Carole McDougall, our Communications Director here at United Way, recently showed me an article entitled, ‘The Elephant in the Room, Casting an ironic eye at the province’s new “Thrive” initiative.‘ The article, published in the July edition of Southender Magazine, was written by Denise MacDonell and made some observations about the initiative. Who better to make those observations than MacDonell who is described as a Halifax-based observationist, who is interested in politics, real estate, the arts and everything else?

I contacted Denise via Twitter to ask if she would be a guest blogger and have her post featured on our blog. She enthusiastically agreed. I think her ideas make for a nice contrast to my initial thoughts on the launch of the Thrive! Health initiative, which you can read in the previous post.

So, without further ado, we present Denise MacDonell to talk about the intersection of poverty and health.

Welcome Denise MacDonell as our Guest Blogger!

 

 

 

 

 

 

 

 

 

Recently, our provincial government launched its plan to combat obesity among children and youth in Nova Scotia. The party announcing the “Thrive” initiative was grand! A dais of dignitaries looked down on the crowd, with approval. Fit and healthy young parents were there with their children, extolling the virtues of everything from breastfeeding to homemade baby food. Children displayed their vigor and vitality through dance, and there were photo-ops aplenty for the media, who turned out in force. And the setting? It could not have been more appropriate; the farmers’ market, with its organic and free-range wares on display, was a fitting backdrop.

The event was not without irony, however.

The reality of this festive and optimistic event is that few of the people who could most benefit from the measures set out in the “Thrive” program were in attendance. Indeed, it was a gathering of “the converted,” people who already live the life prescribed through the government’s program, people with ample access to food and organized sports and safe playgrounds. Where were the people who lack those things?

What was not addressed at the launch party was the link between poverty and obesity. In developing nations, poverty is very often linked to children who are underweight and malnourished. In North America and other developed countries, the opposite is true. Obesity among children and youth is inexorably linked to income. The lower your income goes, the likelier it is that you, and your children, will be overweight. It is a global irony.

There is a lot of literature out there that supports the notion that income and weight are inversely related, here in Nova Scotia and across Canada. I wonder what the results would be if one could compare the weights of the dancing children of Bedford South to their counterparts in our province’s poorer communities. I am talking about places where dance lessons or organized soccer just aren’t part of the picture. Communities where playing outside is dangerous, or deadly, and where parents choose between buying groceries or paying the electric bill; where you get on the bus at seven in the morning, off the bus at five o’clock in the afternoon, too tired to play and with the nearest swimming pool 50 kilometres away. Would we see differences between these two groups of young people? I bet we would.

I wonder if single parents working 12-hour minimum-wage shifts went to the launch, or watched the coverage. Were our fellow citizens who sustain themselves on income assistance inspired by what they read and saw in the news? And the family where the breadwinner is suddenly disabled; does the $2 million invested in “Thrive” give them hope for their children? It wouldn’t surprise me if the news of the government’s plan went unnoticed among these families, not because they don’t care, but because their days are consumed with figuring out how to keep their kids warm and fed and out of trouble.

Probably the most significant effect of the “Thrive” program is that we can say we tried. Will we ever see an effect from this initiative? I’m doubtful. My hunch is that the real problem is not obesity, but poverty, and there’s not a government on the planet that has managed to address that.

Denise MacDonell is a Halifax-based observationist. Follow her on Twitter @Dakneez

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So the Province just launched a health plan. Some folks were referring to it as the obesity prevention strategy, but it is marketed as a plan for a healthier Nova Scotia. Sounds more enticing to me!

I’m not going to give a detailed overview of this 66 page plan. I will let someone else do that. I will tell you the things that jumped out for me and my initial reactions to the plan. For more reactions check out the selected tweets from the launch here.

Two women playing leapfrog.

Nothing like a good game of Leapfrog in 1937

Premier Dexter started off by talking about how we have some of the highest rates of chronic, preventable disease in the country and how the government will make health a government-wide priority. I like that he acknowledged some of the scary health stats that we have here in NS. I like that different parts of government say they will be pulling in the same direction. I think that is the only way we can make the needed change.

