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  • Each county had a strong local partnership carry out this project, with representation from their health department, schools, urban and regional planners, healthcare organizations, faith community, etc who worked to leverage support and resources.
  • Partnerships worked toward sustainable policy and environmental changes in the community.
  • Partnerships have increased their skills and capacity through training on advocacy, non-profit fundraising, effective communication, and other topics as needed.

Lessons Learned:

  • Strong county coordinators were instrumental in mobilizing the Partnership and efforts related to obesity within the county and in building sustainable infrastructure needed to address these issues.
  • Effective coordination of a large-scale, multi-component obesity prevention program relies on a strong, organized, well-connected, collaborative and resilient local coordinator.

For more information on county coalitions...

Social Marketing


  • Each county used media outlets -- including TV, billboards, radio, newspapers, magazines, posters, and promotional events -- to encourage physical activity and healthy eating, and to raise awareness of the Eat Smart, Move More NC statewide movement.
  • Both English and Spanish materials were used.
  • All counties leveraged in-kind (earned) media.

Lessons Learned:

  • Counties marketed all interventions that they implemented.
  • Health behavior messages must be consistent.
  • Earned media is available and be should be advocated for.

For more information on media...

Built Environment


  • Each county constructed or completed the engineering/design phases to build sidewalks and greenways.
  • Counties engaged the public in decision making and promotion of these structures.

Lessons Learned:

  • Project implementation was not always seamless. Unexpected structural and land use challenges impacted the time frame for construction.
  • All counties were able to leverage in-kind or matching contributions for this project.

For more information on built environments visit:
Community Tools and Resources

Farmers' Market/Farm Stand


  • Four counties worked with local farmers' markets/farm stands to improve access to fresh fruits and vegetables. Two of these counties focused on access for low-income families.

Lessons Learned:

  • There were seasonal implications for completing the farmers' market needs assessment and educating farmers on the 21st Century Farmers' Markets.
  • Some farmers' market managers are volunteers and have other competing priorities.
  • Farmers' Markets Boards can be political. Adequate time and input from the community should be allowed to implement new programs and ideas.

For more information on working with farmers' markets...

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Eat Smart, Move More NC exists through the work of its many partner organizations.
Please address all inquiries to the Eat Smart, Move More NC Webmaster.