by 5% by the year 2016. |
1.)nutrition 2.)exercise 3.)obesity 4.)heredity |
1.)Reduce the number of deaths linked to heart disease to less than 300 deaths, and deaths linked to diabetes to less than 25 by round 5 of the Illinois Behavioral Risk Factor Surveillance System. 2.)Increase the rate of individuals participating in regular physical activity by 5% by the year 2016. |
1.)mental health 2.)schools 3.)video games 4.)lack of funding/programs 5.)inadequate number of facilities 6.)accessibility 7.)lack of programs available 8.)"easy" 9.)lack of education 10.)lack of programs 11.)funding 12.)education 13.)fresh fruit/veggies/money 14.)label reading 15.)nutrition 16.)exercise 17.)cost |
1.)Increase awareness and provide education and activities in the schools, businesses, and community service organizations. 2.)Distribute information on diabetes, heart disease, and obesity to senior centers to help educate our senior population. 3.)Meet with directors for public aid and the local food pantry to ensure proper education is being implemented to ensure individuals taking advantage of these services are eating a healthy diet. |
| Douglas County Heath Dept. |
2 |
Substance Abuse |
1.)Decrease the rate of minors being prosecuted for alcohol/substance abuse related prosecution by 20% by the year 2016. |
1.)depression 2.)parents |
1.)Provide education with I Sing Body Electric and raise overall awareness of substances and the risks associated by 10% by the year 2016. |
1.)mental health 2.)society 3.)health 4.)self conscious 5.)stressed, Type A 6.)no friends 7.)no strengths 8.)no acceptance 9.)lack of exercise 10.)poor nutrition 11.)lack of vitamin D 12.)parents approve 13.)parents access 14.)stress 15.)legal/accepted 16.)better here than elsewhere 17.)lack of education 18.)have at home 19.)parents did it 20.)easily accessible |
1.)Progress through this goal will be monitored through the I Sing Body Electric Youth Risk Behavior Survey Report for Douglas County. 2.)Education will consist of the continuation of the drug awareness committee consisting of representatives from: the Local Health Department, each community's police department, the Central East Alcoholism and Drug Council, and partnerships with the local schools and parents. 3.)Formation of school clubs focused on peer to peer intervention could be very beneficial as students are more likely to listen to someone their age. |
| Douglas County Heath Dept. |
3 |
Bullying |
1.)Decrease bullying countywide from 23.9% to the Illinois State Average of 19.6% by the year 2016. |
1.)lack of self-esteem 2.)learned behavior |
1.)Decrease physical fighting from in high school students from 24.7% to 20% throughout Douglas County. |
1.)mental health 2.)positive/negative behavior 3.)P.C. 4.)family education 5.)no other education |
1.)By the end of the year 2015, Douglas County will have an established program present in all schools with an emphasis on decreasing all forms of bullying. Programs will focus on the causes of bullying and how best to intervene when bullying is witnessed. 2.)Educating of school staff in Douglas County on how to handle bullying would be very beneficial. 3.)Partnering with Douglas County Mental Health would help better educate students and staff on the mental health consequences of bullying. |
| DuPage County Health Dept |
1 |
Overweight and obesity |
1.)By December 31, 2015, reduce overweight and obesity by 10 percent from baseline (33 to 30 percent in children and 56 to 50 percent in adults) among all DuPage County residents through policy, system, and environmental change. |
1.)Physical Inactivity 2.)Unhealthy diet |
1.) By June 31, 2012, increase the use of body mass index (BMI) surveillance tools in 90 percent or more of DuPage County schools in order to understand the prevalence of overweight and obesity in DuPage County children. 2.)By December 31, 2013, increase by 100 percent the number of DuPage County Local Public Health System partners who receive information regarding the built environment and population-level risk factors contributing to obesity within DuPage County Communities. 3.)By December 31, 2014, identify, implement, and promote three new county-wide changes to reduce overweight and obesity in DuPage County. |
1.)Sedentary lifestyle 2.)low levels of physically active recreational activity 3.) Limited active transport 4.)access 5.)poor food literacy 6.)social norms and cultural values 7.)decrease in physical education 8.)limited or no opportunity for physical activity at work 9.)lack of knowledge and education regarding the importance of PA 10.)increase in screen time (TV/computer) 11.)parental modeling 12.)perceived lack of time 13.)dominance of motorized transport 14.)walk ability of community and environment 15.)perceived dangers and safety concerns 16.)healthy options cost more 17.)limited or no healthy options available 18.)abundance of unhealthy options (e.g., fast food) 19.)advertising 20.)nutrition education is a low priority 21.)limited restaurant nutritional information 22.)not breastfeeding-using infant formula 23.)overweight and obesity viewed positively 24.)learned patterns of unhealthy behaviors from family and/or friends |
1.)Partner with school officials to obtain data from the Illinois Child Health Exam (school physicals. 2.)Develop and implement a web-based BMI surveillance application, FitTrac, to establish a prevalence rate of overweight and obesity in Kindergarten, 6th, and 9th grades. Utilize data from the Centers for Disease Control and Prevention's "Children's BMI Tool for Schools Group Calculator". 3.)Research and develop surveillance systems that can effectively monitor infants, preschoolers, toddlers, all school aged children, and adults and elderly populations. 4.)Identify the population-level risk factors that either support or hinder a healthy community by utilizing the Community Healthy Living Index (CHLI) to obtain an accurate community description which will draw attention to the opportunities for healthy living and create impetus for community changes. 5.)FORWARD will work in partnership with DuPage County YMCAs utilizing their Pioneering healthier Communities Model Program to establish and direct the work of core leadership teams. FORWARD will analyze the results of population-level and individual level health assessment data and provide feedback for strategic change. 6.)Establish a comprehensive community resource database of obesity prevention resources, interventions, policies and tools currently being used locally, state-wide, or nationally. 7.)Use a publicly available website (www.forwarddupage.org) to inform the community about currently available, reliable resources and community-wide and individual level risk factors. 8.)Engage DuPage community leaders (healthcare providers, school superintendents, business owners and operators, and local elected officials) to join FORWARD Coalition. 9.)Develop three DuPage County Centers for Expertise: The Center for Community Nutrition, The Center for Active Living, and The Center for Innovative Strategies, in order to create access to experts who will help create community-level change. |
| DuPage County Health Dept |
2 |
Access to Healthcare services |
1.)By December 13, 2015, DuPage county will have the capacity to provide access to a "medical home" and other essential health services for 100% of low-income residents of DuPage County who present for healthcare services. 2.)By December 31, 2014, increase access to low-cost prescription medications by 25% for the low-income uninsured population from 85,739 to 107,174 prescriptions filled, at a cost that is comparable to the 2009 cost. 3.)By December 31, 2014, Access DuPage will improve the health status of the uninsured low-income population served by Access DuPage, as measured by the SF-12 Health Survey by maintaining the SF-12 physical composite scores and increasing the SF-12 mental health composite scores by 5 percentile points per year of enrollment in Access DuPage. |
1.)Lack of health insurance 2.)lack of capacity |
1.)By December 31, 2013, increase "medical home" capacity within DuPage County for low-income uninsured individuals by 50% from 11,071 individuals to 16,607 individuals (increase of 5,536) and maintain full medical home capacity for individuals enrolled in Medicaid by increasing capacity by 155 from 104,202 to 119,832 (increase of 15,630). 2.)By December 31, 2014 increase the capacity within DuPage County to provide the low-income uninsured population with appropriate and timely specialty care referrals by 50%. 3.)By June 30, 2014, increase the number of 340B Pharmacies in DuPage from zero to one, to allow the low-income uninsured population to receive greatly reduced pricing for pharmaceuticals. 4.)By December 31, 2013, increase by 5% the number of Access DuPage patients and patients of other community providers who receive disease management services. |
1.)poverty 2.)lack of knowledge about the health care system 3.)strain on primary and specialty care providers 4.)inefficient health care system 5.)increasing unemployment/underemployment 6.)current economic recession 7.)low level of education 8.)changing eligibility 9.)inability to navigate the system 10.)language barriers 11.)lack of medical providers 12.)differential willingness of physicians to accept referrals 13.)low reimbursement rate 14.)slow payments by the state 15.)limited access to low cost Rx drugs 16.)limited use of disease management protocols 17.)reimbursement, regulatory, and legal factors 18.)lack of fully integrated health IT system |
1.)Open the Westmont Community Center, which will increase the capacity of the DuPage Community Clinic (DCC) by 80%, enabling them to provide health care to an additional 4,000 uninsured individuals. DCC is a free clinic, staffed primarily by volunteers, that has proved to be an effective healthcare model for uninsured patients since 1989. In 2009, the DCC provided healthcare to 4,139 unduplicated patients. 2.)Open one to two additional Federally Qualified health Care Centers in DuPage, which will increase the local public health system's capacity to provide health care to the target population by approximately 5,500 to 11,000 patients. 3.)Expand the collection and analysis of Medicaid data related to the 509 registered Medicaid sites in DuPage. This will provide a more comprehensive picture of how the target population is receiving access to health care. 4.)Expand the capacity among private physicians who accept Medicaid and uninsured patients. 5.)Convene a task force to develop the "ideal medical home" model template and checklist to increase efficiency throughout the system. Explore opportunities to pilot and implement the "ideal medical home" model throughout the country. 6.)Adapt and implement new specialty care model within the FQHCs, based on proven design model. The Provider practice Redesign Project piloted in California (2007) is a proven framework, which can be tailored to reflect local needs and resources. It includes the development of consensus care guidelines, "specialty champions", phone consultations, and monthly community grand rounds. 7.)convene a task Force to explore the impact that using telemedicine would have on specialty care referrals. Pilot and implement if advantageous. 8.)Increase the number of health care providers in each health specialty area, including mental health, available for referrals to meet the needs of the target population. 9.)Develop systems to track hospital referrals and equity in sharing the burden of care among hospitals related to in-patient and emergency room service utilization by the target population. 10.)Continue to assess and grow capacity for the oral health needs of the target population, including oral health specialists. 11.)Work with community partners to conduct a feasibility study and establish a 340B Pharmacy (bulk distribution pharmacy). This is a proven model that increases access to prescriptions for uninsured patients. 11.)Implement disease management protocol for at least one selected chronic disease. Use of a disease management program has proven successful in Illinois. Illinois Department of Healthcare Services Illinois' Care Management programs (Illinois health Connect and Your Healthcare Plus) have resulted in effective coordination of services, better health outcomes, and cost savings. 12.)Develop and implement disease registries with key indicators for each specific disease. 13.)Monitor improvement in indicators over time. |
| DuPage County Health Dept |
3 |
Mental Health/Substance Abuse |
1.)By December 31, 2015, reduce by 10 percent the percentage of 6th,8th,10th, and 12th grade DuPage County students who have used alcohol or marijuana in the past 30 days. |
1.)lack of awareness of disorders 2.)stressors |
1.)By December 31, 2014, increase the percentage of DuPage County families with youth zero to 18 years old who receive prevention messaging on the risk and protective factors for mental health and substance use disorders to 50 percent or 213,003 residents (101,394 aged zero to 17 years and 111,609 aged 18 years and older) by engaging stakeholders (traditional and non-traditional) to disseminate the messages. 2.)Be December 31, 2011, the Mental Health/Substance Abuse collaborative will increase communication by meeting quarterly with a minimum of 50 community partners who are geographically distributed throughout the County in order to optimize resources, reduce duplication of effort and explore funding opportunities. |
1.)lack of understanding 2.)poor recognition of childhood, adolescent, and familial triggers 3.)little to no social support 4.)limited self efficacy and resiliency 5.)hindrances to care 6.)lack of accurate information 7.)lack of prevention messaging 8.)insufficient prevention education 9.)myths/misconceptions 10.)insufficient resource information 11.)poor coping skills 12.)lack of self-understanding of needs 13.)co-morbid conditions 14.)stigma surrounding disorders 15.)prejudice and discrimination 16.)low self-expectations 17.)social rejection 18.) lack of connections to and support from family/church/friends 19.)lack of holistic/systemic approach 20.)affordability of care 21.)lack of transportation |
1.)Develop and implement an age, sex, and culturally appropriate, effective, and sustainable prevention awareness strategic plan based on Substance Abuse and Mental Health Services Administration's (SAMHSA) Strategic Prevention Framework. 2.) The DuPage County Health Department will form a county-wide Mental Health/Substance Abuse Services collaborative composed of key stakeholders. |
| DuPage County Health Dept |
4 |
Healthcare Associated Infections |
1.)By August 2015, DuPage County hospitals will maintain or achieve Healthcare Associated Infection (HAI) rates for central-line associated blood stream infections (CLABSI) and other categories of infection, such as Multidrug Resistant Organisms (MDRO), C. difficult, and surgical-site infections (SSI) as state requirements, are expanded that are statistically better than the national average as defined by the Illinois Hospital Report Card. |
1.)antibiotic misuse 2.)poor infection control compliance |
1.)By August 2011, DuPage County Health Department will increase the use of all available, established data sources (such as Illinois Hospital Report Card, Hospital Discharge Database and National Healthcare Safety Network) to monitor infection rates due to HAIs/MDROs in DuPage County, from all facilities providing data. |
1.)physicians over-prescribe antibiotics 2.)patients demand treatment 3.)long-term care facilities' formulary companies substitute drugs without knowing bacterial sensitivities 4.)poor outpatient compliance with prescribed drug regimen 5.)contaminated surfaces 6.)poor hand hygiene in healthcare workers 7.)LTCs lack infection control resources 8.)inadequate communication between LTC, hospital, and lab regarding patient's MDRO status 9.)patients have severe chronic illness 10.)asymptomatic patients treated based on carrier status 11.)patients need invasive procedures 12.)lack of patient education 13.)lack of provider education 14.)societal expectation for a cure 15.)LTC lacks internal pharmacy 16.)prescribed antibiotic is not readily available 17.)poor communication about bacterial sensitivities 18.)poor understanding of bacterial sensitivities 19.)early resolution of symptoms 20.)patients lack understanding of the importance of completing treatment 21.)inadequate disinfection practices 22.)unrecognized high-touch surfaces 23.)lack of staff education 24.)limited use of soap/sanitizers 25.)lack of appropriate PPE 26.)staff has limited time to address IC 27.)LTCs do not partner with hospitals enough 28.)inadequate transfer information 29.)separate facilities conduct separate testing |
1.)DuPage County Health Department will form a county-level group with hospital partners to gain access to the current surveillance data through the National healthcare Safety Network. 2.)The DuPage County Health Department will join hospital infection control staff to participate in the Chicago chapter of APIC and/or the IDPH workgroup meetings by attending at least 2 meetings annually. 3.)The DCHD and DuPage hospitals will join and/or establish a hospital prevention collaborative focused on reducing or preventing healthcare-associated infections, such as C. difficult. 4.)The DuPage County Local Public Health System will establish a collaborative between DCHS, acute care hospitals, LTC facilities, and other medical facilities or providers (dialysis, rehab, LTACH, Home health) that will work toward reducing HAI incidence and risk by monitoring infections and providing resources in infection control. 5.)The DuPage County Local Public Health System will conduct a needs assessment of LTCs to assess opportunities for improved reporting and monitoring of HAI/MDRO infections, the establishment of surveillance system(s) and outbreak management procedures, identifying infection control resource needs, providing education, and a coordinated transfer protocol. 6.)the DuPage County Local Public Health System will develop an outreach education campaign for providers and the public on antibiotic stewardship and the risk and prevention of MDROs. |
| DuPage County Health Dept |
5 |
Sexually Transmitted Diseases |
1.)By August 2015, the DuPage County public health system will reduce the incidence rate of Chlamydia trachomatis infections in 10-24 year-olds by at least 10 percent. |
1.)having unprotected sex 2.)long duration of infection |
1.)By August 2015, the DuPage County public health system will increase the proportion of adolescents who abstain from sexual intercourse (to 57.5 percent) or use condoms if currently sexually active (to 67.9 percent). |
1.)high cost of protection 2.)no access to protection 3.)no desire to use protection 3.)unknown infection 4.)inadequate treatment 5.)cases get re-infected 6.) not enough free condoms in community 7.)public doesn't know that DCHD offers free condoms 8.)condoms are stored behind store counters 9.)the public doesn't have transportation to store 10.)embarrassed to ask for protection 11.)condoms are not accepted in certain sexual communities (peer pressure) 12.)the public underestimate their risk of exposure 13.)asymptomatic 14.)no access to screening 15.)never notified by partner 16.)don't know what GC/CT/Syphilis are 16.)physicians lack access to test results when prescribing treatment 17.)physicians can't reach patients for follow-up 18.)lack prevention education/knowledge |
1.)DCHD will implement the Children's Aid Society (CAS)-Carrera program as a pilot program, subject to funding. 2.)The DuPage County local public health system will disseminate and update educational pamphlets online and to the medical community including emergency rooms and convenient care centers about STDs, the DCHD's STD Clinic, and condom availability. 3.)The DuPage County local public health system will advocate for inclusion of a checkbox for "counseled about STD prevention" on the school physical form for physicians to mark to ensure they are counseling adolescents about prevention. 4.)DuPage County will disseminate information and post fliers throughout the community, including locations where adolescents congregate, that provide information about where and how to obtain fee condoms. |
| East Side Health District |
1 |
STD's |
"1.) By the year 2017, reduce the Chlamydia rate to 1,800 cases per 100,000 in the East Side Health District service area. |
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| 2.) By the year 2017, reduce the Gonorrhea rate to 400 cases per 100,000 in the East Side Health District service area. |
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| 3.) By the year 2017, reduce All Stages of Syphilis rate to 25 cases per 100,000 in the East Side Health District service area. |
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1.) Lack of Knowledge 2.) Unprotected Sex |
By the year 2014, reduce the rates of STI's among African Americans ages 15-24 (Chlamydia), ages 15-24 (Gonorrhea), ages 20-29 and 35-39 (Syphilis), and ages 30 to 60 (HIV/AIDS) living in East St. Louis and Cahokia, so that the overall rate in the East Side Health District is 1,900 cases of Chlamydia per 100,000 population, 450 cases of Gonorrhea per 100,000 population, and 35 cases of Syphilis per 100,000 population. Relative to the unprotected sex risk factor, by the year 2014 East Side Health District will heighten awareness through community health fairs and other coordinated community events with the City of East St. Louis and the St. Clair County Health Department emphasizing the life-changing dangers of having unprotected sex along with increasing the number of condoms being distributed throughout the community (particularly bars and nightclubs) on an annual basis. Relative to lack of knowledge risk factor , by the year 2014 focus on full utilization of IDPH brochures which include: Condom Basics, STD Facts for Young Women, Condom Hot Tips and STD Facts. Additionally, work closely with East St. Louis Township and School Districts 187 & 189 produce and show semi-annually a sex education PowerPoint presentation focusing on teens, adults and seniors throughout the East Side Health District service area showing from an epidemiology viewpoint the proportion of the population in our jurisdiction with the disease and the associated risk factors. |
1.) Multiple Sex Partners 2.) Alcohol and Drug Use 3.) Not Seeking Information 4.) Cultural Stigma 5.) Survival Sex - Exchange Sex for Money 6.) Age Discordant Partnerships 7.) Low Self Esteem 8.) Late Night Entertainment 9.) Liquor Stores10.) Does not apply to me - "I'm not high risk" 11.) Adolescent and Adult Lack of Education 12.) Language Barriers 13.) Religious Views 14.) Fear of Not Being Accepted |
"1.) Clinical Recommendations Healthy People 2020 suggests screening for Chlamydia infection for all pregnant women aged 24 and younger, older pregnant women, sexually active non-pregnant women aged 24 and younger, and older non-pregnant women who are at increased risk. |
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| 2.) Community Interventions from Healthy People 2020 suggests prevention of HIV/AIDS, other STIs and Pregnancy via Group-based Comprehensive Risk Reduction Interventions for Adolescents include comprehensive risk reduction (CRR) promotes behaviors that prevent or reduce the risk of pregnancy, HIV, and other sexually transmitted infections (STIs), culturally and age appropriate. Outreach efforts are conducted in non-traditional settings like strip clubs, gay bars, at non-traditional hours to aggressively seek individuals in locations that they frequent. |
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| 3.) Consumer Information from Healthy People 2020 suggests STD Testing: Conversation starters with partners, get tested events, and HPV vaccine talks with physicians about getting children vaccinated. |
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| East Side Health District |
2 |
Cancer |
By the year 2017, reduce the number of cancer deaths to 161 cases or 246 cases per 100,000 population in the East Side Health District service area. |
1.) Environmental 2.) Tobacco and Alcohol 3.) Inadequate Nutrition 4.) Hereditary and Genetics 5.) Age (Growing Older) 6.) Sunlight (Ultraviolet UV Radiation |
By the year 2014, reduce the number of cancer deaths to 170 cases or 260 cases per 100,000 with a focus on colorectal, bronchus and lung, and female breast cancer in East St. Louis, Cahokia, and Centreville through the continuation of tobacco cessation programs, nutrition education, farmer's market, gardening efforts, environmental health programs to include the Healthy Home Project with community and academic partners such as SIUE. Also increase screenings of the aforementioned cancers at churches, schools, senior citizen buildings and other appropriate venues. By the year 2014, while working closely with the Illinois Cancer Partnership, East Side Health District's Oral Cancer Coordinator, The Coordinated School Health Program and Coordinated Approach to Child's Health (CATCH) to create a PowerPoint presentation for teens and adults to be shown at least quarterly at schools, churches, city hall and other similar venues reflecting the volatile nature of smoking and drinking alcohol which ultimately creates a high risk for oral cancer, bronchus and lung cancer. By the year 2014 effectively collaborate with CATCH program Health Educators to focus on it key components Classroom Curriculum identifying healthy behaviors, Physical Education in and outside of the classroom, Family Program which includes family fun nights where parents, children and the community participation is stressed. Eating Smart segment encourages the school food service to provide tasty lower saturated fat and lower sodium school meals, drinking water and juices instead of soda and sugary beverages and above all provide and maintain nutritious meals utilizing the skills of a professional Nutritionist. By 2014 add 3 to 5 additional Elementary schools to the CATCH Program. |
1.) Contamination of Industrial Sites 2.) Mobile Sources 3.) Lack of Physical Activity 4.) Smoking and Chewing 5.) Mental Health 6.) Food Deserts 7.) Proper Food Preparation 8.) Lack of Screening 9.) Soil 10.) Transportation i.e.. Interstate Traffic 11.) Safe Parks and Recreation Facilities 12.) Secondhand Smoke 13.) Media 14.) Depression 15.) Socio-Economic Status 16.) Coping and Self Medicating 17.) Corner Stores 18.) Contaminated Soil 19.) Access to Transportation 20.) Not knowing how to cook 21.) Cultural aspects of food 22.) Not familiar with Fruits and Vegetables 23.) Cultural bias, mistrust, and fear 24.) Unaware of Services Available & Family History |
1.) Clinical Recommendations: Screening for Breast Cancer, Cervical Cancer, and Colorectal Cancer 2.) Community Interventions: Cancer Prevention & Control, Client-oriented Screening Interventions via client reminders, one-on-one education, reducing out-of-pocket costs, reducing structural barriers, small media, provider assessment and feedback, provider reminder and recall systems, and health communication & social marketing. 3.) Consumer Information: Clients develop questions for the doctor about when and how to screen for cancer as well as get tested for cancers. |
| East Side Health District |
3 |
Obesity |
Healthy People 2020 objectives for obesity are used because obesity data for the East Side Health District service area was not available. By 2017, reduce the proportion of persons aged 20 and over who are obese to 30% and children and adolescents aged 2 to 19 who are obese to 15% as well as prevent inappropriate weight gain in youth and adults |
1.) Behavioral Components 2.) Inadequate Nutrition 3.) High Blood Pressure (Hypertension) 4.) High LDL (Bad) 5.) Low HDL (Good) |
Healthy People 2020 objectives for obesity are used because obesity data for the East Side Health District service area was not available. By 2014, reduce the proportion of person aged 20 and over who are obese to 40% and children and adolescents aged 2 to 19 who are obese to 25% as well as , and adults who are considered obese and the prevent inappropriate weight gain in youth and adults. By the year 2014 collaborate with the Coordinated Approach to Child Health (CATCH) to throughout the year, promote physical fitness programs in schools, nutrition education, family support and participation, utilizing East Side Health District's Nutritionists to create nutritious meals from the East Side Health Districts F.R.E.S.H. Community Teaching Garden and weekly farmer's market. The weekly farmer's market provides fresh fruits and vegetable to the family for approximately 9 months throughout the year. Medical problems which include Type 2 Diabetes and High Blood Pressure are risk factors that can be eliminated with a nutritious diet, maintaining reasonable physical activity throughout the day, month and year. |
1.) Lack of Nutritious Food Choices 2.) Lack of Physical Activity 3.) Food Deserts 4.) Proper Food Preparation 5.) Smoking 6.) Prices 7.) Transportation i.e. Interstate Traffic 8.) Safe Parks and Recreation Facilities 9.) Corner Stores 10.) Access to Transportation 11.) Not knowing how to cook 12.) Cultural aspects of food |
1.) Clinical Recommendations: Screening for obesity in adults, children, and adolescents 2.) Community Interventions: Obesity prevention and control interventions in community and worksite settings via nutrition and physical activity programs. Reduce screen time through behavioral interventions. 3.) Consumer Information: Healthy snack/meal preparation education, healthy shopping, and access to fruits and vegetables via the community garden |
| East Side Health District |
4 |
ENVIRONMENT |
"By 2017, improve air quality by having 50% of schools participate in the no idle zones at schools program, decrease illegal burning, promotion of the National Clean Diesel Campaign and reducing indoor tobacco smoke. |
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| By 2017 improve existing public sewer service to East Side Health District citizens and make public sanitary sewer service available to 50% of residents of Black and Level Streets between Forest Blvd. and Bunkum Road. |
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| By 2017 reduce the dumping of illegal tires in the East Side Health District service area by 75%, reduce EBLL cases >5mcg/dL to 5% of population 6months to 7 years of age, increase inaccessibility of derelict structures by 25% while increasing the number of sustainable and equitable housing, facilitate the opening of 5 additional community-run gardens |
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1.) Crime 2.) Built/Infrastructure 3.) Air/Water 4.) Lack of Policy/Code Enforcement 5.) Nutrition |
"Air |
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| By 2014 establish coalition of community members and stakeholder agencies to examine existing laws and programs. By 2014 utilizing input for the Community Coalition write a Code Enforcement Ordinance to fully address enforcement issues throughout East Side Health District's jurisdiction. We have submitted a request for assistance from Washington University George Warren Brown School of Social Work and the Gephardt Institute of Public Service to survey the community residents and facilitate focus groups pertaining to our environment Infrastructure. By 2014, improve and create new objectives to meet 2017 outcomes for illegal burning, increase the number of multi unit housing tenants that choose to become smoke-free discontinue smoking in homes, 25% of schools participate in the no idle zone program. |
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| Create action plan with community stakeholders and the City of East St. Louis to improve public sewer service, make public sanitary sewer service available to 25% of residents of Black and Level Streets between Forest Blvd. and Bunkum Road. |
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| By 2014 reduce illegal tire dumping by 50%, reduce EBLL's >10mcg/dl to 1% of population 6 months to 7 years, transition all lead case management cases to healthy housing cases, educate and teach residents and community groups on how to grow vegetables and eat healthy, create 2 new community run gardens, actively participate in coalition that increases the number of sustainable and equitable housing and decreasing the number of dwellings that are hazards to individuals, families and community wellness. |
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| Code Enforcement |
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| By 2014 create an action plan with the City of East St. Louis, Washington Park and Centreville code enforcement programs to strengthen current municipal ordinances that will increase code violation compliance. Additionally, we will work closely with Washington University to assist us with community stakeholder involvement " |
1.) Poverty 2.) Violence 3.) Illegal Drug Activity 4.) Inadequate Sanitation and Sewer 5.) Vacant Houses- Outmigration 6.) Substandard Housing Stock 7.) Abandoned and Vacant Homes 8.) Industry 9.) Abandoned Tires 10.) Geographic Location 11.) Food Deserts 12.) Lack of Jobs 13.) Unemployment 14.) High School Dropouts/Education 15.) Lack of Security and Police Protection 16.) Drug Associated 17.) Domestic Violence 18.) Unemployment 19.) Socio-Economic Status 20.) Lack of Enforcement 21.) Lack of Funding 22.) Lack of Policy 23.) Lack of Advocacy 24.) Drug use safety, Crimes, and Slum Lords 25.) West Nile 26.) Lack of Grocery Stores 27.) Abundance of Corner Stores |
"1.) Clinical Recommendation: Screening for lead poisoning and asthma in children < 7 years old, healthy housing case management guidelines per HUD/CDC/National Center for Human Health. Educate and improve the knowledge of lead based paint hazards and prevention methods. |
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| 2.) Community Recommendations: Policy development, enforcement of regulations, community partnerships, collaboration, and advocacy, marketing strategies promoting access to healthy foods, community gardens, pursuit of sustainable environmental health program funding, provide staff training on community health issues. 3.) Consumer Information: Health effects of environmental toxins, standing water, connection between built environment and public health |
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| Edgar County Health Department |
1 |
Teen Birth rate |
1.)By 2015, reduction in the yearly average number of births to young women, between the ages of 10-17 years old, will decrease to less than 10%. |
1.)social behavior 2.)unprotected sex |
1.)By June 2015 a reduction in the number of females, ages 10-17, who engage in sexual activity will be no more than 35% by age 17. |
1.)peer pressure 2.)substance abuse 3.)environment 4.)lack of self-esteem 5.)lack of education 6.)no parental guidance 7.)alcohol 8.)drugs 9.)tobaccos 10.)dating violence 11.)sexual abuse 12.)poverty 13.)peer pressure 14.)poor self esteem 15.)no parental guidance 16.)need for self acceptance 17.)lack of sex education 18.)lack of abstinence education 19.)lack of contraceptives |
1.)With the assistance of the Paris Community Hospital, religious organizations of Edgar County and the Edgar County Public health Department the objectives will be worked on to strengthen youth/teen education and prevention of teenage pregnancy. |
| Edgar County Health Department |
2 |
Mothers who Smoke |
1.)By June 2015, the number of infants with low or very low birth weight will be reduced. The number will be reduced from 22 to 15 per year. 2.)By June 2015, the percentage of teens that have tried, occasionally smoke, or smoke regularly will be reduced by 4% across all categories. 3.)By June 2015, a reduction in the percentage of mothers who smoke during pregnancy will be no more than 10%. |
1.)tobacco use 2.)peer pressure |
11.)By June 2015 the reduction of the percentage of WIC teenage mothers who smoke during their pregnancy will be 20% or less. 2.)By June 2015, there will be a reduction of 15% for children and youth that become regular cigarette smokers by age 24. |
1.)peer pressure 2.)substance abuse 3.)poor self esteem 4.)lack of health education 5.)no parental guidance 6.)alcohol use 7.)drug use 8.)tobacco use 9.)stress 10.)low income 11.)lack of prenatal care 12.)bad home life 13.)lack of income 14.)no self esteem 15.)no education 16.)no ambition 17.)school dropout 18.)late stage prenatal care 19.)unwanted pregnancy 20.)unwanted pregnancy 21.)poor nutrition |
1.)With the collaboration of the Paris Community Hospital and the Edgar County Public Health Department, smoking cessation classes and prevention efforts will maximize the success of this common goal. CAMA, Coalition Against Methamphetamine Abuse, will continue to collaborate with health department to present prevention and education against drug and addiction abuse, with tobacco and alcohol being two addictions addressed. The Edgar County Public Health Department Tobacco Coordinator will continues to promote the Quit Line, "Break the Habit" program that is a one-on-one smoking cessation program through the American Lung Association. |
| Edgar County Health Department |
3 |
Chronic Disease of Longevity |
1.)By June 2015 reduction in the number of deaths attributed in Coronary Heart Disease will be lowered from 250 to 225. 2.)By June 2015 a reduction of specific deaths from Cerebral Vascular Disease will reduce from 78.3 to 75 in Edgar County. 3.)By June 2015 the death rate from lung cancer will decrease from 50 to 45 for Edgar County. |
1.)heart disease 2.)lung cancer |
1.)By June 2015 25% of the population that enrolls in the Quit Line program, from the American Lung Association, will successfully complete the smoking cessation program. Smoking is a major risk factor associated with coronary heart disease, cerebral vascular disease and lung cancer. |
1.)tobacco use 2.)inactive lifestyle 3.)poor eating habits 4.)environmental hazards 5.)influence of peers, family 6.)lack of smoke-free policies 7.)level of addiction 8.)lack of exercise programs 9.)lack of self-esteem 10.)no ambition to better self 11.)access to healthy foods 12.)no nutrition education 13.)lack of income 14.)peer pressure 15.)stress 16.)level of addiction 17.)living in secondary smoke conditions |
1.)With the collaboration of the Paris community Hospital, local industries Human Resource Departments, and the Edgar County Public Health Department, smoking cessation classes and prevention efforts will maximize the success of this common goal. CAMA, Coalition Against Methamphetamine Abuse, will continue to collaborate with health department to present prevention and education against drug and addiction abuse, with tobacco and alcohol being two addictions addressed. The Edgar County Public Health Department Tobacco Coordinator will continue to promote Quit Line, "Break the Habit" program that is a one-on-one smoking cessation program through the American Lung Association. With this partnership of the Paris Community Hospital, CAMA, American Lung Association and the Edgar County Public Health Department, an impact can be made on reduction of deaths due to coronary heart disease, cerebral vascular disease and lung cancer. Lifestyle and environmental changes will also play a major role in the reduction of premature deaths due to these chronic diseases. prevention and education efforts will maximize the success of the goal to reduce smoking in the Edgar County population. |
| Effingham County Health Department |
1 |
Access to Healthcare Services |
1.) By 2017, reduce by 10% the proportion of individuals who are unable to obtain or delay obtaining medical care. 2.) By 2017, increase the proportion of persons who receive appropriate evidence- based clinical preventive services. |
1.) Delayed Medical treatment 2.) Delayed Preventative Healthcare Screenings |
1A.) By 2014, increase by 5% the proportion of healthcare facilities that implement extended hours. 1B.) By 2014, complete one(1) comprehensive Community resource guide to be available to the public via website and hard copy. 1C.) By 2015, increase by 10% the number of individuals who utilize the new public transportation system. 2A.) By 2014, increase by 5% the proportion of individuals who receive Influenza vaccinations. 2B.) By 2015, decrease by 10% the proportion of adults who utilize tobacco products. 2C.) By 2016, increase by 10% the number of individuals who receive lab services for preventative screening purposes. |
1.) Cost 2.) Inconvenient office Hours 3.) Lack of transportation 4.) Cost Effective Options 5.) Fasting 6.) Availability 7.) Providers denial of certain insurance 8.) High deductibles- up front co-pays 9.) NO Early AM hours 10.) No Late P.M Hours 11.) Few Weekend Hours 12.) Cost 13.) Lack of education on new system 14.) hours of transportation system 15.) Limited knowledge 16.) Limited locations 17.) Length of time 18.) Invasive 19.) Office Hours 20.) Appointments needed. |
1.) Provider Education: Alliance members are developing a plan to communicate the publics' concern regarding conflicts with office hours. 2.) Community Resource Guide: St. Anthony's Memorial Hospital has developed a basic resource guide that the Alliance members will utilize as the foundation for a more comprehensive information guide. Members of the Child Abuse and Neglect Task Force will review the current guide and assess the areas to be added and/or improved. Logistics, such as, name, address, phone and fax numbers, e-mail address, service description, office hours, and target population served, along with payments accepted will be included for each entry. Once completed, it will be available as a link on several Alliance members' website. Hard copies will also be made available for distribution at County agencies, libraries and healthcare provider offices. 3.) The Health Department will promote the new community transportation system by recommending the service to clients. Alliance members that are affiliated with agencies that work with clients, that could benefit from this service, will assist in being a referral system. 4.) The Effingham County Health Department will continue to be a leader in bringing Influenza vaccinations to the community by providing on-site services, worksite clinics, school clinics and drive through and curbside clinics. 5.) The Effingham County Health Department will provide and promote the "Break The Habit" program to County residents. Tobacco Free campaigns and presentations will be given throughout the next two years in an effort to decrease all tobacco use. Local bar "stings" will be conducted in conjunction with local law enforcement to carry out this strategy. 6.) The Health Department in conjunction with St. Anthony's Memorial Hospital, offers discounted lab services for non-Medicare and non-Medicaid individuals. Marketing campaigns and community education efforts will be conducted to inform residents that prevention is the key to maintaining a healthy life. Blood cholesterol and blood sugar draws will be available daily by physician standing orders. It is our vision to put prevention back in the forefront of healthcare. All campaigns will use radio, newsprint, websites, Facebook and local marquise, as well as printed distributable materials. |
| Effingham County Health Department |
2 |
Nutrition, Weight Loss and Fitness |
1.) By 2017, increase by 10% the proportion of children and adults who are at a healthy weight. |
1.) Food Choices 2.) lack of Physical Activity |
1.) By 2015, decrease the number of obese and overweight children by 5% through nutrition education. 2.) By 2015, increase by 5% the proportion of children engaging in physical activity. 3.) By 2015, reduce by 5% the proportion of adults who engage in no leisure-time physical activity. 4.) By 2016, increase by 10% the contribution of fruits and total vegetables to diets of the population aged two years and older. |
1.) Cost 2.) Stress 3.) Education 4.) Motivation 5.) Time 6.) Disabilities 7.) Healthier cost more 8.) Fresh foods-location 9.) Increase Unemployment 10.) Increase work load 11.) Decrease physical activity 12.) limited Resources 13.) Decrease doctors advice 14.) Limited support 15.) Commitment 16.) Tired 17.) Attitude 18.) Family Needs first 19.) Conflicting "quick" plans 20.) Lack of supervision 21.) Limited mobility 22.) Proper form/activities |
1.) Summer Nutrition Program- From June 5- August 11, Effingham Unit #40 and Catholic Charities sponsored the seventh Summer Food Service Program for all children 18 years of age and younger. A second site was added in 2012. Through this program, many area children received free lunches. Several organizations partnered with Unit#40 to offer fun, summer activities and educational programs for the children. These organizations included the University of Illinois Extension center, Helen Matthews Library, CEFS, School Resource Officers, area churches and many others. The Checkup 2011 Nutrition Task Force agreed to participate in this program with assistance from the Food & Nutrition department of St. Anthony's Memorial Hospital. An education game, "Fishing for Nutrition" was offered to children in attendance. Thanks to the positive outcome and assistance from the area organizations. Both sites were successful and look forward to offering this program again this summer. 2.) Farmers Market: The Nutrition, Weight Loss and Fitness Task Force is working closely with the newly located and expanded Farmer's Market. Currently the market is open from 8:00 am- 12 Noon on Saturdays. A plan to address the need for signage is being developed by the task force. A food demonstration, along with healthy recipes, will be available at the market. The Farmer's Market will also assist in the Plant a Row program. 3.) Plant a Row program: Task Force has encouraged area residents to plant an extra row of vegetables in their gardens. The extra food is then to be donated to area food pantries. recipes on how to prepare the vegetables were welcomed. This project has been hindered over the past couple of years due to the in climate weather. 4.) Couch to 5K Run: On October 13, 2012 the task force partnered with the Chamber of Commerce and St. Anthony's Memorial Hospital to host this event. The goal of this project is to get children and adults, who do not normally exercise, up and moving. There is a four week educational component that is offered prior to the event. Portions of this program was taken into the schools. 5.) Community Garden: A community garden is being considered for 2013, if land can be donated. The University of Illinois Extension Center, Park District, and Tourism Board may assist in this project. The proposed project is just in the discussion phase at this time. |
| Effingham County Health Department |
3 |
Professional Help for Mental Disorders |
1.) Increase the proportion of adults with mental disorders who receive treatment |
1.) Lack of Mental Health professionals 2.) Lack of Acceptance |
1.) By 2015, reduce by 5% the proportions of adults who report feelings such as sadness, unhappiness, or depression that prevent them from being active. 2.) By 2016, increase the mental health professionals by two providers in the County. |
1.) Cost 2.) Wait time 3.) Illinois Mal practice fees 4.) Perception 5.) Lack of education 6.) Minimal Medicaid acceptance 7.) Increase counseling fees 8.) Decrease Medicaid reimbursement 9.) Three month wait list 10.) One part time Psychiatrist in County 11.) Increase cost of Physicians 12.) decrease motivation to move to Illinois 13.) Shame/Guilt 14.) Privacy 15.) Stigmatic 16.) Cant recognize depression 17.) No professional support 18.) No knowledge of resources |
1.) The Mental Health task Force will seek funding to expand programs and services in order to address the growing needs within the county. 2.) The Alliance will assist the Mental Health task Force in identifying why people do not seek help for mental disorders. Privacy has been determined to be a deterrent. 3.) The Mental Health Task Force will launch a "Privacy is a Law" campaign. Mass media advertising will be utilized to heighten community awareness regarding confidentiality in the mental health setting. |
| Effingham County Health Department |
4 |
Child Abuse Offenses |
1.) By year 2017, reduce by 10% nonfatal child maltreatment in Effingham County. |
1.) lack of appropriate Parenting skills 2.) Stress |
1.) By 2013, increase by 10% the proportion of individuals who can access pertinent resources, for issues like stress, unemployment, and parenting programs. 2.) By 2015, decrease by 5% the number of births to teen mothers in Effingham County. 3.) By 2016, increase by 5% the number of individuals involved in some type of parenting program. |
1.) Single Parents 2.) Lack of Education 3.) Environment 4.) Economic Disparities 5.) Financial Obligations 6.) Family responsibilities 7.) Teen parents 8.) Unwed Mothers 9.) Divorce 10.) Motivation 11.) Few resources 12.) Time 13.) Desensitization 14.) Substance Abuse 15.) Role Models 16.) Unemployment 17.) Working two or more jobs 18.) Rural Community 19.) Housing/Utilities 20.) Transportation 21.) Cost of Living 22.) Basic Needs 23.) Health Care 24.) "Family Time" |
1.) A child abuse and neglect task force (CANTF) has been organized to include experts in the field of Child and Family Services, Public Health, Foster Care, Medical, Law Enforcement, School Health Services, and Faith. 2.) An Informational Resource Guide (IRG) will be developed with Local, State, and Federal data included. This guide will assist individuals in finding resources that truly fit their needs. The CANTF will spear head this project, starting with a basic list that already exists. 3.) CANTF members will identify barriers and gaps in services while gathering information for the IRG. It is felt that after competition of the IRG, a clearer picture of what is missing, based on the stated objectives in this plan, and then form strategies to address the deficiencies. 4.) The Effingham County Health Department and Heartland Human Services are meeting to discuss parenting programs in the County. Currently there is no such program. It is felt by both parties that this project is too costly and time consuming to be offered by just one agency. Further conversations are planned to explore options on how to bring this much needed education to the County. |
| Egyptian Health Department |
1 |
Substance Abuse |
1.)Reduce cirrhosis deaths to no more than 7.5 per 100,000 people by 2016. (Healthy People 2020 Objective) (The United States rate as of 2007 was 9.1 per 100,000) (National Vital Statistics System (NVSS), CDC, NCHS) The counties of Saline, Gallatin, and White have death rates due to cirrhosis ranging from 7.8 to 9.1 per 100,000 from 2001-2006) (IPLAN, 2006). 2.)Reduce the number of adolescents aged 12-17 reporting use of alcohol or other illicit drugs in the past 30 days to 20 percent. The Southeastern Illinois Safe Schools/Healthy Schools study found that in 2009 31.0% of 9th graders and 46.8% of 12th graders in Saline, White and Gallatin Counties reported alcohol use within the last 30 days (2009). Another 17.2% of the 9th graders and 19.1% of the 12th graders reported using any hard drug within the last 30 days. This includes, marijuana, inhalants, cocaine, meth and other "illegal drugs", including prescription drugs and steroids. |
1.)heredity 2.)mental health 3.)environmental |
1.)Continue to support the increase of School Health Fairs and Teen Leadership Conferences in the tri-county dealing with issues of self-esteem, stress management, problem-solving skills to seven (7) by 2013. In 2010, there was at least six (6) Health Fairs at schools in the tri-county area. Resources: Egyptian Health Dept., Ferrell Hospital, and Harrisburg Medical Center. 2.)Work with local partners to develop Prescription Drug trainings and forums, with some specifically targeted to Healthcare Providers. We will attempt to hold at least one public forum and one training/seminar for Healthcare Providers each year beginning in 2012. Resources: EHD, Alliance Against Drug Abuse, Ferrell Hospital, Harrisburg Medical Center, and Southeastern Illinois College. |
"1.)peer pressure 2.)culture 3.)dysfunctional family 4.)genetics 5.)generational drinking 6.)stress 7.)coping skills 8.)predisposition for illness 9.)lack of education 10.)social norms 11.)family acceptance 12.)lack of family values 13.)ethnic background 14.)lifestyle 15.)lack of positive role model 16.)low self-esteem 17.)advertising 18.)social acceptance 19.)socio-economic |
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"1.)EHD will coordinate with local partners to continue and train adolescents during the Annual Teen Leadership Conference. EHD partners with Ferrell Hospital, Harrisburg Medical Center and area Schools to train students how to deal with issues of low self-esteem, stress management and problem solving skills. Resources: EHD, Harrisburg Medical Center and Ferrell Hospital. 2.)Coordinate with the Alliance Against Meth Abuse (AAMA) and Alliance Against Drug Abuse (AADA) to hold Prescription Drug Forums in Saline, White and Gallatin Counties each year. Resources: EHD, AAMA and AADA. 3.)Develop method of tracking Prescription Drug related deaths. We are in discussion with Southern Illinois University at Carbondale Department of Health Education about a creating a tracking tool. Resources: EHD and SIUC. 4.)Use new and existing parental support groups such as Wabash Area Development's (WADI) and Egyptian Health Department's Parents and Caregivers Empowered (PACE) monthly parent meetings to discuss and train parents on the warning signs and dangers of prescription drug abuse. Resources: WADI and EHD's Project Connect sponsor these groups. 5.)Use social media to educate teens about prescription drug abuse. Resources: EHD's Project Connect Program. 6.)Encourage Healthcare Providers to use mandatory MEU's or CEU's to educate and train them on prescription drug abuse. Resources: Southeastern Illinois Community Health Coalition (SICHC) and the Alliance Against Drug Abuse (AADA). |
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| Egyptian Health Department |
2 |
Heart Disease and Stroke |
1.) Reduce coronary heart disease death rate to 200 per 100,000 populations by 2016. The current rates range from 232.4 in Saline County to 295.5 in White County. These are approximately twice as high as the National rate and 75% higher than Illinois. While the National goal is to reduce the rate to 100.8 in 2020 we must first stop the trend and then decrease to acceptable rates. |
1.)High blood pressure 2.)high cholesterol 3.)cigarette smoking 4.)diabetes 5.)poor diet 6.)physical inactivity 7.)overweight and obesity |
"1.)Reduce the proportion of adults aged 18 years and older with hypertension from 36.6% to 30% within the next 3 years. 2.) Reduce the proportion of adults that were told they had high blood cholesterol from 37.9% to 30% by 2014. 3.)Reduce the prevalence of smoking in adults to 18% by 2015. The latest BRFSS study had 24.8% of adults in Saline, White and Gallatin Counties as smokers. 4.)Increase the number of individuals being screened for cholesterol in the last year from 68% to 75% by 2014. |
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"1.)diet 2.)heredity 3.)sedentary lifestyle 4.)health problems 5.)smoking 6.)stress 7.)eating disorders 8.)lifestyle 9.)lack of access to medical care 10.)lack of exercise 11.)stress 12.)culture 13.)lack of education/knowledge 14.)peer pressure |
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"1.)Work with the Southeastern Illinois Community Health Coalition (SICHC) to coordinate Community-wide education campaigns and informational approaches to increase physical activity, improve nutrition and increase awareness of cardiovascular risk factors. The Healthy SI Delta Network is actively pursuing grant opportunities through HRSA that would allow monies to be used through local health coalitions for promoting and sponsoring community-wide events. 2.)Work with the SICHC to designate existing bike/walking paths as START Walking Paths. Resource: SICHC website. The program is free and bike/walking paths have already been established in many area. 3.)Develop and market a healthy heart grocery-shopping list for community. The list would be available on the Egyptian Health Dept. website, through local grocers and sent home with school children. It would contain tips for shopping for foods with less saturated and trans fat; advise on cutting down on sodium and getting more fiber. Other areas on the list would address include: vegetables and fruit, milk and milk products, breads, cereals and grains, meat, beans, eggs and nuts, and fats and oils. 4.)Provide evidence-based tobacco prevention education in local schools. The Egyptian Health Department gets the ITFC grant from IDPH that supports this program. 5.)Increase compliance with and counter efforts to weaken the Smoke-Free Illinois Act law. Resource: work with local State's Attorneys and law enforcement to increase compliance in bars and private clubs. 6.)Promote and increase the use of the Illinois Tobacco Quit line by 10% to approximately 525 calls by 2015. Resource: EHD's ITFC grant allocates money for advertising. 7.)Coordinate with Healthy Southern Illinois Delta Network to implement region-wide mass media campaign that promotes screening day and awareness of cardiovascular risk factors. Resources: Southern Illinois Healthcare and HSIDN. |
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| Egyptian Health Department |
3 |
Obesity |
"1.) Decrease the prevalence of obesity among adults from 27% to 25% by 2016. The obesity trend must first be stopped, then reversed. 2)Increase the proportion of adults who are a healthy weight from 33.3% to 35% by 2016. This is consistent with the Healthy People 2020 Objective. |
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1.)Sedentary Lifestyle 2.)poor diet and physical inactivity 3.)overweight and obesity |
"1.)Increase the prevalence of adults who meet or exceed the moderate activity standards from 36.3% to 50% by 2015. This objective is consistent with the Healthy Southern Illinois Delta Network (HSIDN) objective. 2.)Increase the number of schools with at least 50% of PE class time with moderate-to-vigorous physical activity to 9 schools by 2012 and 12 schools by 2105. There are currently 6 CATCH schools. 3.)Increase the prevalence of adults consuming more than five servings of fruits and vegetables per day from 12% to 25% by 2015. This is a HSIDN objective. 4.)Increase the proportion of primary care physicians who regularly assess Body Mass Index (BMI) in their adult patients from 48.7% to 52% by 2015. This is a Healthy People 2020 Objective. |
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"1.)diet 2.)heredity 3.)sedentary lifestyle 4.)health problems 5.)smoking 6.)stress 7.)lack of exercise 8.)lack of access to healthy foods 9.)easy access to high carbohydrate-high cholesterol diets 10.)Eating disorders 11.)lifestyle 12.)lack of access to medical care 13.)culture 14.)lack of education/knowledge 15.)peer pressure |
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"1.)Increase the number of schools that implement the CATCH program with a special focus on the physical education and nutrition components including training for school food service staff. CATCH is an evidence-based program. Resources: EHD subcontracts with SIH to manage the CATCH program for Saline, White and Gallatin Counties. The CATCH program is funded through HRSA grant. 2.)Implement walking programs and paths in non-traditional places. Resources: Use the SICHC to promote walking trails in businesses, churches, etc. 3.)Hold community wide mass media campaigns to increase physical activity and improve nutrition for both children and adults. Resource: The HSIDN is applying for HRSA grants to allow local coalitions such as the SICHC to fund special events in their communities. 4.)Promote farmer's markets. Resource: SICHC, EHD Environmental Department. 5.)Develop partnerships with the business community to advance worksite wellness programs. Resource: SICHC can use local media to perform outreach to the business community. One way would be to reach out to the Chamber of Commerce for an opportunity to present the IPLAN and ways to address the health priorities of the community. 6.)Increase the number of businesses that provide rewards for employees for physical activity and that display signage for walking or biking paths. Resource: SICHC, Chamber of Commerce, Local Media. 7.)Work with local civic organization in Gallatin County to attract grocer to the area. Resource: City of Shawneetown, SICHC. 8.)Use the Go Slow Whoa! Program to continue to provide education, activities and exercise for children ages 3-5 that attends any of the WADI daycare facilities. WADI began this grant in 2010. Resource: WADI. 9.)The Southeastern Illinois Community Health Coalition will develop a flyer for primary care physicians educating on the importance of regularly assessing BMI of adult patients. Also, issue press release to local media to try and educate the public on the importance of using BMI as an indicator of obesity. |
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| Egyptian Health Department |
4 |
Cancer |
"1.) Slow the rise in lung cancer deaths to achieve a rate of no more than 85/100,000 by 2016. The Healthy People 2020 Objective is 45.5 per 100,000; however, the National rate as of 2007 was 50.6/100,000 (National Vital Statistics System {NVSS}, CDC, NCHS). The three county current rate is 96.7 /100,000 (IPLAN, 2006) compared to 108.3/100,000 in 2001. While this does show progress it is considerably lower than the National or State mortality rate of 52.4/100,000 (IPLAN, 2006). 2.)Reduce breast cancer deaths to no more than 20.6/100,00 by 2016 (Healthy People 2020 Objective). The three county age adjusted mortality rate for 2006 was 24.1/100,000, still below the state rate of 27.1 deaths per 100,000 (IPLAN, 2006). 3.)Reduce Colorectal cancer deaths to no more than 20/100,000 by 2016. The three county current rate did decrease from 31.2 deaths per 100,000 in 2001 to 29.4 in 2006 (IPLAN). This is still relatively high compared to the state rate of 19.3/100,000. (IPLAN, 2006) or the national rate of 17.0 for 2007 (National Vital Statistics System {NVSS}, CDC, NCHS). The Healthy People 2020 Objective is 14.5/100,000. 4.)Reduce the Prostate cancer mortality rate to more than 21.5 per 100,000 (Health People 2020). The current rate in the three counties is approximately 23.5 per 100,000 (IPLAN, 2006), which is well below the 28.8 average for 1997. |
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1.)Use of tobacco products 2.)obesity 3.)physical inactivity or poor nutrition 4.)environmental factors 5.)tuberculosis 6.)Ultraviolet light exposure. |
"1.)To reduce cigarette smoking to a prevalence of no more than 20% of our service population (Healthy People 2020 Target is 12%) by 2015 (HSIDN objective). Currently 24.8% of adults in the tri-county are smokers (BRFSS, 2007-09) compared to 28.6% (BRFSS, 2001-03). 2.)To increase to 81.1% those women age 50 and older who have received a mammogram within the preceding two years (Healthy People 2020 Objective is once per two years) by 2014. Current data collected via BRFSS shows the average of women over the age of 40 who have received a mammogram in the last year is 60.9% (BRFSS, 2007-09). The most recent U.S. Preventative Services Task Force (USPSTF) recommends biennial screening mammography for women aged 50-74 years. 3.)Increase the number of adults in the tri-county area eating 5 or more servings of fruits/vegetables per day to at least 30% by 2015. The current average is only 11.9% (BRFSS, 2007-09), which has fallen from 2006. 4.)Increase the proportion of adults ages 50 and older that have had a colorectal cancer screening to at least 70.5% (Healthy People 2020 Objective). Only 54.2% of adults aged 50 to 75 years received a colorectal cancer screening based on the most recent guidelines in 2008 (National Health Interview Survey (NHIS), CDC, NCHS). The U.S. Preventative Services Task Force recommends screening for colorectal cancer (CRC) using fecal occult blood testing, sigmoidoscopy, or colonoscopy, in adults, beginning at age 50 years and continuing until age 75 years. 5.)Increase the percentage of males age 40 and older that have had a PSA test to 75% by 2015. The average in Saline, White and Gallatin Counties rose from 64.9% (BRFSS, 2001-03) to 69.6% in Round 4 of the BRFSS (2007-09). 6.)Increase the number of adults aged 50 to 75 years who receive a colorectal cancer screening to 70.5% by 2015. The current National average is only 54.2% (National Vital Statistics System {NVSS}, CDC, NCHS). |
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1.)Smoking 2.)high fat-low fiber diet 3.)air quality 4.)lack of early detection 5.)exposure to UV rays through tanning outdoors or in tanning beds 6.)Income 7.)education level 8.)occupation 9.)social status in the community 10.)geographic location 11.)health insurance environmental factors |
"1.)Promote "Break the Habit" Tobacco Cessation Program and the Illinois Tobacco Quit line. Resources: Egyptian Health Dept., IDPH Tobacco Grant. 2.)Recruit smokers who desire to quit. Resources: Egyptian Health Dept., IDPH Tobacco Grant. 3.)Deliver tobacco educational presentations to community organizations. Resources: Egyptian Health Dept., IDPH Tobacco Grant. 4.)To increase education and awareness of community resources regarding screening for Breast, Colorectal and Prostrate Cancers. Resources: Egyptian Health Department, Ferrell Hospital, HMC, SICHC, WADI, Visiting Nurses Association and VNA Tip. 5.)Continue to educate and counsel teenaged females about proper breast self-examination procedures and intervals through the Family Planning Clinic. Resources: Egyptian Health Dept., DHS Family Planning Grant. 6.)Continue to educate adults about importance of proper diagnostic colon examinations, especially after the age of 50. Resource: EHD, American Cancer Society, SICHC, HSIDN. 7.)To increase dietary education to include proper eating habits to decrease the potential for Colorectal cancer. Resources: EHD, Ferrell Hospital, Health Councils, Possible Grant from IDPH. |
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| Evanston Health Department |
1 |
Access to Health Care |
1.)By 2015, increase medical insurance coverage to 90% from 82.8% in 2008 for Evanston residents. 2.)By 2015, decrease the number of residents reporting postponement of medical treatment (29.4%) to 20%. |
1.)lack of insurance or inadequate health insurance 2.)lack of health care resources tailored to the unique needs of the community 3.)lack of health care providers/facilities for uninsured/underinsured |
1.)By 2013, establish a Federally Qualified Health Center to provide primary health care and cater to needs of 5,516 unduplicated patients within 2 years of establishment. |
1.)unemployment 2.)job seekers lacking required skill sets 3.)non-availability of jobs 4.)socioeconomic status 5.)rising High-School drop-out rates 6.)racial disparities 7.)poverty rates 8.)language and cultural barriers 9.)disparities in access to health care 10.)cultural and language barriers for Hispanic population 11.)knowledge barriers among low income minority racial groups 12.)increasing rates of teen pregnancy 13.)lack of specialized groups for community centers for 14.)lower graduation rates among minorities in High School 15.)designated medically underserved areas in Evanston 16.)closure of satellite clinics by Cook County 17.)fewer providers accepting Medicaid/Public Aid 18.)delayed reimbursement 19.)low/no reimbursement to providers |
1.)Social marketing to increase knowledge and awareness of clinic services, including Evanston Roundtable (newspaper), City of Evanston Website (cityofevanston.org), city of Evanston YouTube Channel. 2.)Collaboration of FQHC and Health Center to achieve the goals. 3.)Annual community Health Report Card Public Meeting with partners to discuss opportunities, meeting held at central City of Evanston location, partners from hospitals, business communities, and faith based organizations. |
| Evanston Health Department |
2 |
Chronic Health Conditions |
1.)By 2016 improve Chronic Health Conditions by raising awareness, providing screenings, and initiating programs of service. |
1.)tobacco use 2.)Excessive alcohol consumption 3.)Lack of primary prevention efforts |
1.)Increase the number of Quit line calls by 10 annually by 2016 (Current 20 annual calls). By 2015 perform research assessing the effectiveness of local smoking laws Cardiology related Emergency Room Admissions. 2.)By 2013 reduce the number of District 65 Health Center Visits by 20% (from 2133 baseline) regarding asthma by initiating Health Homes Initiative Pilot focusing on children in early childhood at risk (enrolled in Head Start and All Kids). Program will provide education and home evaluation for asthma triggers as well as the 7 principles of healthy homes. 3.)By 2014 reduce the percentage of individuals reporting binge drinking from 13.5% to 8%. Collaborate with local partners to establish social norms marketing anti-binge drinking campaign. Information booths will be set up at local festivals, ads to be provided to restaurants with liquor licenses. 4.)By 2015 increase the number of residents participating in Kick Butts Day (Baseline: 50, program start in 2011), the Great American Smoke out (Baseline: 0), and Break the Habit (Baseline: 0) programs by 20 annually. |
1.)parent smoker 2.)access at home 3.)addictive nature 4.)peer pressure 5.)media 6.)access to tobacco products 7.)second hand smoking 8.)poor implementation of laws 9.)lack of anti-smoking ordinances 10.)work place/public smoking 11.)cost of screening 12.)no/not enough insurance 13.)transportation costs 14.)inherited costs (missed work) 15.)lack of free/mass screening campaigns in the 16.)organizational costs 17.)transportation costs 18.)personal choices 19.)poor advertisement 20.)perceived susceptibility 21.)access to alcohol 22.)parental choices 23.)poor implementation of laws at points of sale 24.)access at home 25.)peer pressure 26.)adult role models who drink 27.)glamorization by media 28.)social acceptance |
1.)Reducing client out-of-pocket costs for smoking cessation therapies, by continuing to collaborate with the American Cancer Society's Break the Habit Program. City of Evanston will utilize grant funding (Illinois Tobacco Free Communities Grant) to provide residents wanting to quit 1 month of free nicotine gum. 2.)Social Norms Marketing targeted at Evanston Township High school students through collaboration with PEER Services. 3.)Build on current relationships with Evanston Childcare network to establish Healthy Homes Initiatives. 4.)Review and adopt progressive lead and legislation aimed at preventing childhood exposure to lead. |
| Evanston Health Department |
3 |
Obesity |
1.)By 2015, decrease the percentage of residents (16.9%) not participating in moderate physical activity in the last seven days to 10%. |
1.)physical inactivity 2.)poor nutrition |
1.)By 2012 Implement Youth In Motion program focusing on physical activity and nutrition for elementary and middle school youths in Evanston target 700 Middle School-Aged Youth (Baseline: 0). 2.)By 2013, extend the Women Out Walking (W.O.W.) program to a year long or offer the program multiple times. (Participants in 2009 550, 2010 1100, 2011 800) 3.)By 2014, with primary/middle schools (District 65) collaborate with PTA and Northwestern University to implement Health Food Islands Initiative increasing access to healthy foods during primary school lunches. Objective, construct and implement 5 Food Island Stations (mobile food carts storing fruits and healthy lunch alternatives). Provide nutrition training to 25 foodservice workers. |
1.)access to facilities 2.)cost of working out 3.)transportation 4.)time management 5.)bad weather 6.)behavioral choices 7.)lack of awareness 8.)low perceived risk 9.)television viewing/video games/computers 10.)inconsistent efforts 11.)abundance of junk food/fast food 12.)media 13.)ease of access 14.)distorted portion control 15.)lifestyle/convenience 16.)addictive nature of junk food 17.)high fat content 18.)comfort food choices 19.)food additives 20.)availability of nutritious food 21.)cost of fresh fruits and veggies 22.)distribution of supermarkets 23.)seasonal availability |
1.)2011 Evanston Let's Move Dance Video on YouTube, Evanston Cable Television Network, and City of Evanston Website designed to engage students in the Youth in Motion campaign. 2.)Health Journey, periodic show in Evanston Community Television featuring Health Director and residents on a Health Journey. 3.)Women Out Walking (WOW) events focused on improving health. 4.)Collaboration with PTA groups and Northwestern University Volunteers to produce Healthy Mobile Food Stations. |
| Fayette County Health Department |
1 |
Mental Illness |
By 2017, decrease the percentage of Fayette County tenth graders that have attempted suicide to 3%. Baseline: 2010-2011 Fayette County 10th grade Survey reported 5% have attempted suicide. |
1.) Stress 2.) Child Abuse 3.) Need of attention or to get attention 4.) Substance Abuse 5.) Heredity |
1.) By 2015, decrease the percentage of Fayette County tenth graders that have intentionally hurt themselves to no more than 20%. Baseline: 2010-2011 Fayette County 10th Grade Survey reported 25% average intentionally hurt themselves. 2.) By 2015, decrease the percentage of Fayette County tenth graders that have felt sad or hopeless almost everyday for 2 weeks to no more than 27%. Baseline: 2010-2011 Fayette County 10th Grade Survey reported 32% have felt sad or hopeless almost every day for 2 weeks. |
1.) Lack of money 2.) economic cutbacks-layoffs 3.) Life event 4.) Divorce 5.) Pregnancy 6.) Parents 7.) High expectations 8.) Situation at home 9.) Low parental involvement 10.) time 11.) complacency 12.) Lack of priority 13.) broken home 14.) new boyfriend/girlfriend 15.) Parental substance abuse 16.) Addition 17.) Stress 18.) deterioration of family unit 19.) no father figure |
1.) Educate teachers, coaches, and pastors to recognize when there is a problem with a child or adult. 2.) Assist schools with the creation and adoption of "no tolerance" policies against bullying and talking back. This is to institute safe environments in schools where kids are all on the same level like Shobonier School. 3.) Educate students about low self esteem, making healthy choices, and consequences 4.) Create homework hangout 5.) Start support groups for mental illness such as ADHD, depression, panic disorders, etc. 6.) Work with physicians to see if they will refer patients on medications to support groups. 7.) Create "Moms at Home" program. 8.) Institute a regular turn off the TV night so that families will play games together, etc. 9.) Convince a local person that is admired to talk publicly about their disorder. |
| Fayette County Health Department |
2 |
Substance Abuse |
By 2017, increase the proportion of at risk adolescents aged 12 to 17 years who, in the past year refrained from using alcohol for the first time to 90%. Baseline: 85.8% of adolescents aged 12 to 17 years who had never used alcohol in their lives refrained from using alcohol for the first time in 2008. Data source: National Survey on Drug Use and Health (NSDUH), SAMHSA. |
1..) Tobacco use 2.) Alcohol and Drug use 3.) Prescription drugs |
1.) By year 2015, reduce the percentage of adolescents who use tobacco products on a regular (within the last 0-5 days) basis to no more than 15%. Baseline: 2009-2010 Fayette County 10th Grade Survey reported 16.9% of adolescents used tobacco products within the last 5 days 2.) By year 2015, reduce the percentage of adolescents who use marijuaina on a regular (3 times or more a week) basis to no more than 13%. Baseline: 2009-2010 Fayette County 10th Grade Survey reported 15.8% of adolescents smoked marijuaina 3 times a week or more. 3.) By year 2015 reduce the percentage of pregnant mothers who smoke to no more than 20%. Baseline: 2006 IPLAN Summary Report Data reported 24.9% of pregnant Fayette County mothers smoke. |
1.) peer pressure 2.) Easy Access 3.) Addition 4.) Anxiety/Stress 5.) Deterioration of family unit 6.) Social acceptance 7.) Stress 8.) Self esteem 9.) Convenience stores 10.) Experimentation 11.) Denial 12.) long time use 13.) life crisis 14.) Learn by example 15.) recreational society 16.) In homes 17.) Older kids will get it 18.) parents are stressed out 19.) Broken home-divorce 20.) Both parents work |
1.) education to the schools for students and teachers. 2.) Counseling and support group programs fro high school students like AA or NA. 3.) Education and advertisement campaigns for very young kids, such as Kindergarten and Pre-K. 4.) Computer software that ages kids to show them what they will look like in 20 years if they smoke. 5.) Expand the high school peer mentoring and peer listening programs. |
| Fayette County Health Department |
3 |
Child Abuse |
By 2017, reduce the investigation rates of indicated child abuse and neglect to no more than 11 per 1000. Baseline: 2010 DCFS data reported the indicated child abuse and neglect rates for Fayette County were 15.2 per 1000 population. |
1.) Broken home 2.) Parental Substance Abuse 3.) Generational Use |
1.) By 2015, reduce child abuse and neglect reports in Fayette County to no more than 42 per 1000. Baseline: 2010 DCFS data showed the reported child abuse and neglect rates for Fayette County were 47.2 per 1000 population 2.) By 2015, reduce child sexual abuse reports in Fayette County to no more than 3 per 1000. Baseline: 2010 DCFS data showed the reported sexual abuse rates for Fayette County were 4.8 per 1000 population. |
1.) New boyfriend/Girlfriend/live-in 2.) Divorce 3.) Low self-esteem 4.) No men or father figure 5.) teen pregnancy 6.) Stress 7.) Lack of money 8.) Lack of coping skills 9.) lack of parenting skills 10.) Stress/Anxiety 11.) Life Crisis 12.) Quick fix 13.) Addition 14.) Experimentation 15.) Long tern use 16.) Denial 17.) Deterioration of family unit 18.) Divorce |
1.) create resource cards for kids 2.) Create a crisis line for parents. 3.) provide training for teachers on mandated reporting 4.) Create safe havens and shelters 5.) Educate the community on who are mandated reporters and what they do. |
| Ford-Iroquois Public Health |
1 |
Gateway Drug Abuse |
1.)By September, 2014, reduce the number of Iroquois County 10th graders who abuse prescription drugs from 10% to 8% and the number of 12th graders from 18% to 16%. 2.) By September, 2014, reduce the number of Ford County 8th graders reporting inhalant use in the past year from 15% to 12%. 3.)By September, 2014, reduce the number of Ford County 10th graders reporting OTC performance enhancing drug use from 11% to 8% and the number of Iroquois County 10th graders reporting OTC performance enhancing drug use from 10% to 7%. |
1.)low perceived risk of arrest 2.)in-home access to inhalants 3.)in-home access to OTC and prescription drugs 4.)academic failure or lack of commitment to school 5.)inadequate life skills 6.)rejection of commonly held values/religion 7.)poor role models 8.)increased risk of using more serious drugs 9.)peer pressure 10.)students perception of not being able to meet parents high expectations |
1.)By September, 2011, develop and implement a community education campaign regarding prescription drug abuse, over-the-counter drug abuse and inhalant abuse. 2.)By September, 2011, implement a prescription drug drop off program in Ford and Iroquois counties. 3.)By September, 2012, improve the decision making skills and sense of self esteem among middle and high school youth as measured by pre and post testing of students receiving research based prevention programs such as Too Good for Drugs. Also include information and education on inhalant use. 4.)By March 2011, 100% of middle and high schools in Ford and Iroquois counties will be encouraged to continue to participate in a comprehensive youth survey such as Illinois Youth Survey. |
1.)peer pressure 2.)inhalants are not perceived as illegal 3.)OTC drugs are not illegal to purchase 4.)perception that drug use reduces stress 5.)easy accessibility 6.)self medication 7.)demise of the family unit 8.)need for excitement 9.)low self esteem 10.)poor home environment 11.)poor school environment 12.)lack of health education |
1.)Beginning September, 2010, present educational programs regarding over-the-counter drug abuse, prescription drug abuse and inhalant abuse in high school and middle school health classes in Ford and Iroquois counties. 2.)Upon approval of this plan, participate in Red Ribbon Week activities annually to ensure information provided to students is accurate. 3.)Continue to encourage use of the project Northland program in Iroquois County schools grades 6-8 through I-Kan Prevention Programming. 4.)Upon approval of this plan, develop and implement a prescription drug drop-off program in Ford and Iroquois counties. 5.)Continue to provide the Too Good for Drugs curriculum to Ford County schools, grades 4-10. 6.)Upon approval of this plan, provide information to local groups, such as Grandparents Raising Grandchildren, on the abuse of prescription and over-the-counter drugs and inhalants utilizing media, newsletters, etc... |
| Ford-Iroquois Public Health |
2 |
Alcohol Usage Amongst Youth |
1.)By August, 2014, decrease the proportion of adolescents in For and Iroquois counties using alcohol during the past month by 10% from 17% to 15% in Iroquois County eighth graders and 18% to 16% in Ford County eighth graders. Also reduce from 51% to 45% for Iroquois County twelfth graders who have used alcohol in the past month. |
1.)genetic risk factors 2.)biological markers 3.)childhood behavior 4.)psychiatric disorders 5.)suicidal behavior |
1.)By December 31, 2011, develop and implement a baseline data collections system utilizing are hospital, police, and school data to identify trends and patters of youth alcohol abuse in the Ford-Iroquois jurisdiction. 2.)By June 2011, reduce the number of Iroquois County 12th graders who report they rode in a vehicle with a teenage driver who had been drinking alcohol by 10% from 43% to 39% (Illinois Youth Survey 2008). 3.)By June 2011, reduce the number of Iroquois 12 graders who report they rode in a vehicle with an adult driver who had been drinking alcohol by 10% from 35% to 31%. (Illinois Youth Survey 2008) 4.)By October 31, 2014, decrease the number of Ford County 8th grade students reporting at least one occasion when they were drunk at school during the past year from 4% to 3%. Decrease the number of Iroquois County 8th grade students reporting at least one occasion when they were drunk at school during the past year from 5% to 4.5%. (Illinois Youth Survey 2008) 5.)By December 2010, implement a disposition program to be used in Teen Court sentencing/Diversion Monitoring for underage drinking charged clients in Ford and Iroquois County. |
1.)parenting 2.)expectancies 3.)family environment 4.)advertising 5.)peer pressure 6.)trauma 7.)law enforcement too busy to deal with underage drinking 8.)poor role modeling by parents and other adults 9.)poor home environment 10.)poor school environment 11.)lack of education |
1.)Conduct a minimum of 3 presentations each year at various venues in the bi-county jurisdiction to educate parents regarding the seriousness of underage drinking and the health risks associated with chronic drinking. 2.)Offer BASSET or TIPS Training at least annually to establishments serving and/or selling alcohol in the bi-county jurisdiction. 3.)Continue to provide Too Good For Drugs programs in Ford County schools. 4.)Encourage schools in Iroquois county to provide education on alcohol abuse and the resulting diseases associated with chronic drinking. 5.)Develop and Implement a baseline data collection system utilizing area hospital, police and school data to identify trends and patterns of youth alcohol abuse in the Ford-Iroquois jurisdiction. once patterns are identified, develop an action plan to address abuse programs. 6.)Create a disposition option, specific to underage consumption of alcohol, to be used with Iroquois County Teen Court and Ford County Diversion Program. 7.)Participate in Red Ribbon Week Activities. |
| Ford-Iroquois Public Health |
3 |
Mental Health Issues in Senior Citizens |
1.)By September, 2014 reduce the percentage of seniors age 65+ who state that their mental health status was not good over the past 8-30 days to 6% in Ford County and 8.5% in Iroquois County. (Baseline data 2007 Illinois County BRFSS-7.5% of those 65+ in Ford County and 10.5% of those 65+ in Iroquois County said that their mental health status was not good over the past 8-30 days) |
1.)lack of skills in diagnosing and treatment on the part of family practitioners 2.)lack of access to mental health professional 3.)stigma 4.)substance abuse including prescription drug abuse 5.)firearms 6.)family resistance 7.)elder abuse including self neglect 8.)physical barriers-health issues that reduce mobility 9.)socially isolated 10.)attitude about aging 11.)divorced/widowed 12.)family discord 13.)prior suicide attempt |
1.)By September, 2014 increase by 10% the number of patients age 65+ and older seen by primary care physicians whose signs of depression are identified and are either treated by the primary care physician or referred to a community resource. (Baseline data will be collected during the first year of the plan) 2.)By September, 2014 increase the number of referrals made to Iroquois Mental Health Center and Community Resource and Counseling Center or other mental health facilities by primary care physicians by 10% over the baseline established in year one. (Baseline will be established by referral log provided to primary care physicians by the Ford-Iroquois Health Improvement Coalition) |
1.)poverty/economic hardship 2.)exposure to traumatic event(s) 3.)lack of education 4.)family history of depression 5.)lack of client cooperation 6.)family beliefs 7.)lack of health insurance 8.)transportation 9.)lack of spiritual affiliation 10.)lack of socialization |
1.)By March 31, 2010 the Ford-Iroquois health Improvement Coalition will develop a formal process of documenting referrals of clients from primary care physicians to mental health providers. 2.)By December 31, 2010, the Ford-Iroquois Health Improvement Coalition, Iroquois Mental Health Center and Community Resource and Counseling Center will develop and implement a mental health community awareness campaign targeted to seniors age 65+. 3.)By December 31, 2011 the Ford-Iroquois Health Improvement Coalition along with Iroquois Mental Health Center and the Community Resource and Counseling Center will identify trends and patterns from the referral process and develop an action plan to address the identified needs. 4.)By September, 2014 develop and implement a plan for socialization for senior citizens in Ford and Iroquois counties. 5.)By December 31, 2011, the Ford-Iroquois Health Improvement Coalition along with Iroquois Mental Health Center and the Community Resource and Counseling Center will sponsor five mental Health Screening Days throughout Ford and Iroquois Counties. |
| Ford-Iroquois Public Health |
4 |
Obesity in children and adults |