Health and Wellness Minister, Dave Wilson, said that Thrive uses policy to create environments that support us all of make healthier choices. He says although the choices we make every day are very important, that it is not all about individual will power. We are shaped by the options and external factors around us too. I like the acknowledgement that both personal motivation and the environment shape a person’s health. This conversation can easily turn into no one taking responsibility for their own health or, conversely, people ‘blaming the victim’. It is a fine line to walk and I like the way they have laid out their messages.

The four Directions are solid and the objectives that are laid out are practical but progressive. You can read about them here. I’m particularly excited, personally, to read about partnerships with education to get kids moving more in school and about promoting active transportation. Talking to the schools and impacting on the built environment are areas that have potential to change far more if there is government leadership.

Kids playing stickball

Kids playing stick ball at the Big Cypress Reservation, Florida, 1989

How all of this rolls out will, of course, come down to how open and flexible people are to partnerships and working differently to create those policies and environments that encourage us all to get moving and eat better. It also comes down to how much each of us is willing to do for ourselves and our families to be healthier. You can take the Thrive pledge here.

I know this has been an overly positive review of the plan. I reserve the right to read it through and come back with some other, less glowing thoughts. Overall, it seems based on evidence and public consultation, it builds on and highlights what good stuff we already have going here, it acknowledges the magitude of our challenges and it presents some progressive solutions. Here’s hoping that there is tons of momentum to move this plan into action!

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I’ve been thinking more about data, health and technology. I figured there had to be someone doing amazing things with people’s datasets so I googled, ‘Awesome Health Data’ and U.S.-based Massive Health came up. A little about these folks from their blog:

At Massive Health, we’re all about creating a design renaissance in healthcare. Our bodies aren’t the best feedback system and we want to fix that. We want to make beautiful products that aren’t just functional, but that people want and love to use. … I’m also interested in how technology can be used for behavior change as well as the myriad of different initiatives and innovations working towards better healthcare for all.

So they are a San Francisco start up looking to use technology to get you to track and own your own health data and then use that amassed ’Big Data’ to show us population health trends and information. Check out their blog to see some of the infographs they generated from information from their app, The Eatery as well as from other research.

The Eatery is their first app and is available for iPhones. You take pictures of your meals. You rate your meals and then anyone can also weigh in (pun totally intended) on how healthy your meal is. I read over the comment section, and while there are some issues with the app, like people not reviewing other people’s food thoughtfully, it seems like a very powerful tool to push people towards being more mindful of what they eat. I would think twice about eating piles of grilled cheese sandwiches (which I am very partial to) if I knew I had to take a picture of them and hear what others thought about it. I might still eat it, because sometimes I love to eat things that are not perfectly healthy, but I would stop and think, and I might do it less often.

Massive Health's eating app

Take pics of your meals & get feedback from the masses.

“We need to harness the power of data technology innovation to increase the returns for the people”- Todd Park, U.S. Chief Technology Officer and assistant to the President

Well said Todd, well said. What do you think? Would you use the app? It’s free on the itunes app store. How else could we track our day to day behaviour to learn more about our health? For some ideas, check out this site called Data Driven Decision Making.

 

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Eating healthier is one of those things that many folks aspire to do, but find it difficult to change their eating habits.

We have been having some interesting conversations with our volunteers about healthy eating. What is healthy food? How much personal responsibility should one take for eating healthy food?  What are local barriers and assets for folks who would like to eat healthy? There are no simple answers to these questions, but we keep talking about them in order to figure out how United Way will be able to best support citizens to increase their physical well-being. We really want to be part of HRM having a culture of healthy living.

This is a US poster from WWII

Creative recipes using what you have at hand.

