NC State Extension


Policy, Systems, and Environmental Change Initiatives

Steps to Health builds on and enhances education on the individual level by providing site-specific resources and engaging site leadership to address policy, systems, and environmental (PSE) change. All sectors of society, including individuals and families, educators and health professionals, communities, organizations, businesses, and policymakers, contribute to the food and physical activity environment in which people live, learn, work, and play. Combining PSE initiatives with individual education is more effective than either strategy alone for preventing overweight and obesity.

Across initiatives, Steps to Health PSE activities include:

  • Environmental scans and assessments
  • Best practice education and training
  • Guided action planning for change
  • Implementation resources
  • Community engagement
  • Partnerships and collaborations on the local, regional, and state level

Steps to Health PSE settings include:

  • Early Care and Education Centers
  • Elementary Schools
  • Out-of-School Time Programs
  • Congregate Nutrition Sites
  • Faith Communities
  • Food Pantries
  • Small Retail Stores
  • Worksites
  • Healthcare Facilities
Page Last Updated: 12 months ago
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