5-2-1-0 ANNUAL UPDATE 2019

posted on Tuesday, February 25, 2020

5-2-1-0 Healthy Choices Count! reaches 289K Iowans

New data from 2019 shows impact across sectors

The 5-2-1-0 Healthy Choices Count! initiative reached 289,427 Iowans across the state in 2019, according to the 5-2-1-0 Annual Update. The report compiles data gathered from 5-2-1-0 Registered Sites, including education providers, health care clinics and workplaces.


Students from Irving Elementary in Waterloo participated in a "Great Apple Crunch" event in October 2019 to promote eating locally-grown foods. Irving is a 5-2-1-0 Registered Site and a two-time Healthiest State Annual Award winner. Photo used with permission from the Waterloo Community School District.

5-2-1-0 Healthy Choices Count! is a nationally recognized and evidence-based prevention framework to promote healthy habits. The goal is to increase physical activity and healthy eating through policy, system and environmental change.

Highlights from the 2019 5-2-1-0 Annual Update include:

  • 85% of K-12 schools surveyed (impacting 19,423 children) have a policy that prohibits using or withholding physical activity as a punishment
  • 89% of out-of-school programs surveyed (impacting 3,143 children) have a healthy snack policy.
  • 100% of early care providers surveyed (impacting 2,023 children) have a policy that limits recreational screen time.

“We are proud of the efforts being made by our 5-2-1-0 Registered Sites,” said Jami Haberl, executive director of the Healthiest State Initiative. “It’s encouraging to see a growing number of sites who have put policies in place or are actively making changes to promote healthy choices for their students, patients and employees.”

GET INVOLVED: Become a 5-2-1-0 Registered Site

In 2019, more than 450 sites signed up as 5-2-1-0 Registered Sites, committing to create healthier environments where Iowans live, work, learn and play:

  • 133 K-12 Schools
  • 130 Workplaces
  • 109 Early Care Providers
  • 49 Health Care Clinics
  • 33 Out-of-School Programs

5-2-1-0 Healthy Choices Count! was launched statewide by Gov. Kim Reynolds in Fall 2017. Registration for health care clinics, schools, early care providers and out-of-school programs opened in 2018 and workplace registration followed in Summer 2019.

LEARN MORE: Access free 5-2-1-0 resources

In Fall 2019, sites that had been implementing 5-2-1-0 strategies for at least one year were surveyed on their progress and awarded bronze, silver or gold-level recognition. 5-2-1-0 Registered Sites will be continued to be surveyed annually to measure their progress. New sites are welcomed to sign-up at any time. Registration is free, easy and can be completed online.

About 5-2-1-0 Healthy Choices Count!

The 5-2-1-0 Healthy Choices Count! is a messaging campaign and prevention framework that focuses on the importance of good habits:

  • 5 or more fruits or vegetables each day
  • 2 hours or less of recreational screen time
  • 1 hour or more of physical activity
  • 0 sugary drinks – drink more water!


5-2-1-0 Healthy Choices Count! is supported by the Iowa Department of Public Health, Iowa Department of Education, United Way of Central Iowa, the Iowa Medical Society and sponsored statewide by West Bank. To learn more about 5-2-1-0 and access free resources for all sectors, visit www.IowaHealthiestState.com/5210