What’s that got to do with Mayonnaise? Well, I’m really interested in what other folks are doing inside and outside of the non-profit sector that is innovative. It just so happens that Hellman’s Mayo has a very creative point of sale campaign that they launched in Brazil. At the checkout, if you bought Hellman’s it would read all of the other items you bought and print out a recipe that included mayonnaise and your other ingredients right on to your receipt!

I’m not telling people that they should or shouldn’t eat mayo. Everything in moderation, right? But that idea is awesome! What else could we do with that concept? Could there be a partnership in our local supermarkets that scanned your items and printed out healthy recipes on your receipt? Could citizens upload recipes to a website that would get incorporated into the database of recipes that gets printed out? People could host healthy dinner parties where they buy affordable and nutritious foods and they have to make whatever recipe gets printed on their receipt. Surprise potlucks!

I was excited to find out about this initiative because a while back I saw this cool video about accidental life blogging, where a young man named Remko Siemerink looked back at his Last fm music history that told him how much music he was listening to over seven years, and he noticed that when he would have depressive bouts coincided with the times when he did not listen to music. What a neat use of that data set! What other data is out there that would help citizens get long-term perspective on their health?

Let me know if you have any insights about innovative ways that people are learning about their health or about food!

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Less is more when it comes to parenting according to an advocate quoted in a CBC article. The story outlines how there is pushback against ‘over parenting’ children. Some parents are embracing the idea that kids can learn things for themselves and that they don’t need to be over-scheduling and monitoring their kids at all times.

Boys playing

Unstructured play is awesome! Who is winning? Everybody.

 

 

 

Interestingly, there were 127 comments after this short article. People cited the need for boundaries for children and for more fun for children. Some even seem to think that this younger generation of kids will be doomed. I think the purpose was just to point out that there is benefit to letting kids discover things on their own and to not over-program their lives. No one would argue that kids should have no boundaries and I personally do not think that any generation is ‘doomed’.

Although the article is short, it ties into a documentary that I saw recently called ‘Lost Adventures of Childhood’. Rhonda Lemire of Recreation Nova Scotia showed it during a discussion about physical activity and nutrition and it was a big wakeup call. The video plays on TV sometimes and you should watch it if you get the opportunity. I am unable to track down a copy to share as a link, unfortunately. There is, however, a link to one of the schools that was featured in the film. They implemented fun activities during recess to help deal with behavioural problems and encourage creativity. They found that when the kids engage in more creative play that there are less behavioural issues to deal with during class time.

If you are interested, here are some links to other organizations who value unstructured play for kids. I particularly liked ‘Wild Zones’, which are green spaces where whimsical, unstructured play occurs and where you don’t have to achieve anything.

Please share any good memories of lessons you learned when you were playing unsupervised as a child!

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The concept of learning from our elders is central in other cultures, particularly in aboriginal traditions, but in North America at large, we seem to have moved away from it.

This might explain the outpouring of support for this Globe and Mail story about a kindegarden in Invermere, B.C. that hosts its class once a week in a seniors home. As of today, the article had been tweeted 1,280 times, recommended on Facebook 701 times and there were 187 comments on the article, most of them extremely positive.

People’s comments seem to indicate relief and appreciation for this simple and low-cost solution (the budget for the program was a little more than $2,000) that seems to benefit most everyone involved.

Picture of senior and child.

Kindegarden in a Seniors home provides opportunities for intergenerational learning and fun

Overall, the seniors and kids have responded positively. In a short video clip that appears with the story, they certainly appear to be having fun together. They seem to naturally respect and understand each other. The seniors help the kids with reading and storytelling. Other similar initiatives have seen test scores increase for the kids and medication intake decrease for the seniors.

I find it interesting that everyone has responded so positively. I think the initiative is tremendous but it seems that with many community initiatives, public response is often more cautious or questioning overall. Many community initiatives certainly do not seem to capture people’s imaginations in the same way. Is this simply an idea whose time has come in North America or are there other factors at play here?