1.)By 2014, the percentage of adults in Ford and Iroquois Counties who are considered normal/underweight will be more than 42.1%. (baseline: 39.0%) 2.)By 2014, the aggregated BMI>25 in school-aged children (K-5th grades in the Coordinated School Health programs at Unit#9 schools) in Iroquois Counties with a BMI greater than 25 will continue to decrease their BMI rate below the current rate of 7.3%. |
1.)genetic predisposition 2.)poor physical activity and/or nutrition knowledge/education 3.)low income 4.)poor eating habits 5.)lack of daily physical activity 6.)physical or mental ailments 7.)having tangible places to safely exercise 8.)workplace/school promotes sedentary lifestyle 9.)lack of community programs for physical activity and/or nutrition |
1.)By2012, the percentage of adults in For and Iroquois Counties who meet or exceed regular and sustained physical activity guidelines will be greater than 50%. (Baseline:47.7%) 2.)By 2010, the number of adults in Ford and Iroquois Counties enrolled in the CDC "STEPS" program will exceed 225 residents. 3.)By 2012, the number of adults in Ford and Iroquois Counties who consume 3 or more servings of fruits/vegetables per day will be greater than 46.0% (Baseline: 42.3%) 4.)By 2012, the number of worksites, CBO's, schools, medical care clinics, and civic/community associates offering employer-sponsored chronic disease self management and healthy lifestyle programs will grow to greater than 10 established projects in Ford and Iroquois Counties. 5.)By 2012, the number of children enrolled in the "Walk to School" program in Ford and Iroquois counties will be greater than 100 students. 6.)By 2012, the number of children who complete a SMS; texting for health program will number more than 200 students. 7.)By 2012, the Coordinated School Health grant program will be granted and replicated for Ford County schools to ultimately decrease BMI levels in K-5th grade children. 7.)By 2012, increase the percentage of children and adolescents who consume 3 or more servings of fruits/vegetables per day to 40%. |
1.)low income/economic hardship/being a child 2.)exposure to poor eating habits/lack of physical activity 3.)lack of education about physical activity and nutrition benefits 4.)lack of primary care provider 5.)lack of preventative insurance programmatic components 6.)lack of school or workplace wellness programs in the community 7.)transportation/community facility 8.)lack of a faith-based belonging 9.)lack of group/team socialization during childhood |
1.)Provide education to the public on healthy eating through community health fairs. 2.)Continue to encourage schools to increase healthy food choices throughout the day. 3.)Continue to take active BMI readings at all coordinated school health grant participating schools and replication of the Iroquois County programs in Ford County via grant funding. 4.)Survey area worksites to determine how many worksite wellness programs that address chronic disease management and healthy lifestyle behaviors can be developed. 5.)Continue to grow the "Walk to School" program in Ford County schools and replicate the program in Iroquois school districts. 6.)Survey the efficacy of SMS (short message service or cell to cell texting) for behavioral changes in physical activity and nutrition uptake levels in school-aged children. 7.)Engage local agency's resources to implement the CDC "STEPS" program in ford and Iroquois counties as opposed to the numerous fragmented walking programs. 8.)Measure the quantity of local news media coverage of physical activity and nutrition based articles. 9.)Replication of the CDC's "CATCH" program in Ford County school districts to teach children that eating healthy and being physically active every day can be fun. The "CATCH" Program has proven that establishing healthy habits in childhood can promote behavior changes that can last a lifetime. |
| Franklin-Williamson Bi-County Health Department |
1 |
Access to Care |
1.) By 2017, reduce the proportion of individuals who are unable to obtain or have a delay in obtaining necessary medical care. Baseline: To be determined. 2.) By 2017, increase the percentage of County residents who report having health care insurance coverage to 95%. Baseline: Franklin and Williamson Counties 88% IDPH, ICHS, 5th Round County BRFS 2010. Healthy People 2020 goal 100%. 3.) By 2017, reduce the proportion of individuals who are unable to obtain or delay in obtaining necessary mental health care. 4.) By 2017, increase the percentage of county residents who report having mental health care coverage. |
1.) Culture 2.) Professional Resources |
1.) By 2017, increase the number of primary care medical practices with patient centered medical home certification. Baseline: 2 medical practices. 2.) By 2017, increase the number of county residents with HFS (Medicaid) who have a primary care medical home. Baseline: To be determined. |
1.) Poverty 2.) Unemployment 3.) Lack of Benefits/Coverage 4.) Awareness of resources 5.) Behavioral Norms 6.) Lack of knowledge 7.) Personal Experience 8.) Low expectations 9.) Socioeconomic Status 10.) Education 11.) Level of income 12.) Size of household 13.) Shortage 14.) Financial Incentive 15.) Low population 16.) Location-Rural 17.) waiting times 18.) establishing patient home 19.) convenient hours 20.) Personal Experience 21.) transportation 22.) Lack of knowledge 23.) Lack of Public Systems 24.) Cost |
1.) Support work conducted by Connect SI to bring broadband Internet access to rural areas of Southern Illinois. This effort aims to imitate/continue the use and sharing of electronic medical records for better tracking of patient/client care. 2.) Support the Franklin-Williamson Healthy Communities Coalition, Access to Care Action Team in developing an awareness campaign centered on helping promote the primary care medical home concept as well as provide information to the community about current more affordable physical and behavioral health care services. 3.) Develop a community awareness campaign highlighting access to care issues to target community residents, community leaders and local legislators. 4.) Actively participate and support the mental health work conducted by Franklin, Williamson and Jackson Counties Access to Care Action Team. |
| Franklin-Williamson Bi-County Health Department |
2 |
Chronic Disease: Heart Disease, Diabetes and Cancer focus |
1.) After the year 2017, the percentage of adults in Franklin-Williamson Counties who are considered obese will be no more than 20%. 2.) After the year 2017, the percentage of adults in Franklin-Williamson Counties who are overweight will decrease to no more than 25%. 3.) After the year 2017, the percentage of adults in Franklin-Williamson Counties who report smoking will be no more than 20%. 4.) After the year 2017, the percentage of pregnant women who report smoking will be reduced to 10%. 5.) By 2017, 10 new K-12 schools will have healthier environments through implementation of coordinated school health policies and practices that prevent tobacco inanition, increase physical activity and improve nutrition. |
1.) Environment 2.) Heredity 3.) Lifestyle |
1.) The percentage of adults in Franklin-Williamson Counties who engage in moderate physical activity at least 5 times per week , 30 minutes per day will increase to 60% by 2017. Baseline Franklin County 50% Williamson County 42% Source: IDPH, ICHS, 4th Round County BRFS 2009 2. The percentage of adults in Franklin and Williamson Counties who consume 5 or more servings per day of fruits and vegetables will increase to 25% by 2017. Baseline: Franklin County 8% Williamson County 16% Source: IDPH, ICHS, BRFS 2007-2009 3.) The percentage of worksites offering worksite wellness programs including a focus on physical activity, nutrition will increase to 40%. Baseline: To be determined by survey. 4.) The number healthcare providers who implement policies to establish a method of inquiring about a patients tobacco use status will increase to 60%. Baseline: To be determined. 5.) By 2017, two health department staff will receive coordinated school health and the CDC's School Health Index training. Baseline: 0 staff trained. 6.) By 2017, school wellness committees will be formed and school wellness policies will be assessed at 10 schools through the use of the CDC's School Health Index. Baseline: to be determined. 7.) By 2017, increase the number of schools that require daily physical education with the majority of class time being physically active will increase to 60%. Baseline: To be determined. |
1.) Access to Care 2.) Safety Issues 3.) Economic Barriers 4.) transportation 5.) Number of Providers 6.) Insurance 7.) Inadequate Housing 8.) Unsafe Exercise Venues 9.) Exposure to Toxins 10.) Low community priority 11.) lack of funding 12.) DNA 13.) Predisposition 14.) Environmental Exposure 15.) Socioeconomic Status 16.) Lack of opportunity 17.) Lack of funds 18.) lack of education 19.) education 20.) poverty 21.) Cultural Priority 22.) Cultural Issues 23.) Lack of priority 24.) Personal Choice |
1.) Conduct a Community Leaders' Forum to present information concerning the health status of Franklin-Williamson residents and give leaders an opportunity to discuss and plan strategies to address chronic disease. 2.) Survey area worksites to determine how many offer a worksite wellness program that addresses physical activity, nutrition and tobacco cessation and provide technical assistance to worksites that are interested in beginning a program. 3.) Once trained, staff will work with "subject matter experts" from Southern Illinois Healthcare (SIH), SIU Center for Rural Health and Social Service Development, and the CATCH on to Health Consortium to contact schools to help schools establish school wellness policies that address coordinated school health, including nutrition and daily physical education. 4.) Meet with area restaurants to encourage offering discounts or coupons for healthier adult and child menu items as well as nutrition information on menus. 5.) Survey area worksites to determine how many offer worksite wellness program that addresses physical activity, nutrition and tobacco cessation and provide technical assistance to worksites that are interested in beginning a program. 6.) Provide tobacco cessation tool kits, including information about the fax referral program to the Illinois Tobacco Quit line to area county physicians for use with their patients> |
| Franklin-Williamson Bi-County Health Department |
3 |
Behavioral and Mental Health |
1.) By 2017, reduce the percentage of adults who stated that their mental health was not good one or more days in the past month to 25%. 2.) By 2017, 10 new K-12 schools will have healthier environments through implementation of coordinated school health policies and practices that include an emotional health component. |
1.) Substance Abuse 2.) Mental health |
1.) By 2017, increase the number of behavioral health patients who receive appropriate referral and care coordination services. Baseline: To be determined. 2.) By 2017, increase the number of county residents with HFS (Medicaid) who have a primary care medical home. Baseline: To be determined. |
1.) Access to prescription drugs and OTC meds and other drugs. 2.) Increase availability of gateway drugs 3.) Peer pressure 4.) Boredom in Youth/young adults 5.) Lack of community activities for at-risk youth 6.) Lack of prevention education 7.) Limited resources 8.) Perception of need 9.) Access to care 10.) lack insurance/reimbursement 11.) Limited providers in community 12.) Limited reimbursement 13.) lifestyle conditions 14.) Lack of support 15.) unplanned Consequences 16.) Economical consequences 17.) Lack of screenings 18.) social Acceptance 19.) High Stress/ Overstimulation |
1.) Support the efforts of local primary care practices and local mental health providers in the collaboration of services to provide appropriate care for patients needing mental health intervention and treatment. 2.) Support the increased utilization of a standardized screening tool for depression screening. e.g. PHQ9, by primary care providers. 3.) Once trained, staff will work with "subject matter experts" from Southern Illinois Healthcare (SIH), SIU Center for Rural Health and Social Service Development, and the CATCH on to Health Consortium to contact schools offering technical assistance in the development of school wellness policies that address emotional health. 4.) Actively participate and support the mental health work conducted by the Franklin, Williamson and Jackson Counties Access to Care Action Team. |
| Fulton County Health Dept |
1 |
Childhood, Adolescent, and Adult Obesity |
By 2015, FCHD working with other agencies, businesses, and organizations in Fulton County will develop, implement and evaluate a community physical activity program that will reduce the number of obese children and adults by 10%. (Baseline:20.4%) |
1.)behavioral components 2.)environmental components |
1.)By 2013, schools will offer increased nutritious choices in the schools. 2.)By 2012, schools will conduct an evaluation of physical activities in the schools to develop a more thorough education plan on good nutrition and exercise for both parents and students. 3.)By 2013 FCHD programs (Family Planning, WISEWOMAN, and Health Watch Program) will include tests to include blood pressure screenings, BMIs, and increase follow-up of the problems identified. (Baseline: Currently no BMI/follow-up only in "out of range values") |
1.)calorie intake 2.)physical activity 3.)sedentary behavior 4.)parent supervision 5.)school systems 6.)community systems 7.)meal/snack portions 8.)dependence on fast food 9.)frequent snacking 10.)reduced sports participation 11.)lack of physical fitness opportunity 12.)excessive TV/video viewing 13.)unhealthy meal preparation 14.)TV/video viewing used as a babysitter 15.)lack of physical education 16.)lack of health education 17.)accessibility of healthy food options |
1.)Education classes: Work with county grocery stores to plan, implement, and evaluate additional nutrition education classes and information. 2.)Family focus nutrition and physical activity: Work with other agencies to plan, implement, and evaluate some kind of initiative that will focus on education of families in both realms of physical activity and nutrition. 3.)Media campaign: work with other like-minded agencies and organizations to plan, implement and evaluate a health education campaign focusing on physical activity and nutrition information, ideas, recipes, etc. This information would be distributed to the public on a timely basis via local media, school, and organization newsletters. 4.)Grass roots activity: Work with local governments to locate land that would be easily accessible for community gardens. |
| Fulton County Health Dept |
2 |
Accessibility and Affordability of Dental Care |
1.)By 2013, the FCHD, working with other agencies, businesses, and organizations in Fulton County, will develop and implement programs to raise and/or fund assistance to low income dental patients. 2.)By 2013, the FCHD, working with other agencies, businesses and organizations in Fulton County will establish a transportation task force for the establishment of free or reduced transportation services to low income residents seeking medical/dental care. |
1.)behavioral components 2.)environmental components |
1.)By 2015, 10% of persons indicating inability to access dental care in Fulton County Illinois will indicate by survey that they now have access to dental services. 2.)By 2015, 55% of persons aged 2 years and older will have had a dental visit in the past 12 months. |
1.)fear of dentistry 2.)knowledge of available services 3.)lack of transportation 4.)reduced/free service not available 5.)dental education 6.)low self esteem 7.)no technology education 8.)oral cancer risks 9.)lack of promotion 10.)funding sources 11.)viable providers 12.)cost of dental care 13.)funding not available |
1.)Establishment of a task force to seek avenues of funding in order to offer lower costs to patients. 2.)Establish an objective with the Fulton County Transportation Committee to seek funding to plan and implement a no fee/reduces fee schedule for persons seeking medical/dental care 3.)Using media, existing public and private medical outlets, schools and senior services, establish a campaign or proper dental care for all age groups. |
| Fulton County Health Dept |
3 |
Alcohol, Tobacco and Other Drugs |
1.)By 2013, the FCHD and other allied agencies that work with adolescents will provide one or more educational opportunities for adolescents to increase their knowledge of alcohol, tobacco and other drugs through test scores. |
1.)behavioral components 2.)environmental components |
1.)By 2015, through educational opportunities provided by the FCHD and agencies that work with adolescents, adolescent reporting resistance to the use of alcohol, tobacco and other drug use will increase by 2 percent for tobacco and marijuana by 10 percent for alcohol use. |
1.)teen pregnancy 2.)tobacco use 3.)drug use 4.)community acceptance 5.)lack of education 6.)availability 7.)peer pressure 8.)home environment 9.)peer acceptance 10.)peer pressure 11.)advertising 12.)depression/boredom 13.)family violence 14.)lack of alternate activities 15.)little emphasis on risk factors 16.)business selling to minors 17.)parental acceptance |
1.)Establishment of task force to seek avenues of funding to provide a 10% increase in educational opportunities in the areas of alcohol, tobacco and other drug use by adolescents. 2.)Establish parent/teacher educational programs that emphasize unacceptable use of alcohol, tobacco and other drug use by adolescents. 3.)Using media, existing public and private medical outlet, and schools establish a campaign of resistance by adolescents to alcohol, tobacco and other drug use. |
| Greene County Health Department |
1 |
Cardiovascular Disease |
1.)By the year 2020, reduce coronary heart disease crude mortality rate to no more than 100.8 per 100,000 people. (Baseline: 126.0- age adjusted to the year 2007 standard population) |
1.)smoking 2.)sedentary lifestyle 3.)hyperlipidemia |
1.)By the year 2016, reduce the number of adults who smoke to 15%. (baseline: 27.7%, 2006 IPLAN Data) |
1.)advertising 2.)age factor-youth 3.)lack of restrictions 4.)physical addiction 5.)levels of nicotine 5.)peer pressure 6.)lack of education/cessation programs 7.)lack of funding 8.)lack of priority 9.)lack of community interest 10.)convenience of services 11.)convenience stores 12.)fast food/drive-thrust 13.)electronic equipment 14.)home entertainment 15.)microwave cooking 16.)remote control 16.)physical limitations 17.)health problems/limitations 18.)lack of motivation 19.)lack of knowledge or existence of programs 20.)obesity 21.)low self-esteem 22.)poor coping mechanisms 23.)health problems 24.)lack of knowledge (education) 25.)ethnic background 26.)poor nutritional habits 27.)lack of physical activity 28.)lack of motivation 29.)lack of knowledge or existence of programs |
1.)Increase participation in Tobacco cessation Programs. 2.)Increase participation in education and screening programs. 3.)Facilitate exercise programs through promotion and education. 4.)Increase awareness of services and programs. 5.)Increase awareness of Quit line number. |
| Greene County Health Department |
2 |
Cancer |
1.)By the year 2020, reduce the rate of lung cancer to 45.5 deaths per 100,000. (Baseline: 1.49- adjusted to the year 2006 standard population) |
1.)smoking 2.)nutrition 3.)late detection |
1.)By the year 2016, increase the participation in the smoking cessation program by 50% to include about 75 participants. (Baseline: 50 participants in Greene County) |
.)advertising 2.)age factor-youth 3.)lack of restrictions 4.)physical addiction 5.)levels of nicotine 5.)peer pressure 6.)lack of education/cessation programs 7.)lack of funding 8.)lack of priority 9.)lack of community interest 10.)dietary habits 11.)lack of education 12.)lack of variety of foods 13.)obesity 14.)lack of exercise 15.)poor self-esteem 16.)health problems 17.)alcohol consumption 18.)addiction 19.)lack of concern 20.)late detection 21.)denial/fear 22.)lack of knowledge 23.)age/sex 24.)ethnic background 25.)asymptomatic 26.)lack of screening clinics 27.)hereditary factors 28.)predisposing conditions 29.)medical accessibility 30.)lack of screening clinics 31.)lack of funds/insurance 32.)transportation/ |
1.)Provide educational articles regarding screening and the importance of early detection. 2.)Work with local hospitals to promote increased screenings and distribution of information. 3.)Provide educational presentations to local clubs and schools. 4.)Facilitate cessation and screening programs. |
| Greene County Health Department |
3 |
Mental Health |
1.)By the year 2020, increase the proportion of children with mental health problems who receive treatment to 75.8 percent. (Baseline: 68.9% of children with mental health problems received treatment in 2008) |
1.)drugs and alcohol 2.)domestic violence 3.)child abuse and neglect 4.)bullying 5.)denial |
1.)By 2016, provide 10 educational programs to Greene County residents regarding mental health issues. (Baseline: none) |
1.)family history of substance abuse 2.)disruptive home life 3.)lack of nurturing/guidance 4.)no positive role model 5.)physical addiction 6.)availability 7.)lack of programs for cessation (knowledge) 8.)predisposition 9.)lifestyle 10.)lack of concern 11.)social acceptance 12.)lack of coping mechanisms 13.)family history of violence 14.)reinforced intergenerational behavior 15.)lack of therapy 16.)no support 17.)substance abuse 18.)family history 19.)physical addiction 20.)lifestyle 21.)control issues 22.)depression 23.)psychosis 24.)anxiety 25.)parental stress 26.)low income 27.)education 28.)depressed economy 29.)limited employment opportunity 30.)lack of education/parenting 31.)poor interpersonal skills 32.)poor coping mechanisms 33.)environmental influences 34.)lack of family support 35.)limited social networks 36.)limited housing/living conditions |
1.)Increase awareness of Locust Street Resource Center. 2.)Increase participation in education and screening programs. 3.)Increase awareness of services and programs. 4.)Collaborate with local school districts and Local Area Network #13. |
| Grundy County Health Dept |
1 |
Mental Health and Substance Abuse |
1.)By the year 2016, 20% of community employers will be educated on promoting health and wellness and identify the benefits and overall cost savings as a result of providing comprehensive mental health coverage. 2.)By the year 2016, 25% of local faith-based organizations and schools will be educated on the importance of effective treatment for mental health and substance abuse. |
1.)hereditary predisposition 2.)social stigma 3.)lack of access to affordable mental health and substance abuse treatment and medications 4.)socio-economic stressors including loss of employment, insurance, and family support |
1.)Reduce the number of days which Grundy County residents report that their mental health was not good for more than 8 days a month to the Illinois Behavioral Risk Factor Survey from 16.2% to 11.2% by 2016. 2.)Reduce the number of Grundy County residents who reported that they engage in binge drinking from 23.3% in 2011 to 20% by 2016. |
1.)limited resources 2.)socio-economic stressors 4.)lack of education and awareness |
1.)Promote existing efforts to educate youth. Utilize health educator services and GCHD to present information at faith-based organizations, schools, and work facilities to limit stigma and point out resources for help. 2.)Promote the importance of comprehensive mental health services to the larger employers in the County. 3.)Health educator/mental health staff to complete educational seminars to local school personnel during teacher in-service days. 4.)Work within the faith community and the local National Alliance on Mental Illness (NAMI) chapter to establish support groups for those with a diagnosis of mental illness. 5.)Continue to offer appropriate parenting strategies to clients and families within the GCHD's WIC program, and Child and Adolescent Counseling program. 6.)Continue to monitor post-partum depression with the use of the Edinburg Screening tool for all WIC mothers. Refer to GCHD mental health division for care when needed. 7.)Update funding sources of the GCHD on a bi-annual basis the amount of service utilization versus existing funding. Regular communication with local legislators will be developed to increase their awareness of how state legislation and funding impacts constituents with mental illness. 8.)Continue to work with law enforcement on how to work with domestic violence victims, sexual assault victims, suicidal individuals etc. 9.)Recruit qualified physicians to cover psychiatric services and develop a long-term action plan to cover local psychiatric needs. 10.)Work with pharmaceutical companies to provide samples, patient assistance, coupons and vouchers for medications; educate clients regarding specific drug store prescription programs (Walgreens). 11.)Promote existing efforts to educate youth. Utilize the health educator (including No Tolerance Task Force <NTTF> and the GCHD to present information at schools and churches to emphasize the importance of staying sober. 12.)Work with local schools to present information to educators on how to recognize substance abuse and what intervention strategies can be used. 13.)Continue to work with law enforcement on presenting pre-Prom warnings for the consequences of drinking and driving. 14.)Continue to offer group interventions at the County jail for education on substance abuse. 15.)Offer educational seminars at schools for parents to understand issues of substance abuse. Utilize health education and GCHD staff as experts on the topic. |
| Grundy County Health Dept |
2 |
Metabolic Syndrome and Cardiovascular Risk Factors |
1.)By the year 2016, 20% of community members will be educated on promoting health and wellness, participants will be able to identify the benefits of being smoke-free, exercising, as well as the overall cost savings as a result of hypertension screening. |
1.)smoking 2.)high blood pressure 3.)elevated serum cholesterol 4.)obesity 5.)glucose intolerance 6.)hypertension 7.)high cholesterol 8.)poor diet and limited exercise 9.)behavioral factors (stress) |
1.)Reduce the number of Grundy County residents who smoke from 23.3% to 18% by 2016. 2.)Reduce the number of Grundy County residents who have been told their blood pressure was high from 31.9% to 25% by 2016. 3.)Reduce the number of Grundy County residents who have been told they are obese by a health care professional from 28.2% to 20% by 2016. |
1.)lifestyle behaviors 2.)peer pressure 3.)sodium and caloric intake 4.)sedentary occupations |
1.)Promote smoking cessation classes at the GCHD. Classes made available three times per year. 2.)Promote education to youth regarding smoking prevention. Promote health educator activities which the GCHD assists with. 3.)Continue to work with law enforcement in all municipalities to enforce laws regarding minors. Work with law enforcement in all municipalities to enforce smoke free Illinois Act. 4.)Provide screening opportunities and educational sessions at a variety of GCHD and Morris Hospital sponsored health fairs. 5.)Provide community education and diet screenings regarding the nutritional components of controlling hypertension. This can be completed through the health educator and staff at GCHD and Morris Hospital employees. 6.)Coordinate programs and educational opportunities regarding heart health at local fitness centers, gyms and the U of I Extension 4-H programs. 7.)Create and organize community exercise programs such as aerobics and walking programs. This can be completed through staff at GCHD. 8.)Initiate promotion of the former program "Health Initiatives" at the GCHD. Market this strategy to other large businesses in the county through educational program created by the health educator at the GCHD. 9.)Provide health education on the importance of establishing good eating and exercise habits. This can be accomplished with the assistance of the U of I extension and the various programs offered via 4-H. |
| Grundy County Health Dept |
3 |
Childhood Obesity |
1.)By the year 2016, reduce the number of children who are categorized as obese. |
1.)diet 2.)lack of exercise 3.)family history 4.)psychological factors 5.)family factors 6.)socioeconomic factors |
1.)Increase daily physical activity by 10 minutes (after school hours) among Grundy County children by 2016. 2.)Increase the consumption of fruits and vegetables by 1 serving a day, by 2016. |
1.)lack of health education to family members 2.)socioeconomic stressors 3.)family cohesiveness |
1.)Actively involved all members of the community to help promote healthy eating habits. 2.)Promote education to youth regarding the importance of healthy eating habits and physical activity. 3.)With assistance from health educator and GCHD staff, survey youth in grades 6-8 to measure baseline of childhood obesity. 4.)Create educational material with assistance from the health educator and GCHD. 5.)Strengthening family cohesiveness will be addressed through programs at GCHD, and providing programming to local faith-based organizations and schools. Knowledge over child obesity will be addressed by continuing to promote education services to area schools, and churches, as well as participating in health fairs and other wellness programs. 6.)Provide community education and BMI screenings. This can be completed through the health educator, staff at GCHD, and Morris Hospital employees. 7.)Promote annual walk to school day throughout the county; continue to collaborate with Morris Hospital in finding innovative strategies to promote a healthier lifestyle among county residents. |
| Hamilton County Health Dept |
1 |
Cardiovascular Disease |
1.)Reduce the prevalence of CVD in the community. |
1.)hypertension 2.)tobacco use 3.)elevated cholesterol |
1.)By 2013, increase the number of adults with high blood pressure whose B/P is under control to 88%. Baseline: 85.4% taking medication to control B/P (Hamilton Co. BRFSS, 2007-2009). 2.)By 2013, decrease tobacco use by adults 10 18% of population (BRFSS interview rate for 2007-2009 reported at 20.4%) 3.)By 2013, increase the proportion of adults who consume less fat/cholesterol in their daily diet to 70% (BRFSS interview rate for 2007-2009 reported at 61%) |
1.)improper diet 2.)obesity 3.)physical inactivity 4.)availability 5.)frequent use(addiction to nicotine and habituation to smoking) 6.)lack of programs for quitting and for not starting tobacco use 7.)lack of interest in screening and follow-up 8.)diet 9.)high fat, high caloric foods. high salt intake. Sugary snacks/beverages. 10.)proliferation of fast food establishments 11.)family cooking influences/family structure/time restraints 12.)lack of adequate exercise 13.)poor eating habits 14.)lack of cooking skills 15.)family cooking traditions/family structure 16.)lack of programs/facilities promoting exercise 17.)busy schedules/not scheduling time 18.)belief that formal exercise program is required 19.)time competition with television and computer 20.)few restrictions/enforcement 21.)advertising 22.)lack of public objection 23.)peer pressure 24.)lack of education 25.)example of parent or other significant person (modeling) 26.)lack of interest in quitting amongst habitual smokers 27.)community disinterest 28.)inability to afford screening/regular checkups/medication 29.)silent disease 30.)diet high in fat content 31.)high cost and availability of healthy food products 32.)low cost and convenience of foods with poor nutritional value 33.)lack of understanding of importance 34.)lack of access to exercise program 35.)time constraints 36.)appeal of television and computer time |
1.)Increase the number of Women, Infants and Children (WIC) program mothers who receive blood pressure checks during routine assessments to 250 annually by year 2013.(Baseline-216 WIC mothers in 2009) 2.)Establish two free blood pressure monitoring events annually at various local retail stores and the Mcleansboro Senior Citizen Center in 2011 and each of the following years up to 2015.(Baseline-0 in 2009) 3.)Increase use of Illinois Tobacco Help Line to 150 calls by 2013 (132 calls received in 2009 grant year) 4.)Increase the number of patients participating in the hospitals Cardiopulmonary and Cardio Rehab and Weight and Wellness program to 813 by year 2013.(Baseline-768 in 2009) 5.)Increase number of Hamilton County grade schools that implement the Coordinated Approach Through Child Health (CATCH) program to 100% by 2013. (Baseline 0% in 2009) |
| Hamilton County Health Dept |
2 |
Cancer |
1.)Reduce the prevalence of Cancer in Hamilton County |
1.)genetics 2.)environment 3.)high fat, high caloric, low fiber diet 4.)not seeking screening for specific cancer (early preventative screening) |
1.)By 2013, Decrease tobacco use by adults to 18% of population (BRFS interview rate for 2007-2009 reported at 20.4%) 2.)Increase # of adults who report exercise at least 3 x week to 30% by 2013 (Baseline 23.2% in 2009) 3.)Increase early detection of cancer through enhanced screening opportunities by 40%. 4.)Increase % of those adults ages 50+ who have been screened for colon cancer from 40% to 50% by year 2015 |
1.)family demographics 2.)obesity 3.)physical inactivity 4.)tobacco 5.)prevalence of age chemicals in water and air 6.)indoor air quality 7.)eating fast food vs. cooking at home 8.)lifestyle influences 9.)cost 10.)availability 11.)knowledge of need 12.)early introduction to foods poor in nutritional value 13.)social/economic status of family group 14.)lack of education/understanding of good nutrition 15.)family cooking influences 16.)lack of adequate exercise 17.)poor eating habits 18.)lack of cooking skills 19.)family cooking/eating traditions 20.)inadequate knowledge 21.)busy schedule/not scheduling enough time 22.)belief that a formal exercise program is required 23.)time competition with television and computer 24.)few restrictions/enforcement 25.)advertising 26.)lack of public objection 27.)unsafe use of farm chemicals 28.)frequent exposure by age related labor force 29.)farming community 30.)exposure to second hand smoke 30.)poor air circulation 31.)indoor air toxins 32.)proliferation of fast food establishments 33.)popularity, availability of fast food 34.)no knowledge of nutrition 35.)ethnic/socioeconomic background 36.)some not covered by Medicaid or insurance 37.)some not available locally 38.)public education by agencies in community |
1.)Increase use of Illinois Tobacco Help Line to 150 calls by 2013 (baseline: 132 in 2009 grant year) 2.)Initiation and implementation of a START walking path program by the Hamilton Memorial Hospital and Hamilton County Health Department by 2013. 3.)The Hamilton Memorial Hospital will increase the number of low cost mammograms available to eligible patients to 70 by 2013.(Baseline-50 in 2009) 4.)Hamilton County Health Department will increase the number of colon cancer screening kits available to community to 350 by 2013. (Baseline is 250 in 2010) |
| Hamilton County Health Dept |
3 |
Obesity |
Reduce the prevalence of obesity in the community. |
1.)genetic factors 2.)individual behavior 3.)environment |
1.)By 2015, Increase the proportion of adults who consume less Fat/Cholesterol in their daily diet to 70% (BRFS interview rate for 2007-2009 reported at 61%) 2.)Increase number of Hamilton County grade schools that implement the Coordinated Approach through Child Health (CATCH) program to 100% by 2013. (Baseline 0% in 2009) 3.)Increase the proportion of adults who are trying to lose weight from 45% by year 2013.(Baseline-39% in 2009) |
1.)family demographics 2.)poor regulation of appetite 3.)physical inactivity 4.)lack of physical exercise 5.)eating habits 6.)energy imbalance 7.)modern technology 8.)diet 9.)socioeconomic status 10.)exposure/presentation of foods with poor nutritional value at early age 11.)no self control skills 12.)portion size 13.)inactive family role models (modeling) 14.)busy schedule/not scheduling time 15.)minimal opportunities 16.)time competition with television and computer 17.)inactive family role models (modeling) 18.)lack of infrastructure to promote/encourage physical activities 19.)community perception 20.)not eating in moderation 21.)increased portion size 22.)example of parent or other significant person (modeling) 23.)high caloric intake 24.)physical inactivity 25.)low cost/high accessibility of foods high in calories, fat and sugar 26.)reliance on modern transportation 27.)computer/television advancements and availability 28.)fast food industry 29.)diet high in fat content 30.)proliferation of fast food establishments 31.)moderation/portion control 32.)lack of physically active family role model (modeling) 33.)lack of access to exercise related programs 34.)time constraints 35.)appeal of television and computer time |
1.)Hamilton Memorial Hospital proposes to increase the number of patients participating in the wellness program to 813 by year 2013.(Baseline-768 in 2009) 2.)Communication and cooperation with the local schools is essential in maintaining curriculum with a special focus on physical education and nutrition components. Hamilton County Health Department will collaborate with Egyptian County Health Department CATCH Coordinator in an effort to encourage school participation. 3.)Intervention strategy involves the initiation and implementation of a START walking path program by the Hamilton Memorial Hospital and Hamilton County Health Department. |
| Hancock County Health Dept |
1 |
Obesity |
To reduce the proportion of children and adolescents who are overweight or obese by 5% by 2014. |
"1.)Inadequate Physical Activity 2.)Inadequate nutrition for financially |
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| Disadvantaged, seniors and children" |
1.)Increase the proportion of persons aged 2 years and older who consume at least 6 daily servings of grain products, with at least three being whole grains by 5% from 7% to 12% in 2014. (Baseline: 50 percent {1994-1996}) 2.)Increase the proportion of persons 2 years and older who consume at least three daily servings on vegetables, with at least one-third being dark green or orange vegetables by 5& from 3% to 8% in 2014. (Baseline: 50 percent {1994-1996}) |
1.)lack of access to facilities 2.)lack of family friendly venue 3.)lack of transportation to meal sites 4.)lack of special diet meals 5.)lack of round year service to children |
1.)Work with school to increase availability of grains and vegetables. 2.)Work with legislators to increase funding for school lunches 3.)Develop media campaign for eating at out vs. cost of eating at home. |
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| Hancock County Health Dept |
2 |
Access to County Services |
Increase the proportion of households with access to the internet at home by 5% by 2014. Baseline: 26% in 1998 |
1.)Inadequate health maintenance (medical care/meds) |
1.)To reduce the percentage of people who have not had a physical in the last two years by 5%. |
1.)lack of funds/medical insurance 2.)incomplete utilization of available support services 3.)incomplete plans for shelter/special needs |
1.)Wellness campaign to emphasize the need for physicals. 2.)Media campaign to orient county residents about emergency preparedness. |
| Hancock County Health Dept |
3 |
Teen Pregnancy |
To reduce pregnancies among adolescent females by 50% from 8 to 4 by 2014. |
1.)increase in teen birth rate (rate has doubled, mothers are younger) |
1.)Increase the proportion of sexually active, unmarried adolescents aged 15-17 years who use contraception that both effectively prevents pregnancy and provides barrier protection against disease by 10%. Baseline: 67% in 1995 condoms for females and 72% in 1995 condoms for males BRFSS 4th rounds: 55.8% 2.)Reduce proportion of pregnancies that are intended by 10%. Baseline: 51 in 1995. |
1.)lack of contraceptive information 2.)lack of parental guidance and/or involvement |
1.)Provide educational programs in middle schools. 2.)Develop a media campaign focusing on sex education awareness and consequences. 3.)Develop an education campaign for parents. |
| Henderson County Health Dept |
1 |
Obesity |
Reduce the percentage of Henderson County residents who are obese to 25% by the year 2015. (Baseline 28.5%, 2007 IL BRFSS) |
1.)poor nutrition 2.)lack of exercise |
1.)Increase to 62% the number of Henderson County residents who control their weight with exercise by the year 2013. (baseline 58.&%, 2007 IL BRFSS) 2.)Increase to 58% the number of Henderson County residents who meet or exceed the 'Regular & Sustained Physical Activity Guidelines' (30 minutes-5 times/week) Baseline:55.1%, 2007 IL BRFSS |
1.)income 2.)busy lifestyle 3.)school lunches 4.)TV and/or video games 5.)computer 6.)lack of time 7.)can't afford fresh fruits and vegetables 8.)low nutritional foods are cheap 9.)fast-food meals 10.)frozen pre-packaged meals 11.)high in carbohydrates 12.)vending machines 13.)keeps kids entertained 14.)no parental involvement needed 16.)poor parental role models 17.)too many other commitments 18.)want to spend time with family 19.)too tired if there is time |
1.)Work with the local school district to provide more nutritious lunches, only have "healthy" vending machines available to students, and promote physical activity. 2.)Continue participation in the Illinois Alliance to Prevent obesity 3.)Obtain a volunteer to conduct free exercise sessions to county residents at the health department. 4.)Provide pedometers to county residents to keep track of their walking. 5.)Provide sessions on "chair exercises", for the elderly, to improve flexibility, strength and cardiovascular health and balance. |
| Henderson County Health Dept |
2 |
Accidents |
Reduce the percentage of deaths due to accidents to no more than 10% by the year 2014. (Baseline: 14% 2006 IPLAN data) |
1.)motor vehicle use 2.)use of farm equipment 3.)Mississippi River |
1.)To reduce the percentage of persons, age 25-44, at risk for acute/binge drinking to no more than 12.5% by 2014. (Baseline:15.5% 2006 IPLAN data) 2.)To reduce the percentage of freshman who have engaged in substance abuse to no more than 18% by 2012. (Baseline: 23% 2010 Freshman survey) 3.)To pursue the possibility of yearly safety classes for all farmers and boaters. (Baseline: 5th and 6th graders Warren/Henderson Farm Bureau: 12-17 year olds Department of Natural Resources) |
1.)alcohol/substance abuse 2.)inexperienced drivers 3.)exhaustion during busy season 4.)machinery malfunctions 5.)children using equipment 6.)denial of effects 7.)denial of risks 8.)no designated driver 9.)showing off to peers 10.)cell phones/texting 11.)feeling of immortality 12.)stress of getting crops in/out 13.)forgetting "safety first" 14.)large farming community 15.)poor machinery maintenance 16.)lack of funds for repairs, etc. 17.)lack of experience 18.)lack of supervision 19.)inexperienced boaters 20.)not wearing life vests 21.)excessive speed 22.)driving dangerously for fun 23.)boating after dark 24.)more sun=more alcohol effects 25.)slower reaction time 26.)parents don't provide 27.)think they're good swimmers 28.)doesn't look "cool" |
1.)Provide school based education on the negative effects of alcohol and substance abuse. 2.)Contact local Farm Bureau Office and Department of natural Resources concerning additional farm and boating safety sessions. |
| Henderson County Health Dept |
3 |
Heart Disease |
Reduce heart disease deaths to no more than 50% by the year 2014. (Baseline 52% IPLAN 2006) |
1.)obesity 2.)hypertension 3.)high blood pressure |
1.)Decrease to 20% the number of Henderson County residents who smoke cigarettes by the year 2013. (Baseline 21.9% BRFSS 2007) 2.)Decrease the number of patients seen at Eagle View Community Health system for hypertension to 450 by 2014. (Baseline: 501 Eagle View data) |
1.)sedentary lifestyle 2.)finances 3.)non-compliant patients 4.)physical addictions 5.)confusing media messages 6.)no family support 7.)unemployment rate 8.)health insurance costs 9.)food purchase priorities 10.)not familiar with daily nutritional intake 11.)depression 12.)lack of desire to change 13.)stress 14.)lack of knowledge of health consequences 15.)failure to take advantage of resources 16.)lack of coping skills 17.)personal habits 18.)smoking 19.)lack of education on diet and exercise 20.)denial 21.)time 22.)long distance travel 23.)health insurance costs 24.)lack of knowledge of health consequences 25.)health insurance costs 26.)medication costs 27.)unemployment 28.)denial 29.)lack of desire to change |
1.)Blood pressure checks will be available at the Henderson County Fair with education, counseling, referrals, and follow-ups. 2.)Blood pressure screening will be given to Henderson County students in grades 3, 8, 11, & 12 with referrals and follow-ups. 3.)The anti-smoking program, Samantha and the Skunk, will be presented to Henderson County second and third grade students. 4.)Smoking cessation classes will be offered bi-annually in Henderson County. |
| Henderson County Health Dept |
4 |
Cancer |
Reduce the percentage of deaths due to cancer to no more than 21% by the year 2014. (Baseline: 25% 2006 IPLAN data) |
1.)tobacco 2.)age 3.)sunlight/UV rays 4.)obesity |
1.)Decrease to 27% the number of Henderson County women who have never had a mammogram by 2013. (Baseline: 30.8% 2007 BRFSS) 2.)Decrease to 44% the number of men >40 who have never had a PSA test. (Baseline: 47.6% 2007 BRFSS) |
1.)addictive 2.)peer pressure 3.)denial of danger 4.)can't quit 5.)lack of support 5.)low self-esteem 6.)easy to be addicted 7.)easily obtainable 8.)most people in over 65 9.)"I've lived a long life" 10.)depression 11.)cost 12.)failure to be screened 13.)health insurance costs 14.)fear 15.)lack of knowledge on importance of screening 16.)tanning beds 17.)not using sunscreen 18.)denial 19.)a tan is more important/image 20.)peer pressure 21.)parents not protecting children 22.)poor diet 23.)sedentary lifestyle 24.)no family support 25.)lack of education on diet and cancer 26.)lack of desire to change eating habits 27.)no family support 28.)lack of desire to change 29.)lack of education on obesity and cancer |
1.)A variety of early detection education will be provided to the general public through presentations, media, and materials. 2.)Bi-annually free PSA's will be offered to Henderson County men. 3.)Henderson County Health Department actively participates in the IBCCP through our lead agency. The lead agency will be contacted and invited to come to a Women's Health Event and distribute additional applications for early screenings. |
| Henry County Health Department |
1 |
Heart Disease |
By 2017, reduce coronary heart disease deaths to no more than 250 per 100,000 population. Currently, Henry county is at 285.3 per 100,000 population. (The Healthy People 2020 goal is 100.8 per 100,000 population) |
1.) Overweight or obese 2.)Physical inactivity 3.) Cigarette smoking 4.) Excessive alcohol consumption 5.) Very high Carbohydrate diet (>60% of total energy) 6.) Other diseases (type 2 diabetes, chronic renal failure, chronic nephritic syndrome) 7.) Certain drugs (corticosteroids, protease inhibitors for HIV, beta-adrenergic blocking agents, estrogens) 8.) Genetics |
1.) By 2014, increase to at least 75% the number of worksite wellness program participants being screened (blood pressure and cholesterol) 2.) By 2015, increase to at least 91% of the proportion of adults who have had their blood cholesterol checked within the past five years. Henry County Baseline: 89.3% Source: 2009 Illinois BRFSS 3.) By 2016, reduce by 5% the proportion of adults with high cholesterol. Henry County Baseline: 30.3% Source: 2009 Illinois BRFSS |
1.) Obesity 2.) Dietary choices 3.) Heredity 4.) Sedentary Lifestyle 5.) Socioeconomic 6.) Media 7.) Other disease conditions 8.) Smoking (nicotine addiction) 9.) Limited availability of tobacco cessation 10.) Tobacco -related marketing and peer pressure 11.) Stress |
1.) Survey employers regarding existing cardiovascular disease prevention programs. 2.) Initiate worksite cardiovascular related screening and education programs. A.) Convene an advisory committee, with members from the Chamber of Commerce, Public Health, the hospital and medical professionals to recruit businesses to participate in the program. B.) Utilize Health Department staff to conduct blood pressure and cholesterol screenings at employer worksites, as well as teach cardiovascular related education programs on topics such as lowering blood pressure, cholesterol, diet, nutrition and smoking cessation programs. C.) Utilize American Heart Association's My Life Check online assessment to collect participant data and assist participants in establishing health related goals |
| Henry County Health Department |
2 |
Obesity |
By 2017, reduce the proportion of Henry County adults who are obese to 23.1%. Currently, 25.1% of Henry County adults are obese. (Healthy People 2020 goal is 30.6%.) |
1.) Poor diet 2.) lack of physical activity |
1.)By 2013, implementation of two series' of "Healthy Living" chronic disease prevention educational program will be held. 2.) By 2013, establish a "Henry County Healthy Living" taskforce to bring agencies, medical providers, recreational centers, civic organizations, youth organizations to focus on collaborative efforts in reducing obesity among Henry County residents. |
1.) Lack of physical activity 2.) Poor dietary habits 3.) Motivation for physical activity 4.) Physical barriers to physical activities 5.) Family history 6.) Lack of education 7.) Availability of technology 8.) Social factors 9.) Cultural factors 10.) Cost of health food and physical activity programs 11.) Limited knowledge of health food alternatives 12.) Limited understanding of benefits and alternatives for increasing physical activity 13. Depression 14.) Food deserts |
1.) 2013: Establish partnerships among service agencies, professional associations and families and caregivers to facilitate the transfer of knowledge, research, practice and policy related to healthy lifestyles. 2.) 2013: Conduct two series' of "Healthy Living" chronic disease prevention educational program. Utilize the "Henry County Healthy Living" taskforce program collaboration. 3.) 2014: Research wellness ministry outreach program. 4.) 2014: Identify targeted churches for pilot test wellness ministry. 5.)2015: Enroll additional churches in the wellness program. 6.) 2016 and beyond: Monitor and document program impact. Continue to see expanded involvement in the "Henry County Healthy Living" taskforce and wellness ministry program. |
| Henry County Health Department |
3 |
Substance Abuse |
By 2017, increase the age and proportion of adolescents and adults who remain alcohol and drug free. The Healthy People 2020 objectives for substance abuse include the following: Reduce the proportion of adolescents who report that they rode, within the within the last 30 days with a driver who had been drinking alcohol. (Baseline: 25.2%) Reduce the proportion of adults who drank excessively in the past 30 days. (Baseline: 28.1%) |
1.) Economic 2.) family history 3.) Peer pressure 4.) Social acceptance 5.) Accessibility 6.) Lower self-esteem 7.) Stress 8.) Societal norm |
1.) By 2014, reduce the proportion of Henry County adolescents who report that they rode, within the last 30 days with a driver who had been drinking alcohol by 2%. Baseline: 28.3% Source: 2010 IYS 2.) By 2014, reduce the proportion of Henry County adults who drank excessively in the past 30 days by 2%. Baseline 28.1% Source: Illinois BRFSS 3.) By 2016, reduce the proportion of Henry County high school seniors engaging in binge drinking in the past two weeks by 2%. Baseline: 25.2% Source: 2010 IYS |
1.) Undeveloped coping skills 2.) Physical environment 3.) Mental Health 4.) Easy Access 5.) Accepted behavior 6.) Lack of treatment providers 7.) Poor self-esteem 8.) Limited family/parenting skills 9.) Rural lifestyle 10.) Limited employment opportunities for convicted felons 11.) Family dynamics 12.) Depression, Bi-Polar, Anxiety 13.) Stigma |
1.) Promote Illinois Youth Survey participation among all Henry County schools. 2.) Promote alcohol compliance checks among local law enforcement. 3.) Provide in-kind support to the Kewanee Community Drug and Alcohol Task Force. 4.) Promote "Project Alert" among Henry County Junior High and High Schools. |
| Henry County Health Department |
4 |
Suicide |
By 2017, reduce the suicide rate to 15.0 suicides per 100,000. Currently Henry County is at 17.82 per 100,000 population. (The Healthy People 2020 goal is 10.2 per 100,000 population.) |
1.) Access to care 2.) Life/Environmental factors |
1.) By 2013, new community programming partnerships will be established as a result of planning educational campaigns. 2.) By 2014, a suicide education program will be promoted among all Henry County communities. 3.) By 2016, 30% of all Henry County employers will receive comprehensive suicide education training. |
1.) Lack of affordable and early assessment services and screenings. 2.) Moderate willingness to address mental health issues. 3.) Lack of knowledge of mental health resources. 4.) Lack of available specialists/psychiatrists. 5.) Lack of coordination among service providers. 6.) Undeveloped coping skills 7.) Denial of mental illness 8.) Improper use of medication 9.) Lack of community support systems 10.) Increased cost of psychotropic drugs 11.) Inadequate rate of reimbursement 12.) Primary care practices. 13.) Inadequate physical activity 14.) uninsured or underinsured. 15.) Lack of patient care facilities 16.) negative social stigmas 17.) behavioral health treatment funding cuts 18.) Policymakers failure to comprehend scope of problem |
1. Establish partnerships among service agencies, professional associations, and families and caregivers to facilitate the transfer of knowledge, research, practice and policy related to mental health. 2.) Engage professional organizations in educating new frontline providers in various systems (e.g., teachers, physicians, nurses, hospital emergency personnel, daycare providers, probation officers, and other healthcare providers) in mental health; equip them with skills to address and enhance mental health; and train them to recognize early symptoms of emotional and behavioral problems for proactive intervention. 3.) 2013: Conduct educational campaign to promote public awareness of mental health issues and reduce stigma associated with mental illness, working in partnerships with the media, youth, public health systems, communities, health professionals employers and advocacy groups. Target Human Resource directors and office managers. 4.) 2013: identify a comprehensive and quality suicide education program (and funding0 which will appropriately raise awareness of suicide and direct employee in need of mental health services. 5.) 2015: Enroll additional employers in the comprehensive suicide education program. 6.) 2016 and beyond: Monitor and document program impact. Continue to see expanded employer enrollment in the program. |
| Jackson County Health Dept |
1 |
Cardiovascular Disease |
By 2015, reduce the rate of coronary heart disease deaths in Jackson County by 5%. (Baseline: In 2005 there was a crude mortality rate of 157.3 per 100,000 in Jackson County) |
1.)diabetes 2.)elevated blood pressure 3.)elevated cholesterol 4.)obesity 5.)physical inactivity 6.)smoking 7.)poor eating habits |
1.)By 2015, decrease the prevalence of obesity among adults to 22%. (Baseline: 24.9% of Jackson County adults report being obese, 2007 BRFSS) 2.)By 2015, increase the prevalence of adults who meet or exceed the moderate activity standards to 75%. (Baseline: 66.1% of Jackson County residents do not meet physical activity standards, 2007 BRFSS) 3.)By 2015, increase the number of schools with at least 50% of Physical Education (PE) class time spent engaging in moderate-to-vigorous (MVPA) to 12 schools. (baseline: 9 schools in Jackson County are implementing CATCH P.E. and students are participating in MVPA at least 50% of the time based on SOFIT data, May 2009) 4.)by 2015, increase the prevalence of adults consuming more than five servings of fruits and vegetables per day to 25%. (Baseline:19.1% of Jackson County adults are eating 5 servings of fruits/vegetables per day, 2007 BRFSS) 5.)By 2015, reduce the prevalence of smoking by adults to 18% and by high school students to 18%. (Baseline: 25.8% of adults in Jackson County are smokers, 2007 BRFSS. Recent student data not available to Jackson County.) 6.)By 2015, increase compliance with the Smoke-Free Illinois Act. (Baseline: 38 Smoke-Free Illinois complaints were received in Jackson County in 2009) 7.)By 2015, increase tobacco use cessation attempts among adults and youth through use of the Quit line to a rate of 200 calls per 10,000 smokers. (Baseline: 135 calls were made to the Quit line by Jackson County residents in FY08. This is a rate of 162.2 calls per 10,000 smokers) 8.)By 2015, increase the number of smoke-free outdoor environments in Jackson County. (Baseline: Currently only four places in Jackson County have smoke-free outdoor environments, not including schools) 9.)By 2015, conduct a media campaign in Jackson County which increases awareness of cardiovascular risk factors. (Baseline: Currently no mass media campaign is being conducted in Jackson County) 10.)By 2015, increase the number of individuals being screened for elevated cholesterol, elevated blood pressure, and diabetes. (Baseline: data not available) |
1.)eating behaviors/poor nutrition 2.)obesity/increased BMI 3.)genetics 4.)physical inactivity 5.)lack of education on how to prevent or manage 6.)lack of insurance access for screening and education 7.)stress/emotional eating 8.)lack of education & consistent messages 9.)economic influence 10.)easy access to convenience foods 11.)portion size(availability of food) 12.)time constraints 13.)family history: lack of knowledge of risk factors 14.)desire for immediate results 15.)lack of full time physical education in schools 16.)time factors 17.)lack of motivation 18.)education 19.)socioeconomic status 20.)age 21.)disabilities 22.)influence of peers or family/lack of positive role models 23.)technology/lack of outside play 24.)access to facility/lack of free or low cost 25.)bad weather 26.)lack of knowledge 27.)fee or cost 28.)lack of knowledge of need 29.)lack of education on diabetic diets 30.)lack of education on how to prevent and manage diabetes 31.)want quick fix 32.)non compliance or lack of health care access 33.)race 34.)gender 35.)high sodium diets/fast foods and convenience foods 36.)food choices 37.)younger people have lack of knowledge that they could have elevated blood pressure 38.)lack of awareness of stress signs and symptoms 39.)techniques on controlling stress 40.)weight management 41.)social support 42.)desire for immediate results 43.)time factors 44.)disabilities 45.)fat intake 46.)family history/heredity 47.)lack of physical education and ability to educate patient 48.)attitude 49.)access to options 50.)knowledge of options 51.)fad diets 52.)lack of knowledge 53.)lack of knowledge of family history 54.)lack of belief your behaviors can affect 55.)lack of discussion/time with patients regarding cholesterol 56.)new medications/contradictions with other drugs 57.)lack of follow-up 58.)lack of insurance coverage 58.)cultural influences 59.)poor compliance of health care providers directions 60.)cultural norms of family, peers & society 61.)physiological change 62.)social acceptance 63.)physicians not talking to families about BMI 64.)lack of time to discuss during appointments 65.)physicians lack comfort in talking with people about obesity 66.)attitude toward exercise 67.)access to exercise options 68.)physical limitations/health problems 69.)lack of time 70.)fear of not fitting in 71.)lack of worksite wellness programs 72.)lack of motivation/positive role models 73.)"sport" mentality 74.)not a priority 75.)increased TV viewing/computer use 76.)safety concerns 77.)transportation 78.)availability of resources 79.)lack of walking trails 80.)lack of knowledge of basic physical skills 81.)access to rehab 82.)not made priority for individuals 83.)lack of time management skills 84.)increased social commitments and work hours 85.)increased homework for children 89.)weight maintenance 90.)image/peer pressure 91.)addiction 92.)start age 93.)smoke-free worksites policies 94.)policies regarding smoke-free homes/cars 95.)school/college 96.)income 97.)job 98.)family 99.)lack of positive role models 100.)family support/influence 101.)physiological 102.)lack of access to affordable cessation aids 103.)family use 104.)peer use 105.)lack of in school education regarding serious health effects 106.)education 107.)lack of enforcement in various jurisdictions 108.)cost/tie to enforce law 109.)employers lack of knowledge regarding work policy and enforcement 110.)lack of more smoke-free restaurants 111.)lack of smoke-free bars 112.)food choices 113.)lack of concern regarding eating behaviors 114.)nutrition knowledge 115.)fast food availability/super sizing 116.)lack of diverse food choices 117.)availability of vending machine choices 118.)lack of family meals/distracted eating 119.)parents own eating habits 120.)lack of exposure to health food 121.)diversity of eating habits among ethnic groups 122.)limited nutrition education in schools 123.)contradicting messages 124.)increase in fad diets |
1.)Hold at least six meetings each year of the JCHCC Healthy Living Action team 2.)Collaborate with the Healthy Southern Illinois Delta Network to reduce CVD in the southern 16 counties of Illinois 3.)Implement walking programs and paths in non-traditional places 4.)hold community wide mass media campaign to increase physical activity, decrease tobacco use, and improve nutrition for both children and adults. 5.)Promote farmers' markets. 6.)Collaborate with grocery stores to display messages about healthy food choices. 7.)Encourage restaurants/businesses to provide healthy food selections and nutrition information on food items 8.)Make more campuses and outdoor environments smoke-free 9.)Promote Illinois Tobacco Quit line 10.)Make tobacco cessation therapies more accessible and affordable. 11.)Annually promote and coordinate a region-wide screening day 12.)Develop partnerships with the business community to assist them in advancing their worksite wellness programs. 13.)Offer and promote worksite wellness programs and events. 14.)Increase the number of businesses that provide rewards for employees for physical activity and that display signage for walking or biking paths. 15.)Increase the number of schools that implement the CATCH program with a special focus on the physical education and nutrition components, including training for school food service staff. 16.)Provide evidence-based tobacco prevention education in the schools. 17.)Assure tobacco-free policies in schools, colleges, etc. are being followed. |
| Jackson County Health Dept |
2 |
Access to Care for Oral Health |
Increase the proportion of children and adults who use the oral health care system each year. (Baseline for children: 33.8% of those 2-20 on Medicaid received dental services in 2006) |
1.)not seeking preventative or early care 2.)use of the emergency department for oral health care 3.)inadequate number of or access to oral health providers |
1.)By 2015, increase the number of medical providers applying fluoride varnish from 0 to 20. 2.)By 2013, ensure that dental sealant programs are offered annually in each Jackson County school. (No baseline) 3.)By 2013, establish a more effective system for referring children with a dental exam (grades Kindergarten, second, and sixth grades) to treatment. 4.)By 2015, provide oral health education to 1000 children, adults, and adults over 65. |
1.)lack of perceived value of prevention and oral health 2.)confusion about who qualifies for Medicaid-covered prevention services 3.)prevention services not easily accessible 4.)lack of information on dentists accepting Medicaid |
1.)Collect more specific information on use of emergency department for oral health problems, number of Medicaid patients receiving dental services, the preventative education programming in the county, and school dental exam records. 2.)Annually distribute and promote a web-based referral manual for oral health services to emergency departments, medical providers, WIC and Head Start staff, and school nurses. 3.)Provide American Academy of pediatrics training on applying fluoride varnish and support implementation by medical providers. 4.)Develop and implement education programs for children and adults in targeted audiences (such as African American faith communities, free medical clinic, and public aid office) based on materials from CDC. 5.)Provide dental outreach services to adults 65 and older. 6.)Advocate for changes in the Dental Practice Act and rules for Medicaid reimbursement to expand the role of dental hygienists and mid-level providers in offering preventative services in public settings (for example, fluoride varnish on children). |
| Jackson County Health Dept |
3 |
Sexually Transmitted Diseases/Sexually Transmitted Infections |
1.)By 2015, reduce the rate of Chlamydia cases in Jackson County by 5% to 811.2 per 100,000. (Baseline: rate of Chlamydia cases in Jackson County is 853.9 per 100,000. IDPH, 2008) 2.)By 2015, reduce the rate of gonorrhea cases in Jackson County by 5% to 186.5 per 100,000. (baseline: rate of gonorrhea cases in Jackson County is 196.3 per 100,000, IDPH, 2008) |
1.)sexual behavior and practices 2.)biological 3.)demographic profile 4.)lack of intervention 5.)access |
1.)By 2015, increase by 5% the proportion of sexually active people who use contraception that both effectively prevents unintended pregnancy and provides barrier protection against disease. (Baseline: 68.4% of JCHD Sexual Health Clinic clients report using a condom "sometimes", 18.3% report using a condom "always", Illinois STD/STI Clinic Risk Assessment Survey Responses for JCHD, 2008) 2.)by 2015, increase by 5% the proportion of young adults who have received formal instruction before turning age 18 on reproductive health issues, including all of the following topics: birth control methods, safer sex to prevent HIV, prevention of sexually transmitted disease, and abstinence. (Baseline: As of August 2009, approximately 890 out of 2,924 (30%) of middle/high school students in Jackson County are being taught comprehensive sexuality education. Source: telephone communication between JCHD staff and school staff at a randomized selection of the larger middle/high schools in Jackson County, Summer 2009.) 3.)By 2015, increase by 5% the proportion of sexually active females age 25 years and under who are screened annually for genital Chlamydia infections. (Baseline:30.2% of those females aged 25 years and under who are enrolled in health Alliance from Southern and central Illinois have been screened. Source: Personal communication to Dr. Sherry Jones from Stephanie Werner, health management Coordinator for Health Alliance.) |
1.)being sexually active 2.)sexually active at an early age 3.)perceptions that friends engage in risky sex 4.)cannot see potential consequence to behavior 5.)perceived norm(right passage) 6.)boredom/lack of other options 7.)media, peer or partner pressure 8.)not using or improper use of condoms 9.)multiple partners concurrently and over time 10.)using alcohol or recreational drugs including methamphetamine 11.)men having sex with men 12.)meeting people in public in public places or online for sex 13.)exposure to re-infection 14.)life style of partner/occupation(often away from home) 15.)perception that no symptoms means n disease present 16.)currently having an STD/STI 17.)having a history of STD/STI 18.)failure to notify partner 19.)men using Viagra 20.)media, peer or partner pressure 21.)easy availability of medication 22.)age 23.)being female 24.)asymptomatic nature of STD/STIs 25.)disproportion of African Americans with STD/STIs 26.)low education level 27.)social and economic status 28.)cultural norm/social and environmental setting 29.)lack of awareness about STD/STIs 30.)not obtaining STD/STI screening/refusal to screen 31.)denial 32.)stigma 33.)not able/wanting to confront partner 34.)anal/oral sex perceived safer 35.)perception that if asymptomatic, one does not have STD/STI 36.)timing of education 37.)provide barriers, absence of or incorrect STD/STI diagnoses or reporting 38.)drug resistance 39.)lack of expertise in STD/STI care 40.)state law as barrier to partner therapy 41.)failure to identify that patients are sexually active 42.)perception that their patients are not at risk for STD/STIs 43.)organizational barriers to screening 44.)consent issues for adolescent clients 45.)not obtaining adequate social/health history 46.)lack of proper follow-up of sexual assault survivors 47.)relationship with provider; may not feel comfortable discussing with them 48.)adolescent barriers 49.)lack of independent insurance 50.)concern about confidentiality/parent notification 51.)fear of exam 52.)parental involvement at time of exam 53.)lack of access to condoms 54.)lack of screening by pediatricians 55.)denial by parents 56.)STD/STI education provided late 57.)education not comprehensive K-12 57.)lack of transportation 58.)sexual assault 59.)survivor not seeking treatment immediately 60.)denial of experience 61.)lack of disclosure to the provider 62.)treatment may trigger additional trauma to patient 63.)lack of follow up by provider after an assault 64.)social and economic status 65.)low level of/no education 66.)low income 67.)population who fall between the cracks 68.)lack of/inadequate insurance 69.)concern about disclosure to insurance company and insurance cost 70.)lack of transportation 71.)marginalization 72.)lack of awareness of local resources 73.)low level of/no education 74.)language barrier 75.)being a migrant 76.)rural settings 77.)proximity to health care services 78.)small population; multiple sex partners over time 79.)live far from community health events 80.)lack of anonymity in health care setting 81.)lack of transportation |
1.)Hold 6 meetings of the Sexual Health (STD/STI Prevention) Action team per year. 2.)Assess programs and policies used for STD/STI education in local junior high/middle schools and high schools. 3.)Assess programs and policies used for STD/STI education in local community organizations providing services to teens (e.g. Boys and Girls Club, churches, Attucks Community Services, Deltas, Murphysboro Youth Center). 4.)Work with community groups and schools to encourage the use of effective, scientifically based comprehensive sexuality education programs. 5.)Assist providers in gaining support from appropriate authorities (e.g. departments of health, school districts, community organizations) to provide comprehensive sexuality education programs. 6.)Assist schools in securing and implementing effective, scientifically based and comprehensive sexuality education programs. 7.)Continue to disseminate information about the free condom distribution sites throughout the county. 8.)Increase the number of condom distribution sites throughout the county. Explore alternative means (e.g., social networking sites) to provide information to the target population. 9.)Conduct personal visits to 10 medical practices in Jackson County to educate physicians and other health care providers regarding recommended standards for STD/STI screening. 10.)Encourage health care providers to assess for risk and protective factors related to STD?STIs in all patients ages 12 and up. 11.)provide STD/STI best practice materials to all health care providers in the county through direct mailing. 12.)Educate providers on implementation of expedited partner therapy. |
| Jasper County Health Dept |
1 |
Access to Care |
1. With the expansion of Medicaid and the implementation of the Affordable Care Act it is critical that we continue recruiting physicians and psychiatrist to Newton and Jasper County. |
1.) Lack of Full-time Primary Care Physicians 2.) Lack of Local Hospital or and Additional Fulltime Primary Health Care Clinic |
1.) Facilitate the establishment of one additional full time primary care physician and one part time psychiatrist in the Jasper County area by the year 2017. 2.) By the year 2017, encourage part time clinics to consider placing a full-time physician in their clinic. 3.) Reduce the ratio of Medicaid enrollees to Medicaid Physician Vendors in Jasper County by year 2017. |
1.) recruitment 2.) Low Income potential 3.) Lifestyle and Culture 4.) Lack of fulltime physicians 5.) Funding costs 6.) Community Organization 7.) Inability to attract and retain physicians 8.) Lack of economic incentives 9.) Proactive startup costs 10.) Lack of client insurance 11.) Low Medicaid and Medicare rates 12.) buildup of client caseload 13.) Quality of life issues 14.) Language barriers 15.) Lack of cultural activities 16.) Low income area 17.) Lack of cultural diversity 18.) Recruitment tactics 19.) working capital 20.) Government grants and loans 21.) lack of community funding and investments 22.) Desire for more medical care 23.) Community recruitment 24.) Lack of community involvement |
1.) Enlist the assistance of the Board of Health and solicit support from the community. 2.) Contact area students who are attending medical school to inquire on their interested in returning to Jasper County to serve our community. 3.) Make contact with area hospitals to notify them of our interested in obtaining a full time physician and a part time psychiatrist for Jasper County. 4.) Promote the advantages of working and living in Jasper County. |
| Jasper County Health Dept |
2 |
Cancer |
1.) By the year 2017 reduce death from cancer to the age-adjusted rate of 210.0. |
1.) Lifestyle Choice 2.) Environmental |
1.) Increase the number of residents who have routine medical care with a physician each year. Based upon Illinois Behavioral Risk Factor Surveillance System (BRFSS) 34.3% of Jasper County residents had not been seen by a physician in more than one year. 2.) Decrease the number of individuals over the age of 40 who have never had a mammogram. According to BRFSS (2007-2009), 18.9% of women over the age of 40 years had never had a mammogram. 3.) Increase the number of men over the age of 40 who have been screened for Prostate Cancer through a PSA and Digital Rectal Exam. Based on BRFSS (2007-2009), 63.4% of women over the age of 40 years had received a PSA test and 68.7% had received a digital rectal exam. 4.) By 2017 increase the number of Jasper County adults who have been screened for colorectal cancer by a colon/sigmoidoscopy. Based upon BRFSS (2007-2009) only 58.8% of individuals over the age of 50 years had been screened. 5.) Reduce the number of residents who smoke. In 2005 20.9% of residents surveyed by BRFSS were smokers. Based upon 2007-2009 BRFSS data, 16.3% of those surveyed smoked. By 2017 our goal is to reduce the number of smokers to 13%. |
1.) Tobacco use 2.) Stress 3.) Social Pressures 4.) Physical Addiction 5.) High Fat diet 6.) Learned food preparation at home 7.) Lack of nutritional education 8.) Convince of fast food 9.) Absence of routine 10.) Annual Physical Exams 11.) Lack of local physicians 12.) lack of finances 13.) lack of transportation 14.) Second hand smoke 15.) Tobacco Smoke 16.) Chemicals and Toxic Waste 17.) unsafe drinking water 18.) Excessive skin exposure 19.) unsafe storage and disposal of chemicals 20.) High agricultural occupations 21.) Lack of knowledge 22.) Outdoor recreational activities |
1.) Our public health educator will address the importance of routine health checks while doing public speaking presentations. Routine visits with a physician will also be stressed by staff nursing during WIC/FCM visits, to those in our office for blood pressure, blood sugar and cholesterol screenings, to those obtaining lab work and during our local health fairs. 2.) Jasper County Health Department will host on a monthly basis the mobile mammography van from Sarah Bush Lincoln Hospital. The van will be located on the health department parking lot to provide mammography screenings to the public and with the assistance of the Breast and Cervical Cancer program can offer low cost or free screenings to those eligible. We will also host the mobile van at our annual health fair. At all times, the mobile van is able to accept both appointments and walk-in clients. Breast cancer awareness will be addressed during our public speaking engagements, at school health classes and through our local Jasper County Cancer Support Group. 3.) PSA screenings will be offered at our department monthly with no appointment necessary. We will also offer free PSA screenings on an annual basis both at our office and at a local business employing many individuals through an endowment from the Health Improvement Association (HIA). Through advertisement and making PSA screening easily accessible we will work to increase the number of residents who have regular screening. All clients will be educated on the importance of a digital rectal exam in addition to the PSA screening. 4.) Education during our public speaking presentations will be given on the importance of a colonoscopy after the age of 50 years and sooner if recommended by a personal physician. Handouts will be available explaining the importance and the procedure in the health department office lobby and during health fairs and Cancer Support events. 5.) Through our tobacco cessation program we will work to decrease the number of individuals who currently smoke. The Illinois Tobacco Quit line will be promoted along with assistance from the state for patches. Advertising of the Quit line will be provided throughout the county and information will be available to all who seek services at the health department. |
| Jasper County Health Dept |
3 |
Heart Disease |
1.) Extend the length of quality life for those who live with heart disease. By the year 2017, reduce death from heart disease to the age-adjusted rate of 190.0. |
1.) Lifestyle Choice 2.) Heredity |
1.) Increase the number of residents who have routine medical care with a physician each year. Based upon Illinois Behavioral Risk Factor Surveillance System (BRFSS) 34.3% of Jasper County residents had not been seen by a physician in more than one year. 2.) Increase the number of residents who have regular cholesterol screening. Based upon CDC NCHS Data 68% of adults age 20 and over had their cholesterol checked within the preceding 5 years. 3.) Increase the percentage of individuals who regularly exercise. Based upon BRFSS 64.6 % of individuals exercise to control their weight. 4.) Reduce the number of residents who smoke. In 2005 20.9% of residents surveyed by BRFSS were smokers. Based upon 2007-2009 BRFSS data, 16.3% of those surveyed smoked. By 2017 our goal is to reduce the number of smokers to 13%. |
1.) Smoking 2.) Stress 3.) Social Pressures 4.) Physical Addiction 5.) High Fat diet 6.) Learned food preparation at home 7.) Lack of nutritional education 8.) Convince of fast foods 9.) Sedentary Lifestyle 10.) Lack of exercise 11.) occupation 12.) lack of knowledge of importance 13.) High Cholesterol 14.) Hypertension 15.) Diabetes 16.) Genetics 17.) High Fat Diet 18.) High Sodium Diet 19.) Infrequent blood pressure monitoring 20.) Genetics 21.) High sugar diet 22.) Lack of exercise |
1.) Through education, Jasper County Health Department will take steps to increase the number of individuals routinely seen by local physicians. The importance of regular health screenings and checkups will be stressed during education sessions at the local rotary club, home extension groups, senior center, schools, health fairs and during office visits. 2.)Cholesterol screenings will be offered at our department monthly with no appointment necessary. We will also offer free cholesterol screenings on an annual basis both at our office and at a local business employing many individuals. Through advertisement and making cholesterol screening easily accessible we will work to increase the number of residents who have regular screening. 3.) Public Health nurses will address the importance of physical activity to the following groups of individuals: WIC & FCM clients, clients who visit our office for blood pressure, blood sugar and cholesterol screenings, individuals who visit our office for lab work and during public health education sessions. 4.) Through our tobacco cessation program we will work to decrease the number of individuals who currently smoke. The Illinois Tobacco Quit line will be promoted along with assistance from the state for patches. Advertising of the Quit line will be provided throughout the county and information will be available to all who seek services at the health department. |
| Jefferson County Health Department |
1 |
Infant Mortality & Morbidity |
By the year 2016, reduce the annual number of infant mortality. (1) Baseline = 2002 Jefferson County fatality data (2). |
1.) Low birth weight babies 2.) Decreased prenatal care. 3.) SIDS |
1.) By the year 2016, reduce the number of low birth weight babies in Jefferson County by 25% (37) Baseline = (49) (IPLAN, 2006 2.) By year 2016, increase the number of women receiving early Prenatal care, entering the 1st trimester, in Jefferson County by 15% (531) Baseline = (483), (IPLAN, 2006) 3.) By year 2016 reduce the number of SIDS deaths by 15% (4), Baseline = (5), (Actual deaths from SIDS, 2011) |
"1.) Teen pregnancy 2.) Drugs and alcohol 3.) Tobacco 4.) Lack of physicians 5.) Financial constraints 6.) Delay in the onset of care 7.) lack of self esteem8.) lack of nutrition 9.) lack of family10.) peer pressure 11.) lack of education 12.) availability 13.) addiction 14.) increased malpractice 15.) rural area 16.) no medical benefits17.) lack of paying jobs18.) increased cost of insurance 19.) denial 20.) decreased knowledge of importance21.) fear. |
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| Nutrition, co-sleeping, environmental factors and early prenatal care will be presented in the community. The agency has and will continue to provide speaking services to the community as well as providing nutrition counseling.2.) Articles on nutrition, prenatal care, drugs and alcohol as they relate to pregnancy will be put in the newspaper. The agency has continued to provide articles to local media outlets on WIC and Tobacco programs.3.) Health Department personnel will assist pregnant clients with obtaining an OB physician. The department continues to be a referral resource for clients and the public at large.4.) Health Department personnel will educate clients and the community on the importance of abstinence to prevent teen pregnancy. Through our outreach education services and HIV programming we continue to stress that abstinence is the best way to prevent pregnancy.5.) Promote family planning to the community leaders. While we don't offer the family planning services, we utilize our HIV and medical partners as outlets to provide education and resources. 6.) Health Department personnel will work with the community schools to integrate into their curriculum programs to help teens build skills to prevent pregnancy. While little was done in the previous IPLAN period, the department will continue to work with the schools to implement such a program. 7.) Develop a resource and referral list of providers and services offered. Distribute this list to care providers in the County. The agency continues to use its annual report and provider meetings to distribute this information.8.) Health Department personnel will educate women and pregnant clients on issues of drugs, alcohol, and tobacco use as well as the lack of adequate prenatal care as it pertains to infant mortality and morbidity. The agency has and will continue to provide counseling and programming aimed at educating women on the perils of smoking, drinking and using drugs. 9.) Health Department personnel will assess clients for eligibility for services such as DHS, DCFS, WIC, FCM, Comprehensive Services, etc. The agency continues to provide these services.10.) The LHD will develop outreach strategies to reach out to segments of the population who enter pre-natal care late. We are a registration point for All Kids, WIC and FCM. |
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| Jefferson County Health Department |
2 |
Lung Cancer |
By the year 2017, reduce the annual number of lung cancer cases in Jefferson County by 20% (25). Baseline = (IPLAN, 2006, ICD-10)(29). |
Tobacco use |
"1. By the year 2017, reduce the number of people that smoke in Jefferson County by 5% (7,748). Baseline = 2010-2011 BRFSS Rural County data (22.9%, (8,156) of adults. |
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1.) lack of public education 2.) physical addiction 3.) advertising 4.) lack of funding 5.) lack of priority 6.) lack of community interest 7.) social pressure to smoke 8.) levels of nicotine in tobacco 9.) frequency of use 10.) lack of restriction 11.) lack of disincentives for advertisers. |
1.) Develop community resource and referral list regarding lung cancer and smoking cessation. The Jefferson County Health Department coordinates the Jefferson County Tobacco Free Coalition as well as the Teen Reality Coalition.2.) Offer smoking replacement alternatives and information for the general public. We continue to refer inquires to resources in the community for these services as well as publicizing the Illinois Quit Line.3.) Work with local schools to provide "Don't Smoke" education that concentrates on the hazards of smoking. The agency has a very active tobacco program which includes the Jefferson County Tobacco Free Coalition and Teen Reality chapter. We continue to provide education and resources to the schools through partnerships.4.) Place "cool" non-smoking advertisements at schools to emphasize the "why start" attitude. The agency has continued to use Teen Reality intervention messages in the schools. We currently have partnered with several school districts for joint tobacco education programs.5.) Work with schools to promote stiffer penalties for those found smoking or in possession on school grounds. We continue to work with the Mission Possible grant to help craft school policies.6.) Offer educational classes and information regarding hazards of smoking to general public and to Health Department clientele. We continue to get the message of smoking perils out through our Tobacco programming and Moms To Be programs. 7.) Participate in and promote a "No Smoking Day" "Great American Smoke Out " "Kick Butts Day. We continue this in partnership with local schools through our Teen Reality Grant and Tobacco Free Council.8.) Enforcement of the SFIA. |
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| Jefferson County Health Department |
3 |
Cardiovascular Disease |
" By the year 2016, reduce the annual number of cardiovascular disease mortality cases by 10% (96). Baseline = 2008 Jefferson County Mortality |
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1.) elevated cholesterol 2.) Hypertension |
"Risk Factor - Elevated Cholesterol |
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| 1.) By the year 2016, reduce the number of people with elevated Cholesterol levels by 10%(1093). Baseline = 2010-2011 BRFSS Data (10,939) |
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| 2.)By year 2016, reduce the number of people with elevated blood pressure readings by 10% (1,138). Baseline= 2010-2011 BRFSS Data (11,367) |
