P002: Public Health Division

P002: Percent of children in Healthy Kids, Healthy Communities (HKHC) with increased opportunities for healthy eating in public elementary schools

88.9%FY 2018

Story Behind the Curve
  • This measure includes increased healthy eating opportunities on an ongoing and regular basis, such as weekly classroom fruit/vegetable tastings, salad bars, and edible school gardens.
  • Increasing healthy eating and physical activity opportunities in schools exposes children to healthy lifestyle behaviors at an early age. In 2016, 14.9% of kindergarten and 19.4% of third grade students in New Mexico (NM) were obese. American Indian children have the highest obesity rates among all racial/ethnic groups; by third grade, nearly one-in-two (48.7%) American Indian students is overweight or obese, followed by Hispanics (36%). Obese children are more likely to become obese adults with increased risk of chronic health conditions.
  • The Office of Nutrition and Physical Activity (ONAPA) continued to provide specific technical assistance to local coordinators in 16 Healthy Kids Healthy Communities counties and tribal communities to better engage partners and build school system support for establishing strong wellness policies and sustainable healthy eating initiatives coupled with nutrition education.
  • Diverse multi-sector coalitions comprised of key community leaders help Healthy Kids Healthy Communities achieve meaningful progress in the school setting. In April, the program held a quarterly statewide training workshop where local coordinators, regional health promotion teams, and other key partners learned leadership and systems thinking techniques to strengthen coalitions and advance healthy eating and physical activity initiatives in schools. Also in April, our program partnered with the NM Public Education Department to provide an in-depth workshop for districts across the state on implementing school wellness policies.
  • We will continue to work with Healthy Kids Healthy Communities coordinators, schools, and critical statewide partners such as the NM Public Education Department to build support and ensure obesity prevention initiatives in the school setting are sustainable. We will continue the strategy of statewide trainings in the next fiscal year for coordinators and key partners to network, build leadership and meeting facilitation skills, and effectively advance obesity prevention efforts in their communities.
  • New Mexico Public Education Department
  • New Mexico Children, Youth, and Families Department
  • New Mexico Human Services Department
  • New Mexico Department of Transportation
  • NMDOH Women, Infants, and Children Program
  • New Mexico State University
  • University of New Mexico
  • NMDOH health promotion
  • Schools
  • Planning organizations
  • Parks and Recreation
  • Local/Tribal governments
  • Healthy Kids Healthy Communities (Chaves, Cibola, Colfax, Curry, Dona Ana, Grant, Guadalupe, Hidalgo, Roosevelt, San Juan, Socorro counties; pueblos of San Ildefonso, Zuni, Ohkay Owingeh)
What Works

Centers for Disease Control and Prevention Best and Promising Practices for Obesity Prevention:

  • Improve nutrition quality of foods and beverages served or available in schools consistent with the Institute of Medicine’s Nutrition Standards for Foods in Schools (including increased access to fruit, vegetables, and plain drinking water).
  • Improve the quality and amount of physical education and activity in schools (including increased physical activity opportunities throughout the school day such as daily recess, mileage clubs, and walk and roll to school programs).
  • Establish/expand the 5.2.1.O Challenge in elementary schools.
  • Establish/expand healthy eating opportunities (fruit and vegetable tastings, salad bars, healthy snacks, edible school gardens). 
  • Apply for recognition of healthy eating and physical activity best practices in schools through the US Department of Agriculture Healthier US Schools Challenge.
  • Establish/expand physical activity opportunities before, during, and after school (schoolyards for open community use, walk and roll to school programs, mileage clubs).
Action Plan

Continue to maintain diverse coalition teams in 14 counties and four tribal communities to advance strategies that support healthy eating, physical activity, and access to a healthy and affordable local food supply.

  • Q1:
    • Award 55 HKHC elementary schools the Federal Fresh Fruit & Vegetable Program. Completed - 61 schools.
    • Execute five state FY18 contracts. Incomplete - 3 of 5 contracts executed.
  • Q2: 
    • 60 HKHC elementary schools conducting regular fruit/vegetable tastings. Completed - 73 schools.
    • Execute 19 federal FY18 contracts with October start dates (no programmatic control over contract approval process but work is predicated on contractors). Incomplete - 13 contracts executed.
  • Q3:
    • 55 HKHC elementary schools implementing the 5.2.1.O Challenge. Incomplete - 43 schools (some schools will implement the Challenge in April or May before school is out, and some HKHC communities will also implement in during summer school). 
  • Q4:
    • Recruit 65 public elementary schools recruit for statewide childhood obesity surveillance. Completed - 66 schools.
    • 7 nursing programs assisting with statewide childhood obesity surveillance. Completed - 8 programs.
FY18 Annual Progress Summary
  • The majority of public elementary school children in Healthy Kids Healthy Communities had access to at least one healthy eating opportunity in the 2017-2018 school year. This was accomplished by providing technical assistance and training to Healthy Kids Healthy Communities coordinators, through district wellness policy trainings, and quarterly trainings for Healthy Kids Healthy Communities coordinators and statewide partners.
  • In the fall of 2017, the Obesity, Nutrition, and Physical Activity Program and its partners completed statewide childhood obesity surveillance by measuring 8,065 students in 62 randomly selected public elementary schools and, in March 2018, published its New Mexico Childhood Obesity 2017 Update. The Obesity, Nutrition, and Physical Activity Program and its partners also built support for measuring an additional 2,911 students in 31 Healthy Kids Healthy Communities schools so these communities would have more comprehensive childhood obesity surveillance data.
  • Unmet milestones involving contracts were impacted by administrative processes. Healthy Kids Healthy Communities milestones were met due to contractor successes in working with schools and community partners to increase opportunities for healthy eating. Working in communities and with partners for several years strengthens relationships and makes our strategies and efforts more effective.
Scorecard Result Program Indicator Performance Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy