In The Seven Habits of Highly Effective People, Habit 2 is beginning with the end in mind, envisioning what you canât see but wish to happen. Author Stephen Covey notes, âBegin with the End in Mind means to begin each day, task or project with a clear vision of your desired direction and destination, and then continue by flexing your proactive muscles to make things happen.â
Over the past few weeks, weâve celebrated the culmination of our work on Healthy Kids, Healthy Communities (HKHC), a five-year, $33.4 million childhood obesity prevention initiative supported by the Robert Wood Johnson Foundation (RWJF). In writing and reviewing final reports, sharing lessons learned and thinking about the future, Iâve been reflecting on Coveyâs Habit 2. What end were we envisioning when we launched HKHC? Did we achieve it? And what happens next?
While planning HKHC in late 2007, obesity rates were accelerating at an alarming pace, particularly among children of color. Experts discussed the complexity of this issue, with growing recognition of the need for multi-faceted solutions. They understood that this epidemic, which had been brewing for decades, wouldnât be eradicated overnight.
Together with RWJF, Active Living By Design identified some ambitious goals for HKHC:
With experienced staff in place, a logic model that resonated with researchers and practitioners alike, and hundreds of communities that demonstrated great interest in this work, we were ready to go. And then reality hit. The Great Recession of 2008 led to a significant reduction in funding for HKHC, and we cut in half the number of communities we originally envisioned serving. Locally, many communities experienced significant increases in poverty, unemployment and violence, which diverted resourcesâas well as residentsâ and leadersâ attentionâfrom childhood obesity. The Tea Party movement swept through many parts of the country, compromising city councilsâ, county commissionsâ and state legislaturesâ ability to collaborate effectively on issues viewed by some as solely a personal or parental responsibility. At the federal level, corporations became people, preemption bills stifled or banned local innovation altogether, and the political gridlock experienced locally also hit Washington, DC, with a vengeance.
This could have wreaked havoc on our âbegin with the end in mindâ vision. But there was good news, too. The healthy communities movement received an infusion of new resources thanks to the American Reinvestment and Recovery Act and, later, Community Transformation Grants. Sophisticated web-based resources such as Community Commons and County Health Rankings & Roadmaps brought robust vehicles for networking and valuable data to everybodyâs fingertips, not just to funded grantees. First Lady Michelle Obamaâs Letâs Move! campaign made fitness and healthy eating cool, and provided energy and motivation in our communities, homes, schools and places of workshop. And though the greatly-anticipated tax on sugar-sweetened beverages and cap on portion sizes remained elusive, we learned a lot about effective advocacy strategies from diverse and courageous leaders in Philadelphia, Telluride, the Navajo Nation and New York City.
Isnât this how change happens? Even with a clear vision and the flexing of proactive muscles, itâs messy. Itâs unpredictable. Itâs disruptive. Itâs simultaneously frustrating and exhilarating. And it can be extremely rewarding, as weâve experienced with HKHC.
Although formal evaluation results wonât be released until early 2015, thereâs no question that HKHC had an impact, both on the ground and in the field writ large. In total, HKHC communities implemented 2,183Â policy and environmental changes to prevent childhood obesity and leveraged another $141 million to support their initiatives on the ground. HKHC initiatives created greater capacity in communities, frequently moving them far beyond the initial scope of the grant. Local governments took on greater roles to improve health conditions for low-income children and families. Resident involvement in policy making increased. Elected officials became champions of healthy communities. Likewise, local HKHC project staff frequently transitioned to more influential roles, becoming elected officials and members of appointed commissions. Â We have many reasons to be proud! You can read more about HKHCâs accomplishments, specific success stories and lessons learned in our new publication, Growing a Movement: Healthy Kids, Healthy Communities Final Report.
Recent reports suggest that childhood obesity levels have levelled off, and thatâs encouraging. Yet despite these advances, significant barriers and disparities remainâespecially for poor families and children of color. For example, although young children in Charleston, WV will eat better and be more physically active in childcare centers as a result of the policy wins achieved through HKHC, those same children will graduate to elementary schools that struggle to simultaneously achieve educational standards, meet nutritional guidelines in the lunchroom and offer safe walking environments for students.
I believe, however, that the HKHC communities are in a much better position to address these challenges than they were prior to receiving this funding. A depth of capacity now exists as an outcome of the investment. Technical assistance, peer learning, experience and persistence enabled project staff and partners to continue making improvements in the quality of life of their communities that will be sustained for years to come.
Weâre grateful to the many community leaders and partners with strong visions who joined us in this legacy-building work. As we observe National Childhood Obesity Awareness Month through the end of September, I hope youâll think about ways you can help spread the word, take action to reverse childhood obesity and create healthier communities for everyone. What is the end that you have in mind, and how can we work toward achieving it together?