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1.) lack of screening and follow-up 2.) diet 3.) physical inactivity4.) obesity 5.) diet. 6.) financial barriers 7.) transportation 8.) lack of understanding 9.) poor eating habits 10.) lack of access to exercise programs. |
1.) Work with community agencies to do lipid screenings and education announcements at their facilities and in the public at large. We continue to provide this service.2.) Participate in health fairs in the community to do lipid screenings and blood pressure checks. The agency continues to participate in community health fairs.3.) Work with organizations to begin promotional walks at the mall. We have and will continue to join forces with the American Heart Association to promote the Wear Red Campaign which promotes heart health awareness.4.) Provide information about diet, lifestyle, and the importance of medical follow-up to those being screened for high cholesterol and blood pressure. The agency continues to provide this resource.5.) Develop a resource and referral list including possible avenues for financial assistance (Medicare, Medicaid, VA, Farm Resources, etc.) and sources for health care and information. The agency continues to use referral lists for such services.6.) Provide referrals and follow-up for those testing high in either area. The agency continues to refer clients as needed or indicated. |
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| Jefferson County Health Department |
4 |
Obesity |
By the year 2016, reduce the number of Jefferson County residents who are considered obese by 10%. (Jefferson County 20.5%, Illinois 19.5%) (IPLAN, 2006) |
1.) lack of exercise 2.) lack of proper nutrition. |
"Risk Factors - Lack of Proper Exercise and Lack of Proper Nutrition |
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| 1.) By the year 2016 increase the number of residents who achieve recommended exercise levels by 10%. (Jefferson County (9,059)) (BRFS Data, 2010-2011) |
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| 2.) By the year 2016 increase the number of residents who achieve well balanced eating habits by 10%. |
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1.) lack of low impact exercise opportunities 2.) lack of non-competitive sports 3.) technology/lifestyles 4.) on the go lifestyles 5.) lack of knowledge 6.) lack of initiation or duration of breast feeding 7.) knowledge 8.) opportunity 9.) willingness 10.) safety11.) job duties 12.) values 13.) peer pressure 14.) socio-economics 15.) convenience 16.) early education17.) age of mothers 18.) lack of proper supervision19.) availability 20.) lack of Breast Feeding marketing. |
"1.) Work with local schools to implement exercise and nutrition programming. 2.) Provide nutrition and exercise information to new mothers 4.) Work with the city to bring low impact exercise facilities or programs to residents 5.) Provide exercise and nutrition information to the population at large 6.) Work with school to implement balanced and nutritional meals 7.) Work with schools to implement low impact activities for non-athletic participants 8.) We Choose Health Grant |
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| Jefferson County Health Department |
5 |
Diabetes |
By the year 2016 reduce the disease and economic burden of diabetes and improve the quality of life for all persons who have, or are at risk for diabetes. |
1.) obesity 2.) medical complications. |
"Risk Factor - Obesity By the year 2016 increase the number of residents who achieve recommended exercise levels by 10%. (Jefferson County (9,059)) (BRFS Data, 2010-2011) |
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| 2. By the year 2017 increase the number of residents who visit their doctor by 10% (6,658). Baseline = 6058 (BRFSS Data, 2010-2011) |
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| 3.) By the year 2017 increase the number of residents who are medication complaint by 10%. 4.) By the year 2017 increase the number of residents who are tested for diabetes by 15 %. |
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1.) lack of exercise 2.) lack of understanding of good nutrition3.) diet 4.) medication non-compliance 5.) undiagnosed 6.) other health problems. 7.) lack of access to exercise equipment 8.) lack of education 9.) lack of mobility 10.) financial barriers 11.) poor eating habits 12.) culture 13.) no insurance or poor coverage14.) denial 15.) lack of education 16.) life style change mandates 17.) medication non-compliance 18.) poor health status 19.) lack of knowledge on how diabetes contributes and worsens other medical conditions. |
1.) Educational presentations regarding the importance of proper nutrition and proper exercise will be presented in the community. The agency has and will continue to provide speaking services to the community as well as providing nutrition/exercise counseling.2.) Utilize media outlets to increase awareness of diabetes.3.) Collaborate with the American Diabetic Association to promote diabetes education.4.) Work with local physicians and hospitals to promote the importance of medication compliance.5.) Continue and better promote the diabetes self management program offered at JCHD.6.) Provide the diabetes self management program materials to the local libraries for better information access to the residents of the county.7.) Promote Diabetes Awareness Day. |
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| Jersey County Health Dept |
1 |
Respiratory Disease |
1.)By 2015, the lung cancer crude mortality rate will decrease to 50 per 100,000 in Jersey County. (Baseline: IPLAN Data for Jersey County indicates the crude mortality rate for lung cancer in 2006 was 84.1 per 100,000) 2.)By 2015, the death rate for Chronic Lower Respiratory Disease (CLRD) will decrease to no more than 20 deaths per 100,000 population annually in Jersey County. (Baseline: In 2006, the total CLRD death rate was 30.9 per 100,000 in Jersey County. Source: Quick Health Data Online, CDC) 3.)By 2015, the number of deaths in jersey County from influenza and pneumonia will decrease to no more than 5 deaths annually. (Baseline: IPLAN Data for 2002 to 2006 indicated annual deaths from pneumonia/influenza ranged from low of 0 deaths in 2003 to a high of 11 deaths in 2004 and 2005) |
1.)tobacco smoking 2.)exposure to environmental tobacco smoke 3.)lack of immunization for influenza/pneumonia in high risk populations |
1.)By 2014, tobacco use by adults 18 and older in Jersey County will decrease to 20%. (Baseline: Jersey County 2007 BRFSS indicated 22.8% of adults 18 and older smoked at the time of the survey) 2.)By 2014, the percent of women who smoke during pregnancy will decrease to 18% in Jersey County. (Baseline: Jersey County 2006 IPLAN data indicates 26.4% of women smoked during pregnancy) 3.)By 2014, the percent of adolescents in grades 8, 10, and 12 in Jersey County who smoked cigarettes in the past month will decrease to 20%. (Baseline: The 2006 IDPH Youth Study on Substance Use indicated 22.4% of rural students in grades 8, 10, and 12 used cigarettes in the past month. 4.)By 2014, all women seen in the Maternal-Child Health programs at Jersey County Health Department will receive information on the effects of environmental tobacco smoke on children. (Baseline: In FY 09, 135 women were seen in the WIC program) 5.)By 2014, all establishments covered by the Smoke Free Illinois Act will be in compliance with the Act in Jersey County. 6.)By 2014, the number of adults vaccinated for influenza and pneumonia will increase in the following age groups: In adults age 65+, eighty percent will be vaccinated for influenza and 80% will have been vaccinated for pneumonia.(Baseline: Jersey County BRFSS 2007 indicated 68.1% of adults 65+ were vaccinated for influenza and 67.4% were vaccinated for pneumonia.) In adults ages 18-64, sixty percent will be vaccinated for influenza and 50% will be vaccinated for pneumonia. (Baseline: Jersey County BRFSS 2007 indicated 46.9% of adults 18-64 were vaccinated for influenza and 41.7% were vaccinated for pneumonia) |
1.)underage tobacco use 2.)nicotine addiction 3.)regulation of tobacco 4.)access to tobacco 5.)smoking in home/car 6.)tobacco tax rate 7.)family culture 8.)peer pressure 9.)education levels 10.)habituation 11.)coping technique for anxiety/depressions or other mental health problems 12.)lack of motivation to change behavior 12.)previous failures to change behavior 13.)concerns about vaccination safety 14.)size of high risk population 15.)access to vaccination clinic 16.)past experience with vaccination 17.)personal choice 18.)misinformation about vaccination 19.)prevalence of chronic respiratory diseases 20.)population of children 6mo-18yrs 21.)cost of vaccination 22.)physical. Mental limitations 23.)no health insurance |
1.)Break the Habit, a smoking cessation program, will be provided on a continuous basis in cooperation with the Illinois Tobacco Quit line. 2.)Information on the Illinois Tobacco Quit line will be available in all public areas (lobby area and MCH check-in) at JCHD. 3.)Health care providers (doctors, dentists, hospital) in Jersey County will annually be sent information on Break the Habit, a smoking cessation program available through the JCHD and the Illinois Tobacco Quitline.4.)Smoking prevention education will be provided to 5th grade students in Jersey Community Unit School District using the Tar Wars curriculum. 5.)Public education on risks of tobacco use will be provided annually. 6.)Women seen in Maternal-Child Health programs will be surveyed about smoking and exposure of children to ETS in home or car. 7.)WIC and Family Case managed clients will be educated two times a year on the effects of ETS on nonsmoking family members and encouraged to maintain a smoke-free home. 8.)Pregnant women who smoke seen in WIC will received education on the effects of tobacco smoke on infants before and after birth and will be encouraged to quit smoking at each visit. 9.)All complaints received through Smoke-Free Illinois Act complaint line will be investigated by JCHD personnel. 10.)Corrective action taken or issuance of citations will be documented regarding complaints by JCHD personnel. 11.)Public education on the risks of exposure to ETS will be provided annually. 12.)Adult and child immunization clinics will be provided for influenza vaccinations beginning in October each year prior to the influenza season. 13.)Adult pneumonia vaccinations will be available at each influenza vaccination clinic and at adult immunization clinics throughout the year. 14.)Public education on the benefits of immunization and pneumonia will be provided annually. |
| Jersey County Health Dept |
2 |
Cardiovascular Disease |
1.)Reduce the number of coronary heart disease crude rate deaths to no more than 260 per 100,000 by 2015. (Baseline: Coronary heart disease crude rate death rate 2006, 274.5 per 100,000 population) 2.)Reduce the number of Cerebrovascular crude rate deaths to no more than 48 per 100,000 population by 2015. (Baseline:48.7 per 100,000 crude rate deaths from Cerebrovascular disease in 2006) |
1.)tobacco use 2.)exposure to ETS 3.)obesity/overweight 4.)high blood pressure 5.)physical inactivity 6.)diabetes 7.)high blood cholesterol |
1.)By 2014, tobacco use by adults 18 and older in Jersey County will decrease to 20%. (Baseline: Jersey County 2007 BRFSS indicated 22.8% of adults 18 and older smoked at the time of the survey) 2.)By 2014, the percent of women who smoke during pregnancy will decrease to 18% in Jersey County. (Baseline: Jersey County 2006 IPLAN data indicates 26.4% of women smoked during pregnancy) 3.)By 2014, the percent of adolescents in grades 8, 10, and 12 in Jersey County who smoked cigarettes in the past month will decrease to 20%. (Baseline: The 2006 IDPH Youth Study on Substance Use indicated 22.4% of rural students in grades 8, 10, and 12 used cigarettes in the past month. 4.)By 2014, all women seen in the Maternal-Child Health programs at Jersey County Health Department will receive information on the effects of environmental tobacco smoke on children. (Baseline: In FY 09, 135 women were seen in the WIC program) 5.)By 2014, all establishments covered by the Smoke Free Illinois Act will be in compliance with the Act in Jersey County. 6.)By the year 2014, overweight and obesity in jersey County will decrease to 57% in the population. (Baseline: 2007 BRFSS data for Jersey County indicated 69.9% of those surveyed were overweight or obese) 7.)By the year 2014, the number of adults in Jersey County told they had high blood pressure will decrease to 30%. (Baseline: 2007 Jersey County BRFSS indicated 33.&5 of those surveyed had been told they had high blood pressure) 8/)By 2014, the number of diabetes related deaths in Jersey County will decrease to 15. (Baseline: In 2009, of 146 death certificates for Jersey County residents, diabetes was listed 20 times) 9.)By 2014, the percent of Jersey County adults participating in moderate physical activity for 30 minutes five or more days per week will increase to 50%. (Baseline: 2007 Jersey County BRFSS found 40.5% of those surveyed participated in moderate physical activity for 30 minutes 5 or more days per week) 10.)By 2014, the percent of adults age 18 and older told they had a high blood cholesterol will decrease to 23.0%. (Baseline: 2007 jersey County BRFSS indicated 36.3% of those surveyed had been told they had high blood cholesterol) |
1.)nicotine addiction 2.)underage tobacco use 3.)denial of health effects 4.)family culture 5.)cost 6.)access 7.)technology 8.)time constraints 9.)lack of education 10.)coping strategy 11.)recreational choices 12.)lack of screening 13.)lifestyle preference 14.)safety 15.)sidewalks 16.)traffic 17.)daylight 18.)high processed foods 19.)family genetic risk |
1.)Break the Habit, a smoking cessation program, will be provided on a continuous basis in cooperation with the Illinois Tobacco Quit line. 2.)Information on the Illinois Tobacco Quit line will be available in all public areas (lobby area and MCH check-in) at JCHD. 3.)Health care providers (doctors, dentists, hospital) in Jersey County will annually be sent information on Break the Habit, a smoking cessation program available through the JCHD and the Illinois Tobacco Quitline.4.)Smoking prevention education will be provided to 5th grade students in Jersey Community Unit School District using the Tar Wars curriculum. 5.)Public education on risks of tobacco use will be provided annually. 6.)Women seen in Maternal-Child Health programs will be surveyed about smoking and exposure of children to ETS in home or car. 7.)WIC and Family Case managed clients will be educated two times a year on the effects of ETS on nonsmoking family members and encouraged to maintain a smoke-free home. 8.)Pregnant women who smoke seen in WIC will received education on the effects of tobacco smoke on infants before and after birth and will be encouraged to quit smoking at each visit. 9.)Smoking prevention education will be provided to 5th grade students in jersey Community Unit School District using the Tar Wars curriculum. 10.)All complaints received through Smoke-Free Illinois Act complaint line will be investigated by JCHD personnel. 11.)Corrective action taken or issuance of citations will be documented regarding complaints by JCHD personnel. 12.)Clients seen in Maternal-Child Health programs will receive education on the importance of maintaining normal weight through proper nutrition and daily moderate physical activity. 13.)Jersey County Health Department will cooperate with other community organizations to provide education programs on weight control and physical activity each year. 14.)Clients screened each year for hypertension and those being monitored for hypertension will receive education and counseling on the associated increase risk for cardiovascular disease. 15.)Clients screened each year for high blood sugar will receive education and counseling on the risks of diabetes and the associated risk for cardiovascular disease. 16.)Clients screened each year for high blood cholesterol will receive education and counseling on the risks of high blood cholesterol and the associated risk for cardiovascular disease. 17.)At least one newspaper article or radio interview will be presented annually on cardiovascular disease and the associated risk factors of tobacco use and exposure to ETS, overweight/obesity, physical inactivity, hypertension, high blood cholesterol and diabetes. |
| Jersey County Health Dept |
3 |
Overweight, Obesity and Type II Diabetes |
1.)By 2015, the number of adults who are overweight or obese in Jersey County will decrease to 60% and the number of normal weight adults will increase to 40%. (Baseline: 2007 Jersey County BRFSS data indicated 69.9% of those surveyed were overweight or obese and 30.1% were at normal weight) 2.)By 2015, the percent of jersey County residents told they had diabetes will decrease to 10%. (Baseline: 2007 Jersey County BRFSS data indicated 12.5% of those surveyed had been told they had diabetes) |
1.)overweight 2.)obesity 3.)physical inactivity 4.)family history 5.)gestational diabetes 6.)metabolic syndrome 7.)economic factors 8.)poor nutrition 9.)built environment 10.)social influences 11.)medical conditions 12.)family influences |
1.)By 2014, the percent of Jersey County adults participating in moderate physical activity for 30 minutes five or more days per week will increase to 50%. (Baseline: 2007 Jersey County BRFSS found 40.5% of those surveyed participated in moderate physical activity for 30 minutes 5 or more days per week. 2.)By 2014, the percent of Jersey County residents eating 5 or more servings of fruits and vegetables per day will increase to 15%. (Baseline: 2007 Jersey County BRFSS indicated 11% of adults 18 and older ate 5 or more servings of fruits and vegetables per day.) 3.)By the year 2014, the number of adults in Jersey County told they had high blood pressure will decrease to 30%. (Baseline: 2007 Jersey County BRFSS indicated 33.7% of those surveyed had been told they had high blood pressure) 4.)By 2014, the percent of adults age 18 and older told they had a high blood cholesterol will decrease to 23.0%. (Baseline: 2007 Jersey County BRFSS indicated 36.3% of those surveyed had been told they had high blood cholesterol.) |
1.)recreational choices 2.)access to safe areas 3.)time constraints 4.)personal income 5.)access to health care 6.)community resources 7.)lack of nutrition education 8.)increased calorie consumption 9.)low fruit and vegetable consumption 10.)lack of public transportation 11.)number of recreational facilities 12.)number of fast food restaurants 13.)family 14.)friends 15.)community culture 16.)hormone imbalance 17.)medication side affects 18.)sleep apnea 19.)deprivation 20.)age 21.)gender 22.)marital status 23.)acceptance of condition 24.)preexisting health conditions 25.)metabolism 26.)lack of effective treatment options 27.)rural area |
1.)Clients seen in MCH programs will receive education on weight control, physical activity and eating 5 or more servings of fruits and vegetables each day at each office visit. 2.)JCHD will work with other community organizations to provide education programs on weight control and physical activity each year. 3.)JCHD will annually work with local agencies to provide a local farmer's market to promote consumption of fruits and vegetables. 4.)Blood pressure screenings will be provided weekly and monthly with cholesterol and blood sugar screenings. 5.)Cholesterol screenings will be provided monthly and weekly in February and September. 6.)Blood sugar screenings will be provided with cholesterol screenings in November. 7.)At least one news article or radio interview will be presented annually on the risk factors for overweight and obesity and on type II diabetes. |
| Jo Daviess County Health Dept |
1 |
Obesity |
1.)Reduce proportion of people who are obese. 2.)Reduce proportion of children and adolescents who are overweight or obese. |
1.)family history 2.)lack of activity 3.)financial |
1.)By November 30th 2015 Jo Daviess County will establish a Jo Daviess County Obesity Coalition to explore research based interventions for obesity with a focus on prevention. 2.)The Jo Daviess County Board of Health will be updated on an annual basis, at one of the six boards of health meetings, on progress and activities of the Jo Daviess County Obesity Coalition, as verified by Jo Daviess County Board of Health meeting minutes 2010 to 2015. |
1.)environmental 2.)food as a reward 3.)education level 4.)social isolation 5.)mental illnesses 6.)lack of motivation 7.)unsecure/dangerous environment 8.)under/no insurance 9.)alcohol/substance abuse 10.)no parental supervision 11.)convenience foods 12.)fast foods 13.)low income 14.)limited time 15.)convenience 16.)lack of domestic skills 17.)psychotropic meds |
1.)Jo Daviess County has a variety of Medical and human resource agencies that will be invited to participate in the Jo Daviess County Obesity Committee including Midwest Medical Center (the county local critical access hospital), 9 county physicians, 4 dentists, and 6 school districts, 3 private or parochial schools and the Jo Daviess County Extension office and several fitness offices or programs and numerous civic groups. |
| Jo Daviess County Health Dept |
2 |
Intimate Partner Personal Violence |
1.)By November 30th, 2015, Jo Daviess County will show a decrease in cases of interpersonal violence by 5% based on data in the most current Illinois Youth Survey as well as data from the Illinois Behavioral Risk Factor Survey, as well as local data from individual agency reports. This would be based on a five year average. |
1.)financial problems 2.)intergenerational violence 3.)lack of access to mental health services |
1.)By November 30, 2015 Jo Daviess County will establish a mechanism to identify cases of interpersonal violence through a consistent computerized software system that would track cases that would be used by all authorized reporting agencies in Jo Daviess County. |
1.)unemployed/underemployed 2.)alcohol/substance abuse 3.)lack of transportation 4.)public transportation 5.)low self-esteem 6.)no support system 7.)social isolation 8.)social stigma 9.)lack of education 10.)shortage of mental health providers 11.)no/low insurance coverage 12.)lack of funding for mental health services 13.)lack of mentors 14.)no organizations locally (Boys & Girls Clubs) |
1.)The mental health agencies in Jo Daviess County will make a united effort to educate the 708 board on the identification of Interpersonal Violence as a priority health issue for the 2010-2015 Jo Daviess County Needs Assessment so that the Board understands the need for staff and resources to address the issue on a county wide level. |
| Jo Daviess County Health Dept |
3 |
Breast Cancer |
1.)Jo Daviess County Health Department will continue to work with the Stephenson Health Department Well Woman Program to promote mammography screening to at least 90 women a year, based on income guidelines. This program will be promoted through all the public health nursing programs at the health department. The intent would be to increase the number of women served by 10% a year. (10% in 2010, 20% in 2011, 30% in 2012, 40% in 2013, 50% in 2014, and 56% in 2015). This percentage is based on the 2010 grant allocation for Jo Daviess County which is 95 women and may be modified if the allocation changes each grant year. |
1.)race 2.)genetics 3.)age |
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1.)not knowing risk 2.)Hispanic race 3.)lack of access to screening 4.)family history 5.)lack of medical provider 6.)lack of support system 7.)poor diet 8.)overweight 9.)unwillingness to do self breast exam 10.)alcohol abuse 11.)poor self esteem 12.)lack of insurance 13.)lack of transportation 14.)distance to get to provider 15.)fear of cancer diagnosis 16.)lack of primary care provider 17.)lack of specialty medical provider 18.)high cost of co-pay 19.)no education on prevention 20.)lack of understanding of nutrition 21.)dependency on fast food 22.)self breast exam not a priority 23.)fear of mammogram screening 24.)alcohol dependency 25.)lack of education |
1.)Jo Daviess county Health Department will continue to participate in the regional cervical and breast cancer grant awarded to Jo Daviess County. The health department will continue to send a representative to the quarterly meetings that are held at the Stephenson County health Department in Freeport, Illinois. This will be verified through written attendance in the meeting minutes of the Wise Woman Program at Stephenson County Health Department. |
| Jo Daviess County Health Dept |
4 |
Prostate Cancer |
1.)By November 30, 2015, the number of men who seek early detection for prostate cancer will increase by 7%, based on the most current Jo Daviess County Behavioral Risk Factor Survey questions. "have you had a PSA test? " and "Have you had a digital rectal exam?" Hopefully, 67% of those responding will have had a PSA in the last year by 2015 and 87% over the age of 40 will have had a rectal exam. |
1.)age 2.)genetics |
"1.) Between December 1, 2010 and November 30, 2015, the public in Jo Daviess County will be educated about the risk factors of prostate cancer through the use of the media, local newspapers, American Cancer Society brochures, and other methods in order to promote prostate cancer screening . 2.) Develop a collaborative relationship with Midwest Medical Center to explore the feasibility of establishing a county-wide screening to provide lab Work (PSA's) for men who are asymptomatic and are in the high risk category for prostate cancer. Potentially, these screenings provided by the Jo Daviess County Health Department and Midwest Medical Center could be offered semi annually at various sites within the county for a reasonable fee. and be offered county wide |
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1.)over the age of 50 2.)family history 3.)risk increases with age 4.)inherited genetic factor 5.)environmental toxins 6.)lack of primary care provider 7.)lack of knowledge of risk factor 8.)lack of access to care 9.)no insurance 10.)high deductible 11.)fear of doctor 12.)unwillingness to attend screening 13.)poor transportation 14.)diet high in red meat 15.)obesity elevated BMI 32.5 or higher 16.)dairy products increased use 17.)lifestyle 18.)sedentary lifestyle 19.)lack of exercise 20.)African origins |
1.)Between December 1, 2010 and November 30, 2015, the public in Jo Daviess County will be educated about the risk factors of prostate cancer through the use of media, local newspapers, American Cancer Society brochures, and other methods in order to promote prostate cancer screening. 2.)Develop a collaborative relationship with Midwest Medical Center to explore the feasibility of establishing a county-wide screening to provide lab work (PSA's) for men who are asymptomatic and are in the high risk category for prostate cancer. Potentially, these screenings provided by the Jo Daviess County Health Department and Midwest Medical Center could be offered semi annually at various sits within the county for a reasonable fee and be offered county wide. |
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| Kane County Health Dept |
1 |
Support Health Behaviors that Promote Well-being and Prevent Disease |
"1. Reduce tobacco use and exposure to environmental tobacco smoke. |
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| 2. Increase access to and consumption of, fresh fruits and vegetables. |
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| 3. Coordinate the effective communication of tailored, accurate and actionable health information to Kane County residents across their lifespan. |
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| 4. Create environments that prevent excessive consumption of alcohol. |
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"1.) Physical Inactivity |
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| 2.) Unhealthy Diet |
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"1.) Measure: Percentage of Kane County adults (over age 18) who report being current smokers. Current smoking was defined as having smoked at least 100 cigarettes in a lifetime and still smoking some days or every day. |
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| 2011 Baseline: 12% of Kane County adults report smoking cigarettes currently |
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| 2016 Goal: Decrease percent of adults |
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| who currently smoke to 9% 2.) Measure: Percentage of Kane County adults who report eating at least five servings of fruits and vegetables per day. |
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| 2011 Baseline: 14.4% of adults 25.5% of children |
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| 2016 Goal: 17.3% for adults 30.6% for children " |
"1.) Social norms and cultural values |
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| 2.) Overweight & obesity viewed positively |
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| 3.) Perceived lack of time |
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| 4.) Dominance of motorized transport |
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| 5.) Walk ability of community & environment |
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| 6.) Limited or no healthy options available |
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| 7.) Limited restaurant nutritional information |
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| 8.) Not breastfeeding |
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| 9.) Healthy options cost more |
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| 10.) Limited active transport |
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| 11.) Limited access to fresh fruits & vegetables |
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| 12.) Poor food literacy |
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| 13.) Sedentary lifestyle |
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| 14.) Low levels of physical activity |
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| 15.) Learned patterns of unhealthy behaviors from family and/or friends |
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| 16.) Abundance of unhealthy options (i.e. fast food) |
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| Kane County Health Dept |
2 |
Increase Access to High Quality, Holistic and Preventive Treatments Across the Health Care System |
"1.) Increase the proportion of residents of all ages that have regular, ongoing sources of medical and dental care. |
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| 2.) Enhance systems to support the prevention, early identification and treatment of communicable diseases in the community. |
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| 3.) Increase the proportion of residents of all ages who receive appropriate, evidence-based clinical preventive services. |
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| 4.) Enhance systems to support the prevention, early identification and evidence-based treatment of mental health conditions. |
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| 5.) Focus culturally appropriate outreach and engagement efforts to eliminate racial disparities in health outcomes, especially in infant mortality. |
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"1.) Physical Inactivity |
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| 2.) Unhealthy Diet |
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| 3.) Alcohol Consumption |
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| 4.) Uncontrolled Hypertension |
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"1.) Measure: The percent of adult population that reports having a personal doctor or health care provider. |
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| 2011 Baseline: 83.6% of adults |
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| 2016 Goal: 88% of adults 2.) Measures: Hospitalization rate for diabetes per 100,000 residents. The percent of two-year olds |
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| who receive age-appropriate immunizations. |
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| 2011 Baseline: 138 hospitalizations for diabetes per 100,000 residents (2009) |
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| 56% of two-year olds received age-appropriate immunizations (2010). |
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| 2016 Goal: 100 hospitalizations for diabetes per 100,000 residents |
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| ? 75% of two-year olds receive age-appropriate immunizations" |
"1.) Sedentary lifestyle Limited or no physical activity at work |
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| 2.) Lack of knowledge or education about importance of physical activity |
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| 3.) Increase in screen time |
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| 4.) Limited restaurant nutritional information |
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| 5.) Not breastfeeding |
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| 6.) Social norms and cultural values |
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| 7.) Overweight & obesity viewed positively |
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| 8.) Learned patterns of unhealthy behaviors from family and/or friends |
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| 9.) Social and cultural factors Easy access to alcohol |
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| 10.) Chronic Disease |
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| 11.) Perceived lack of time |
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| 12.) Dominance of motorized transport |
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| 13.) Limited active transport Walk ability of community & environment |
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| 14.) Perceived dangers and safety concerns |
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| 15.) Limited access to fruits and vegetables Limited or no healthy options available |
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| 16.) Abundance of unhealthy options (i.e. fast food) |
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| 17.) Advertising |
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| 18.) Unhealthy Diet |
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| 19.) Poor food literacy Nutrition education is low priority |
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| 20.) Health Problem |
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| 21.) Environment that encourages excessive drinking |
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| 22.) Alcohol Consumption Easy access to alcohol |
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| 23.) Physical Inactivity Low levels of physical activity Parental modeling |
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| 24.) Beginning drinking at an early age |
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| 25.) Family history |
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| 26.) Parents who are alcoholic |
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| 27.)No alcohol restriction in the family for under-aged family members |
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| Kane County Health Dept |
3 |
Support and Create Health Promoting Neighborhoods, Towns & Cities |
"1.) Increase the availability and variety of high quality, safe and affordable housing and compact, mixed-use development. |
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| 2.) Assure access to safe playgrounds, parks, trails and open space. |
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| 3.) Institute "complete streets" types of policies to ensure that roadways are designed and operated with all users in mind -including bicyclists, public transportation vehicles and riders, and pedestrians of all ages and abilities. |
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| 4.) Assure access to safe food and clean and safe water and air. |
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See plan on website |
"Measure: The percent of Kane County adults who meet the recommended level of physical activity. The percent of Kane County adults who are considered obese as measured by their Body Mass Index (BMI). |
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| 2011 Baseline:53.5% of adults meet physical activity recommendations. 29.4% of adults are considered obese. |
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| 2016 Goal: 64% of adults meet physical activity recommendations 26% of adults are considered obese" |
"1.) Teen pregnancy |
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| 2.) Low perceived risk of drug or alcohol use |
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| 3.) Lack of commitment to school |
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| 4.) Tobacco use |
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| 5.) Mental health status |
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| 6.) Access to tobacco products |
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| 7.) No daycare |
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| 8.) Limited education about importance |
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| 9.) Poor health status |
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| 10.) Lack of prenatal care |
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| 11.) Lack of transportation |
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| 12.) Low self esteem |
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| 13.) Truancy |
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| 14.) Teen pregnancy Inadequate after school programs |
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| 15.) Sexual promiscuity |
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| 16.) Low SES |
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| 17.) Lack of family support |
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| 18.) Smoking |
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| 19.) Stress |
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| Kane County Health Dept |
4 |
Promote Social, Economic and Educational Environments that Optimize Health |
"1.) Increase the proportion of children who have high-quality early developmental support, especially in child care and education. |
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| 2.) Increase the job skills and readiness of Kane County residents that are unemployed. |
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| 3.) Increase the proportion of Kane County young people that complete high school education |
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"1.) Use of lead cooking pots |
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Measure: High school graduation rate, reported as the percent of the county's ninth-grade cohort in public schools that graduates from high school in four years. 2011 Baseline: 87.1% (2011) Range: 68.7%-96% 2016 Goal: 90% |
"1.) Low SES |
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| 2.) Lead Poisoning |
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| 3.) Lack of culturally appropriate messaging |
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| 4.) Lack of access to electronic messaging |
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| 5.) Poverty Education |
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| 6.) Language barriers |
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| 7.) Lack of culturally appropriate messaging |
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| 8.) Cultural factors |
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| 9.) Houses built prior to 1978 |
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| 10.) Lack of access to abatement resources |
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| 11.) Cultural practice |
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| 12.) Lack of access to electronic media |
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| 13.) Language access |
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| 14.) Poverty |
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| Kankakee County Health Department |
1 |
Limited public awareness and limited access to mental health services |
1.) By 2016, decrease the percentage of Kankakee County residents that report eight or more days per month of mental health not being good by 10%, to 11% of the population. (Baseline: 12.2% from 2007 to 2009). 2.) By 2016, reduce the suicide rate in Kankakee County by 10%, to 8.3 suicides per 100,000.(Baseline: 9.2 per 100,000 in 2006) |
1.) Lack of community awareness 2.) education of mental health issues. |
1.) Increase the rate of Kankakee County residents being referred to available mental health services in the community by 5%. (Baseline: To be determined) 2.) Increase the percentage of Kankakee County residents seeking available local mental health services by 5%. (Baseline: To be determined) 3.) Increase attendance at local organization and hospital based support groups by 5%. (Baseline: Establish baseline attendance rate) |
Educating the public and awareness of prevention and rehabilitation programs facilities within the community. Indirect contributing factors of the complex system relate to specific systems within mental health, including Medicare and Medicaid. |
1.) Develop and implement a community-wide marketing strategy to promote mental health awareness and education. This strategy will be based on the 'Say it Out Loud' campaign which is supported by the Illinois Department of Human Services, Division of Mental Health and the Illinois Children's Mental Health Partnership. This is a research evidence-based program that encourages dialogue about mental health through use of media, advertising, and the 'Say it Out Loud' website. 2.) Present the Mental Health 101 presentations to grade school faculty and staff in all school districts within Kankakee County. This presentation provides non-health professionals with understanding and tools to identify normal development and behavior from behavior that could indicate a referral to mental health services is needed.3.) Offer the Love and Logic curriculum throughout the community through the Success by Six program to promote positive parenting and positive child behavior. 4.) Implement presentations throughout the community and schools on suicide awareness and prevention through Project CARE, a student assistance training program that provides educational seminars and training to adults that work with adolescents in the school setting. 5.) Increase awareness and referrals to the local National Alliance on Mental Illness (NAMI) organization for information, education, and support to those impacted by mental illness. 6.) Reach out to the court system to provide awareness and resources for individuals involved in divorce mediation and probation. 7.) Work with local child welfare investigators and case workers to ensure linkage of services for children in the welfare system with mental health needs. 8.) Increase the availability and referrals to hospital and local agency support groups. 9.) Improve collaborative efforts and communication between agencies and organizations within the mental health system. |
| Kankakee County Health Department |
2 |
Limited access to health care within Kankakee County |
"1.) By 2016, increase the percentage Kankakee residents that have a primary care provider by 10%, to |
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| 94.6%. (Baseline: 86% from 2007 to 2009) 2.) By 2016, reduce the proportion of Kankakee County residents who are unable to obtain or delay in obtaining medical care, dental care, or prescriptions by 5%, to 8.5% (Baseline: 13.5% in 2010) |
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1.) lack of primary health care provider 2.) Lack of financial coverage for services |
1.) Increase the percentage of under or uninsured Kankakee County residents who obtain preventative and acute care medical services from an identified primary care provider by 10%. (Baseline: To be determined) 2.) Reduce transportation as a barrier to care in Kankakee County by 5%. (Baseline: To be determined) 3.) Improve awareness of community health resources by 5% (Baseline: To be determined) |
1.) Under or uninsured individuals 2.) Lack of transportation 3.) Lack of knowledge of how to use existing transportation resources 4.) disparities, such as language barriers, and lack of culturally sensitive services |
"1.) Foster coordination between various transportation vendors, and promote public awareness and |
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| education on transportation options 2.) Identify and address weaknesses in the public and private transportation systems.3.) Initiate and fully utilize the 211 services; provide comprehensive public awareness of 211 services. 4.) Implement community wide public relations efforts to educate and inform the public about the importance of preventative health measures. 5.) Work with NAACP, Hispanic partnership and faith community to identify attitudes and barriers to care among the multi-cultural population. 6.) Work in partnership with Options Center for Independent Living to address the needs of accessing healthcare services for those living with a disability. 7.) Collaborate with local free clinics to expand services to the uninsured and underinsured.8.) Enhance community referral system for healthcare services through local hospitals, health department services and programs, and other local agencies. |
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| Kankakee County Health Department |
3 |
High rate of chronic disease in Kankakee County |
1.) Increase the proportion of the population who are at a healthy weight by 5% by 2016 2.) Increase the proportion of the healthcare providers that consistently provide counseling and education related to physical activity by 5% by 2016. |
1.) unhealthy eating habits. 2.) Inactivity |
1.) Increase the multicultural social support system for healthy eating and physical activity.2.) Increase the percentage of the population who report 90-150 minutes of physical activity per week by 5% by 2016.3.) Increase the proportion of culture specific messaging for healthy lifestyle by 5% by 2016. |
1.) limited knowledge of nutrition 2.) depression and stress 3.) limited resources to obtaining healthy foods 4.) inconsistent education practices5.) lack of culturally specific nutrition education 6.) limited educational resources 7.) depression and stresses 8.) unemployment 9.) increased media usage containing advertisement of unhealthy food choices 10.) access or availability of healthy foods, including food deserts 11.) increased unemployment, 12.) lack of available food pantries or unhealthy choices at food pantries. |
"1.) Survey all local healthcare providers to establish baseline number of healthcare providers and |
| educators providing a consistent message of healthy eating and physical activity2.) Collaborate with healthcare providers to identify a clear message of healthy eating and physicalactivity.3.) Ensure the availability of community-based technology-supported multi-component counseling interventions to promote weight-loss and maintain weight-loss, as an evidenced based method recommended by the CDC.4.) Increase the amount of evidence-based worksite obesity prevention and control programs that involve education, behavioral change strategies, and increased opportunity for healthy foods and physical activity.5.) Work with faith community, the NAACP, and the Hispanic Partnership to promote education and intervention to the diverse Kankakee population.6.) Identify local food deserts, and establish adequate supply of healthy food options in these locations. Enhance outreach efforts to increase the amount of eligible pregnant women and children enrolled in the WIC program.7.) Collaborate with local fitness centers and park districts to increase the opportunity for low-income individuals to obtain membership 8.) Work with local farmers, grocery stores, and convenience stores to increase the availability of local foods opportunities year-round.9.) Promote coordination with healthcare providers, school faculty and staff, parent groups, and local agencies to provide education and consistent messaging to children and adolescents on health eating and physical activity.10.) Work in partnership with school district administration staff to reduce the amount of unhealthy foods and beverages being offered in schools, and to increase the amount of healthy food choices. 11.) Collaborate with faith communities and nonprofit organizations to increase the percentage of health food choices at local food pantries.12.) Work with county-wide planning committees, individual municipalities, and police administration to increase access and availability of safe outdoor spaces for physical activity, and work with local media to improve the perception of safety within the community. |
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| Kendall County Health Department |
1 |
Reduction of Indoor Radon Exposure through Health Education |
1.)Decrease Kendall County residents' exposure to indoor radon by means of increasing the number of Kendall County home receiving radon mitigation services by 3% annually. Specifically, using the number of Kendall County home units reported in the 2009 Census Data (34,883) and the average annual number of Kendall County radon mitigation services performed during the years 2005 through 2009 (133) in 2012 a minimum of 137 Kendall County homes will receive radon mitigation services; in 2013, 141; in 2014, 145; in 2015, 149; in 2016, 151. |
1.)chronic exposure to indoor radon |
1.)Increase the numbers of indoor radon measurements performed in Kendall County by 3%, annually. Specifically, using the average annual number of Kendall County radon measurements performed during the years 2005 through 2009 (361) in 2012 a minimum of 372 indoor radon measurements will be performed in Kendall County homes; in 2013, 383; in 2014, 407; in 2016, 419. 2.)By 2016 100% of the Kendall County municipalities will require radon resistant (new) home construction. |
1.)local geology high in radon 2.)tightly constructed homes 3.)lack of public awareness 4.)costs associated with radon measurement and mitigation 5.)lack of radon-resistant home construction policies |
1.)Kendall County Health Department staff will research and engage in professional educational opportunities teaching the science of indoor radon as a public health risk, and ways in which to best promote community awareness, testing and mitigation of indoor radon. Participate in annual radon education workshops presented by the USEPA and Illinois Emergency Management Agency. 2.)Continue to implement a multifaceted radon public awareness campaign including but not limited to: maintaining and disseminating educational brochures on indoor radon, throughout the community in common gathering spots such as local libraries, coffee shops, and municipal complexes; portable educational indoor radon display deployed to community events; use of a prominent display board in the Kendall County Health Department's main lobby to promote the dangers of and ways in which to test for and mitigate indoor radon; partnering with local radio, television and print media to communicate the concern of indoor radon; partnering with local movie theaters to share significant radon messages through educational movie trailers projected over the big screen; inclusion of radon-related education on the Kendall County Health Department's website and newly established Facebook page. 3.)Present information to members of partner organizations and local community groups, promoting the dangers of radon gas, and the ways in which it can be tested for and mitigated. key stakeholder might include local real estate professional and home builder. 4.)Cultivate partnerships with local physicians and veterinarians in an effort to promote the dangers of radon exposure. People typically consider these professionals trusted advisors on human and pet health and disease prevention. Inasmuch, they may be in a position to play a significant role in informing the public about the local presence and serious risk of indoor radon exposure. When addressing the risks of lung cancer, in addition to encouraging their patients to stop smoking, physicians could encourage patients to test for indoor radon. 5.)Establish and make accessible affordable options for measuring and mitigating indoor radon. Offer low cost radon measurement test kits; research and communicate low cost, do-it-yourself mitigation techniques, and measurement and mitigation-related financial relief programs 6.)Promote the importance and enactment of radon resistant home construction policies among all units of local government. 7.)Examine and follow federal and state legislation concerning indoor radon. Actively support proposed initiatives designed to raise radon awareness. |
| Kendall County Health Department |
2 |
Increase of Socioeconomic Well-being through Participatory Health Education |
1.)By 2015 7-% of target population will improve socioeconomic well-being. |
1.)unhealthy debt to income ratio |
1.)By 2015 educate, single parent families and the elderly targeted population, the importance of understanding debt to income ratio through Financial Fitness Educational Series and Family Self-Sufficiency Case Management. 2.)By 2015 increase financial stability of targeted population as evidenced by increased score on the Self-Sufficiency Standard. |
1.)fluctuating income 2.)high energy costs 3.)lack of economic literacy |
1.)Self-Sufficiency Standards 2.)Energy Conservation Education 3.)Financial Fitness Education Series |
| Kendall County Health Department |
3 |
Prevention of Youth High Risk Behaviors through Early Intervention |
1.)By December 1, 2016, the target population will improve in behavioral health well-being indicators by 60% in four out of five domains- academic responsibility, domestic responsibility, healthy social connectedness, refraining from delinquent behavior, and behavioral health resilience. |
1.)low academic responsibility 2.)limited domestic responsibility 3.)unhealthy or limited social connectedness 4.)engagement in delinquent behavior 5.)low behavioral health resilience |
1.)By December 1, 2016, Kendall County Health Department will provide early intervention services to increase the protective factor of academic responsibility in target population. Plano High School Youth will show improvement in academic performance on report cards from the beginning to the end of the school year. 2.)By December 1, 2016, Kendall County Health Department will provide early intervention services to increase the protective factor of domestic responsibility in target population. Plano High School youth will show an improvement in domestic responsibility as evidenced by bi-annual Parent Psycho-Social Change Survey. 3.)By December 1, 2016, Kendall County Health Department will provide early intervention services to increase the protective factor of healthy social connectedness in the target population. Plano High School Youth will demonstrate increased healthy social connectedness as evidenced by bi-annual Social Worker Psychosocial Change Survey. 4.)By December 1, 2016, Kendall County Health Department will provide early intervention services to increase the protective factor of refraining from delinquent behavior in the target population. Plano High School Youth will refrain from delinquent behavior as evidenced through monthly analysis of school discipline reports. 5.)By December 1, 2016, Kendall County Health Department will provide early intervention services to increase the protective factor of mental health resilience in the target population. Plano High School Youth will show an increase in mental health resilience as evidenced by bi-annual Psychosocial Change Surveys. 6.)By December 1, 2016, there will be an increased emphasis on population based health education which addresses high risk behavior in youth that could lead to poor behavioral health outcomes. This will be achieved through release of five public service announcements to Kendall County residents through radio, television, and newspaper mediums that highlight Centers for Disease Control mental wellness risk and protective factors. |
1.)psychosocial duress 2.)high exposure to substance misuse/abuse 3.)lack of early intervention programs 4.)lack of social connectedness 5.)insufficient emphasis on early intervention strategies/lack of mental health awareness 6.)youth violence/bullying 7.)unhealthy coping strategies 8.)lack of early intervention to promote perspective transformation on issues related to delinquency 9.)youth disconnect from family and positive adult role models 10.)narrow definition of mental health 11.)not enough programs addressing risk and protective factors associated with mental wellbeing 12.)youth high risk behaviors |
1.)Kendall County Health Department will provide early intervention services to increase the protective factor of academic responsibility. This will be assessed through monthly analysis of student report cards. 2.)Kendall County Health Department will provide early intervention services to improve the protective factor of domestic responsibility. This will be measured through a bi-annual Parent Psycho-Social Change Survey. 3.)Kendall County Health Department will provide early intervention services to improve the protective factor of healthy social connectedness. This will be measured through a bi-annual Social Worker Psychosocial Change Survey. 4.)Kendall County Health Department will provide early intervention services to improve the protective factor of refraining from delinquent Behavior. This will be assessed through monthly analysis of school discipline reports. 5.)Kendall County Health Department will provide early intervention services to improve the protective factor of behavioral health resilience. This will be measured through bi-annual Psychosocial Change Surveys. |
| Kendall County Health Department |
4 |
Reduction of Obesity through Participatory Health Education |
1.)By 2016 increase the number of Kendall County residents who have a healthy BMI (not overweight or obese) by 5%. (Baseline: 38.5% BRFSS data) |
1.)inactivity 2.)compulsive eating 3.)obesogenic environment |
1.)At 6 month follow-up 50% of members of the 10 week Person Centered Counseling groups will have achieve a 10% reduction in their body weight. |
1.)psychological effect of stigma 2.)addiction/compulsive overeating 3.)family history/genetics |
1.)Counseling/referral to overeaters Anonymous 2.)Diet and exercise education 3.)Public education campaigns will be used to get the word out that stigmatizing and belittling people with a weight problem is counterproductive to successful weight loss efforts. 4.)Group counseling programs will be used to help people trying to lose weight become more emotionally resilient and better prepared to focus on lifestyle modifications needed to achieve success. |
| Knox County Health Dept |
1 |
Obesity, Nutrition, and Diabetes |
1.)By 2016, reduce the proportion of adults (age 18 and older) who are obese by 5% (Baseline: 32.2%, BRFSS, 2007) 2.)By 2016, reduce the annual number of new cases of diagnosed diabetes among adults (age 18 and older). (Baseline: 1 in 10 Knox County adults reports having diabetes) |
1.)diet 2.)physical activity 3.)utilization of resources and services |
1.)By the year 2013, 30% of Knox County schools to report Body mass Index (BMI) information obtained through Illinois Child Health Exam (school physicals). (Baseline: Currently, Knox County Local Public Health System does not collect data on obesity rates among school aged children.) 2.)By the year 2013, increase awareness of the impact of Knox County's built environment (buildings, land use, sidewalks, bicycle lanes, etc) and the risk factors contributing to obesity. (Baseline: Currently, the Knox County Public Health System does not have a coordinated effort in educating residents on the importance of built environment and its relationship to obesity.) 3.)By the year 2013, increase prevention programming in persons with pre-diabetes. (Baseline: Currently, the Know County Local Public Health System has not conducted an analysis of prevention programming available for diabetes with pre-diabetes.) |
1.)access to nutrition 2.)food literacy 3.)social and cultural norms 4.)availability of food choices 5.)cost of healthy food options 6.)trade off: perceived convenience vs. nutrition 7.)understanding nutritional information 8.)indifference towards knowledge 9.)understanding credible sources 10.)attachment to social functions 11.)positive cultural reinforcement 12.)attitudes toward breastfeeding 13.)sedentary lifestyle 14.)active transportation 15.)PA resources 16.)absence of motivation 17.)lack of knowledge on importance of PA 18.)insufficient exercise 19.)lack of built environment (sidewalks, bicycle lanes) 20.)reliance on car transportation 21.)safety concerns 22.)cost of resources (gyms, team sports) 23.)availability of resources (limited) 24.)location of PA not accessible by all public 25.)access to services 26.)knowledge of available resources 27.)social stigma 28.)cost associated with resources and services 29.)do not know where to access services 30.)lack of willingness to access services 31.)knowledge of available resources 32.)lack of awareness 33.)lack of programming 34.)apathy towards resources 35.)misconception of health status 36.)perceived opinion of peers and public 37.)perceived barriers |
1.)Partner with Knox County school officials to obtain and share BMI data with community organizations. 2.)Create and implement a surveillance tool for BMI data collection for Knox County school children. 3.)Develop a task force to promote healthy lifestyles, including collaboration with local Public health System partners in obtaining data on Know County's built environment. 4.)Provide community programming on nutrition and physical activity. 5.)Marketing campaign to address nutrition and poor eating habits and their association with diabetes and obesity. |
| Knox County Health Dept |
2 |
Oral Health |
1.)By the year 2016, reduce by 50%, the prevalence of poor dental/oral health in children and adults in Knox County. (Baseline: According to the most recent data collected from the 2004-2005 Knox County Oral Health Needs Assessment, 57% of Knox County Children seen by a dental provider had untreated decay. Within Knox County 82% of older adults have had one or more teeth extracted due to dental carries or periodontal disease; 42% of surveyed seniors have had all teeth extracted. 2.) By the year 2016, reduce by 95%, barriers to dental/oral health care, which are access to dental care provider related, for Knox County children and adults. |
1.)lack of dental care 2.)lifestyle choices 3.)physical environment 4.)substance abuse and tobacco use |
1.)By the year 2014, increase the percentage of Knox County children, who are seen by a dentist, with one or more protective sealants on permanent molar teeth by 15%. (Baseline: The most recent data from the 2004-2005 Knox County Oral Health Needs Assessment, shows that 55.6% of Knox County children seen by a dental provider over the past twelve months who have at least one sealant on their permanent molar teeth. Only 66% of children less than 21 years of age are considered active dental patients and have seen a dental care provider in the past year. 2.)By the year 2014, increase the proportion of Knox County children at or below 200% poverty level who receive preventative dental services by 20%. (Baseline: The most current data comes from the 2004-2005 Knox County oral Health needs Assessment, at which time 18% of Knox County children at or below 200% poverty level received preventative dental services. 3.)Increase the percentage of Knox County children and adults who use the oral health care system by 10% by the year 2014. (Baseline: According to the 2004-2005 Knox County Oral Health Needs Assessment, the percentage of Knox County children and adults who use the oral health care system each year: 66% children under 21 years are considered active dental patients (seen a dental care provider in the past year) and 71% (27,109) adults are considered active dental patients. 4.)Reduce tobacco use by Knox County adults 1% by the year 2013; and 3% by the year 2016. (Baseline: The proportion of Knox County adults who currently smoke is 18.2% (BRFSS). |
1.)access and availability 2.)lack of Medicaid providers 3.)lack of financial arrangements available 4.)financial resources 5.)high cost of care/low income 6.)un- or under-insured 7.)attitudes and behaviors 8.)lack of dental health education 9.)fear and apathy 10.)lack of knowledge of available services 11.)diet 12.)lack of knowledge 13.)poor eating habits/nutrition 14.)poor oral hygiene 15.)inability to afford resources/supplies 16.)limited knowledge of overall benefits 17.)apathy 18.)non-fluoridated water 19.)exposure to toxins 20.)inadequate knowledge of linkage 21.)minimal private water testing 22.)limited resources 23.)limited cessation 24.)lack of public/employer action 25.)lack of resources/ follow-up care 26.)financial barriers 27.)low social attachment 28.)low self-esteem/sense of belonging 29.)lack of personal relationships 30.)marketing/peer pressure 31.)young age at first use 32.)easy availability 33.)lack of enforced regulation 34.)easy access 35.)poor statutory intervention 36.)insufficient parental supervision 37.)physical addiction 38.)frequency of use 39.)physical/mental stress 40.)alcohol use 41.)primary care practices 42.)limited use of screening and intervention at primary care level 43.)moderate physician willingness to address personal health issues 44.)limited physician knowledge of cessation program resources |
1.)Collaborate with the local Dental Society in the formation of a community oral health taskforce to monitor community dental health issues. 2.)Investigate models for the provision of dental care services to Medicaid, low-income, uninsured or under-insured individuals and families. 3.)Foster collaborative partnerships with the University of Illinois and Southern Illinois Schools of Dentistry, as well as other regional dental schools. 4.)Increase the number of Knox County residents who have received a dental/oral health screening and who received treatment for identified decay. 5.)Provide comprehensive community programming promoting dental/oral hygiene practices and encouraging preventative dental practices. 6.)Ensure focused overview of all available dental resources within Knox County and ensure the linkages are provided. 7.)Collaborate with Knox County physicians to recommend and provide support in tobacco cessation for their patients. 8.)Provide community programming regarding the effect of tobacco use and second-hand smoke. 9.)Marketing programs to change public attitudes about tobacco use, and promotes smoking cessation through immediate long-term benefits of cessation. 10.)Assure availability of tobacco cessation programs to Knox County residents. 11.)Work with appropriate local governments to establish a ban which prohibits smoking in indoor public places for incorporated and unincorporated areas of Knox County. |
| Knox County Health Dept |
3 |
Mental Health |
1.)By the year 2016, decrease the prevalence of poor mental health status in Knox County adults by 3%. (Baseline: Based on 2007 BRFSS, 19.1% Knox County adults experienced poor mental health extending a week or more of the past month.) 2.)By the year 2013, reduce the rate of Knox County resident deaths from suicide to no more that 10 per 100,000 population. |
1.)access to care 2.)heredity/chemical imbalance 3.)life/environmental stressors |
1.)By the year 2013, increase the number of Knox County residents diagnosed with mental disorders who receive treatment by 5%. (Baseline: Using Census data reported in the 2005-2007 American Community Survey, 2,363 Knox residents five years and older report a mental disability. To be categorized as having a mental disability, Census respondents or household members indicate that they have trouble learning, remembering, or concentrating due to a physical, mental, or emotional condition lasting six months or more. 2.)By the year 2014, reduce number of Knox County residents hospitalized for psychoses to no more than 25 per 100,000 population. (Baseline: Psychoses, which encompasses a range of psychiatric disorders, including major depression and anxiety, is the leading non-birth related diagnosis, accounting for 268 discharges in 2009. |
1.)lack of provider resources 2.)lack of financial resources 3.)attitudes and behaviors 4.)primary care practices 5.)shortness of in-patient care 6.)limited knowledge of resources 7.)need for affordable providers 8.)un- or under-insured 9.)unable to afford treatment 10.)poor program availability 11.)negative social stigma 12.)patient knowledge/denial 13.)fear/apathy 14.)concerns and misconceptions regarding personal privacy 15.)limited use of screening and intervention at primary care level 16.)moderate physician willingness to address mental health issues 17.)limited physician knowledge of mental health community resources 18.)inadequate medication 19.)lack of knowledge 20.)denial of mental illness 21.)improper use of medication 22.)unable to afford medication 23.)inadequate public education 24.)negative social stigma 25.)public apathy 26.)inappropriate privacy concerns 27.)undeveloped coping skills 28.)limited family/parenting skills 29.)poor self-esteem 30.)insufficient education on skills to manage stress 31.)physical environment 32.)socioeconomic status 33.)limited employment satisfaction 34.)poor household dynamics/abuse 35.)inadequate physical activity 36.)reduced motivation/self-esteem 37.)scarcity of time and resources 38.)insufficient knowledge of short and long-term benefits |
1.)Provision of mental health services within a Community Health Center setting to ensure access to provision of mental health care for Medicaid, low-income, uninsured or under-insured individuals and families. 2.)Focused overview of available mental health care resources within Knox County and assurance that linkages are provided for proper treatment. 3.)Collaborate with Knox County physicians to promote a culture of joint care for individuals diagnosed with mental health disorders or illness. 4.)Comprehensive community health education campaign related to mental health warning signs and symptoms, treatment, and social stigmas. 5.)Marketing campaign to address mental health and related social stigmas. |
| Knox County Health Dept |
4 |
Health Care |
1.)By 2016, provide a medical home for 15% of low income residents of Knox County. (Baseline: 89.5% of Knox County adults reported having health coverage in 2007. The same proportion of adults reported having a regular health care provider in 2007 (90.7%) as had health coverage. |
1.)inability to access care 2.)limited financial resources 3.)patient apathy |
1.)By the year 2014, reduce by 75%, barriers to primary and preventative health care that are access to health care provider related, for Knox County children and adults. (Baseline: Using American Medical Association 2008 data, 89 physicians are based in the county, a population per physician ratio of 582.7, exceeding the nation at 410.9. Family practice/general medicine physicians number 20 and serve a smaller population per physicals in Knox County at 2,592.9 that the US at 4,034.8. On the other hand, Knox County's medical and surgical specialists serve a larger population hand their US counterparts. 2.)By the year 2016, reduce the proportion of Knox County adults and their families who are unable to receive appropriate medical care due to cost, to no more than 5%. (Baseline: One in eight [13.5%] Knox County adults ages 18+ avoided the doctor due to cost in 2007, rising from 9.65 in 2004, and above the statewide figure of 12.8% according to the 2007 BRFSS results. 3.)By the year 2016, increase the proportion of Knox County adults who have a primary care provider for themselves and their families to at least 95%. (Baseline: Nine in ten Knox County adults (89.5%) reported having health coverage in 2007, more than all Illinois adults 85%, and above the county's 2004 level at 84.9%. About the same proportion of adults had a regular health care provider in 2007 (90.7%) as had health coverage according to the 2007 BRFSS results.) |
1.)providers/facility for care 2.)knowledge of services 3.)transportation 4.)primary care practices 5.)indigent care facility availability 6.)provider willingness to provide care 7.)lack of available specialists 8.)social service agency referrals 9.)lack of single resource for care 10.)minimal marketing of programs 11.)geographic disparity 12.)lack of rural transportation 13.)lack of resources/programs 14.)unable to afford cost to utilize 15.)limited referral sources to follow-up chronic disease care 16.)low compensation rates 17.)cost of care/RX/supplies 18.)malpractice insurance costs 19.)program availability 20.)legislation 21.)un- or under-insured, low-income, or working poor 22.)physician/dentist accepting 23.)limited availability of RX/supplies 24.)lack of indigent care program 25.)Medicaid population 26.)low reimbursement rates 27.)physicians/dentist accepting 28.)slow Medicaid claim turnaround 29.)cost of care 30.)knowledge of long-term benefits 31.)socioeconomic status/cultures 32.)laws and legislation 33.)denial 34.)lack of general health education 35.)fear and rejection of risk 36.)limits parenting/family skills |
1.)Community health Center to ensure access to the provision of health care services for Medicaid, low-income, uninsured or under-insured individuals and families. 2.)Focused overview of available chronic disease resources within Knox County and ensure that linkages are provided for continuing care. 3.)Collaborate with Knox County physicians to promote a culture of accessing health care for routine and preventative health services. 4.)Community programming regarding the health and cost benefits of treatment prior to emergency care. 5.)marketing campaign to address public apathy concerning the importance of routine and preventative health services, and health care literacy. 6.)Program which provides access to prescription drugs and medical supplies for Knox county residents. 7.)Public policy efforts to address fiscal issues inherent in government subsidized programs. |
| Knox County Health Dept |
5 |
Sexual Behavior |
1.)By 2016, reduce the incidence rate of Chlamydia and gonorrhea by 5%. (Baseline: Knox County's rate of Chlamydia was 363.6 per 100,000 population in 2007. The county's gonorrhea rates were 125.4 cases per 100,000.) 2.)By 2016, reduce the proportion of teen births (age under 20) in Knox County by 5%. (Baseline: In 2008, ten mothers, defined as females under 20, accounted for 14.1% (77 infants) of all births in Knox County. When looking at 2007 age-specific fertility rates, Knox County's rate among 15-17 year olds at 20.9 per 1,000 comes close to the U.S. (22.2), while the rate for older teens ages 18-19 at 82.6 per 1,000 is quite a bit higher (U.S. 73.9).) |
1.)individual attitudes about sex 2.)utilization of resources and services 3.)unsafe sexual practices/behaviors |
1.)By 2016, decrease the use of illicit drugs within Knox County residents aged 12 years and older. (Baseline: Based on the 2005 National Household Survey on Drug Abuse, an estimated 3,614 Knox County residents ages 12 years and older have used illicit drugs in the past month.) 2.)By 2016, increase the proportion of adolescents who abstain from sexual intercourse or use condoms if currently sexually active. (Baseline: The Knox County local public health system currently does not have data on the proportion of adolescents who abstain from sexual intercourse or use condoms.) |
1.)sexuality education 2.)family beliefs and influences 3.)individual experiences and beliefs 4.)peer beliefs and influences 5.)media influences 6.)societal beliefs and influences 7.)availability of sexuality education 8.)content of sexuality education 9.)reinforcement of sexuality education 10.)generational beliefs and influences 11.)household/family principles and behaviors 12.)household lifestyles choices and practices 13.)childhood experiences 14.)previous sexual experiences and behaviors 15.)personal knowledge and education 16.)peer pressures 17.)self-esteem issues 18.)media sexuality content 19.)messages about sexual behaviors 20.)messages about sexual consequences 21.)social stigma associated with STDs 22.)messages about acceptability of sexual behaviors 23.)attitudes about sexuality education 24.)attitudes about sexual risks and consequences 25.)social stigma 26.)access to services 27.)knowledge about testing/services 28.)beliefs about individuals who contract STDs 29.)not routinely publicly discussed 30.)common misconceptions/miss-education 31.)patient knowledge of where to go for services 32.)inability to afford costs of services 33.)patient willingness to go for services/apathy/denial 34.)lack of public awareness and education 35.)lack of comprehensive sex education programs 36.)lack of medical provider screening and intervention 37.)social acceptability 38.)poor self-esteem/image 39.)knowledge about risks 40.)denial of risks 41.)alcohol and/or drug use 42.)media representation of sex and consequences 43.)societal views of sex/sexual behaviors 44.)societal apathy related to STDs 45.)household dynamics and communication 46.)societal pressures for physical appearance 47.)mental health concerns/depression, anxiety 48.)lack of correct information in media 49.)societal refusal to discuss/denial 50.)inaccurate peer information/discussion of risks 51.)apathy/won't happen to me 52.)sharing of misinformation by peers/society 53.)lack of adequate comprehensive sex education 54.)peer pressures 55.)addictive behaviors/binge drinking 56.)social acceptability |
1.)Evaluate "Draw the Line, Respect the Line" in school curriculum. 2.)Collaborate with Knox County school officials on region wide education programs. 3.)Foster relationships with Healthy Youth Alliance. 4.)Evaluate programs such as teem Summit for effectiveness. 5.)Partner with Knox County physicians to recommend and provide support of the Expedited Partner Therapy. 6.)Develop outreach materials addressing healthy lifestyles for all stages of life. 7.)Establish youth development programs which emphasize decision making skills, understanding of consequences of action, postponing sexual involvement, and life planning. 8.)Begin planning and analyzing school based health centers. |
| Lake County Health Department |
1 |
Reduce Health Disparities/Increase Health Equity in Lake County |
By August 31, 2017, reduce the number of pregnancies without (first trimester) prenatal care by 20% from baseline measures for the African American and Hispanic populations. |
1.) Natural environment, such as green space (e.g., trees and grass) or weather (e.g., climate change) 2.) Built environment, such as buildings, sidewalks, bike lanes, and roads 3.) Worksites, schools, and recreational settings 4.) Housing and community design 5.) Exposure to toxic substances and other physical hazards 6.) Physical barriers, especially for people with disabilities 7.) Aesthetic elements (e.g., good lighting, trees, and benches) |
1.) By August 31, 2015, increase the number of students receiving health education resources in the target communities of North Chicago, Waukegan, Zion, and Round Lake. 2.) By August 31, 2015, increase the number of pregnant women receiving first trimester prenatal consultation support. Target the communities of North Chicago, Waukegan, Zion, Round Lake, and Highland Park. |
1.) Availability of resources to meet daily needs (e.g., safe housing and local food markets) 2.) Access to educational, economic, and job opportunities 3.) Access to health care services 4.) Quality of education and job training 5.) Availability of community-based resources in support of community living and opportunities for recreational and leisure-time activities 6.) Transportation options 7.) Public safety 8.) Social support 9.) Social norms and attitudes (e.g., discrimination, racism, and distrust of government). 10.) Exposure to crime, violence, and social disorder (e.g., presence of trash and lack of cooperation in a community). 11.) Socioeconomic conditions (e.g., concentrated poverty and the stressful conditions that accompany it). 12.) Residential segregation 13.) Language/Literacy 14.) Access to mass media and emerging technologies (e.g., cell phones, the Internet, and social media) 15.) Culture |
"1.) Partner with each local school district to ensure a shared vision for addressing this Outcome Objective (Long Term Outcome) and the accompanying Impact Objectives (Intermediate Outcomes). 2.) Partner with the Lake County Regional Office of Education to ensure alignment of these efforts with the overall work within Lake County. 3.) Partner with other community service providers within Lake County and within the specific communities listed in Impact Objective (Intermediate Outcome) 4.) Partner with the North Lakes Division of the Illinois School Nurses Association to help supplement and reinforce the other intervention strategies listed here. 5.) Partner with the LCHD/CHC clinics in North Chicago, Waukegan, Zion, Round Lake, and Highland Park, and their community partners to increase awareness of the need for enhanced support with first trimester prenatal consultation. 6.) Partner with other community service providers within Lake County and within the specific communities listed in Impact Objective (Intermediate Outcome) 1.2. |
| 7.) Partner with the North Lakes Division of the Illinois School Nurses Association to help monitor and support the efforts taking place to address this Impact Objective (Intermediate Outcome). |
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| Lake County Health Department |
2 |
Adequate and Diverse Public Health System Workforce |
1.) By August 31, 2017, increase the number of public health professionals in Lake County by 5%. Also, increase the overall percentage of ethnically diverse public health professionals by 5% within the same time frame. 2.) By August 31, 2017, increase by 20% the number of organizations who have usable baseline data related to health improvement initiatives. This will establish a better understanding of the needs of the overall public health system. |
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1.) By August 31, 2015, increase the number of public health professionals in Lake County by 2%. Also, increase the overall percentage of ethnically diverse public health professionals by 2% within the same time frame. 2.) By August 31, 2015, increase by 10% the number of organizations who have usable baseline data related to health improvement initiatives. |
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1.) Collaborate with area colleges and universities to emphasize the importance and training of future public health professionals. 2.) Collaborate with area high schools to emphasize the importance and training of future public health professionals. 3.) Align curricula of area colleges, universities, and high schools with the (current and future) needs of the public health system. 4.) Have corporations/businesses work directly with educators to train staff and make adjustments as needed in curricula. 5.) Continue to emphasize among Lake County collaborative partners the importance of establishing baseline data before beginning or at the onset of health improvement initiatives. 6.) Through the positive influence of current Lake County collaborative partners, expand the awareness of the importance of establish baseline data before beginning or at the onset of health improvement initiatives. 7.) Also emphasize the importance of establishing ongoing evaluation plans before beginning or at the onset of health improvement initiatives. |
| Lake County Health Department |
3 |
Obesity |
"1.) By August 31, 2017, reduce by 5% from baseline the Lake County percentage of 6th-12th grade students who are overweight or obese (from 25% to 23%). 2.) By August 31, 2017, reduce by 5% from baseline the percentage of Lake County adults who are obese (from 19.8% to 18.8%). |
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| 3.) By August 31, 2017, increase by 10% from baseline the percentage of Lake County adults who meet or exceed the regular and sustained physical activity guidelines, following the recommended guidelines (30 minutes per day). This will be measured according to the Illinois Behavioral Risk Factor Surveillance System (Baseline 62.4%; 2017 Target: 68.6%). |
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1.) Physical Activity 2.) sedentary lifestyle 3.) poor nutrition |
1.) By the release of the 2016 Illinois Youth Survey results, increase by 10% from baseline the Lake County percentage of children who are physically active 5 or more days per week (2010 Baseline data - 6th graders: 58%; 8th graders: 59%; 10th graders: 59%; 12th graders: 53%; 2016 Targets - 6th graders: 64%; 8th graders: 65%; 10th graders: 65%; 12 graders: 58%). 2.) By the release of the 2016 Illinois Youth Survey results, increase by 5% from baseline the Lake County percentage of children who eat vegetables 2 times or more per day (2010 Baseline data - 6th graders: 34%; 8th graders 32%; 10th graders: 32%; 12th graders: 31%; 2016 Targets - 6th graders: 36%; 8th graders: 34%; 10th graders: 34%; 12th graders: 33%). 3.) By the release of the 2016 Illinois Youth Survey results, increase by 5% from baseline the Lake County percentage of children who eat fruit 2 times or more per day (2010 Baseline data - 6th graders: 49%; 8th graders: 44%; 10th graders: 39%; 12th graders: 37%; 2016 Targets - 6th graders: 52%; 8th graders: 46%; 10th graders: 41%; 12th graders: 39%). 4.) By August 31, 2015, increase by 5% from baseline the percentage of Lake County adults who meet or exceed the regular and sustained physical activity guidelines, following the recommended guidelines (30 minutes per day). This will be measured according to the Illinois Behavioral Risk Factor Surveillance System (Baseline 62.4%; 2015 Target: 65.5%). |
1.) Overweight and obesity 2.) Malnutrition 3.) Iron-deficiency anemia 4.) Heart disease 5.) High blood pressure 6.) Dyslipidemia (poor lipid profiles) 7.) Type 2 diabetes 8.) Osteoporosis 9.) Oral disease 10.) Constipation 11.) Diverticular disease 12.) Some cancers |