People seem to be able to imagine the benefit to their children or aging parents and made that clear in the comments section as this comment from ‘bje1009′ illustrates:

What a beautiful and inspiring story! Children and seniors always seem such a perfect match. Even in her declining physical and mental state, my grandmother always seemed to blossom when surrounded by the young children of her nieces and nephews. … Children love unconditionally and our elders, I imagine, take great delight in such innocence. I hope this sort of program is extended throughout our school system.

Is this something that has a place in HRM? Why are people particularly delighted with this initiative? Let us know your thoughts.

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Falling coins

Financial literacy is an issue being tackled by United Way Toronto.

 

 

 

 

 

 

Photo Credit: coffeego

United Way of Toronto has a Financial Literacy Strategy and they just partnered with TD Canada Trust who will commit $1,000,000 towards the strategy.

United Way of Toronto’s goal is:

To ensure low-income individuals and families have the opportunity to build the strong financial skills they’ll use well into their future. We’re going past meeting urgent needs by providing people with the appropriate financial information and problem-solving supports that will translate into lasting change. Because by working together, we can change whole communities and help provide a better life for everyone.

The Financial Literacy strategy will help prevent the deepening of poverty and return financial revenues back into the hands of those that need it most. Together, we can have a lasting impact on the economic future of vulnerable members of our community.

Read more about the partnership in a newspaper article here.

The United Way Toronto Financial Literacy Strategy was launched after a 2007 report, “Losing Ground: The Persistent Growth of Family Poverty in Canada’s Largest City” suggested that many people living in poverty didn’t have basic information about finances and as a result made bad decisions when it came to money.

The great thing about United Way of Toronto’s approach is that they developed a strategy that has many different components and they were able to find a partner in TD who is willing to contribute a significant amount of money towards that strategy.

Traditionally, United Way’s fundraise money and then invest that money in local agencies. When United Way staff and volunteers go into workplaces during a campaign, they talk about the many different agencies and initiatives that their United Way supports. With a strategy, such as the Financial Literacy strategy, a United Way can talk to people about a local issue and how they are working with different agencies, private partners, and government to make an impact in that area.

Judging by the substantial financial support from TD, this is a pretty effective way to communicate.

 

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1936 Migrant Mother in California

Interlocking issues for people require interlocking solutions from institutions.

If you are a big community-minded nerd like me, then you will likely have heard of the Tamarack Institute. They have heaps and heaps of lovely information on their website. It’s well worth a lingering perusal. Recently they have released a book called Cities Reducing Poverty. The introduction and contents page are provided in case you want to purchase the book for $10. The introduction is a great primer for wrapping your head around complex community initiatives.

Here is an excerpt:

For practically every family, then, the ingredients of poverty are part financial and part psychological, part personal and part societal, part past and part present. Every problem magnifies the impact of the others, and all are so tightly interlocked that one reversal can produce a chain reaction with results far distant from the original causes.

A rundown apartment can exacerbate a child’s asthma, which leads to a call for an ambulance, which generates a medical bill that cannot be paid, which ruins a credit record, which hikes the interest rate on an auto loan, which forces the purchase
of an unreliable used car, which jeopardizes a mother’s punctuality at work, which limits her promotions and earning capacity, which confines her to poor housing. (Shipler, 2003: 11)

The key to reducing poverty, therefore, is to unlock or disrupt these interlocking cause-and-effect relationships. This requires a comprehensive approach that is sensitive to, and eventually addresses the totality of, the interconnected problems:
… If problems are interlocking then so too solutions must be … a job alone is not enough. Medical insurance alone is not enough. Good housing alone is not enough. Reliable transportation, careful family budgeting, effective parenting, effective schooling are not enough when each is achieved in isolation from the rest. (Shipler, 2003: 11)

In the face of this bewildering array of factors, eliminating poverty for even one person or family is an intimidating prospect. Reducing poverty on a larger scale is even more daunting because the manifestations of poverty vary from person to person and from place to place.

Understanding complex issues and working together towards interlocking solutions is a central challenge for institutions who want to make impact in their community.

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