Pima County, Arizona

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Pima County, Arizona

In 2004 Congress mandated that all school districts participating in federal school meals programs create and implement a Local Wellness Policy (LWP) by July 2006. The WellSAT was developed at the Yale Rudd Center for Food Policy and Obesity: www.wellsat.org The WellSAT provides a standard method for the quantitative assessment of Local Wellness Policies.

Nutrition Education (NEWP)* Standards for USDA Child Nutrition Programs and School Meals (US)* Nutrition Standards for Competitive and Other Foods and Beverages (NS)* Physical Education and Physical Activity (PEPA)* Communication and Promotion (CP) Evaluation (E)*

Each section item is rated: 0,1, or 2.

After each item in a section is rated, a score for comprehensiveness and strength is calculated. Comprehensiveness reflects the existence of topics in the policy. Strength reflects the quality of policy statements, i.e. topics are addressed with specific and directive language. After the comprehensiveness and strength score is calculated for each section, an overall comprehensiveness and strength score is calculated.

In 2010 and 2011, 9 school districts in Pima County assessed their Local Wellness Policies using the WellSAT. These districts represent 73% of unified school districts in the county, and serve over 186 elementary, middle, and high schools. 1. Ajo Unified School District 2. Continental Elementary School District* 3. Flowing Wells Unified School District 4. Marana Unified School District 5. Sahuarita Unified School District 6. Sunnyside Unified School District 7. Tanque Verde Unified School District 8. Tucson Unified School District 9. Vail Unified School District *Continental is a single K-8 school and its own district

Percentages of districts scoring a 0, 1, and 2 per item were calculated. If over 50% of the districts assigned a 0 (not mentioned) to a specific item, the item is considered a weakness across participating Pima County districts. If over 50% of the districts assigned a 1 (weak statement) to a specific item, the item was recognized as an item that needs improvement across participating Pima County districts. If over 50% of the districts assigned a 2 (meets/exceeds expectations) to a specific item, the item was recognized as a strength across participating Pima County districts.

District ID# Overall Comprehensiveness and Strength Scores (N=9) 9 8 51 8 62 81 7 23 100 6 19 44 5 14 40 4 35 62 3 44 53 2 17 26 1 16 49 Comprehensiveness Score Strength Score

Section 1: Comprehensive and Strength Scores (N=9) 100 89 67 67 67 56 56 56 44 33 33 22 22 22 11 0 0 0 1 2 3 4 5 6 7 8 9 NEWP Comprehensiveness Score NEWP Strength Score

Section 1: Nutrition Education and Wellness Promotion (NEWP) Weakness ( 0 / Not Mentioned) This section includes goals for nutrition education that are designed to promote student wellness in a manner that the local education agency determines is appropriate. 78% of Pima County school districts do not specify using the CDC s Coordinated School Health model or other coordinated/comprehensive method. (NEWP 5)

Section 1: Nutrition Education and Wellness Promotion (NEWP) Needs Improvement ( 1 / Weak Statement) This section includes goals for nutrition education that are designed to promote student wellness in a manner that the local education agency determines is appropriate. 63% of school districts do not specify how to market and promote healthy food choices. (NEWP 7) 56% of school districts do not specify how they will provide nutrition curriculum for each grade level. (NEWP 1) *50% of districts do not mention this in their wellness policies as well. See previous slide.

Section 2: Comprehensive and Strength Scores (N=9) 100 67 71 57 43 43 43 29 29 29 29 29 29 14 14 14 0 0 1 2 3 4 5 6 7 8 9 US Comprehensiveness Score US Strength Score

Section 2: Standards for USDA Child Nutrition Programs and School Meals (US) Weakness ( 0 / Not Mentioned) This section relates to U.S. Department of Agriculture (USDA) school meals and not regulation of competitive foods. Assures that guidelines for reimbursable school meals shall not be less restrictive than USDA school meal regulations. 89% of school districts do not address: Strategies to increase participation in school meals programs. (US 3) Assurance of nutrition training for food service director and/or onsite manager (or other person responsible for menu planning). (US 5) 67% of school districts do not address how nutrition information for school meals (e.g. calories, saturated fat, sugar) is available. (US 7)

Section 2: Standards for USDA Child Nutrition Programs and School Meals (US) Strength ( 2 / Meet, Exceeds Expectations) This section relates to U.S. Department of Agriculture (USDA) school meals and not regulation of competitive foods. Assures that guidelines for reimbursable school meals shall not be less restrictive than USDA school meal regulations. 67% of school districts specifically address nutrition standards for school meals beyond USDA minimum standards. (US 2)

Section 3: Comprehensive and Strength Scores (N=9) 100 81 81 69 69 38 44 44 38 38 31 25 31 31 13 6 0 0 1 2 3 4 5 6 7 8 9 NS Comprehensiveness Score NS Strength Score * Competitive foods are foods SOLD or SERVED (for free) outside of USDA school meals.

