caribbean workshop on physical activity follow on.. march 9, 2009
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March, 20091
Caribbean Workshop on Physical Activity
Follow On..
March 9, 2009
March, 20092
ACTIVE CARIBBEAN 2009; ROAD TO THE WELLNESS REVOLUTION
Caribbean Workshop on Physical Activity March 6-7 2009
Accra Beach Hotel & Resort
Christ Church, Barbados
March, 20093
Evolution & Opportunities
Promoting physical Promoting physical Activity:Activity:
March, 20094
OVERVIEW
Burden of chronic disease and prevalence of physical inactivity in the Caribbean
Evolution of physical activity promotion
Opportunities for physical activity promotion initiatives in the Caribbean
March, 20095
Caribbean PA Inactivity Prevalence:
One half of adults are sedentary
More females
More urban
17-38% engage in planned exercise
March, 20096
CARICOM Heads of Government Summit on NCD's
September 15, 2007
Port of Spain, Trinidad
March, 20097
May 6, 7 2008
Port of Spain, Trinidad
Promoting Physical ActivityPromoting Physical Activity
in the Caribbeanin the Caribbean
March, 20098
Caribbean Regional Private Sector Meeting on NCD Prevention and Control
May 8-9 2008
Port of Spain, Trinidad
March, 20099
HEALTHY CARIBBEAN 2008
First Caribbean Chronic Disease First Caribbean Chronic Disease
Conference:Conference:
A Wellness Revolution A Wellness Revolution EventEventOctober 16-19 2008October 16-19 2008Christ Church, BarbadosChrist Church, Barbados
March, 200910
EVOLUTION OF PROMOTING
PHYSICAL ACTIVITY
March, 200911
ESTABLISH HEALTH AND OTHER ESTABLISH HEALTH AND OTHER BENEFITSBENEFITS
March, 200912
ESTABLISH IMPORTANCE ESTABLISH IMPORTANCE AS AS
A RISK FACTORA RISK FACTOR
March, 200913
ACHIEVABLE VIA ACTIVITIES OF DAILY LIVING
ESTABLISH GUIDELINESESTABLISH GUIDELINES
March, 200914
DOCUMENT PREVALENCE OF INACTIVITY (SURVEILLANCE)
March, 200915
ECONOMICS AND ECONOMICS AND DEVELOPMENTDEVELOPMENT
RATIONALERATIONALE
March, 200916
Cost Effectiveness of Community-Based Activity InterventionsAm J Prev. Med 2008; 35 (4) Roux, Pratt, et al
Study assessed *cost-effectiveness (CEA) of population – wide strategies to promote physical activity in adults and followed disease incidence over a lifetime.
*Dollars per quality – adjusted life year (QALY) gained relative to no intervention.
March, 200917
Four Intervention Strategies Previously Recommended By the Task Force on Community Preventive Services:
Community – wide Campaigns.
Individually adapted health behavior change.
Community social – support interventions.
Creation of or enhanced access to physical activity information and opportunities.
March, 200918
Conclusions:
All evaluated PA interventions reduced disease incidence. All evaluated PA interventions were cost-effective. Compared with other well accepted preventive strategies
the PA interventions offered good value for the money Results support using these interventions as part of public
health efforts to promote physical activity In considering PA interventions, CEA is a valuable adjunct
to other factors such as program reach, feasibility, community priorities and resources.
March, 200919
DOCUMENT THE MANDATE
(RESOLUTIONS, ETC.)
March, 200920
“WHO Calls For Action to Tackle Social Injustice”
…..Targeted preventive campaigns, for example about the risks of inactive lifestyles, can help close the health gap.
March, 200921
AWARENESS ACTION
March, 200922
CAPACITY BUILDINGCAPACITY BUILDING
March, 200923
RESOURCES/PROGRAMSRESOURCES/PROGRAMS
March, 200924
INTERSECTORALINTERSECTORALINNOVATIONSINNOVATIONS
March, 200925
WHO STRATEGYANDASSISTANCETO IMPLEMENT
March, 200926
ADVOCACY FOR DEVELOPMENT
OF NATIONAL PLANS
March, 200927
PA ATTRIBUTES
March, 200928
PROMOTING PHYSICAL ACTIVITY IS EXCITING,
POSITIVE, MARKETABLE AND TIMELY
March, 200929
Synergy:PA complements other important
national policy issues such as nutrition,
urban safety, tobacco control,
environmental health, transportation
and sport.
