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Healthy Children Healthy Weights (HCHW) HCHW is a childhood obesity prevention program that utilizes a policy, systems and environmental change approach to promote a healthy weight and growth in all children from birth to five years old. The HCHW program offers 15 hours of training and at least 3 technical assistance visits for early learning centers and family child care homes on adopting best practices in building healthy habits, center menus, and policies. Early learning programs that complete the HCHW program are eligible to become designated as an Ohio Healthy Program (OHP). OHP is a statewide designation awarded to early learning programs that have committed to providing the children they serve a healthier place to learn and grow. HEALTH IMPROVEMENT PARTNERSHIP-CUYAHOGA (HIP-CUYAHOGA) More than 100 community partners have come together as the HIP -Cuyahoga Consortium to build opportunities for everyone in Cuyahoga County to have a fair chance to be healthy. The Cuyahoga County Board of Health serves as the backbone organizations for the partnership, providing strategic guidance, managing day-to-day operations, and guiding communications, community engagement and evaluation/measurement activities. HIP - Cuyahoga selected to address four of the most pressing issues impacting the health of our county's residents including: 1) Eliminating Structural Racism; 2) Healthy Eating and Active Living; 3) Linking Clinical Care and Public Health; and 4) Chronic Disease Self -Management. The partnership intends to reassess the community's needs every 3-5 years as needs evolve. INDOOR AIR QUALITY The Indoor Air Quality (IAQ) Program involves the investigation and testing of residences, schools and other public buildings for various indoor air quality indicators on a complaint basis. CREATING HEALTHY COMMUNITIES Creating Healthy Communities (CHC) is committed to preventing and reducing chronic disease. Through cross - sector collaboration, the program activates communities to improve access to and affordability of healthy food, increase opportunities for physical activity, and assure tobacco -free living where Ohioans live, work and play. By implementing sustainable evidence -based strategies, CHC is creating a culture of health. The three main communities of focus for this program are currently East Cleveland, Euclid and Lakewood. PERSONAL RESPONSIBILITY EDUCATION PROGRAM (PREP) The goal of the PREP program is to reduce teen pregnancy and sexually transmitted infection rates for youth in Cuyahoga County and four surrounding counties who are currently in foster care or the juvenile justice systems by educating the direct -care staff in those systems to become trainers in evidence -based pregnancy prevention programming. This train -the -trainer model seeks to enhance professional development at the local level for direct care staff while providing sustainability for pregnancy prevention and life skills education for youth in the foster care and juvenile justice systems. RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH (REACH) The REACH program seeks to implement policy, systems and environmental strategies that address two of the four key priorities identified by HIP -Cuyahoga countywide health improvement plan — Healthy Eating and Active Living (HEAL), and Chronic Disease Self -Management (CDM). Strategies are being implemented across six Cleveland neighborhoods and one large section of East Cleveland, aiming to reach over 40,000, primarily African-American, residents. The project's strategies target three chronic disease risk factors (poor nutrition, physical inactivity, and poor linkages to quality health services). The strategies employed will lead to increased communication and collaboration among community-based efforts; increased access to physical activity opportunities; increased access to nutritious food within the target neighborhoods; and improved cultural and linguistic competency within health care professionals serving the targeted population leading to better blood pressure control among adults in the target neighborhoods.