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Youth on a Healthy Weight (JOGG); integrated approach towards obesity.
Jacob C. Seidell
VU University
June 3rd 2015, Belfast
Strategies --to help children eat more fruits
and vegetables, --decrease sweetened beverage
consumption, --reduce consumption of high
energy-dense foods,--help children to be more active
and less sedentary
Pieter Breughel de Oude, Luilekkerland, Cocagne, 1567, Alte Pinakothek München
WHO
• Encourage industry ‘health-for-all principles’• Facilitatie universal access to drugs and health
services• Accelerate R and D• Acquire knowledge and expertise from the
commercial sector
PPP (PPE): in public health• Donations, funding, sponsoring• salesagreement• Licence or franchise• Fusion or take-over• PPS: Alliance model:
– Complex projects– Equal relations; governance (triple helix etc)– Joint plan and partnerselection.
• PPP: Concession model- Well-ordered clear project- Public party develops policy and looks for partners for execution/implementation- Public party is directing is and is mandator
Pro’s and Con’s of PPEPro’s Con’s
Access to financial resources fading of responsibilities and accountability
Access to knowledge and expertise Complexity formation and management
Creative and innovative solutions Differences in partners (objectives, cultures etc)
Marketing- en communication skills Uncertain results
Legitimacy Reputation damage
Integrated approach to problem Limits of publication
Compromising academic freedom
(gebaseerd op Van Huijstee, Francken, & Leroy 2007)
Logic model for interventions
1 Intervention dose is either 1 or 0 (intervention, control) or $$ (economic input – all schools)2 Capacity is leadership, skills/knowledge, structures, resources3 Relevant environments are schools, homes, neighbourhoods, churches4 Weight, BMI, BMI-z, waist, waist:height, %fat, prevalence of o/w+obesity
InterventionDose1
Δ Community capacity2
Δ Environments3
Δ Knowledge, attitudes, beliefs, perceptions etc
Δ Behaviours Δ Anthropometry4
INPUTS
POPULATION MEDIATORS
INDIVIDUAL MEDIATORS OUTCOMES
MODERATORS
Ethnicity, socio-cultural factors, gender, age, SES
Δ QoL
Δ QALYs gained
Δ Policy
= Measured = Modelled