The HHSP objectives strive to create sustainable change that will transform our communities, schools, health care, and worksites to support the health of the people of Hawaiʻi. Stakeholders developed the HHSP objectives to shape policy, systems and environmental change in the four sector areas: Community Design and Access; Education; Health Care; and Worksite. The objectives are showcased by sector area and include key strategies, baseline, and target measures. The HHSP is meant to be a living document that is reviewed and updated throughout the plan’s timeframe. Implementation of the plan will be a collective effort by individuals and organizations across the state.

Sector Area Description: The Community Design and Access Sector includes places in the community where people live and play, such as public spaces (parks, community centers, and places of worship), physical infrastructure (sidewalks and bike lanes), and retail locations.

Sector Area Goal: All of Hawaiʻi’s people will live in communities that have access to tobacco- and nicotine-free settings, healthy food choices, physical activity opportunities, evidence-based chronic disease self-management programs, and minimal exposure to unhealthy options through policy, programs, communications, and environmental supports.

Community Design and Access Sector Objectives
Objective
ASTHMA - 01
Develop and deliver at least one promotional activity to increase awareness of asthma education resources for non-clinical professionals.
Strategies
  • Identify stakeholders to establish a communications workgroup
  • Convene communications workgroup regularly to develop messages tailored for targeted audience (e.g., coaches and/or caregivers)
  • Identify media outlets that will reach targeted audience
  • Disseminate messages through promotional activities (e.g., social media messages, posters, brochures, or other printed materials) and evaluate messages
Baseline : 0 Target : 1
Strategies
  • Provide written support and/or meet with the Director of Health to document the need of a State Asthma Control Program
  • Provide written support/testimony to legislature to fund the Asthma Control Program Coordinator position
Baseline : 0 Target : 1
Strategies
  • Identify stakeholders such as DOH Hepatitis Program and Hawaiʻi Comprehensive Cancer Coalition's (HCCC) Vaccine-Preventable Cancer Workgroup to establish a communications workgroup to develop a small media campaign
  • Identify and secure resources for the campaign
  • Evaluate the effectiveness of the campaign
Baseline : 0 Target : 2
Strategies
  • Collaborate with cancer partners like the University of Hawaiʻi Cancer Center and Kokua Mau, the Hawaii Genomics Program, and the HCCC Quality of Life Action Team to establish a communications workgroup to develop a small media campaign
  • Identify and secure resources to develop the campaign
  • Evaluate the effectiveness of the campaign
Baseline : 0 Target : 6
Strategies
  • Establish a working group to develop the cancer survivorship resource guide in partnership with the HCCC Quality of Life Action Team
  • Evaluate the validity and value of the cancer survivors and caregivers' resource guide
  • Identify and secure resources to develop and update the guide
Baseline : 0 Target : 1
Strategies
  • Address barriers to clinical trial participation and increase promotion of counter messages through outlets such as print, broadcast, and web-based media
  • Integrate clinical trials into the training curriculum of academic institutions
  • Identify and implement strategies to improve efficiency and resources related to clinical trials coordination for physicians
  • Support access to clinical trials for neighbor island residents diagnosed with cancer
Baseline : 4.8% Target : 5.8%
Strategies
  • Support new organization(s) with the capacity to deliver the Diabetes Prevention Program (DPP) virtually or via telehealth by facilitating and maintaining access to necessary technology
  • Provide technical assistance to organizations in obtaining distance and hybrid National Diabetes Prevention Program (NDPP) CDC recognition
  • Connect referring organizations to distance learning DPP sites
Baseline : 0 Target : 1
Strategies
  • Support new organizations seeking recognition or accreditation by covering the application fees on a once-in-a-lifetime basis and providing technical assistance
  • Collaborate with American Diabetes Association, Association of Diabetes Care and Education Specialists, and local Diabetes Self-Management Education and Support (DSMES) sites to provide training and mentoring to new organizations
Baseline : 19 Target : 22
Strategies
  • Identify stakeholders to establish a communications workgroup
  • Convene communications workgroup regularly to develop messages tailored for targeted audience
