Promote Safety, Health, Wellness and Good NutritionPlan of Work

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Harlan County CES

Title:
Promote Safety, Health, Wellness and Good Nutrition
MAP:
Making Healthy Lifestyle Choices
Agents Involved:
Lora Davidson, Raymond Cox, Jeremy Williams
MAJOR PROGRAM 1:
Get Moving Kentucky (Physical Activity Based Programs)
MAJOR PROGRAM 2:
Truth and Consequences: The Choice is Yours
MAJOR PROGRAM 3:
Taking Ownership of Your Diabetes Program (Curriculum)
MAJOR PROGRAM 4:
Disaster Preparedness
Situation:
Kentucky adult obesity rates rank among the 10 highest in the US and Kentucky youth rank among the 10 highest for obesity in the US. Harlan County's health risk is high but can be lowered. According to the "County Health Rankings and Roadmaps" Harlan County is ranked 117 out of 120 counties in measuring the "most health counties." From those numbers, 38% of adults are obese, 40% are inactive, and only 44% have access to exercise opportunities. Obesity is a major factor for many chronic diseases such as diabetes, heart disease, stroke, and cancer. Increased consumption of unhealthy foods, stress and lack of physical activity are largely responsible for obesity.
Long-Term Outcomes:
Increase in the practice and promotion of physical activity and healthy eating daily. Manage and prevent the risk and premature death related to diabetes, cancer, heart disease, stroke and hypertension. A decrease in the number of youth and adults participating in substance abuse.
Intermediate Outcomes:
Individuals will prepare more meals at home. Individuals will increase their food availability by personal gardening or community systems. Individuals engage in regular physical activity. Individuals will grow, care for, produce and preserve foods from personal gardens and orchards to gain access to healthy foods. Individuals engage in good food safety practices. Individuals demonstrate food preparation skills. Individuals utilize community support systems that provide access to healthy foods. Practice healthy lifestyles decision-making that strengthens individuals ability to cope with normal life stressors.
Initial Outcomes:
Individuals will be able to identify the components of a healthy diet as refined by the Dietary Guidelines for Americans. Individuals will recognized the importance of physical activity as part of a healthy lifestyle. Individuals will develop skills and knowledge to grow their own garden and preserve that food. Individuals will describe food preparations techniques. Individuals will be able to describe food safety practices.
Evaluation:
Initial Outcome: Families will increase knowledge, skills and attitudes related to healthy life skill choice, food preservation and food safety.
Indicator: Number of people eating more healthy foods. Number of people participating in physical activity.
Method: Formal and informal surveys, word of mouth
Timeline: Throughout year

Intermediate Outcome: Families practice healthy food choices and physical activities.
Indicator: Number of people that report eating healthier foods, more fruits and vegetables. The number of people participating in Get Moving Kentucky and other physical activities.
Method: Formal/informal survey, enrollment forms.
Timeline: Throughout year

Long-term Outcome: Increase physical activity and consumption of healthier foods in Harlan County.
Indicator: Reduce chronic disease rates in county.
Method: Surveys, statistics
Timeline: Throughout year
Learning Opportunities:
Audience: Families, Adults, Groups
Project or Activity: Get Moving Kentucky
Content or Curriculum: FCS Curriculum
Inputs: Staff, health professionals and agencies
Date: Fall, Spring

Audience: Adults
Project or Activity: Diabetes Programs, Diabetes Coalition, Cooking School
Content or Curriculum: Take Control of Your Diabetes, recipes, Diabetes Self-Management, Plate It Up Kentucky Proud
Inputs: Staff, registered dietitians, health department
Date: Throughout Year

Audience: Students
Project or Activity: Truth or Consequences
Content or Curriculum: Truth or Consequences Curriculum
Inputs: Staff, county leaders, volunteers
Date: Fall or Spring

Audience: Students
Project or Activity: Safety Day
Content or Curriculum: 4H Curriculum
Inputs: Staff, agencies, leaders, volunteers
Date: March

Audience: Adults
Project or Activity: Holiday Cooking School
Content or Curriculum: Recipes
Inputs: WTA FCS Agents
Date: November

