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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.
- Keiki and Youth: 0-18 years old
- Kupuna: 65 years and older
- Low-income: gross household income at or below 185% of federal poverty level
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.
- 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
- 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
- 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
- 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
- Convene a working group with representation from Hawaiʻi's foodbank network, to develop guidelines for healthy food donations
- 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
- 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
- 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
Increase by 10%, the proportion of existing urbanized land zoned to support walkable communities.
- 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
- Support a Board of Education policy change to require annual courses in Health Education in grades K-8 in Department of Education (DOE) public non-charter schools
- Support a Board of Education policy change to require annual courses in Physical Education in grades K-8 in DOE public non-charter schools
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Develop a system to monitor and support implementation of the Early Childhood Care and Education Wellness Guidelines.
- Convene both public and private early learning community stakeholders to determine barriers to implementation of Hawaiʻi’s Early Childhood Care and Education (ECE) Wellness Guidelines
- Collaborate with ECE stakeholders to create a physical activity and nutrition ECE setting focused training curricula developed from the Hawaiʻi ECE Wellness Guidelines
- Partner with leaders in the early learning community to identify and implement incentives to support provider implementation of the ECE Wellness Guidelines
- Create a toolkit to share with all participating public schools that highlights resources for the four lowest scoring wellness guidelines
- Create a social media campaign to educate families and community stakeholders on the DOE safety and wellness guidelines and opportunities to support wellness in schools
- Conduct a study to evaluate qualities/characteristics/infrastructure/resources that contribute to the schools with the lowest Safety and Wellness Survey (SAWS) score and the highest SAWS score
Establish and sustain a funded statewide Food Systems Education Coordinator position to support ʻāina-based education, which promotes healthy eating in preschool through grade 12 (P-12) education settings.
- Assess statewide resources and capacity to fund and establish state-level Food Systems Education Coordinator position
- Develop scope and position description to include knowledge of ʻāina-based education
- Identify gaps and strategically integrate the Food Systems Education Coordinator position in a way that bridges these gaps
Increase by 5%, the number of people enrolled in nutrition and physical activity programs that are offered by health system payers.
- Expand coverage for Diabetes Prevention Programs (DPPs), or evidence-based DPP-like programs (e.g., Pili 'Ohana Department of Native Hawaiian Health)
- Work with providers, health system payers, and worksites to increase awareness of and referrals to covered PAN programs
- Participate in Health Information Technology (HIT) workgroup to discuss potential referral options between health care organizations and self-management education programs related to physical activity and nutrition
Implement a Hawaiʻi-specific hospital recognition program to incentivize promotion of exclusive breastfeeding through adoption of best practices that 100% of maternity care hospitals will participate in.
- Develop a statewide maternity care hospital recognition program, which sets policies and standards to support exclusive breastfeeding
- Convene a Hawaiʻi hospital recognition program workgroup to create, administer, and evaluate the program
- Engage lactation consultants and other breastfeeding stakeholders to:-Develop reimbursement models for Medicaid and commercial payers-Pilot coverage processes
- Establish a comprehensive worksite physical activity policy
- Establish a policy that requires nutrition standards for worksite vending machines and for meetings/events where food is served
- Establish a statewide Paid Family Leave policy, which will support mothers' ability to breastfeed by providing leave time for mothers to care for their newborns
- Encourage employers to adopt an Infant at Work policy, which allows employees the option of bringing their infants into the workplace and can support exclusive breastfeeding
- Encourage employers to adopt a Work from Home policy, which provides telecommuting options for breastfeeding mothers
- Identify stakeholders and convene an advisory group to develop a Hawaiʻi-specific, evidence-based worksite wellness recognition program that includes the following areas:
- Heart Disease and Stroke
- Physical Activity and Nutrition
- Pilot the recognition program with a group of diverse employers and modify the program based on their feedback