college of medicine lecture note 4
TRANSCRIPT
INTRODUCTION PROBLEM ANALYSIS OBJECTIVE CONCEPT OF REGENERATIVE HEALTH AND
NUTRITION INTERVENTIONS ACHIEVEMENTS CHALLENGES WAY FORWARD CONCLUSION
• RHN connotes the attainment of optimal physical and mental wellbeing through the adoption of a holistic lifestyle that strengthens the immune system of the body, renew the body and mind and thus prevent diseases,
PRESENTED BY: DR.J.O. AWOYINFA
To reduce the risk of occurrence of diseases and disorders for individuals, households and communities so as to be able to contribute to the development of a healthier and productive population that can create wealth for itself and the country.
Genetic Nutrition/Water Environmental Sanitation/ personal hygiene Lifestyle
Clinical services -- individuals 10% - 20%
80% - 90%
SOURCE: W.H.O ( 2012)
Poor Nutrition- Poor eating habits(fatty, salty and sugary foods)
Poor Physical Activity- Little or no exercise ( students, lecturers and non teaching staff of tertiary institutions, traders, office workers etc.)
- Sedentary lifestyles Poor Environmental Sanitation
• Poor Education/ Lack of Awareness• Over-medicalization of our health system• Urbanization is catching up everywhere• Overall result is that about 30% of our
adult population are dying from Non-Communicable diseases annually As a result of drug ABUSE, -We loose vital population/workforce- Loose productivity and national Income- make the National Insurance unsustainable
Healthy Diet“But Daniel purposed in his heart that he would
notdefile himself with the portion of the king’s
meat, nor with the wine which he drank” Dan 1:8 NKJV
Increasing consumption of fruits and vegetables
Drinking more water Reducing salt intake Reducing dietary in-take of saturated fats and
oils Reducing meat intakeReducing or eliminating alcohol intakeReducing or eliminating smoking PRESENTED BY. DR. J.O. AWOYINFA
Exercise• Increase daily physical activity
including:• Stretching• Strengthening • Endurance or aerobicsRest• Adopting regular relaxation practices to
minimize physical and emotional stress• Fasting
PRESENTED BY. J.O..AWOYINFA
Environmental SanitationMaintaining personal cleanlinessMaintaining environmental
cleanlinessAdvocate for use of potable waterAlcoholismLow alcohol intakeNo SmokingQuit smoking
PRESENTED BY; DR.J.O. AWOYINFA
Safe sex ABC concept (abstain, be faithful,
condom use)
Family planningBirth spacing
Annual Screening
Behavioral enhancing communication
Creating an enabling environment
Capacity building and training
Partnership and networkingPRESENTED. BY DR . J.O. AWOYINFA
Initiate and facilitate a process of learning and sharing information and skills that encourage individuals and communities to understand and adopt behaviors that lead to healthier longer lives.
Primary Target Primary targets: individuals, families,
households, peer groups and institutions Tertiary targets: district, regional and
national level institutions and organization
Water is Drug/MedicineFruits and Vegetables are
Medicine/DrugsExercise is Medicine/DrugRest is Medicine/DrugCleanliness is Medicine/DrugFood is Medicine/DrugTodays;BRAIN STORMING
QUESTION; What Is Drug And What is Medicine?
Changing behavior involves more than providing targeted messages.
To sustain behavior change at individual and community levels, it is important to provide enabling environments and support and mediate new ideas and practices.
Thus, providing legal framework, social
support, community development and development of policy recommendations.
Intentional transfer of knowledge, skills and resources from one person or group to the other
Involves the following stakeholders: Agencies of Ministry of Health, MOE (schools, colleges, universities, second cycle), agric sector, local government sector, industries and food manufacturing companies, NGO, Traditional Authorities, Restaurant and Hotels, chop bars, Religious bodies, traders etc.
To collaborate with stakeholders in public and private sectors and from lay communities to support and strengthen the RHN agenda
The collaboration will target: - Mobilization of resources(financial, human
and material) -Establishment of social movement in
schools and communities across the country to change health behavior
- Working with advocacy groups e.g. NGOs, Politicians, Keep Fit Clubs, Teachers
Policy and Planning
Policy Development • Policy document produced• RHNP strategic plan exist• RHN forms the basis for the
development of the MOu’s five year POW(2010-13)
• Developed Dietary and Physical Activity Guidelines
• RHN Textbook for tertiary institutionsRESENTED BY: DR. J.O .AWOYINFA
Capacity Development and Training• Successfully conducted training in 14
pilot district• Trained all health educators in NHS• Trained all catering officers and
hospital matrons in NHS• Trained all district staff representatives
of NHS• Have developed and training manuals
for nation wide trainings for the past 4 years.
Capacity Development and Training Trained reps of all community radio
stations in Nigeria, Trained members of Nigeria Writers
Association/ Nigeria Publishers Association
Trained Staff using new and current health education syllabus
Trained; chop bar operators, hair dressers, market traders, market preachers etc
Inter Sect oral Actions• Nigeria School Feeding Programme has
incorporated RHN into its Strategic Plan• Children are fed on regent diet (Fruits and
Vegetables)• Orientation for SHEP coordinators from 4
regions on Regent and application to school children.
• Working with NGO’s and Civil Society Groups to provide orientation to the general public
• Working with the Food and Drugs Board on food safety and Nutrition.
• Working with the private sector on environmental sanitation
• Working with institution for inclusion of RHN in school and Universities syllabus
PRESENTED BY: DR.J.O.AWOYINFA
Service Provision Initiated and influenced the
process for the construction of a ‘Regen’ centres by private organization
Carry on free health screening at public gatherings (Kwahu Easter, Policy Fair, Wellness Exhibition etc)
PRESENTED BY: DR. J.O. AWOYINFA
• Commitment of institution on RHN is a limiting factor.
• The provision of potable water, sanitation and clean markets, use of fertilizers and other chemicals to grow fruits and vegetables is a major problem etc.
PPRESENTED BY. DR J.O. AWOYINFA
• Continue with the Capacity Development and Communication component of the programme
• The project should continue to use MDAs, Tertiary and Training institutions for getting to communities/schools.
• There should be massive communication Campaign in all regions and districts to drive the message to the people.
• More NGO’s and Civil Society groups must be encouraged to participate in the program.
PRESENTED BY: DR. J.O.AWOYINFA
THE ROAD IS ROUGH
THE JOURNEY IS FAR
BUT
YES!!!!! WE CAN MAKE IT