Section 3: Nutrition Standards for Competitive and Other Foods and Beverages (NS) Weakness ( 0 / Not Mentioned) This section relates to sale or service of foods outside USDA school meals. 56% school districts do not address: 67% of school districts do not address: Limiting sugar and fat content of foods sold/served at class parties and other school celebrations. (NS 5,6) Limiting sodium content of foods sold/served outside of USDA meals. (NS 7) Limiting calorie content per service size of foods sold/served outside of USDA meals. (NS 8) Serving size limits for beverages sold/served outside of school meals (NS 14) 78% of school districts do not address: Increasing whole foods sold/served outside of USDA meals. (NS 9) 89% of school districts do not address: Access to free drinking water. (NS 15)

Section 3: Nutrition Standards for Competitive and Other Foods and Beverages (NS) Needs Improvement ( 1 / Weak Statement) This section relates to sale or service of foods outside USDA school meals. 56% of school districts are not specific about: Addressing food not being used as a reward. (NS 10) 67% of school districts are not specific about: Regulating food served at class parties and other school functions. (NS 4)

Section 3: Nutrition Standards for Competitive and Other Foods and Beverages (NS) Strength ( 2 / Meets, Exceeds Expectations) This section relates to sale or service of foods outside USDA school meals. 67% of school districts clearly address: Regulating vending machines. (NS 1) 56% of school districts clearly address : Regulating food service a la carte or food sold as an alternative to the reimbursable school meal program. (NS 3)

Section 4: Physical Education and Physical Activity (PEPA) Comprehensive and Strength Scores (N=9) 100 79 57 43 43 43 36 36 36 36 29 29 21 21 21 14 7 0 1 2 3 4 5 6 7 8 9 PEPA Comprehensiveness Score PEPA Strength Score

Section 4: Physical Education and Physical Activity (PEPA) 89% of school districts do not address : Physical education waiver requirements. (PEPA 9) 78% of school districts do not address : Teacher-student ratio for physical education. (PEPA 5) Adequate equipment and facilities for physical education. (PEPA 6) Providing physical education training for physical education teachers. (PEPA 8) 67% of school districts do no address: Time per week of physical education for middle and high school students. (PEPA 3,4) 56% of school districts do not address : This section addresses Standards developed by the National Association for Sport and Physical Education (NASPE). Weakness ( 0 / Not Mentioned) Written physical education curriculum/program for each grade level. (PEPA 1) Qualifications for physical education instructors. (PEPA 7) Regular physical activity breaks are provided for elementary school students during classroom time, not including PE and recess. (PEPA 10)

Section 4: Physical Education and Physical Activity (PEPA) This section relates to the physical education curriculum for each grade level. Strength ( 2 / Meets, Exceeds Expectations) 78% of school districts prohibit the restriction of physical activity as a punishment. (PEPA 13) 56% of school districts do not specifically and clearly address provisions of daily recess in elementary schools. (PEPA 14)

Section 5 Comprehensive and Strength Scores (N=9) 120.00 100.00 100 100 100 100 100 100 100 80.00 60.00 50 40.00 25 25 25 25 20.00 0.00 0 0 0 0 1 2 3 4 5 6 7 8 E Comprehensiveness Score E Strength Score

Section 5: Evaluation Needs Improvement ( 1 / Weak Statement) This section covers establishing a plan for measuring implementation of the local wellness policy, including designation of one or more persons within the local educational agency or at each school, as appropriate, charged with operational responsibility for ensuring that the school meets the local wellness policy. 56% of school districts do not specifically and clearly address: A plan for policy evaluation. (E 2) Identifying a plan for revising the school wellness policy. (E 4)

2012 Re-Assessment In 2012, four districts completed the WellSAT again, after revising their LWPs. 100 80 96 Pima County WellSAT 2010-2011 Overall Strength Scores 84 Each District increased its Overall Strength Scores by anywhere from 45 to 70 points. The greatest increase was in the Evaluation Section (E), where the median increase amongst the districts was 87.5. 60 40 20 0 44 14 19 64 62 District #3 District #5 District #6 District #9 Pima County WellSAT 2010-2011 Change in Overall Strength Scores by Section 8 Pre Post District NEWP US NS PEPA E Overall pre post pre post pre post pre post pre post pre post 3 44 100 56 14 86 72 25 94 69 36 100 64 100 100 0 44 96 52 5 0 89 89 0 86 86 0 94 94 43 50 7 25 100 75 14 84 70 6 22 67 45 29 43 14 31 81 50 14 29 15 0 100 100 19 64 45 9 11 33 22 0 57 57 6 75 69 21 43 22 0 100 100 8 62 54

For more information contact: Rebecca Drummond / drummond@email.arizona.edu / 520-626-3668 Prepared for the Pima County Health Department s Communities Putting Prevention to Work Program, with funding from the U.S. Department of Health and Human Services.