March, 200930
It encourages positive action not prohibition
March, 200931
The message is simple
and consistent
March, 200932
It is relatively free fromopposing lobbies, special
interest groups
March, 200933
Recommendations can be achieved via enjoyable activities of daily living (walking the dog e.g.) or sport
March, 200934
March, 200935
March, 200936
Mark Cunningham
March, 200937
BENEFITS APPLY ACROSS
POPULATIONS
March, 200938
Benefits extend beyond health alone to workplace issues such as productivity and absenteeism
March, 200939
for for older adults older adults especially especially
relevant with relevant with aging aging
populationspopulations
Benefits to quality of Benefits to quality of lifelife
March, 200940
Increased awareness of NCD Increased awareness of NCD burden and obesity prevalence burden and obesity prevalence
provides incentiveprovides incentive
March, 200941
Specific plans and Specific plans and interventions can be interventions can be tailored to individual tailored to individual
country circumstancescountry circumstances
March, 200942
Promoting physical activity Promoting physical activity must be opportunistic must be opportunistic according to individual according to individual
country politics,country politics, culture, capacity.culture, capacity.
March, 200943
Plans/ initiatives can be Plans/ initiatives can be broad spectrum broad spectrum
from simple to sophisticated from simple to sophisticated and can start through and can start through
alternative sectors.alternative sectors.
March, 200944
Winning sport season Winning sport season promotes population promotes population
level interestlevel interest
ELEMENTARY EXAMPLE….ELEMENTARY EXAMPLE….
March, 200945
SOPHISTICATED EXAMPLE:
Collect data to individualize Collect data to individualize country prevalence of inactivity, country prevalence of inactivity, NCD rates, and demonstrate NCD rates, and demonstrate potential economic and other potential economic and other benefits to be gained by benefits to be gained by increasing population levels of increasing population levels of PA.PA.
March, 200946
COST SAVING MECHANISM:
Minimize data collection by using international
consensus data
March, 200947
GETTING STARTED
March, 200948
GOOD PRACTICES IN NATIONAL PUBLIC HEALTH PLANNING APPLIED TO PHYSICAL ACTIVITY
Make the case (health and others)Consult with key stakeholders; identify partnersComprehensive inter-agency planning; shared responsibility of coalitions/ task forcesMultiple strategies at different levelsIdentify "what, who, timeline, $$"Evaluation ( process and outcome)
March, 200949
HEALTH SPORT TRANSPORTATION / URBAN PLANNING EDUCATION DEVELOPMENT GOVERNMENT NGO'S PRIVATE SECTOR ENGAGING OTHERS IS ESSENTIAL
WHICH SECTOR LEADS?WHICH SECTOR LEADS?
March, 200950
A WORD ABOUT EVALUATION
March, 200951
Strategies / Venues
National plan / intersectoral committee
Worksites
Schools
Transportation Policies
Recreational Facilities
Healthy spaces in urban design
Training for teachers and healthcare workers
March, 200952
Summary of Fundamental PA Promotion Considerations:
Physical inactivity is associated with increased risk of many chronic diseases and resultant economic consequences.Risks decrease with increases in physical activityOther benefits accrue from PA.Globally, and in the Caribbean, there are high levels of physical inactivity as well as chronic diseases. There is evidence that public health efforts can increase physical activity.PA interventions can be cost effective.PA initiatives are synergistic with other public health efforts.
March, 200953
FUNDING PROPOSAL
March, 200954
FUNDING PROPOSAL1. Mission Statement
2. General Description of Proposed ProgramPurposeBenefit to the community $$$
3. Program DetailGoals/ObjectivesActivitiesCollaborationStaffingEvaluationStart/end dates
4. Budget Summary and Narrative
March, 200955
Thank YouThank You
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