  • Identify media outlets that will reach targeted audience
  • Disseminate messages through promotional activities (e.g., social media messages, posters, brochures, or other printed materials) and evaluate messages
Baseline : 0 Target : 2
Strategies
  • Secure long-term funding for Hawaiʻi’s Double Up Food Bucks program, which matches Supplemental Nutrition Assistance Program (SNAP) food stamp dollars spent on Hawaiʻi-grown produce
  • Implement a statewide Produce Prescription Program, which enables participants to redeem "prescriptions" for produce at participating markets and grocery stores
Baseline : 62 Target : 93
Strategies
  • Enact a fee on sugar-sweetened beverages, where revenue is allocated to obesity prevention initiatives
  • Establish long-term, state funding for a Double Up Food Bucks SNAP incentive program
Baseline : 0 Target : 2
Strategies
  • Food access coalitions will create and implement county-level action plans aimed at increasing access to, and consumption of, healthy food
  • Secure county funding to support the activities of the coordinator and food access coalition
Baseline : 0 Target : 4
Strategies
  • Assess statewide resources and capacity to fund and establish state-level Breastfeeding Coordinator position
  • Develop scope and position description to include knowledge of indigenous cultures and breastfeeding support needs
  • Identify gaps and strategically integrate the breastfeeding coordinator position in a way that bridges these gaps
Baseline : 0 Target : 1
Strategies
  • Convene a working group with representation from Hawaiʻi's foodbank network, to develop guidelines for healthy food donations
Baseline : 0 Target : 5
Strategies
  • Incorporate the specifications for "desirable" level of service described in the Hawaiʻi Department of Transportation’s Pedestrian Toolbox into the development of low-stress pedestrian infrastructure
  • Increase Safe Routes to Schools and Safe Routes to Parks programs and projects
  • Develop policies to encourage shade tree planting, to increase canopy cover, on high volume pedestrian corridors and trails
  • Increase share of state and county transportation budgets dedicated to pedestrian infrastructure
  • Implement Vision Zero and Complete Streets policies to increase safety and comfort of pedestrian experience
Baseline : 0 Target : 50
Strategies
  • Increase Safe Routes to Schools and Safe Routes to Parks projects
  • Develop policies to encourage shade tree planting, to increase canopy cover, on high volume bicycle corridors and trails
  • Increase share of state and county transportation budgets dedicated to bicycle facilities
  • Implement Vision Zero and Complete Streets policies and projects to increase safety and comfort of bicyclist experience
Baseline : 0 Target : 100
Strategies
  • Develop context-appropriate county-level Transportation Demand Management (TDM) Plans to establish mode baselines
  • Develop more inclusive and comprehensive metrics for measuring active transportation beyond work and school commutes
  • Support development of community Safe Routes to School (SRTS) plans, funding of SRTS infrastructure, free transit for minors, etc
Baseline Target
State 0 1
Country 0 4
Strategies
  • Promote Equitable Transit Oriented Development (ETOD), town centers, mixed-use development, and upzoning for new development and zoning updates
  • Adopt parking policy reforms to reduce parking oversupply, unbundle residential parking, reduce or eliminate parking minimums, and/or shift costs
  • Change Level-of-Service to Vehicle Miles Traveled (VMT) in environmental review of new development
Baseline : Pending Target : Increase by 10%
Strategies
  • Establish regulatory parity for cigarettes, electronic smoking devices (ESDs), and emerging products, etc (e.g. impose taxes, licensing/permitting/restricting online sales, etc)
  • Prohibit the sale of all flavored tobacco products including menthol
Baseline : 0 Target : 5
Strategies
  • Establish a MedQUEST policy that requires health plans to offer expanded evidence-based cessation service options
  • Establish a policy to formally coordinate services between the Hawaiʻi Tobacco Quitline (HTQL), community cessation providers, and a private or public insurance provider to promote access to services to consumers
  • Establish a policy that requires insurance companies to expand reimbursement for youth cessation
Baseline : 0 Target : 2
Strategies
  • Enact a smoke-free multi-unit housing ordinance in all four major counties
  • Establish policies that increase resources for smoke-free policy enforcement (at parks, beaches, public housing, etc)
Baseline : 0 Target : 2
Long-term-measures
Long-Term Measures & Trackers

The long-term measures are broad measures that help assess progress toward achieving the Healthy Hawaiʻi Vision 2030.