1.) Enhance the physical and built environments of Lake County communities. 2.) Provide and support community programs designed to increase physical activity. 3.) Adopt physical activity requirements for licensed child care providers. 4.) Provide support for the science and practice of physical activity. 5.) Adopt policies and implement practices to reduce overconsumption of sugar-sweetened beverages. 6.) Increase the availability of lower-calorie and healthier food and beverage options for children in restaurants. 7.) Utilize strong nutritional standards for all foods and beverages sold or provided through the government, and ensure that these healthy options are available in all places frequented by the public. 8.) Introduce, modify, and utilize health-promoting food and beverage retailing and distribution policies. 9.) Broaden the examination and development of U.S. agriculture policy and research to include implications for the American diet. 10.) Develop and support a sustained, targeted physical activity and nutrition social marketing program. 11.) Implement common standards for marketing foods and beverages to children and adolescents. 12.) Provide standardized care and advocate for healthy community environments. 13.) Ensure coverage of, access to, and incentives for routine obesity prevention, screening, diagnosis, and treatment. 14.) Encourage active living and healthy eating at work. 15.) Encourage quality physical education and opportunities for physical activity in schools. 16.) Ensure strong nutritional standards for all foods and beverages sold or provided through schools. 17.) Ensure food literacy, including skill development, in schools. 18.) Increase the number of school districts that are implementing their wellness plans (vending services, school lunches, and physical activity) and ensure that they are recognized for doing so. 19.) Increase awareness of venues that are available for physical activity. 20.) Increase awareness of positive effects of eating healthy. 21.) Increase availability of and awareness of non-motorized opportunities of safe travel and reduce known connection gaps. 22.) Assist schools and school districts to develop more uniform and accessible data sets (needed for accurate reporting of height, weight, BMI for student populations). 23.) Increased county-wide awareness of what various schools and school districts are doing to address obesity. 24.) Increased employer wellness programs. 25.) Increased after school programs (increased awareness of existing opportunities). 26.) Plans need to be implemented in schools. |
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| Lake County Health Department |
4 |
Tobacco Use |
1.) By August 31, 2017 reduce by 10% the current percentage of Lake County children and adolescents who use tobacco. 2.) By August 31, 2017 reduce by 10% the current percentage of Lake County adults who use tobacco. |
1.) No Exercise 2.) Few Fruits/Vegetables 3.) Obesity 4.) High Blood Pressure 5.) Current Smoker 6.) Diabetic |
1.) By August 31, 2015 increase by 5% the percentage of Lake County adults who report that smoking is not allowed anywhere inside their home on the Illinois Behavioral Risk Factor Surveillance system. (Baseline = 82.8%) 2.) By August 31, 2015 increase Lake County resident calls to the Illinois Tobacco Quit line by 15%. (Baseline = waiting for FY2012 data, should get this week) 7.) By August 31, 2015 increase percentage of Lake County municipalities who have smoke-free and/or tobacco-free parks by 15%. (Baseline = 19 municipalities) |
1. )Overall physical, social, and mental health status 2.)Prevention of disease and disability 3.)Detection and treatment of health conditions 4.)Quality of life 5.)Preventable death 6.)Life expectancy |
1.) Provide technical assistance to Lake County landlords and local Housing Authorities to implement smoke-free housing policies. 2.) Work with hospital campuses and mental health/substance abuse facilities to adopt new tobacco-free campus policies. 3.) Work with higher education institutions, including community colleges, and worksite corporations to adopt tobacco-free campus policies. 4.) Support and educate local Park Districts to advance tobacco-free parks policies. 5.) Support a State cigarette tax increase of $1.00 per pack. 6.) Execute strategies to enforce and promote the Smoke-Free Illinois Act. |
| Lake County Health Department |
5 |
STD's |
1.) By August 31, 2017, reduce by 10% the Lake County current CY2012 percentage of adolescents and adults who have a reportable sexually transmitted infection. 2.) By August 31, 2017, reduce by 25% the Lake County current CY2012 percentage of adolescents and adults who are diagnosed with an HIV infection. |
1.) Lack of education 2.) Lack of access to risk education services counseling/screening services. |
1.) By August 31, 2015, reduce by 5% the Lake County current CY2012 percentage of adolescents and adults who have a reportable sexually transmitted infection. 2.) By August 31, 2015, reduce by 15% the Lake County current CY2012 percentage of adolescents and adults who are diagnosed with an HIV infection. |
The spread of STDs is directly affected by social, economic, and behavioral factors. Such factors may cause serious obstacles to STD prevention due to their influence on social and sexual networks, access to and provision of care, willingness to seek care, and social norms regarding sex and sexuality. Among certain vulnerable populations, historical experience with segregation and discrimination exacerbates the influence of these factors. |
1.) Provide HIV Counseling, Testing and Referral services at multiple sites throughout Lake County for easy access to HIV screening services 2.) Provide clinical options for STI screening that are appropriate and responsive to the needs of the community 3.) Work with local health care providers to encourage regular and routine HIV / STI screenings for patients at-risk for acquiring a sexually transmitted infection or HIV 4.) Offer individual level and group level interventions addressing risk reduction, harm reduction, transmission, treatment and management of sexually transmitted infections and HIV 5.) Conduct surveillance-based partner services for all new cases of HIV and STI infections 6.) Conduct surveillance-based linkage to care and early intervention services for all newly diagnosed cases of HIV and cases lost to care 7.) Educate the medical community on and support the use of pre-exposure prophylaxis for the prevention of HIV infection in sero-discordant couples 8.) Conduct partner services as a part of routine medical care for all individuals seen through an STI or HIV clinic in Lake County who have a positive or reactive diagnosis 9.) Work with the Illinois Department of Public Health HIV Section's Surveillance Unit to monitor community viral load for specific populations and geographic areas within Lake County |
| Lake County Health Department |
6 |
Breast Feeding |
1.) By August 31, 2017, increase breastfeeding initiation rates among LCHD/CHC mothers by 5% from baseline (74.5% to 78.2%). 2.) By August 31, 2017, increase rates of LCHD/CHC mothers who sustain breastfeeding past 6 months postpartum by 19% from baseline (31.8% to 37.8%). 10.) By August 31, 2017, increase rates of LCHD/CHC mothers who exclusively breastfeed their children past 3 months postpartum by 40% from baseline (2.7% to 3.8%). |
1.) Lack of education 2.) Lack of access to risk education services counseling services. |
1.) By August 31, 2015, increase breastfeeding initiation rates among LCHD/CHC mothers by 3% from baseline (74.5% to 76.7%). 2.) By August 31, 2015, increase rates of LCHD/CHC mothers who sustain breastfeeding past 6 months postpartum by 12% from baseline (31.8% to 35.6%). 3.) By August 31, 2015, increase rates of LCHD/CHC mothers who exclusively breastfeed their children past 3 months postpartum by 20% from baseline (2.7% to 3.2%). |
Ongoing technical assistance and support for various community agencies and partners addressing obesity and any of its contributing factors; Continued emphasis on the importance of collaboration across various systems and with non-traditional collaborative colleagues. |
1.) Facilitate collaboration among community organizations including LCHD/CHC, breastfeeding task forces, La Leche League Chapters, hospitals, and Primary Care Providers in order to share resources and encourage continuity of skilled breastfeeding support at birth, throughout the early postpartum period, and as needed thereafter. 2.) Assist hospitals in adapting practices that are fully supportive of breastfeeding including pursuing Baby-Friendly Hospital designation, establishing a system of public reporting of hospital maternity care practices, controlling and monitoring the distribution of infant formula, and increasing the use of donated human milk in medically fragile infants. 3.) Develop programs to educate fathers and grandmothers about breastfeeding. 4.) Increase proportion of LCHD/CHC mothers who receive contact from a Breastfeeding Peer Counselor during the prenatal period. 5.) Ensure that infant formula is marketed in a way that does not interfere with exclusive breastfeeding, including reduction of free formula samples provided by healthcare facilities, and limitation of formula advertisements, posters, notepads, and other decorations in healthcare providers' offices. 6.) Increase the number of businesses providing paid maternity leave for all employed mothers, ensure that employers establish and maintain lactation support programs for employees, and expand the use of workplace programs that allow lactating mothers to have direct access to their infants. |
| Lake County Health Department |
7 |
"Coordination of Care: Access to a Medical Home and Behavioral Health; |
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| Coordinated Network of Health and Human Services" |
1.) By August 31, 2017, increase the use of medical home services more appropriately served within a primary care setting (medical, dental, mental health, social) as measured by a 10% reduction of ER visits for non-critical/non-urgent issues including strep, ear infections, anxiety/depressive, and dental health. 2.) By August 31, 2017, increase access (capacity) to a medical home/primary care services (medical, dental, mental health, social) as measured by capacity (visits/primary care FTEs) of FQHC/Health Reach/VA entities within the communities of North Chicago, Waukegan, Zion, and Round Lake. For these four communities, the overall capacity (visits/primary care FTEs) will increase by 5% within this time frame. 3.) By August, 31, 2017, increase the coordination of care between medical home services as measured by the total number of clients and organizations participating in the Service Point database - both at Find Help level and at case management level. There will be a 20% increase in participation by the Outcome Objective deadline. |
1.) Lack of availability 2.) High cost 3.) Lack of insurance coverage |
1.) By August 31, 2015, increase the use of medical home services more appropriately served within a primary care setting (medical, dental, mental health, social) as measured by a 5% reduction of ER visits for non-critical/non-urgent issues including strep, ear infections, anxiety/depressive, and dental health. 2.) By August 31, 2015, increase access (capacity) to a medical home/primary care services (medical, dental, mental health, social) as measured by capacity (visits/primary care FTEs) of FQHC/Health Reach/VA entities within the communities of North Chicago, Waukegan, Zion, and Round Lake. For these four communities, the overall capacity (visits/primary care FTEs) will increase by 2% within this time frame. 3.) By August 31, 2015, increase the coordination of care between medical home services as measured by the total number of clients and organizations participating in the Service Point database - both at Find Help level and at case management level. There will be a 10% increase in participation by the Impact Objective deadline. |
1. )Overall physical, social, and mental health status 2.)Prevention of disease and disability 3.)Detection and treatment of health conditions 4.)Quality of life 5.)Preventable death 6.)Life expectancy |
1.) Increase FQHC capacity (e.g., Health Reach; Erie expansion grant; Lake County expansion grant for Zion) 2.) Increase transportation to/from medical home services. 3.) Increase support for at-risk/underserved mental health population (e.g., ex-offenders recently released from a correctional facility) 4.) Create educational/public awareness program to educate consumers on medical home services (right place, right time). 5.) Increase FQHC capacity (e.g., Health Reach; Erie expansion grant; Lake County expansion grant for Zion). 6.) Increase school-based health centers within the communities of North Chicago, Waukegan, Zion, and Round Lake. 7.) Recruit new providers into communities of North Chicago, Waukegan, Zion, and Round Lake. 8.) Increase transportation to/from medical home services. 9.) Create educational/sensitivity program to educate providers. 9.) Align school-based social workers with Service Point. 10.) Identify providers suitable for Service Point alignment. 11.) Educate providers with cost/benefit information for Service Point. |
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| LaSalle County Health Department |
1 |
Substance Abuse and Mental Health |
Target school aged children to increase substance abuse education and mental health awareness by 2017 |
1.) Family history 2.) Income 3.) Physical Health problems 4.) Attitude 5.) Peer pressure 6.) Genetics 7.) Social Media 8.) Access to substances 9.) Undiagnosed mental health problems 10.) Unemployment 11.) Affordability 12.) Thrill seekers 13.) School attendance 14.) Stress 15.) Level of education 16.) Self-medicating |
Increase early education, utilize social media outlets, and increase school based intervention programs, such as D.A.R.E. |
1.) Exposure 2.) Family dynamics 3.) Parental Intervention 4.) Communication 5.) Lack of substance abuse education 6.) Medications in the home 7.) Short distance from Chicago 8.) I-80 Traffic 9.) Lack of employable skills 10.) Lack of coping skills 11.) Family acceptance |
Focus on community education through established task forces and community groups such as Character Counts, Drug Courts, Anti drug coalitions, Student Organizations, NAMI, Peer Jury and other support groups. |
| LaSalle County Health Department |
2 |
Family Violence |
To increase the aces to domestic violence services and increase orders of protection by 2017. |
1.) Stress 2.) Family history 3.) Economics 4.) Pregnancy 5.) Substance abuse/misuse 6.) mental health issues 7.) Divorce 8.) Change in income 9.) porn 9.) Single family household 10.) family dynamics 11.) Blended Family |
To increase community awareness by focusing on educating social workers, doctors and teachers on recognizing the signs of abuse. |
1. Family History 2.) Pregnancy 3.) Media, 4.) TV makes it look "ok" 5.) runs in the family 6.) Family Dynamics 7.) relationship dynamics 8.) Mental Health 9.) Feeling of Loss 10.) trying to replace what they are used to (relationship drama). 11.) no job 12.) Substance abuse 13.) lack of education 14.) Stigma from enforcement agencies 15.) Local businesses (taverns, liquor stores and "spas") 16.) social circles 17.) who they associate with 18.) real resources for kids (basketball courts, places fro them to go) |
1.) orders of protection 2.) Media Awareness 3.) Community Education (increase empathy and understanding) 4.) Batters intervention programs |
| LaSalle County Health Department |
3 |
Obesity |
To reduce the percentage of adult obesity to at or below state level of 27% by 2017 |
1.) genetics 2.) inactivity 3.) increased portion sizes 4.) fast food 5.) lack of time 6.) Lack of motivation 7.) cost of food 8.) healthy food cost more 9.) family dynamics 10.) not eating together 11.) abuse 12.) kids home alone more 13.) technology 14.) video games 15.) cell phones 16.) cuts in sports programs 17.) mental health 18.) Substance misuse 19.) certain types of medications 20.) Chronic health issues 21.) Socially acceptable 22.) Lack of nutrition education 23.) lack of effort to make healthy meals 24.) Cuts to city parks |
To increase nutrition education and physical activity levels in the county |
1.) Genetics 2.) overeating 3.) low activity levels 4.) Medications 5.) illness 6.) Poor food choices 7.) media 8.) fast food readily available 9.) Socially acceptable 10.) Lack of recreational centers 11.) don't put yourself first 12.) lack of free/low cost support 13.) Not a priority 14.) Any public/government meal plan- lack of funding for an improved meal plan. |
1.) Exercise 2.) Think ahead 3.) pre-plan meals 4.) wellness programs/incentives 5.) lack of programs that support and educate 6.) lack of education on food choices 7.) portion sizes 8.) Labels |
| Lawrence County Health Department |
1 |
Teenage Pregnancy |
1.)Reduce the rate of teen births in Lawrence County from 10.8% (5-year average) to 5% by 2016. |
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1.)Increase the proportion of adolescents aged 17 years and under who have never had sexual intercourse in Lawrence County by 10%. 2.)Increase the proportion of adolescents who received formal instructions on reproductive health topic before they were 18 years old in Lawrence County by 10% for both sexes in all areas. |
1.)poor self esteem and self worth 2.)dysfunctional family structures 3.)inadequate knowledge/education 4.)peer pressure 5.)poor economic status 6.)emotional-social status 7.)substance/alcohol use-abuse 8.)lack of male responsibility 9.)lack of effective parenting or behavior role models 10.)promiscuous, unprotected sex 11.)attitude that "It" won't happen to me: human nature of denial. Ostrich syndrome. 12.)"Everyone's doing it": media, popular wisdom and culture, accepted community norm 13.)lack of affordable health care 14.)access to affordable birth control |
1.)The continuance of the CRADLE program is imperative in the quest to decrease teenage pregnancy and sexually transmitted diseases in Lawrence County. Utilizing evidence-informed and evidence based programs. The program is constantly updated with new approaches and strategies to educate our adolescents and teens. Utilizing participant evaluations our interventions strategies and teaching methods correlate with their recommendations. 2.)Participants in many of the sessions are asked to submit questions anonymously that may refer to sexuality, birth control, sexually transmitted diseases etc. An empathy belly is also utilized during the sessions. it simulates eight months of pregnancy. A proven intervention is to show explicit pictures that reveals a particular disease(s) trajectory (cancers, lesion, drainage etc.). 3.)Increase linkages between teen pregnancy prevention programs and community-based clinical services and School based resources. 4.)Educate teenagers on available services at the Lawrence County Health Department. Elucidate that any service render is confidential such at STD counseling and referrals, treatments, free condoms, reasonable priced birth control and access to the rural Health clinic for treatment consultation and exams with reduced fees. |
| Lawrence County Health Department |
2 |
Cardiovascular Disease |
1.)Reduce coronary heart disease mortality rate in Lawrence County by 10% by 2016. |
1.)unhealthy lifestyles 2.)hereditary factors 3.)childhood obesity 4.)pregnant women who smoke |
1.)Increase the proportion by 75% of persons in Lawrence County of the awareness of CVD and associated risk factors by 2016. 2.)Increase the proportion of adults in Lawrence County who have had their blood cholesterol checked within the preceding 5 years by 10%. 3.)Increase the proportion of adults who have had their blood pressure measured within the preceding 2 years and have it documented and can state whether their blood pressure was normal or high by 5% in Lawrence County. 4.)Reduce the proportion of children and adolescents in Lawrence County who are overweight or obese to 10% by 2016. 5.)Increase the proportion of persons in Lawrence County with diabetes whose condition has been diagnosed by 10%. |
1.)unhealthy lifestyle i.e.; diet, overweight-obesity, lack of physical exercise, sedentary lifestyle 2.)aging 3.)stress/depression related to family, economic, job, other relationships etc. 4.)health care costs 5.)substance use-tobacco, second hand smoke, alcohol abuse 6.)coping skills/education 7.)elderly population over 65 yrs of age 8.)lack of knowledge about nutrition and diet 9.)lack of knowledge of risk factors 10.)diabetes, hypertension, elevated cholesterol 11.)childhood obesity 12.)denial 13.)low-priced, more accessible and higher-fat food leads to increases total caloric intake 14.)mechanization and the insurgence of high tech games computers etc..results in lower daily caloric expenditure |
1.)Provide education on diet and activity level and counseling to parents of children who are above 85% percentile BMI per WIC screenings or any child that's mother is overweight, provide additional monitoring as indicated. Collaborate with local school system and other state and local health care providers to decrease childhood obesity, and promote healthy lifestyles by education and literature. Collaborate with community partners to offer events promoting healthy lifestyles with fun activities. 2.)Promote the Tobacco Cessation program by education, counseling, media and the quit line. provide nicotine replacement patches as well as Chantix and Wellbutrin as indicated by the break the habit program consequently, decreasing the number of people who stop smoking in Lawrence County. Lawrence County has an alarming high percentage of mothers who smoke during pregnancy increase education and counseling during WIC appointments to make women aware of the detrimental effects of smoking on a unborn child (fetus). Focus on adolescent tobacco use prevention and cessation. Participate in the annual kick butts day. 3.)Provide specific cholesterol reducing information strategies (counseling and literature) to 100% of all clients participating in the lipid panel screening clinics held weekly. Provide blood pressure and diabetes screening at local county elderly group homes monthly provide blood pressure screening at the health department and collaborate with other local agencies/businesses agencies to provide health screenings/programs. Public education must include steps that an individual can take to live a healthy lifestyle that include: eating a healthy diet, exercising regularly up to 40 minutes per day, maintain a healthy weight, not smoking and limit the use of alcohol. people need to be educated on the importance of maintaining a health BMI and waist circumference which is a big indicator for CVD. 4.)Individuals must be proactive and take vital initiative to do the following have cholesterol levels checked at least once every five years, monitor blood pressure on a regular basis and record (know your numbers) and manage diabetes. Take all medication prescribed to treat hypertension, high cholesterol and diabetes. Maintain open communication with your healthcare provider. Educating the public is essential that has to be repeated frequently for people to retain knowledge so they can gain a perspective and plan on how they can be proactive and make healthy life choices. 5.)Promote the new concept of healthy eating that replaces the food pyramid A colorful four-part plate, with a side dish of dairy. The new icon, called "My Plate," is split into four sections- red for fruits, green for vegetables, orange for grains, and purple for protein- with a separate blue section for dairy on the side. This visually illustrates how one can make healthier food choices. balance must be acquired between food and physical activity to maintain a healthy weight. 6.)Continue to collaborate with the American Cancer Society and the American heart Association and other agencies to offer activities and programs in the prevention of disease. 7.)Promote mass media campaigns and other interventions to reduce heart disease risk factors. |
| Lawrence County Health Department |
3 |
Alcohol and Substance Abuse |
1.)Reduce alcohol/substance use and abuse by adolescents and adults, as well as promoting health and safety by 2016. 2.)Increase community awareness of the effects of alcohol and other substances in ways that gain attention to the issue. |
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2.)By 2016 expand alcohol/substance abuse treatment through Lawrence County Health Department Behavioral Health Division to include more individual and group counseling services, by obtaining funding from IL Department of Human Services Division of Alcohol and Substance Abuse (DASA). 2.)By 2016 provide counseling and educational services to adolescents at risk of use or abuse of alcohol and/or other substances by linking with county probation officer, Truancy Review Board of Lawrence County and Unit #10 and Unit #20 school officials to provide awareness to students, as well as faculty and staff. |
1.)Access to alcohol 2.)peer pressure 3.)low self-esteem 4.)limited social activities in the community 5.)poor decision making skills 6.)poor coping skills 7.)boredom 8.)mental illness 9.)social acceptance of using alcohol 10.)family histories of alcohol use |
1.)By 2016 utilize contracts with the school district to increase alcohol awareness to students in the district. 2.)By 2016 the health department will increase community education through public service announcements and community forums providing information and awareness about alcohol and other substances. |
| Lee County Health Department |
1 |
Chronic Disease Screening |
1.)By 2016, Lee County will increase the number of adults aged 50+ utilizing colorectal screenings to 66% (Baseline 62.6%) and the number of adults aged 50+ having had a home blood stool test to 55% (Baseline 50%). 2.) By 2016, Lee County will increase the number of adults having their cholesterol checked within 12 months to 30% (Baseline 26.7%). 3.)By 2016, Lee County will increase the percentage of adults having their blood glucose screened within the last 12 months to 50% (Baseline 45.7). |
"1.)Older age ( 50+ ) 2.)African-American race 3.)Personal history of colorectal cancer or polyps 4.)Inflammatory intestinal conditions 5.)Inherited syndromes that increase colon cancer risk 6.)Family history of colon cancer and colon polyps 7.)Low-fiber, high-fat diet 8.)A sedentary lifestyle - less than 30 minutes of physical activity daily 9.)Diabetes |
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| 10.)Obesity - inadequate exercise habits, substandard eating habits, poor knowledge 11.)lack of health education 12.)Smoking 13.)Alcohol - more than two drinks per day for men, more than one drink per day for women 13.)Radiation therapy for cancer 14.)High Blood Cholesterol and Triglycerides 15.)high Blood Pressure 16.)metabolic syndrome 17.)diabetes and pre-diabetes 18.)smoking 19.)sedentary lifestyle 20.)unhealthy diet 21.)stress 22.)obesity 23.)being overweight with a BMI of 25 or greater 24.)fat distribution 25.)family history of diabetes 26.)race 27.)age |
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1.)Increase community awareness of the importance of colorectal cancer screening in both early detection and prevention of colorectal cancer. 2.)Increase community awareness of the importance of cholesterol and glucose screenings for detecting elevated levels, allowing for appropriate interventions and risk reduction of disease. 3.)Increase community awareness of resources for accessible and affordable screenings. |
"1.)Fear of the colorectal screening methods, including home blood stool testing and colonoscopy and related procedures. 2.)Fear of blood draws for cholesterol and glucose screenings 3.)Lack of access to care for the uninsured or underinsured 4.)Cost of medications if diagnosed with chronic illness 5.)Difficult to change behaviors / addictions 6.)Reaction versus prevention approach - person may not "feel bad" yet 7.)Language / Literacy barriers 8.)Insufficient knowledge of current resources and recommendations for screenings 9.)Low income population has multiple problems and immediate concerns that supersede lifestyle change |
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"1.)Provide accessible and affordable blood pressure screenings throughout Lee County. 2.)Provide accessible and affordable blood glucose screenings throughout Lee County. 3.)Provide accessible and affordable cholesterol screenings throughout Lee County 4.)Encourage physical activity and proper diet through educational programs. 5.)Encourage colorectal cancer screenings in high risk populations through education programs. 6.)Conduct social marketing campaigns. |
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| Lee County Health Department |
2 |
Access to Mental Health |
1.)By 2016, Lee County will increase the ratio of population to mental health providers to 3,500:1 (Baseline 3, 897:1). |
"1.)Having a biological relative, such as a parent or sibling, with a mental illness. 2.)Experiences in the womb; for example, having a mother who was exposed to viruses or who had poor nutrition during pregnancy may be linked to schizophrenia. 3.)Undergoing stressful life situations: such as financial problems, a loved one's death or a divorce. 4.)Having a chronic medical condition, such as cancer. 5.)Undergoing traumatic experiences, such as military combat or being assaulted. 6.)Use of illegal drugs. 7.)Being abused or neglected as a child. 8.)Having few friends or few healthy relationships. |
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1.)Reduce the prevalence of untreated mental illness by increasing capacity for mental health service delivery. 2.)Provide increased services locally and promptly to avoid the mental illness potentially escalating into a more severe public problem. |
"1.)Lack of psychiatrists (particularly child and adolescent). 2.)Lack of mental health and substance abuse providers. 3.)Stigma and denial of a mental health problem. 4.)Inadequate reimbursement rates. 5.)Lack of insurance coverage. 6.)Lack of integration of services. 7.)Lack of local treatment centers and long waiting list to receive care. 8.)Lack of community awareness of treatment resources available. 9.)Fragmented management of care for dually diagnosed individuals. 10.)Minimal public transportation. 11.)Primary care provider scope of practice is limited for mental health. 12.)Burdensome state billing system. 13.)Increased cost of psychotropic drugs. |
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"1.)Expand programs and implement strategies to recruit and retain psychiatrists, psychiatrically trained mid-level providers, counselors, and other mental health professionals in Lee County. 2.)Increase the use of telemedicine and technology to improve access to care. 3.)Increase training opportunities and evaluate quality of care. 4.)Enhance mental health education in family practice physicians and emergency room personnel to effectively identify and treat mental health conditions. 5.)Increase outreach programs to educate residents about the availability and acceptability of care. 6.)Develop plans to address system fragmentation and loss of continuity of care for dually diagnosed individuals (substance abuse & mental illness). 7.)Train community leaders, such as law enforcement, teachers, childcare providers, and clergy, to recognize the signs of mental illness and ways to access mental health system. 8.)Increase access to follow-up services to help patients manage their illness and eliminate repeated trips to the emergency room. |
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| Lee County Health Department |
3 |
Obesity |
1.)By 2016, the percentage of Lee County residents who are obese will fall below the national benchmark of 25% (Baseline is 27% of the population). |
1.)nutrition 2.)exercise 3.)genetics |
1.)Increase the percentage of Lee County residents who eat more than 2 servings of fruits and vegetables per day to 48% (Baseline 42%). 2.)Decrease the percent of Lee County residents who participate in no leisure time activities to 22% (Baseline 26%). |
"1.)Eating more food than your body can use 2.)Lack of healthy foods in diet 3.)Too few fruits and vegetables 4.)Too much fast food 5.)Too many junk foods 6.)Too many sweets 7.)Coping with problems by eating food, often snack/junk food and sweets 8.)Lack of healthy food education and cooking/preparation knowledge 9.)Lack of time to make healthy food 10.)Lack of healthy food access 11.)Skipping breakfast 12.)Drinking too much alcohol, and other high-calorie drinks 13.)Lack of sleep 14.)Not burning enough calories - taking in more calories than are burned 15.)Sedentary lifestyle 16.)Lack of leisure time physical activity 17.)Genes affect (not control) the amount of fat one stores and where it might be distributed 18.)Genes may also play a role in how efficiently the body converts food into energy and how that energy is used during exercise 19.)Even with a genetic predisposition, environmental factors can make a person gain more weight 20.)Pregnancy 21.)Necessary weight gain for pregnancy can be difficult to lose after the birthing phase 22.)Certain Medications 23.)Can lead to weight gain if not compensated for through diet and activity 24.)Some include antidepressants, diabetes medications, birth control, steroids, and beta blockers 25.)Age 26.)With age, hormone activity changes and a less-active lifestyle increase risk of obesity 27.)Amount of muscle mass naturally decreases with age 28.)Lower muscle mass can lead to lower metabolism, requiring fewer calories 29.)Social and Economic Issues 30.)Lack of access to safe areas to exercise 31.)Lack of knowledge of healthy ways to cook 32.)Lack of funds to buy healthier foods 33.)Friends and co-workers and their habits/activities 34.)Chronic Mental Illness and Disabilities |
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"1.)Encourage physical activity and proper diet through educational programs. 2.)Promote community activity times (scheduled walks along the river bank, etc.) 3.)Offer more programs and publicize more for the programs for new mothers 4.)Conduct nutrition and exercise education in schools as well as the community 5.)Conduct a social marketing program 6.)Incorporate physical activity over lunch hours in work places 7.)Educate that if fast food must be consumed, choose healthier options 8.)Educate about the importance of drinking more water and getting more sleep 9.)Form work-out groups of peers 10.)Promote the utilization of the numerous parks and facilities available |
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| Lee County Health Department |
4 |
Smoking |
1.)By 2016, Lee County will reduce the percentage of current adults who are smokers to 23% (Baseline is 26%). |
"1.)Accessibility: friends and family often make tobacco accessible at a young age 2.)Physical Addiction: frequency of use, nicotine 3.)Stress: social and family issues, coping abilities, work related 4.)Peer pressure from family and friends 5.)Primary Care Practices: limited use of resources and brief intervention at primary care level |
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"1.)Reduce the percentage of 8th graders that smoke a pack a day to 0%. (Baseline is 1%) 2,)Reduce the percentage of 8th graders who respond that it is easy to get cigarettes to 20%. (Baseline is 25%) 3.)Reduce the percentage of pregnant women that smoke to 15%. (Baseline is 19.1%) |
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"1.)Physical addiction 2.)Cost of medications/ treatments 3.)Difficulty of behavior change 4.)Reaction versus prevention approach 5.)Low income population has multiple problems and immediate concerns other than their smoking habits 6.)Distance to available programs 7.)Habit: early age to begin use/ long term of use 8.)Family members and peers who smoke |
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"1.)Offer and refer to smoking cessation services, including the Illinois Tobacco Quit line and the Break the Habit program. 2.)Refer to Freedom from Smoking clinics 3.)Provide or enhance tobacco prevention education in schools 4.)Create and implement educational programs targeted at grade school children 5.)Create and implement programs to educate potential mothers 6.)Conduct a social marketing campaign against tobacco use 7.)Conduct outreach to local healthcare providers to ensure they have local referral sources for their smoking patients |
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| Lee County Health Department |
5 |
Drug and Alcohol Abuse |
"1.)By 2016, reduce the percentage of people over the age of 18 in Lee County who are at risk for acute/binge drinking to 12% (Baseline 14.6). 2.)By 2016, reduce percentage of Lee County 8th grade students who report alcohol use in the past month to 15% (Baseline 18%). |
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"1.)Availability and access to drugs and alcohol 2.)Limited entertainment/boredom 3.)Social group pressure 4.)Family Influence 5.)Societal norms of alcohol 6.)Chemical imbalance 7.)Concurrent physical condition, illness 8.)Heredity/genetic disposition 9.)Lack of supervision and early encounters with drugs and alcohol as children 10.)Lack of family and parental involvement with children 11.)Lack of motivation to stop/denial of risk |
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"1.)Increase community awareness of the adverse effects of drug and alcohol misuse. 2.)Increase awareness among students of the adverse effects of drug and alcohol misuse. 3.)Increase the knowledge among Lee County parents of the importance of their role and the monitoring of their children's behavior. |
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"1.)Physical and psychological dependence. 2.)Limited knowledge/denial of the addictive nature of drugs and alcohols. 3.)Easy access to drugs and alcohol. 4.)Lack of incentive to modify consumption. 5.)Financial burden of rehabilitation services. 6.)Lack of emotional support. |
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"1.)Conduct social marketing campaigns and programs targeting drug and alcohol misuse awareness to Lee County youth and adults. 2.)Promote affordable and accessible treatment resources in the area. 3.)Enhance law enforcement efforts to monitor underage alcohol purchases and implement stricter penalties for both liquor vendors, adults serving or buying and those caught drinking under the legal age limit. 4.)Expand alternative activities for youth in Lee County. 5.)Empower Lee County parents to be good role models and provide them will skills to communicate with their children about drug and alcohol use. |
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| Livingston County Health Dept |
1 |
Access to Health Care |
"1. )Reduce the proportion of families that experience difficulties or delays in obtaining health care or do not receive needed care for one or more family members. Target: 7 percent. Baseline: 12 percent of families experienced difficulties or delays in obtaining health care or did not receive needed care in 1996. 2.) (Developmental) Increase the number of persons seen in primary health care who receive mental health screening and assessment. |
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| 3.). (Developmental) Increase the proportion of children with mental health problems who receive treatment." |
1.)lack of insurance or underinsurance |
"1.)Increase the proportion of people having access to low-cost counseling regarding Metabolic Syndrome. (MS risk factors = blood pressure, waist measurement, HDLs, triglycerides and glucose. Protective factors = physical activity, diet/nutrition, limited alcohol consumption) through the LCPHD's Hubert Wellness clinic by 5% annually. (Baseline: Two year average (FY08-FFY09) - 756 clients received Metabolic Syndrome counseling through LCPHD's Hubert Wellness clinic.) 2.)Increase by 10% annually the number of people receiving free counseling and NRT for tobacco cessation through the health departments ITFC grant program. (Baseline: 53adults enrolled in Livingston County's free telephone counseling and free NRT program 'Break the Habit' in FY10.) 3.)Increase the proportion of people receiving low/no cost counseling regarding alcohol consumption. (Baseline: IHR) 4.)Decrease the percent of teen pregnancies to 1.8% by 2015. [Baseline: 5 year average (2004-2008) for teen pregnancies is 2.4%, with a high of 3.3% in 2006 and a low of 2.1% in 2007 and 2008 (IDPH/Illinois Vital Statistics/teen birth rates 2004-2008).] 5.)Decrease the Sexually Transmitted Disease rate by 20% by 2015. (Baseline: 5 year (2004-2008) average number of cases of STDs were:35 for Gonorrhea and 143 for Chlamydia.) 6.)Annually, maximize use of funding provided by IDPH to provide women in Livingston County with mammograms and PAP test through the Illinois Breast and Cervical Cancer program. (Baseline: In FY10 LCPHD IBCCP provided screening for149 Livingston County women.) 7.)Increase by 5% annually the number of men who receive low-cost PSA blood tests to screen for prostate cancer through the LCPHD Wellness Clinic. (Baseline: In FY09 237 men received low-cost PSA blood tests through the LCPHD Wellness Clinic.) 8.)Increase by 10% annually the number of identified diabetics who enroll in the LCPHD's grant program to prevent complications from diabetes. (Baseline: Eleven diabetics enrolled in the program in FY10.) 9.)Increase by 3% annually the number of persons who receive low/no-cost seasonal influenza vaccines from LCPHD. [Baseline: Two year average (2008 &2009) for number of people receiving low/no-cost seasonal influenza vaccine from LCPHD was 2817(3150 in 2008 and 2484 in 2009).] 10.)Increase by 20% annually the number of people receiving public health nursing services through the Livingston County Community Health Care Program (LCCHCP). (Baseline: In the first 24 months of LCCHCP, 33 people, received public health nursing services through the LCCHCP.) 11.)Increase by 20% annually the number of people receiving homemaker and/or home health aide services through the Livingston County Community Health Care Program (LCCHCP). (Baseline: In the first 24 months of the LCCHCP 49 people, received homemaker and/or home health aide services through the LCCHCP.) |
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1.)lack of appropriate referrals 2.)travel distance to the provider 3.)lack of transportation 4.)unavailability of specialists 5.)inability to afford health care 6.)the insurance company not approving, covering, or paying for care,7.)preexisting conditions for which insurance coverage often is restricted 8.)lack of access to required referrals 9.)clinicians refusing to accept the family's insurance plan 10.)limited time 11.)lack of training in prevention 12)lack of perceived effectiveness of selected preventive services 13.)practice environments that fail to facilitate prevention 14.)include lack of resources or attention devoted to prevention 15.)lack of coverage or inadequate reimbursement for services 16.)lack of systems to track the quality of care |
"1.)LCPHD will increases and track number of wellness clinics/clients served at the health department clinic site and at community/work-place clinic sites. 2.)SOC will refer people at risk for alcohol use/abuse to IHR for alcohol counseling. 3.)LCHPH will promote and coordinate the Break the Habit free telephone counseling program and provide four weeks of free NRT through the Illinois Tobacco Free Communities grant. 4.)LCPHD will promote and coordinate the Break the Habit free telephone counseling program and advise Medicaid recipients on how to access free NRT through the Medicaid program. 5.)LCPHD will provide free physical activity, nutrition, tobacco cessation, alcohol, and childhood injury prevention counseling to women participating in the Women, Infants and Children and Healthy Families grant programs. 6.)LCPHD will promote teen pregnancy prevention through: programs provided free of charge to high school classes; the free Its Your Future Its Your Choice program for junior high schools; and low/no cost pregnancy prevention education and services to teens through the Family Planning Clinic grant. 7.)LCPHD will provide free physical activity, nutrition, tobacco cessation, and alcohol counseling to women receiving services through the Family Planning Clinic grant. 8.)LCPHD will promote and track STD prevention through free prevention education programs to high schools and prevention education to people of all ages through the STD Clinic grant and the Family Planning Clinic grant. 9.)LCPHD will promote and provide free STD counseling, testing and treatment through the STD Clinic grant. 10.)LCPHD will work with Mennonite College of Nursing at Illinois State University student nurses to distribute information regarding the LCPHD STD clinic and services provided. 11.)LCPHD will promote and coordinate the free services offered to women by the Illinois Breast and Cervical Cancer Program (IBCCP). 12.)OSF Saint James John W. Albrecht and other medical centers in the Livingston County service area will contract with the Livingston County IBCCP to provide breast and cervical cancer screenings at the reduced rate provided by the IBCCP. 13.)LCPHD will identify diabetics to be enrolled in the Prevention of Complications from Diabetes through Wellness and Family Planning Clinics. 14.)LCPHD will offer low/no-cost seasonal influenza vaccine at various sites throughout the county. 15.)LCPHD will coordinate with local medical providers and social service agencies to promote the LCCHCP and CCU services. |
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| Livingston County Health Dept |
2 |
Mental Health |
"1.)Increase the number of children seen in primary health care who receive mental health screening and assessment. 2.)Increase the number of children who receive mental health screening and assessment in the school setting. 3.)Increase the number of parents of new born children who receive universal mental health screenings. 4.)Increase the number of parents of school-aged children who receive universal mental health screenings. 5.)Increase the number of students identified as at-risk of social-emotional-behavioral concerns. 6.)Increase the number of students who receive mental health intervention services in the school setting. 7.)Increase the number of children referred by primary care providers for mental health services. |
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| 8.)Increase the number of parents of school-aged children who receive mental health intervention services. |
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1.)addictive disorder 2.)history of physical or sexual abuse 3.)older people who experience a health problem |
1.)Increase the number of mental health practitioners serving the county by 4 dually-credentialed psychologists and 4 pre-doctoral interns, by 12/30/14. [Baseline: LCSSU recruits and trains one intern per year. 2.)1.2 Increase the number of primary care providers trained in conducting universal mental health screenings at office visits to 50% by 12/30/14. [Baseline: Spring 2010 OSF pediatric provider survey indicated 25% of all office visits included discussion of psychological or mental health problems.] 3.)1.3 Increase use of technology for communication and coordination between systems providing services to children and adolescents by 12/30/14. [Baseline: multiple entities providing services to the same families without knowledge of one another per December 2009 Process Map]. 4.)1.4 Expand and coordinate interventions to reduce risk factors and increase resilience of school children/adolescents to all schools districts in the county by 12/30/14 [Baseline: As of 2010 several entities (including classroom teachers, IHR, ADV/SAS, and LCPHD)are providing limited/uncoordinated interventions to some school districts]. |
1.)difficulty for parents in accessing mental health services for their children due to being uninsured or underinsured 2.)lack of transportation to services 3.)the burden of poverty making regular attendance for appointments, taking time off work, and managing childcare arrangements for siblings insurmountable obstacles 4.)the culture of the community stigmatizes mental health and psychiatric care 5.)limited number of providers |
"1.)SOC will utilize ICHF funds to hire 4 dually-credentialed psychologist who will each supervise one pre |
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| doctoral intern. 2.)2.SOC will serve as a mental health screening training facilitator for the general medical and primary care |
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| sector. 3.)SOC will deliver a continuum of services in various non-clinic settings (i.e. schools, physicians' offices, Boys & Girls Clubs, Head Start) and by beginning to talk about services when children are infants, focusing on skill development and ecology, rather than diagnosis, to help reduce the stigma of mental health care. 4.)SOC will assign a psychologist to work closely with: other SOC psychologist working in schools; probation/court services; DCFS-funded counseling program for runaways; IHR therapists providing services for wards of the court; SASS workers; IHR providers working with high-need families; and the sheriff's department, which responds to calls from parents of non-compliant teens. 5.)SOC will assign a psychologist to work closely with: other SOC psychologist working in schools; probation/court services; DCFS-funded counseling program for runaways; IHR therapists providing services for wards of the court; SASS workers; IHR providers working with high-need families; and the sheriff's department, which responds to calls from parents of non-compliant teens. 6.)SOC will work with school psychologists and social workers and teachers to deliver a universal curriculum to develop social-emotional skills consistent with the Illinois State Board of Education's Social-Emotional Learning Standards. 7.). LCPHD Family Planning Clinic and IHR will continue collaboration for mental health services for FP clients. " |
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| Livingston County Health Dept |
3 |
Substance Abuse |
"1.)Reduce the death rate for alcohol-related motor vehicle deaths to 5 per 100,000. Baseline: 7.7 per 100,000 (IPLAN 1996) 2.)Reduce the proportion of alcohol related MV deaths to 23.7% of all MV deaths. |
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| Baseline: For the five-year period 2005-2009, 36.1% of all MV deaths were alcohol related. (Livingston County Coroner Report 07/13/10) 3.)Reduce the proportion of drug-related MV deaths to 11% of all MV deaths. (Baseline: For the five-year period 2005-2009, 16.7% of all MV deaths were drug-related. (Livingston County Coroner Report 07/13/10) 4.)Reduce the rate of adults who are at risk for acute/binge drinking to 15.7% by 2015. (Baseline: 22.7% of adults are at risk for acute/binge drinking (2006 BRFSS)) 5.)Reduce the rate of hospitalization for alcohol-dependence syndrome to 34.5 per 100,000 for ages 15-44, and 8 per 100,000 for ages 45-64. (Baseline:: ages 15-44 (3 year average 1999-2001) - 69.1 per 100,000 and ages 45-64 (3 year average 1999- 2001) - 15.8 per 100,000(IPLAN 1999-2001)) 6.)Reduce tobacco use by adults to 14.4%. [Baseline: 28.7% of adults smoke (2006 BRFSS)] 7.)Reduce tobacco use by 10th grade students to 8.8%, and by 12th grade students to 13.5%. [Baseline:Baseline:17% of 10th grade students, and 27% or 12 grade students reported using tobacco in the past month (Illinois Youth Survey 2008 - Livingston County, Note: 36 10th grade students and 44 12th grade students from 2 schools participated in survey).]" |
1.)perceived acceptance of problematic drug-using behavior among family, peers, and society influences an adolescent's decision to use or avoid alcohol, tobacco, and drugs 2.)Widely spread societal expectations that young people will engage in binge drinking may encourage this highly dangerous form of alcohol consumption 3.)stigma attached to substance abuse increases the severity of the problem. |
1.)Increase average age of first use of alcohol in adolescents in grades 8th thru 12th to age 17.7. [Baseline: Average age of first use 14.4 (Illinois Youth Survey 2008 - Livingston County, Note: Survey included 299 8th grade students from 4 schools and 44 12th grade students from 2 schools).] 2.)Increase average age of first use of marijuana in adolescents in grades 8th thru 12th to age 17.9. [Baseline: Average age of first use 14.1 (Illinois Youth Survey 2008 - Livingston County, Note: Survey included 299 8th grade students from 4 schools and 44 12th grade students from 2 schools).] 3.)Increase average age of first use of tobacco in adolescents in grades 8th thru 12th to age 15.7. [Baseline: Average age of first use was 13.1 (Illinois Youth Survey 2008 - Livingston County, Note: Survey included 299 8th grade students from 4 schools and 44 12th grade students from 2 schools).] 4.)Increase the percent of high school seniors not having used alcohol in the past month to 67%. [Baseline: 44% have not used alcohol in past 30 days (Illinois Youth Survey 2008 - Livingston County, Note: 44 12th grade students from 2 schools).] 5.)Increase the percent of 10th grade students not having used marijuana in the past month to 95% [Baseline: 86% have not used marijuana in past 30 days (Illinois Youth Survey 2008 - Livingston County, Note: 36 10th grade students from 2 schools).] 6.)Reduce to 8% the proportion of adults at risk for acute/binge drinking [Baseline: 22.7% of adults are at risk for acute/binge drinking. (BRFSS 2006)] 7.)Increase the percent of 6th, 8th, 10th, and 12th grade students who perceived risk of harm from regular alcohol use to 80%. [Baseline: 67% of 6th grade students, 66% of 8th grade students, 63% of 10th grade students, and 36% of 12th grade students perceived risk of harm from regular alcohol use (Illinois Youth Survey 2008 - Livingston County, Note: 296 6th grade students and 299 8th grade students from 4 schools and 36 10th grade students and 44 12th grade students from 2 schools participated in survey).] 8.)Increase the percent of 12th grade students who perceived risk of harm from regular marijuana use to 80%. [Baseline: 75% of 12th grade students perceived risk of harm from regular alcohol use (Illinois Youth Survey 2008 - Livingston County, Note: 44 12th grade students from 2 schools participated in survey)] 9.)Increase the number of percent of 12th grade students who perceive parental disapproval of alcohol use to 75%. [Baseline: 59% of 12th grade students perceived parental disapproval of alcohol use (Illinois Youth Survey 2008 - Livingston County, Note: 44 12th grade students from 2 schools participated in survey).] 10.)Increase by 10% annually the number of adults who attempt to quit smoking. (Baseline: 53adults enrolled in Livingston County's Break the Habit program in FY10.) 11.)Increase the percent of 6th, 8th, 10th and 12th grade students who perceived risk of harm from regular tobacco use to 95%. [Baseline: 87% of 6th, 94% of 8th, 88% of 10th and 86% of 12th grade students perceived risk of harm from regular tobacco use (Illinois Youth Survey 2008 - Livingston County, Note: 296 6th grade students and 299 8th grade students from 4 schools and 36 10th grade students and 44 12th grade students from 2 schools participated in survey).] 12.)Increase the percent of 10th grade students who perceive parental disapproval of tobacco use to 95% and the percent of 12th grade students who perceive parental disapproval of tobacco use to 88%. [Baseline: 90% of 10th grade students and 83% of 12th grade students perceived parental disapproval of tobacco use (Illinois Youth Survey 2008 - Livingston County, Note: 36 10th grade students and 44 12th grade students from 2 schools participated in survey).]Baseline: 90% of 10th grade students and 83% of 12th grade students perceived parental disapproval of tobacco use (Illinois Youth Survey 2008 - Livingston County, Note: 36 10th grade students and 44 12th grade students from 2 schools participated in survey). |
1.)the gap between the number of available treatment slots and the number of persons seeking treatment for illicit drug use or problem alcohol use 2.)age at onset 3.)co-occurring mental health disorders 4.)boys diagnosed with so-called externalizing disorders 5.)low socioeconomic status 6.)accessibility and availability of tobacco products 7.)cigarette advertising and promotion practices 8.)perceptions that tobacco use is normal, 9.)peers' and siblings' use and approval 10.)lack of parental involvement 11.)low self-image and low self-esteem 12.)the belief that tobacco use provides a benefit 13.)the lack of ability to refuse offers to use tobacco |
"1.)Livingston County Public Health Department (LCPHD) will continue to seek funding for implementation of the Its Your Future-Its Your Choice teen pregnancy/STD prevention program for 7th and 8th grade students. 2.)LCPHD will continue to address alcohol and illicit drug use in WIC, Family Case Management, Healthy Families Illinois, Family Planning, and STD programs and clinics. 3.)LCPHD will continue to address tobacco use in WIC, Family Case Management, Healthy Families |
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| Illinois, Family Planning and STD programs and clinics. 4.)IHR will continue to offer school-based programs focusing on altering perceived peer-group norms about tobacco, alcohol and other drug use and developing skills in resisting peer pressures to use tobacco, drink alcohol and use other drugs. 5.)Local law enforcement agencies will continue to conduct alcohol and drug impaired driver campaigns. 6.)Local law enforcement agencies will continue to conduct checks of alcoholic beverage retailers to ensure compliance with the minimum purchase age. 7.)IHR will continue to coordinate the activities of the, peer driven, "Snowball" teen drug/alcohol prevention program. 8.)IHR will continue to provide services, to clients who suffer chronic mental illness, that will keep these clients from needing to be admitted to state institutions. 9.)IHR will continue to provide substance abuse evaluations, DUI evaluations, and remedial education for persons arrested for driving under the influence of alcohol or drugs. 10.)IHR will continue to offer programs to assist clients with special needs (i.e., Parenting Classes.) 11.)LCPH D will continue to promote tobacco use cessation through IDPH funded toll-free Quit line and will offer free Nicotine Replacement Therapy, as funds allow, for staff, clients, and the general public. |
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| Livingston County Health Dept |
4 |
Heart Disease |
1.)Reduce coronary heart disease deaths to 140 deaths per 100,000 by 2015. [Baseline: 175.3 coronary heart disease deaths per 100,000 in 2006 (2006 IPLAN)] |
1.)high blood pressure 2.)cigarette smoking 3.)high blood cholesterol 4.)overweight 5.)physical inactivity 6.)diabetes |
"1.)Reduce to 17% the proportion of adults who smoke, by 2015. [Baseline: 28.7% of adults smoke. (BRFS 2010)] 2.)Increase by 10% annually the number of adults who attempt to quit smoking. [Baseline: 53adults enrolled in Livingston County's Break- the- Habit program in FY10.] 3.)Increase the Illinois tax on cigarettes to $1.48 per pack, by 2015. [Baseline: Illinois tax on cigarettes is $0.98 per pack (Campaign for Tobacco Free Kids, State Cigarette Excise Tax Rates and Rankings, 2010)] 4.)Reduce the proportion of adults with high blood pressure to 16.4%. [Baseline: 29.8% of adults had been told by a health care provider that their blood pressure was high in 2006 (2006 BRFSS).] 5.)Increase the proportion of adults who are taking medication to control blood pressure to match then proportion of adults who have been prescribed medication to control blood pressure. [Baseline: 83.1% of adults with high blood pressure had been prescribed medication to control blood pressure and 81.4% of them were taking medication to control blood pressure in 2006 (2006 BRFSS).] 6.)Increase to 81% the proportion of adults who have had their blood cholesterol checked in the past year. [Baseline: 67.7% of adults had had their cholesterol level checked in the past year in 2006 (2006 BRFSS)] 7.)Increase to 54.8% the proportion of adults who are at a healthy weight by 2015. [Baseline: 37.8% of adults were at a healthy weight in 2006 (2006 BRFSS)] 8.)Reduce the proportion of adults who are obese to 14 percent. [Baseline 22% of adults were identified as obese in 2006 (2006 BRFSS)] 9.)Increase to 20% the proportion of adults who are advised to lose weight by a health professional. [Baseline: 14.7% of adults were advised to lose weight by a health professional (2006 BRFSS)] 10.)Increase to 50% the proportion of adults who eat 3-4 servings of fruits/vegetables per day. [Baseline: 49.5% of adults eat less than 3 servings of fruits/vegetables per day; 34.7% of adults ate 3-4 servings of fruits/vegetables per day; (2006 BRFSS)] 11.)Increase to 20% the proportion of adults who eat 5 or more servings of fruits/vegetables per day. [Baseline: 15.8% of adults eat 5 or more servings of fruits/vegetables per day, (2006 BRFSS)] 12.)Reduce to 15% the proportion of adults who engage in no leisure-time physical activity. [Baseline: 23.4% of adults do no physical activity (BRFS 2006)] 13.)Increase to 80% the proportion of adults who engage in moderate physical activity for at least 30 minutes per day, at least 5 days per week. [Baseline: 41.4% of adults engage in moderate physical activity for at least 30 minutes per day, at least 5 days per week (BRFSS 2006)] |
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1.)age 2.)gender 3.)coexisting conditions such as high blood pressure, diabetes, and congestive heart failure 4.)lack of reimbursement for effective counseling treatments, such as smoking cessation 5.)patients do not successfully carry out their prescribed treatment regimen 6.)race/ethnicity 7.)low socioeconomic status 8.)prior medical history (previous heat attacks, history of angina or diabetes) |
"1.)LCHPH will offer CVD screenings through the Hubert Wellness Clinic both at the health department |
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| and at community/work-sites. 2.)Adults who are identified with risk factors for coronary heart disease through the Hubert Wellness Clinic Will be provided with information regarding health risks associated with elevated blood pressure, lipid levels, |
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| glucose level, out of range waist measurement and smoking. 3.)Local medical providers will advise adults who are obese/ overweight about losing weight. 4.)Women enrolled in the WIC program will be encouraged to breastfeed for at least 6 months, preferable 12 months 5.)Parents, of children enrolled in the WIC program who are identified as obese/ overweight, will be |
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| provided with information regarding: a) the health risks associated with being obese/overweight b)improving dietary habits; and c) opportunities for increasing physical activity. 6.)The School Based Health Center, at Pontiac Township High School, will continue to assess and counsel students regarding the importance of proper diet in avoiding/reducing the health risks related to obesity. 7.)LCPHD and OSF will provide persons with diabetes information regarding managing their condition through proper nutrition and exercise. 8.)LCHPD will promote heart disease prevention through diet and physical activity through local media |
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| opportunities. 9.)LCHPD will promote Break the Habit NRT program for adults and track number of clients enrolling and remaining smoke-free at 3, 6 & 12 months. 10.)LCPHD and OSF will promote the Illinois toll-free Quit-line and LCPHS will track number of calls. |
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| Livingston County Health Dept |
5 |
Cancer |
1.)Reduce to 20% the number of deaths in Livingston County due to malignant neoplasm's, by 2015. (Baseline: 25% of deaths in Livingston County in 2006 were due to malignant neoplasm's (2006 IPLAN)) 2.)Increase public reporting of violations of the Smoke-Free Illinois Act by 10% annually. (Baseline: In FY10 10 violations in Livingston County were reported through the Smoke-Free Illinois complaints surveillance system.) |
1.)healthy food and physical activity choices 2.)smoking |
"1.)Reduce the lung cancer death rate to 54 deaths per 100,000, by 2015. (Baseline: 69.6 lung cancer deaths per 100,000 in 2006. (IPLAN)) 2.)Reduce the colorectal cancer death rate to 18.7 deaths per 100,000, by 2015. (Baseline: 28.4 colorectal cancer deaths per 100,000 in 2006. (IPLAN )) 3.)Reduce the average age-adjusted colorectal cancer incidence rate to 40.1 for females and to 47.9 for males, by 2015. (Baseline: The average age-adjusted colorectal cancer incidence rate for 2002-2006, for females was 61.3 and for males was 72.5 (Illinois Cancer Registry Nov. 2008)) 4.)Increase the average percent of colorectal cancer diagnosed at local (early) stage to 45%, by 2015. [Baseline: The average percent of colorectal cancer diagnosed at local (early) stage for the five year period 2000-2004 was 39.7%. (IPLAN 2004)] 5.)Increase to 57% the proportion of adults age 50 and older who have ever received a colorectal cancer screening examination through fecal occult blood test (FOBT), by 2015. [Baseline: 39.1% of adults age 50 and older have ever received a colorectal cancer screening examination through fecal occult blood test (FOBT) (BRFSS 2006)] 6.)Increase to 67% the proportion of adults age 50 and older who have ever received a sigmoidoscopy, by 2015. |
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| Baseline: 49.7% of adults age 50 and older have ever received a sigmoidoscopy ( BRFSS 2006). 7.)Reduce to 17% the proportion of adults who smoke, by 2015. (Baseline: 28.7% of adults smoke. (BRFS 2010)) 8.)Reduce to 10% the proportion of women who smoke during pregnancy, by 2015.[Baseline: 25.3% of women smoke during pregnancy. (IPLAN 2006)] 9.)Increase by 10% annually the number of adults who attempt to quit smoking. [Baseline: 53adults enrolled in Livingston County's Break- the- Habit program in FY10.] 10.)Increase the Illinois tax on cigarettes to $1.48 per pack, by 2015. [Baseline: Illinois tax on cigarettes is $0.98 per pack (Campaign for Tobacco Free Kids, State Cigarette Excise Tax Rates and Rankings, 2010)] 11.)Increase SFI compliance checks by 10% annually. (Baseline: In FY10 17 compliance checks were conducted.) |
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1.)education 2.)income 3.)employment 4.)insurance coverage 5.)cultural and religious beliefs 6.)language and literacy level 7.)Social inequalities 8.)transportation or access to specialists who can treat the disability and provide cancer treatment or screenings 9.)acceptance of intervention 10.)Increased portion size 11.)marketing and advertising of foods and beverages high in calories, fat, and added sugar 12.)community design that hinders physical activity 13.)economic and time constraints 14.)poverty 15.)obesity 16.)physical inactivity 16.)diet high in red or processed meat 17.)heavy alcohol consumption 18.)inadequate intake of fruits and vegetables 19.)family history 20.)occupational or environmental exposure to secondhand smoke, radon, asbestos, certain metals, some organic chemicals, radiation, air pollution, 21.)history of tuberculosis |
"1.)Promote Break the Habit NRT program for adults and track number of clients enrolling and remaining smoke-free at 3,6 & 12 months. 2.)Promote the Illinois toll-free Quit-line and track number of calls. 3.)Conduct second-hand smoke education through health department clinics and track information distributed. 4.)Conduct "Its Your Future - Its Your Choice" for Junior High School students and track number attending and pre/post test results. 5.)In conjunction with the American Cancer Society, conduct a colorectal cancer prevention/screening awareness campaign and track campaign initiatives. 6.)Investigate opportunities to provide no/low cost fecal occult blood test kits to people who do not have insurance coverage for this screening and track results of investigation. 7.)Work with local medical providers to increase proportion of adults who receive a sigmoidoscopy and log contacts made with providers. 8.)Work with local health professionals to increase proportion of adults who have been advised, by a health professional, to quit smoking and track materials sent to health professionals. 9.)Provide women enrolled in the health department's WIC program with information regarding the importance of quitting smoking before, during, and after pregnancy, including while breastfeeding, and track number of women attempting to quit, through cornerstone reporting system. 10.)Facilitate efforts of the Livingston County Coalition Against Tobacco and other interested agencies/citizens in assisting in changing laws/regulations/taxation (including 2010) legislative efforts to raising the Illinois taxes on cigarettes to $1.00 a pack) that would enhance efforts to reduce tobacco use and eliminate expose to second-hand smoke and track success of legislative efforts. 11.)Respond to complaints made to the ITFC surveillance system with education letters to 1st time offending establishments and immediate compliance checks with repeat offenders. |
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| Logan County Health Dept |
1 |
Adult Obesity |
1.)By 2012, reduce the prevalence of adult obesity in Logan County to 26% (the target value indicated in 2010 County Health Rankings). Baseline= 30.4%, IL BRFSS 2007-2009. |
1.)behavioral 2.)genetic 3.)environmental 4.)lifestyle 5.)nutrition |
1.)By 2012, decrease the amount of residents in Logan County with no exercise to 10% and residents with moderate activity standard to 50%. Baseline: 19.6% and 42.1% respectively, IL BRFSS 2007-2009 |
1.)lack of exercise 2.)stress 3.)poor diet 4.)financial hardship 5.)lack of motivation 6.)family history 7.)time conflicts 8.)illness 9.)inadequate education 10.)unemployment |
1.)Awareness of the effects of obesity should be continued to be introduces to young children as well as adults while adults are framed as role models for children. 2.)Increase the availability and affordability of healthier food and beverage choices in public services areas. improve mechanisms for purchasing foods from farms. 3.)Limit advertisements of less healthy foods and beverages. Discourage consumption of sugar-sweetened beverages. 4.)Increase support for breastfeeding. 5.)Increase opportunities for extracurricular activities and enhance traffic safety in areas where persons are or could be physically active. 6.)Increase awareness of family history of obesity. |
| Logan County Health Dept |
2 |
Diseases of the Heart |
1.)By 2012, reduce the number of deaths due to diseases of the heart in Logan County by 7%. (The rate of deaths from cardiovascular disease in Illinois decreased by 14% in the past 5 years according to America's health Rankings 2009. Baseline: 152, IPLAN Data System 2006.) |
1.)high blood pressure 2.)cigarette smoking 3.)high blood pressure 4.)obesity 5.)undiagnosed health problems 6.)co-morbid conditions |
1.)By 2012, reduce the number of residents in Logan County who have high blood pressure to 27%. (Baseline: 30.4%, IL BRFSS 2007-2008) |
1.)lack of knowledge 2.)poor diet 3.)lack of exercise 4.)social environment 5.)diabetes 6.)sleep apnea 7.)lack of access to healthcare 8.)economic restraints 9.)pre-existing health conditions 10.)workplace challenges 11.)media influences 12.)early onset of tobacco use 13.)exposure to chemicals 14.)family history |
1.)Major intervention strategies that can achieve an overall decreased rate of deaths due to diseases of the heart include prevention and early detection. An increase in the number of screening opportunities and availability of cholesterol and blood pressure screenings can make a great impact in the detection of diseases of the heart. 2.)Increase the awareness of the effects of high blood pressure, obesity and tobacco usage in terms of causing diseases of the heart via education. 3.)Prevent recurrent cardiovascular events and be aware of past family history of diseases of the heart by continued education. 4.)increase compliance to blood pressure treatment in patients with an increased risk for a disease of the heart via education. 5.)Increase the knowledge of symptoms of heart attack and the importance to calling 911. 6.)Increase the awareness of the importance of bystanders' response to cardiac arrest and the being able to correctly perform CPR. |
| Logan County Health Dept |
3 |
Oral Health |
1.)By 2012, increase the number of residents who have seen a dentist within the previous year to 70%. (Baseline: 67%, BRFSS 2008) 2.)By 2012, increase the number of 3rd graders receiving sealants to 50%. (Baseline:49.3%, Healthy Smile Healthy Growth 2008-2009) |
1.)low income/poverty 2.)lack of insurance |
1.)By 2012, increase the number of Logan County residents who have had their teeth cleaned within the previous year to 66%. (Baseline: 60.7%, BRFSS 2008) 2.)By 2012, decrease the proportion of Logan County 3rd graders with dental cavity to 42%. (Baseline:51.9%, Healthy Smile Healthy Growth 2008-2009) 3.)By 2012, decrease the proportion of Logan County 3rd graders with untreated dental cavity and urgent treatment need to 21% and 4% respectively. (Baseline: 32.2% and 7.6% respectively, Healthy Smile Healthy Growth 2008-2009) |
1.)lack of jobs 2.)no preventative care 3.)inadequate oral health education 4.)lack of transportation to dentist 5.)inadequate number of dentists in the community 6.)lack of funding 7.)lack of education 8.)bad economy 9.)lack of oral health specialists 10.)lack of providers who accept Medicaid/Medicare |
1.)Promote yearly/biyearly dental examinations through education. 2.)Promote and demonstrate proper brushing and flossing techniques in elementary schools and health fairs. 3.)Education on the effects of poor dental hygiene using visual and physical effects of what poor hygiene can cause. 4.)Increase screening for oral cancer by conducting same at health fairs and work sites. 5.)Educate on the effects of high acidic foods and carbonated beverages on teeth. 6.)Educate mothers on the adverse effects of bottle propping. |
| Macon County Health Department |
1 |
Obesity |
1.)By 2016, decrease the number of obese adults in Macon County to 27%. (Baseline: In 2011, 29.7% of adults in Macon County are obese.) |
1.)genetics and family history 2.)age 3.)quitting smoking 4.)pregnancy 5.)sedentary lifestyle 6.)education (lack of knowledge) 7.)environmental, social, and economic issues 8.)health conditions and medications 9.)lack of sleep |
1.)Starting in 2011, the Macon County Health Department will continue participation in the Macon County Wellness Challenge and will implement this as an annual event for employees and their families. The MCHD will also continue to promote this program throughout the community as a part of the Health Department and also member of the Obesity Prevention Coalition. (Baseline: In 2011, 80 MCHD employees and their families; 231 Macon County employees; and 657 Macon County residents participated in the first ever Macon County Wellness Challenge.) 2.)Develop and launch healthy eating and physical activity campaign during or before 2012 to increase the number of Macon County adults to 16% who eat five or more servings of fruits and vegetables daily as recommended. (Baseline: In 2011, only 13.1% of adults in Macon County report that they eat the recommended amount.) The Macon County Health Department will also develop publications, messages, and materials with information regarding healthy eating, physical activity, and the link between them to attain and maintain overall health. |
1.)genes affect amount of body fat and where it is stored 2.)overweight parents tend to have overweight children 3.)genes play a role in metabolism and rate of calorie burn 4.)children have similar eating and physical activity behaviors as their parents 5.)genes can directly cause obesity in disorders (Bardet-Biedl & Prader-Willis Syndrome) 6.)Hormonal changes; menopause 7.)no increase in physical activity or decrease in caloric intake combined with indirect factor 8.)muscle mass decreases with age 9.)people eat or drink more than usual and/or what is required 10.)people eat food to replace cigarettes 11.)decreased rate of calorie burn 12.)habit of smoking in the mouth repeatedly throughout the day 13.)weight gain during pregnancy; difficult to lose post-partum 14.)lack of physical activity can result in lack of calorie burn to maintain healthy weight 15.)puts at risk for obesity, heart disease, HBP, HCL, and diabetes 16.)do not cook and/or eat healthy 17.)never learned how to do these things or the important linked between them 18.)do not engage in adequate physical activity 19.)do not look for and/or find appropriate assistance in the community 20.)lack of knowledge of who to call or where to go for assistance 21.)do not engage in physical activity 22.)lack access to safe areas in neighborhood to engage in physical activity 23.)2 or more hours of screen time per day 24.)rely on cars 25.)less physical demands due to technology 26.)lack of physical ed. in schools 27.)never taught how to cook healthy foods 28.)lack of healthy food options in schools 29.)no access to affordable workout facilities 30.)demanding work schedules 31.)do not eat/cook healthy foods; eat affordable 32.)lack of funds to purchase healthy foods 33.)advertising for unhealthy foods in the media 34.)oversized food portions 35.)conditions (Cushing's; underactive thyroid; Polycystic Ovary Syndrome 36.)Weight gain from steroids and anti-depressants 37.)weight gain 38.)causing body to retain water; increasing appetite; slowing the metabolic rate 39.)appetite not controlled; excessive calorie intake 40.)lack of hormones produced during sleep that control appetite |
"1.)Exercise and physical activity 2.)Dietary changes (healthy eating) 3.)Education about exercise, physical activity, healthy eating, and the connection among them 4.)Support; a team environment provides for extra support and accountability 5.)Behavior changes 6.)Seeing results is motivating and the results experienced then serve as motivation 7.)Prescription weight-loss medications 8.)Weight-loss programs such as Weight Watchers and Jenny Craig 9.)Weight-loss surgery 10.)The proven strategy in this objective is education, physical activity, healthy eating, and screening. Education will be provided about how healthy eating and physical activity work together to keep the body as healthy as possible for as long as possible. The Macon County Health Department will continue to partner with agencies, organizations, and businesses in community outreach events which provide blood pressure screening and blood glucose screenings. Knowing these numbers as a result of screening can give residents the knowledge and power they need to make the changes necessary to possibly save their own lives and the lives of their loved ones. |
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| Macon County Health Department |
2 |
Heart Disease |
1.)By 2016, reduce the stroke mortality rate in Macon County by 5% (121.5). The current, baseline stroke mortality rate is 127.9 in Macon County and according to the Healthy People 2020 Objectives, there were 42.2 stroke deaths per 100,000 population in 2007. 2.)Decrease the number of adults who have high blood pressure in Macon County to 26%. (Baseline: In 2011, 28.3% of Macon County adults have high blood pressure.) |
1.)increasing age 2.)gender 3.)heredity 4.)race 5.)tobacco 6.)high cholesterol 7.)high blood pressure 8.)sedentary lifestyle 9.)overweight/obesity 10.)diabetes mellitus 11.)emotional (stress/uncontrolled anger) 12.)substance abuse 13.)poor oral health |
1.)By January 1, 2013, at least 200 messages, speaking engagements, and other partnerships will be used for the most effective outreach possible. A general heart disease and heart health message will also be used. (Baseline: The MCHD's implementation of the Give Me 5 for Stroke Campaign in 2010 resulted in over 150,000 people in outreach numbers from May to November in 2010.) 2.)By 2013, develop and implement a blood pressure screening referral process in the community to increase the number of residents who have their blood pressure checked, could state whether it was normal or high, and receive follow-up care if needed. Develop referral documentation and process for emergency room patients at both local hospitals in which patients with high blood pressure at the time of their visit to the emergency room can be referred to the Macon County Health Department for a follow-up check. (Baseline - Some agencies in Macon County currently provide blood pressure screenings, but only on an occasional basis; not all sources collaborate and are familiar with screening opportunities and therefore referral opportunities are missed.) |
1.)men are at greater risk of having; women at greater risk of dying 2.)heart disease presents itself differently in men than women 3.)genes/heredity 4.)children whose parents have heart disease are more at-risk 5.)tend to have HBP, diabetes, heart disease 6.)African American's, Mexican American's, American. Indians Native Hawaiians, Asian American's 7.)health effects of smoking or breathing secondhand smoke 8.)smoking or breathing secondhand smoke 9.)cholesterol deposited into veins = narrowed arteries 10.)HCL-esp. with HBP, obesity, tobacco smoke, poor diet 11.)HBP-esp. with HCL, obesity, poor diet, smoking, and/or diabetes 12.)poor oral health; missing teeth and/or painful gums 13.)affects overall health 14.)diff. chewing 15.)lack of physical activity can result in lack of calorie burn to maintain healthy weight 16.)puts at risk for obesity, heart disease, HBP, HCL, and diabetes 17.)poor diet 18.)physical inactivity 19.)leads to HBP, HCL, high triglyceride levels and diabetes; stress, age, and heredity can also contribute to obesity 20.)sugars build up in the blood; blood sugar spikes 21.)contributes to heart disease, HCL, and HBP 22.)overeat; start smoking; smoke more; not adequate physical activity 23.)stress/anger can lead to activities that contribute to heart disease 24.)cholesterol deposited into veins = narrowed arteries 25.)HCL 26.)HBP 27.)Raised BP, raised triglycerides and LDL's, produced irregular heart beats 28.)drinking too much alcohol and/or using illicit drugs; (also contributes to obesity, alcoholism, suicide, accidents) |
"1.)Exercise and physical activity 2.)Screenings 3.)Education 4.)Treatment for substance abuse 5.)Dietary changes (healthy eating) 6.)Behavior/lifestyle changes 7.)Reducing stress 8.)Quitting smoking 9.)Quitting substance abuse 10.)Cardiovascular Disease Treatments 11.)Medications 12.)Pacemakers or Implantable Cardioverter Defibrillators (ICDs) 13.)Transplant (although not available in this area) 14.)Open Heart Surgery 15.)Valve Repair or Replacement 16.)Other Medical Procedures or Surgeries 17.)The proven strategy in this objective is the education component. With proper education, people can have the tools necessary to live healthier and therefore decrease their risk of heart disease and other complications. |
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| Macon County Health Department |
3 |
Diabetes |
1.)By 2016, decrease the number of people at risk for developing diabetes due to obesity and related illness. In 2011, 29.7% of Macon County adults are reported as obese. As this number is decreased, the number of people at risk for developing diabetes will also decrease. Therefore, the objective is to decrease the number of obese adults to 27%, therefore decreasing the number of residents at-risk for diabetes. 2.)By 2016, decrease the number of adults in Macon County with diabetes to 8.5% from the 2011 rate of 9%. |
1.)obesity 2.)sedentary lifestyle 3.)unhealthy eating habits 4.)family history and genetics 5.)high blood pressure and/or high cholesterol 6.)medications 7.)history of gestational diabetes 8.)pre-diabetes |
1.)The objective would be to increase the number of Macon County adults to 16% who eat five or more servings of fruits and vegetables daily as recommended. (Baseline: In 2011, only 13.1% of adults in Macon County report that they eat the recommended amount.) 2.)Develop an information and referral process for diabetes within the Macon County Health Department by December 31, 2012. |
1.)extra fatty tissue makes cells more resistant to insulin 2.)excessive fatty tissue and weight 3.)lack of physical activity can result in lack of calorie burn to maintain healthy weight 4.)contributes to obesity 5.)inappropriate foods cause spikes in blood sugar 6.)eating unhealthy foods 7.)leads to obesity which put at risk for diabetes 8.)eating unhealthy foods 9.)genes affect amount of body fat and where it is stored; and how resistant body is to insulin 10.)people with family members with diabetes are more at risk 11.)Aft. Aim's, Hispanic Aim's, Native Aim's more at risk 12.)damaged blood vessels 13.)metabolic syndrome 14.)HBP and/or HCL 15.)side effects of medications can contribute to diabetes or other risk factors for diabetes 16.)use of medications 17.)history of gestational diabetes makes women and their babies more-at-risk for being diagnosed with diabetes later in life 18.)factors that contribute to gestational diabetes 19.)pre-diabetes directly leads to diagnosis of Type 2 diabetes 20.)diagnosis of pre-diabetes and not managing it properly |
"1.)Exercise and physical activity; weight can be controlled and cells will become more sensitive to insulin, therefore decreasing resistance and lowering blood sugar 2.)Blood sugar monitoring 3.)Healthy eating - keeping blood sugar and weight down 4.)Diabetes medication 5.)Insulin therapy 6.)Screening 7.)The proven strategies for these objectives are education, physical activity, healthy eating, and screening. Education will be provided about how healthy eating and physical activity work together to keep the body as healthy as possible for as long as possible. Diabetes-specific information and referrals will also be made available through the Macon County Health Department in several divisions. The Macon County Health Department will continue to partner with agencies, organizations, and businesses in community outreach events which provide blood pressure and blood glucose screenings. Knowing these numbers as a result of screening can give residents the knowledge and power they need to make the changes necessary to possibly save their own lives and the lives of their loved ones. |
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| Macoupin County Health Dept |
1 |
Elderly Health Issues |
1.)By 2014, increase the number of Macoupin County senior citizens who report meeting recommended standards from physical activity from 44.1% to 50%. (BRFSS 2007) 2.)By 2014, decrease the percentage of senior citizens who report eating fewer than 2 fruits or vegetables per day to 44.7%. (Baseline BRFS 2007: 49.7%) 3.)By 2014, increase the percentage of senior citizens who have had routine checkup within one year from 84% to 90%. (BRFSS 2007) 4.)By 2014, decrease the percentage of senior citizens who report never getting emotional support they need from 14.1% to 9%. (BRFSS 2007) 5.)By 2014, decrease the percentage of senior citizens who report having no dental insurance/ coverage from 79.1% to 74.0%. (BRFSS 2007) |
1.)inactivity 2.)nutrition 3.)health literacy 4.)isolation 5.)finances |
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1.)lack of and/or ability to access resources 2.)lack of motivation 3.)cost prohibitive 4.)difficult to cook for one 5.)nutritious foods can be cost prohibitive 6.)restrictive diets 7.)lack of access to current medical recommendations 8.)fear of harassment/intimidation from medical community 9.)loss of family/friends 10.)lack of social opportunities 11.)elder abuse |
