SCale Down Update – Spring 2017


SCale Down Quarterly Update

2017 has been off to an exciting year of progress and transitions for the SCale Down Initiative. We look forward to continuing to build upon our remarkable progress thus far with active engagement from nearly 100 stakeholders to implement the State Obesity Action Plan. Through this collaborative work, SCale Down is making strides in addressing obesity in our state through policy, systems and environmental changes.

Introduction of new Program Manager for SCale Down

Ms. Shaena Rouse started as the new program manager for SCale Down on January 4, 2017. She is a graduate of Clemson University with a Bachelor of Science degree in Biological Sciences,and the University of South Carolina Arnold School of Public Health with a Master of Public Health.  Ms. Rouse has five years of experience in the field of public health, obesity prevention and partnership development. Ms. Rouse is familiar with the planning, implementation and evaluation of public health programs and building relationships with diverse partners across the state. During her career, she has assisted with the implementation of the state’s Centers for Disease Control and Prevention Community Transformation Grant, which aimed to prevent chronic diseases such as cancer, diabetes and heart disease.

Immediately prior to joining IMPH, Ms. Rouse served as a coordinator with University of South Carolina’s Healthy Carolina, one of the nation’s leading healthy campus initiatives. She was responsible for managing the Healthy Carolina Farmers’ Market, implementing assessments to determine the campus community health behaviors, overseeing the Lactation Support Policy and a variety of other wellness initiatives. She enjoys working in the public health field to create a culture of health at different entities such as worksites, schools, communities and in health care.

Highlights of Key Efforts in Obesity by Settings


  • Identified 112 farmers’ market/stands accepting Electronic Benefits Transfer (EBT) for the Supplemental Nutrition Assistance Program during the 2016 inventory.
  • Almost half (49%) of the farmers’ markets and stands inventoried accept Women Infants and Children’s Farmers’ Market Nutrition Program Vouchers.
  • Twelve (12) school districts have written policies that provide open community access to school recreational facilities.
  • Web-based clearinghouse of resources and tools for faith-based organizations addressing breastfeeding, physical activity and nutrition was updated.


  • 107 worksites, reaching 116,000 employees, are actively engaged in addressing their culture of wellness and nutrition, physical activity, and tobacco policies and practices through the Working Well program.

Health Care

  • Over 300 adult and 19,000 pediatric Medicaid claims with obesity diagnosis.
  • Modified Electronic Health Records at 10 federally qualified health centers to identify people at risk for developing type 2 diabetes.
  • Increased the number of American Diabetes Association or American Association of Diabetes Educators accredited diabetes self-management education/training programs from a baseline of 4 to 9.
  • Increased the number of active diabetes prevention programs sites from a baseline of 2 to 40.
  • Increased the number of hospitals designated at Baby Friendly from a baseline of 5 to 11.

Schools and Child Care

  • Increased schools/preschools participating in the Farm to School/Preschool program from 124 to 194.
  • Sixty-five (65) of 82 public school districts, including the Public Charter School District, are participating in FitnessGram, the statewide web-based youth physical fitness assessment, education and reporting system.
  • Two hundred and thirty-five schools and 105 physicians participating in the Docs Adopt School Health initiative during the 2015 – 2016 academic year.
  • Increased the number of SC “Breastfeeding Friendly” child care designations from 0 to 4.

Connecting the Dots

With these advances and others, significant progress is being made to achieve the objectives in the South Carolina Obesity Action Plan.  The dedication and collaborative spirit of a diverse array of state and local partners are the fundamental reasons for this success.  Many thanks to all of the stakeholders who continue to work diligently on policy, systems and environmental approaches that are making SC communities healthier places to live, learn, work and play.  Working together, the ambitious goal of reducing and preventing obesity in our state will be achieved!

To find out how you can get involved with SCale Down, please contact To learn more about SCale Down, visit

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