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A Participatory Regional Partnership Approach to Promote Nutrition and Physical Activity Through Environmental and Policy Change in Rural Missouri

Figure 1. Counties in the Healthier Missouri Communities partnership and US Census Bureau population estimates for each county (15).

County, Each Located in Southeastern Missouri Population Size
Butler 43,083
Carter 6,291
Dunklin 31,712
Howell 40,393
Mississippi 14,282
Oregon 10,996
Pemiscot 17,823
Reynolds 6,599
Ripley 14,032
Scott 39,290
Shannon 8,297
Wayne 13,404


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Activities that took place during 2010 were evidence-based training, action planning, a review of partnership principles, and listening tours. Community garden and school project planning, implementation, and evaluation took place from early 2011 through 2013. The community garden video was developed in late 2011 and early 2012. Sustainability planning, including subcommittees, took place from late 2012 through 2013. During 2013, a school guidebook was developed and disseminated. Partnership evaluation took place during the second half of 2013.

Figure 2. Timeline of Healthier Missouri Communities partnership activities from 2010 to 2014.


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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions.

Page last reviewed: June 11, 2015