The Hawaiʻi Physical Activity and Nutrition (PAN) Plan 2030 is a guide to increasing physical activity and healthy eating in the state, with the long-term goal of reducing overweight, obesity, and chronic disease among all Hawaiʻi residents. Physical activity and healthy eating are vital in creating resilient communities and preventing many chronic diseases.

In Hawaiʻi the majority of adults, adolescents, and children do not engage in regular physical activity or eat a nutritious diet. Insufficient physical activity combined with unhealthy eating can substantially increase the risk of health problems such as obesity, high blood pressure, heart disease, diabetes, cancer, and arthritis. However, by creating policies, systems and environments that support healthy eating and active living, communities can become more resilient and thrive.

Vision: We envision a future for Hawaiʻi in which all residents are physically active, eat healthy foods, and live in healthy communities.

Goals: Through healthful eating and regular physical activity, Hawaiʻi residents will:

• Reduce their burden of disease;
• Increase years of healthy life;
• Increase their resilience to deadly viruses; and
• Reduce health disparities.

Health disparities exist when a health outcome is seen to a greater or lesser extent between population groups. Identity factors such as race and ethnicity, gender, gender identity and sexual orientation, age, disability; and social determinants like educational attainment, socioeconomic status, worksite, and geographic location all contribute to an individual’s ability to achieve good health. It is important to acknowledge and strive to understand these health disparities and to prioritize vulnerable populations whose access to physical activity and healthy food is compromised by environmental and policy gaps.

The PAN Plan 2030 incorporates principles of the Social Ecological Model and is organized into four sector areas: Community Design and Access, Education, Health Care, and Worksite. The plan prioritizes goals, objectives, and strategies that lead to policy, systems, and environmental change. Objectives were developed using current data, best practices, and evidence-based science, and reflect one or more cross-cutting themes.

The PAN Plan 2030 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.

The Hawai‘i Physical Activity and Nutrition (PAN) Plan 2030 Implementation Plan, or Hawai‘i Social Determinants of Health Accelerator Plan (SDOH AP), presents activities that will accelerate progress toward the completion of the PAN Plan 2030 objectives.

The SDOH AP was created with Centers for Disease Control and Prevention (CDC) funding, titled Closing the Gap with Social Determinants of Health Accelerator Plans (DP21-2111), which supported the convening of community partners to prioritize existing and anticipated resources towards completion of the PAN Plan 2030 objectives.

The statewide implementation-ready, culturally informed SDOH AP focuses on policy, systems, and environmental changes for the built environment, and food and nutrition security across the sectors of Community Design and Access, Education, Health Care, and Worksite. Ultimately, the SDOH AP provides a roadmap towards the implementation of the PAN Plan 2030 objectives, which will improve health, reduce the prevalence of chronic disease, and reduce health disparities among low-income residents, Native Hawaiian and Other Pacific Islander (NHOPI), and Filipinos through prevention efforts.