"1.)MCPHD will send mailers to Macoupin County medical providers to encourage them to counsel their senior citizen patients regarding the importance of being physically active. 2.)MCPHD currently operates a senior transportation program which transports seniors to restaurants, events, and recreation activities within and beyond Macoupin County borders. To promote increased physical activity for seniors, the MCPHD senior transportation program will increase scheduled trips to locations which are conducive to physical activity, including state parks, swimming locations, etc. 3.) MCPHD will encourage Macoupin County school districts to make their facilities open to the public before and after school for senior citizens to walk. 4.)MCPHD will work with Macoupin County social service agencies and churches to determine a method to encourage senior citizens to become more physically active. 5.)MCPHD will encourage Macoupin County medical providers |
| to counsel their senior citizen patients regarding the importance of eating the recommended amount of fruits and vegetables per day. MCPHD will provide medical providers with information regarding resources & trainings to assist with counseling. 6.)MCPHD will work with Macoupin County social service agencies, senior organizations and churches to determine a method to encourage senior citizens to eat more fruits and vegetables per day. 7.)MCPHD will work with DHS to ensure that senior citizens are receiving federal food assistance as appropriate. 8.)MCPHD will continue to offer nutrition education, either individual or group, with a certified dietician. 9.)MCPHD will encourage Macoupin County medical providers to contact their senior citizen patients with reminders to schedule annual physicals. 10.)MCPHD will increase promotion of the MCPHD medical transportation program to reach at-risk populations through Macoupin County social service agencies, churches, medical providers, and local media. 11.)Senior citizens without a medical home will be directed to the MCPHD Macoupin County Maple Street Clinic for services. 12.)MCPHD will work with the Locust Street Resource Center (Mental Health) to determine the method to increase promotions of Locust Street services specifically targeted to senior citizens. 13.)MCPHD will collaborate with Macoupin County social service agencies, senior organizations, civic organizations, and churches to encourage senior citizens to access available services, including community and church related events and functions. 14.)MCPHD will work with the Macoupin County Citizen Corps Council to encourage USA on Watch (Neighborhood Watch) volunteers to interact with senior citizens. Interaction will specifically be encouraged during significant community situations, including severe weather and power outages. 15.)MCPHD Senior on the Go program will coordinate trips and for a small fee drive senior citizens to events thus encouraging socialization. 16.) MCPHD will work with Macoupin County social service agencies and churches to determine methods to educate Macoupin County senior citizens of the importance of maintaining dental insurance and the effects that oral health deficiencies can have on overall health. |
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| Macoupin County Health Dept |
2 |
Teen Risky Behaviors |
"1.)By 2014, decrease the amount of alcohol and drug use activity with middle and high school students. (Baseline data from 2008 Macoupin YRBS: 8th grade- 47% used alcohol, 6% used inhalants, 10 % used marijuana, 4% misused prescription drugs, 4% was drunk or high at school, 11% rode w/DUI teen. 10th grade- 69% used alcohol, 26% used cigarettes, 11% used inhalants, 31% used marijuana, 13 % misused prescription drugs, 16% had been drunk or high at school, and 36 % rode with DUI teen.) 2.)By 2014 decrease by 6% the number of adolescents who smoke in Jr. High and High School through targeted education in elementary, middle and high school class rooms. (Baseline: 2008 Macoupin YRBS 9% of 8th graders smoke and 26% of 10th graders smoked in the past year) 3.)By 2014, decrease the number of teen pregnancies by 30%. (Baseline from Illinois Department of Public Health: 1 pregnancy under age 15; 17 ages 15-17; 9.5% for 2007) |
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1.)adverse childhood experiences 2.)negative peer pressure 3.)inconsistent information/education |
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1.)lack of identified values, morals, and beliefs 2.)lack a parental or guardian communication 3.)media seems to be supporting unhealthy lifestyles 4.)low self esteem 5.)lack of communication skills 6.)perceived peer pressure 7.)not knowing what information out there is accurate and safe to follow |
"1.)Expand the Too Good for Drugs program (piloted during 08/09 in two high schools) into 50% of Macoupin County school districts 2.)MCPHD will conduct an annual countywide Heart Health Contest in February for children grades kindergarten through eighth grade promoting the benefits of not smoking. 3.)Increase the proportion of sexually active, unmarried adolescents aged 15 to 17 years who use contraception that both effectively prevent pregnancy and provides barrier protection against diseases. (Baseline Data: 2006- 10.7% teen pregnancies, 2008 - 45% Chlamydia age 15-19) 4.)Establish and maintain evidence based programming to build skills to prevent pregnancy & STD/HIV with in all nine high schools in Macoupin County. Possible curriculum: Reducing the Risk. 5.)Establish and maintain evidence based programming to build life skills for middle school age children. For Example: Draw the Line, Respect the Line. 6.)Offer a curriculum on Birth Control (for example: Birth Control: Myths & Methods) for 8th to 12th graders in Macoupin County. 7.)Increase the proportion of young adults who have received formal instruction before turning age 18 years on reproductive health issues, including all of the following topics: birth control methods, safer sex to prevent HIV, prevention of sexually transmitted diseases, and abstinence. 8.)Provide formal educational opportunities for health/physical education/life skills teachers regarding current reproductive health issues. 9.)Build collaboration between existing Coalitions (Teen Pregnancy Prevention Community Advisory Group, Macoupin County Anti-Meth Coalition, Macoupin County Maple Street School Linked Health Center Community Advisory Group) 10.)Encourage all nine school districts to train staff to counsel adolescents with high risk behaviors. 11.)Provide training for persons working with adolescents such as school staff, social service agencies, health care Professionals regarding the Adverse Childhood Experiences Study. 12.)Establish after school programming that will expand the opportunity to provide positive role models and peer experiences in an effort to develop self-esteem, communication skills, and positive decision making skills. 13.)Develop and implement positive media messages that encourage positive peer opportunities. 14.)Develop and implement a campaign to help adolescents seek current information from reliable sources. |
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| Macoupin County Health Dept |
3 |
Diabetes |
1.)By the year 2014, reduce the proportion of adults in Macoupin County who are obese (defined as Body Mass Index (BMI) of 30 or more) to 25% (baseline 33.2% 2007 BRFS). Reduce the proportion of adults participating in the Diabetes Control & Prevention Program who are obese (defined at Body Mass Index of 26 to 39) to 70% (Baseline: 74%, 2007/08 data from Macoupin County Diabetes Control & Prevention Program). 2.)By the year 2014, establish a team approach to the management of diabetes for the residents of Macoupin County that includes health promotion, disease prevention and clinical management. 3.)By the year 2014, increase number of diabetes control participants who have reported they have had an annual foot exam, an eye exam, a flu vaccine, and an A1c. (baseline from Cornerstone Diabetes Control & Prevention Participants (Data reported from 1/1/08 to 12/31/08): foot exam 65.5%; eye exam 85.8%, flu vaccine 88%, and A1c 81.8%) 4.)By the year 2014, increase the number of diabetes control participants who report they have received diabetes education. (Baseline from cornerstone Macoupin County Diabetes Control & Prevention Participants (data reported from 1/1/08 to 12/31/08): 41.6%) |
1.)obesity 2.)life style choices |
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1.)nutrition 2.)lack of physical fitness 3.)social withdrawal/depression 4.)lack of understanding and/or knowledge 5.)lack of financial resources 6.)lack of resources 7.)failure to test blood sugar 8.)failure to follow a recommended diet 9.)failure to follow a recommended schedule for foot and eye exams 10.)failure to exercise 11.)failure to control associated health problems including elevated blood sugars, high blood pressure, and cholesterol 12.)"borderline" theory or a denial that a person actually has diabetes 13.)lack of understanding of the disease; its complications and treatments 14.)lack of financial resources 15.)lack of motivation |
"1.)Establish a countywide coalition/association that will advocate for the needs of people living with diabetes in Macoupin County. 2.)Provide county health care providers (physicians, pharmacists, dieticians, ophthalmologists, and dentists) with annual continuing education opportunities related to a variety of diabetes related topics including Team Care for the Management of Diabetes and Health Counseling for physical fitness, tobacco cessation, nutrition, and/or blood glucose control. Provide information regarding resources and teaching tools available to health care providers. 3.)Implement nutrition education sessions (either individual or group setting) that will increase participants' knowledge of healthy meal planning, food budgeting, shopping skills. 4.)Work with schools, churches, fitness facilities, and businesses within the county to encourage the use of available and other resources for physical activity. 5.)Implement a fitness program targeting persons living with diabetes in Macoupin County. 6.)Continue a support group for persons living with diabetes. 7.)Provide other social networking opportunities for persons in Macoupin County living with diabetes. 8.)Establish a countywide coalition/association that will advocate for the needs of people living with diabetes in Macoupin County. 9.)Provide county health care providers (physicians, pharmacists, dieticians, ophthalmologists, and dentists) with annual continuing education opportunities related to a variety of diabetes related topics including Team Care for the Management of Diabetes and Health Counseling for physical fitness, tobacco cessation, nutrition, and/or blood glucose control. Provide information regarding resources and teaching tools available to health care providers. 10.)Continue to provide needs assessment and referral services through the Macoupin County Diabetes Control & Prevention Program. 11.)Establish an awareness campaign "Get Routine Care" that follows the National Diabetes Education Program and outlines the steps to managing diabetes. 12.)MCPHD will continue to provide A1c (and cholesterol screenings) at a reduced price to all Macoupin County Residents. Public health nurses will educate clients with elevated A1c results and make appropriate referrals. 13.)MCPHD will continue to offer influenza (and pneumonia) vaccines at a reduced price to all Macoupin County Residents. 14.)Establish an awareness campaign regarding the importance of annual foot and eye exams for people living with diabetes. This campaign will include but not be limited to newsletter articles, newspaper articles, event displays, bulletin board flyers, radio PSAs, annual foot screening events. 15.) Establish and maintain a system by which diabetes education, either individual or group, is provided to the residents of Macoupin County. This may include local services provided by health care providers or transportation to services provided outside of the county. It may be group or individual education. 16.)Work with existing transportation services to assist persons living in Macoupin County to attend diabetes education opportunities. |
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| Madison County Health Dept |
1 |
Air Quality/Environment |
1.)By June 2016, improve physical environment ranking by 10% on the County Health Rankings Project. (Baseline: Madison County ranked 101 out of 101 on physical environment, County Health Ranking 2010) |
1.)Exposure to environmental airborne toxins |
1.)By December 31, 2013, improve Madison County's ozone grade to a C on the American Lung Association's State of the Air Report Card. (Baseline: Madison County received a grade F on High Ozone Days, American Lung Association's State of the Air Report Card) |
1.)CO2/mobile sources 2.)industry, point source 3.)environmental tobacco smoke 4.)incinerating 5.)open burning 6.)cars and other transportation sources 7.)lawnmower 8.)wood burning stoves 9.)leaf burning 10.)refinery and manufacturing 11.)energy usage in large buildings 12.)occupational exposure to tobacco smoke 13.)parental smoking in homes and cars 14.)lack of education |
1.)By December 2011, Madison County Planning and Development, in partnership with the MCPCH Air Quality committee, will have developed a Facebook page devoted to educating the community about environmental issues affecting Madison County. 2.)By April 2012, MCPCH will conduct 5 Learning in Motion educational programs in Madison County elementary schools. 3.)By December 2012, MCPCH will introduce and advocate for a "no idle program" in 5 Madison County school districts. 4.)By May 2013, MCPCH will create a marketing strategy to inform Madison County residents about the poor air quality in Madison County. |
| Madison County Health Dept |
2 |
Mental Health |
1.)By June 2016, 10% of community will be trained with mental health first aid. (Baseline: to be determined. 2.)By June 2016, 10% of trained responders will increase events and providers offering an integrated model. (Baseline: to be determined.) |
1.)Clinical services: specialized, fragmented, and not well-integrated with community-based support 2.)Stigma and lack of understanding of mental illness and barriers to identifying, seeking, and providing prevention and support |
1.)By July 2013, health related events and wellness events, health providers promote integration. 2.)By July 2013, promote, provide, and assure mental health first aid countywide. 3.)By July 2013, develop and disseminate a caring for caregivers tip sheet. |
1.)silos of care 2.)emphasis on illness not wellness 3.)lack of community involvement 4.)funding sources 5.)lack of prevention resources 6.)overemphasis of emergency/crisis services 7.)acute care pays better/financial 8.)mineralization/denial 9.)lack of human interactions-online |
1.)By December 2012, work with community leaders to enhance existing support systems, especially in more closed communities, building on trusted resources/people. 2.)By December 2012, promotion of unified prevention strategy. 3.)By December 2012, establish a holistic branding of mental health in Madison County. |
| Madison County Health Dept |
3 |
Obesity |
1,)By June 2016, to reach 25% of all healthcare providers in Madison County with the tools they need to have a thorough discussion about obesity with their patients. (Baseline: To be established by securing the healthcare providers list) 2.)By June 2016, reduce by 5% the number of Madison County children over the 85th percentile for BMI. below state level BMI statistics for obesity to less that 85th percentile. (Baseline: local data to be determined through pre-surveys during year 1. State level BMI statistics for obesity will also be used.) 3.)By June 2016, reduce by 5% the obesity rate of Madison County. (Baseline: None available, Comparative to State Survey, 2014) |
1.)culture 2.)Education: lack of nutrition and education resources 3.)poor diet 4.)lack of activity |
1.)By 2012, develop criteria for healthcare resources that will be distributed to providers or community organizations. 2.)By 2013, create an accurate list of providers or community organizations for resource dissemination. 3.)By 2014, distribute list to providers or community organizations for resource dissemination. 4.)By 2015, create a media campaign kickoff event utilizing TV and newspapers. 5.)By 2015, re-evaluate and re-update materials. 6.)By 2016, include 3rd party organizations in resource dissemination. 6.)By 2012, contacts will be made with school nurses and other local pediatric doctors about BMI data collection. 7.)By 2012, there will be an active Madison county School Wellness group established for local school districts. 8.)By 2013, data will be collected to develop a baseline for childhood BMI for Madison County. 9.)By 2014, awareness targeted for school-aged children will be sent out via community health fairs. 10.)By 2015, Madison County school wellness policies will be established to increase standard physical activity and healthy consumption of fruits and vegetables. 11.)By 2016, evaluation of BMI data and impact of strategies will be analyzed. 12.)By 2016, there will be a 2% increase of physical activity, and consumption of fruits and vegetable intake of surveyor Madison County residents. 13.)By January 2012, baseline survey will be established and reviewed by committee. 14.)By 2014, data will be collected to establish activity baseline for Madison County. 15.)By 2015, educational materials will be distributed to increase awareness of importance of physical activity and consumption of fruits and vegetables. 16.)By 2016, survey Madison County residents to evaluate behavior change. |
1.)MD/patient relationship 2.)body image 3.)lack of awareness 4.)appropriate resources 5.)behavioral control 6.)lack of knowledge 7.)lack of resources 8.)lack of physical education 9.)lack of motivation 10.)society value 11.)availability to healthy foods 12.)education 13.)low income 14.)lack of safe parks 15.)access to fitness 16.)low motivation |
1.)support groups 2.)family involvement 3.)meals and exercise 4.)education 5.)incentives 6.)behavioral contracts 7.)survey 8.)data collection for community 9.)contact school nurses for data 10.)look at physical education curriculum 11.)require daily physical education curriculum 12.)work with summer programs 13.)create wellness group for Madison County School Wellness Policy 14.)Community member volunteer for walk to school program to increase physical activity. 15.)supply resources 16.)organize health fairs 17.)organize kids activities 18.)advertise 19.)speakers list to community organizations 20.)presentations 21.)involve community |
| Madison County Health Dept |
4 |
Substance Use and Abuse |
1.)By June 2016, increase of 10% in number of students reporting parents have talked to them about ATOD. (Baseline: Illinois Youth Survey data every two years.) |
1.)parental attitude/response 2.)availability and access to alcohol 3.)community norms 4.)school factor 5.)social norms (kids) 6.)early age of onset |
1.)By December 2013, increase of 15 of number of informational outlets for parental knowledge for ATOD prevention. (Baseline: Unknown) |
1.)lack of knowledge "laisez-faire" 2.)denial "head in the sand" 3.)lack of parenting skills 4.)single parent families 5.)parental use 6.)no good system for information busy parents 7.)lack of knowledge of technology 8.)lack of resources 9.)negative stigma to attending parenting classes 10.)number of opportunities to purchase - high density 11.)access at home 12.)older friends and siblings 13.)illegal sales 14.)advertising 15.)increasing percentage of latchkey kids 16.)parents in denial/lack of knowledge of law 17.)parents use/provision 18.)lack of consequences 19.)community norms 20.)provision of alcohol at community events 21.)inconsistent enforcement 22.)lack of reporting |
1.)social marketing campaigns 2.)communication campaigns 3.)parent workshops 4.)seller server training 5.)tobacco prevention and cessation |
| Madison County Health Dept |
5 |
Teen Pregnancy |
1.)By June 2016, improve pregnancy prevention efforts to reduce by 5% the number of births to teens under 18 years of age in Madison County. (Baseline: 120 births to adolescents under age 18 years of age, Illinois Teen Births by County- IDPH Vital Statistics, 2008) |
1.)early onset of sexual activity 2.)lack of contraception usage (due to lack of access, knowledge and skill) 3.)lack of parent education (parents, youth, community) 4.)lack of school sexual health or sexuality |
1.)By December 31, 2012 increase by 5% the number of sexually active teens under 20 years of age who receive testing and/or treatment for STDs and HIV/AIDS. (Baseline: 79 adolescents under 20 years of age participated in services provided by the Madison County Health Department- Madison County Health Department- Sexual Health Clinic Data, 2010) 2.)By December 31, 2013, increase by 4 the number of schools, organizations or churches that provide an evidence-based sexual health program. (Baseline: To be determined) |
1.)lack of education 2.)lack of positive environments 3.)lack of positive activities 4.)lack of supervision 5.)lack of knowledge 6.)unrealistic expectations (i.e. it won't happen to me. Not my child) 7.)no or inconsistent use of contraceptives 8.)lack of sex education for youth and parents 9.)low self-esteem among teens 10.)lack of future goals 11.)lack of counseling model for physicians 12.)many sexually active youth 13.)sexual activity among teens is socially accepted in some families and communities 14.)media influence/portrayal of sex and relationships 15.)sex represents love/Having sex proves love 16.)early initiation of sex (young age of first sex) 17.)number of partners (many partners) |
1.) By March 2011, MCPCH will establish a 5-year committee plan to address teen pregnancy and STDS and HIV/AIDS. 2.)By August 2011, MCPCH will implement a social media campaign to raise awareness of teen pregnancy in Madison County and the benefits of improved education. 3.)By December 2011, MCPCH will conduct a youth input meeting. 4.)By August 2012, MCPCH will create a marketing strategy to inform community members in Madison County community about local STD testing and family planning services. 5.)By October 2012, MCPCH will establish an annual testing week or awareness day to bring attention to the prevention of sexually transmitted diseases and infections as well as unintended pregnancy. 6.)By December 2013, MCHD will provide an evidence-based program to two additional schools in Madison County. 7.)By August 2013, MCPCH will promote the Illinois Caucus for Adolescent Health-Lending Library to all Madison County School administrators and health educators. 8.)By August 2013, MCPCH will provide a list of evidence-based/promising sexual health programs to all Madison County school administrators, curriculum instructors, physical education teachers, health educators, youth-serving organizations, and churches. |
| Marion County Health Dept |
1 |
Substance Abuse |
1.)By year 2016, the incidence and prevalence of substance abuse under the age of 18 will be reduced by 10%. |
1.)low socio economic status 2.)deterioration of family unit |
1.)By the year 2014, community-wide initiatives will begin to increase substance abuse education. 2.)By the year 2014, reduce use of tobacco use in adolescents by 5%. 3.)By year 2014, the adolescent use of marijuana by 5%. |
1.)lack of education 2.)rural depressed locations 2.)risk of addiction 3.)lack of parental education 4.)acceptance of learned behavior 5.)poor parenting skills 6.)criminal behavior 7.)lack of coping skills 8.)unemployment rate 9.)homeless 10.)lack of opportunity 11.)cheap high 12.)recreational society 13.)quick fix to stress 14.)lack of finances 15.)media driven 16.)community acceptance 17.)availability 18.)lack of code enforcement 19.)peer pressure 20.)parental substance abuse 21.)adults buying for kids 22.)mental illness 23.)domestic violence and acceptance |
1.)Annual preventative substance abuse education in schools, pre-school through 12th grade. 2.)Increase family-friendly activities available for families with benefits to parents. 3.)Involvement in local health fairs educating community of substance abuse prevention. 4.)Work with local churches, businesses, social services, legal offices to promote strong family units by providing parenting programs. 5.)Illinois Quit line 6.)Marion County Health Department website, posts resources with pro-Family messages. 7.)Marion County Health Department Case Management Program increase resources for family needs. 8.)Partner with media resources in Marion County to increase public service announcements on the effects of substance abuse. 9.)Send an informational letter to city government officials, outlining current substance abuse trends. 10.)Survey local high schools on use of substances. 11.)Participate in the Education Committee of the Centralia Area Drug Task Force. |
| Marion County Health Dept |
2 |
Cardiovascular Disease |
1.)By the year 2016, reduce cardiovascular disease deaths to no more than 100 deaths annually for Marion County. (Baseline: 133 deaths in 2006) |
1.)high blood pressure 2.)high cholesterol |
1.)By year 2014, increase the number of blood pressure screening by 15%. The national objectives for healthy People 2010 is to reduce the proportion of adults with high blood pressure (12-9). Target: 16%. Baseline: 28% of adults aged 20 years old or above had high blood pressure. 2.)By year 2014, increase number of cholesterol screenings by 10%. The national objective for healthy people 2010 is to reduce the mean total blood cholesterol levels among adults (12-13). Target: 199 mg/dl. Baseline: 206 mg/dl was the mean total blood cholesterol level for adults aged 20 years and older. |
1.)diet 2.)lack of self-control 3.)cost/prep-time 4.)comfort food/portion size 5.)lack of physical activity 6.)scheduling time for exercise 7.)education 8.)lack of preventative care 9.)obesity 10.)depression 11.)lack of motivation 12.)diet 13.)lack of fresh fruits and vegetables 14.)processed foods 15.)high carbohydrate foods 16.)heredity 17.)genetic make-up 18.)education 19.)cultural tradition for foods |
1.)Enhance WIC nutrition classes to include heart healthy foods. 2.)Increase number of people being screened for hypertension and high cholesterol through more health department clinics, hospital fairs. 3.)Public Service Announcements in good nutrition choices. 4.)Public Service Announcements and articles on signs and symptoms of cardiovascular disease and how often blood pressure and cholesterol need to be monitored. 5.)Promote healthy choices in school lunch programs via DVD's, posters or bookmarks. 6.)Promote monthly health message each month in health department newsletter. 7.)Display various posters at doctor offices, hospitals and health department concerning proper nutrition, exercise and body mass index (BMI). 8.)St. Mary's Hospital and Centralia Recreation Center's Next Program (Nutrition Exercise and training). 9.)Marion County Health Department will display Lab Device informational brochure at doctor offices, churches, Little Egypt Breast and Cervical Cancer Program Office, Farmers Markets, and various public display boards. 10.)"Healthy Alternatives" refrigerator magnets. 11.)Distribute various educational information to lab clients. 12.)Promote monthly health message each month in health department newsletter. 13.)Develop and promote a 12 week Health Challenge to the Community to get baseline screening and educational materials to decrease cholesterol and blood pressure and check again after the 12 week program. |
| Marion County Health Dept |
3 |
Obesity |
1.)By year 2016, decrease the amount of adults that are overweight by 20%. Decrease the number of children who are overweight by 15%. (Baseline: 26.4% of Illinois adults are obese (CDC BRFSS, 2007-2009) 17% of the nation's children and adolescents age 2-19 are overweight (NHANES 2007-2009) |
1.)lack of exercise 2.)poor dietary habits |
1.)By year 2014, provide 20% of the Marion County residents with educational information that address diet/exercise and weight loss plans. 2.)By year 2014, provide 20% of Marion County residents with information to assist with healthy food selection, benefits of a healthy diet and health impacts of consuming increased fat and sugar foods. |
1.)lifestyle 2.)lack of role models 3.)technology 4.)lack of exercise locations 5.)lack of knowledge of exercise plans 6.)limited organized PE in schools 7.)limited availability of exercise classes 8.)limited access to personal trainers 9.)motivation 10.)lack of peer support 11.)adult encouragement 12.)consumption of fast food 13.)low cost 14.)convenient 15.)taste good 16.)lack of knowledge of healthy cooking 17.)lack of role models 18.)limited educational resources 19.)advertising 20.)increased time watching TV 21.)increased time using internet |
1.)Offer low cost routine lab services to increase awareness of negative impacts of poor dietary habits. 2.)Develop a "Fitness/exercise" link on MCHD's website providing a variety of diet and exercise information. 3.)Develop a link on MCHD's website that offers nutritional information on fast-food restaurants. 4.)Through WIC, dispense Farmers market coupons to provide access to fresh fruits and vegetables. 5.)Through WIC, provide nutritional education to parents including the benefits of consuming whole grains, fresh fruits and vegetables and decrease fat dairy products. 6.)Offer nutrition and fitness information to MCHD clients. 7.)Promote MCHD web link on "Fitness/exercise" to other local agencies such as Community Resource Center, medical doctor offices, schools, etc. 8.)Through WIC, offer breastfeeding support and counseling (breastfeeding children are 22% less likely to become obese). |
| Marshall County Health Department |
1 |
Behavioral Health/Substance Abuse |
1.) By 2017, reduce the % of youth age 12-17 using substances - alcohol in the last 30 days from 30% to 25%. 2.) By 2017, reduce the % of youth age 12-17 using substances - illicit drugs in the last 30 days from 11% to 6%. |
1.) Social Norm of the community 2.) Peer Influence 3.) At-risk families |
1.) By 2016, reduce the % of adolescents using tobacco in the past 30 days from 17% to 12%. |
1.) Poor statutory intervention, 2.) inadequate deterrence, 3.) favorable attitudes, 4.) alcohol parties/social settings, 5.) zero tolerance for athletes only, 6.) unstructured/unsupervised free time, 7.) unemployment, 8.) creative/inexpensive ways to achieve "high", 9.) lack of positive role models, 10.) inadequate coping skills, 11.) learned coping mechanisms, 12.) poor decision making skills, 13.) notion of immortality, 14.) poor impulse control, 15.) low self-esteem, 16.) peer pressure, 17.) bullying, 18.) lack of motivation, 19.) poor parental monitoring, 20.) lack of technology monitoring (Facebook, twitter, etc), 21.) social media, 22.) parent/sibling use, 23.) easy access, 24.) lack of knowledge |
"1.) Coordinate and/or enhance substance abuse health education for each school grade level in all schools within Marshall County. 2.) Inform, educate and implement Mental Health First Aid training for all school employees. 3.) Develop community based strategies to meet the Illinois Tobacco-Free Communities Grant goals and objectives. |
| 4.) Identify and implement strategies to increase parental understanding and involvement in substance abuse prevention among youth. 5.) Engage schools in Marshall County and youth to promote no tolerance policies for substance abuse and education regarding consequences of substance abuse. 6.) Formation of a Board of Health committee that will review, support, monitor, and evaluate CHIP strategies. |
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| Marshall County Health Department |
2 |
Obesity Across the Lifespan |
1.) By 2017, reduce the proportion of adults and children who are obese from 29% to 24%. |
1.) Poor diet 2.) Lack of Physical Activity |
1.) By 2015, begin obtaining Marshall County schools to report Body Mass Index (BMI) information through Illinois Child Health Exams. 2.) By 2016, increase the proportion of children and adults who have consumed 5 or more servings of fruits and vegetables per day from 14.6% to 19.6% 3.) By 2016, increase the proportion of children and adults who will have engaged in moderate physical activities from 42.7% to 47.7%. |
1.) Culture, serving portions, 2.) nutrition content, 3.) low income, 4.) food dessert, 5.) lack of education, 6.) restaurant selections lacking, 7.) too much TV/computer time, 8.) lack of parental guidance, 9.) not enough school physical education, 10.) school/work schedules, 11.) lack of positive role models, 12.) life styles. |
1.) Increase availability of healthy food choices in schools, and reduce unhealthy foods and beverages from school menus to model healthy eating. 2.) Ensure access to healthy and affordable food by promoting traditional and non-traditional food retail in the community. 3.) Work with restaurants and schools to increase the knowledge about healthy eating choices in Marshall County. 4.) Ensure access to safe and affordable parks, gyms, and other facilities for physical activity and promote physical activities for the community. 5.) Provide education on work site wellness policies to promote healthy eating guidelines and increased physical activity plans to employees. |
| Marshall County Health Department |
3 |
Oral Health |
1.) By 2016, increase the percentage of Marshal County residents who are seen by a dentist from 68.2% to 78.2%. |
1.) Access to dental Care 2.) Poor Dental Treatment |
1.) By 2015, increase the number of Marshall County residents who have had their teeth cleaned within the previous year from 64.3% to 74.3%. |
1.) Hard to attract dentists to a rural setting, 2.) no oral health specialists in the county, 3.) poor appointment show rates, 4.) low reimbursement rates from Medicaid, 5.) little public transportation, 6.) no after hours services, 7.) lack of oral health education, 8.) culture/family, 9.) no insurance coverage, 10.) no provider accepts Medicaid insurance, 11.) limited resources, 12.) lack of perceived need. |
"1.) Promote yearly/biannual dental examinations through education. 2.) Develop and promote dental health awareness resulting with an improved understanding of one relationship between periodontal disease and cardiovascular disease. 3.) Promote and educate proper brushing and flossing techniques in elementary schools and health fairs. |
| 4.) Research opportunities for access to dental care |
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| Mason County Health Dept |
1 |
Cancer |
By the year 2018 reduce the rate of deaths from Lung Cancer in Mason County to no more than 80 per 100,000 populations. Baseline Mason County 96.2 / 100,000 IL 53.1/100,000 |
1.) Tobacco use 2.) Health habits |
Reduce the percentage of Mason County residents who smoke from 24.7% to 22% by 2012 Baseline: Mason County 24.7 %, Illinois 20.9% (BRFS 2007-2009) |
1.) Physical addiction 2.) Marketing/peer pressure 3.) Primary Care practices 4.) Diet/Obesity 5.) Insufficient medical attention 6.) Exposure to environmental hazards 7.) Frequency of use 8.) Physical and mental stress 9.) other substance abuse 10.) Community stance on tobacco 11.) Regulation/enforcement 12.) Young age at first use 13.) Limited MD knowledge of resources 14.) Limited screening and interventions 15.) Insufficient exercise habits 16.) Substandard eating habits 17.) Lack of knowledge 18.) Minimal early screenings/follow-up 19.) Lack of knowledge 20.) Limited knowledge of risk 21.) Limited MD access/ability to pay 22.) Limited knowledge/denial of risk |
"1.) Smoke Free Illinois Education & Enforcement 2.) Smoking regulation enforcement 3.) Smoking cessation consultation 4.) Patient education on diet % exercise 5.) Screening and early detection 6.) Education regarding environmental hazards 7.) Point of sale education 8.) Policy and program support |
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| Mason County Health Dept |
2 |
Breakdown of the Family |
Reduce the teen pregnancy rate to 14% by the year 2018 Baseline: 16.2% in Mason County, (10.1% in Illinois.)2009 |
1.) High Teen birth rate 2.) High incidence of violence/suicide 3.) Substance Abuse 4.) Access to Care |
"1.) Reduce the percentage of Mason County residents at risk for binge drinking to 18% by 2012. Baseline 23.4 %( 17.5% Illinois) BRFS 2004) 2.) Increase the Mason County Family Planning teen caseload to 220 by 2018 |
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| Baseline 212 December 2012 MCHD Family Planning Program" |
1.) Community stance on teen contraceptive education 2.)Substance abuse 3.) High divorce rates, lack of parent involvement 4.) Poverty/mental & financial stress 5.) Low health care literacy 6.) Lack of access to care 7.) Access to Care 8.) Limited Health providers 9.) Lack of role models 10.) Community stance of sex education 11.) High divorce rate 12.) Transportation limited 13.) Poverty |
1.) Access to family/mental health counseling 2.) Access to substance abuse counseling 3.) Access to contraceptive education & planning 4.) Mentoring 5.) Afterschool programs for at risk students 6.) Children's Advocacy |
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| Mason County Health Dept |
3 |
Cardiovascular Disease |
By the year 2018, reduce the rate of deaths from heart diseases in Mason County to no more than 220 per 100,000 populations. |
1.) High Cholesterol 2.) Tobacco Use 3.) Physical inactivity 4.) Hypertension 5.) Access to Care |
1.) Reduce the percentage of Mason County residents who smoke from 24.7 to 22% by 2018.Baseline Mason County 24.7 %, (Illinois 20.9%) BRFS 2007-09. 2.) By 2018 reduces population with high blood pressure to 28.0%. Baseline: 31.5% (IL=29.0%) BRFS 2007-09 |
1.) Tobacco Use 2.) Unsafe health habits 3.) Diet/Obesity 4.) Physical Addiction 5.) Marketing/peer pressure 6.) Limited access to care 7.) Low level of medical literacy 8.) Stress 9.) Primary Care Practices 10.)Insufficient Medical attention 11.) Substandard social/family issues 12.) Young age at first use 13.) Limited access to counseling 14.) Limited crisis interventions |
1.) Smoke Free Illinois Education & Enforcement 2.) Smoking cessation consultation 3.) Patient education on diet, exercise, smoking 4.)Screening and early detection 5.) Education regarding environmental hazards 6.) Point of sale education 7.)Policy and program support |
| McDonough County Health Dept |
1 |
Cardiovascular Disease |
1.)By 2015, reduce the crude death rate of heart disease to 166/100,000 population. (Baseline: 184.8/100,000, IPLAN Data System Report, 2006) |
1.)high blood pressure 2.)high cholesterol 3.)obesity 4.)heredity 5.)tobacco use 6.)diabetes |
1.)By 2013, decrease the percentage of population age 45-64 with high blood pressure to 34.4%. (Baseline: 37.1% had high blood pressure according to BRFSS Round 4 Data 2007-2009. Target setting method: 10% reduction) 2.)By 2013, decrease the percentage of population aged 45-64 with high cholesterol to 42.7%. (Baseline: 47.4% had high blood pressure according to BRFSS Round 4 Data 2007-2009. Target Setting method: 10% reduction) |
1.)availability of services 2.)stress 3.)exercise 4.)diet 5.)utilization of medications 6.)peer pressures 7.)motivation 8.)time 9.)associated costs 10.)lack of insurance |
1.)McDonough County Health Department, the McDonough District Hospital, Eagle View Community Health Systems, Beu Student Health Services at WIU and private doctors' offices will offer blood pressure screening and education for adults. 2.)The Community Health Committee (CHC) will develop a work group of agencies with similar missions to plan, implement, market, and evaluate measures to increase the number of sites offering blood pressure screening, education and control activities. 3.)McDonough County Health Department, the McDonough District Hospital, Eagle View Community Health Systems, Beu Student Health Services at WIU and private doctors' offices will offer cholesterol screening and education for adults. 4.)The Community Health Committee (CHC) will develop a work group of agencies with similar missions to plan, implement, market, and evaluate measures to increase the number of sites offering cholesterol screening, education, and control activities. |
| McDonough County Health Dept |
2 |
Obesity |
1.)By 2015, reduce the percent of the McDonough County adult population who is obese to 20%. (Baseline: 22.6% were obese according to BRFSS Round 4 Data 2007-2009. Target setting method: 10% reduction) |
1.)sedentary lifestyle 2.)poor diet 3.)cultural and environmental factors |
1.)By 2013, increase the proportion of adults who engage in moderate physical activity 5 times a week for 30 minutes on each occasion to 46.2% (baseline: 42.2% according to BRFSS Round 4 Data 2007-2009. target setting method: 10% increase) 2.)By 2013, increase the proportion of adults who engage in vigorous physical activity 3 or more days to 49% (Baseline: 44.5% according to BRFSS Round 4 Data 2007-2009. Target setting method: 10% increase) 3.)By 2013, increase the proportion of persons aged 2 years and older who consume the recommended servings of fruits or vegetables per day to 20%. (Baseline: 17.9% reported eating Five A Day, BRFSS Round 3 Data. Target setting method: 10% increase) |
1.)sedentary work environment and leisure-time activities 2.)abundance of convenience/fast foods 3.)low socioeconomic status of area 4.)lack of consistent nutrition education |
1.)McDonough District Hospital is one organization in McDonough County that offers fitness testing. The fitness testing is designed to provide an individual baseline information. The screening will determine whether a person is overweight or obese as well through body fat percentage, body mass index, waist/hip proportions, flexibility, and grip strength. once when an individual has made changes to lead a healthier lifestyle their information can be reevaluated to determine the progress that was made towards a healthier lifestyle. 2.)The CHC will work with other agencies, businesses, and organizations with similar missions to plan, implements, evaluate, and market community physical activity programs as well as identify locations which may be used by residents for that purpose. 3.)Hy-Vee's dietician offers weight management programs to the community. An individual can meet with the dietician by the hours and receive a nutritional plan based upon their individual needs. 4.)For Western Illinois University students that qualify they can use the services provided by the Bella Hearst Diabetes Institute. participants can receive free lab services which include a hemoglobin A1C screening, glucose screening, blood lipid panel screening, body fat analysis, cardiovascular fitness testing, and resting metabolic rate testing. Participants will be providing nutrition education that includes diabetes education, medical nutrition therapy, diabetes management supplies, and personal training. 5.)The CHC will work with other agencies, businesses, and organizations with similar missions to plan, implements, evaluate, and market additional community nutrition education classes and information. 6.)The CHC will pursue collaborative funding opportunities to being obesity prevention activities, classes, and information for individuals and families in the county. this will focus on education of families in both realms of physical activity and nutrition. 7.)The CHC will collaborate with other like-minded agencies and organizations to plan, implement, evaluate and market a health education campaign, focusing on physical activity and nutritional information, ideas, recipes, etc. This information will be distributed on a monthly basis via local media, school, and organization newsletters. |
| McDonough County Health Dept |
3 |
Respiratory Disease |
1.)By 2015, reduce to 32.22% the proportion of adults (aged 25-44) who smoke. (baseline: In 2007, 35.8% of McDonough County residents reported smoking according to the BRFSS Round 3 Data). |
1.)asthma 2.)tobacco 3.)mold 4.)lung disease 5.)COPD 6.)radon 7.)lack of immunization for influenza/pneumonia in high risk population |
1.)By 2013, 50 smokers will have participated in an evidence-based smoking cessation program. |
1.)pollution 2.)tobacco use 3.)lack of motivation to make a behavior change 4.)concerns about vaccine 5.)personal choice 6.)past experience or family experience with vaccine 7.)no insurance |
1.)"Freedom from Smoking" is a smoking cessation program designed by the American Lung Association and offered by the McDonough District hospital. The program is facilitated by McDonough District Hospital health educators. 2.)"Break the Habit: is a program that is offered to the residents of McDonough County to aid individuals while they quit smoking. Each year, the health department aims to have 25 smokers participate in the evidence-based smoking cessation program, and at least 300 call the Illinois Tobacco Quit line. |
| McHenry County Health Dept |
1 |
Obesity and Nutrition |
1.)By the year 2020, increase the proportion of adults in McHenry County who are at a healthy weight to 44.88 percent. (Target: 10 percent improvement, healthy People 2020). Baseline: 40.8 percent of persons aged 18 years and older are at a healthy weight/underweight (BRFSS, 2007). 2.)By the year 2020, reduce proportion of McHenry County adults who are obese to 21.2 percent (Target: 10 percent improvement, healthy People 2020). baseline: 23.5 percent of persons aged 18 years and older are obese (BRFSS 2007). |
1.)unhealthy diet 2.)inactivity 3.)genetics 4.)diseases and drugs 5.)environment 6.)behavioral health |
1.)By the year 2017, reduce the prevalence of McHenry County adults who engage in no leisure-time physical activity to 20.8 percent (Target: 10 percent improvement, Healthy People, 2020). Baseline: 13.9 percent of adults with no physical activity but intent, 9.2 percent with no physical activity without intent (BRFSS, 2007). 2.)By the year 2017, increase the proportion of McHenry County adults who consume 5 or more servings per day of fruits/vegetables to 19.2 percent (Target: 5 percent improvement, healthy people 2020). Baseline: 12.8 percent of adults consume 5 or more servings per day of fruits/vegetables. |
1.)diet high in fat, calories, salt and low fruit and vegetable consumption 2.)lack of knowledge regarding proper nutrition intake 3.)caloric imbalance 4.)large portion sizes 5.)lack of physical activity and/or lack of adequate physical activity 6.)lack of time 7.)sedentary workplace 8.)absence of motivation 9.)social/economic issues 10.)lack of education regarding physical activity and/or lack of adequate physical activity 11.)lack of time 12.)sedentary workplace 13.)absence of motivation 14.)social/economic issues 15.)lack of education regarding physical activity 16.)metabolic rate and shared genetic behaviors 17.)lack of knowledge regarding genetics/hereditary components 18.)race 19.)acceptance of genetic makeup 20.)imbalance of hormones 21.)lack of physician visits 22.)lack of insurance 23.)lack of knowledge regarding thyroid disease 24.)medications 25.)underactive thyroid 26.)side effects of other health problems 27.)lack of physical activity resources 28.)poor community planning 29.)unsafe areas 30.)high crime living areas 31.)food deserts 32.)lack of transportation 33.)stress 34.)life status/economic issues 35.)disease |
1.)Develop and obesity prevention toolbox for community leaders. This toolbox will include several types of interventions for action. It will also encourage community leaders to adopt long-term and sustainable approaches to reversing the obesity trend. 2.)Collaborate with diverse partners to develop a community-wide physical activity campaign: including but not limited to the following: decreasing the number of community members who engage in no leisure time physical activity, decreasing sedentary habits. 3.)Collaborate with diverse partners to increase opportunities that educate the community on healthy and nutritious food choices: including but not limited to the following: increased consumption of fruits and vegetables, decreased consumption of unhealthy foods. 4.)Coordinate, organize and establish a McHenry County Coalition that will develop plans to reverse the obesity trend. The new Coalition will focus on the following: identify interconnections among county resources that would lead to more coordinated, comprehensive, and effective collaborative programs and actively support partners in solidifying collaborations, and develop new resources and/or programs to meet identified needs where no such resources currently exist. |
| McHenry County Health Dept |
2 |
Access to Mental Health and Substance Abuse Services |
1.)By 2017, decrease the proportion of McHenry County adults that report poor mental health days to 12.3%. Baseline, 13.7%, IBRFSS. Baseline: 10% improvement, MDMH-4, Healthy People 2020 |
1.)access to mental health and substance abuse services |
1.)By 2017, increase the proportion of adults who seek/receive treatment with mental health disorders to 60.6%, 2010 McHenry County healthy Community Study- household Survey. Baseline: 10% improvement, MHMD-9, healthy People 2020. |
1.)denial 2.)knowledge of service/resource 3.)financial 4.)transportation 5.)lack of mental health education 6.)stigma-fear, reluctance to seek help 7.)limited marketing of available services 8.)stigma attached to crisis line 9.)barriers- public and professional awareness 10.)gaps, fragmented services 11.)inadequate preventative services 12.)cuts in state funding 13.)loss of agency programs/staffing due to funding cuts 14.)high cost of health insurance 15.)geographic disparity 16.)limited public transportation system 17.)high cost of transportation |
1.)Increase access to care for those adults seeking treatment for co-occurring mental health disorders and substance abuse. 2.)Reduce barriers for those adults seeking treatment for mental health disorders and co-curing substance abuse and mental health disorders. 3.)Increase communication between providers and consumers. |
| McHenry County Health Dept |
3 |
Cancer- Colorectal, Breast, Prostate |
1.)By the year 2017, reduce the age adjusted death rate from cancer in McHenry County to no more that 17.7 per 100,000. Baseline: healthy People 2020 target setting method of 10% improvement. Baseline: 190.8/100,000 CDC, National Center for Health Statistics. (2003-2007). |
1.)diet 2.)genetics 3.)lifestyle 4.)environmental 5.)prostate conditions |
"1.)By 2017, reduce the age adjusted colorectal cancer death rate in McHenry County to no more than 32.5 per 100,000. Baseline: Healthy People 2020 target setting method of 10% improvement. Baseline 36.1/100,000 CDC, National Center for Health Statistics (2003-2007). 2.)By 2017, reduce the age adjusted female breast cancer death rate in McHenry County to no more than 24.3 per 100,000. Baseline: Healthy People 2020 target setting method of 10%improvement. Baseline: 27.0/100,000 CDC, National Center for Health Statistics (2003-2007). 3.)By 2017, reduce the age adjusted male prostate cancer death rate in McHenry County to no |
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| more than 22.3 per 100,000. Baseline: Healthy People 2020 target setting method of 10% improvement. Baseline: 24.8/100,000 CDC, National Center for Health Statistics (2003-2007)." |
1.)high in fat and calories 2.)low in fiber 3.)low fruit/vegetable consumption 4.)lack of knowledge regarding proper nutrition 5.)family history/genes 6.)absence of genetic/medical counseling 7.)lack of knowledge regarding the role of genetics 8.)lack of physical activity 9.)alcohol consumption 10.)tobacco use 11.)lack of time/motivation 12.)stress, lack of coping skills 13.)personal history 14.)family history 15.)inherited gene 16.)radiation exposure 17.)treatment for unrelated diseases 18.)obesity 19.)caloric imbalance, lack of physical activity 20.)stress, lack of coping skills 21.)age 22.)race/ethnicity 23.)lack of knowledge regarding genetic conditions and family history 24.)inflammation of prostate 25.)infection of prostate 26.)enlarged prostate 27.)lack of physician visits and lack of knowledge about prostate conditions |
1.)Coordinate, organize and establish a McHenry County Coalition that will develop plans to address cancer awareness. The new Coalition will focus on the following: Identify current education and screenings that exist in the County and develop new resources and/or programs to meet identified needs where no such resources currently exist; Identify best practices for awareness, education and screenings; Identify interconnections among county resources that would lead to more coordinated, comprehensive, and effective collaborative programs, and actively support partners in solidifying collaborations. |
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| McLean County Health Department |
1 |
Obesity |
1.) By 2017, increase the proportion of children and adults in McLean County who are at a healthy weight. (baseline - adults 38.5%; children 83.8%) HP2020 NWS-8: Increase the proportion of adults who are at a healthy weight. Target: 33.9 percent. 2.) By 2017, halt the trend of steadily rising obesity prevalence in McLean County. (baseline prevalence- increased 6.6% in six years, from 15.4% in 2002 to 22% in 2008) HP2020 NWS-9: Reduce the proportion of adults who are obese. Target: 30.6 percent. NWS-10 Reduce the proportion of children and adolescents who are considered obese. a.NWS-10.1 Children aged 2 to 5 years. Target: 9.6 percent. b. NWS-10.2 Children aged 6 to 11 years. Target: 15.7 percent. c. NWS-10.3 Adolescents aged 12 to 19 years. Target: 16.1 percent. d. NWS-10.4 Children and adolescents aged 2 to 19 years. Target: 14.6 percent. 3.) By 2017, reduce the annual number of new cases of diagnosed type 2 diabetes in McLean County. (Baseline - prevalence 6.8% adults have diabetes) HP2020 D-1: Reduce the annual number of new cases of diagnosed diabetes in the population. Target: 7.2 new cases per 1,000 population aged 18 to 84 years. |
1.) Sedentary Lifestyle 2.) Poor Eating Habits 3.) Lack of knowledge 4.) Mental health status 5.) Adverse childhood experiences 6.) Environmental agents/toxins 7.) Biological factors |
"1.) By 2015, increase the rate of adults and children in McLean County who engage in |
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| regular physical activity. (baseline - sedentary lifestyle: 60.3% adults, 59% children) |
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| HP2020 PA-1: Reduce the proportion of adults who engage in no leisure-time physical |
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| activity. Target: 32.6 percent.PA-2: Increase the proportion of adults who meet current Federal physical activity guidelines for aerobic physical activity and for muscle-strengthening |
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| activity. PA-3: Increase the proportion of adolescents who meet current Federal physical |
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| activity guidelines for aerobic physical activity and for muscle-strengthening |
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| activity. PA-3.1 Aerobic physical activity. Target: 20.2 percent. |
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| 2.) By 2015, increase the consumption of fruits and vegetables by all populations in McLean |
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| County. (baseline - low fruit/veggie intake 86.3% adults, 85-90% youth). HP2020 |
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| NWS-14: Increase the contribution of fruits to the diets of the population aged 2 |
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| years and older. Target: 0.9 cup equivalents per 1,000 calories. NWS-15: Increase the variety and contribution of vegetables to the diets of the population aged 2 years and older. |
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| NWS-15.1 Increase the contribution of total vegetables to the diets of the |
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| population aged 2 years and older. Target: 1.1 cup equivalents per 1,000 calories. |
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| 3.) By 2015, decrease the consumption of sugar sweetened beverages by all populations in |
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| McLean County. (no baseline available) HP2020 NWS-2.1 Increase the proportion of schools that do not sell or offer calorically sweetened beverages to students. Target: 21.3 percent. |
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| NWS-17: Reduce consumption of calories from solid fats and added sugars in the |
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| population aged 2 years and older. 4.) By 2015, increase the consumption and access of safe public tap water sources for all populations in McLean County. (no baseline available) |
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1.) Sedentary lifestyle 2.) Television and computer/video game usage scaled back 3.) physical education classes and recess 4.) Increasing dependence on motor vehicles for transportation (less biking & walking) 5.) Built environments that discourage or are unsafe for walking, biking, etc 6.) Lack of available outdoor play space in urban areas7.) Cultural norms 8.)Poor nutrition 9.)increasing use and availability of fast-food restaurants0.) Marketing of sugary and fat-laden foods to children 11.) schools that offer junk food and soda to children 12.) Exodus of grocery stores from urban shopping centers, making affordable fresh fruits and vegetables scarce, and contributing to food deserts 13.)lack of nutrition knowledge 14.) Cultural norms 15.) Financial constraints to buy healthy foods16.) Mental health 17.) Lack of self-efficacy 18.) Lack of knowledge 19.) Stress 20.) lack of motivation 21.) lack of support systems 22.) Parenting norms & practices23.) working parents who are unable to find the time or energy to cook a nutritious meal or supervise outdoor playtime 24.) Cultural norms 25.) Adverse childhood experiences 26.)Genetics/biology 27.)Environmental agents/toxins |
"1. Develop and strengthen data surveillance for overweight, obesity, physical activity, and nutrition. a. Work with local partners such as hospitals, universities, other social service agencies, and United Way to coordinate and develop local surveillance of health status of McLean County. 2. Support and promote current activities and initiatives that are working to meet common objectives; such as YMCA activities; local parks & recreation; My PE; and, school wellness committees. |
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| 3. Promote campaign for use of tap water, such as Take back the Tap and promote actions that make safe tap water readily available and accessible in public places. 4. Promote and support policies that limit consumption or portion sizes of sugar sweetened beverages. (Statewide sugar sweetened beverage tax for prevention funding; limiting availability in vending machines in workplaces, schools) |
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| 5. Support policies that make affordable, healthy food (specifically fruits and vegetables) available in communities, especially in areas with food deserts. 6. Promote food systems to make local/fresh produce and protein foods available through farmer's market, coops, and food retailing. 7. Work with local city and town officials to create incentive programs to encourage the establishment of retail grocery stores in underserved areas so as to reduce or eliminate food deserts. |
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| 8. Promote the adoption of menu labeling and healthy food options at local restaurants. 9. Work to establish policies and environmental changes that support and promote physical activity. a. Develop a safe, attractive, and comfortable environment for active transportation |
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| that connects communities, parks, and other destinations. b. Promote programs that support walking and bicycling for transportation and recreation. c. Identify city officials to address changes needed to increase access and safety of inter community transportation. |
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| 10. Work with schools to enhance comprehensive health education efforts within the classroom, particularly related to physical fitness and nutrition, which are critical as part of the total learning environment. |
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| 11. Work with schools to promote a healthy school environment before, during, and after school. a. Safe routes to school; walking to school bus. b. Promote activity outside of physical education and extracurricular sporting events. c. Promote social-emotional wellness before, during, and after school. 12. Support the development of comprehensive workplace wellness programs and policies |
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| that support physical activity. a. Promote walk or bike to work days partnering with existing programs including the Good to Go Commuter Challenge. 13. Support the development of policies that make healthy food available at the workplace. 14. Work with healthcare organizations to institute policies that support prevention and healthy lifestyles for their patient's a. Provider discussion with all patients during admission/prior to discharge regarding: healthy weight, behavior modification, physical activity, nutrition, and chronic disease management via verbal instruction and written education materials. |
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| b. Comprehensive screening of BMI during routine vision and hearing exams for children and youth, if feasible; identify at risk individuals and refer to physician per established prevention protocols. |
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| c. Promote provider education and referral on physical activity and nutrition for patients. d. Work with local healthcare providers and organizations to develop a policy to have BMI as a vital sign. |
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| 15. Seek out and secure funding to support objectives and interventions. |
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| McLean County Health Department |
2 |
Mental Health |
"1.) By 2017, increase the proportion of children with mental health problems who receive |
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| treatment. (no baseline available) HP2020 MHMD-6: Increase the proportion of children with mental health problems who receive treatment. Target: 75.8 percent. 2.) By 2017, increase the proportion of adults with mental disorders who receive treatment.(no baseline available) |
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| HP2020 MHMD-9: Increase the proportion of adults with mental disorders who receive |
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| treatment.MHMD-9.1 Adults aged 18 years and older with serious mental illness (SMI). |
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| Target: 64.6 percent. |
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"1.) Treatment use 2.) Substance abuse 3.) Relationships 4.) Biological/chemical imbalance |
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| 5.) Social/environmental factors 6.) Adverse childhood experiences |
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"1.) By 2015, increase the number of unduplicated non-Medicaid individuals who access |
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| mental health treatment. 2.) By 2015, increase the proportion (number) of adults who access behavioral health services. 3.) By 2015, increase the proportion (number) of children who access behavioral health services. |
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1.) Lack of knowledge 2.) Lack of intervention 3.) Lack of resources 4.) Domestic violence 5.) Dysfunctional family systems 6.) Non-compliance 7.) Access to treatment 8.) Limited resources 9.) Financial constraints 10.) Addiction 11.) Lack of treatment or prevention 12.) Self medication 13.) Unhealthy relationships 14.) Neglect & abuse 15.) Parenting practices 16.)Trauma or injury 17.) Brain illness 18.) Physical illness /chronic conditions 19.) Stress 20.)Lack of support systems 21.) Lack of knowledge 22.) Community violence /dysfunction 23.)Lack of stable housing |
"1.) Develop and strengthen data collection efforts. Gather data from key stakeholders to |
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| effectively determine baseline numbers; establish baseline; explore shared data sets. |
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| 2.) Sponsor a workday for community mapping to better identify what services are being |
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| provided and who is eligible to receive them. 3.) Promote stakeholder meetings to engage key community providers to develop and strengthen partnerships. Must invite- National Alliance for Mentally Ill (NAMI), Mental Health America (MHA), current mental health providers, Advocate BroMenn Regional Medical Center, OSF St. Joseph Medical Center, criminal justice system, and substance abuse providers. 4.) Support use of Nurse Practitioner at the Center for Human Services to provide psychiatric services. 5.) Explore telepsychiatry options to increase psychiatric capacity for providers and physicians. 6.) Explore, seek, and secure funding to support community mental health partnerships (collaborative care management) such as Care Coordination and/or Case Management efforts. 7.) Seek and apply for grant opportunities that increase the availability of mental health services from a collaborative approach. |
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| 8.) Explore the opportunity to apply for a Substance Abuse and Mental Health Services |
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| grant. 9.) Increase awareness of mental health services throughout the community. |
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| 10.) Promote and support a preventative, positive mental health messaging campaign to |
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| promote early access to treatment and decrease adverse childhood experiences. Decrease |
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| the stigma of accessing treatment, decrease the stigma of providing treatment, and |
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| decrease adverse childhood experiences. 11.) Offer community education to physicians and service providers on mental health, suicide prevention, and the local resources available to clients. |
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| McLean County Health Department |
3 |
Oral Health |
1. By 2017, increase the proportion of low income children, adolescents, and adults who receive routine annual oral health care. (no local baseline available) HP2020 OH-7: Increase the proportion of children, adolescents, and adults who used the oral health care system in the past year. Target: 49.0 percent. 2.) By 2017, increase the proportion of the general population who use the oral health care system annually. (no local baseline available) HP2020 OH-7: Increase the proportion of children, adolescents, and adults who used the oral health care system in the past year. Target: 49.0 percent. 3.) By 2017, reduce the proportion of McLean County children and adolescents with untreated dental decay. (no local baseline available) HP2020 OH-1: Reduce the proportion of children and adolescents who have dental caries experience in their primary or permanent teeth. OH-2: Reduce the proportion of children and adolescents with untreated dental decay. 4.) By 2017, establish a community dental clinic to serve low income and uninsured children, adolescents, and adults. (no local baseline available) HP2020 OH-8: Increase the proportion of low-income children and adolescents who received any preventive dental service during the past year. Target: 29.4 percent. |
1.) Poor oral hygiene 2.) Delay in treatment 3.) Tobacco, alcohol, or substance use or abuse 4.) Diabetes 5.) Poor eating habits/nutrition 6.) Parent/child relationship 7.) Obesity |
1.) By 2015, decrease visits to emergency departments for oral health issues. 2.) By 2015, increase the number of primary care providers performing oral health exams on children birth to age 3. 3.) By 2015, increase the number of children having a first dental visit prior to age 3. 4.) By 2015, increase the number of high risk children receiving fluoride varnish application prior to age 3 to fully erupted teeth. |
1.)Access to preventive care or treatment 2.) Lack of knowledge 3.) Care during pregnancy 4.) Fast-paced lifestyle 5.) Lack of knowledge 6.) Physical inactivity 7.) Access to preventive care or treatment 8.) Lack of prioritization as health issue 9.) Financial constraints 10.) Addiction to substance use 11.) Poor oral care including flossing, brushing, lack of dental visits 12.) Access to preventive care or treatment |
1.) Promote and support educational programs for parents about the importance of baby teeth. 2.) Promote mass media campaign regarding the importance of oral health care. 3.) Develop strategies to decrease the rate of missed appointments at public health dental clinics. 4.) Develop and strengthen the gathering of oral health data in McLean County; gather local baseline data. 5.) Promote and support educational opportunities regarding oral health assessment for primary care providers. 6.) Seek the support of local dental professionals in gathering dental surveillance data. 7.) Form a task force of community leaders to study the feasibility of forming a community dental clinic. 8.) Increase number of school aged children who receive dental sealants on permanent teeth. 9.) Explore the feasibility of a dental residency program to serve the unmet dental needs of county residents. 10.) Promote and support the Bright Smiles from Birth program in primary care settings which provides fluoride varnish treatments for infants and toddlers. 11.) Form an oral health steering group to address the oral health needs of county residents by the implementation of oral health strategies. 12.) Seek and secure funding to support the objectives and interventions. |
| Menard County Health Dept |
1 |
Addictive Behavior |
1.)It is anticipated that by the year 2015, the community acceptance of substance abuse among youth will decrease by 20%, youth accessibility to drugs will decrease by 20%, and risk taking behaviors will decrease by 20%. 2.)The goal is for MCSCTF membership and the number of agencies represented by the coalition to increase by 20%. |
1.)Alcohol, tobacco, and marijuana use by adolescents 2.)Smoking by mothers of young children and pregnant |
1.)By the year 2015, the overall number of 12th grade students who have used addictive substances within the last 30 days will decrease by 20% of the current rate. 2.)The number of 12th grade students who have used alcohol within the last 30 days will drop to 35%, the numbers who have smoked cigarettes will drop to 13%, and those who have used marijuana will drop to 9%. 3.)The number of Menard County women who smoke during pregnancy will decrease by 50%, resulting in a rate of 10.5%. |
1.)community acceptance of substance abuse 2.)parents ignoring alcohol use of promoting responsible use instead of abstinence 3.)lack or perceived health risks by the community 4.)underuse of cessation programs |
1.)Increase public awareness of health risks related to alcohol, tobacco, and marijuana abuse, especially in adolescents. 2.)Parent, student, and community education programs and a social marketing program will be implemented. 3.)Participation in the Menard County School and Community Task Force will increase. 4.)Participation in student leadership programs will increase. 5.)Use of the IDPH/ALA Quit line will increase. |
| Menard County Health Dept |
2 |
Cardiovascular Disease |
1.)By the year 2014, the objective is to reduce Coronary Heart Disease by 25% in Menard County. We plan to reduce the crude mortality rate from 154 (IBRFSS 2009) to 115. |
1.)high blood pressure 2.)high cholesterol 3.)tobacco use 4.)sedentary life style 5.)poor nutrition 6.)overweight (obesity) 7.)diabetes |
1.)The goal is to reduce the number of residents who smoke, who are obese, and/or live sedentary lifestyles by the year 2014. The objective will be to decrease the smoking rate from 26.8% to 21%, sedentary lifestyles from 37.3% (IBRFSS 2009) to 30%, and to decrease obesity from 28.8% (IBRFSS 2009) to 20%. |
1.)lack of physical activity 2.)poor nutrition 3.)lack of education 4.)lack of organized programs 5.)high blood pressure |
Increase in participation of educational programs for tobacco and nutrition, making exercise programs more available for all ages, and advertising available services and programs. |
| Menard County Health Dept |
3 |
Communicable Disease Prevention and Management |
1.) The goal is to decrease Menard County's mortality rate from influenza and pneumonia to less than 2% 2.)Maintain the low rate of sexually transmitted diseases. |
1.)underuse of available resources for immunization 2.)unprotected sexual activity 3.)sexual intercourse with multiple partners |
1.)Better community understanding of the susceptibility of residents to influenza and pneumonia as well as the severity of their health risks related to influenza and pneumonia. 2.)Attain a 30% increase in the number of Menard County residents who have received the annual influenza vaccine by 2013 and a 30% increase in the Menard County population who have ever had a pneumonia vaccination by 2013. 3.)Increase knowledge of teens in Menard County about STD prevention and health risks associated with STDs. |
1.)lack of community understanding of susceptibility and severity related to influenza and pneumonia 2.)multiple sex partners 3.)access the healthcare 4.)lack of knowledge by area youth about short and long term health risks associated with STDs 5.)lack of condom use |
1.)Increasing public awareness of programs and services, focusing on those who are most at risk, working with area schools, reviewing existing programs, working closely with area health care providers and community service organizations, and encouraging family involvement. |
| Mercer County Health Dept |
1 |
Cardiovascular Disease |
1.)Reduce heart disease deaths in mercer County from 440/100,000 pop to 396/100,000 pop (10%) by the year 2015. (CDC 2006: Mercer 440/100,000 pop; Illinois 446/100,000 pop; HP2010:166/100,000 pop) 2.)Reduce stroke deaths in mercer County by 10% (100/100,000 pop) by the year 2015. (CDC 2006: Mercer 111/100,000 pop; Illinois 102/100,000 pop; HP 2010-48/100,000 pop) |
1.)high blood pressure 2.)high cholesterol 3.)increased age 4.)male 5.)obesity 6.)inactivity 7.)race/heredity 8.)diabetes |
1.)Reduce the proportion of adults in mercer County who smoke cigarettes by 10% by the year 2014. (19.9%- IBRFSS 2007-2009) 2.)Reduce the proportion of adolescents in mercer County who smoke cigarettes in the past month by 10% by the year 2014. (20.2%- YRBS 2007) 3.)Reduce the proportion of obese and overweight adults in Mercer County by 10% by the year 2014. (IBRFSS 2007-2009: 41% overweight, 24.9% obese) 4.)Reduce the proportion of adults in Mercer County with high cholesterol by 10% by the year 2014. (35.4%- IBRFSS 2007-2009) |
1.)diet 2.)stress 3.)lack of exercise 4.)substance abuse 5.)money 6.)lack of motivation 7.)socioeconomic 8.)lack of education 9.)mental/physical state |
1.)Promote blood pressure and cholesterol screening through community clinics and health fairs and educate the community on the risk factors. 2.)Provide tobacco prevention education at the school level and health fairs and events. 3.)Collaborate and promote physical activity through community events and programs, such as 5K walk/runs, Rhubarb Fest Fun Run, and health fairs. 4.)Provide health education through the Coordinated School Health Program at the school level. |
| Mercer County Health Dept |
2 |
Obesity |
1.)Reduce the proportion of obese adults in Mercer County by 10% by the year 2015. (IBRFSS 2007-2009: Mercer- 24.9%; Illinois- 26.4%) 2.)Reduce the proportion of overweight adults in Mercer County by 10% by the year 2015. (IBRFSS 2007-2009: Mercer-41%: Illinois-36.3%) |
1.)physical inactivity 2.)race/ethnicity 3.)poor diet 4.)history 5.)smoking 6.)socioeconomic factors |
1.)Reduce the proportion of adults in Mercer County who get less than three servings of fruit and vegetables per day by 10% by the year 2014. (IBRFSS 2007-2009: Mercer 49.2%) 2.)Reduce the proportion of adults in Mercer County who do not meet regular physical activity guidelines by 10% by the year 2014. (IBRFSS 2007-2009: Mercer 38.8%) |
1.)environment 2.)lack of motivation 3.)time constraints 4.)physical limitation/injuries 5.)lack of education 6.)cultural differences 7.)stress 8.)learned behaviors 9.)advertisements/media |
1.)Collaborate and promote physical activity through community events and programs such as the YMCA, Curves, and the Mercer County School District. 2.)Provide health education through the Coordinated School Health Program at the school level. 3.)Continue to seek grant funding for physical activity and healthy eating programs for the health department. |
| Mercer County Health Dept |
3 |
Diabetes |
1.)increase the proportion of people in Cornerstone to 30% who have A 1 c results at 6.9 or lower by the year 2015. (21.3%- Mercer County Diabetes report from 1/1/05-5/10/10) |
1.)family history 2.)genetics 3.)age 4.)obesity 5.)sedentary lifestyle 6.)poor diet 7.)high blood pressure 8.)high cholesterol |
1.)Increase the proportion of people in the Cornerstone System who have had a dilated eye exam in the past year to 60% by the year 2013. (Cornerstone- 57.2%) 2.)Increase the proportion of people in the Cornerstone System who have had their feet examined by a health professional in the last year to 60% by the year 2013. (Cornerstone- 54.2%) |
1.)lifestyles 2.)poor diet 3.)elderly 4.)African Americans 5.)lack of care 6.)lack of exercise 7.)poor diet/high fat diet 8.)apple shaped bodies 9.)knowledge deficits 10.)obesity 11.)cost 12.)underlying conditions |
1.)Offer discount a1C testing at health fairs and community events. 2.)Continue to offer diabetes support group once a month at the health department. 3.)Continue to offer diabetic counseling and nutrition education to Mercer County residents who have been diagnosed with diabetes or have pre-diabetes. 4.)Seek grant funding for diabetes and nutrition education programs for the health department. |
| Monroe County Health Department |
1 |
WIC |
reduce low birth weights. Increase women enrolled in prenatal care |
1.) Pregnant, 2.) Teen mom, 3.) low income |
Raise overall awareness of the importance of prenatal care. |
1.) birth control, 2.) education, 3.) family acceptance, 4.) access to birth control, 5.) transportation, 6.) state aid, 7.) unemployment |
1.) Community partnership for transportation and access to family planning facilities and WIC appointments. 2.) Mobile clinic to reach remote population. 3.) Partnership with schools and community organizations to increase awareness of the importance of prenatal care. |
| Monroe County Health Department |
2 |
Access to Care |
increase availability of health care to all sectors of Monroe county |
1.) Lack of education in the importance of regular health care. 2.) Lack of transportation options for health care visits. 3.) Smoking increase need for health care/health education |
Increase the awareness of the importance of the availability of health care for long term health. |
"1.) Lack of Family Planning services 2.) Teenage pregnancy 3.) Peer pressure 4.) NO Information readily available 5.) Alcohol 6.) Unstable home environment 7.) Divorce 8.) Parent involvement 9.) unemployment 10.) Financial ability for higher education 11.) Childcare cost 12.) Info on available assistance programs 13.) Long commutes to higher education 14.) Transportation limits 15.) Limited mass transit 16.) High fuel cost 17.) Easy to obtain and qualify 18.) Using public aid for cigarettes 19.) Lack of screening for what money is used for 20.) Inherited ideology 21.) stress 22.) Unstable home environment 23.) Financial situation 24.) Peer pressure |
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"Collaboration with Community partners to increase clinic sites. |
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| Monroe County Health Department |
3 |
Family Planning |
Reduce the number of teenage births. |
1.) unplanned pregnancy, 2.) teen pregnancy, 3.) STD |
Increase access and knowledge of family planning options for teens. |
1.) Drop out of school 2.) uneducated 3.) Family does not put school as priority 4.) Must work to support family 5.) Cannot afford birth control 6.) Lack of birth control 7.) No insurance 8.) No knowledge of public assistance 9.) Lack of sex education in school 10.) Misinformation 11.) Rely on information from friends 12.) Availability of printed materials 13.) Poor judgment due to drugs/alcohol 14.) Drug/alcohol addictions 15.) Sex for money/drugs 16.) Per pressure 17.) Fear of parent involvement 18.) Access to birth control 19.) Parents insurance and they will receive explanation of benefits. 20.) No OBGYN in Monroe Co. to prescribe 21.) Drop out of school 22.) uneducated 23.) Availability of printed materials in schools 24.) Misinformation from friends 25.) unemployed 26.) Financial situation 27.) No time for school/work/sports 28.) Drug addiction 29.) Multiple partners 30.) alcohol 31.) education 32.) misinformation 33.) Unprotected sex 34.) Availability/ cost of protection 35.)Peer pressure 36.) Access to testing facilities 37.) Lack of testing 38.) Transportation to testing 39.) No Insurance coverage 40.) unemployed 41.) Testing cost 42.)transportation Family insurance/explanation of benefits |
Partner with education facilities to promote education. Engage an alliance of community clinics in providing low-cost family planning services |
| Montgomery County Health Dept |
1 |
Cardiovascular Disease |
1.)By 2015, Reduce rate of coronary heart disease deaths to 320/1000. (Baseline 339/1000 death, Montgomery County Death certificate review 2004-2009) |
1.)unhealthy diet 2.)physical inactivity 3.)tobacco use |
1.) By 2014, increase to 62% the number of persons who have cholesterol checked within last year. (Baseline 58.4% BRFSS 2007) 2.)By 2014, decrease the number of persons who have been told they have elevated blood pressure. ( Baseline 33.4%- BRFSS 2007) 3.)By 2014, increase to at least 75% the proportion of people with high blood pressure whose blood pressure is under control. (Baseline 33.4% told had elevated B/P, BRFSS 2007) 4.)By 2014, increase to 80%, the proportion of persons with diabetes who receive diabetes education at least annually. (Baseline 65%, Cornerstone IDCP FY 2009) 5.)By 2014, increase to 80% the number of diabetics who have their HA1C checked at least twice annually. (Baseline 72%, Cornerstone IDCP FY2009) |
1.)raised blood pressure 2.)raised blood glucose 3.)raised blood lipids 4.)obesity 5.)cultural change (globalization, urbanization, population aging) 6.)poverty 7.)stress 8.)smoking 9.)elevated cholesterol |
1.)Provide opportunities at the health department for lipid screenings. 2.)Increase the number of opportunities for education - work with both hospitals and workplaces. 3.)Increase educational media outlets, including newspaper, health department website. 4.)Provide blood screening and follow-up at health department, work sites, business and health fairs. 5.)Provide educational material at work site, business and health fairs. 6.)Continue to provide opportunities for blood pressure screenings at senior centers, worksites and walk-in clinics. 7.)Provide nutrition education for high risk groups at health fairs, screening programs and work with the Extension Office to offer nutrition classes. 8.)Exhibit diabetes awareness materials at local health fairs. 9.)Provide monthly support group and bi-monthly newsletter. 10.)Promote programs through IDPH Diabetes Prevention and Control program. 11.)Provide screening opportunities, in cooperation with local hospitals and physician offices. 12.)Provide education through newsletters, health fairs and talks. |
| Montgomery County Health Dept |
2 |
Cancer |
1.)By 2015, reduce overall cancer death rate to less than 20% or 200/1,000 deaths: (Baseline 22% or 220/1,000 deaths - Montgomery County Death certificates 2004-2009) |
1.)Lack of screening 2.)Unhealthy diet 3.)Physical inactivity |
1.)By 2014, reduce percent of smokers to 26%. (Baseline 29.7% BRFSS 2007) 2.)By 2014, Increase to 48% the number of people who have had colorectal screenings based on most recent guidelines. (Baseline 44.5% colon/sigmoidoscopy, 38.2% stool blood test- BRFSS 2007) 3.)By 2014, Increase the proportion of women age 18 and older who receive a cervical cancer screening based on most recent guidelines to 74%. (Baseline 69.3% within last year- BRFSS 2007) 4.)By 2014, Increase proportion of women aged 40 years and older who have received a breast cancer screening/mammogram based on most recent guidelines. (65.1% within last year- BRFSS 2007). |
1.)lack of knowledge 2.)screening costs 3.)low income or lack of income 4.)taking time away from work for screening process 5.)lack of patient follow-through |
"1.)Promote Tobacco Quit line through media, ads. 2.)Provide educational opportunities for smokers on how to quit smoking. 3.)Work with schools to provide education to students to help them decide not to start smoking. 4.)Provide education through health fairs, news releases. 5.)Work with area hospitals to provide screening opportunities. 6.)Work with SIU School of Medicine Colorectal project. 7.)Provide education through health fairs, talks, new releases. 8.)Work with physicians to refer to IBCCP. 9.)Provide education through health fairs, talks, new releases. 10.)Work with physicians to refer to IBCCP. |
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| Montgomery County Health Dept |
3 |
Mental Health |
"1.)By 2015, reduce the number of suicides deaths to less than 8/1000 deaths. |
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1.)Stress |
1.)By 2014, reduce percent of people who report more than 8 days poor mental health days per month to more than 8%. (Baseline 10.1%, BRFSS 2007) |
1.)feeling overwhelmed 2.)unable to cope 3.)fear of losing one's job |
1.)Increase availability of depression screenings to resident through health fairs, working with both hospitals. 2.)Offer screenings through workplace. 3.)Provide public awareness education on signs and symptoms of mental health issues. 4.)Increase ability of the general public to identify existing services and means of access, so as to lessen social, educational, and cultural barriers to services, including updated websites. |
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| Morgan County Health Department |
1 |
Metabolic Syndrome |
By 2017 adult obesity will be reduced to 25% thereby reducing the incidence of metabolic syndrome. (Baseline: Morgan County adult obesity rate was 29% according to 2007-2009 BRFSS data). |
1.) High Cholesterol 2.) Abdominal Obesity 3.) History of Diabetes 4.) High Blood Pressure |
