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