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Public and Private Sector Models from Abroad
Colorado Springs – December 6-8, 2004
• highest life expectancy: 81.2• longest health expectancy: low
rates of heart disease, cancer, dementia, hip fractures
• Centenarian Study to uncover genetic and lifestyle factors (diet, exercise habits, and psychospiritual beliefs and practices)
Largest Natural Experiment on Diet
• Sudden socio-economic changes in late 80‘s
• Increase in price of foods with animal fat
• Availability of fruits and vegetables (year round)
• Mortality rates from cardiovascular disease fell by 25% in 20-44 age group in 3 years (15% in 45-64 age group)
15,2
9,6
67,1 8,1 Normal
Obeso
Sobrepeso
Baixo Peso
Sobrepeso e Obesidade em Adolescentes na Cidade de São
Paulo%%
Projeto MEGA – UNIFESP/USMarcos/ILSI-2004Projeto MEGA – UNIFESP/USMarcos/ILSI-2004
%%
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• 56 Escolas • 8.000 estudantes• 10-15 anos
• 56 Escolas • 8.000 estudantes• 10-15 anos
Example #1 : Agita Sao Paulo
• 3 target groups: Students / teenagers, workers, and older adults.
• Permanent activities: schools, communities (walk programs in hospitals, health centers, city halls, and older people centers), companies (granted 10-15 minutes of the workday for their employees to devote to physical activity).
• Mega events• Supportive actions
Factors of Success• Based on scientific evidence• Strong partnership (intellectual and institutional)• Clear message • Inclusive approach • Target groups • Tailored messages • Continuous evaluation • Fun/Fun/Pleasure • Linked to cultural aspects • Two-hats Approach (government/NGOs and private sector)• Multi-component intervention using „mobile management"
of the ecological model
Health factors driven by good leadershipPre-reconditions for healthy organisations Health factors driven by good leadershipPre-reconditions for healthy organisations
ClarityGoals, results
Pridelong-term involvement
credibilityethics & morals
Stability in organisationStaffing, speed of change,
time for recuperationVariation
Possibility to influenceConfirmation
visibilitydevelopment
ParticipationBeing a part (of the ”whole”)
sense of coherence
According to Antonovsky
Sense of coherence
3 key wordsCoherenceParticipationPurposeful
Contentment (feeling good)Relations to boss, friends,
family, have fun
Let´s fight ill-health by focusing on good health
Singapore
• Impressive reductions in smoking (15% prevalence) and child obesity rates (10%)
• Health Promotion Board
• National Healthy Lifestyle Programme
• C.H.E.R.I.S.H. Award for schools
• Healthy Lifestyle Ambassador Award
• National WHP Programme
Case Study: Germany
• 3rd in health care spending % of GDP• Health care reform efforts underway
(prevention law being discussed)• Sickness funds are asked to spend €2,70 per
member per year – average amount spent is €1,56• Impact of €10 co-payment <--> entitlement
mentality• Tobacco tax --> 8% of smokers quit
Top 10 Tips for Healthy Living
1. Don't be poor.2. Pick your parents well. 3. Graduate from high school or, better
yet, university.4. Don't work at a stressful, low-paid job.
Find a job where you have decision-making power and control.
5. Learn to control stress levels.
Top 10 Tips for Healthy Living
6. Be able to afford a foreign holiday and sunbathe (with SPF 30).
7. Don't be unemployed.8. Leave in a community where you have
a sense of belonging.9. Don't live in a ghetto, near a major road
or polluting factory.10. Learn to make friends and keep them.
Health promotion’s technologies
• Healthy public policy
• Supportive environments
• Community action
• Personal skills
• Health services
Health Promotion Strategy
• Enable people to control their own health
• Combine individual and social solutions
• Involve all sectors
» health social
services
» education transportation
» recreation business
» safety entertainment
health promotion
=
health education x healthy policy
SYNERGYSYNERGY
Enhanced International Exchange
• Globalization
• Value
• Project
• Comparative study US-Europe
• International forum