1.) By 2015, reduce the number of Morgan County residents that describe themselves as obese to 27%. (Baseline: 29% Morgan County residents in 4th round BRFSS 2007-2009 data). 2.) By 2015, reduce the number of Morgan County residents who are told they have high blood pressure to 29%. (Baseline31% of Morgan County residents were told blood pressure too high in 4th round BRFSS 2007-2009 data.) 3.) By 2015, reduce the number of Morgan County residents who were told they have high cholesterol to 35.5%. (Baseline: 37.5% of Morgan County residents were told cholesterol too high in 4th round BRFSS 2007-2009 data). 4.) By 2015, increase number of Morgan County residents screened for diabetes to 86%. (Baseline: 84% of Morgan County residents reported being screened for diabetes in 4th round BRFSS 2007-2009 data). 5.) By 2015, reduce the number of Morgan County residents who report physical inactivity to 28%. (Baseline: 30% of Morgan County residents reported physical activity in 4th round BRFSS 2007-2009 data). |
1.) Genetics 2.) Sedentary Lifestyle 3.) Easy access and convenience to processed/fast foods 4.) Smoking 5.) Stress 6.) Environmental/family Influence 7. Accepted social norm 8.) Limited Providers 9.) lack of sleep 10.) Certain medications 11.) Ethnicity 12.) Perceived expense/cost of healthier foods 13.) Limited activity 14.) Time constraints 15.) Marketing 16.) Addiction 17.) lack of resources 18.) Lack of personal responsibility |
Morgan County Health Department will work together with Passavant Area Hospital and other community agencies to develop and implement community wide screening and education activities. Funding sources will include federal and local state grants, tax dollars and donations. Evaluation of impact objectives will be assessed as new data becomes available. Assessment will be done at semi-annual group meetings. |
| Morgan County Health Department |
2 |
Early Sexual Activity/STD's |
To increase the number of people tested through Morgan County clinic services by 25% by the year 2017 (Baseline: 361 clients) |
1.) Lack of education 2.) Lack of access to risk education services-counseling/screening services. |
1.) To increase number of males tested/screened at Morgan County health Department by 15% by the year 2015 (baseline 8 clients). 2.) To increase the number of females tested/screened at Morgan County health Department by 15% by the year 2015 (baseline 353 clients). |
1.) Lack of knowledge of local resources 2.) Cost of services 3.) Transportation 4.) Limited timely access to provider 5.) School District support for education in schools 6.) Lack of parent support 7.) Lack of political support including: school boards, community and government 8.) Lack of evidence based comprehensive sexual health education in schools 9.) peer pressure 10.) Less fear of HIV/STD 11.) Alcohol and illicit substance abuse 12.) Perceptions of risk 13.) Transient Community 14.) No local affordable STD clinic 15.) Marketing issue-people are unaware of local services 16.) Financial status of teens and economy 17.) Geographical location-distance to Beardstown or Springfield. |
1. Morgan County Health Department will establish one billboard with service information. 2.)Morgan County Health Department will implement a poster campaign to be utilized on the back of public restroom stalls that will provide service information. 3.) Morgan County Health Department will work with Passavant Hospital re: risk reduction and prevention messages to be aired on TIGR system at hospital. 4.) Morgan County Health Department will provide education to 100% of Morgan County service organizations (i.e. Rotary, Kiwanis, Pilot, Ambucs etc) |
| Morgan County Health Department |
2 |
Early Sexual Activity/Teen Pregnancy |
By 2017, Morgan County will be at or below the state teen birth rate. |
1.) Lack of access to protection 2.) Lack of education |
1.) Morgan County Health Department will provide evidence based comprehensive sexual health education to 3 of 5 Morgan County School Districts by 2015 2.) Morgan County Health Department will provide awareness/marketing of MCHD sexual health services via one new venue per year through 2017. |
1.) lack of knowledge of local resources 2.) Cost or perceived of services 3.) Transportation 4.) Limited timely access to provider 5.) School District support for education in schools 6.) Lack of parent support 7.) Lack of political support including: school boards, community and government 8.) Lack of evidence based comprehensive sexual health education in schools 9.) Marketing issue-people are unaware of local services 10.) Financial status of teens 11.) Geographical location 12.) Some teens requiring services are underage to drive 13.) parents "real-time" access to school day information via family access to student's attendance on school website 14.) Privacy issues of someone seeing a teen entering a resource agency 15.) lack of time in the schools for education |
1. ) by 2017, Morgan County Health Department will initiate a peer lead awareness educational session at a local physicians meeting to reinforce importance of consistent anticipatory guidance messages re: sexual health risk and reduction. 2.) By 2013, Morgan County Health Department will present information to Regional Superintendents Office re: current statics on county teen birth rates/STD/STI/HIV and advocate for comprehensive evidence based sex education in schools. 3.) Morgan County Health Department will work with Passavant Hospital re: risk reduction and prevention messages to be aired on TIGR System at hospital by 2015. |
| Morgan County Health Department |
3 |
Access to Medical, Dental and Mental Health Care |
By 2017 the proportion of people who have a specific source of ongoing healthcare will increase by 10% (baseline 85.6% target 95% Healthy People 2020). |
1.) Limited Providers |
By 2013, A federally Qualified Health Center will be established in Morgan County to include primary care physicians and dentist. |
1.) lack of reimbursement 2.) Lack of primary healthcare provider base 3.) Discrimination 4.) Little or no insurance 4.) recruiting and retention difficulties 5.) Lack of resources 6.) Conflicting priorities 7.) Socioeconomic factors 8.) Preventative healthcare not provided by employer 9.) Expense of insurance 10.) Rural area 11.) lack of secondary healthcare provider base. |
1.) A community focused plan for recruitment, and retention of medical, dental and mental health care providers 2.) An agreed upon cooperative approach of all public and private healthcare providers to guarantee access to preventative and episodic health to all Morgan County residents. 3.) Funding will be secured through grants, local tax dollars and private funds. Needed funds would be approximately $2000 to fund the planning aspect. |
| Morgan County Health Department |
4 |
Substance Abuse |
By 2017 reduce the number of 8th, 10th and 12th grade students who have reported misuse of over the counter for non-medical purposes by 5%. |
1.) Self or family problems 2.) individual and/or parental attitudes and behaviors toward alcohol and other drugs 2.) Family history/genetics/use 3.) Social environment 4.) Mental Health |
1.) By 2014 survey and evaluate 75% of the retailers who sell over the counter drugs 2.) By 2014 100% of families between grades 6-12 will be given over the counter drug information at school registration. |
1.) School stress 2.) Availability of drugs/alcohol 3.) Domestic violence 4.) Child abuse/ neglect 5.) Peer attitudes that condone use of drugs and alcohol 6.) Lack of coping skills 7.) Parental abuse of illegal and legal drugs and alcohol. 8.) personal values 9.) Tendency to substance abuse 10.) Lack of effective legal system to deter use (consequences) 11.) Socioeconomic status 12.) Isolation from family and/or community 13.) Lack of support 14.) Lifestyle 15.) Lack of concern 16.) Environment 17.) Dependency 18.) Social Acceptance 19.) Unaware of susceptibility to substance abuse 20.) Denial of need for substance abuse treatment 21.) apathy, hopelessness |
1.) Educational campaign for retail businesses, parents and children through the Jacksonville Police Department, Morgan County Sherriff and Morgan County Health Department. 2.) Collect data within school districts to determine actual numbers of adolescents using over the counter drugs. data from the 2012 and 2014 Illinois Youth survey will be utilized. 2.) Funding will be secured through local tax dollars, grants and donations. Approximate funding will be less than $2,000. |
| Moultrie County Health Department |
1 |
Cardiovascular and Cerebrovascular Disease |
1.) By 2016, reduce by 10% the rate of coronary heart disease deaths in Moultrie County Baseline 37 of 177 (21%) deaths in Moultrie County due to cardiovascular disease in 2006. 2.) By 2016, reduce the number of stroke deaths in Moultrie County. Baseline: 16 of 177 (9%) of deaths in Moultrie County due to Cerebrovascular disease in Moultrie County. |
1.) Diabetes 2.) Hypertension 3.) Hypercholestremia |
1.) By 2016, reduce the number of deaths related to diabetes and diabetic complications. Baseline: 9 to 177 deaths (5%) due to diabetes in Moultrie County in 2005 ; 10.4% of total 2011 BRFSS population with diabetes. 2.) By 2016, reduce by 10% the percentage of adults with high blood pressure in Moultrie County. Baseline: 32% of total 2011 BRFSS population with hypertension. 3.) By 2016, reduce by 10% the percentage of adults with high cholesterol in Moultrie County. Baseline: 34% of total 2011 BRFSS population with high cholesterol. |
1.) Obesity 2.) Physical activity 3.) diet 4.) poor medication management 5.) Smoking 6.) Personal predispositions 7.) Lack of Education/Information 8.) Stress Ineffective coping mechanisms 9.) Poor resource utilization 10.) Physical/Financial barriers. |
1.) Initiate regular worksite and school based education/screening and intervention programs to include the following: Develop educational material appropriate for target audience related to the identified direct and indirect risk factors. Provide group curriculum and individual counseling services 2.) Enhance access to health screenings provides by MCHD for individuals in Moultrie County 3.) Increase individual referrals to health care providers and services 4.) Conduct community based wellness programs in each community in Moultrie County 5.) Coordinate cardiovascular education from other sources and agencies with programs provided by MCHD, such as Freedom from Smoking, all the Walk, etc.. 6.) Engage medical community to support/interact with individual participation in programs. |
| Moultrie County Health Department |
2 |
Cancer |
By 2016, reduce by 10% the overall cancer death rate in Moultrie County.. Baseline: 35 of 177 (20%) total deaths in Moultrie County due to Cancer in Moultrie County. |
1.) Personal factors 2.) Environmental factors 3.) genetic predisposition |
1.) By 2016 reduce by 10% the number of lung cancer deaths in Moultrie County rate. Baseline: 8 of 177(5%) deaths in Moultrie County in 2006. 2.) By 2016 reduce the incidence of breast cancer by 10% in Moultrie County. Baseline: 63 new cases of female breast cancer in Moultrie County from 2000-2004. 3.) By 2016 reduce the incidence of prostate cancer by 10% in Moultrie County. Baseline: 63 new cases of prostate cancer in Moultrie County from 2000-2004. |
1.) Smoking/secondhand smoke 2.) Inadequate screenings/ use of resources 3.) Lifestyle choices 4.) Inadequate knowledge/information 5.) Inadequate financial resources 6.) Workplace/farm chemicals 7.) Home environment |
1.) provide education in public and private settings regarding prevention, detection and treatment of cancer 2.) Access target population knowledge level and information needs/concerns. 3.) Provide on-site education and screenings and referral services for individuals concerned about cancer in work-site and public forums. 4.) Engage workforce support for program and educational messaging. 5.) Engage assistance in medical community in offering reduced cost screenings. 6.) Promote Freedom from Smoking, fresh start and other tobacco cessation services through MCHD at schools, worksites and the community. 7.) provide information on public and private resources for screenings and assistance for healthcare services. |
| Moultrie County Health Department |
3 |
Tobacco use/Initiation |
1.) Reduce the Initiation of tobacco use among children, adolescents and young adults. Baseline: 42% of students have tried smoking in Moultrie County 2010 ISBE data 2.) Reduce the percentage of adults using tobacco in target populations by 10% one year cessation program implementation. Baseline: 23% of Moultrie County BRFSS population reported smoking; 11% reported using smokeless tobacco and 0% reported attempted cessation in 2011. |
1.) Initiation- Youth 2.) Initiation- Adults 3.) Failed Cessation |
1.) By 2016 reduce the reported initiation of tobacco use among children, adolescents and young adults by 10% from 2010 stats. Baseline: 19% of Moultrie County students reported using smokeless tobacco in the past 30days; 30% reported smoking in the past 30 days, 2010 ISBE data 2.) By 2016 reduce the percentage of adults using tobacco products in target populations by 10% one year post cessation program implementation. Baseline: 23% of Moultrie County BRFSS population reported smoking; 11% reported using smokeless tobacco n 2011. 3.) By 2016, increase recent smoking cessation program completion (10% improvement on current cessation success. Baseline: Average of 50% participation cessation rate post completion of Freedom from Smoking programs by MCHD, 2008-2011. |
1.) Peer pressure 2.) media/population targeted marketing/ Social imagery 3.) Social norms/Cultural influences 4.) Physical/mental/chemical addiction 5.) Inability to access cessation programs. 6.) Lack of support systems 7.) Stress/Inadequate coping mechanisms 8.) Lifestyle choices/Personal predisposition 9.) Previous history of use 10.) Inadequate knowledge/Information/Cessation programs 11.) inadequate financial resources. 12.) Home environment with tobacco use |
1.) Provide education in public and private settings regarding negative health effects of tobacco use. 2.) Access target population knowledge level and information needs/concerns. 3.) Provide on-site education and referral services for tobacco cessation. 4.) Engage workplace support for program and educational messaging 5.) Engage medical community to conduct tobacco use screenings. 6.) Promote Freedom from Smoking, Fresh Start and other tobacco cessation services through MCHD at schools, worksites and in the community. 7.) Provide information on public and private resources for cessation programs and assistance ( financial, metal, social, etc.) 8.) Engage Medical community in promotion of cessation programs, delivery of medical intervention/support with cessation. |
| Oak Park Health Department |
1 |
Obesity |
1.)Reduce the proportion of 2-5 year olds in local child care facilities, who are obese, from 10.7% to 10.2% by 2016. |
1.)inactivity 2.)poor diet |
1.)Address improving the nutrition of pre-schooler's and reducing screen time in local child care facilities, as recommended in the guidelines of the Childhood Obesity Task Force Report, May, 2010, and Let's Move Child Care, June, 2011, by 2013. |
1.)lack of facilities 2.)lack of social support 3.)cost of programs 4.)low motivation 5.)perception of great effort needed for exercise 6.)poor health/disability 7.)fear of injury 8.)knowledge and attitudes 9.)societal and cultural norms 10.)food policies 11.)pricing systems 12.)skills (food prep) |
1.)Local village ordinance/public policy changes to strengthen Chapter 8, Article 14 of municipal code. 2.)Educational campaign with child care providers, parents and policy makers. |
| Oak Park Health Department |
2 |
Chronic Disease |
1.)The Oak Park-River Forest High School Illinois Youth Survey will reflect a 5% increase in the number of 10th graders who report not having used cigarettes in the past year, by 2016. |
1.)tobacco use at early age 2.)physical inactivity 3.)poor nutrition |
1.)Increase teen participation in Health Department smoking cessation programs, by 50% and initiate smoking prevention education strategies with primary and middle school-age students, by 2013. |
1.)parents smoke 2.)advertising targeting teens 3.)peer pressure 4.)teens asserting independence/rebelling |
1.)Kicking Nicotine, Channing-Bete 2.)Not on Tobacco (N-O-T), ALA (D200) 3.)Tar Wars, AAFP (D97) |
| Oak Park Health Department |
3 |
Inability to Access Adequate Health and Dental Care |
1.)Increase the proportion of Oak Park residents who have a specified source of ongoing medical care from 86.4% to 90%, by 2016. 2.)Increase the proportion of persons age 2 and older who had a dental visit in the past 12 months from 44.5% to 49%, by 2016. |
1.)lack of resources or facilities 2.)lack of motivation to seek preventative care 3.)lack of transportation 4.)lack of medical providers 5.)inability to pay out-of-pocket expenses 6.)lack of insurance coverage |
1.)Increase the proportion of people who are knowledgeable about their options under the affordable Care Act and about local medical and dental resources available to them, by 2013. |
1.)location 2.)knowledge, attitudes and beliefs 3.)expense of car ownership 4.)lack of public transportation 5.)unemployment 6.)low income 7.)high cost of care 8.)low reimbursement rates for providers 9.)stigma of Medicaid |
1.)Health communication and social marketing 2.)Mass media; small media; social media per CDC Health Communication strategies |
| Ogle County Health Dept |
1 |
Family Planning Services |
1.)By 2016, Ogle County will have initialized developing a centralized data bank or hotline for public information and referral during times of stress or crisis. |
1.)increase in teen pregnancy 2.)increase in children at risk for poverty, abuse, health issues. |
1.)By 2014, Ogle County will develop Task Force to look at issue of a "one-stop" shop for information and referral during times of crisis. 2.)By 2012, topic of "one-stop" shop for crisis referrals will have been introduced at local organizations and social services. |
1.)lack of information 2.)no income 3.)socially acceptable 4.)changing political environment 5.)fewer educational venues 6.)limited financial resources 7.)lack of jobs 8.)fewer services available 9.)longer period of parental dependence 10.)peer pressure 11.)limited social outlets 12.)impulsive decision-making 13.)increased unwanted pregnancies 14.)fewer services/resources 15.)increased single parenthood 16.)unavailability of services 17.)lack of information 18.)impulsive behaviors/mental illness 19.)cutbacks in public monies 20.)transportation difficulties 21.)limited social supports 22.)economic difficulties 23.)limited support for fathers |
1.)Develop standardization treatment interventions.. 2.)Train providers to recognize need for referral. 3.)Coordinate and mobilize churches, other service organizations to work towards centralized crisis resource center. 4.)Introduce topic of centralized crisis resource center to established, viable organization. 5.) Secure funding. 6.)Develop Task Force to develop, design and refine the concept. 7.)Have a databank of individuals who will help people walk through system. |
| Ogle County Health Dept |
2 |
Mental Health Services |
1.)By 2016, Ogle County will have established more availability of mental health services for individuals with limited financial resources through consortiums and cooperative agreements. |
1.)increased individuals who do not start or discontinue mental health services 2.)increased referrals for acute needs, such as hospitalizations or even incarceration |
1.)By 2012, OCHD, and other organizations will assist in increasing awareness of need for mental health services in Ogle County. 2.)By 2014, local mental health agency will design campaign to increase funding to mental health services. |
1.)no service available 2.)limited personal income 3.)diminished decision-making skills 3.)exacerbated mental illness symptoms 4.)inability to recognize early symptoms 5.)lack of early intervention 6.)changing public priorities 7.)decrease in public monies 8.)reallocation of services 9.)lack of jobs 10.)inability to hold a job 10.)personal priorities against mental health 11.)lack of knowledge about mental health 12.)mental illness 13.)lack of social support 14.)no meds or treatment 15.)early symptoms undetected 16.)increased stress/spiraling behaviors 17.)undeveloped skill sets by service providers 18.)lack of knowledge of clients/caregivers 19.)did not access appropriate service providers 20.)no treatment available 21.)no money available 22.)no transport for out of town treatment |
1.)Continue to increase awareness of need for early intervention for mental illness. 2.)Train providers to recognize mental illness & make appropriate referrals. 3.)Mobilize public and private monies to assist low income folks in accessing services. 4.)Develop task forces/consortiums to address need. 5.)Secure funding. 6.)Sinnissippi/Community Who Cares grant. 7.)Strengthen present community support systems. |
| Ogle County Health Dept |
3 |
Access to Care |
1.)By 2016, Ogle County will have initialized developing a centralized data bank or hotline for public information and referral during times of stress or crisis. |
1.)individuals/families become "entrenched" in system, requiring higher levels of care, eventually institutionalization 2.)individuals/families lose coping skills, disintegrate. |
1.)By 2012, topic of "one-stop" shop for crisis referrals will have been introduced at local organizations and social services. |
1.)isolation 2.)lack of knowledge 3.)disconnected service providers 4.)poor decision-making skills 5.)inability to recognize early symptoms 6.)small issues grow larger, complicated 7.)mental illness/chronic medical illness 8.)overwhelmed by situation 9.)disenfranchised from system 10.)lack of educational resources 11.)lack of awareness 12.)inability to process 13.)territorial/competitive 14.)lack of funding 15.)no common point of entry 16.)confusion, panic, decreased sensorial 17.)embarrassed, do not ask questions 18.)mental illness 19.)undeveloped skill sets by service providers 20.)no continuum of care 21.)fractured, disconnected chain of care 22.)become lost within system 23.)do not receive early intervention 24.)limited treatment resources |
1.)Develop standardization treatment interventions. 2.)Train providers to recognize need for referral. 3.)Coordinate and mobilize churches, other service organizations to work towards centralized crisis resource center. 4.)Introduce topic of centralized crisis resource center to established, viable organization. 5.)Secure funding. 6.)Develop Task Force to develop, design and refine the concept. 7.)Have a databank of individuals who will help people walk through system. |
| Peoria City/County Health Department |
1 |
Obesity |
1.)By 2016, reduce the proportion of adult and childhood obesity in Peoria County by 5%. (Peoria County Baseline: Adult Obesity Rate (BMI>30%): 30.4%, 2008 BRFSS and Childhood Obesity Rate (>95th percentile): 19.6%, 2009 Methodist Health Care System) |
1.)unhealthy diet and eating habits 2.)lack of physical activity |
1.)Increase the proportion of children and adults who will have consumed 5 or more servings of fruits and vegetables per day by 5%. (Baseline: 16%, 2008 BRFSS and 18.3%, 2009 YRBS) 2.)Increase the proportion of children and adults who will have engaged in moderate physical activities* by 5%. (Baseline: 43.6%, 2008 BRFSS and 44.7%, 2009 YRBS) *At least 5 times a week for 30 minutes a day of any physical activities causing small increase in breathing or heart rate such as walking, bicycling, vacuuming, gardening, yoga, and tai chi |
1.)cost 2.)low income 3.)medications 4.)education 5.)food "desert" 6.)substandard housing 7.)availability/lack of access to healthy foods 8.)transportation 9.)food advertising 10.)time constraints 11.)lack of appliances/storage 12.)mental health 13.)stress 14.)depression 15.)emotional eating 16.)food insecurity 17.)lack of knowledge 18.)oversized portion 19.)culture 20.)lack of knowledge on nutritional content 21.)underutilization of available resources 22.)screen time 23.)lack of parental guidance 24.)lack of motivation/interest 25.)resistance to change 26.)lack of access to exercise program 27.)busy work/school schedule 28.)lack of value of exercise 29.)perception of unsafe neighborhood 30.)economy/program cut back 31.)lack of PE in schools 32.)unable to buy exercise equipment 33.)lack of time 34.)lack of family exercise program 35.)rely on car and modern technology 36.)lack of personal responsibility 37.)lack of knowledge 38.)misconception 39.)underutilization of available resources 40.)knowledge deficit about health benefits 41.)lack of positive role modeling |
1.)Provide opportunities for education about physical activity and healthy eating, particularly to the low income and minority populations most at risk for heart disease and diabetes. 2.)Work with a marketing company to develop culturally relevant massages about healthy eating and weight in order to increase public's awareness of obesity prevention initiative in the community. 3.)Increase availability of healthy food choices in schools, and reduce unhealthy foods and beverages from school menus to model healthy eating. 4.)Promote development of community gardens to engage children and families in producing and eating fruits and vegetables. 5.)Ensure equitable access to healthy and affordable food by promoting traditional (groceries, restaurants) and non-traditional (farmer's markets, produce carts) food retail in the community, particularly in underserved areas/food deserts. 6.)Work with restaurants, schools, and social centers (e.g.. churches) to increase the healthiness of prepared foods and expand the choices available for healthy food selection. 7.)Control vending machines and encourage the sale of healthy foods in vending machines that are accessible to children. 8.)Hold a community health education event annually and offer nutrition and physical activity education and wellness screenings. 9.)Increase the amount of physical activity in PE programs in schools and after school. 10.)Ensure equitable access to safe and affordable parks, gyms, and other facilities for physical activity and promote physically active family time. |
| Peoria City/County Health Department |
2 |
Oral Health |
1.)By 2016, reduce he proportion of young children aged 3-5 years who had untreated dental caries in their primary teeth to at least 68%. (Peoria County Oral Health need Assessment and Plan (OHNAP), May 2010, children 2-5 years with untreated caries in their primary teeth; Baseline: 76%) 2.)By 2016, reduce the proportion of adults aged 20-64 years who had moderate to severe periodontal to at least 5.0%. (National Institute of Dental and Craniofacial Research, NHANES, 1999-2004 with moderate to severe periodontal; Baseline: 8.52% (US)) |
1.)periodontal disease 2.)dental caries |
1.)Increase the proportion of preventive teeth cleaning completed within 1 year by 10%. (BRFSS adults 18 years and older, 2007); Baseline: Last teeth cleaning within 1 year: 68.2%) 2.)Reduce the proportion of adults age 18 years and older that didn't use the oral health care system in the past 12 months to 15.0%. (BRFSS adults 18 years and older 2007): No dental visit > 2 years or never: 16.9%) 3.)Increase the proportion of children 2-17 years that used the oral health care system in the past 12 months to at least 50%. (Peoria County oral Health Needs Assessment and plan (Children 2-5 years, May 2010: Regular dental visits: 44.0%) |
1.)Inadequate/lack of oral health care (treatment) 2.)systemic/behavioral health issues 3.)cost of care 4.)knowledge of deficit: care for young children (when to initiate care), prenatal oral care, adults/children with special needs & care givers 5.)parental role models/priorities (value of health) 6.)lack of/inadequate: oral health at school, transportation 7.)older adults' challenges (i.e. transportations, cost, managing priorities) 8.)fear 9.)apathy 10.)lack of/inadequate: integration within health care system, continuity of care, dental education provided by dentists/hygienists 11.)chronic disease (diabetes, osteoporosis, cancer, organ transplant, immunosuppressant etc.) with associated medications and chemotherapy/radiation 12.)salivary gland affected with lack of saliva (dry mouth) 13.)cost of care 14.)adherence/priorities (value of health) 15.)nutritional debility 16.)substance use or abuse (methamphetamine, tobacco including SNUS, alcohol, others) 17.)family history 18.)poverty 19.)peer pressure 20.)gangs 21.)psychological/behavioral health issues 22.)nutrition (high sugar foods and beverages) 23.)low socioeconomic status 24.)school policies (food/soda machines) 25.)geographic locations of grocery stores (food deserts) - provides cheaper, processed foods at quick marts or gas stations 26.)food/vending machine selection at work 27.)cultural aspects 28.)systemic/behavioral health issues 29.)lack of transportation 30.)improper fitting dental appliances 31.)cost of devices/office visits 32.)insurance caps on device repair/replacement (not changed in 20 years) 33.)lack of transportation 34.)inadequate preventive oral hygiene 35.)lack of professional oral care and dental sealants 36.)dental sealants may not be effective (or worsen problem) if don't seal in dry environment 37.)role model/priorities of family |
1.)Assess, identify and engage in sustainable relationships with community partners that will participate in more effectively planning and implementing community oral health initiatives (including non-traditional partners). 2.)Effectively utilize dental health professionals and health care professionals in partnership to impact parents, family members and caretakers (system integration). 3.)Expand the current oral health team to a more diverse multi-disciplinary team through participation in this committee health plan to partners that will incorporate oral health issues into their organization's own strategic plans. 4.)Engage media and marketing in social marketing of preventative oral health issues (including students). 5.)Increase education to parents, families and caregivers regarding importance of oral health care compliance as a holistic approach to overall health. 6.)Identify evidence-based programs and resources used by providers that have proven to be effective and expand those programs into other initiatives that are providing care. 7.)Implement nutrition and prenatal care education by the oral health team in partnership with the obesity and reproductive health teams. |
| Peoria City/County Health Department |
3 |
Reproductive Health |
1.)By 2016, decrease the incidence of gonorrhea and Chlamydia cases among Peoria County residents by 5% from baseline. (Baseline: Gonorrhea: 425 cases per 100,000 population; 43% increase in 5 years. Chlamydia: 773 cases per 100,000 population; 38% increase in five years. IDPH, 2008) 2.)By 2016, decrease the percentage of infants born to teens by 5% from baseline. (Baseline: 13.2 percent of birth to all women ,20. Peoria County Vital Records, 2009) 3.)By 2016, decrease the racial/ethnic disparity in teen births by 10% from baseline. (Baseline: 8.6 percent of births to white women <20; 25.7 percent of births to African-American women <20 years. Peoria County Vital Record, 2009) |
1.)sexual behavior 2.)level of disease risk within community 3.)teen sexual activity 4.)risk-taking behaviors |
1.)Decrease the percentage of twelfth graders who have ever had sexual intercourse by 5% from baseline (Baseline: 69%, 2009 Youth Risk Behavioral Survey, Illinois excluding Chicago) 2.)Increase the percentage of sexually active teens, reporting condom use at most recent sexual intercourse by 5% from baseline (Baseline, 63%, 2009 Youth Risk Behavioral Survey, Illinois excluding Chicago) 3.)Increase the percentage of sexually active teens who reported using birth control pills by 5% from baseline. 9baseline, 23%; 2009 Youth Risk Behavioral Survey, Illinois excluding Chicago) |
1.)unprotected sex 2.)knowledge 3.)impaired judgment 4.)partner pressure 5.)denial of risk 6.)multiple partners 7.)self-esteem 8.)lack of knowledge 9.)home 10.)school 11.)community 12.)health provider 13.)social acceptance 14.)media influence 15.)peer 16.)culture 17.)relationship skills 18.)communication skills 19.)ineffective health care response 20.)lack of preventive screening 21.)lack of uniform treatment policies/protocols 22.)lack of epidemiological follow-up of partners 23.)availability of condoms 24.)cost 25.)community values barriers 26.)social barriers 27.)incomplete knowledge of sexuality 28.)missed opportunities- home, school, primary care provider 29.)denial of problem by community 30.)social acceptance of early sexual initiation 31.)lack of self-esteem and assertiveness 32.)needed positive role models 33.)inadequate stress management 34.)lack of support system 35.)family dynamics 36.)breakdown of family unit 37.)denial of risk (invincibility) 38.)adolescent developmental immaturity 39.)media influence |
1.)Develop, expand, and coordinate programs that teach children and youth self-esteem, values, decision-making, communication skills; age-appropriate information. 2.)Develop, expand, and coordinate programs for parents to learn about the adolescent socio-emotional, cognitive and sexual growth and development, in order to communicate healthy values and accurate information to children. 3.)Develop and coordinate media messaging and social marketing to initiate community dialogue about sexual health, and the impact of STDs and early sexual activity. 4.)Increase collaboration and coordination within the community health system by: cataloging current programs and assets for preventing teen pregnancy and transmission of STDs, evaluating effectiveness and reach of existing and proposed programs and public messages, building referral networks for adolescent health care and behavioral services, identifying opportunities for collaborative service delivery to maximize effective use of resources. 5.)Promote best practices in the health care system by: including recommended health screening in primary care, developing system standards of care for patient sexuality education, promoting barrier protection for disease prevention in sexually active patients, implementing expedited partner treatment for case of STDs, promoting medical homes for adolescents and adults, screening and referral for behavioral health issues. |
| Perry County Health Department |
1 |
Cardiovascular Disease |
The PCHD will reduce coronary heart disease crude death rate in Perry County to less than 120 per 100,000 by 2017. |
1.) Medical conditions 2.) Lifestyle |
1.) The PCHD will reduce coronary heart disease crude death rate in Perry County to less than 120 per 100,000 by 2017. 2.) The PCHD will increase the total number of adults that have their blood cholesterol checked by 20 each year until 2017 through the health departments program. 3.) The PCHD will increase the total number of healthcare facilities utilizing the Quit Line Fax Referral System to 10 by 2017. |
1.) Diabetes 2.) High blood pressure 3.) Cholesterol Levels 4.) Poor nutrition 5.) genetics 6.) Education 7.) Tobacco Use 8.) Stress 9.) Obesity 10.) Exercise 11.) Cost 12.) Access 13.) Time management 14.) Physical inactivity 15.) Culture 16.) Family Tendencies 17.) Activity Norms |
1.) HDS -7 Reduce the proportion of adults with high total blood cholesterol levels. 2.) HDS -4 Increase the proportion of adults who have has their blood pressure measured within the preceding 2 years and can state whether their blood pressure was normal or high. 3.) HDS-1 Reduce coronary heart disease deaths. 4.) HDS -6 Increase the proportion of adults who have had their blood cholesterol checked within the preceding 5 years. 5.) Recommendations for health behavior changes to discuss with patients such as quitting smoking, increasing physical activity, and reducing excessive salt intake. 6.) Assessments of patients' risk for developing CVD based on their history, symptoms, and clinical test result. 7.) Through the Worksite Wellness Programming offer total cholesterol screening clinics held at PCHD and onsite. Will monitor the number of people that reduce their total cholesterol. |
| Perry County Health Department |
2 |
Cancer with emphasis on Prostate, Colorectal and Lung |
"1.) Reduce the colorectal cancer death rate from 59.8 per 100,000 to 51 by 2017. 2.) Reduce Prostate cancer death rates from 160.1 per 100,000 to 155 by 2017. |
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1.) Familial 2.) Lifestyle |
"1.) Increase education sessions to children, adolescents, and young adults about tobacco use and effects form none to 4 by 2017. 2.) Increase smoking cessation classes to adults from none to 2 per year by 2017. 3.) Increase education efforts for lifestyle changes to reduce risk factors for cancer by 2017. |
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1.) Genetics 2.) Career choices 3.) Culture 4.) |
"1.) C-5 Reduce the colorectal cancer death rate 2.) C-7 Reduce Prostate cancer death rates 3.) C-2 Reduce Lung Cancer rates |
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| 4.) TU-1 Reduce tobacco use by adults 5.) TU-3 Reduce the initiation of tobacco use among children, adolescents, and young adults |
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| 6.) TU-4 Increase smoking cessation attempts by adult smokers 7.) TU-5 Increase recent smoking cessation success by adult smokers |
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| 8.) Education on inexpensive alternatives for physical fitness. 9.) Contact Health Fitness Centers for reduced fee for low income individuals 10.) Education on Farmer's Markets11.) Education on healthy meal choices for time management |
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| Perry County Health Department |
3 |
Obesity |
Decrease the number of adults with perceived no leisure time for physical activity from 29.8% to 25% by 2017. |
1.) Familial 2.) Lifestyle |
"1.) Reduce the proportion of adults with a BMI over 30 from 29.3% to 25% by 2017. 2.) Increase the variety and contribution of vegetables to the diets by increasing the number of vendors at the farmers markets by 2017. |
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1.) Eating habits 2.) Inactivity 3.) Culture 4.) Family Tendencies 5.) Medical Conditions 6.) Social/Economic 7.) High Calorie Food 8.) Oversized portions 9.) Low intake of fruits/vegetables 10.) Lack of motivation 11.) Physical Limitations 12.) Time management 13.) Eating habits 14.) Access 15.) Unaware of alternatives 16.) Family Trauma 17.) Sedentary lifestyle 18.) Eating habits 19.) Hormones 20.) Genetics 21.) Cost of healthy eating 22.) Not breastfeeding 23.) Unaware of resources |
"1.) PA-2 Increase the proportion of adults who meet current Federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity 2.) PA-13 (Developmental) Increase the proportion of trips made by walking 3.) NWS-10 Reduce the proportion of children and adolescents who are considered obese 4.) NWS-15 Increase the variety and contribution of vegetables to the diets of the population aged 2 years and older 5.) MICH-21 Increase the proportion of infants who are breastfed 6.) Education on inexpensive alternatives for physical fitness. 7.) Contact Health Fitness Centers for reduced fee for low income individuals 8.) Education on Farmer's Markets 9.) Education on healthy meal choices for time management 10.) Worksite Wellness |
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| Pike County Health Dept |
1 |
Access to Care |
1.)By 2015, improve access to health care though a fully operational public transportation system serving Pike County residents. (Baseline: 2010, no public transportation system) |
1.)social determinants of health 2.)issues with health service delivery 3.)lack of resources |
1.)By 2012, improve access to health care through the initial implementation of a public rural transportation system. (Baseline: 2010, no public transportation system) |
1.)poverty 2.)lack of health insurance 3.)lack of knowledge of available resources 4.)lack of transportation 5.)inadequate food and housing 6.)duplication of services 7.)lack of coordination of services 8.)inadequate number of mental health and oral health providers 9.)poor communication 10.)a spirit of competition versus cooperation among providers 11.)limited local resources 12.)providers reluctant to practice in a rural area 13.)long distances to travel outside of the county for care |
1.)With assistance from the Rural Transit Assistance Center, Western Illinois University, the Pike County Public Transportation system will be modeled after the successful transit system in place and operational in Morgan County. 2.)The Pike County Transit Group and Pike County Community Health Partnership are formally organized, meeting regularly and taking action steps towards a public transportation system for Pike County by utilizing the ICCT Transportation Coordination Primer. Surveys of county residents have been completed and analyzed to determine transportation needs. 3.)Development of a public transportation system for Pike County has the approval of the Pike County Board. It is estimated that at least $100,000 will be needed for start- up. Funding sources include: county designated funds, federal and state transportation grants, fares and contracts. |
| Pike County Health Dept |
2 |
Dental Caries |
1.)By 2015, dental caries will be reduced by 10% from baseline. (Baseline: 2008-2009 Illinois Department of Public Health, Division of Oral Health, Healthy Smiles/Healthy Growth 3rd grade open mouth survey results for Pike County- pending). |
1.)unhealthy diet 2.)poor dental hygiene |
1.)By 2012, dental caries experience will be reduced and access to oral health care will be increased by establishing a fully staffed and operational safety net dental clinic in Pike County. (Baseline: 2010, no safety net dental clinic in Pike County). |
1.)inadequate calcium intake 2.)excessive sugar intake 3.)well water with no fluoridation 4.)lack of knowledge 5.)lifestyle issues 6.)living in a rural area and poverty 7.)no dental visits 8.)no brushing 9.)lack of knowledge 10.)lack of transportation to access dental care 11.)the culture of poverty 12.)lack of resources 13.)lack of dental providers who will accept clients with Medicaid coverage |
1.)Dental sealants, regular dental visits, preventative care, oral hygiene, fluoridated water and/or fluoride treatments, oral health education, as well as access to a safety net dental clinic all positively impact oral health. 2.)Funding has already been awarded to Pike County Health Department through the Illinois Department of Health Care and Family Services in the amount of a $100,000 grant for safety net dental clinic development. A grant application is pending with the Illinois Children's Health Care Foundation for a $400,000 grant for safety net dental clinic development. |
| Pike County Health Dept |
3 |
Substance Abuse |
1.)By 2015, decrease the proportion of Pike County adults who smoke to 20% (Baseline 25.4%, BRFSS) |
1.)tobacco use 2.)alcohol use |
1.)By 2012, increase the number of Pike County families participating in the 'Safe Homes Project" to 50 (Baseline 25). 2.)By 2012, increase the number of calls from Pike County to the Illinois Tobacco Quit line to 300 annually (Baseline 262, 2009) |
1.)addiction 2.)accessibility 3.)stimulation 4.)lack of knowledge 5.)craving 6.)stages of change 7.)acceptance 8.)peer pressure 9.)stress and lifestyle 10.)lack of law enforcement 11.)parents and older friends providing 12.)exposure and marketing |
1.)The "Safe Homes Project" is a proven community intervention to reduce underage substance use and abuse. The project consists of soliciting signatures from parents/guardians of high school students assuring that their home is a "safe home" where no underage use of tobacco or alcohol is allowed. A directory of safe homes is provided to all high schools so that parents can access the list and know where their teens can be "safe". The project has been started in Pike County per the local DHS Prevention Specialist and the Pike County ATOD Coalition. The program needs to be expanded. 2.)The Smoke Free Illinois Act provides a proven intervention to reduce exposure to second hand smoke and encourages many smokers to quit. While the Act is in place, it is not always enforced. Additional educational activities to explain the Act and enforcement of the Act are needed. Pike County Health Department staff is working with local businesses and local law enforcement regarding this issue. 3.)The "Break the Habit Program" is a research based program for tobacco cessation. Nicotine replacement products are provided to those participants who will call the toll-free, Illinois Tobacco Quit line at least once per week for cessation phone counseling. 4.)The local DARE Officer provides ATOD prevention education in all four county schools. The local Pittsfield Rotary Club sponsors an Annual Rotary ATOD Prevention Day for all county junior high students. The Biannual Pike County Health and Resource Fair offers vendors and participants opportunities to promote health and wellness, including an ATOD free lifestyle. |
| Bureau-Putnam County Health Department |
1 |
Substance Abuse |
By 2016, decrease the percentage of 10th and 12th graders who have used alcohol, tobacco or marijuana in the past month by 5%. Baseline: According to 2010 data 27 % of Bureau & Putnam County 10th graders and 50% of 12th graders used alcohol , 11% of 10th graders and 27% of 12th used tobacco and 11% of 10th graders and 8% of 12th graders used marijuana in the past month. |
1.) Cycle of Addiction 2.) Stress 3.) Mental Health |
"1.) By 2014, increase the percentage of 10th and 12th graders who perceive a moderate or great risk of harm from regular alcohol use by 5%. |
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| Baseline: According to the 2010 Illinois Youth Survey, 62% of Bureau & Putnam County 10th graders and 47% of 12th graders perceived a moderate or great risk of harm from regular alcohol use. 2.) By 2014, increase the percentage of 10th and 12th graders who report that their parents/guardians talked to them about not using alcohol by 2%. Baseline: When asked if their parents/guardians had talked to them about not using alcohol in the past year, 61% of 6th graders, 52% of 8th graders, 57% of 10th graders, and 55% of 12th graders answered yes. (2010 Illinois Youth Survey) 3.) By 2014, reduce the percentage of 10th & 12th graders who report that alcohol is ?sort of easy or very easy? to get by 3%. Baseline: In 2010, 65% of Bureau & Putnam County 10th graders and 83% of 12th graders reported that alcohol is ?sort of easy or very easy? to get. (IL Youth Survey) |
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1.) Poor self image (peer pressure, society, body image, abuse) 2.) PTSS/coping skills (return from war, grief, loss, poor role model/parenting) 3.) Drug induced psychosis (access to care) 4.) Heredity 4.) Work related stress (overworked, poor work relationships, poor compensation) 5.) Social influences (school/bullying, lack of parental support) 6.) Economics (one-parent household) 7.) Physical health (obesity, chronic illness) 8.) Social influences (availability, acceptability/peer pressure) 9.) Family environment (codependency, lack of consequences, no alternative activities, age of first use) 10.) Access to care 11.) Mental health/denial, |
1.) Promote a mentoring and counseling program by collaborating with school counselors, law enforcement resource officers and parents. 2.) Provide evidence-based program, Alcohol EDU to 300 9th graders. 3.) Conduct a social marketing campaign to serve 22,189 adults ages 21-64, with the purpose of increasing parent/adult concern about underage drinking so that they will talk to their children/youth about not drinking alcohol. 4.) Partner with the IL Liquor Control Commission to reach 150 parents with parental responsibility meetings in three separate communities. 5.) Advocate for the passage of Social Host Ordinances and Keg Registration Ordinances in Princeton, Illinois which will serve 4,142 adults ages 21-64 and duplicate efforts in other communities as possible. |
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| Bureau-Putnam County Health Department |
2 |
Nutrition, Physical Activity & Obesity |
By 2016, decrease number of Bureau & Putnam County residents that are overweight or obese by 5%. Baseline: In 2007-2009 64.8% of Bureau County residents and 65.6% of Putnam County residents were overweight or obese. (IL BRFSS) |
1.) Unhealthy Eating & Exercise Habits 2.) Unhealthy Eating & Exercise Habits |
"1.) By 2014, increase the proportion of Bureau & Putnam County residents who consume 4 or more servings of vegetables and fruits by 5%. Baseline: In 2007-2009 32% of adults and in 2010, 15% of youth in Bureau & Putnam Counties consumed 4 or more servings of vegetables and fruits a day. (IL BRFSS, IL Youth Survey) 2.) By 2014, increase the proportion of Bureau & Putnam County residents who meet the current federal physical activity guidelines by 5%. Baseline: In 2007-2009 49.7% of Putnam County adults and 59% of Bureau County adults met the |
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1.) Attitude 2.)Poor self esteem 3.) Poor role modeling 4.) Lack of motivation 5.) Lack of perceived time 6.) Accessibility 7.) Availability 8.) Distance to resources 9.) Affordability 10.) education 11.) medical problems 12.) A family history of obesity and lack of access to care. |
1.) Establish a community-wide coalition to develop partnerships with businesses, youth groups and community groups and provide on-going collaboration, ideas and focus on reducing obesity in Bureau & Putnam County. 2.) Provide worksite health assessments and feedback, nutrition and physical activity programs designed to improve health related behaviors and health outcomes. (Healthy People 2020 Initiative) 3.) Reduce screen time. Provide behavioral interventions to reduce screen time by working at improving children's and parents' knowledge, attitudes or skills. (Healthy People 2020 Initiative) 4.) Provide education / information healthy lifestyles. (Healthy People 2020 Initiative) 5.) Healthier food access: Encourage schools to increase healthy food choices, such as at lunch through the use of salad bars, whole grain foods and fresh fruit in vending machines, healthy foods at concession stands and at special school events by suggesting to parents or creating a policy that only healthy foods are brought into the schools. 6.) Healthier food access / decrease food insecurity: work on bringing another farm-to-table program (such as the one at Bureau Valley High School) to another school in our area. |
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| Bureau-Putnam County Health Department |
3 |
Access to Care |
By 2016, increase the percentage of Bureau & Putnam County residents with a primary care provider or regular source of health care by 5%. Baseline: In 2007-2009, 7,9% of Bureau County residents and 5.7% or Putnam County residents did not have a primary care provider. (BRFSS, 2007-2009) |
1.) Lack of health insurance 2.) Lack of capacity 3.) Cost of health care |
1.) By December 31, 2015, increase the number of primary care providers to treat the target group. 2.) By 2015, improve sources of information on access to care (website, social media, print). Baseline Data: As of May 2012, there are two primary care providers in central-western Bureau County that accept new patients in the target group. |
1.) Economics 2.) employment status3.) unemployment 4.) underemployment 5.) low level of education 6.) lack of knowledge about health care system 7.) changing eligibility 8.) inability to navigate the system 9.) language barriers 10.) strain on providers 11.) low reimbursement rates 12.) lack of providers willing to accept Medicaid 13.) slow payments by state 14.) lack of free or low cost STD clinic 15.) inefficient health care system 16.) lack of fully integrated health IT system 17.) limited access to low cost Rx drugs 18.) reimbursement 19.) regulatory and legal factors. |
1.) Explore different sources of funding to expand or maintain existing programs. 2.) Provide consumer resources on access to care issues on social media and website. 3.) Increase the capacity to provide medical, dental and mental health care for the target group through a local clinic, such as a Federally Qualified Health Clinic. 4.) Expand immunization services by providing immunizations for younger siblings at school clinics. |
| Bureau-Putnam County Health Department |
4 |
Mental Health |
By 2016, increase the percentage of Bureau & Putnam County residents that state they have 0 days where their mental health is not good by 5%. Baseline: In 67.4% of Bureau County residents and 68.1% of Putnam County residents stated they have 0 days where their mental health was not good. (IL BRFSS) |
1.) Social isolation 2.) Stress |
By 2016, decrease by 2% the percentage of youth in Bureau & Putnam Counties who felt so sad and hopeless in the past 12 months they stopped their usual activities. Baseline: In 2008 & 2010, 23-33% of our youth in 8th-12th grades indicated they had felt so sad and hopeless in the past 12 months they stopped their usual activities. (IL Youth Survey) |
1.) Access to mental health care 2.) Lack of focus on positive 3.) Lack of appreciation of individuals/focus on inclusion 4.) Poor coping skills 5.) Rural community6.) Economy 7.) Aging population8.) Emphasis often on sports 9.) Over scheduling 10.) Little time with family 11.) No one to talk to about problems 12.) Too many activities/too little down time lack of support 13.) Lack of social activities/outlets |
1.) Develop a social marketing campaign aimed at increasing parental involvement. 2.) Incorporate mental health education and coping skills into existing programs (such as enrichment, after school, summer and faith-based programs for youth). 3.) Research bringing additional programs such as Big Brother/Big Sister, or a Challenge Day/Pay it Forward program to our community. 4.) Research ways to increase the number of providers to treat mental health. 5.) Distribute mental health resource information through schools, local health fairs & website. 6.) Develop a mental health committee to coordinate mental health activities. |
| Randolph County Health Department |
1 |
Mental and Behavioral Health |
By 2017, decrease the number of individuals who reported their mental health (stress, depression and emotions) was not good 8 to 30 days out the last 30 days by 5%. Baseline 16.3% (BRFSS 2011) |
"1.) Risky Behavior |
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"1.) By 2015, improve access to primary care screening by increasing the number of insured residents 5% through the Affordable Care Act. Baseline 9.4% (BRFSS 2011) |
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| 2.) By 2016, reduce the number of individuals who reported a risk for alcohol-related illnesses by 5%. Baseline 22.5% (BRFSS 2011) |
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"1.) Peer pressure |
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| 5.) Loss of spouse/friends |
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| 6.) Health Priority |
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| 7.) Social Isolation |
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| 8.) Mental decline (Dementias) |
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| 9.) Physical decline |
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| 10.) Multiple deployments |
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| 11.) Physical trauma |
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| 12.) Mental trauma |
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| 13.) Exposure to war |
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| 14.) Poor nutrition |
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| 15.) Physical/mental/sexual abuse |
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| 16.) Bullying at school |
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| 17.) No access to appropriate services/resources |
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| 18.) Lack of insurance coverage |
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| 19.) Limited mental/behavioral health providers |
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| 20.) Reduction in reimbursement for providers |
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| 21.) Single-parent households |
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"1.) Education and enrollment of uninsured into private or public health care insurance. The Randolph County Health Department will assist uninsured county residents to enroll for increased access to health care through either the expanded Illinois Adult Medicaid or private health insurance on the Healthcare Marketplace beginning October 1, 2013. Page 14 of 229 |
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| 2.) Increase mental health screenings at Randolph County Health department through Family Case Management and Women, Infant and Children programs at both the Chester and Sparta offices. |
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| 3.) Encourage substance abuse treatment awareness through We Choose Health initiatives. The Randolph County Health Department will reach out to worksites and schools in Randolph County to identify locations interested in providing a healthy environment and facilitate meetings with We Choose Health staff. |
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| 4.) The Randolph County Health department will resume the Randolph County All Health Coalition to partner with faith based agencies such as Lutheran Child and Family Services of Illinois to expand current mental health strategies in Randolph County |
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| 5.) Collaborate with local agencies participating in the Randolph Interagency Council to provide education and skills training for employment and identify key partners for participation in the Randolph County All Health Coalition. |
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| 6.) The Randolph County Health Department will provide parental education and support to single-parent families and those living in poverty through Family Case Management and Women, Infants and Children programs. |
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| 7.) Encourage health providers to recruit psychiatric, psychologist and counseling agents as a part of the specialty clinics offered in Randolph County. |
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| Randolph County Health Department |
2 |
Access to Care |
By 2017, decrease the number of adults who report the last routine checkup as being more than one year or never by 5%. Baseline 39.2% (BRFSS 2011) |
"1.) Increased morbidity and mortality |
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"1.) By 2015, increase the number of insured residents 5% through the Affordable Care Act. Baseline 9.4% (2010) |
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| 2.) By 2016, increase the number of primary care provider ratio 5%. Baseline 50.7 (2009) |
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| 3.) By 2015, expand the operating hours of the transit district from 5 days a week to 7 days a week. |
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"1.) Barriers to care |
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| 2.) Delay in receiving appropriate care for chronic conditions |
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| 3.) Patient proximity to care - no transportation |
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| 4.) Unemployed/Poverty |
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| 5.) Cost of Care |
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| 6.) Poor dietary habits & use of drug substances |
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| 7.) Reliance of emergency room by uninsured |
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| 8.) Difficulty recruiting and retaining qualified staff |
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| 9.) Inadequate Financial and Human Resources |
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| 10.) Delayed reimbursement for services provided |
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| 11.) Lack of staff and resources - rural location |
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| 12.) Absence of coordinated county-wide agenda and tracking across agencies |
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| 13.) Inflexible and limited funding sources |
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| 14.) Little post-analysis of program impacts on local health disparities |
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| 15.) Lack of resources across human service agencies to create, execute and analyze |
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| 16.) Insufficient number of Health Care Providers |
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"1.) Education and enrollment of uninsured into private or public health care insurance. The Randolph County Health Department will assist uninsured county residents to enroll for increased access to health care through either the expanded Illinois Adult Medicaid or private health insurance on the Healthcare Marketplace beginning October 1, 2013.Increase annual wellness screenings through case management to reduce morbidity and mortality in behavior-related conditions |
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| 2.) Reduce out-of-pocket costs for wellness screenings. Randolph County Health Department will encourage annual wellness screenings with a primary care physician, which are fully covered by health insurance January 1, 2014. |
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| 3.) Utilize Workforce Wellness strategies with companies in Randolph County, the Randolph County Health Department will reach out to worksites and schools in Randolph County Page 18 of 229 to identify locations interested in providing a healthy environment and facilitate meetings with We Choose Health staff. |
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| 4.) Randolph County Health Department will work with We Choose Health staff to utilize CATCH in Randolph County schools to teach healthy eating and exercise habits. |
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| 5.) Partner with churches and transit authorities to assist with transportation to and from health care providers. Currently, public transportation in Randolph County is limited to Monday through Friday from 6:30 am until 5:30 pm. Patients who have after hour emergencies or appointments on Saturdays and do not have reliable transportation are stranded. By working with the local churches who have bus transportation for their congregation or a reliable volunteer base may be able to transport patients after hours or on weekends. |
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| 6.) The Randolph County Health department will resume the Randolph County All Health Coalition to partner with schools and health care providers to set up health clinics for students and parents. |
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| 7.) Randolph County will encourage clients to focus on cheaper and more effective preventative care and discourage use of emergency services for non-emergency incidents through Family Case Management and Women, Infant, and Children programs. |
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| 8.) Increase communication among community health care providers through the Randolph County Interagency Council and Randolph County All Health Coalition. |
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| 9.) Advocate faster Medicaid reimbursements |
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| Randolph County Health Department |
3 |
Health related Quality of Life/Well Being |
By 2017, decrease the number of adults who report their physical health kept them from doing usual activities 8-30 days by 3%. Baseline 12.8% (BRFSS 2011) |
1.) Poor Nutrition 2.) Smoking 3.) Sedentary Lifestyle |
"1.) By 2015, improve access to primary care screening by increasing the number of insured residents 5% through the Affordable Care Act. Baseline 9.4% (BRFSS 2011) |
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| 2.) By 2016, reduce the number of individuals who reported a risk for alcohol-related illnesses by 5%. Baseline 22.5% (BRFSS 2011) |
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"1.) Fast food/vending machine availability |
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| 2.) Lack of nutrition knowledge |
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| 3.) Lack of exposure to healthy food |
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| 4.) Lack of access to fresh fruits/vegetables/choices |
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| 5.) Lack of access to affordable cessation aids |
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| 6.) Inconsistent enforcement across jurisdiction |
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| 7.) Worksites without tobacco policies |
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| 8.) Addiction |
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| 9.) Attitude toward exercise Lack of motivation and access to resources |
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| 10.) Unrealistic expectation for immediate results |
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| 11.) TV and computer use |
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| 12.) Lack of motivation and access to resources |
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"1.) Education and enrollment of uninsured into private or public health care insurance. The Randolph County Health Department will assist uninsured county residents to enroll for increased access to health care through either the expanded Illinois Adult Medicaid or private health insurance on the Healthcare Marketplace beginning October 1, 2013. |
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| 2.) Increase mental health screenings at Randolph County Health department through Family Case Management and Women, Infant and Children programs at both the Chester and Sparta offices. |
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| 3.) Encourage substance abuse treatment awareness through We Choose Health initiatives. The Randolph County Health Department will reach out to worksites and schools in Randolph County to identify locations interested in providing a healthy environment and facilitate meetings with We Choose Health staff. |
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| 4.) The Randolph County Health department will resume the Randolph County All Health Coalition to partner with faith based agencies such as Lutheran Child and Family Services of Illinois to expand current mental health strategies in Randolph County |
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| 5.) Collaborate with local agencies participating in the Randolph Interagency Council to provide education and skills training for employment and identify key partners for participation in the Randolph County All Health Coalition. |
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| 6.) The Randolph County Health Department will provide parental education and support to single-parent families and those living in poverty through Family Case Management and Women, Infants and Children programs. |
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| 7.) Encourage health providers to recruit psychiatric, psychologist and counseling agents as a part of the specialty clinics offered in Randolph County. |
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| Rock Island County Health Department |
1 |
Obesity/Cardiovascular Disease Health Plan |
1.)By December 31, 2015, reduce overweight and obesity by 10% for adults ages 18 and over. (Baseline: 2007-2009 BRFSS- adults 65.5% overweight, 27.7% obese) |
1.)unhealthy diet 2.)physical inactivity |
1.)By December 31, 2015, increase by 10% the percentage of adults who meet/exceed the standard for regular/sustained physical activity. (Baseline: 2007-2009 BRFSS- 67.1% of 25-44 years, 51.4% of45-64 yrs., 32.4% of 65+ yrs.) 2.)By December 31, 2015, increase by 2% the percentage of adults who report eating 5 or more fruits/vegetables a day. (baseline: 2007-2009 BRFSS- 15.9% of 25-44 yrs, 17.4% of 45-64 yrs., 24.2% of 65+ yrs) |
1.)social norms/cultural values 2.)misinformation on nutrition 3.)healthy food access/choices 4.)learned patterns-family/friends 5.)overweight accepted/valued 6.)breast feeding reluctance 7.)education not standardized/available 8.)restaurant info unavailable 9.)confusing advertising claims 10.)fewer healthy options available 11.)less healthy food accessible/affordable 12.)healthy option choice to difficult to embrace 13.)sedentary lifestyle 14.)recreation does not include activity 15.)built environment not conductive 15.)minimal opportunity for activity at work 16.)lack of knowledge/skills on activity options 17.)residents perceive lack of options 18.)parents do not model active lifestyle 19.)increased time spend on computer/TV 20.)safety concerns are real or perceived 21.)motorized transportation is frequent |
1.)Support the collaboration, development or expansion of efforts focused on creating a social and physical environmental that encourages healthy lifestyles. 2.)Work with partners to educate the community on how to make healthy choices regarding food and exercise. |
| Rock Island County Health Department |
2 |
Vaccine Preventable Diseases |
1.)By December 31, 2015 RICHD will be in a leadership role in Rock Island County regarding immunization practices and services. (Baseline: As of 2011 there was no health system, agency or individual serving as the main immunization resource in Rock Island County) |
1.)fear of harm from the vaccine 2.)barriers to vaccine delivery |
1.)By December 31, 2015 an immunization work group will exist to coordinate immunization promotion and will include at least ten QCHI partners. 2.) By December 31, 2015 the number of immunizations provided to Rock Island County children and adults by RICHD will increase by 10%. (Baseline: RICHD provided 5936 immunizations in 2010) 3.)by December 31, 2015 RICHD staff will work to increase the number of Rock Island County Vaccines For Children (VFC) providers to 17. (Baseline: There were 12 Rock Island County VFC providers in 2010) |
1.)media stories 2.)unfounded scientific data 3.)parents believe media reports 4.)chiropractic community 5.)discourage immunizations 6.)number of childhood vaccines 7.)complexity of vaccine schedule |
1.)The move to electronic health records and new billing software will build capacity and efficiency to bill private insurance. 2.0Work with medical Society to promote physician referrals to RICHD for all types of vaccinations to all ages and incomes. 3.)RICHD staff will make immunizations available at school registration, parent-teacher conferences, and health fairs. 4.)RICHD's Child Care Nurse Consultant will promote and educate on immunizations throughout the service region. 5.)Conduct "key informant" interviews with physicians to determine their challenges associated with immunizations. 6.)Invite the community to an immunization symposium sponsored by the two local health systems and two local health departments. 7.)Conduct a media campaign to promote safety and benefits of vaccines for all age groups. 8.)Seek partnership with service clubs such as rotary and Kiwanis to build upon their immunization promotion activities. |
| Rock Island County Health Department |
3 |
Mental Health |
1.)By December 31, 2015, 20% of Rock Island County adult residents will report more than 2 days in the past month when they felt sad or depressed. (Baseline: 2007-2009 BRFSS- 30% reported feeling sad or depressed >2 days/month) 2.)By December 31, 2015, educational programming related to mental health for youth will reach 3000 adolescents within K-12 schools. (Baseline: While some schools have included mental health education opportunities, there has not been a unified effort to conduct mental health programming comprehensively) |
1.)unidentified disorders 2.)stressors |
1.)By December 31, 2015, five community education events will be held for Rock Island County area residents to address mental health issues. (Baseline: QC Hearts and Minds have held six events 2009-2011) 2.)By December 31, 2015 a network of four health and mental health system representatives will be formed to lead efforts with focus on medical integration and service navigation. (Baseline: An integration/navigation network does not exist in 2011) 3.)By December 31, 2015 1000 Rock Island County K-12 students will participate in the Red Flags suicide prevention curriculum. (Baseline: Red Flags is not conducted in Rock Island County schools) 4.)By December 31, 2015 two local youth clubs and service agencies will implement mental health education as part of enrichment, after school, summer and faith-based programs. (baseline: Youth clubs do not have dedicated programming for mental health) |
1.)unrecognized triggers 2.)MH issues not understood 3.)reduce stigma of getting help 4.)prevention education messages lacking 5.)accurate information lacking 6.)significant myths/misconceptions 7.)barriers to care 8.)no social support 9.)limited skills to navigate system 11.)coordination of care fragmented 12.)transportations/missed appointments 13.)live in environment of poor coping skills 14.)fear of discrimination |
1.)Educate the community about mental health issues. 2.)Improve communication and coordination across existing mental health services. 3.)Develop education, screening and/or treatment programs for specific segments of the community with unmet needs. 4.)Work with the medical community to better achieve integration of health and mental health care services. |
| Sangamon County Department of Public Health |
1 |
STD's |
1. ) By 2017, reduce the number of Sangamon County youth and young adults infected with Chlamydia trachomatis and Neustria gonorrhea by 10%. |
"1.) Sexually active females and males 2.) Risky sexual behavior 3.) Alcohol and drug use 4.) Unprotected sex 5.) Lack of knowledge 6.) Increased susceptibility to infection 7.) Racial disparity 8.) Length of time between exposure, infection and complications |
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1.) Increase the number of youth and young adults delaying the onset of sexual activity and increase protective behaviors among sexually experienced youth. 2.) Increase the number of pediatricians and primary care providers who address sexual health issues with pre-teen and teenage patients, discussing Sexually Transmitted Infections (STI) and encouraging screening for STI. |
"1.) Peer pressure. 2.) Media influence. 3.) Low self-esteem, mental health issues. 4.) Sexual coercion 5.) Denial of risk. 6.) Social, family pressures. 7.) Lack of primary health care. 8.) Fear or discomfort discussing reproductive health issues. 9.) Immature decision making skills |
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"1.) Increase school-based health education and group-based behavioral interventions delivered to adolescents to promote behaviors that prevent or reduce the risk of pregnancy and STI. 2.) Encourage physicians and primary care providers to use mandatory school and sports physical examinations to discuss reproductive health issues and STI. |
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| 3.) Increase screening for Chlamydia and gonorrhea using urine-based testing. 4.) Encourage research and epidemiologic study of Sangamon County STI cases." |
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| Sangamon County Department of Public Health |
2 |
Diabetes |
"1.) By 2017, reduce the number of obese and overweight adults and children in Sangamon County. |
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| 2.) By 2017, reduce the number of hospitalizations and deaths due to diabetes management or complications for Sangamon County Residents." |
1.) Lifestyle 2.) Access to health care 3.) Physical risk factors |
1. )Increase community awareness of Body Mass Index (BMI), increasing physical activity and making healthy food choices.2.) Increase the availability of and access to diabetes education classes and support groups. |
"1.) Physical inactivity 2.) Poor dietary choices and eating habits 3.) Unhealthy diet |
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| 4.) Children developing pre-diabetes. 5.) Poor disease management. 6.) Lack of diabetes education 7.) Gestational diabetes. 8.) Heredity. 9.) Body Mass Index (BMI). 10.) HDL/Triglycerides/Blood Pressure |
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1.) Increase opportunities for residents of Sangamon County to increase physical activity. 2.) Increase the availability of fresh fruits and vegetables and wholesome food and people's knowledge of making good choices. 3.) Establish a central resource for inventorying available diabetes education programs, events, or support groups in Sangamon County. 4.) Increase awareness in the medical community |
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| Sangamon County Department of Public Health |
3 |
Influenza and Community-Acquired Pneumonia |
1.) By 2017, increase the annual influenza immunization rate of Sangamon County persons over age 6 months by 10% annually. 2.) By 2017, increase the pneumonia immunization rate of Sangamon County residents over age 65 and other vulnerable individuals by 10% annually. |
"1.) Novel strains of influenza, H3N2 2.) Low immunization levels, 6 months and older |
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| 3.) Limited pneumonia education4.) Chronic health conditions" |
1.) Increase availability of influenza vaccination throughout Sangamon County, reaching all age groups. 2.) Increase awareness of the benefits of pneumonia vaccination for persons age 65 and older and other vulnerable individuals and annual influenza vaccination for everyone over age 6 months. 3.) Reduce the number of deaths due to influenza and pneumonia. |
"1.) Lack of vaccine for newly emerging strains of influenza 2.) Co-morbidities of the population 3.) Travel and mobility of infected persons 4.) Exposure in crowded conditions 5.) Inconsistent physician messages 6.) Health literacy 7.) Lack of insurance coverage for immunizations 8.) Fear of vaccination and flu myths |
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1.) Convene a meeting with local physicians to establish consensus on a standard of who should be targeted for pneumonia vaccination. 2.) Establish a community task force to identify local approaches to increasing immunization levels. 3.) Increase the number of long-term care facilities providing influenza and pneumonia vaccination to their residents. 4.) Promote good hygiene; particularly hand washing, and staying home when sick community wide. 5.) Establish policies for the provision of vaccination prior to hospital discharge for high-risk persons. 6.) Include influenza immunization as a requirement for admission to homeless shelters where physical, mental and tuberculosis screening is required within days of entrance. 7.) Increase the availability of nasal administered influenza vaccine. |
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| Schuyler County Health Dept. |
1 |
Obesity |
1.)To reduce the proportion of children and adolescents who are overweight or obese by 5% by 2016. |
"1.)Inadequate Physical Activity 2.)Inadequate nutrition for financially |
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| Disadvantaged, seniors and children" |
1.)Increase the proportion of persons aged 2 yrs and older who consume at least 6 daily servings of grain products with at least three being whole grains by 5% from 7% to 12% in 2016. (Baseline: 50 percent, 1994-1996). 2.)Increase the proportion of persons 2 years and older who consume at least three daily servings of vegetables, with at least one-third being dark green or orange vegetables by 5% from 3% to 8% in 2016. (Baseline: 50 percent, 1994-1996). |
1.)lack of access to facilities 2.)lack of family friendly venue 3.)lack of transportation to meal sites 4.)lack of special diet meals 5.)lack of round year service to children |
1.)We will work with schools to increase availability of grains and vegetables. 2.)We will encourage parents to work with legislators to increase funding for school lunches. 3.)we will develop a media campaign for eating out vs. cost of eating at home. |
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| Schuyler County Health Dept. |
2 |
Residents' Access to Available Services |
1.)Increase the proportion of households with access to the internet at home by 5% by 2016. |
1.)Inadequate health maintenance (medical care/meds) 2.)inadequate emergency preparedness awareness |
1.)To reduce the percentage of people who have not had a physical in the last two years by 5%. |
1.)lack of funds/medical insurance 2.)incomplete utilization of available support services 3.)incomplete plans for shelter/special needs |
1.)The community partners and LHD will conduct a wellness campaign to emphasize the need for physicals. 2.)Media campaigns will be developed to orient county residents about emergency preparedness. |
| Schuyler County Health Dept. |
3 |
Teen Pregnancy |
1.)To reduce pregnancies among adolescent females by 25% by 2016. |
1.)increase in teen birth rate (rate has doubled, mothers are younger) |
1.)Increase the proportion of sexually active, unmarried adolescents aged 15-17 years who use contraception that both effectively prevents pregnancy and provides barrier protection against disease by 10%. |
1.)lack of contraceptive information 2.)lack of parental guidance and/or involvement 3.)schools' reluctance to allow any method other than abstinence 4.)reluctance to discuss sex/birth control 5.)parents facing economic survival issues lack time/energy for parent groups |
1.)Provide educational programs in middle schools. 2.)Develop a media campaign focusing on sex education awareness and consequences. 3.)Develop an education campaign for parents. |
| Scott County Health Dept. |
1 |
Cardiovascular Disease |
By 06/30/2017, decrease the number of deaths due to diseases of the heart by 10%. Baseline: Mortality due to disease of the heart in 2006, 36% (20 out of 56 deaths). |
1.) Hypertension 2.) Hyperlipidemia |
1.) By 06/30/17, decrease diagnosed high B/P by 10%. Baseline: BRFSS 2007-2009 34.5% of people in Scott County were told they have high blood pressure. Medication was prescribed for 83.9% 2.) By 06/30/2017, decrease by 20% the number of abnormal lipid panels drawn at the health department. Baseline: Total lipids 2010 - 65 Abnormal lipids were at 52% (33 out of 65) |
1.) Smoking 1a.) Lack of support 1b.) Peer pressure 1c.) Stress 2.) Obesity 2a.) Lack of education 2b.) Unhealthy eating patterns 2c.) Limited food choices 3. Non-compliance with treatment 3a.) Lack of medical care 3b.) Lack of education 3c.) inability to pay for services 4.) Age/gender 5.) Sedentary lifestyle 5a.) Lack of facilities 5b.) Lack of motivation 5c.) Lack of knowledge 6.) Diet 6a.) Lack of knowledge 6b.) Unavailability of healthy foods |
1.) Freedom From Smoking classes (2x a year) 2.) IDPH Quit line/Break the Habit program 3.) Educational programs in the schools about the effects of tobacco use 4.) Nutrition/exercise education at lipid and B/P screenings, and at WIC appt 5.) Lipid screenings offered at reduced cost 6.) Free B/P screening offered daily 7.) Education during all health department programs 8.) Referrals to agencies that assist with medical costs |
| Scott County Health Dept. |
2 |
Cancer |
By 06/30/2017, reduce the rate of mortality caused by cancer in Scott County by 10%. Baseline: Mortality caused by malignant neoplasm's (IPLAN 2006) 24% (12 of 50 deaths) |
1.) Obesity 2.) Poor Nutrition 3.) Physical Inactivity 4) Tobacco Use 5) Exposure to UV rays |
1.) By 06/30/2017, the percentage of overweight adults in Scott County will decrease by 10%. Baseline: Overweight adults in Scott County is at 29% (County Health Ranking) 2.) By 06/30/2017, nutrition will improve in Scott County by increasing the percentage of fruits/vegetables consumed by 10%. Baseline: Scout County total serving of fruits/vegetables/ad - 0-2 (57%), 3-4 (29.2%), 5 or more a day (13.8%) BRFSS 3. By 06/30/2017, physical inactivity rate for Scott County will decrease by 10% Baseline: Scott County inactivity rate is at 31% (County Health Ranking) 4.) By 06/30/2017, tobacco use in Scott County will decrease but 10%. Baseline: Tobacco use in Scott County is at 24%. |
1.) Expense of healthy foods 1a.) Low income community 1b.) Not a priority 2.) Limited healthy foods available 2a.) Limited grocery access 2b.) Rural community 3.) Sedentary lifestyle 3a.) lack of motivation 3b.) Lack of facilities 3c.) Lack of support 4.) Lack of knowledge 4a.) Lack of education 4b.) Resistance to education 4c.) Lack of medical care/resources 5. Lack of programs available 5a.) Limited exercise facilities 5b.) Lack of funding 6.) Tanning 6a.) Body image 6b.) Media promotion |
1.) Educate the public about healthy lifestyle (healthy diet, exercise, effects of tobacco use, limiting UV exposure, decreasing stress) through programs, grants, schools and physicians 2.) Educate WIC/FCM clients on how to prepare healthy meals on a budget 3.) Encourage physical activity by organizing activities in the community such as walk-a-thons, sand volleyball tournaments 4.) Promote wellness facilities in the community |
| Scott County Health Dept. |
3 |
Tobacco Use |
1.) By 06/30/2017, decrease tobacco use in Scott County by 10%. Baseline: Tobacco use in Scott County at 24.7% |
1.) Family use of tobacco 2.) Peer use of tobacco |
1.) By 06/30/2017. tobacco use will decrease to 14% in Scott County. |
1.) Peer pressure 1a.) Small, rural community 1b.) Social situations/social acceptance 2.) Low income 2a.) County below poverty level 2b.) Higher unemployment rates 3.) Low self-esteem 3a.) Low educational level 3b.) Lack of support from family 3c.) Single parent home 3d.) Low expectation from family 4.) Tobacco marketing 4a.) Easy availability of cigarettes 4b.) Advertising portrays attractive images 5.) Stress 6.) Substance abuse 7.) Lack of knowledge of effects on health 7a.) Lack of medical care 7b.) Lack of tobacco education in schools |
1.) Tobacco education at schools, and in the WIC/FCM programs 2.) Tobacco education at community events such as school fairs, sporting events, county fairs, and relay for life events 3.) Promoting cessation programs such as Break the Habit and Freedom from Smoking 4.) Offering free NRT through these programs 5.) Tobacco counter-marketing through paid newspaper and radio advertising 6.) Education on alternative methods for stress control and how to boost self-esteem through WIC and FCM programs |
| Shelby County Health Department |
1 |
Heart Disease |
"1.) Reduce coronary heart disease deaths by the year 2018 to a crude mortality rate of no more than 150 per 100,000 people. (Baseline: 203.42 average crude rate [Shelby County] during 2001-2006; |
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| Source: I-PLAN Data System)" |