Audience: Adults
Project or Activity: Food Preservation
Content or Curriculum: Food Preservation publications
Inputs: Staff
Date: Summer

Audience: Youth
Project or Activity: 4H Family Fun Night, Poke Sallet Fun Day, Folk Dancing
Content or Curriculum: 4H publications, LEAP
Inputs: Staff, teachers, volunteers, leaders
Date: Throughout year

Audience: 5th & 6th Grades
Project or Activity: Bicycle and ATV Safety
Content or Curriculum: 4H publications
Inputs: Staff, volunteers, teachers, leaders
Date: Fall or Spring

Audience: Adults
Project or Activity: Disaster Preparedness
Content or Curriculum: Publications, workshop
Inputs: Staff, Emergency Management Director
Date: Fall


Audience:
Project or Activity:
Content or Curriculum:
Inputs:
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Success Stories

County Wide Elementary Fitness Fairs

Author: Raymond Cox

Major Program: Health 4-H Core Curriculum

A sedentary lifestyle for many elementary students in Harlan County has resulted in many cases of childhood obesity and diabetes. As part of the Fitness Fair Program, Harlan County 4-H, in cooperation with Harlan ARH Hospital and Harlan County and Independent Resource Centers, sponsored Fitness Fairs in every school during October and November. Approximately 1,200 students in 3rd, 4th and 5th grades participate in an assessment of body weight, body height ,and body mass index (BMI). Students par

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Get Moving KY - Walk Harlan County

Author: Lora Davidson

Major Program: Get Moving Kentucky (Physical Activity Based Programs)

According to the Kentucky County Healthcare Profiles in Harlan County 32.5% of adults are obese and last years reported that 35% of adults were obese. 15.3% of adults have diabetes and the health rankings show that 27% stated that they have poor or fair health and Harlan is ranked #114 overall in the state of Kentucky which is down by 2 from 2017 reports. Exercise reduces risk of heart disease, type 2 diabetes, and some cancer.  Increase of energy can improve your mental and overall we

Full Story

Diabetes Self Management

Author: Lora Davidson

Major Program: Taking Ownership of Your Diabetes Program (Curriculum)

Diabetes is a very complex disease that can affect the human body in a multitude of ways. Diabetes is a leading cause of blindness, kidney disease, heart disease, and amputations, diabetes also claims the lives of more than 80,000 Americans each year. According to the CDC, it was the country's seventh leading cause of death by disease in 2016.    Harlan County was ranked 114 out of 120 states in Kentucky for Health Outcomes and has a diabetic rate of 19% followed with an obesity ra

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Improving the Aging Process and Intergenerational Relationships Through Quilting

Author: Lora Davidson

Major Program: Embracing Life as We Age (general)

The body’s physical and mental decline associated with aging varies from person to person, but common issues can be a decline in memory, difficulty learning new things and trouble focusing from one task to another.  Research shows that people who stay intellectually engaged are more likely to maintain their mental acuity.  Quilting has been done for years to provide warm blankets for families, but in the last few decades retirees have turned to quilting to help fill the time gap

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4-H Safety Day

Author: Raymond Cox

Major Program: Health 4-H Core Curriculum

Oer 400 students attended the 17th Annual 4-H Safety Day held April 12 at National Guard Armory. All fifth graders from Harlan County and Harlan Independent Schools attended.  Due to the increasing number of ATV and drowning related accidents in Harlan and surrounding counties, it was established a need for safety information presented to students by professionals. Water and boating safety, fire safety, emergency rescue, gun safety,  bicycle safety, weather-related safety, ATV safety,

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Appalachian Challenge Academy

Author: Lora Davidson

Major Program: Real Skills for Everyday Life

In the state of Kentucky 774 children have lived in juvenile correction facilities in 2013.  According to the Kentucky Youth Advocates 25.6 % of youth is incarcerated in the juvenile justice system in Kentucky, 40% of children live in high poverty areas and 43.7% of children are in out-of-home care.  Harlan County Extension started a program working with the Appalachian Challenge Academy in Harlan County.  The program was focused on 17 girls that were enrolled into the Appalachian

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