1.) Lifestyle 2.) Heredity |
1.) Reduce cigarette smoking by the year 2018 to a crude mortality rate of no more than 65 per 100,000 people. (Baseline: 75.03 average crude rate [Shelby County] 2001-2006; Source: I-PLAN Data System) 2.) Reduce overweight or obesity by the year 2018 to a prevalence of no than 40 percent for all residents ages 45 to 65 of Shelby County. (Baseline: 46.7 percent average [ages 45-65 - Shelby County] 2009 4th Round ICBRFS) |
1.) SECOND HAND SMOKE 2.) SMOKING 3.) ADDICTION 4.) LONG TERM EXPOSURE 5.) HIGH FAT DIET 6.) OBESITY 7.) FAMILY HISTORY 8.) SEDENTARY LIFESTYLE 9.) LACK OF EXERCISE 10.) SEDENTARY LIFE / STRESS 11.) OCCUPATION 12.) LACK OF STRESS MANAGEMENT 13.) HIGH SALT DIET 14.) HYPERTENSION 15.) LACK OF EXERCISE 16.) MEDICATION NON-COMPLIANCE 17.) SATURATED FAT DIET 18.) HIGH CHOLESTEROL 19.) LACK OF EXERCISE 20.) SMOKING 21.) LACK OF ESTROGEN 22.) POST MENOPAUSAL |
1.) Increase participation and promotion of free smoking cessation programs designed to reduce smoking prevalence. This would include information, nicotine patches and possibly the use of support groups. 2.) Educate school children on the health risks and illnesses associated from cigarette smoking. Continue "Tar Wars" anti-smoking program and anti-smoking county wide poster contest. 3.) Enforcement of the Smoke-Free Illinois Act. Continue education on proper signage and regulations.4.) Provide literature and educational materials to clients and the general public about diet, exercise and cholesterol. Promote through health department website and public service announcements. 5.) Increase the number of Shelby County residents being screened for hypertension and blood cholesterol. Continue special programs conducive to knowing your cholesterol numbers and continue encouraging residents to get screened at the health department's weekly Adult Wellness Clinic. 6.) Promote and market physical fitness, exercise and diet through a media and marketing campaign. Utilize health department's website and Farm Bureau's monthly newsletter to reach target audience. |
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| Shelby County Health Department |
2 |
Lung Cancer |
"1.) By the year 2018, reduce the lung cancer mortality crude rate to no more than 75 per 100,000 |
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| people. (Baseline: 83.05 average crude rate [Shelby County] during 2000-2006; Source: |
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| I-PLAN Data System)" |
1.) SMOKING 2.)LIFESTYLE / ENVIRONMENT |
"1.) Reduce cigarette smoking by the year 2018 to a crude mortality rate of no more than 65 per 100,000 people. (Baseline: 75.03 average crude rate [Shelby County] during 2001-2006; Source: I-PLAN Data System) |
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| 2.) Reduce cigarette smoking by the year 2018 to a prevalence of no more than 18 percent among all |
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| pregnant mothers of Shelby County. Baseline: 20.82 percent average [Shelby County] 2001-2006; |
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| Source: I-PLAN Data System)" |
1.) PEER PRESSURE 2.) SOCIAL PRESSURE 3.) APPEALING ADVERTISING 4.) AVAILABILITY 5.) NICOTINE IN THE BODY 6.) PHYSICAL ADDICTION 7.) INCREASE CARBON DIOXIDE LEVEL 8.) LONG TERM EXPOSURE 9.) STRESS 10.) PSYCHOLOGICAL ADDICT. 11.) DAILY ROUTINE 12.) HAND / DRINK COMBINATION 13.) LACK OF AWARENESS 14.) OCCUPATIONAL EXPOSURE 15.) FACILITY SAFETY MEASURES 16.) INADEQUATE PROTECTION MEASURES 17.) INADEQUATE REGULATIONS 18.) AIR POLLUTION 19.) ENFORCEMENT OF REGULATIONS 20.) PUBLIC APATHY 21.) LACK OF INFORMATION 22.) INDOOR AIR POLLUTION 23.) PUBLIC APATHY 24.) ENFORCEMENT OF REGULATIONS |
"1.) Collaborate with the American Lung Association, American Cancer Society, American Heart Association, and other medical providers and physicians to create awareness for smoking cessation classes. Targeted focus on expectant mothers who continue to smoke to attend smoking cessation classes. Reinforce through area prenatal classes and health department internal programs, such as WIC and Family Case Management. 2.) Work with Shelby County schools to provide information and education to students concerning the adverse |
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| health conditions associated with cigarette smoking. Continue "Tar Wars" anti-smoking program and anti-smoking county wide poster contest. 3.) Enforcement of the Smoke-Free Illinois Act. Continue education on proper signage and regulations. 4.) In cooperation with the American Lung Association and the American Cancer Society provide educational literature and promotions concerning the adverse effects of lung cancer. Promote the Illinois Quit line. 5.) Provide radon testing kits and information to Shelby County residents, concerning high radon levels in the home. Create a radon testing campaign to establish awareness." |
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| Shelby County Health Department |
3 |
Diabetes |
1.) By the year 2018, reduce Shelby County's diabetes hospitalization rate to no more than 140 per 100,000 people. (Baseline: 149.5 per 100,000 people average [Shelby County] 1997-2001; Source: I- PLAN Data System) |
1.) Lifestyle 2.) Heredity |
1.) Reduce overweight or obesity by the year 2018 to a prevalence of no than 40 percent for all residents ages 45 to 65 of Shelby County. (Baseline: 46.7 percent average [ages 45-65 - Shelby County] 2009 4th Round ICBRFS) |
1.) HIGH FAT INTAKE 2.) DIET 3.) POOR NUTRITION 4.) LACK OF KNOWLEDGE 5.) LACK OF ENERGY / TIME 6.) LACK OF EXERCISE 7.) LACK OF MOTIVATION 8.) OBESITY 9.) MANAGEMENT 10.) UNCONTROLLED DIET 11.) LACK OF EYE / FOOT CARE 12.) HIGH FAT DIET 13.) OBESITY 14.) SEDENTARY LIFESTYLE 15.) HYPERTENSION 16.) HYPERTENSION 17.) GENETICS 18.) OVERWEIGHT 19.) VISION PROBLEMS 20.) AUTOIMMUNITY 21.) ENVIRONMENT 22.) HISTOCOMPATIBILTY ANTIGENS 23.) VIRUSES |
1.) Increase the number of Shelby County residents being screened for glucose, hypertension and blood cholesterol. Promote special programs conducive to knowing your risk levels for diabetes. Increase the number of residents being screened at the health department's weekly Adult Wellness Clinic. 2.) Educate diabetics in the community about the importance of having an annual health check-up including a dilated eye exam and foot examination. Work with local optometrists and podiatrists to accomplish. 3.) Promote and market physical fitness, exercise, and diet through a media and marketing campaign. Utilize health department's website and Farm Bureau's monthly newsletter to reach target audience. 4.) Support the efforts of Shelby Memorial Hospital's Self-Management Program for diabetics and continue as a referral source. 5.) Continue our efforts in promoting and conducting a monthly diabetic support group in collaboration with Shelby Memorial Hospital. |
| Skokie Health Department |
1 |
Access to Affordable Health Care |
"To open one federally qualified health center in the immediate vicinity of |
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| Skokie by 2017. (Baseline: 0 in 2011 - Skokie Health Department Survey)" |
1.) Not immunized 2.) No health insurance |
"1.) Build a healthcare facility capable of providing comprehensive health care services, including |
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| dental care and mental health services, for 5,000 Skokie and Evanston residents by the end of FY2017 from a baseline of 0 in FY2012. (Baseline Data: Skokie Health Department - FY 2012statistics) 2.) Provide adult immunizations (Tdap, Zostavax, MMR, HBV) through the Skokie Health Department at cost to Skokie residents, for those who do not have insurance that covers immunizations. Allocate funding amounting to $16,000, or enough to vaccinate 100 people in a specific line item for this program, from $0 in 2012 (Baseline: $0 in FY2012 - Skokie Health Department data). 3.) Increase the number of individuals assisted with applying for Medicaid, Medicare, and All Kids Insurance from 300 per year in FY2012 to 600 per year by FY2017 (Baseline: 300 in FY2012 -Skokie Health Department data)." |
1. Fear of potential side effects 2.) Cost of vaccinations 3.) religious objections 4.) unemployed 5.) no insurance 6.) immunizations not covered by insurance 7.) parental concern 8.) no employee health insurance program 9.) cost of private insurance |
"1.) Educate Skokie residents about available health care provider options, including primary care, mental health, dental health, and vision care services for the underinsured and uninsured. |
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| 2.) Partner with community organizations to provide Skokie residents with information about how to apply for public insurance coverage. |
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| 3.) Once nationally mandated health care coverage goes into effect, partner with community organizations to provide comprehensive education to Skokie residents about how to access coverage and what penalties exist if access is not voluntarily procured." |
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| Skokie Health Department |
2 |
Obesity Prevention |
"To establish baseline obesity data for children attending Skokie schools |
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| through a systematic review of school health records by FY2017, from a baseline of 0 data in |
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| FY2012 (Baseline: Skokie Public Schools and Skokie Health Department)" |
1.) Lifestyle 2.) Nutrition 3.) High Blood pressure 4.) High Cholesterol |
"1.) Increase the number of people using public transportation, bicycling or walking to work from |
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| 17% in FY2009 to 20% by FY2017 (Baseline: 2009 Skokie Citizen Survey) 2.) Ensure that all Village of Skokie vending machines contain products that meet the American Heart Association vending guidelines by FY2017, from a baseline of 0 machines by FY2012 |
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| (Baseline: Village of Skokie data) 3.) Construct an additional 2.0 miles of bicycle/multi-use paths in Skokie by FY2017, adding to the 4.5 miles that existed in FY2012 (Baseline: Village of Skokie data)" |
1.) Stress 2.) Environment 3.) Peer pressure 4.) Culture 5.) Lack of exercise 6.) Nutrition 7.) Heredity 8.) Lack of motivation 9.) Lack of time 10.) Lack of mobility 11.) Lack of knowledge |
"1.)Work with state and regional medical professional organizations, public health organizations, and health care systems to carry out a childhood obesity education campaign for healthcare providers. |
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| 2.)Work with the Skokie Public Library and other organizations to provide healthy nutrition and obesity prevention programs. |
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| 3.)Ensure that information related to obesity prevention and healthy lifestyles is covered in New Skokie, the Village newsletter, and encourage the media to feature similar articles. 4.)Promote educational programs about the benefits of breastfeeding, including its role in preventing childhood obesity." |
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| Skokie Health Department |
3 |
Tobacco Use Prevention |
"Reduce smoking prevalence among youth and adults in Skokie to 12% by |
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| 2017 (Baseline: Niles Township High Schools Student Survey, World Health Organization and |
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| Centers for Disease Control and Prevention/Turning Point Behavioral Health Care Center in |
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| Skokie)." |
1.) Smoking 2.) Genetics 3.) Lifestyle 4.) Environment |
"1.) Increase the number of individuals successfully completing he stop smoking clinics/counseling |
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| by 20% by the end of FY17 from the baseline of 16 in FY12. (Baseline Data: Skokie Health |
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| Department - FY12 Statistics) |
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| 2.) Increase the number of fax referrals to the Illinois Tobacco Quit line from Skokie Healthcare |
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| Facilities and the Skokie Health Department to 20 per year by FY2017 from the baseline of 0 per |
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| year in FY2012 (Baseline: Illinois Quit line data) |
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| 3.) Conduct at least two evidence-based anti-tobacco programs each year in Skokie middle schools. |
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| Baseline 0 per year in FY2012 (Baseline: Skokie Health Department data) |
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| 4.) Develop a smoking cessation program to serve at least 100 clients per year by FY2017 through |
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| the Turning Point Behavioral Health Center on Skokie, from a baseline of 0 per year (Baseline: |
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| Turning Point Behavioral Health Center data)" |
1.) Environment 2.) Workplace 3.) Home 4.) Carcinogen Exposure 5.) Lack of Knowledge 6.) Culture 7.) Nutrition 8.) Stress 9.) Second hand smoke 10.) Peer pressure |
"1.) Provide Illinois Quit line and other relevant materials to area physicians. |
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| 2.) Make available smoking cessation materials translated into most commonly spoken languages |
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| in Skokie at locations where persons who speak other languages are likely to gather. |
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| 3.) Present educational programs in area schools, and through the Skokie Public Library. |
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| 4.) Broadly advertise current Skokie tobacco cessation programs through various media. |
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| 5.) Collaborate with local mental health providers, including Turning Point Behavioral Health Care |
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| Center, to conduct educational programs and train staff to promote tobacco cessation among |
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| Skokie Health Department |
4 |
Environmental Issues |
"Develop and support policies that minimize pollution and promote careful |
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| environmental resource management through the creation of a comprehensive environmental |
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| plan for the Village of Skokie by 2017. (Baseline: No plan in place - Skokie Statistics)" |
1.) Air Quality 2.) Water Quality 3.) Soil Quality |
"1.) Increase by 10% the use of public transportation, bicycling, and walking for commuting to work |
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| by 2017. (Baseline: 17% - 2009 Skokie Citizen Survey) |
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| Reduce the number of unsafe air quality days to 14 by 2017. (Baseline: 20 days - IEPA 2010 Air |
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| Quality Report) |
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| 2.) Reduce per capita domestic water withdrawals to 8.5 million gallons per day by 2017. |
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| (Baseline: 9 million gallons per day - Skokie Water Department - 2012) |
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| 3.) Increase the percent of Skokie refuse being diverted from the landfill to 37.0% by 2017. |
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| (Baseline: 32.15% - Skokie Public Works Department - 2012)" |
1.) Lack of knowledge 2.) Laziness 3.) Carelessness 4.) Simplest way mentality |
"1.) Sponsor community presentations by the Illinois Environmental Protection |
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| 2.) Sponsor bike to work/school days and other community events. |
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| 3.) Work with the Skokie Public Library and other organizations to provide educational programs |
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| supporting environmental protection and sustainable lifestyles. |
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| 4.) Ensure that articles describing Skokie recycling programs are covered in New Skokie and |
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| encourage local media to feature similar articles." |
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| Southern Seven Health Department |
1 |
Heart Disease |
1.)Reduce the percent of heart disease deaths to 29%. (Baseline: 31%) |
1.)hypertension 2.)smoking 3.)cholesterol |
1.)By 2015, decrease reported high cholesterol levels to 30%. (Baseline: 34%) 2.)By 2015, decrease smoking rate average to 25%. (Baseline: S7 average 30%, IL 20.5%) 3.)By 2015, decrease number of reported high BP to 32%. (Baseline: 35.3%) |
1.)tobacco addiction 2.)obesity 3.)stress 4.)sedentary lifestyle 5.)poor nutrition choices 6.)excessive Na intake 7.)genetics/family history 8.)lack of knowledge 9.)food desserts |
1.)Enforcement of SFI Act 2.)Reduce out-of-pocket costs for cessation products. 3.)Community supported group initiatives for healthier lifestyles. 4.)Increase CATCH implementation in schools. 5.)Increase community education on lipid screenings. 6.)Increase dissemination and education on the importance of BP screenings and pre hypertension. |
| Southern Seven Health Department |
2 |
Obesity/Type II Diabetes |
1.)By 2015, reduce obesity incidence to 26%. (Baseline: 28%, IL 24.7%) |
1.)poor diet 2.)lack of physical activity 3.)family history/genetics |
1.)By 2015, increase reported moderate activity standard to 48%. (Baseline:44.9%) 2.)By 2015, increase reported fruit and vegetable intake of at least 5 or more daily to 18%. (Baseline: 15.4%) |
1.)sedentary lifestyle 2.)portion sizes 3.)excessive high sugar intake 4.)family, culture 5.)lack of safe walking routes 6.)availability of fruits/vegetables 7.)high fat diets 8.)race/ethnicity |
1.)Behavioral interventions to reduce screen time in front of TV and computer. 2.)Prevention education. 3.)Community group settings. 4.)Heart-to-Heart peer education. 5.)Worksite wellness programs 6.)Increase CATCH in schools 7.)Safe walking paths 8.)Increase screenings for glucose. |
| Southern Seven Health Department |
3 |
Cancer |
1.)By 2015, reduce cancer mortality rate by 2%. (Baseline: 204.5, IL 197.6) |
1.)smoking/tobacco 2.)obesity 3.)lack of physical activity 4.)genetics/environmental factors |
1.)By 2015, reduce smoking rate average to 25%. (Baseline 30%, IL 20.5%) |
1.)addiction 2.)belief in some in "right to smoke" 3.)rural culture 4.)secondhand smoke 5.)peer pressure 6.)unhealthy eating habits 7.)many fast food restaurants 8.)sedentary lifestyles 9.)meds/underlying health conditions 10.)genetic screening 11.)lack of education 12.)lack of screening |
1.)Enforcement of SFI Act 2.)Reduce out-of-pocket costs for cessation products. 3.)Health provider client reminders for screening. 4.)Small media including educational videos, brochures, newsletters, to increase early detection. |
| St. Clair County Health Department |
1 |
Risk Factor Prevention for Chronic Diseases |
1.)By the year 2016, reduce the premature mortality rates per 100,000 population for Lung Cancer; COPD, heart Disease and Diabetes to 34.1, 19.5, 77.1 and 20.2, respectively (20 percent of their current rate). |
1.)tobacco use 2.)inactive lifestyle 3.)environmental factors 4.)ambient air conditions 5.)poor eating habits |
1.)By the year 2013, reduce the percent of adults (age 18 and older) who consumes less than 5 servings of fruits and vegetables per day from 79.8 percent (2007 BRFSS) to 60 percent. 2.)By the year 2013, reduce the percentage of adults who report doing no leisure time exercise or physical activity in the past 30 days from 24.3 percent (2009 SMART BRFSS) to 20 percent. 3.)By the year 2013, improve attendance and participant compliance of local smoking cessation programs among community support and treatment organizations by 10 percent annually. |
1.)influence of peers, family and culture 2.)lack of smoke-free policy programs for smoking awareness and cessation 3.)access to healthy affordable foods 4.)level of addiction 5.)stress/financial burden for employer/healthcare system 5.)educational attainment |
1.)Increase promotion of QUITLINE and local tobacco cessation programs. 2.)Increase promotions of alternatives to leaf burning. 3.)Increase the participation of communities and schools in the County's Get up and Go Campaign. 4.)Utilization of media and cessation products 5.)Enhance screening, counseling and referral among healthcare providers. 6.)Expand advocacy participation among state level 7.)Strengthen workplace enforcement, screening, referral and hiring policies |
| St. Clair County Health Department |
2 |
Maternal and Child Health |
1.)Reduce the infant mortality rate from 9.6 (2006) to 8.5 by the year 2016. Also by the year 2016; reduce neonatal mortality from 4.4 to 4 and reduce post neonatal from 5.2 to 4.5. |
1.)maternal smoking, use of alcohol and drugs 2.)poor nutrition 3.)disease that affects pregnancy (i.e. bacterial vaginosis) 4.)maternal complications (i.e. hypertension, obesity, preeclampsia) 5.)teen mothers (14 years and under) |
1.)By year 2013, the number of SCCHD WIC infants that initiate breastfeeding will increase to 65 percent and the number of infants who are still breastfeeding at six months will increase to 35 percent (2010 SCCHD percentages are 59.3 and 21, respectively). 2.)By year 2013 reduce the number of mothers who report abstaining from smoking cigarettes during pregnancy to 92 percent (the 2007 percent is 85.1%) 3.)By year 2013, increase the number of mothers who receive early and adequate prenatal care to 78 percent (combined 2004-06 percent is 71%). |
1.)Availability of and access to prenatal counseling and screening programs for the following: smoking awareness and cessation, adverse pregnancy outcomes associated with transmission of STDs and HIV infection, breastfeeding and other nutritional awareness and supplements. 2.)parents smoked or having smoked 3.)lack of knowledge of services available in the community 4.)access to healthy affordable food |
1.)Smoking awareness and cessation programs expanded for hard to reach groups (adolescents, African Americans, and working mothers) 2.)Expand outreach efforts to OB/GYN and family practice physicians to share insurance coverage program information. 3.)Expand farmer's market and other food coop programs to provide healthy and affordable foods to families. 4.)Continue WIC and case management outreach services to area hospitals, social service agencies, churches and community service organizations regarding availability of services. 5.)Provide healthcare information to teens through adolescent health and abstinence programs through Teen Parent Support. |
| St. Clair County Health Department |
3 |
Behavioral Health |
1.)By the year 2016, the annual percentage of suicide deaths among St. Clair County residents will decrease by ten percent. (the number of suicides reported in SCC in 2010 was 29. An additional 19 suicides have been reported in the first six months of 2011) |
1.)substance abuse 2.)mental illness 3.)loved one/friend committed suicide 4.)family history 5.)family violence 6.)incarceration |
1.)By year 2013, increase the number of primary care facilities that provide mental health treatment onsite or by paid referral by 10 percent annually. 2.)Increase the proportion of persons with co-occurring substance abuse and mental disorders who receive treatment for both disorders. |
1.)availability and access to counseling and screening programs for substance abuse 2.)age of 1st use of drugs 3.)poor academic success 4.)PTSD-Veterans 5.)failed belongingness/peer pressure 6.)perceived burden 7.)acquired ability to inflict injury 8.)low self-esteem and decision making skills 9.)lack of knowledge of services available in the community 10.)economy-unemployment/homelessness |
1.)Continue case management outreach services to area hospitals, social service agencies, churches and community service organizations regarding availability of services. 2.)Expand outreach efforts through partnerships with the Gateway Foundation, the Heart links Grief Center and the Karla Smith Foundation. |
| St. Clair County Health Department |
4 |
Violence Prevention and Safety |
1.)By the year 2016, the St. Clair County violent crime rate (per 100,000 population), which is currently 1,289, 450 percent more than the national benchmark (2011 St. Clair County MATCH county Health rankings), will be reduced to less than 1,000. |
1.)exposure to violence 2.)isolation 3.)unemployment |
1.)By year 2013, the number of children and family members exposed to domestic violence will be reduced to 50 percent (current national 2008 baseline is 60.6 percent). |
1.)housing deterioration 2.)reduction in police presence 3.)apathy 4.)unemployment 5.)underpowered citizens 6.)lack of positive activity 7.)poverty 8.)lack of resources 9.)fear of victimization 10.)funding 11.)no involvement with neighborhood 12.)lack of diverse activities |
1.)Provide resources and services to increase community involvement and engaging alternatives. 2.)Expand outreach efforts to high risked communities and neighborhoods. 3.)Improve access to community policing strategies and neighborhood watch programs. 4.)Provide domestic violence information to teens through community programs and interventions. |
| Stark County Health Department |
1 |
Alcoholic/Substance Abuse/prescription drug abuse among high school students |
1.) Reduce the proportion of adolescents who report that they rode, within the last 30 days with a driver who had been drinking alcohol. (Baseline: 28.3%) 2.) reduce the proportion of high school seniors engaging in binge drinking within the last two weeks. (baseline: 25.2%) 3.) reduce the proportion of adolescents who report marijuana use on the past 30 days. (Baseline: 6.7%) |
1.) Economics 2.) Family History 3.) Peer pressure 4.) Social acceptance 5.) Accessibility 6.) Lower self-esteem 7.) Stress 8.) Societal norms |
1. ) By 2014 Reduce the proportion of Stark County adolescents who report that they rode, within the last 30 days with a driver who had been drinking alcohol by 5% (Baseline: 24% 6th, 35% 8th, 63% 10th, 68% 12th) 2.) |
1.) Undeveloped coping skills 2.) Physical Environment 3.) Mental Health 4.) Easy Access 5.) Accepted behavior 6.) Lack of treatment providers 7.) Poor self esteem 8.) Limited family/parenting skills 9.) Rural Lifestyle 10.) Limited employment opportunities for convicted felons 11.) Family dynamics 12.) Depression, Bi-polar, Anxiety 13.) Understaffed law enforcement 14.) Stigma |
1.) Promote Illinois Youth Survey participation among Stark County Schools 2.) Promote alcohol compliance checks among local law enforcement. 3.) Provide technical support in the establishment of Stark County Teen Initiative, a collaborating effort uniting youth serving organizations, schools, parents, and community members to focus on decreasing alcohol consumption among youth. 4.) Promote school based healthy lifestyle program in Stark County Schools |
| Stark County Health Department |
2 |
Diabetes |
By 2017, increase prevention behaviors in persons at high risk for diabetes with pre-diabetes |
1.) Family history 2.) minority group 3.) Sedentary lifestyle 4.) Obese 5.) Poor diet 6.) Genetics 7.) Metabolic Syndrome 8.) Hypertension |
1.) By 2016, increase the proportion of persons diagnosed with diabetes who receive formal diabetes education to 25%. Source: 2009 Illinois BRFSS 2.) By 2016, increase the proportion of persons at high risk for diabetes with pre-diabetes who report increasing their physical activity. Baseline: 33.6% obese, 31.4% overweight. Source: 2009 Illinois BRFSS. 3.) By 2016, increase the proportion of persons at high risk for diabetes with pre-diabetes who report trying to lose weight Baseline: 33.6% obese, 31.4% overweight. Source: 2009 Illinois BRFSS. 4.) By 2016, increase the proportion of persons at high risk for diabetes with pre-diabetes who report improving their diet. Baseline: 33.6% obese, 31.4% overweight. Source: 2009 Illinois BRFSS. |
1.) Lack of affordable and early assessment services 2.) Moderate willingness to address diabetes 3.) Lack of knowledge of diabetes support services 4.) Lack of diabetic education programs 5.) Undeveloped coping skills 6.) Denial of diabetes 7.) Improper use of medication management 8.) Increased cost of diabetic drugs and maintenance supplies 9.) Inadequate physical activity 10.) Uninsured or underinsured 11.) negative social stigmas 12.) Medicaid and Medicare funding cuts |
1.) Survey physicians regarding existing diabetic programs 2.) Initiate worksite diabetic related screening and education programs. Utilize health Department staff to conduct blood sugar screenings at employer worksites, as well as teach diabetic related education programs on topics such as nutrition, physical activity, diabetes management and smoking cessation programs. Utilize American Heart Association's My Life Check assessment online to collect participant data and assist participants in establishing health related goals. 3.) Implement Chronic Disease Management education program in at least one community. |
| Stark County Health Department |
3 |
Obesity |
By 2017, reduce the proportion of Stark County adults who are obese to 31.6% Currently 33.6% of Stark County adults are obese ( Healthy People 2020 goal is 30.6%). |
1.) Poor diet 2.) Lack of physical activity |
1.) By 2013, implementation of one series of "Healthy Living" chronic disease prevention educational program will be held. 2.) By 2013, establish a "Stark County Healthy Living" taskforce to bring agencies, medical providers, recreational centers, civic organizations and youth organizations to focus on collaborative efforts in reducing obesity among Stark County residents. 3.) By 2015, establish wellness ministry outreach for Stark County faith community. 4.) By 2016, 10% of Stark County residents will have participated in American Heart Association's My Simple 7 online risk assessment. |
1.) Lack of physical activity 2.) Poor dietary habits 3.) Motivation for physical activity 4.) Physical barriers to physical activity 5.) Family history 6.) Lack of education 7.) Availability of technology 8.) Social factors 9.) Cultural factors 10.) Cost of healthy foods and physical activity programs 11.) Limited knowledge of health food alternatives 12.) Limited understanding of benefits and alternative for increasing physical activity 13.) Depression 14.) Food Desserts |
1.) 2013: Establish partnerships among service agencies, professional associations and families and caregivers to facilitate the transfer of knowledge, research, practice and policy related to healthy lifestyles. 2.) 2013: Conduct one series of "Healthy Living" chronic disease prevention educational program. Utilize the "Stark County Healthy Living" for program collaboration. 3.) 2014: Research wellness ministry outreach program. 4.) 2014: Identify targeted churches for pilot test wellness ministry program. 5.) 2015: Enroll additional churches in the wellness ministry program 6.) 2016 and beyond: Monitor and document program impact. Continue to see expanded involvement in the "Stark County Healthy Living" taskforce and wellness ministry program. |
| Stephenson County Health Dept |
1 |
Premature Death Among African-Americans |
1.)By 2015, decrease the proportion of African-American deaths before age 65 from 52.6% to 40%. [Baseline: 52.6%, AA, 2003-05, vs. 20.1% all of SC, 2003-05, IPLAN Data] 2.)By 2015, decrease the age-adjusted death rate of African Americans in Stephenson County from 1,193.4/100,000 to 1,000/100,000. [Baseline 1,193.4/100,000 SC, 2005; 1,073.2/100,000, IL 2005] 3.)By 2015, decrease the proportion of African-American deaths before age 65 from 52.6% to 40%. [Baseline: 52.6%, AA, 2003-05, vs. 20.1% all of SC, 2003-05, IPLAN Data]By 2015, decrease the proportion of African-American deaths before age 65 from 52.6% to 40%. [Baseline: 52.6%, AA, 2003-05, vs. 20.1% all of SC, 2003-05, IPLAN Data] 4.)By 2015, decrease the age-adjusted death rate of African Americans in Stephenson County from 1,193.4/100,000 to 1,000/100,000. [Baseline 1,193.4/100,000 SC, 2005; 1,073.2/ 100,000, IL 2005] |
1.)heart disease 2.)cancer |
1.)By 2013, reduce the rate of heart disease among African-American individuals from 216/100,000 to 200/100,000. [Baseline 216/100,000 SC, 2003-05; 308/100,000 IL, 2003-05; 283 US.] 2.)By 2013, reduce the mortality rate from cancer among African-American individuals from 238.5 to 200/100,000. [Baseline 238/100,000, SC, 2003-05; 252/100,000, IL, 2003-05; 186.8/ 100,000, SC white, 2003-05.] |
1.)access to health care 2.)healthcare utilization 3.)health education 4.)prevention programs 5.)case management 6.)personal compliance 7.)smoking 8.)hypertension 9.)overweight 10.)mental health issues |
1.)Provide health education to the public, school-aged children, pregnant women, WIC clients and Family Practitioners. 2.)Initiate a Health Advisory Committee. 3.)Coordinate services with area providers and educators, such as schools, FHN, Monroe Clinic, DHS, and others. 4.)Provide Blood pressure activities to the hard to reach populations. 5.) Establish a volunteer base to provide education and activities to the African-American community. 6.)Initiate a nurse navigator or advocate program. |
| Stephenson County Health Dept |
2 |
Obesity |
1.)By 2015, decrease the percent of individuals 18 years and older who are overweight/obese in Stephenson County by 10%. [Baseline 65.4% SC 2007, 60.9% IL BRFSS 2007.) 2.)By 2015, decrease the number of Stephenson County residents 18 years of age and older that are overweight or obese from 65.4% to 60%. [Baseline 65.4% SC; 60.9, IL; 2007 BRFSS] |
1.)nutrition (high fat and sugar diet) 2.)physical inactivity |
1.)By 2013, reduce 9th grade students (15 years of age) who are overweight or obese from 34% to 29%. [FSD 145 school BMI date 2008.] 2.)By 2013, increase the percent of persons aged 18 and older who meet the nutritional guidelines' average daily goal of at least 5 servings of fruits/vegetables per day from 15.4% to 20%. [BRFSS 2007 Baseline 15.4% SC2007, IL Rural 24.0%, 2007.] 3.)Increase by 5% the proportion of people aged 18 and older who engage regularly, preferably daily, in sustained physical activity for at least 30 minutes per day. 4.)By 2013, increase the percent of persons age 18 and older who meet or exceed regular physical activity guidelines from 49.6% to 53%. [Baseline 49.6% SC; 32.1% IL BRFSS 2007.] |
1.)knowledge of proper nutrition 2.)food cost/availability/quality 3.)psychological stress 4.)social/economic influences 5.)physical health 6.)poor family management 7.)availability/lack of options 8.)drug-induced psychosis 9.)heredity of psychosis 10.)stress/depression 11.)lack of support/physical environment 12.)lifestyle/person motivation 13.)media 14.)chronic illness 15.)lack of mobility 16.)poor exercise habits 17.)mental health status 18.)poor family management 19.)socioeconomic status(poverty) |
1.)Provide education in healthy eating to the public, possibly through community health fairs. 2.)Encourage schools to increase healthy food choices at lunch through the use of salad bars, whole grain foods, fresh fruit in vending machines. 3.)Increase number of Stephenson County grocery stores providing 5-A-Day program in produce section of store. 4.)Increase number of Stephenson County restaurants offering heart healthy choice indicators on their menus. 5.)Survey stores and restaurants to determine what education is available now. 6.)Identify existing national programs that could be used. 7.)Create a resource list of credible nutrition websites. 8.)Work with local medical providers to increase proportion of adults who are obese/overweight who receive advice about losing weight. 9.)Parents of children (enrolled in the WIC program who are identified as obese/overweight) will be provided with information regarding: a) the health risks associated with being obese/overweight; b) improving dietary habits; and c) opportunities for increasing physical activity. 10.)Stocking local food pantries with healthy food; having healthy food drives; being mindful of the food requirements of different cultures. 11.)Promote a Family Fit Program and summer events that promote physical activity for families and children. 12.)Encourage families and schools to offer physical activities as a reward. 13.)Encourage after school program, Teen Reach. 14.)Increase awareness of local issue by obtaining media coverage of school data. 15.)Work with local employers to provide resources on benefit of physical activity. 16.)Establish pedometer loan program to increase awareness of actual activity level. 17.)Work with local organizations to create walk/run groups. 18.)Work with local medical providers to increase proportion of adults who are obese/overweight who receive advice about losing weight. 19.)Parents of children (enrolled in the WIC program who are identified as obese/overweight) will be provided with information regarding: a) the health risks associated with being obese/overweight; b) improving dietary habits; and c) opportunities for increasing physical activity. 20.)Encourage wellness programs offered through local businesses. |
| Stephenson County Health Dept |
3 |
Low Birth Weight- Teen Pregnancy |
1.) By 2015, decrease the percentage of infants who are considered low birth weight from 11.4% to 8.0%. [Baseline 11.4% SC 2006; 8.6% IL 2006; US 8.2% 2006.] |
1.)alcohol abuse 2.)lack of early and adequate prenatal care 3.)smoking during pregnancy 4.)teen pregnancy |
1.)By 2013, decrease the percentage of individuals 18 and older who binge drink from 20.3% to 18.0%. [Baseline 20.3% SC, 2007; 19.4% IL, 2007, BRFSS.] 2.)By 2013 decrease the percent of 10th grade students who have consumed alcohol during the past 30 days from 52% to 30%. [Baseline 52% SC, 2006; 42.6% IL, 2006, IL Youth Survey.] 3.)By 2013 decrease the Percent of women who use alcohol during pregnancy from .4% to .2%. [Baseline .3% SC; .4% IL, 2001-2005 IPLAN.] 4.)By 2013, increase the percent of females obtaining prenatal care in the first trimester from 86.9% to 90%. [Baseline 86.9% SC, 2001-2005; 81.8% IL 2001-2005, IPLAN Data.] 5.)By 2013, increase the percent of African American females obtaining prenatal care in the first trimester from 65.2% to 72%. [Baseline 65.2% AA SC, 2005; 72% AA IL, 2005.] 6.)By 2013, reduce the proportion of women who smoke during pregnancy from 19.6% to 14%. [Baseline 19.6% SC 2005; 8.6% IL 2005 IPLAN data.] 7.)By 2013, decrease the percentage of 10th graders who have used tobacco in the past 30 days from 11.1% to 9%. [Baseline 11.1% SC 2008 CTC Youth Survey; 23.1% Rural IL 2006 IL Youth Survey.] 8.)By 2015, decrease the percent of births to women <20 years of age in Stephenson County from 14.3% to 9.7%. [Baseline 13.9% SC, 2006; 8.7% IL, 2006, IPLAN Data Set.] 9.)By 2013 decrease the percent of teen births to African American women <20 years of age from 24.6% to 20.0%. [Baseline 24.6% AA, 2005; 13% SC, 2005, IPLAN Data Set.] 10.)By 2013 decrease the age-specific fertility rate of females age 15-17 from 12.9/1,000 to 10/1,000. [Baseline 12.9/1,000 SC, 2005; 21.4/1,000 US, 2005 IPLAN.] |
1.)local culture 2.)lack of education, binge drinking, risk of underage drinking 3.)low perception of risk/harm 4.)social access by friends, family, parties, parents 5.)social community norms 6.)unemployment 7.)family issues 8.)poverty 9.)access to care (transportation) 10.)no insurance coverage 11.)limited health/sex education 12.)poor family management 13.)lack of clear expectations of healthcare 14.)cost 15.)mental health status 16.)access to tobacco products 17.)family social norm 18.)peer group 19.)health education/access to care 20.)mental health status 21.)friends who engage in the problem behavior (peer pressure/social norm) 21.)low perceived risk of drug or alcohol use 22.)lack of knowledge of harmful effects of substance use 23.)positive media portrayal 24.)acceptability of substance use 25.)lack of clear expectations of behavior 26.)lack of monitoring children 27.)few and inconsistent rewards for positive behavior 28.)lack of commitment to school (low academic achievement) 29.)low socioeconomic status |
"1.)Policy changes - change alcohol ordinances to reflect requirement of Beverage Server Training to reduce youth access and train store personnel in refusal skills. 2.)Social norms campaign 3.)Community education campaign 4.)Compliance checks of retailers of tobacco & alcohol 5.)Third party deterrent campaign 6.)Policy changes - schools, communities, retailers 7.)Media advocacy campaign 8.)Provide health education on preventing alcohol use to adolescents ages 12-17 and parents, i.e., Lions Quest. 9.)Increase access to medical care for African-American women. 9.)Increase access at SCHD Family Planning Clinic. 10.)Encourage and establish a comprehensive health/sex education curriculum at the schools. 11.)Discourage subsequent pregnancies during TPS group education. 12.)Initiate Health Advisory Committee. 13.)Outreach services to hard-to-reach populations through area churches and civic groups 14.)Support the enforcement of Smoke-Free Illinois Act. 15.)Provide health education to the public, pregnant women, WIC clients and school-aged children. 16.)Increase the number of pregnant mothers participating in the "Freedom from Smoking" Program at SCHD. 17.)Provide "Smoke-Free That's Me" to 2nd and 4th grade children 18.)Support the Illinois Tobacco Quit line 19.)Continue Lions Quest in schools. 20.)Continue WIC Smoking Cessation Program. 21.)Initiate "Reducing the Risk" Program at Boys & Girls Club and Big Brothers/Big Sisters 22.)Increase access/outreach at SCHD Family Planning Clinic 23.)Encourage and establish a comprehensive health/sex education curriculum at the schools to include prevention options (at all levels) 24.)Establish prevention programs such as "Wise Guys" and "Girl to Girl" 25.)Discourage subsequent pregnancies during TPS group education 26.)Continue Family Case Management/WIC individual education on subsequent pregnancy 27.)Establish a program with school nurses to monitor healthy eating and healthy habits 28.)Provena to work with Mother Hubbard's Kiddie Cupboard to establish a "Grandmother Mentor" program for teen moms |
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| Stickney Township Public Health District |
1 |
Physical Activity |
1.) By August 2015, coordinate curriculum across all local schools that contributes to increasing levels of physical activity and exercise. 2.) By August 2015, obtain data that indicates that 50% of adolescents are engaging in vigorous physical activity for 20 minutes three times per week. 3.) Provide physical activity education to 20 different adult groups by August 2016. |
1.) Cultural changes 2.) aging |
1.) Reduce hospitalization for uncontrolled hypertension by 10% for the five year period ending August 2017. ( This measure links to another health priority but hopefully would reflect the impact of a primary prevention model. If the residents of Stickney Township increase the level of physical activity, it should be expected that the rate/severity of hypertension would drop.) 2.) By June 2014, market a public education campaign regarding the values of physical activity across the lifespan. |
1.) Cultural 2.) genetics 3.) physical access 4.) work changes 5.) |
It is believed that an education program for children, education for adults and providing physical activity data to children/adolescents are intervention strategies that will reduce a primary risk factor for hypertension, low levels of physical activity. |
| Stickney Township Public Health District |
2 |
Overweight and Obesity |
1.) Obtain baseline BMI measures on a representative sample of elementary and high school students by August 2014. 2.) Reduce proportion of children and adolescents with overweight/obese BMI's to less than 5% but August 2017. 3.) Reduce proportion of adults seeking health services with overweight/obese BMI's to 15% but August 2017. 4.) Work with local school districts to encourage full implementation of the Healthy, Hunger Free Kids Act (USDA) by August 2015. |
1.) Cultural |
1.) reduce hospitalization for uncontrolled hypertension by 10% for the five year period ending August 2012. 2.) Provide education to all students in grades 2, 3 4 regarding healthy eating by August 2015. 3.) Conduct regular public education for adults in community settings and to adolescents in the school setting by June 2014. 4.) Add dietary education to all persons screened for hypertension, diabetes, high cholesterol and BMI by June 2014. 5.) Provide dietary education to all persons severed in the health clinics with overweight/obese BMI's by June 2013 |
1.) U.S diet 2.) Food producing 3.) Sedentary lifestyle 4.) types of foods |
Education programs for children, education programs for adults and providing physical activity data to children and adolescents. |
| Stickney Township Public Health District |
3 |
Untreated Hypertension |
1.) Continue to conduct community-based screenings fro hypertension throughout the five year period ending August 2017. 2.) Provide counseling and follow-up contact to all persons with elevated hypertension identified during the screening ongoing through August 2017 |
1.) Lack of physical activities 2.) Poor diet |
1.) Reduce hospitalization for uncontrolled hypertension by 10% for the five year period ending August 2017. 2.) Reduce death rate from coronary heart disease to less than 160 per 100,000 by August 2017. (Slight modification of Healthy People 2010 objectives) 3.) Reduce death rate from Cerebrovascular accidents by 10% for the five year period ending August 2017. |
1.) Societal changes 2.) Aging 3.) Access 4.) Sedentary work 5.) |
Add dietary education to all persons screened for hypertension, diabetes, high cholesterol and BMI. |
| Tazewell County Health Department |
1 |
Mental Health/Substance Abuse |
Positive Mental Health Days for Adults and Children in Tazewell County |
1.) High suicide 2.) Depression 3.) Increase substance abuse 4.) Increase in violence |
1.)By 2/2017 TCHD will implement workplace wellness programs in 2 Tazewell County Agencies, impacting approximately 100 participants 2.) By June 30th, 2013 assigned birth to 5 staff will develop and implement a plan to identify resources for mental health education and services in Tazewell County 3.) By 2014, assigned birth to 5 staff will develop and implement a plan for 90% of clients with elevated pre-natal depression screening be followed as at risk mothers. 4.) Assigned birth to 5 staff will develop, plan and implement for 80% increase knowledge of diversity in social and cultural beliefs and attitudes related to educational activities by June 30th, 2014. |
1.) Poverty 2.) Societal expectations 3.) Lack of education/awareness 4.) Pressure to excel 5.) Stress/ high expectations 6.) "blinders" 7.) "unspoken policies" |
1.) Pilot workplace wellness program at TCHD 2.) Provide information to Tazewell County Organizations re: workplace wellness 3.) Develop and establish relationships with outside agencies and implement workplace wellness programs 4.) Gather resources and confirm content meets AAP guidance 5.) Develop listing and train staff on Materials 6.) Develop list of by working with providers of MCH 7.) Develop Plan and Implement contact with clients 8.) Develop plan of training for staff and take pre-test 9.) Have training and take post tests |
| Tazewell County Health Department |
2 |
Obesity |
"1. Healthy and Active Tazewell County Citizens |
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1.) Lack of Activity 2.) Lack of Healthy Food Options 3.) Technology- Video games 4.) Food deserts |
1.) By 2/2017 TCHD will implement workplace wellness programs in 2 Tazewell County Agencies, impacting approximately 100 participants 2.) Health Educators will instruct Classroom Presentations on Health related topics in 12 Tazewell County Schools in the following school year 2012-13, 2013-14, 2014-15, 2015-16, 2016-17 3.) Health Educators will promote healthy lifestyle choices by supporting CATCH in 8 Tazewell County Schools throughout the following school years. |
1.) Lack of Safe environment for play 2.) Convenience of Fast Food/ Fast Paced Lifestyle 3.) Cheap food/ No nutritional value 4.) Poverty/Financial barriers 5.) Sedentary Lifestyle 6.) Pressure of Time 7.) Poor Eating Habits 8.) Underlying health/ mental health issues 9.) Lack of knowledge regarding good nutrition |
1.) Pilot workplace wellness program at TCHD 2.) Provide information to Tazewell County Organizations re: workplace wellness 3.) Develop and establish relationships with outside agencies and implement workplace wellness programs 4.) Market annually available health topics to all Tazewell County Schools 5.) Market monthly awareness health topics throughout the school year 6.) Respond to school curriculum requests by providing individual school lessons 7.) Support the 6 pre-existing CATCH schools 8.) Attend a train the trainer for the CATCH program 9.) Market the CATCH program to 100% of the non-participating schools 10.) Train and Support implementation of CATCH in Two new Schools |
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| Tazewell County Health Department |
3 |
Smoking/Tobacco |
Smoke Free Tazewell County Citizens |
1.) Access 2.) Early Initiation 3.) The 4 I's of adolescents |
1.)By 2/2017 TCHD will implement workplace wellness programs in 2 Tazewell County Agencies, impacting approximately 100 participants 2.)A media campaign using Twitter and Facebook will be developed to send weekly no smoking messages to Tazewell County Residents By June 30, 2014 |
1.) Home/ Friends 2.) Environment 3.) Peer Pressure 4.) Marketing 5.) Norms 6.) Don't Believe it's a problem 7.) Lack of Enforcement/ Policy |
1.) Pilot workplace wellness program at TCHD 2.) Provide information to Tazewell County Organizations re: workplace wellness 3.) Develop and establish relationships with outside agencies and implement workplace wellness programs 4.) Followers will be built up in TCHD Twitter and Facebook accounts 5.) Messages will be developed, tested and distributed |
| Tazewell County Health Department |
4 |
Infant Mortality |
Full Term Babies who live full and healthy lives |
1.) Congenital Abnormalities 2.) Premature Birth 3.) Low Birth Weight 4.) SIDs 5.) Accidents 6.) Birth Accidents 7.) All other conditions |
1.)Through development and implementation by assigned Birth to 5 staff, by 2014, 90% of pregnant women will receive preterm birth prevention information by 20 weeks gestation 2.) Assigned Birth to 5 staff will develop and implement a plan to assure that 90% of pregnant women receive safe sleep education by the 3rd trimester and 90% of WCIP (newborn) guardians receive safe sleep education by 2014 3.) Beginning in 2012 Infant Mortality Task Force will develop and implement an adaptable plan, raising awareness of ways to reduce infant mortality. 4.) Assigned Birth to 5 staff will develop and implement a plan for all Birth to 5 at risk pregnant mothers and babies in case management as high priority by 2014 5.) Assigned Birth to 5 staff will develop and implement a plan for all Birth to 5 programs to include tobacco cessation education by 2014 |
1.) Lack of Dr. Care 2.) Manufacturers still make bumper pads- unsafe materials 3.) Smoking 4.) Lamaze International 5.) Drug Exposure 6.) Co-Sleeping 7.) No Genetic Screening 8.)Generational 9.) Lack of or Late Prenatal Care 10.) Non Compliance |
1.) Develop Materials to be used regarding preterm birth 2.) Train all staff to implement preterm birth education 3.) Deliver Pre-term Birth information to clients. 4.) Develop Safe Sleep Materials and train appropriate staff 5.) Deliver Safe Sleep Material to all clients who are in 3rd trimester and share appropriate materials with OB/GYN offices to provide to clients 6.) Monthly meetings with key representatives of agencies serving families with infants in progress 7.) Healthy babies Conference Planned for 2013 8.) High risk criteria will be determined by June 30, 2013 9.) Policy and procedure for follow-up will be developed by June 2014 10.) Policy and Procedure will be developed by June 30, 2013 11.) Genetic Coordinator will form workgroup for at risk follow up by June 30, 2013 12.) Engage in Strong Start Maternity Home Plan or equivalent by 2014 |
| Tazewell County Health Department |
5 |
Public Health System Stability |
Stable Public Health System of Services for Tazewell County |
"1.) Financial climate of funders (state , fundraising) |
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1.) Tazewell County Citizens over the age of 21 will understand the roles and responsibilities of Public Health by November 30. 2017 2.) Increase Programming and Funding in the Community Health Division of TCHD by writing 4 new grant applications by November 30, 2013 3.) in the school year 2012-2013 budgets in the school division will be developed for the 17 afterschool sites 4.) Provide orientation training to School Site Coordinators in the Summer of 2013 5.) School Site Coordinators will implement spending within budget parameters throughout the following school years: 2012-13, 2013-14, 2014-15, 2015-16, 2016-17 |
1.) Reimbursement rates 2.) Social climate (current trends) 3.) Availability of dollar 4.) Unfunded mandates 5.) Inability to sustain employees |
1.) Provide Information to adults in Tazewell County explaining public health roles and responsibilities 2.) Develop and Nurture relationships with local agencies to assist in disseminating information 3.) Develop tools and implement to assess knowledge base of community 4.) Develop and Implement tools to assess increase in knowledge of citizens 5.) Research Available Grants 6.) Write Grant Applications 7.) Work with Business Operations to access income and expenditure trends over the past 2 school years 8.) Develop individual site budgets accordingly 9.) Host a 2 hour training on implementing spending within budget parameters 10.) Purchase Orders will be approved only within budget parameters 11.) Income and Expenditures will be monitored monthly |
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| Vermilion County Health Department |
1 |
Teen Pregnancy |
By 2017, reduce by 10% the pregnancy rate among adolescent females aged 15-19 years of age (HP 2020 FP-8).Target: 58.5 pregnancies per 1,000.Baseline: 65 pregnancies per 1,000.Target setting method: 10 percent improvement. Data source: ISBE, CDC, NCCDPHP; National Vital Statistics System-Fatality (NVSS-N), CDC, NCHS; National Survey of Family Growth (NSFG), CDC,NCHS. |
1.) Unprotected sex 2.) Child of teen mother 3.) Poverty 4.) Limited education 5.) Alcohol/Substance Abuse 6.) Lack of social supports |
"1.1.1: By 2017, increase by 10% the proportion of adolescents age 17 years and younger who have never had sexual intercourse (HP 2020 FP-9).Target: 48.7 percent Baseline: 44.3 percent of students in the ISBE survey reported they had never had sexual intercourse. Target setting method: 10 percent improvement. Data source: ISBE, CDC, NCCDPHP; National Vital Statistics System-Fatality (NVSS-N), CDC, NCHS; National Survey of Family Growth (NSFG), CDC, NCHS.1.1.2: By 2017, increase by 10% the proportion of sexually active persons aged 15 to 19 years who use condoms to both effectively prevent pregnancy and provide barrier protection against disease. (HP 2020) Target: 33.9 percent Baseline: 30.8 percent of students in the ISBE survey reported they had used condoms during their last sexual intercourse experience. Target setting method: 10 percent improvement. Data source: ISBE, National Survey of Family Growth (NSFG), CDC, YRBSS 1.1.3: By 2017, decrease by 10% the proportion of sexually active teens who report using drugs or alcohol prior to their last sexual intercourse experience (HP 2020) Target: 11.25 percent Baseline: 12.5 percent of students in the ISBE survey reported they had used alcohol or drugs prior to their last sexual intercourse experience. Target setting method: 10 percent improvement. Data source: ISBE, National Survey of Family Growth (NSFG), CDC, YRBSS Vermilion County, Illinois Community Health Plan2012-2017 1.1.4: By 2017, decrease by 10% the proportion of sexually active teens who report having sex with two of more partners in their lifetime. Target: 32.2 percent Baseline: 35.8 percent of students in the ISBE survey reported having sex with two or more partners in their lifetime. Target setting method: 10 percent improvement. Data source: ISBE, National Survey of Family Growth (NSFG), CDC, YRBSS 1.1.5: By 2013, establish a teen pregnancy coalition representative of area youth, health care providers, parents, school and church personnel and other community leaders representing agencies vested in this issue. The purpose of this coalition will be a mechanism for the regular convening of youth and community forums to raise awareness across Vermilion County about the complexities and consequences of adolescent sex, teen pregnancy and other related youth issues. In addition forums will provide career planning, visioning for the future and goal setting to assist youth in developing a plan for future social, educational and academic success. (Baseline: none exists) 1.1.6: By 2015, seek funding for Baby Think It Over doll and start a lending library for area high schools to use this technology as part of curriculum content and family planning discussions. 1.1.7: By 2014, develop and distribute a brochure/flyer/handout packet for parish and school nurses and other agency coordinators working with teens, as well as parents of these teens, that provides guidance on how to assist youth in making wise choices for their life. 1.1.8: By 2014, develop and distribute a "top ten" list of credible online resources for youth and adults regarding sexual health. Share this information with schools and churches, health department clients, parents, area health care providers, CRIS Senior Services (grandparents raising grandkids) and community stakeholders working with this population. In addition, this information will be posted on the VCHD WIC Facebook site. |
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1.) Acceptance 2.) Early initiation of sex 3.) Parental disengagement 4.) Home/School/Comm. Environment 5.) Lack of self-esteem 6.) Economics Multi-generational/cultural 7.) No understanding of consequences 8.) Lack of vision/goals 9.) Absence of role models/mentors 10.) Media/TV/computer influences 11.) Stage of develop/concrete thinkers 12.) Communication gap 13.) Grandparents raising g-children 14.) Economic factors 15.) Need for peer acceptance 16.) Lack of vision/goals 17.) Lack of consistent sexual health education 18.) Parental relationships 19.) Self Image 20.) Lack of support system 21.) Lack of after school activities 22.) Lack of prevention funding 23.) Lack of awareness of resources |
"1.) The Vermilion County Health Department supports the efforts of the Provena United Samaritans Medical Center (PUSMC) Young Men and Young Women Aware programs. PUSMC has partnered with Big Brothers/ Big Sisters of Vermilion County and Danville School District #118 to create the Young Women Aware Program and the YMCA to form the Young Men Aware Program (PUSMC Community Benefit Plan, 2012). |
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| 2.) "Young Men and Young Women Aware are leadership development programs that focus on Education, Health Awareness and Leadership with three objectives: high school completion, college obtainment, and teenage pregnancy/fatherhood prevention with a focus on abstinence. The program hosts weekly meetings during the school year and holds an annual 6 week summer program (PUSMC Community Benefit Plan, 2012)". As Vermilion County, Illinois Community Health Plan 2012-2017 a result of program interventions, 99% of Young Women Aware participants have remained pregnancy free, 0% of participating young men self-report they have become teenage fathers, and both programs proudly boast a 100% high school graduation among participants (PUSMC Community Benefit Plan, 2012). 3.) In 2011, 163 Young Women Aware participants partook in a curriculum based program called IPLAN IPhone. Using content collected from MTV (music television) and the website http://www.stayteen.org/get-informed/tips.aspx, students worked through 11 modules focused on abstinence, future aspirations and social supports. Several area agencies provided presentations to reinforce this content and the development of healthy behaviors among this population. These agencies included: Prairie Center-"Too Good for Drugs and Violence", Illinois Violence Prevention Authority-violence prevention with intent to reduce domestic violence incidence, Women's Care Clinic, Vermilion County Rape Crisis Center, and Green Meadows Girl Scouts. Girls also participated in the STEM (Science, Technology, Engineering and Math) program where they toured area businesses and learned about careers in the these fields (PUSMC Community Benefit Plan, 2012). 4.) In 2011, the Young Men Aware program enjoyed 184 participants who engaged in healthy behavior content focused on substance abuse prevention, forming positive relationships, violence prevention, healthy eating and sexual abstinence. Several area agencies provided presentations to reinforce this content and the development of healthy behaviors among this population including Prairie Center-"Too Good for Drugs and Violence" and the Danville Police Department on Internet Safety. Participants also viewed videos on substance abuse, violence, prison life and shaken baby syndrome (PUSMC Community Benefit Plan, 2012). 5.) In 2012, both Young Men and Young Women Aware programs will continue previous interventional strategies while incorporating content from the Choose Respect Illinois Curriculum. "The main strategic goals for this initiative are promoting healthy relationships among teens, engage youth leadership in violence prevention, and to conduct teen dating violence prevention and awareness activities (PUSMC Community Benefit Plan, 2012)." 6.) The health department has a long standing relationship with area colleges of nursing. |
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| Danville Area Community College, Lakeview College of Nursing and the University of Illinois have collaborated with the health department to provide several prevention education and targeted knowledge awareness workshops to members of the community. Over the next 5 years, we are committed to partnering with these colleges to provide no less than 5 sexual health and family planning educational offerings in the community. Partnerships between these colleges and local school districts will be sought to meet this goal. At present, the University of Illinois nursing students will be providing a sexual health education program at Hoopeston High School in the Fall of 2012. |
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| Vermilion County Health Department |
2 |
Substance Abuse/Alcoholism |
1.) By 2017, increase the proportion of at risk adolescents who, in the past year, refrained from using alcohol for the first time (HP 2020 SA-2.1).Target: 32.45 percent. Baseline: 29.5 percent of students in the ISBE survey reported they had not drank alcohol in their lifetime. Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS) 2.) By 2017, increase by 10% the proportion of at risk adolescents who, in the past year, refrained from using marijuana for the first time (HP 2020 SA-2.2). Target: 67 percent. Baseline: 60.6 percent of students in the ISBE survey reported they had not ingested marijuana in their lifetime. Target setting method: 10 percent improvement. Data source: ISBE, National Survey on Drug Use and Health (NSDUH), SAMHSA. |
1.) Trauma/Injury 2.) Disability 3.) Child Abuse 4.) Neglect 5.) Sexual Abuse 6.) Age 7.) Family influences 8.) Limited education |
2.1.1: By 2017, increase by 10% the proportion of at risk adolescents who, in the past 30 days, refrained from using alcohol. Target: 69.7 percent. Baseline: 63.4 percent of students in the 2010 ISBE survey reported they had not drank alcohol in the last 30 days. Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS) 2.1.2: By 2017, decrease by 10% the proportion of at risk adolescents who report binge drinking (having five or more drinks of alcohol in a row) in the past 30 days. Target: 21.6 percent. Baseline: 24 percent of students in the 2010 ISBE survey reported binge drinking in the past 30 days Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS) 2.1.3: By 2017, reduce by 10% the proportion of adolescents in Vermilion County who report that they rode, during the previous 30 days, with a driver who had been drinking alcohol by 10% (HP 2020 SA-1).Target: 21.3 percent. Baseline: 23.7 percent of students in the 2010 ISBE survey reported that they rode, during the previous 30 days, with a driver who had been drinking alcohol in 2010. Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS) Vermilion County, Illinois Community Health Plan 2012-2017 2.1.4: By 2017, increase by 10% the proportion of adolescents who perceive great risk associated with consuming five or more alcoholic drinks at a single occasion once or twice a week (HP 2020 SA-4.1). Target: 45 percent. Baseline: 40.9 percent of students in the 2010 ISBE survey reported that they perceived great risk associated with consuming five or more alcoholic drinks at a single occasion once or twice a week. Target setting method: 10 percent improvement. Data source: ISBE, National Survey on Drug Use and Health (NSDUH), SAMHSA.2.2.1: By 2017, increase by 10 % the proportion of at risk adolescents who, in the past 30 days, refrained from smoking marijuana. Target: 86.8 percent. Baseline: 78.9 percent of students in the 2010 ISBE survey reported they had not smoked marijuana in the last 30 days Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS) 2.2.2: By 2017, increase by 10% the proportion of adolescents who perceive great risk associated with smoking marijuana once per month (HP 2020 SA-4.2).Target: 43 percent. Baseline: 39.2 percent of students in the 2010 ISBE survey reported that they perceived great risk associated with smoking marijuana once per month. Target setting method: 10 percent improvement. Data source: ISBE, National Survey on Drug Use and Health (NSDUH), SAMHSA. |
1.) Peer Pressure/Media 2.) Family Influences 3.) Community Attitudes 4.) Physical/Emotional Abuse5.) Financial Uncertainty 6.) Poor Physical Health 7.) Lack of positive role models 8.) Media Influence 9.) Quest for peer acceptance 10.) Lack of supervision 11.) Family history of abuse 12.) Accepted behavioral norm 13.) Access to prevention programs 14.) Lack of funding for services 15.) Need for community support 16.) Lack of coping skills 17.) Lower self-esteem 18.) Lower socio-economic status 19.) Loss of employment 20.) Lack of job satisfaction 21.) Poverty/low wages 22.) Chronic Illness 23.) Limited health behavior education 24.) Inadequate physical activity |
"1.) The health department will continue to support the efforts of Provena United Samaritans Medical Center Foundation's I Sing the Body Electric Program. "The major goals of the I Sing the Body Electric remain the same in 2011 as they were at the program's inception Vermilion County, Illinois Community Health Plan 2012-2017 in 2001: to provide a supportive framework to nurture resiliency, reduce risk behaviors, and build leadership in youth as they investigate and communicate healthy lifestyle choices to each other, and to the larger community, through the arts (PUSMCF, 2010)." 2.) "From January to December 2010, over 15,000 students, parents, teachers and community members saw ISBE youth driven health education/prevention art projects at 45 tour sites. Those sites include: Vermilion County elementary, middle/junior high, and high schools; The Center for Children's Services Intensive Outpatient Programming class; libraries; health fairs; Arts in the Park; Boys and Girls Club; Young Women Aware "Stop the Violence" Conference; Danville Area Community College; Provena United Samaritans Medical Center; Provena Covenant; First Midwest Bank; First Financial Bank; Kiwanis Pancake Day; and the 2010 Festival of Trees. The tours have generated numerous positive written and verbal comments from students, teachers, and community members (PUSMCF, 2010)." 3.) "In the summer 2010, I Sing the Body Electric once again collaborated with Vermilion Advantage, United Way of Danville Area, Project Success, Prairie Center Health Systems, and Danville Boys and Girls Club in administering teen leadership training to Vermilion County high school youth. The culmination of their eight-week training was development and oversight of the second annual X-treme Leadership Youth Summit held at Bremer Conference Center at Danville Area Community College on September 3. High school juniors from across Vermilion County were invited to address issues that impact their generation and to shape solutions to deal with those issues. One hundred ninety-five juniors (a 135% increase from 2009) came together for the 4.5 hour Summit (PUSMCF, 2010)." 4.) "In addition, I Sing the Body Electric invited Vermilion County high school students to create art projects based on their interpretation of the Festival of Trees theme - "Imagine" in 2010. Students researched the costs of their projects and were provided stipends to assist with these costs so that any student, regardless of economic means, could participate. In all, 57 students from 10 schools showed their imagination in creating 52 fantastic projects which were proudly displayed at the Palmer Arena during the Festival (PUSMCF, 2010)." 5.) "ISBE collaborated three times in 2010 with the Young Women Aware (YWA) program. In May, student art projects were displayed at their "Stop the Violence" Conference. In the summer, ISBE staff worked with the young women in a Stay Teen Pregnancy Prevention PSA Art Contest. The young women each created an art project which illustrated her thoughts and ideas on the importance of choosing abstinence and avoiding teen pregnancy. In the fall, ISBE and YWA joined forces in talking about violence again -particularly dating violence. Each student created an art project explaining her views on the dangers of dating violence, tips to prevent it, and strategies to get out of a dangerous situation (PUSMCF, 2010)." 6.) "Many of ISBE visual projects have been turned into 10" x 16" posters that include the artwork, prevention message, and student's name and school. These smaller renditions of Vermilion County, Illinois Community Health Plan 2012-2017 the actual projects are displayed in 23 permanent sites across Vermilion and Champaign Counties. The posters broaden the scope of people who are able to view the students' art works and messages (PUSMCF, 2010)." 7.) "ISBE staff are in 12 high schools recruiting students to create new prevention projects for the 2011-2012 school year. Students in community organizations like Project Success, Teen REACH, Young Women and Young Men Aware will also be asked to participate. |
| Completed projects from the students will be displayed at the 2012 I Sing the Body Electric Arts & Festival at Danville Area Community College (PUSMCF, 2010)." 8.) The health department will continue to support the efforts of the Vermilion County Prevention Coalition which provides ""wraparound"" type of support services for schools and at-risk children within the 3 rural school districts that had schools on the state academic early warning list. Purpose: To decrease truancy rate, to keep kids in school, achieving, out of trouble with the law, strengthening youth resilience and families, and to increase graduation rates and the post-graduation employment prospects of students. Drug Free Communities is a $100,000 matching grant for 3 years serving children at Hoopeston Area Middle School and High School Westville Jr. High and High School |
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| Mary Miller Jr. High and Georgetown-Ridge Farm High School. 9.) Danville Area Community College, Lakeview College of Nursing and the University of Illinois have collaborated with the health department to provide several prevention education and targeted knowledge awareness workshops to members of the community. Over the next 5 years we are committed to partnering with these colleges to provide no less than 5 educational offerings in the community regarding the dangers and health risks of substance abuse and alcoholism as well as information identifying available sources of care and treatment of mental health needs and substance abuse/alcoholism treatment. |
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| Vermilion County Health Department |
3 |
Obesity |
1.) By 2017, decrease by 10% the proportion of adolescents who report being slightly or very overweight (HP2020-NWS 10).Target: 28.5 percent (females) and 22.9 (males) Baseline: 31.7 percent of females and 25.4 percent of males considered themselves to be slightly or very overweight. Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS) 2.) By 2017, decrease by 10.0% the number of adult Vermilion County residents who report fitting the criteria for obesity (HP2020-NWS 9). Target: 27 percent Baseline: 30 percent of adult Vermilion County residents reported fitting the criteria for obesity Target setting method: 10 percent improvement. Data source: BRFSS |
1.) Heart Disease 2.) Diabetes 3.) Chronic Disease 4.) Cancer 5.) High Blood Pressure 6.) Physical Inactivity 7.) Unhealthy diet |
"3.1.1: By 2017, increase by 10% the proportion of adolescents who report engaging in daily physical aerobic activity of 20 minutes of more. (HP 2020 PA-3). Target: 25 percent. Baseline: 22.8 percent of students in the ISBE survey reported participating in daily physical activity that made you sweat or breathe hard, such as basketball, soccer, running, swimming laps, fast bicycling, fast dancing, or similar aerobic activities |
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| Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS) 3.1.2: By 2017, increase by 10% the proportion of adolescents who report engaging in daily physical activity of 30 minutes of more that does not make you sweat or breathe hard. (HP 2020 PA-3). Target: 19 percent. Baseline: 17.2 percent of students in the ISBE survey reported participating in 30 minutes of daily physical activity that did not make them sweat or breathe hard, such as fast walking, slow bicycling, skating, pushing a lawn mower, or mopping floors Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS) 3.1.3: By 2017, increase by 10% the proportion of adolescents who report participating in daily exercises to strengthen or tone their muscles, such as push-ups, sit-ups or weight lifting (HP 2020 PA-3.2). Target: 13.31 percent. Baseline: 12.1 percent of students in the ISBE survey reported participating in daily exercises to strengthen or tone their muscles, such as push-ups, sit-ups or weight lifting Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS 2012-2017 3.1.4: By 2017, increase by 10% the proportion of adolescents who report participating in daily school physical education (HP 2020 PA-5). Target: 62 percent. |
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| Baseline: 56.3 percent of students in the ISBE survey reported participating in physical education classes 5 days a week. Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS 3.1.5: By 2017, decrease by 10% the proportion of adolescents who view television 2 or more hours a day. (HP 2020 PA-8.2). Target: 47.7 percent. Baseline: 53 percent of students in the ISBE survey reported viewing television for 2 or more hours per day Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS 3.1.6: By 2017, increase by 10% the proportion of adolescents who report eating vegetables during the week (HP 2020 NWS-15). Target: 21.1 percent. Baseline: 19.2 percent of students in the ISBE survey reported not eating vegetables in the past week. Target setting method: 10 percent improvement. Data source: ISBE, Illinois Youth Risk Behavior Surveillance System (YRBSS) 3.2.1: By 2017, increase by 10% the proportion of adults who report engaging in daily vigorous physical activity of 20 minutes or more. (HP 2020 PA-2). Target: 29.8 percent. Baseline: 27.1 percent of adults reported participating in 20 minutes of daily vigorous physical activity Target setting method: 10 percent improvement. Data source: BRFSS 3.2.2: By 2017, increase by 10% the proportion of adults who report engaging in moderate daily physical activity of 30 minutes (HP 2020 PA-3). Target: 39.5 percent. Baseline: 35.9 percent of adults reported engaging in 30 minutes of more of moderate daily physical activity Target setting method: 10 percent improvement. Data source: BRFSS 3.2.3: By 2017, increase by 10% the proportion of adults who report eating 5 or more servings of fruits or vegetables each day (HP 2020 NWS-15). Target: 8 percent. Baseline: 7.2 percent of adults report eating 5 or more servings of fruits or vegetables each day |
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| Target setting method: 10 percent improvement. Data source: BRFSS 3.2.4: By 2014, partner with PUSMC and UIC College of Nursing to develop and distribute a brochure "Little Known Places to Walk in Vermilion County" highlighting walking areas within our communities. Nursing students will work with local communities in our county to create walking paths with data on distance traveled and fun facts about the neighborhood. Participation from local Mayors and Village boards will be sought and the brochure publicized through local media sources to increase citizen awareness of this project. Healthy Communities funding through the Illinois Department of Public Health is currently being sought to support this project. 3.2.5: By 2014, establish a walking program in 2 Vermilion County church parishes. Vermilion County has more than 20 Parish Nurses who provide services to their local churches. These parish nurses provide ongoing education and advocacy on a wide variety of health issues. Several of the area churches have sponsored walking activities, nutritional education; have led diet and exercise programs as well providing health and wellness screenings for blood pressure, blood sugar, etc. The health department will work with the Parish Nurse Community to encourage education and walking activities within the churches.3.2.6: By 2014, develop and distribute to Parish Nurses an education packet on healthy eating behaviors and ways to engage in physical activity to be printed in 5 church bulletins or newsletters. 3.2.7: By 2014, develop and distribute an education packet on healthy eating behaviors and ways to engage in physical activity to food pantry distribution centers in Vermilion County including St. James Parish, the Salvation Army and Danville township offices. 3.2.8: By 2016, develop a system with Danville District #118 and rural county schools for tracking schools aggregate BMI data. The Illinois Alliance to Prevent Obesity lists the following objective in their Three Year Roadmap Goals (2011-2014): "Develop state-level obesity prevention resources and infrastructure, ""Implement a gold standard"" statewide child obesity data collection system including measured BMI, and integrate with existing data systems."" The health department will continue to monitor and support the efforts of this alliance. |
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1.) Sedentary lifestyle 2.) Limited knowledge regarding Importance 3.) Financial Means 4.) Access 5.) Lack of cooking knowledge/skills 6.) Social norms/cultural acceptance 7.)Decrease in Physical Ed 8.) Limited opportunity for PA at work 9.) Limited after school programming 10.) Increase in screen time 11.) Parental modeling 12.) Perceived lack of time 13.) Health/fitness centers expensive 14.) Family Income level 15.) School activity costs 16.) Healthy options cost more 17.) Abundance of unhealthy options 18.) Limited healthy options 19.) Limited time for food prep 20.) Nutritional Ed low priority 21.) instructional opportunities 22.) Not breastfeeding 23.) Overweight & obesity viewed positively 24.) Learned unhealthy patterns |
"1.) The Vermilion County Health Department will continue to support the efforts of the PUSMC Foundation. The PUSMC foundation HALO project is spearing-heading several initiatives in the community including development of the Danville Let's Move Initiative for Childhood Obesity Coalition. The "Let's Move" coalition is a diverse group of 12 physicians and 21 community volunteers, with an advisory council and five ad hoc committees. The coalition's areas of focus are: Breastfeeding, Nutrition, Physical Activity, School Cafeteria food and Education. 2.) Individual projects the coalition is working on include the Garden Share project. This project encourages residents at low-income housing developments in the community to learn to grow and cook their own vegetables. HALO in collaboration with local Master Gardeners assist the housing residents to grow the healthy vegetables and the University of Illinois Extension office provides nutrition information, education and demonstrations on how to prepare the fresh vegetables the residents have grown. 3.) HALO has collaborated with our local County Market grocery store and in 2012 launched the "Fast and Easy Healthy Food Kiosk." Through this initiative hundreds of food items on the grocery store shelves have been tagged that are low in sodium, sugar and fats. Educational flyers are available to assist customers in making healthier food choices an easier process. Educational presentations and food demonstrations are provided on an ongoing basis. 4.) The Danville Let's Move Coalition initiated a "Walk to the Moon" event to encourage physical activity for children in the community during the summer of 2011. The |
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| coalition partnered with of the Quaker Oats "Breakfast in the Park" summer program, the Boys & Girls Club, Project Success, Vermilion Garden Apartments, YMCA, and Young Women Aware. Participants at the park and at each facility were engaged in vigorous walking and fun games for one hour each day. Steps were converted into miles to reach the goal of 238,857 miles (which equates to 477,714,000 steps). A cardboard spaceship with the moon anchored to the top was taken to each participating facility to tally steps and chart progress on the spaceship. The goal of walking to the moon was reached by the children involved and the Coalition plans to continue to provide annual physical activity opportunities for children. 5.) The Coalition is working collaboratively with Danville School Dist. 118 (the largest school district in the county) to encourage healthier cafeteria food selections throughout the school district. In addition, the "Let's Move Coalition" and the Danville Public School Foundation brought guest speaker, Zonya Foco (a registered dietitian, certified health and fitness instructor, author, TV Host and national speaker) to the community. Zonya Foco spoke at the 365 Club annual breakfast meeting, at a student assembly and to parents at an evening community forum to raise awareness about childhood obesity and the health threats it poses in Vermilion County. 6.) Northeast Elementary, a magnet school in District 118, initiated a School Wellness program for students and faculty. Wellness efforts are implemented throughout the Northeast curriculum including healthier foods and snacks, nutrition education and exercise efforts. This School Wellness program received national recognition for its efforts. 7.) HALO also sponsors an annual Children's Health, Safety and Activity Fair each fall. Multiple organizations and agencies participate in this event and provide a wide array of activities including dental screenings, nutritional information, safety education and other health and wellness information and activities for children (and their parents). 8.) Other agencies and organizations in our area strive to provide low or no cost activities to the residents of the community, as well. The Danville Family YMCA sponsors an annual event each spring and encourages kids and parents to "Come Play at Healthy Kids Day". The purpose of this event is to bring families together to engage in fun, active play and learn healthier habits that help them grow and thrive. Activities are free and the event is open to all. 9.) The Vermilion County Health Department Women, Infants & Children (WIC) program provides nutrition education and nutritious supplemental foods for pregnant or breastfeeding women, infants and children up to five years of age. In 2010, WIC provided 6,127 medical and nutritional assessments; 6,558 subsequent counseling/follow-up assessments and a total of 32,946 food package vouchers. It is estimated that an average food package cost is $66.00 per month per participant. Estimated food dollars spent in Vermilion County annually is $2,174,436.10.) WIC has certified lactation consultants on staff and provide breastfeeding education and support to its clients through education, supportive assistance and by providing a breast pump lending program. 11.) WIC continues to work to expand its outreach efforts. In collaboration with University of Illinois nursing students, WIC was able to launch a WIC Facebook page in fall 2011 that provides information including nutritional tips and recipes. Facebook participation is free and participants do not have to be a WIC client to utilize the information provided. WIC participates in the Breakfast in the Park annual event, the HALO's Children's Health, Safety and Activity Fair and the YMCA Healthy Kids Day (as staffing allows). 12.) WIC continues to offer its active clients an opportunity to purchase fresh fruits and vegetables through the Farmer's Market program. This program has been in place for over 8 years. Pregnant and post-partum women and children ages 1-5 are eligible to receive $15.00 worth of coupons to redeem for fresh fruits and vegetables July 1 through Oct 31st of each year. The VCHD WIC program receives approximately 1000 coupons annually for distribution. Redemption rate of coupons for 2011 for Vermilion county was 49% which was higher than the state average of 43%. |
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| Wabash County Health Department |
1 |
Drug and Alcohol Abuse |
Reduce substance abuse to protect the health, safety, and quality of life for Wabash County residents, especially children. |
1.) Education 2.) Family/Social 3.) Environmental |
1.) By 2017, reduce the percentage of 10th and 12th graders reporting use of Alcohol by 10% as evidenced by the Wabash County District 348 Illinois Youth Survey results. (Baseline Illinois Youth Survey 2012 - 10th graders 50%/12th graders 57%) 2.) By 2017, Increase the number of persons receiving services for drug and/or alcohol related offenses through compliance with individual or group treatment or counseling in conjunction with Wabash County drug court. Baseline 0. 3.) By 2017, Assess baseline and initiate school, health, and social service entity systems change policies including tobacco assessment, education, and cessation resource referral as part of routine patient/client/student initial intake. |
"1.) Legal substances / bath salts/potpourri 2.) Low perception of harm 3.) Prescription medication abuse 4.) Media glamorization of drug and alcohol 5.) Little or no parental supervision 6.) Parental/Family Acceptance 7.) Parent provides place/substance |
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| 8.) Family hx or drug/alcohol abuse 9.) Media costs 10.) Lack of Funding 11.) Personnel costs 12.) State/Federal Budget shortcomings 13.) Some drugs are okay, others are "hard"? 14.) Mixed messaging 15.) Legalization issue 16.) "Cool" celebrities use drugs/cigs - "Cool" 'gangsters' get rich selling drugs 17.) Depression/Anxiety/ADD 18.) Self-medication / mental illness 19.) Limited affordable psychiatric assistance 20.) Child Abuse/Neglect - escapism in drugs/alcohol - Violence in home 21.) Teen Parents / Grandparents Raising Grandkids / Incarcerated Parents |
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| 22.) Little or No Parental Supervision 23.) Working Parents 24.) Few after school/alternative activities 25.) Acceptance as norm 26.) Family Hx Addiction 27.) Lack of counseling/treatment resources 28.) Early/young introduction and use 29.) Easy Access 30.) Tobacco/alcohol sales to minors 30.) Parents/Grandparents Rx Drugs 31.) Unemployment / Job loss 32.) Poor Economy /Poverty 33.) Increased stress / hopelessness 34.) Lower education levels 35.) TV/Movies/music romanticizing drugs use/ pushers/etc. 36.) Media Influence 37.) Celebrity drug use/poor role modeling 38.) Poorly funded / costly to clients 39.) Lack of treatment resources 40.) No economy of scale in rural area |
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"1.) Wabash County Health Department key staff will participate in the local Project Success Framework for Prevention activities as possible within local schools. 2.) Prevention Coordinator will take an active role on the Drugs, Alcohol, Tobacco and Violence Task Force of Project Success. 3.) WCHD Depot Counseling Division (The Depot Counseling Center) will seek certification from DASA in provision of drug and alcohol counseling. |
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| 4.) WCHD will explore alternative funding resources needed to provide drug and alcohol prevention education to the youth of Wabash County. 5.) WCHD will support the efforts of Wabash County and the Wabash County State's Attorney's Office in formation of a Drug Court System for first time offenders. 6.) WCHD Depot Counseling Division will seek certification from DASA in provision of drug and alcohol counseling and explore payment methods with States Attorney and Judicial system of provided services. 7.) WCHD Public Health Division will offer affordable and reliable drug screening services to residents of Wabash County without physician rx needed. 8.) WCHD Depot Counseling Division will provide Alcohol and DUI assessment and education in conjunction with referral from Wabash County or other Judicial System. |
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| 9.) WCHD will maintain a leading role in the Project Success Drugs, Alcohol, and Tobacco Task Force in systems-change efforts and policy change in both our schools districts and county policy and procedure. 10.) Promote the IL Tobacco Quit line and efforts in establishing standard procedure of routine patient screening in all social and healthcare settings for referral of smokers to cessation counseling. |
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| Wabash County Health Department |
2 |
Violence |
Reduce the number of substantiated reports of violence against another person including child abuse, domestic violence, senior violence, bullying or sexual violence within Wabash County. |
1.) Individual Risk 2.) Family Risk 3.) Community Risk |
1.) By 2017, Increase by 50% the number of health and social entities in Wabash County that include violence screening as a component of routine health assessment as evidenced by stated or written policy and procedure. (Baseline - to be determined) 2.) By 2017, WCHD will Increase Public and Community Knowledge and understanding of various forms of violence and promote zero violence as norm through collaborative public education messaging through local news media, health and community fairs and events. Baseline - 0 public service announcement's/public education. 3.) By 2017, WCHD will Increase the workplace, social service, health care, and educational entities knowledge base on how to identify, assess and intervene in a possible child, domestic, senior, or other actual or potential violence situation or scenario. Baseline - 0 CME/CEU events annually. 4.) By 2017, WCHD will seek additional funding to increase local capacity for provision of violence prevention activities and programming targeting bullying among Wabash County youth |
1.) Little or no parental supervision 2.) Social/Family 3.) Daily family conflict/Exposure to violence 4.) History of Victimization 5.) Methamphetamine / Alcohol 6.) Drug/Alcohol Abuse 7.) Lack of involvement in conventional activities 8.) Legalization of soft drugs 9.) Depression/ADHD/anxiety 10.) Mental Health 11.) History of early aggressive behavior 12.) Anti-social beliefs and attitudes 13.) Glamorization of violence/sex 14.) Media influence 15.) Pornography 16.) Sexting/internet access 17.) Job loss 18.) Low education and income 19.) Peer/family influence to not achieve/better oneself 20.) Lack of good work ethic/habit 21.) Acceptance / culture 22.) Poor Family Functioning 23.) Incest / family hx or incest 24.) Limited protective factors 25.) Past/current exposure 26.) Hx of Family Violence 27.) Poor economy 28.) Poverty / low income 29.) Job loss 30.) Cultural Poverty/Generational Poverty 31.) Society sometimes aid/abets offenders i.e. Church or school cover-up32.) Sex Offenders 33.) Enablers within the family 34.) Funding issues 35.) Lack of Education/Understanding 36.) Poor parenting skills/healthy relationship skills 37.) What constitutes violence? 38.) Rural area / wide service area /isolation 39.) Limited services for advocacy 40.) Apathy/all caring citizens should "step in" when needed. 41.) Funding issues |
"1.) By December 30, 2013, assess a minimum of ten (10) local health and social entities for current policy and procedure regarding routine violence screening. 2.) By December 2014. Provide in-house training to a minimum of ten (ten) local health and social service agencies on the importance of system change to assess for various forms of violence during routine visits. 3.) Provide a minimum of one annual group training on the effects of violence and referral/resource information. 4.) WCHD key staff will actively participate on the local Project Success Collaboration and specifically on the Violence work group. 5.) Through administration of the IVPC grant program Illinois Health Cares and in conjunction with Wabash County members of the Violence Network, WCHD will actively support and promote all County events, community education, and violence prevention efforts in Wabash County through 2017. |
| 6.) WCHD, through IVPA Illinois Health Cares grant funding, will provide a minimum of one annual CME/CEU training to professionals/paraprofessionals within Wabash County. |
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| 7.) Incorporate violence assessment, risk, appropriate action/referral training as a component of all Worksite Wellness programming developed and offered to businesses within Wabash County. 8.) In collaboration with county partners, WCHD will support and participate in a minimum of one (1) annual training event hosted by another workplace, social service agency, healthcare entity or school regarding violence identification, assessment, reporting and/or referral to needed services. 9.) WCHD will monitor Requests for Funding applications and submit proposals as appropriate for local Health Department programming. 10.) WCHD will support or collaborate with any County entity or program submitting RFPs's focusing on Violence as indicated by joint goals and objectives. |
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| Wabash County Health Department |
3 |
Overweight and Obesity |
Promote health and reduce chronic disease through the consumption of healthy diets and adequate physical activity levels needed to achieve and maintain healthy body weights of both adults and children living in Wabash County. |
1.) Behavioral Components 2.) Environmental Components 3.) Genetics |
1.) By 2017, increase the proportion of Wabash County adults who are at a healthy weight. (Baseline - BRFSS 4th round 66.3% of Wabash County adults self-report being overweight or obese) 2.) By 2017, increase the proportion of worksites that offer nutrition or weight management classes or counseling. (Baseline - to be determined). 3.) By 2017, increase child intake fruits and vegetables through increased public education of dietary importance and affordable resources available as evidenced by WIC reporting of nutritional intake of Fruit/Vegetables. |
"1.) TV/video games/computer use - 2.) Low Physical Activity 3.) Cost of organized sports/activities 4.) Weather / safety concerns 5.) Inadequate/absent parenting 6.) Lack of knowledge/education 7.) Limited funding for educational outreach 8.) Mass marketing of unhealthy wt loss products 9.) Low self esteem / depression / past abuse 10.) Mental Health 11.) Eating disorders 12.) Social norms dictates acceptable appearance - media and social influences 13.) Sugar drinks/empty calorie foods 14.) Poor or Inadequate Nutrition 15.) Low Fruit and Vegetable Intake 16.) Lack of understanding/knowledge of nutrition 17.) High cost of food 18.) Poverty/Food Insecurity 19.) Under funded and/or under-utilized resources or lack of resources. (WIC, Free or Reduced lunches, food pantries, LINK card). 20.) Lack of affordable resources i.e. farmers markets, community gardens, food pantries, food co-ops. |
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| 21.) limited supply or high cost of fresh produce. 22.) Inadequate Resources 23.) Few Healthy Dining out choices - Rural area 23.) Bus transportation / rural students 24.) Rural Area 25.) Must drive to resources i.e. gyms, classes 26.) limited understanding of genetic factors affecting wt. 27.) Learned patterns of unhealthy behavior 28.) Low education level 29.) Limited access to primary health care. 30.) Limited understanding of health risks associated with obesity. |
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"1.) Wabash County Public Health Division will explore feasibility and if indicated develop a self-pay weight management program to be offered to public. |
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| 2.) WCHD and Community Partners will develop a resource listing of area nutrition, dietary, and exercise resources available within Wabash County for distribution among area adults. 3.) WCHD will continue overweight/obesity assessment, nutrition counseling, and referral as indicated through WIC and Family Planning programs. 4.) Community and Public Outreach regarding the health benefits of achieving and maintaining optimal weight through proper nutrition and exercise will be published on the WCHD website and other Social Media (Facebook, Firebox) at least twice annually through 2017. 5.) Cooperation and collaboration with the local We Choose Health Worksite Wellness Program coordinator in promoting local industry acceptance of programming. 6.) WCHD Public Health Division will incorporate nutrition, exercise and weight management into all internal Worksite Wellness programming developed by WCHD for industry use. 7.) Public Health Nurses or other informed staff will be available for health fairs, public events, etc. as requested at least twice annually through 2017. 8.) Continued promotion and administration of the WCHD Women, Infants, and Children (WIC) Supplemental Food and Nutrition Education Program. 9.) Continued collaboration with University of Illinois Extension in provision of Nutrition Workshop to Wabash County WIC participants. 10.) All Our Kids Network in conjunction with county providers serving young families will update parents quarterly on area food resources i.e. food programs, give-a-ways, events, farmers markets, summer food programs, free or reduced school lunches and WIC program information. Updates will be provided via AOK newsletters, webpage and social media sites. |
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| Warren County Health Department |
1 |
Dental Care |
"1.)By 2017 establish a structured oral health program to the services provided by Warren County Health Department. (Healthy People 2020 objective OH 10.2 - Increase the proportion of local health departments that have oral health prevention or care programs. Baseline: 25.8% of local health departments had an oral health prevention or care program in 2008. Target: 28.4%) |
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1.)lack of routine dental care 2.)knowledge deficits |
2.)Reduce the proportion of children and adolescents with untreated dental decay by 10% by the year 2017. (Baseline: 23.8 % of children aged 3-5 years, 28.8% of children aged 6-9 years, and 17% of children age 13-15 years had untreated dental decay in at least one primary tooth in 1999-2004. Target: 21.4%, 25.9%, and 15.3%. Healthy People 2020 OH-2) 2.) By 2017 increase the proportion of children, adolescents and adults by 10% who used the oral health care system in the past 12 months. (Baseline: 44.5% of persons aged 2 years and older had a dental visit in past 12 months in 2007; IBRFSS 2007-2009 24.2% respondents had not been to the dentist in the last 2 years. Target: 49% Healthy People 2020 OH-7) |
1.)access to dental care 2.)cost of dental care 3.)limited education opportunities 4.)language barrier 5.)transportation 6.)dental insurance 7.)no sliding fee programs 8.)no grant funding 9.)dental HPSA 10.)no routine provider 11.)limited educational opportunities 12.)environment 13.)lack of school programs 14.)parenting skills 15.)racial/ethnic minority groups 16.)socioeconomic 17.)limited access to target population |
"1.)Develop policy, education, and referral system for oral health care at Warren County Health Department. 2.)Establish a Warren County Dental Health Advisory Committee to identify specific needs and strategies aimed at increased service to community. 3.)Investigate grant funding opportunities for Warren County dental care (focus on elderly, children, transportation) 4.)Collaborate with Mercer County Health Department "Tooth mobile" mobile dental van to provide increased services and visits to local school districts. 5.)Initiate oral health education component to be used for public education via public service announcements, at area health fairs, and in the schools and community agencies. 6.)Collaborate with Knox County Health Department and Carl Sandberg College to plan a community day for Warren County residents-incorporate transportation component. |
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| Warren County Health Department |
2 |
Diabetes |
1.) By 2017 reduce the rate of diabetes in Warren County to at or below 6%. (IBRFSS 2007-2009 baseline: Warren County 7.9%, Illinois 8.5%) 2.)Reduce the annual number of new cases of diagnosed diabetes in the population to 7 by 2017 (Healthy People 2020 D-1. Baseline: 8 new cases of diabetes per 1,000 population aged 18 to 84 years occurred in the past 12 months. Target: 7.2 new cases per 1,000 population aged 18 to 84 years) |
"1.)Family History 2.)Genetics 3.)Age 4.)Obesity 5.)Sedentary Lifestyle 6.)Poor 7.)Diet 8.)High Cholesterol 9.)High Blood Pressure |
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1.)Increase the proportion of the diabetic population with an HbA1c value <7% to 58.9% by 2017. (Healthy People 2020 D-5.2 Baseline: 53.5% of adults aged 18 years and older with diagnosed diabetes had an HbA1c value <7% in 2005-2008, NHANES, CDC) 2.)Increase the proportion of persons with diagnosed diabetes who receive formal diabetes education to 62.5%. (Healthy People 2020 D-14 Baseline: 56.8% of adults aged 18 years and older with diagnosed diabetes reported they ever received formal diabetes education in 2008 BRFSS). |
"1.)Sedentary Lifestyle 2.)Unhealthy eating habits 3.)High blood pressure 4.)High cholesterol 5.)Age 6.)Ethnicity 7.)Lake of care 8.)Lack of exercise 9.)Apple shaped bodies 10.)Poor diet/high fat content 11.)Obesity 12.)Cost 13.)Underlying conditions 14.)Knowledge deficits 15.)Socioeconomics 16.)Access to care |
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1.)Develop policy, education, and referral system for diabetes at the Warren County Health Department. 2.)Develop bilingual educational materials and public service announcements regarding diabetes to collaborate with the Multi-cultural Committee newsletter. 3.)Continue to offer HbA1c testing at health fairs and community events and at the Warren County Health Department. 4.)Partner with OSF Holy Family Medical Center Diabetes Advisory Council to achieve certification for their formal diabetes education program and offer Chronic Disease Self Management program through the Warren County Health Department. 5.)Partner with dietician to offer meal plans and recipes for diabetics. |
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| Warren County Health Department |
3 |
Obesity |
1.)Reduce the proportion of obese adults in Warren County by 10% by the year 2017. (Baseline: IBRFSS 2007-2009 Warren 27.1%; Illinois 27.6%) (HP2020 NWS-9 Baseline: 34% Target: 30.6%) 2.)Reduce the proportion of overweight adults in Warren County by 10% by the year 2017. (Baseline: IBRFSS 2007-2009 Warren 31.6%, Illinois 33.9%) |
"1.)Physical inactivity 2.)Race/Ethnicity 3.)Unhealthy diet 4.)Family history 5.)Smoking 6.)Socioeconomic status |
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1.)Reduce the proportion of adults in Warren County who get less than three servings of fruit and vegetables per day by 10% by the year 2017. (Baseline: IBRFSS 2007-2009 Warren County 55%) (Healthy People 2020 NWS-14) 2.)Reduce the proportion of adults in Warren County who do not meet the regular physical activity guidelines by 10% by the year 2017. (Baseline: IBRFSS 2007-2009 Warren County 39.7%, Illinois 52.1%) (Healthy People 2020 NWS-15) |
"1.)Environment 2.)Lack of motivation 3.)Time constraints 4.)Physical limitation/injury 5.)Access to facilities 6.)Poor food choices 7.)Lack of education 8.)Cultural differences 9.)Stress 10.)Learned behaviors 11.)Media campaigns |
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1.)Collaborate and promote physical activity programs through community events and programs such as the YMCA-youth sports, adult fitness classes, Zumba, Cruise to Lose; programs offered at the YMCA, 1st St Armory and Roseville Community Center to minimize travel distance and increase accessibility. 2.)Continue to sponsor Warren County Out Walking through the Warren County Health Department and Warren County United Way. 3.)Provide health education through Office of Women's Health-Jump Girl Jump, Heart Smart for Teens, and Life Smart for Women. 4.)Offer BMI screenings using the Tanita scale along with cholesterol and blood pressure screenings at the Warren County Health Department on a quarterly basis. 5.)Incorporate healthful eating presentations and tips into community events and health fairs. 6.)Incorporate healthful eating presentations and tips into community events and health fairs. |
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| Washington County Health Department |
1 |
Heart Disease |
1.) Reduce deaths due to coronary heart disease by 20% by June, 2016 (Baseline: 310 per 100,000, IPLAN Data, 2006.) 2.)Reduce deaths due to Cerebrovascular disease by 20% by June, 2016. (Baseline: 236 per 100,000, IPLAN data, 2006) |
1.)hypertension 2.)hyperlipidemia 3.)smoking 4.)obesity |
1.)Reduce the proportion of adults with high blood pressure by 10%. (Baseline: 34% for Washington County, BRFSS 2007-2009) 2.)Increase by 10% identified individuals with high blood pressure who are taking medication for elevated blood pressure and continue to monitor these individuals by June, 2016. (Baseline data for Washington County, BRFSS 2007-2009: 85% taking medication for blood pressure). 3.)Decrease the prevalence of blood cholesterol levels of 200 mg/dL or greater by 10 % among identified adults in Washington County by June, 2016 and continue to monitor these individuals. (Baseline data for Washington County: 42% above 200 mg/dL, BRFSS 2007-2009 data). 4.)Decrease by 10% the mean total blood cholesterol level for adults in Washington County (Baseline: 49%, Washington County Screening data, 2010) 5.)Decrease to 20% the prevalence of the population considered obese and 30% overweight by June, 2016 (Baseline data: 29% obese and 37% overweight for Washington County, 2007-2009 BRFSS Data.) 6.)Increase to 40%the prevalence of the population considered to be at a healthy weight (Baseline data: 34% at a normal weight, BRFSS data, 2007-2009) 7.)Increase the proportion of persons who consume 3-4 servings of fruits and vegetables daily to 40% (Baseline 32%, BRFSS 2007-2009 data) 8.)Increase to 65% 25-44 year olds and 50% 45-64 year olds of the population in Washington County who meet recommended standards by June, 2016 (Baseline data: 62% and 47%, respectively, meet recommended standards, BRFSS 2007-2009 Data) 9.)Reduce by 10% the proportion of Washington County population who smoke by June, 2016 (Baseline data: 22% for 25-44 year olds and 15% for 45-64 year olds, BRFSS 2007-2009 Data.) 10.)Reduce cigarette smoking among pregnant women to a prevalence of no more than 12% by June, 2016 (Baseline data: 15%, 2006 IPLAN Data.) |
1.)lack of knowledge of nutrition 2.)reading labels 3.)lifestyle 4.)lack of time 5.)facilities and support for exercise 6.)lack of use of screenings 7.)culture of community 8.)peer pressure 9.)environment 10.)addiction 11.)lack of social support 12.)lack of finances |
1.)1) Initiate the six week 5,4,3,2,1 Program in one grade school each year (5 fruits & vegetables daily, 4 glasses of water, 3 servings of dairy, 2 hours or less of screen time, and at least 1 hour of physical activity daily) for students in grades 4-8. Materials and lesson plans will be provided for the teachers to continue the program after initiation by the health department, with follow-up by the health department staff of outcome measurements of the program. BMI for all students is measured prior to the program and upon program completion to assess changes among the students. The goal is for 75% of the students to reduce or maintain their BMI as indicated. Pre- and post tests are also administered. Take-home learning activities are included in each lesson to involve the parents. Incentives of physical activity equipment will be given to the schools for participating. 2.)Promote and provide the "Women Out Walking" (WOW) program, from the IDPH Office of Women's Health, as team walking competitions among places of employment and community groups. After grant funds are utilized and depleted, convert this program to "'People Out Walking" (POW) to include males and females in walking competition programs between teams in large worksites or between smaller businesses, such as local banks, teachers groups, etc. Prizes will be awarded to winning teams with free "give-always" to all participants. |
| Washington County Health Department |
2 |
Cancer |
"1.)Reduce cancer death rates by 10% by June 30, 2016 for both men and women (Baseline data: 605 for men and 437 for women per 100,000 data from Cancer Statistics, 2003-2007.) 2.)Reduce breast cancer death rates for women by 10% by June, 2016 (Baseline data: 104 per 100,000, Cancer Statistics, 2003-2007) 3.)Reduce colorectal cancer death rates by 10% by June, 2016 (Baseline data: 69 for males and 74 for females per 100,000, Cancer Statistics, 2003-2007) 4.)Reduce lung cancer death rates by 10% by June, 2016 (Baseline data: 96 for males and 53 for females per 100,000, Cancer Statistics, 2003-2007) 5.)Reduce prostate cancer death rates by 10% by June, 2016 (Baseline data: 156 per 100,000, Cancer Statistics, 2003-2007) |
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1.)family history 2.)obesity 3.)nutrition 4.)lack of screening 5.)smoking 6.)second hand smoke 7.)pollution |
"1.)Increase to at least 40 % the proportion of people aged 50 and older who have received a colorectal screening examination fecal occult blood testing and to at least 70 percent those who have ever received colonoscopy by June 30, 2016. (Baseline data from BRFSS 2007-2009: 32% Blood Stool test and 62% Colonoscopy.) 2.) Increase to 70 % the proportion of women aged 40 and older who have received a breast examination and a mammogram within the preceding year by June 30, 2016. (Baseline data available from BRFSS 2007-2009: 65%.) 3.)Increase to 80% of males age 50 and over who have ever had a PSA screening by June, 2016. (Baseline data: 74%, BRFSS, 2007-2009) 4.)Reduce to 25 percent the number of young people in grades 9 through 12 who reported that they rode, during the previous 30 days, with a driver who had been drinking alcohol by June 30, 2016 (Baseline data: National Youth Risk Behavior Survey baseline is 28.5%, 2009). 5.)Decrease to 8% the number of students who report driving a car or other vehicle when they had been drinking alcohol by June 30, 2016 (National Youth Risk Behavior Survey is 9.7%, 2009). 6.)Decrease to 40% the number of students who report drinking alcohol that the alcohol was given to them by someone by June 30, 2016. (Baseline data: 42% report that alcohol was given to them by someone, National Youth Risk Behavior Survey, 2009 |
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1.)lack of knowledge 2.)family history 3.)nutrition 4.)inactivity 5.)peer pressure/addiction 6.)cultural norms 7.)lack of funds 8.)fear of tests, procedures, results |
"1.)Breast Cancer: Health department staff will educate and collaborate with health care providers in Washington County (especially nurse practitioners and nurses at local clinics) to provide information and encourage utilization of the Little Egypt Breast and Cervical Cancer Prevention Program, which provides funding for breast and cervical cancer screenings to women eligible for this program. (The Little Egypt BCCPP is currently at 50% of the targeted number of eligible women in Washington County.) Local hospital support of this program will also be encouraged. Information on this program will be available at the health department at all times and will be promoted especially during special events, such as flu shot clinics, lab screenings, and at all community events and health fairs. 2.)Prostate/Colorectal Cancer: Health department staff will collaborate with the Farm Bureau in Washington County to provide educational programs. The Women's Committee, with which we already have a good working relationship, will be contacted to provide "couples programs" at their events (free meals and/or "potlucks" will be included.) Information will be provided on cancer screenings for both men and women (including mammograms, PSA's, and colonoscopies), as well as programs on protection from pesticides and other programs of interest to the farming community. Since fasting is not required for PSA screenings, these may be offered to males at reduced or no cost in conjunction with these events or "coupons" will be given to obtain the lab screenings at the health department. This program format, if successful, will be repeated for various preventive topics. |
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| Washington County Health Department |
3 |
Teen Alcohol Abuse |
1.)Decrease alcohol-related motor vehicle crash deaths to 10 per 100,000 population by June 30, 2016 (Washington County current rate is 3 annually per 15,000 population, IPLAN, 2006). 2.)Decrease by 10% the population of Washington County at risk for binge drinking (Baseline data: 24% at risk for binge drinking, BRFSS data, 2007-2009) |
1.)begin drinking at an early age 2.)binge drinking 3.)psychological needs 4.)cultural norms 5.)role model's behavior |
1.)Increase to 30 percent the proportion of high school students reporting they have never used alcohol by June 30, 2016. (Baseline data: National Youth Risk Behavior Survey baseline is 28%, 2009) 2.)Reduce to 40 percent the proportion of youth self-reporting use of alcoholic beverages during the past 30 days by June 30, 2016 (Baseline data: National Youth Risk Behavior Survey baseline is 42%, 2009). 3.)Reduce to 20 percent the estimated proportion of persons engaging in binge drinking of alcoholic beverages during the past 30 days by June 30, 2016 (Baseline data: National Youth Risk Behavior Survey baseline is 25.5%) |
1.)peer pressure 2.)desire for acceptance 3.)lack of communication/resistance skills 4.)availability 5.)adult example 6.)lack of supervision/law enforcement 7.)lack of alternative activities |
1.)Form Alcohol Prevention Coalition of key individuals to utilize community forums and mass media to promote community awareness of problem, provide information related to underage drinking and help teens to party responsibly, with goal of keeping our teens and community safe. 2.)Provide server training programs (classroom and/or on-line) to assure responsible sale and service of alcohol. |
| Wayne County Health Dept |
1 |
Cardiovascular Disease |
1.)By 2016 reduce the prevalence of disease of the heart in the community by 10%. |
1.)hypertension 2.)habitual/addictive tobacco use 3.)elevated cholesterol |
1.)By 2016, increase the number of adults with high blood pressure whose B/P is under control to 90%. Baseline: 86% taking medication to control their B/P (Wayne County BRFSS, 2007-2009) 2.)By 2016 decrease tobacco use by adults to 18% of population (BRFSS interview rate for 2007-2009 reported at 21%) 3.)By 2016, increase the proportion of adults who consume less fat/cholesterol in their daily diet to 65% (BRFSS interview rate for 2007-2009 reported at 59%) |
1.)improper diet 2.)obesity 3.)physical inactivity 4.)availability 5.)frequent use (levels of nicotine) 6.)lack of programs for quitting and for not starting tobacco use 7.)lack of screening and follow-up 8.)diet 9.)poor eating habits 10.)proliferation of fast food establishments 11.)lack of education/understanding of good nutrition 12.)lack of adequate exercise 13.)lack of cooking skills 14.)inadequate knowledge 15.)busy schedules 16.)access to exercise programs 17.)few restrictions/enforcement 18.)advertising 19.)lack of public objection 20.)peer pressure 21.)example of parent or other significant person (modeling) 22.)lack of organized community effort 23.)inadequate funding 24.)incomplete long term planning 25.)inability to afford screening/regular checkups 26.)lack of knowledge of importance 27.)time constraints |
1.)Maintain the number of Women, Infants and Children (WIC) program mothers who receive blood pressure checks during routine assessments at 100% annually by year 2016. 9Baseline: 1281 WIC mothers in 2010) 2.)Establish two free blood pressure monitoring events annually at various local retail stores and the Fairfield Senior Citizen Center in 2012 and each of the following years up to 2016. (Baseline: 0 in 2010) 3.)Increase use of Illinois Tobacco help Line to 180 calls by 2016 (168 calls received in 2010 grant year) 4.)increase the number of patients participating in the hospitals Cardiopulmonary and Cardio Rehab and Weight and Wellness program to 813 by year 2013. 9baseline: 768 in 2009) 5.)Increase number of Wayne County grade schools that implement availability of healthy foods and increased physical activity programming to 100% by 2016. (Baseline 0% in 2010) |
| Wayne County Health Dept |
2 |
Cancer |
1.)By 2016 reduce the prevalence of cancer in Wayne County by 5%. |
1.)obesity 2.)tobacco use 3.)high fat, high calorie, low fiber diet 4.)not seeking screening for specific screening for cancer |
1.)By 2016, decrease tobacco use by adults to 18% of population (BRFSS interview rate for 2007-2009 reported at 21%). 2.)Increase # of adults who meet or exceed activity guidelines standards to 55% by 2016 (Baseline: 49% in 2009) 3.)Increase early detection of cancer through enhanced screening opportunities by 5% in year 2013. 4.)Increase % of those adults ages 50+ who have been screened for colon cancer from 41% to 50% by year 2016. |
1.)improper diet 2.)obesity 3.)physical inactivity 4.)availability 5.)frequent use (levels of nicotine) 6.)lack of programs for quitting and for not starting tobacco use 7.)eating fast food vs. cooking at home 8.)life style influences 9.)cost 10.)availability 11.)knowledge of need 12.)high fat, high caloric foods, high salt intake. Sugary snacks/beverages 13.)proliferation of fast food establishments and local pork burger sales 14.)lack of education/understanding of good nutrition 15.)family cooking influences 16.)lack of adequate exercise 17.)poor eating habits 18.)lack of cooking skills 19.)family cooking traditions 20.)inadequate knowledge 21.)busy schedules/not scheduling enough time 22.)belief that a formal exercise program is required 23.)time competition with television and computer 24.)few restrictions/enforcement 25.)advertising 26.)lack of public objection 27.)peer pressure 28.)lack of education; inability to put long-term goals 29.)example of parent or other significant person (modeling) 30.)lack of organized community effort 31.)inadequate funding 32.)community disinterest 33.)proliferation of fast food establishments 34.)advertising 35.)popularity, availability of fast food 36.)deficit of knowledge of nutrition 37.)ethnic background 38.)some not covered by Medicaid or insurance 39.)some not available locally 40.)public education by agencies in community |
1.)Increase use of Illinois Tobacco Help Line to 180 calls by 2016 (baseline: 168 in 2010 grant year) 2.)Initiation and implementation of a START walking path program by 2016. 3.)The Fairfield memorial Hospital will increase the number of low cost mammograms available to eligible patients to 40 by 2013. (Baseline- 25 in 2010) 4.)Wayne County Health Department and Fairfield memorial Hospital will increase the number of colon cancer screening kits available to community to 350 by 2013. (Baseline is 250 in 2011) |
| Wayne County Health Dept |
3 |
Obesity |
1.)By 2016 reduce the prevalence of adult obesity in Wayne County by 5%. |
1.)genetic factors 2.)individual behavior 3.)environment |
1.)By 2016, increase the proportion of adults who consume less fat/cholesterol in their daily diet to 65% (BRFSS interview rate for 2007-2009 reported at 59%) 2.)Increase number of Wayne County grade schools that implement healthy eating options for students to 100% by 2016. (Baseline 0% by 2011) 3.)Increase the proportion of adults who are trying to lose weight to 40% by year 2016. (Baseline: 34% in 2009) |
1.)family demographics 2.)poor regulation of appetite 3.)physical inactivity 4.)lack of physical exercise 5.)eating habits 6.)energy imbalance 7.)modern technology 8.)diet 9.)socioeconomic status 10.)exposure/presentation of foods with poor nutritional values at early age 11.)exposure/presentation of foods with poor nutritional values at early age 12.)family cooking/eating influences 13.)abundance of food 14.)no self control skills 15.)portion size 16.)inactive family role models (modeling) 17.)busy schedules/not scheduling time 18.)minimal opportunities 19.)time competition with television and computer 20.)inactive family role models (modeling) 21.)lack of infrastructure to promote/encourage physical activities 22.)community perception 23.)not eating in moderation 24.)increased portion size 25.)example of parent or other significant person (modeling) 26.)high caloric intake 27.)physical inactivity 28.)low cost. high accessibility of foods high in calories, fat, and sugar 29.)reliance on modern transportation 30.)computer/television advancements and availability 31.)fast food industry 32.)diet high in fat content 33.)proliferation of fast food establishments 34.)moderation/portion control 35.)lack of physically active family role model (modeling) 36.)lack of access to exercise related programs 37.)time constraints 38.)appeal of television and computer time |
1.)Fairfield Memorial Hospital proposes to increase number of patients participating in the wellness program to 813 by year 2016. (Baseline: 768 in 2009) 2.)The Wayne County health Coalition plans to schedule on-site meetings with all area elementary grade schools to discuss existing policy relating to physical education and nutrition. A 5 4 3 2 1 Go! Campaign will be initiated with special focus on adolescent females. 3.)Intervention strategy involves the initiation and implementation of a START walking path program in Wayne County. |
| Whiteside County Health Dept |
1 |
Obesity |
1.)Increase the proportion of adolescents, grades 7-12, who engage in moderate physical activity for at least 30 minutes on 5 or more days a week from 27% in 1999 to 40% by 2015. |
1.)obesity is prevalent 2.)poor nutrition 3.)physical inactivity |
1.)Reduce the number of overweight adolescents from 16% in 2002 to 10% in 2015. 2.)Increase the number of adolescents participating in a physical activity 3 days a week from 12% in 2008 to 20% in 2015. 3.)Increase the number of adolescents eating 4+ fruits/vegetables a day in the previous 7 days from 11% in 2008 to 20% in 2015. |
1.)poor nutrition 2.)high fat intake/low fiber intake 3.)lack of intake of 5 or more of fruits and vegetables daily 4.)lack of physical activity and indifference to physical activity 5.)lack of education 6.)economy 7.)lack of access/medical care 8.)lack of PHP |
1.)Conduct nutrition classes in the community. 2.)Involve school nurses on the "Lets Move" campaign. 3.)Involve school P.E. teachers and classroom teachers in activities and education. 4.)Provide stipends to pay for sport activities for low-income children. 5.)Encourage low-income children to participate in "Feed Our Children" summer program. |
| Whiteside County Health Dept |
2 |
Tobacco |
1.)Reduce the amount of tobacco use from 16.5% in Whiteside County in 2010 to 15% in 2015. |
1.)parents who use tobacco 2.)addiction 3.)peer pressure 4.)teen advertising 5.)easy access 6.)lack of education |
1.)Reduction in reported tobacco use in the past 1 month by students in grades 9 through 12 from 21% in 2010 to 15% in 2015. 2.)Increase the average age of first use of tobacco products by adolescents from age 14 in 2010 to age 18 in 2015. 3.)Increase the percentage who has seriously tried to stop using tobacco from 64.5% in 2010 to 80% in 2015. |
1.)access to medical facility specialized in tobacco cessation 2.)lack of funding to buy cessation products |
1.)Smoking cessation classes. 2.)Smoking cessation groups. 3.)Youth development programs: After school programs, teen pregnancy prevention programs, Girl Scouts, Boy Scouts. 4.)Classroom anti-tobacco curriculums. 5.)Self-esteem programming including community involvement and volunteerism 6.)Education in a variety of settings including youth church groups, YWCA, YMCA, schools. 7.)Educating parents: In a recent study, teens whose parents often talked to them about the dangers of smoking were about half as likely to smoke as those who didn't have these discussions with their parents. This held true no matter whether or not the parents were smokers themselves. |
| Whiteside County Health Dept |
3 |
Youth Development |
1.)Increase the number of junior and senior high schools and community programs in Whiteside County to provide at least 6 education sessions/activities yearly that address the following areas; suicide; tobacco use and addiction; alcohol and other drug use; teen pregnancy, STD infections; nutrition; and physical activity. |
1.)inadequate parental support 2.)lack of community support 3.)lack of self-direction 4.)drug use/abuse 5.)alcohol use/abuse 6.)pregnancy 7.)lack of school programs 8.)low-income/poverty |
1.)Reduce pregnancies among adolescent females from 11.3% in 2007 to 10% by 2015. (Abortion Provider Survey, The Alan Institute; National Vital Statistics System (NVSS), CDC, NCHSl National Survey of Family Growth (NSFG), CDC, NCHS; Abortion Surveillance Data, CDC, NCCDPHP) 2.)Reduce the proportion of adolescents engaging in drinking of alcoholic beverages from 16.5% in 2008 to 15% in 2015. (Reduction in Adults and adolescents Engaging in Binge Drinking during past Month) Data Source: National Household Survey on Drug Abuse (NHSDA), SAMHSA. 3.)Increase the percentage of adolescents who are connected to a parent or other positive adult caregiver. (New healthy people 2020). 4.)Reduce the suicide rate of double the state rate in 2005 to the state rate in 2015. (Baseline: 16.7, IL-8.4, National Vital Statistics System (NVSS), CDC, NCHS) 5.)Decrease the number of children with no regular primary care physician from 23% in 2010 to 10% in 2015. (Data source: Whiteside Community health Survey 2010) |
1.)inadequate housing 2.)inadequate nutrition 3.)inadequate jobs 4.)negative parental attitudes 5.)access to drugs/alcohol/tobacco 6.)lack of school/community involvement 7.)lack of mental health diagnosis 8.)lack of self-confidence 9.)lack of access and follow-up 10.)lack of PHP 11.)denial of risk 12.)indifference 13.)lack of knowledge/education |
1.)An adult who volunteers time to mentor or tutor a young person. 2.)Structured after school activities that promote community involvement. 3.)A leadership development program where they can relate to one another as individuals and build skills. 4.)City government that engages youth in the policy making process through youth councils and youth positions in government departments. 5.)Support and participate in community initiatives that encourage positive youth development. these include efforts by youth led groups, businesses, prevention coalitions, i.e. Teen pregnancy Prevention, Assets, Girl Scouts, etc. |
| Will County Health Dept |
1 |
Access to Primary and Specialty Healthcare |
1.)By 2015, the percentage of Will County emergency room visits due to Ambulatory Care Sensitive Conditions will decrease by 3%. (Baseline: number of emergency room visits due to ambulatory sensitive care conditions- 14,937 in 2009, IHA COMP Data) 2.)By 2015, the percent of people who report not having a primary care provider/primary healthcare home will decrease to 12%. (Baseline: 14% of adults report not having a usual person as a healthcare source, 2008 BRFSS) |
1.)socio-economic 2.)lack of communication |
1.)By 2014, the number of primary care providers who provide services to the uninsured and under-insured in Will County, will increase by 2%. (Baseline: 289 primary care providers accepting Medicaid, 2008 All Kids Preliminary Report) 2.)By 2014, the number of specialty care providers who provide services to the uninsured and under-insured in Will County, will increase by 2%. (Baseline: 212 specialty care providers accepting Medicaid, 2008 All Kids Preliminary Report) 3.)By 2013, a consortium of Will County health care providers will be established, to improve access to health care for Will County residents. (Baseline: There is no current consortium) |
1.)current economy/unemployment 2.)funding opportunities 3.)lack of insurance 4.)lack of and competition for resources 5.)territorial providers 6.)no formalized system of collaboration 7.)educational attainment 8.)competition for grants 9.)unemployment 10.)immigration/migration 11.)limited funding sources 12.)categorical funding 13.)lack of organizational trust 14.)competition among providers |
1.)Explore the option of a teaching health center to increase providers in Will County. 2.)Pursue grant funding to provide increased health care services to the uninsured and under-insured through the proposed consortium. 3.)Develop a marketing strategy to attract providers to Will County. 4.)Work collaboratively to explore transportation issues for target populations. 5.)Explore mobile health care unit for primary health services. 6.)Build on the current workgroup and identify additional members. 7.)Establish the consortium formally (memorandums of agreement, meeting schedule) 8.)Explore funding opportunities and enhance collaboration. 9.)Develop and implement a marketing/communications plan to educate residents on the importance of primary care provider. 10.)Work with the Community Health Center, Aunt Martha's to educate the community as part of the marketing/communications campaign. |
| Will County Health Dept |
2 |
Awareness of Services and How to Access Them |
1.)By 2015, the score for the Essential Public Health Service model standard 3.1.1 ("provision of community health information"), in Will County, will improve by 10%. (Baseline: LPHSA 2009- Model Standard 3.1.1-44%) |
1.)communication 2.)collaboration |
1.)By 2011, a committee of Will County providers will establish a collaborative to improve the promotion of health, wellness and safety programs and services by collaboration and improved communication. 2.)By 2013, increase the capacity for communication and marketing strategies of will County providers, by providing capacity development training to 25% of providers servicing Southern and Eastern Will County. (Baseline: 0) |
1.)lack of sharing 2.)turf issues 3.)time and interest 4.)resources 5.)geographical 6.)cultural/language 7.)transportation 8.)distance between roads 9.)lack of public services residential 10.)communication system 11.)local newspaper 12.)radio 13.)government 14.)youth culture 15.)focus on friends/self 16.)not plugged in to traditional communication system 17.)focus on line (technology) 18.)ethnic faction 19.)variation in education 20.)language barriers 21.)family structure 22.)socio-economic 23.)education 24.)expectations 25.)resources |
1.)Develop a two-fold communications plan targeting residents to increase their knowledge about what services are available and how they can access these services; and a plan targeting providers to improve inter-agency communication and information sharing, and to promote the creation of a well-liked, well publicized, communicative system of providers in Will County. 2.)Asset mapping. 3.)Collaboration with area colleges, technology and marketing institutions. 4.)Develop capacity building training program through research and best practices for health communication and marketing. 5.)Develop data tracking system to better track the growth of the agency's programs and the success of the capacity development. 6.)Explore expansion of existing resources for a county-wide communication system (database of programs and services including recreational and other community identified needs). 7.)Update communication technology. |
| Will County Health Dept |
3 |
Behavioral Health and Substance Use Disorder |
1.)By 2015, reduce by 2%, the number of readmissions of Will County residents to State Operated Facilities due to behavioral health and substance use disorders related services. (Baseline: 171 readmissions in 2009, Will County Health Department, Behavioral Health Report) 2.)By 2015, the number of people who report having a negative perception of behavioral and/or substance use disorders will be reduced. (Baseline: to be determined) |
1.)stigma 2.)access to services |
1.)By 2014, increase the number of Will County residents' utilization of behavioral health and substance use disorder services through increasing by 2%, the number of screening by Will County LAN providers. (Baseline: 974 screenings in 2009, Will County Health Department, Behavioral Health Report) 2.)By 2014, increase the behavioral health workforce by 2% through collaboration that supports effective professional and community services for residents. (Baseline: to be determined) 3.)By 2012, establish baseline data for the community's perception of behavioral health and substance use disorders among Will County residents, by conducting a county wide survey of Will County residents. 4.)By 2013, increase by 25%, the number of Will County residents who receive education on misperceptions of behavioral health and substance abuse by implementing a social norm marketing campaign. |
1.)education pertaining to the health concern 2.)cultural competence when services are provided 3.)inadequate funding 4.)lack of knowledge and understanding of behavioral health and substance use disorders and their causes 5.)cultural beliefs 6.)barriers to care 7.)demographic changes in community 8.)beliefs held by specific populations and ethnic groups 9.)lack of financial support and resources 10.)transportation services availability 11.)population growth within Will County 12.)stigma against behavioral health issues and substance abuse 13.)current state of the local, county and state economy 14.)current behavioral health policies 15.)transportation services' availability 16.)lack of practitioners and providers of care 17.)population changes 18.)demographic changes 19.)socioeconomic factors 20.)cultural competence of the healthcare system 21.)limited routes and schedules for public service transportations 22.)residency (and related geographical barriers and limitations) 23.)access to populations in outlying areas of the community 24.)lack of knowledge of services available 25.)services available only for specific types of individuals 26.)growing population of Will County 27.)increase in causal factors that increase the "in-need" population 28.)service organization and agencies are abundant but practitioners and providers of care are too few 29.)population growth in Will County causing the need and demand for services 30.)increase in ethnic populations, such as Latino and Hispanic populations 31.)rise in elderly population within Will County 32.)newly retired seniors 33.)impact of the prevalence or certain illnesses within the community, and the rising number of persons 34.)increase in the portion of community with specific beliefs and stigmas 35.)increasing number of financially instable populations 36.)unemployment 37.)inability to afford treatment 38.)insurance coverage issues 39.)not considered a priority when compared to physical ailments by residents of Will County (education, cultural competency and gap between providers of care and their patients who receive treatment or therapeutic services, as well as between the various service organizations not involved in a collaborative effort or partnerships to best serve their patients 40.)demographic changes in community (newly retired seniors, increase in Latino population, impact of prevalence of certain illnesses) 41.)beliefs held by specific populations and ethnic groups 42.)lack of financial support and resources for services and for the patients who need those services (decrease in state loans, funding, and aid, unemployment, insurance coverage issues) |
1.)Establish a collaborative to explore new resources and enhance existing ones. 2.)Assets mapping of both professional and community services available; identify duplicate programs within the community that could be combined to maximize resources or providers; identify underutilized resources (especially in the community). 3.)Develop method to track waiting lists, hospitalizations and referrals related to behavioral health and substance use disorder. 4.)Recruitment of bi-cultural professionals, volunteers, or interns, and support the continued education of existing staff for service providers and community member; and increase workforce development (especially in the outlying communities); use of consumer-based recovery groups. 5.)Develop and offer psycho-education classes to increase knowledge and awareness of lay professionals, community, and consumers (first responders, faith-based organizations) 6.)Collect and use existing data from current service providers, schools, and hospitals (check with Crisis Line referrals) 7.) Conduct a county-wide survey 8.)Develop a social marketing campaign 9.)Provide information to Will County policy makers to advocate change. |
| Will County Health Dept |
4 |
Prevention and Management of Chronic Care Issues |
1.)By 2015, reduce by 2% the number of hospitalizations in Will County for asthma, diabetes, hypertension and heart disease. (Baseline: # of hospitalizations in 2008: Asthma-909; Diabetes-1053; Hypertension-468; and Heart Disease-6447, Illinois Department of Public Health Emergency management System) 2.)By 2015, reduce by 2% the number of hospital readmissions in Will County for asthma, diabetes, hypertension and heart disease. (Baseline data to be collected) 3.)By 2015, increase the number of schools that implement a comprehensive wellness program. (Baseline data to be established by county-wide school survey) |
1.)life style 2.)education |
1.)By 2014, reduce to 16%, adults in Will County that report being obese, (BMI over 30). (Baseline: 18.7, 2007-2009 BRFSS). 2.)By 2014, reduce to 25%, adults in Will County that have been told by a health provider that they have high blood pressure. (Baseline: 27.9%, 2007-2009 BRFSS) 3.)By 2014, reduce to 24% the number of adults in Will County who have ever been told they have high blood cholesterol. (Baseline: 26.4%, 2007-2009 BRFSS) 4.)By 2014, increase the number of schools who provide educational curriculum on nutrition education. (Baseline data to be established by county-wide school survey). 5.)By 2014, increase the number of youth that participate in the recommended amount (one hour or more) of daily physical activity. (Baseline data to be established by county-wide school survey). 6.)By 2015, reduce the number of schools that provide unhealthy beverage and food choices to students. (Baseline to be determined by school survey). |
1.)eating habits 2.)lack of exercise 3.)tobacco 4.)cost of food-fast food tends to be cheaper 5.)lack of times for eating and exercising to burn off heavy amounts of calories consumed 6.)social marketing 7.)availability of services (no Farmers' Markets, abundant food desserts, lack of quality food) 8.)culture (ethnicity related, and socioeconomically related) 9.)built environment 10.)cost 11.)cultural barriers (ethnicity-beliefs and ideals; socioeconomic-access to high cost facilities and services available) 12.)policy 13.)weather 14.)sedentary due to technology (T.V., video games, etc...) 15.)working family parent(s) 16.)social pressures 17.)tobacco marketing- targeted towards lower socioeconomic status populations 18.)lack of funding and financial resources for prevention methods 19.)lack of health IQ(of the issue) 20.)cultural barriers (beliefs, medical practices) 21.)lack of financial support for those in need in the community 22.)emphasis on treatment or management of illnesses rather than on their prevention 23.)lack of prevention services 24.)cultural beliefs 25.)barriers to care (transportation, health insurance, language, etc.) 26.)demographic changes in community (newly retired seniors, increase in Latino population, impact prevalence of certain illnesses) 27.)lack of financial support and resources (state loans, funding, aid, unemployment) 28.)decrease in workforce and development (such as lack of competent and experienced health care facilitators) 29.)lack of healthcare workers 30.)lack of home services 31.)lack of money and funding for food, clothes, transportation and other basic necessities of life |
1.)Work with the MAPP Steering Committee, existing coalitions, schools, faith based institutions, medical providers, community organizations, park districts, hospitals, volunteer organizations and other key partners to identify partners for the collaborative. 2.)Establish Memorandums of Agreement among collaborative members. 3.)Identify and collaborate with pharmacists, insurance providers and managed care organizations. 4.)Implement a Will County Speakers Bureau for chronic care issues to educate Will County residents about healthy lifestyles and chronic disease management. 5.)Work with the established collaborative to identify qualified speakers for chronic care issues. 6.)Research best practices and identify training curriculum (materials) for speakers. 7.)Develop social marketing messages for healthier lifestyles. 8.)Develop and implement a marketing and advertising campaign for educating the public about healthy lifestyles and chronic disease management. 9.)Standardize health education and prevention materials to distribute to Will County area health providers, hospitals, community health centers and clinics, on prevention and management of chronic care issues. 10.)Identify existing resources and educational materials, and chronic care models being used by health care providers. 11.)Research best practices and identify chronic care management models. 12.)Research best practices for comprehensive wellness programs in schools. 13.)Define and establish criteria for a comprehensive wellness program for schools. 14.)Conduct a county-wide school survey. 15.)Work with health department epidemiologist to collect county specific data from YRFSS. 16.)Research and identify best practices for nutrition education. 17.)Promote best practices to schools for adoption into their health education curriculum. 18.)Work with park districts, schools, community based organizations and coalitions to identify resources for affordable physical activities. 19.)Promote affordable physical activity curriculum and activities to Will County schools. 20.)Define and set criteria for "unhealthy choices" 21.)Educate parents and community on affects of unhealthy choices. 22.)Mobilize parents and the community to encourage and advocate for healthier food and beverage options in the schools. |
| Will County Health Dept |
5 |
Youth Services |
1.)By 2015, increase linkage of youth services by 15% amongst social service agencies, recreational service providers, the legal system, the educational system and families. (Baseline: Essential Service #7- overall score 41%, Will County 2009 LPHSA) |
1.)lack of cohesiveness between agencies (social service organizations, legal system, educational system, and families) 2.)family unit disintegration |
1.)By December 2011, establish baseline data of Youth Services Network members that provides coordination and linkages between agencies and existing programs. 2.)By December 2013, increase by 10% the coordination of systems among the Youth Services Network members. (Baseline to be determined) |
1.)lack of knowledge of agency and mission's services 2.)lack of partnerships and collaboration 3.)narrow and focused policies specific to agencies 4.)gaps in services (linkages between programs) 5.)agencies have poor newspaper and media support (lacking media relations for effective health communication for promotion of services) 6.)poor, or lacking, communication between schools and communities 7.)fear of competition (trust issues between agencies and levels of involvement with the services provided) 8.)grants, funding and money issues (stay specific to the requirements of grants-cause limitations and ineffectiveness when providing services) 9.)"my kids" attitude 10.)un-streamlined networking of agencies 11.)access to agencies and services (transportation; location of agencies and their services) 12.)agencies and policies limited to substance abuse, detention programs, or youth programs (should be broad and crosscutting other areas of health) 13.)improper handling and transitioning of youth (gaps in-between services should be eliminated) 14.)dual working families 15.)single parent families 16.)lack of guidance 17.)unemployment 18.)lack of time (for both, youth and their parents) 19.)lack of transportation and access to services available (limited routes and schedules for public service transportations; residency and related geographical barriers and limitations when trying to access services; population of the community in outlying areas) 20.)lack of knowledge of services available (competence to use services available; specific locations of public services, and directions and paths to those locations; existing partnerships within the community, what they are and what services they offer. 21.)isolation (from community, if not involved in school groups, or based on cultural, religious and family lifestyles; from services, for economic and affordability reasons, etc.) 22.)lack of positive role models 23.)lack of financial resources (state loans, funding aid, unemployment) 24.)lack of transportation and access to services available (limited routes and schedules for public service transportations; residency and related geographical barriers and limitations when trying to access services; population of the community in outlying areas) 25.)lack of knowledge of services available (competence to use services available; specific locations of public services, and directions and paths to those locations; existing partnerships within the community, what they are and what services they offer) 26.)lack of communication (praise, corrective, etc.) 27.)lack of financial resources (poor status of state economy causing decreases in state loans, funding, aid for in-need families) 28.)affordability of programs (high fees and costs of services) |
1.)Establish a Youth Service Network among existing providers and coalitions. 2.)Survey Network members to determine baseline data for current coordination and linkages of services. 3.)Incorporate teleconference and use of web based products to bring those in outlying areas to the network. 4.)Develop a marketing strategy to encourage members from all systems in Will County to participate in the Network and assessments of linkages. 5.)Partner with local colleges to create a formal season internship development program to do asset mapping and assessments; Create a steady networking structure through asset mapping and evaluation. 6.)Explore the pursuit of grant funding to implement programs targeted at parents and families to impact family unit disintegration and strengthen family values. |
| Winnebago County Health Dept |
1 |
Access to Care |
Improve availability of access to health care, including behavioral health and oral health care services. |
1.) Lack of consumer knowledge/awareness 2.) Lack of providers/services for uninsured/underinsured/ Medicaid |
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"1.) Lack of early education about preventive care |
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| 3.) Family influences |
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| 4.) Language barriers |
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| 5.) No 2-1-1 service |
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| 6.) Lack of help navigating the system |
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| 7.) Access to Care Prioritization Work Group Report |
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| 8.) Plan design |
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| 9.) Insurance plans not providing for preventive services |
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| 10.) Limited resources for uninsured individuals |
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| 11.) Funding for preventive care lacking |
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| 12.) Cost of preventive care |
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| 13.) Bureaucratic barriers |
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| 14.) Patient discrimination |
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| 15.) Lack of charity involvement in preventive/primary care |
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| 16.) Lack of help navigating the system |
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"1.) While there are teen pregnancy prevention programs in the area, they don't reach everybody. With funding cuts to Title X family planning programs, and strained school health education curriculums, the work group believes it is necessary to invest in pregnancy prevention programs. These efforts could be supplemented by local church groups. |
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| 2.) The Access to Care work group recommends increasing utilization of preventive care services through the use of economic incentives. Targets include: GED program completion (acknowledging education is preventive care as well), immunizations, teen pregnancy prevention program attendance, and a variety of other preventive services. |
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| 3.) The Rockford Health Council should support ongoing United Way efforts to bring a comprehensive 211 system to the region, provided that the system communicates with other information and referral services in the area and use a real-time database. |
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| 4.) Reconfigure the existing Rockford Health Council Behavioral Health Task Force. The new Task Force will serve as an overarching Steering Committee, responsible for ensuring the effective and efficient delivery of Behavioral Health services in Winnebago and Boone Counties. |
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| 5.) Convening a group of oral health professionals and general health practitioners to promote the coordination of services and oral health literacy (both provider and consumer). This group will be given the task of looking at the necessity of integrating oral health into the wider health care system. The Illinois Primary Health Care Association currently runs a program attempting to include oral care as part of a comprehensive health care plan in partnership with Crusader Community Health, in which they train pediatricians about oral health issues and have them incorporate fluoride varnish treatments into medical appointments. The intervention recommended by this work group is to support the continuation of the program and its expansion into the community. This is an exemplary way to tie oral health together with general health. |
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| 6.) Support the continuation and expansion of the following oral health programs: Bright Smiles, so that it may include both the elderly and children; Lifescape, Provena and NIAAA Senior Oral Health Coalition programming which provides referrals to the Dental Hygienist program at Rock Valley College for basic oral care and to private oral care providers for more extensive oral care, and its expansion to cover those 55 and above. Support the continuation and expansion of the Access to Dental Team by involving more partners. The Team has been focused on children, but because of oral health issues of the elderly, it is recommended that the Senior Oral Health Coalition be folded into the Access to Dental Team. Support the continuation and expansion of Healthy Smiles, Healthy Kids. |
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| Winnebago County Health Dept |
2 |
Maternal and Child Health |
Develop a coordinated system of intervention services for prenatal, early childhood, and maternal intervention services. |
"1.) Limited access to preventive health information |
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"1.) Lack of knowledge of educational opportunities |
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| 2.) Lack of involvement by fathers |
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| 3.) Peer pressure |
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| 4.) Lack of curriculum in schools |
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| 5.) Lack of positive role models |
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| 6.) Single Teen Mothers |
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| 7.) Lack of social support |
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| 8.) Lack of perceived life alternatives |
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| 9.) Psychology of low SES |
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| 10.) Lack of educational/career aspirations |
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| 11.) Lack of parental support |
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| 12.) Funding issues |
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| 13.) Unemployed/underemployed |
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| 14.) Title X |
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| 15.) Lack of funding |
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| 16.) Lack of parental involvement in sex education |
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| 17.) Language barriers |
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| 18.) Limited employer insurance |
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1.) Advocate for the coordination of the Early Learning Council into an umbrella organization overseeing services and planning for early childhood target populations. Local partners should implement mentoring programs (using proven, holistic curricula) targeting preteens and teens both before pregnancies and after births for single moms; intergenerational programs are highly advised. |
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| Winnebago County Health Dept |
3 |
Chronic Diseases |
Reduce the burden of morbidity (i.e. disease incidence) and premature mortality from the major chronic diseases including cardiovascular disease, diabetes, cancer, and chronic lower respiratory disease. The focus of interventions should target risk factors and direct contributing factors to these major causes of morbidity and mortality. |
"1.) Environmental asthma |
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| 4.) Lack of vaccinations (pneumonia, flu) |
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"1.) Access to Prenatal care |
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| 3.) Education/awareness |
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| 4.) Poverty |
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| 5.) Socio-economic |
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| 6.) Access to care/meds |
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| 7.) Genetics |
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| 8.) Heredity |
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| 9.) Industry/Energy Production |
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| 10.) Maternal stress level Racism |
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| 11.) Socioeconomics |
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| 12.) Unwilling to access prenatal care |
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| 13.) Lifestyle Choices |
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| 14.) Air pollution |
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| 15.) Allergies |
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| 16.) Vehicle Pollution |
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| 17.) Levels of allergens |
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| 18.) Environmental asthma |
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| 19.) Farm chemicals |
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| 20.) Lack of education/awareness |
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| 21.) Knowledge of family history |
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| 22.) CLRD (COPD, Asthma, Emphysema) |
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| 23.) Education/awareness |
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"1.) Several evidence-based activities are shown to reduce childhood obesity. Communities should increase the amount of physical activity in PE programs in school, and increase the opportunities for extracurricular physical activity. Communities should also seek to reduce screen time in public service venues. (Source: Task Force on Community Preventive Services). Therefore, the Chronic Disease Prioritization Work Group recommends teaming with the Rockford Park District and its funded program, Summer Challenge at the programmatic level and for RHC to promote and endorse several policies at an administrative level. |
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| 2.) The Work Group recommends a 2 tiered approach directed toward a policy effort at both a community and organizational level and secondly an organizational approach at several pilot workplaces, using evidence-based interventions which have proven successful at reducing tobacco usage in the work place. |
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| 3.) The Work Group recommends continuing the outstanding work of the Changing Hearts program. |
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| Winnebago County Health Dept |
4 |
Crime and Violence |
Reduce the incidence of domestic violence and crimes committed with guns. |
1.) Mindset/Behavior 2.) Weapon Availability 3.) Background of family adversity |
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"1.) Lack of jobs/need money |
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| 4.) Mindset/Behavior |
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| 5.) Video games/movies/TV |
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| 6.) Mental health/ substance abuse issues |
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| 7.) Music |
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| 8.) Accepted behavior |
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| 9.) Cultural acceptance |
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| 10.) Lack of positive role models/mentoring |
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| 11.) Media Influence |
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| 12.) Economic impact |
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| 13.) Lack of family support |
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| 14.) Drugs/gangs Retaliation |
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| 15.) Greed/profit |
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| 16.) Mental health/ substance abuse issues with parents |
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| 17.) High profitability of illegal weapon sales |
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| 18.) Single parent homes |
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"1.) Improve access to information regarding resources for domestic violence, through the development and ongoing maintenance of a specific, local web site dealing with domestic violence. The intervention suggested is a "Rockford Help" web site with information on local social service agencies and programs serving individuals involved in domestic violence; the site could possibly cover all areas of social services and not just domestic violence (e.g. 211 Call Center). |
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| 2.) Domestic Violence Impact Panel (DVIP). The Domestic Violence Impact Panel program is aimed at preventing offenders from repeating and escalating their crimes, and is modeled after DUI panels. First-time arrested offenders are ordered into the program by the court and face a panel of presenters comprised of domestic violence survivors, individuals who grew up in homes with domestic violence, and family members of deceased domestic violence victims. The panel shares their stories of how domestic violence has affected their lives. The hope is to catch first-time DV offenders, before they become repeat offenders. The Chief Judge in Winnebago County has given permission for this program and assigned staff to monitor it. If the program is successful, it will result in reduced recidivism and fewer repeat offenders. |
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| 3.) Gun Violence Public Awareness Campaign, emphasizing penalties for using a gun in a crime. The campaign would include the following: |
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| Public Service Announcements, with a tagline such as "Use a gun, do the time" |
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| Gathering spokespersons to re-emphasize the messaging from the PSA's |
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| The support of the Police, Fire, EMS, health systems, etc. |
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| A kickoff/launch event |
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| The main thrust of the messaging will be gun violence, and the penalties for using guns to commit crimes. |
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| A gun buy-back program will also be incorporated, with businesses being solicited to provide gas cards or grocery gift cards for guns turned in. |
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| The program will also be tied into the Violence Enders program at Kennedy Middle School and, hopefully, West Middle School, with newsletters, in-school announcements, and activities geared toward teaching children about the consequences of using a gun illegally and gun safety. Violence Enders could be utilized to design PSAs targeted toward middle and high school students. |
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| Winnebago County Health Dept |
5 |
Health Equity |
Increase awareness of the burden of health disparities and the enormous gap that exists in many health conditions in the most vulnerable segments of Winnebago County's population identified largely by their economic disadvantages. |
"1.) Racism and Classism (Institutional/Interpersonal Internalized) |
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| 2.) Physical effects of chronic stress; lack of control; (high cortisol levels) |
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| 3.) Unequal access to quality health care" |
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"1.) Family / Individual Medical and Social History |
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| 2.) Providers with Low Cultural /Linguistic Levels of Competency |
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| 3.) Lack of understanding healthcare system |
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| 4.) Lack of employment opportunities |
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| 5.) Low health literacy |
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| 6.) Low educational attainment |
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| 7.) Cultural insensitivity |
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| 8.) Few multi-linguistic health care professionals |
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| 9.) Non-compliance with treatments for chronic conditions |
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| 10.) Cultural tolerance vs. Cultural welcoming |
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| 11.) Low Social Economic Status |
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| 12.) Lack of knowledge of family history |
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| 13.) Social norms/Mistrust of healthcare providers |
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| 14.) Genetic predisposition |
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| 15.) Lifestyle choices/Noncompliance |
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| 16.) Quality of services/Resources |
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| 17.) Safety of the built environment (man-made) that supports physical & mental well being |
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| 18.) Lack of safe affordable housing |
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| 19.) Lack of economic development/Investment |
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| 20.) Lack of access to affordable quality food (Food Desert) |
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| 21.) Immigration status |
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| 22.) Uninsured/underinsured/non-acceptance of medical card |
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| 23.) Inability to maintain continuity of care with a primary care physician |
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| 24.) Violent crime |
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| 25.) Low priority for health |
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| 26.) Government Policy / Allocation of Resources |
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"1.) Coordinate a multisectoral Health Equity Coalition that will examine health inequities in Boone and Winnebago Counties and champion health equity in the region. This coalition should be inclusive and invite widespread dialogue and participation - from those involved in grassroots citizen projects to vulnerable populations to bona fide community leaders. The Coalition will use relevant toolkits in addition to following the model outlined in the National Stakeholder Strategy for Achieving Health Equity with the following main goals: |
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| Awareness: Increase awareness of the significance of health disparities, their impact on the nation, and the actions necessary to improve health outcomes for racial, ethnic, and underserved populations |
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| Leadership: Strengthen and broaden leadership for addressing health disparities at all levels |
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| Health system and life experience: Improve health and healthcare outcomes for racial, ethnic, and underserved populations |
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| Cultural and linguistic competency: Improve cultural and linguistic competency and the diversity of the health-related workforce |
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| Data, research, and evaluation: Improve data availability, coordination, utilization, and diffusion of research and evaluation outcomes |
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| Woodford County Health Department |
1 |
Obesity |
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1.) Sedentary Lifestyle 2.) Low Fruit and Vegetable Intakes 3.) Physical Inactivity 4.) Overweight/Obesity |
1.) Increase the number of Farmers Markets within the County from one to two by 2015. 2.) Increase the number of schools with at least 50% of PE class time with moderate-to-vigorous physical activity to 4 high schools and 6 grade schools by 2015. 3.) Increase the number of adults who consume more than five servings of fruits and vegetables per day from 11.6% in 2008 to 18% by 2015. (WC/IL BRFSS 2008) 4.) Increase the number of schools (all grade levels) lunch fruit and vegetable offerings from 1/2- 3/4 cup of fruit and vegetables combined in 2011 to 3/4 - 1 cup vegetables plus 1/2 cup -1 cup of fruit per day to 90% of Woodford County Schools by 2015. (Resources: Healthy Hunger-Free Kids Act of 2010 and the Nutrition Standards in the National School Lunch and School Breakfast Programs.) 5.) Decrease the number of adults who report being |
1.) Stress 2.) Lack of knowledge/education 3.) Culture 4.) Diet 5.) Sedentary Lifestyle 6.) Lack of access to healthy foods |
"1.) Establish county wide coalition, WOW (Woodford on Wellness) to develop, implement and evaluate strategies by 2012. 2.) Expand the number of Farmers Markets. Resource: Community Business Associations and University of Illinois Extension Service. 3.) Promote the use of Farmers Markets through education on the use of fresh fruits and vegetables. Resource: U of I Extension, local libraries, hospital. 4.) Develop partnerships with the business community to advance worksite wellness programs. Resource: American Cancer Society; WOW Coalition |
| 5.) Expand the foods available to low-income families through Food Pantries. Resource: Church Councils, Heart House/Hartline. 6.) Expand the fresh fruits and vegetables available to school breakfast/lunch programs. Resource: U of I Extension, local grocery stores, local farmers. 7.) Increase the number of physical activity based programs offered by community park districts and churches such as volleyball tournaments or walks. Resource: Park Districts, Woodford County churches |
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| Woodford County Health Department |
2 |
Access to Mental Health |
Increase the opportunities to access Mental Health Services by Woodford County residents by increasing the locations within Woodford County that offer mental health services to residents. |
1.) Substance Abuse 2.) Mental health 3.) Economic Stressors |
1.) Increase the number of locations within Woodford County that residents can access Mental Health Services by one by 2013. 2.) Develop a baseline of mental health services available to Woodford County residents in 2012. 3.) Increase the number of referrals for mental health services by 5% from 2012 baseline by 2015. |
1.) Reduced opportunities to receive Mental Health services 2.) Increased economic stressors, both for individuals and agencies 3.) Dysfunctional family 4.) Genetics 5.) Abuse of alcohol and other drugs 6.) Coping skills |
1.) Expand counseling services in Woodford County by providing a mental health clinic within Woodford County. 2.) Conduct a survey of mental health providers such as probation, physician offices, clergy, school counselors and others to 1) determine the mental health needs of the residents they serve and 2) identify the gaps of services they/their clients experience. 3.) Develop a listing of available services and distribute the list broadly to Woodford County Service Providers. 4.) Identify a plan of action for gaps identified after the needs assessment of mental health providers is identified. |
| Woodford County Health Department |
3 |
Substance Abuse |
"1.) Decrease the adult acute/binge drinking rates from 16.6% to 12% by 2015. (IBRFSS 2008) 2.) Reduce the proportions of persons engaging in binge drinking during the past 30 days- Adults 18 years and older from 27% to 24.3% by 2015. (Healthy People 2020). |
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| 3.) Reduce the proportion of adults reporting use of any illicit drug during the past 30 days from 7.9% to 7.1% by 2015. (Healthy People 2020). |
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"1.) Heredity |
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| 2.) Mental Health |
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| 3.) Environmental |
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1.) Increase the support the substance abuse educational efforts for adults from one to six by 2015. The efforts will include working with local partners to educate the community about the effects of substances. 2.) Work with local partners to develop illicit drug trainings and forums. We will attempt to hold at least one forum in six incorporated areas of the county. We will attempt to hold training for those key stakeholders that will help with data reporting and educational efforts in the county. |
1.) Peer pressure 2.) Culture 3.) Dysfunctional family 4.) Genetics 5.) Generational drinking 6.) Stress 7.) Coping skills |
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| 1.) The CASA coalition will expand the number of alcohol and illicit drug education programs to adults. 2.) Coordinate with the Prescription Pill Drug Disposal program to collect unused/unwanted prescription medications at least once a year in Woodford County. 3.) Work with the local hospital in establishing an accurate reporting system to the coalition on a quarterly basis. 4.) Work with the local police Department to establish an accurate reporting system to the coalition on a quarterly basis. |
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